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

General: Based on observation, during the initial walk-through of the child care center, the surveyor found the One's Classroom to be completely dark with no light source turned on in the classroom. Staff reported that there were seven (7) children napping in the One's Classroom. The surveyor was unable to see the children until the surveyor turned on a flashlight. Therefore, the children were not within scope of vision due to inadequate lighting in the classroom during naptime.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered that the personnel file of one (1) staff (DOH: 07/09/25) did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential. Staff-in-charge was unable to present the surveyor with a copy of the required documentation to review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered the following: 1. A staff member's (DOH: 02/16/23) file contained a negative tuberculin verification that was no longer current after 02/13/25. 2. A staff member's (DOH: 07/25/23) file contained a negative tuberculin verification that was no longer current after 06/13/25. 3. A staff member's (DOH: 08/16/23) file contained a negative tuberculin verification that was no longer current after 08/23/25. During interview with staff-in-charge she stated that she would notify each staff member and schedule appointments for the TB skin test to be renewed.

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, during the initial walk-through of the child care center, the surveyor found the One's Classroom to be completely dark with no light source turned on in the classroom. Staff reported that there were seven (7) children napping in the One's Classroom. The surveyor was unable to see the children until the surveyor turned on a flashlight. Therefore, the classroom was not well lit.

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 surveyor discovered the plastic covering underneath the mulch was exposed in various areas throughout the playground; therefore, the child care center failed to ensure that the playground was well maintained.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor discovered three (3) separate Little Tykes climbing/slide play equipment were placed directly on the grass and did not have a protective surface or have a fall zone equal to the height of the equipment; therefore, the child-care center failed to ensure that a protective surface for outdoor play equipment used to climb, and slide was provided.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered three (3) children's (DOE: 10/03/22, 09/08/23 and 01/12/25) files did not contain the contact telephone numbers for the child’s preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. Two (2) staff members (DOH: 07/25/23, 07/17/24) did not complete the cabinet-approved orientation training; therefore, the training was not completed within the first ninety (90) days of hire. 2. Three (3) staff members (DOH: 08/31/23, 07/25/23, 08/15/22) did not complete the cabinet-approved pediatric head trauma training; therefore, the training was not completed within the first year of employment. 3. Two (2) staff members (DOH: 01/15/19, 08/15/22) did not complete the fifteen (15) hours of early care and education training recorded on ECE-TRIS for the review period of 07/01/2023 - 06/30/24. 4. Two (2) staff members (DOH: 07/25/23, 07/17/24) did not complete the cabinet-approved CPR training; therefore, this training was not completed within the first ninety (90) days of hire. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. The paint on the walls was chipped in the Four-Five Year Old Classroom. 2. The paint on the walls was chipped in the Three-Four Year Old Classroom. 3. The clear protective floor covering was rolled on the edge causing a tripping hazard in the Three-Four Year Old Classroom. 4. The rug was dirty in the Three-Four Year Old Classroom. 5. The ceiling fan was dusty in the One Year Old Classroom. 6. The paint on the walls was chipped in the One Year Old Classroom. 7. The floor tiles were cracked and in need of repair in the first and second toilet stalls in the children’s restroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the underlayment on the outdoor playground was exposed as additional mulch is needed to fully cover the underlayment; therefore, the playground was not well maintained. Equipment In Compliance 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

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found one (1) child's file (DOE: 01/23/23) had an immunization record that was not current. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain state regulations. Review of staff files found 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 09/27/2022. A subsequent interview with the director found she needed to obtain proof of education for this staff member.

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 child care center failed to maintain state regulations. Review of staff files found 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 hired 9/25/2020. A subsequent interview with staff-in-charge found she could not locate this documentation at the time of survey. 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, the child care center failed to maintain regulations. Review of staff files found documentation of six (6) hours of cabinet-approved orientation was not presented for review at the time of survey for one (1) staff member hired 9/27/22. A review of ECE-TRIS confirmed this finding. 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 interview, the child care center failed to maintain state regulations. At approximately 10:31am, a loud voice was heard by the surveyor while sitting in the foyer entering file data. The staff member was yelling "hush" and "sit down now!" The staff in charge, who was sitting next to the surveyor, immediately got up and went into the Two's Room, which was directly beside the foyer to the left. Upon returning, the staff-in-charge told the surveyor she talked to the staff, and advised her to not yell at the children--particularly one individual student whom she claimed was being disruptive. Next, at approximately 10:51am, the same voice could be heard yelling loudly "what do you think you're doing?" This prompted the surveyor to tell the staff in charge that she needed to handle the situation immediately. The staff in charge subsequently entered the Two's Room and called another teacher, who was acting as a floater in the facility, to give the Two's Room teacher a break. During the exit conference, the surveyor explained the regulations in regards to discipline and she acknowledged the situation as being problematic.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care failed to maintain state regulations. Two (2) sleeping infants were observed in cribs in the Infant's Room with pacifiers that had clips attached to them. 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, the child care center failed to maintain state regulations. During the survey, the following was found: 1. A cellphone and a McDonald's clear plastic drink cup that was accessible to children in care in the Two's Room. 2. An open white purse beside the front right wall and a container of Member's Mark Disinfecting Wipes on top of a play table that were accessible to children in care in the Three's Room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain state regulations. The lighting in the small corridor area that leads to the main boy's restroom in the back of the building was not working when the surveyor activated the on/off switch on the wall. A subsequent interview with staff in charge found the light had been damaged and needed repair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. The mulch and dirt had eroded enough to expose the white weed guard material underneath, causing multiple areas with tripping hazards. Equipment In Compliance 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records 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 9. Records.

General: Based on interview and review of documentation, the child care center failed to maintain state regulations. Review of ten (10) children’s files found the written records for two (2) children with enrollment dates of 11/01/2021, and 10/31/2022, failed to contain a preferred hospital. A subsequent interview with the director found this documentation was not on file at the time of survey. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. The lesson plan posted in the Two's Room was dated January 3rd to January 6th. The date of the survey was 2/11/2023, making the lesson plan no longer current. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, children’s coats and personal items were stored on hooks, several of the cloth items overlapped; this method of storage promotes the spread of germs and bacteria. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members hired: 2/20/19, 1/20/20, 1/15/19, 9/12/19, 1/15/19, 1/15/19, 1/15/19, and 6/5/19, had a negative tuberculin skin result on file that exceeded two years and were no longer current. 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, the following was found: 1.) Staff members hired 9/21/21 and 1/20/2020, did not complete the required Orientation. These staff members have been employed for more than three months. 2.) Staff members hired 2/20/19, 1/20/20, 1/15/19, 9/12/19, 1/15/19, 1/15/19, and 6/5/19, did not complete fifteen hours of Cabinet-approved early care and education training for the July 1, 2020 to June 30, 2021, year of employment. 3.) Staff members hired 1/20/2020, 9/12/2019, and 3/1/2021, have not yet taken Pediatric Abusive Head Trauma training; this training is required to be taken within the first year of employment and completed every five years thereafter. The ECE-TRIS system was reviewed and confirmed these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, disinfectant wipes were stored on a low table within the Three-to-Four-year-old classroom; this item was accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the following was found: 1.) A rainbow rug within the Two-Year-Old classroom had several dirt stains. The staff person in this classroom stated that she did not believe that the rug has ever been cleaned. 2.) A wall in the Two-Year-Old classroom and School-Age classroom had peeling paint and chalking drywall. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the diaper changing pad within the Infant classroom had a large hole in the vinyl covering, exposing the foam padding; this renders the pad unable to be properly sanitized. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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, the following was found: 1.) One child’s diaper cream was not labeled with their name within the Two-Year-Old classroom. 2.) A container of gas relief drops and a tube of diaper cream were not labeled with a child’s name in the Infant classroom. 3.) Two children’s diaper creams in the bathroom near the back of the facility were not labeled with the children’s names. 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, the following was found: 1.) A yellow truck toy had food residue on it within the Two-Year-Old classroom. 2.) A blue chair in the One-Year-Old classroom had a dark stain on the fabric. 3.) Three highchairs within the Infant classroom were not equipped with the manufacturer’s seat belt. 4.) An accumulation of sticky-tape residue was found on the shelving used for toy storage within the Four-Year-Old classroom. 5.) A play sink had a cracked plastic basin within the Three-to-Four-Year-Old classroom. 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 and review of documentation, a current food service permit was not available for review, the facility provides meals for the children in care. The food service permit that was posted had expired in December 2021.

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, a child’s milk was stored in a bottle within the facility’s kitchen fridge, the bottle was not capped or covered. Additionally, two bottles stored within the Infant Room refrigerator were not capped or covered. Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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

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 to determine that the emergency preparedness plan had been submitted to the proper emergency management authority for review. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) The lesson plan in the One-Year-Old classroom was filled out for Monday and the remainder of the lesson plan was blank. Additionally, this plan was not dated. 2.) The lesson plans in the Two-Year-Old classroom and Older Pre-K classrooms were not dated, the surveyor saw evidence that the posted plans were being implemented within the classroom. 3.) A lesson plan was not posted within the Three-to-Four-Year-Old classroom. 4.) The lesson plan in the Two-to-Three-Year-Old classroom was not posted or dated. Animals 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, one toilet in the restroom did not have toilet paper accessible. A second toilet in this restroom had toilet paper stored on the tank of the toilet; this method of storage promotes the spread of germs. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, one toilet in the restroom across from the Four-to Five-year-old classroom was not in working condition. 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 4. Premises Requirements.

General: Based on observation, 1.) The circle time rug used in the Older Two’s and Three’s classroom had several dark stains. 2.) There were several areas of missing and chipping paint on the walls in the circle time area of the Older Two’s and Three’s classroom.

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, children’s coats were stored on hooks in the Older Three’s and Four’s classroom. Several of the coats were overlapping and touching one another. This method of storage promotes the spread of germs and bacteria. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one child’s diaper cream was stored in a cubby on a low shelf in the facility restroom; the diaper cream was accessible to the children in care. 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, the weed guard on the older children’s playground was exposed and presented a trip hazard. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the play kitchenette in the One-year-old classroom did not have any accessories. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, 1.) There was an excessive amount of tape residue on a dramatic play shelf in the Older Two’s and Three’s classroom; the tape residue had started to accumulate dirt and grime. 2.) The manipulatives shelf in the Four- to Five-year-old classroom was jagged around the edges and posed a safety hazard. Transportation In Compliance 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, nine packets of breast milk were not labeled in the Infant classroom refrigerator. 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 9. Records.

General: Based on review of documentation, two staff members hired 2/20/2019 and 1/15/19, had a professional development plan on file that was not dated, one staff member hired 6/5/19, had a professional development plan dated for 2019, and one staff member hired 9/12/2019, did not have a professional development plan on file. Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.

General: Based on observation and review of documentation, 1.) Several cloth hats were accessible for play in the Four- to Five-year-old classroom; machine washable toys should be removed during the COVID-19 state of emergency to prevent the spread of germs and bacteria. 2.) Staff member hired 10/14/2020, did not have results of an Office of Administrative Court of State Police background check in their personnel file.

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, there were no current evaluations on file for any of the staff members. 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 09/12/19 and 09/20/19 did not have the required Orientation I and II completed and on file. 2) Six staff members did not have the required fifteen (15) hours of cabinet approved training on file. 3) Two staff hired on 01/15/19 did not have the current Pediatric Abusive Head Trauma training course on file. This information was verified through ECE-TRIS. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) A staff purse was hanging on a low hook in the hallway next to classrooms. 2) The door was was open in the storage room and there were numerous bottles of bleach on shelves. 3) In the bathroom closet in the school-age classroom, there was a tube of Aquafor and a tube of Burts Bees Baby Rash Ointment found in plastic tubs next to the changing area. 4) There was Clorox and Windex found in an unlocked sink cabinet in the infant classroom. 5) A staff purse was found sitting on a low shelf in an unlocked cabinet in the four- and five-year-old classroom. The above items were all 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 4. Premises Requirements.

General: Based on observation, there was an overhead light not working in three- and four-year-old classroom. 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 6. Sleeping and Napping Requirements.

General: Based on observation, there were numerous cots throughout the building that had tears which exposed the foam padding underneath.

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 was found: 1) There were several torn books or books with missing pages in the two-year-old classroom. 2) There was a Little Tykes kitchen set which was covered in crayon marks. Transportation In Compliance Food Service/Food Program In Compliance Food Service 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 review of documentation, staff person in charge did not have a professional development plan on file. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) There was a row of hooks on the wall outside of the Three and Four (3 and 4) year old room. Some of the children's coats and backpacks touched the belongings of the child on either side. This was also observed for the 2's room, the infant room and the preschool room. This method of storing the children's belongings allows for cross contamination of germs. 2) In the preschool room there was an electrical outlet beside a shelf that contained cars and dress up clothes. One (1) of the outlets was missing a protective plug cover. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, there was one (1) staff person with a hire date of 2/6/19 that did not have a copy of a high school diploma, GED or other qualifying documentation on file at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the 1's room the room was very chaotic. Children were crying and wandering around the room. One (1) staff person in the room could be heard telling children to stop, don't do that, and even threatened to call a certain person. This was also observed during nap time with the same staff person.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, staff in the 1's room took all ten (10) children to the bathroom for diaper changes. The children were required to sit and wait outside of the bathroom as each child's diaper was changed. Some of the children got up, went into the bathroom and started getting into the supply of diapers located beside the changing table. Some of the children were crying. The children were required to wait with no activity as each child was diapered. At 10:43 a.m. the staff in this same room started putting children in high chairs and seating them at the table to prepare for lunch. The surveyor observed the posted daily schedule for the classrooms and noted that lunch is served at 11:00 a.m. At 10:46 a.m. the children were still waiting for lunch to arrive. Some of the children were crying and those who were sitting at the table started getting up but were quickly reprimanded by staff and told to sit back down at the table. One (1) child sitting in a high chair was observed falling asleep. At 10:50 a.m. the children were still seated and waiting for lunch. At 10:51 a.m. children in the 2's room were seated at the table to prepare for lunch. At 10:55 a.m. the children in both classrooms were still seated and waiting for lunch to be served. Staff in the 1's room continued to tell children to sit down. At 11:00 a.m. lunch was served.

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, there were five (5) cribs in the infant room. Four (4) of those cribs had sheets that did not fit tightly over the mattress. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) In the handicap accessible women's bathroom located across from the Three to Four (3-4) year old room, a spray can of Fabreeze air freshener was observed on top of a low, gray storage chest. The label on the can had a warning to keep out of the reach of children. An interview with the staff person in charge found that this bathroom is used for staff only. It should be noted that the door to the bathroom was open at the time and the spary was low enough for a child to reach. 2) A storage room located beside a men's bathroom was also observed in this area. The door to the storage room was open. Indside the door on a low shelf was a bottle of Pine Oil cleaner. On another low shelf located near the door was a can of Comet cleanser, containers of Kroger brand disinfectant wipes and two (2) spray bottles of Home Sense brand multi-purpose cleaner. The labels on all of these containers have a warning to keep out of the reach of children. It should be noted that the storage room is located beside the bathroom used by the children. A group of one-year-old children were in this area waiting to have their diapers changed. A staff person with this group closed the door. There were no child locks or other saftey locks on the door. 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, staff in the one-year-old room took a group of ten (10) chidlren to the bathroom for diaper changes. One (1) staff person stayed in the bathroom and changed the children's diapers. The surveyor observed the staff person change three (3) children's diapers. The children were sent out into the hall with the other children who were waiting without having their hands washed. The other staff person who was in the hallway waited a few minutes and then took the three (3) children back into the bathroom and helped them wash their hands. In addition, once this group of children had their diapers changed and hands washed they were taken back to the classroom. The children were observed playing with toys. Staff then put four (4) children in highchairs to wait for lunch and the remaining children were seated at the table to wait for lunch. This occured at 10:43 a.m. and lunch was not served until 11:00 a.m. The children's hands were not washed again after playing with toys prior to eating lunch.

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, staff in the one-year-old room took a group of ten (10) chidlren to the bathroom for diaper changes. One (1) staff person stayed in the bathroom and changed the children's diapers. The surveyor observed the staff person change three (3) children's diapers. The staff pesron wore rubber gloves while changing the diapers. However, the staff person wore the same pair of gloves for each diaper change and did not wash her hands after each diaper change. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

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, staff in the one-year-old room took a group of ten (10) chidlren to the bathroom for diaper changes. One (1) staff person stayed in the bathroom and changed the children's diapers. The surveyor observed the staff person change three (3) children's diapers. The staff person did not disinfect the changing mat after each diaper change.

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, staff in the one-year-old room took a group of ten (10) children to the bathroom for diaper changes. One (1) staff person stayed in the bathroom and changed the children's diapers. The surveyor observed the staff person change three (3) children's diapers. The staff pesron wore rubber gloves while changing the diapers. However, the staff person wore the same pair of gloves for each diaper change.

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 and interview with staff in the infant room, it was found that toys are cleaned daily by soaking the toys in bleach water and then letting them air dry. Staff in the 1's room stated that toys are sanitized daily by putting the toys in water and then in a sanitizing solution; then they are removed to dry. The surveyor asked the staff in the 1's room if anything was added to the water and the staff indicated it was just plain water. These processes do not meet the requirement for proper sanitation of toys considered a mouth contact surface by a child not toilet trained. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the surveyor found the following: 1) A child was administered Ofloxacin on 1/30/19 and 2/1/19. The instructions noted by the parent were to administer the medication every four (4) hours. A specific time was not noted. It was documented that the medication was administered at 8:38 a.m. on 1/30/19 and at 4:00 p.m. on 2/1/19. 2) It was found that on 2/11/19, a parent requested that a breathing treatment be administered every four (4) hours then and the time of 2:15 p.m. noted. There was no record that the breathing treatment was administered to the child. A review of the daily attendance records found that the child was present at that time. 3) On 1/28/19 and 2/1/19 a parent requested that DG pain reliever be administered to their child at 11:30 a.m. On 1/28/19 it was documented that the medication was not administered until 2:30 p.m. 4) On 2/4/19 it was requested by a parent that a children's pain reliever, Dimetapp and Flonase be administered to their child at 11:30 a.m. However, the form used to document when a medication is administered showed two (2) blank lines where the name of the medication that was administered should be noted and then the time of 2:30 p.m. and a staff person's name. There was no documentation to verify what medication was administered by staff to the child on 2/4/19 at 2:30 p.m. Outdoor Play Area Not Applicable Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview with staff in the infant room, it was found that parents provide the formula for their child. It was also found that the staff person prepares the bottles by measuring the water and powder formula. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and review of documentation, it was found that out of ten (10) children's enollment information reviewed six (6) did not have a preferred hospital listed. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found there was only one (1) job description as part of the policies and procedures and that was for the position of Lead Teacher. An interview with the staff person in charge who is also the director found that other positions held at the facility include Cook, Assisant Teacher and Assistant Director. It should also be noted there was not a job description for the position of Director.

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, it was found that the names of the children that participated in a fire drill conducted on 1/28/19 were not documented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 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 9. Records.

General: Based on observation, a diagram of the facility was posted. However, there was not a written plan with the diagram outlining the course of action of action in the event of a natural or manmade disaster. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.