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

General: Based on interview and review of documentation, the child care center did not have a written procedure to always maintain supervision, ratios and group size, which included the beginning of the day, staff breaks and movement from the classroom to another location. 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 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 04/29/2026 AND AS OF 04/30/2026, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the center's former director resigned on approximately 12/01/25. The licensee did not report the former director's resignation, the name of the acting director, and the acting director's qualifications to the cabinet within one (1) week.

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, the child-care center did not have a written policy to ensure all staff members take precautions to prevent shaken baby syndrome, abusive head trauma, and child maltreatment. The staff member in charge confirmed the center did not have a written policy.

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, three (3) staff members (DOH: 07/15/23, 09/15/24 and 10/01/18) did not have a written performance evaluation.

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 interview and review of documentation, the following was found: 1. Two (2) staff members (DOH: 07/15/23 and 10/01/18) did not complete any training between July 1st and the following June 30th of the subsequent year of employment. 2. A staff member (DOH: 09/28/18) completed one (1) hour of training between July 1st and the following June 30th of the subsequent year of employment. 3. Two (2) staff members (DOH: 10/01/18 and 09/28/18) completed one and a half (1 1/2) hours of Pediatric Abusive Head Trauma (PHAT) training on 03/26/19 and 03/14/19, respectively, and did not complete the training every five (5) years.

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 and interview, the hot water temperature registered one hundred forty (140) degrees Fahrenheit at a sink in the infants' room, at two (2) sinks in the two-year-olds' restroom, and at a sink in the school-age restroom. The staff member in charge was unaware of the water temperature.

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, there was no thermometer present to verify the temperature inside of the refrigerator located in the infants' room.

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 following was found: 1. A child (SD: 10/24/25) immunization certificate was valid until 12/30/25. 2. A child (SD: 11/21/25) immunization certificate was valid until 12/08/25. 3. A child (SD: 11/21/25) immunization certificate was valid until 01/14/26. 4. A child (SD: 09/18/25) did not have an immunization certificate on file.

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, the following was found: 1. A child (SD: 08/12/24) did not have information pertaining to a preferred hospital documented on the enrollment form. 2. Two (2) children (SD: 11/21/25) each did not have information pertaining to a preferred hospital and a physician listed on the enrollment form.

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, four (4) staff members (DOH: 07/15/23, 09/15/24, 09/28/18 and 10/01/18) did not have a written annual plan for professional development.

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, three (3) children did not wash their hands with liquid soap and warm running water after eating breakfast in the infants' room.

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: 11/20/24) did not have education verification on file. Upon interview, it was reported the staff member was homeschooled and a written statement verifying enrollment could not be located on the date of 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: Based on interview and review of documentation, the following was found: 1) A staff member (DOH: 03/13/19) had TB documentation valid until 02/25/24. 2) A staff member (DOH: 09/06/24) did not have TB documentation 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 interview and review of documentation, the following was found: 1) Three (3) staff members (DOH: 10/01/18, 09/28/18, 12/28/23) had zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training between 07/01/23 and 06/30/24 of the subsequent year of employment. 2) A staff member (DOH: 09/15/24) had not completed the six (6) hours of cabinet-approved orientation required within the first three (3) months of employment. 3) A staff member (DOH: 09/06/24) completed the six (6) hours of cabinet-approved orientation on 02/04/25. 4) A staff member (DOH: 03/13/19) completed fourteen and a half (14.5) hours of the required fifteen (15) hours of cabinet-approved early care and education training between 07/01/23 and 06/30/24 of the subsequent year of employment. 5) A staff member (DOH: 02/13/20) completed seven and a half (7.5) hours of the required fifteen (15) hours of cabinet-approved early care and education training between 07/01/23 and 06/30/24 of the subsequent 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 3. General Requirements.

General: Based on observation, a roll of white trash bags was accessible to children in an unlocked cabinet below the sink in restroom one in the early pre-K room.

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, a staff member failed to disinfect the diapering surface after three (3) children were diapered in restroom 2 in the preschool 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 7. First Aid and Medicine.

General: Based on observation and interview, the following was found: 1) A tube of triple antibiotic ointment was accessible to children, located on the top of a small bookshelf, approximately three and a half (3.5) feet tall, in the preschool room. Upon interview, it was reported the ointment was left out by a staff member. 2) A spray can of Febreze was located in an unlocked cabinet below the sink in the restroom in the school-age room. 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 interview and review of documentation, a child, enrolled 01/08/25, did not have an immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. 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, staff member (DOH: 10/01/18) did not have an annual written performance 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 interview and review of documentation, the following was found: 1. Documentation presented for a staff member (DOH: 09/28/18) included the most recent TB skin test dated 02/23/22. 2. Documentation presented for a staff member (DOH: 10/01/18) included the most recent TB skin test dated 04/17/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member (DOH: 11/06/23) did not complete orientation training. A review of ECT-TRIS verified this information. Programming In Compliance Premises In Compliance 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: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the following was found: Infants Room 1. A large number of brown stains and tears were on an adult-size tan recliner in the infant's room. PreK classroom 1. The vinyl fabric was torn, and foam was exposed on an adult-size black recliner 2. A large number of brown stains and dark circles were on an adult-size tan recliner. Preschool Room 1. The fabric was heavily soiled with dark stains on an adult-size recliner.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the freezer compartment of a dorm-size refrigerator/freezer was frozen with an excessive amount of ice in the Infant's room. The freezer was used to store teething rings for infants. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on interview and review of documentation, a staff member (DOH: 10/01/18) did not have a professional development plan on file. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 06/02/2023 AND AS OF 06/07/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 observation, interview and review of documentation, a staff member hired 09/28/18, had TB documentation on file that was dated 09/30/18. 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 interview and review of documentation, two (2) staff members hired 07/29/18, and 10/01/18, completed no training from 07/01/2021 to 06/30/2022. A staff member hired 03/13/19, completed seven and one-half (7 ½) hours of annual training from 07/01/2021 to 06/30/2022. A staff hired 08/26/20, completed twelve (12) hours of annual training from 07/01/21 to 06/30/22. 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, interview and review of documentation, a program of activities was not developed in the one-year-olds’ classroom and in the early preschool classroom. 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, three (3) children did not wash hands with liquid soap and warm, running water when they arrived at the center in the early pre-k classroom. Two (2) children did not wash their hands with liquid soap and warm, running water prior to eating lunch in the early pre-k classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, clipboards and a plastic basket full of toys, not used for diaper changing, were stored on the diaper changing surface in the early pre- school classroom. 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, interview and review of documentation, the medication log did not have the name documented of the person who administered Ofloxacin on 03/10/23, Tylenol on 02/22/23, Tylenol cold/cough on 04/01/23, Albuterol on 08/23/22, and Cold/cough on 12/17/22. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, an approximately two (2) inch long tear was in the corner of a pink fitted sheet on a mattress in one-year-olds' classroom. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a child enrolled on 06/30/21, had an immunization certificate on file that was valid until 02/20/22. A child enrolled on 01/28/22, had an immunization certificate on file that was valid until 02/20/23. A child enrolled 02/21/23, did not have an immunization certificate on file. 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: 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 child first date of attendance 05/07/19, enrollment form did not include a phone number to enable the person in charge to contact the child’s physician. 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, interview and review of documentation, sixteen (16) children were present on 04/20/23, and did not have an arrival time documented. The DCC-94 daily attendance record did not include a parent signature to verify accuracy of weekly attendance for each child, in accordance with Child Care Assistance Program, for nine (9) children for the week of 04/10/23, for five (5) children for the week of 04/03/23, and for seven (7) children for the week of 03/27/23.

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 observation, interview and review of documentation, there was no written staff schedule available for review. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, four (4) caregivers hired on 2/13/20, 10/1/18, 3/13/19, and 9/28/18, each did not have an 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, a caregiver hired on 3/13/19, had TB documentation on file that was dated 3/23/19. A caregiver hired on 9/28/18, had TB documentation on file that was dated 8/8/18. A caregiver hired on 9/28/18, had TB documentation on file that was dated 9/30/18. 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 9. Records.

General: Based on review of documentation, the name of children participants was not documented for fire drills conducted in April through June 2021. Practiced earthquake and tornado drills were conducted for the year of 2021, but the time and name of children participants were not documented. 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 11. Staff Requirements.

General: Based on review of documentation, a caregiver hired 2/13/20, had a certificate on file for completion of the six (6) hours of orientation training on 2/22/20. However, the hours were not in the Early Care and Education Training Records Information System. In addition, the caregiver did not complete any hours of training, which included Pediatric Abusive Head Trauma Training, in the first year of employment. Two (2) caregivers hired on 9/1/21 and 8/1/21, did not complete six (6) hours of orientation training. Three (3) caregivers hired on 10/1/18, 9/28/18, and 9/28/18, did not complete any hours of training during a subsequent year of employment. A caregiver hired on 3/13/19, completed fourteen and one half (14 1/2) hours of training during a subsequent year of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication 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 7. First Aid and Medicine.

General: Based on observation, a tube of Cortizone 10 Plus was not labeled to indicate whom it belonged to in a medication box in the school age room. A bottle of Equate Ear Drops, three (3) tubes of Hydrocortisone Cream, two (2) tubes of Triple Antibiotic Ointment, a tube of Dollar General Triple Antibiotic, and a tube of Meijer Triple Antibiotic Plus Ointment were not labeled to indicate whom it belonged to located in a medication box in the infants’ room. 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 13. Toys and Furnishings.

General: Based on observation, rust was on the handlebar and wheel cover of a Radio Flyer Tricycle in the younger children’s outdoor play area. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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, a Dr. Brown’s bottle was not labeled and was uncovered 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, the posted schedule of daily activities indicated lunch was served at 11:15 a.m. to 11:45 a.m. and an afternoon snack at 3:15 p.m. to 3:45 p.m. in the early preschool room. Therefore, a meal was not served every two (2) to three (3) hours. 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 9. Records.

General: Based on review of documentation, two (2) children enrolled on 6/11/19 and 6/15/19, each did not have information on file for staff to contact the child's physician. 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, fifteen (15) children were present at the center, but only nine (9) children had a documented arrival time. Therefore, six (6) children did not have a documented arrival time. 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: recordkeeping. 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, one (1) staff member had a CPR/First Aid certificate dated 03/15/19 to 03/15/24; one (1) staff member had a CPR/First aid certificate dated 09/15/18 to 09/15/23 and two (2) staff members had CPR/First Aid certification dated 07/03/20 to 07/03/25. During interview, the director stated she was the CPR/First Aid trainer for these staff members. Interview with the American Health & Safety Institute representative determined certificates should only be valid for two (2) years from the date of course completion. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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 and record review, lesson plans in the infant/toddlers' room and preschool room were not followed. Both the toddler and preschool children were outside from the time of surveyors' arrival, 9:38am, until approximately 11:00am. The children returned outside after naptime. Review of the lesson plan and the daily schedule indicated several indoor activities were to be completed. Therefore, the planned program of activities was not followed. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a gallon jug of OdorBan deodorizer and a gallon jug of Betco AF70 disinfectant cleaner were inside a red and black Craftsman cabinet. The keys were in the lock, accessible to children as they walked through the elementary children's room. Interview with director determined the keys should not have been in the door. Also, a gallon jug of OdorBan deodorizer and a gallon of BlueSky AB antibacterial hand soap were stored on a top shelf in a red and black Craftsman cabinet in the older children's room. This cabinet did not have doors; therefore, these items were accessible to 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: Based on observation, the preschool toilet room was not well lit because one (1) light bulb constantly flickered and the other light bulb was inoperable. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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: Based on observation, four (4) toddlers did not wash hands after outdoor play. These children immediately began indoor play.

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 (1) toddler soiled the knees of her pants during outdoor play. The toddler was not given a clean pair of pants.

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, three (3) children's pacifiers, crumbs and debris were on the diaper changing table in the infant/toddlers' room. 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, an accumulation of small sticks were on the ground in the school-age outdoor play area near the back fence.

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, no protective surface material was underneath the castle climbing equipment in the preschool outdoor play area. Also, there was no protective surface material underneath the red barrel tunnel play equipment in the school-age outdoor play area. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the fence was raised several inches from the ground which created a gap between the bottom of the fence and the ground. This gap was located in the portion of fence near the red storage buildings when on the outdoor playground. Also, there was an opening in the lower portion of the outdoor playground fence located near the parking area. 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, a yellow ball had an accumulation of dirt and grime in the outdoor play area. A toddler child held and licked the ball during outdoor play.

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 wooden castle climbing equipment had several loose planks in the preschool outdoor play area. Also, chipped paint was on the green four- seated spring apparatus in the school-age outdoor play area. Transportation Not Applicable Food Service/Food Program 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 and interview, the thermometer registered 50.2 degrees Fahrenheit in the small white refrigerator located in the infant/toddlers' room. This refrigerator was used for the storage of children's milk. 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, four (4) children enrolled 03/20/19, 5/14/19, 7/23/19 and 9/15/20, had immunization certificates dated 8/10/2020, 12/21/2019, 09/30/2020 and 2/14/2021. One child enrolled 02/08/2021 did not have an immunization certificate on file. Written Documentation In Compliance Posted 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 observation and review of documentation, the written disaster plan was not posted and was not available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on observation and review of documentation, two (2) caregivers, hire dates 7/15/20 and 1/15/21, did not have a criminal records check in accordance with 922 KAR 2:410E Section 11.

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, a child from the two and three-year-old's room exited the restroom, walked approximately five (5) feet down a hall and entered the infants’ room. The staff who was responsible for supervising the child, was unaware of the child’s change of location for approximately a minute. 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 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 07/29/2020 AND AS OF 08/04/2020, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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, a staff, hired on 09/28/18, did not have an annual written performance evaluation on file. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, two (2) electrical outlets were uncovered in the indoor play room. 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, a staff, hired on 02/28/19, and a staff, hired on 08/21/19, did not complete six (6) hours of cabinet approved orientation training within the first three (3) months of employment. Two (2) staff, each hired on 09/28/19, completed one and a half (1 ½) hours of cabinet approved training during the first 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 3. General Requirements.

General: Based on observation, a can of Scrubbing Bubbles Mega Shower Foam was stored unlocked in the bottom drawer of the diapering station in the two and three-years-old room. The can was labed, "Keep out of reach of children," and remained accessible to children. A staff person’s sweater was stored on top of a Minnie Mouse vanity in the three-and four-year-olds’ room. A staff person’s orange sweater was stored on top of the three (3) foot high cubbies in the two and three-year-olds’ room. These items were accessible to children.

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 large roll of plastic, white trash bags were stored in an unlocked drawer in the two and three-years-olds’ room. A roll of plastic trash bags was stored in an unlocked cabinet under the sink in the teen’s restroom. A four-inch putty knife and three (3) wadded up plastic bags were stored in an unlocked drawer under the diapering station in the teen’s room. These items were accessible to children and were not a part of the planned program of instructionn.

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, an accumulation of dust was in the ceiling vent in the two and three-year-olds’ restroom. An accumulation of dust was in a ceiling vent in the teen’s restroom.

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 center's main entrance door was unscreened and left wide open from 11:53 am to 12:19 pm. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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: Based on observation, a child did not wash his hands with liquid soap and running water upon arrival to the center at 10:05 am.

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 did not wash her hands with liquid soap and warm running water after she assisted two (2) children with toileting in the two and three (3) year- olds’ room.

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 surface of the diapering mat was torn in two (2) places in the teen room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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 and interview, an unlabeled yellow jar, which contained a homemade paste, was stored in an unlocked drawer under the diapering station and was accessible to children in the teen’s room. A bottle of chewable ibuprofen tablets, a two ounce bottle of extra strength Benadryl, and two (2) inhalers were not labeled to indicate to whom they each belonged in the infants’ and toddler’s room. A tube of Calmoseptine Ointment, two (2), two ounce tubes of Desitin Diaper Rash Cream and two (2), one and a half ounce tubes of Natureplex Diaper Rash Cream were stored in an unlocked drawer of the diapering station and was accessible to children in the two and three-year-olds’ room. 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, the sides of four (4) crib mattresses were torn and exposed foam in the indoor play room. 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, a child, first date of attendance on 12/08/19, had an immunization certificate on file that was valid until 12/19/19. A child, first date of attendance on 05/14/19, had an immunization certificate on file that was valid until 12/31/19. A child, first date of attendance on 08/27/19, had an immunization certificate on file that was valid until 10/31/19. A child, first date of attendance on 07/22/19 had an immunization certificate on file that was valid until 11/28/19. 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 review of documentation, an arrival time was not documented for two (2) children and a departure time was not documented for nine (9) children on 12/02/19. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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 9. Records.

General: Based on review of documentation, a staff, hired on 09/28/18, had an annual professional development plan on file that was dated 09/29/18. A staff, hired on 09/28/18, had an annual professional development plan on file that was dated 11/01/18. 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, the proper methods of diapering was not posted at the diapering station in the two and three-year-olds’ room. Animals Not Applicable

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 and interview, a sink was utilized for hand washing and washing dishes in the infants' room. Based on observation, the surveyor observed dishes in a dish drying rack next to a handwashing sink in the infants' room. 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 observation and review of documentation, a staff hired on 9/28/18, did not have a professional development plan on file.

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, one (1) bottle was not labeled, one (1) bottle was not covered and labeled. These milk bottles were on the shelf in the two-year-olds' room.

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, one (1) caregiver supervised six (6) children, infant to four years old, for less than a minute in the two-year-olds' room. The second caregiver had to leave to open the door when someone rang the bell. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 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 2. Child Care Services.

General: Based on review of documentation and interview, the center did not have a procedure that requires anyone who suspects child abuse or neglect to report these allegations to the cabinet or law enforcement in accordance with KRS 620.030. The center's policy revealed "if you see or suspect any type of these activities is happening it is your duty to report it to the owners of the company". 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, two (2) electrical outlets did not contain a safety plug in the restrooms of the two-year-olds' room. One (1) electrical outlet did not contain a safety plug located beside the changing mat in the infants' room. A television cord hung down the wall and touched the floor in the toddlers' room. 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 9. Records.

General: Based on interview and review of documentation, two (2) caregivers, each hired 09/28/18, did not maintain their education verification. The director stated she had the documentation but could not locate it.

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, a volunteer had supervisory control over children but did not have education verification on file. Interview determined the volunteer did not have education due to she was working on her GED.

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, a volunteer who had supervisory control over children and a caregiver hired 09/28/18, did not have a TB skin test or a physician statement 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, five (5) caregivers and the director, each hired 09/28/18, and a caregiver hired 11/04/18, did not complete orientation training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 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 5. Infant and Toddler Play Requirements.

General: Based on observation, interview and review of documentation, the infant and toddler children were combined all day, each day, with children three years old and older.

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, a five-month-old child slept on a Boppy pillow in his crib due to acid reflux. There was no documentation on file that indicated the child required an alternate sleep position. Interview determined there was a verbal request from the child's parent. 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 liter bottle of hand sanitizer set on the attendance sheet counter at the entrance. This hand sanitizer was accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the seat top was detached and exposed the battery to a child's riding toy located on the outdoor playground.

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 and interview, the two-year-old/toddlers' room was used as a general traffic pattern for the school-age and preschool children. The school age and preschool used the two (2) restrooms located in the toddlers' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 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 and interview, the diaper changing station was about twenty (20) feet away from the hand washing sink in the two-year-old/toddler room. The closest hand washing sink was located behind a closed door in a restroom. The toddler diaper changing station was behind a room divider and about thirty (30) feet away from the hand washing sink, which was located in the infant 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 3. General Requirements.

General: Based on observation, a nine-month-old child did not wash his hands after he was diapered in the two-year-olds' room.

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 caregiver wore gloves but did not wash her hands before she diapered a child in the two-year-olds' room.

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, a caregiver did not disinfect the diaper changing mat after she diapered a child in the two-year-olds' room. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 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.

General: Based on observation, the crib mattress was torn in the infants' room.

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, four (4) children's bedding touched and was not stored in a sanitary manner in the two-year-olds' room. Interview revealed the children's bedding was washed once a week.

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 dark brown stains on the cushion and back of an adult glider chair in the two-year-olds' room. A large brown stain was on the cushion of a child's pink chair in the two-year-olds' room.

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, two (2) ceiling vents had an accumulation of dust in two (2) restrooms located in the two-year-olds' room. There were several nails exposed on the picnic table and one (1) wooden board was detached from the table on the outdoor playground. A round table top was detached from the base and laid on the grass on the outdoor playground. The rubber pedals were missing from one (1) bike on the outdoor playground. Three (3) Bumbo seats in the infant room and two (2) Bumbo seats in the toddler room were recalled. A review of the Consumer Product Safety Commission recall information determined the Bumbo seat were recalled in 2007 and consumers were instructed to order a free repair kit which included a restraint belt and warning labels. The center was not aware these items were recalled. 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 review of documentation, the center's food permit documentation revealed the permit expired on 12/31/18.

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, there was no appropriate temperature measuring device in the refrigerator in the infants' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report

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 temperature measuring device to determined food was kept at zero degrees Fahrenheit or below, in the freezer located in the infants' room.

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: General: Based on observation and interview, there was one (1) can of powdered formula, provided by a parent, on the shelf in the two-year-olds' room. The caregiver measured the formula and water to prepare a child's bottle.

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 observation, a five-month-old child was able to hold his own bottle, while he laid in the crib on a boppy pillow. This child was not provided an appropriate seat in the two-year-olds' room. 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, a child enrolled 11/01/18, had an immunization certificate that was valid until 11/19/18. A child enrolled 10/25/18, did not have an immunization certificate on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 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 8. General.

General: Based on observation, review of documentation and interview, the Rights for children was not posted in accordance with KRS 199.898.

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, the December 2018 fire drill and the 4th quarter earthquake and tornado drills were practiced but the names of the children who participated, time and date were not documented.

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 review of documentation and interview, the medication sheet which included the child's name, dosage and type of medication was in plain view at the attendance record sign-in counter at the main entrance; therefore, this documentation was not kept 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 interview, the December 2018 fire drill and the 4th quarter earthquake and tornado drills were conducted but were not documented. A fire drill was not conducted for November 2018. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 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 and review of documentation, the information on the Kentucky Consumer Product Safety Program, the program's website, the statement of deficiencies and the plan of correction were not posted. Animals Not Applicable

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, eight (8) caregivers hired on 09/28/18, did not have education verification on file.

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 Review of Documentation and interview, a caregiver hired 09/28/18, did not have a criminal records check on file from North Dakota, which was a previous state of residence. Interview determined the out-of-state request was never submitted to North Dakota. Supervision In Compliance Staffing Requirements Discussed 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on Review of Documentation and interview, eight (8) caregivers hired on 09/28/18, did not have TB documentation on file. Programming In Compliance Premises In Compliance 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 Discussed Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.