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

General: Based on observation and review of documentation, the following was found: 1) A staff member (DOH: 10/09/23) had TB documentation dated 10/20/23, which was after the hire date. 2) A staff member (DOH: 11/15/23) had TB documentation dated 12/14/23, which was after the hire date. 3) A staff member (DOH: 12/29/23) had TB documentation dated 01/05/24, which was after the hire date. 4) A staff member (DOH: 02/07/24) had TB documentation dated 02/09/24, which was after the hire date. 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 observation and review of documentation, the following was found: 1) A staff member (DOH: 12/12/17) had seven and a half (7 ½) hours of annual training completed. 2) A staff member (DOH: 12/12/17) had zero (0) hours of annual training completed. 3) A staff member (DOH: 09/26/19) had zero (0) hours of annual training completed. 4) A staff member (DOH: 11/12/20) had zero (0) hours of annual training completed. 5) A staff member (DOH: 08/27/21) had zero (0) hours of annual training completed. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) The lights were not shielded and did not have shatter proof bulbs above the toilet in the three (3) year old restroom. 2) The lights were not shielded and did not have shatter proof bulbs in the hallway restroom adjacent to the infants’ 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, the exhaust fan did not work in the hallway restroom outside the three (3) year-old room. Therefore, there was no ventilation to the outside air. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a three (3) inch tear was in the outside seam of a crib mattress in a crib in the infants' room. Transportation In Compliance 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 Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center did not a procedure/policy available for review on how to report child abuse. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a caregiver cared for ten (10) children, aged one and two-years-old, for approximately twenty (20) minutes in the two-year-olds' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 5/2/23, had a TB skin test administered on 5/4/23, but did not have read results. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a light fixture with two (2) bulbs were not covered and were not shatterproof located above a sink in the restroom near the big kid room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, peeled plaster was on an area, less than twelve (12) inches long, on the ceiling above a window in the mobile room. 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, a yellow and blue slide was placed on artificial grass turf in the older children's outdoor play area. A red and blue slide, a red, yellow, and blue double slide, and a Step 2 yellow and blue slide were placed on artificial grass turf in the younger children's outdoor play area. The equipment did not have protective surface material underneath the artificial grass turf. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an orange stain was on a turquoise and white printed crib sheet located 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 13. Toys and Furnishings.

General: Based on observation, a wooden handrail was broken, which left a jagged edge, located at the entrance of the center. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a Como Tomo Bottle with a lime green bottle ring was not labeled to indicate whom it belonged to and was uncovered. The bottle had milk and was placed on a shelf in the infants’ room. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the center did not conduct a fire drill in January 2023. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 11/12/22, did not have first aid and CPR training.

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, a staff member hired 11/12/22, did not complete six (6) hours of orientation training within the first three (3) months of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, an infant child slept in a bouncy seat, and another infant child slept in an infant swing for approximately an hour in the nursery. Neither infant had a waiver on file from a health professional that indicated an alternate sleep position was required. Premises In Compliance Written Documentation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 11/12/20, did not submit fingerprints in the National Background Check Program (NBCP) portal and was left alone and supervised five (5) children in the one-year-olds’ room. A caregiver hired on 4/4/22, did not submit fingerprints to the NBCP portal and was left alone and supervised six (6) children in the two-year-olds’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 11/23/20, did not submit fingerprints to the National Background Check Program (NBCP). The center’s KARES report stated "closed fingerprints not taken" for the caregiver. A caregiver hired on 1/13/21, did not initiate the process of obtaining background checks through the NBCP portal. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Supervision In Compliance Staffing 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 2. Child Care Services.

General: Based on observation, one (1) caregiver cared for fourteen (14) children alone in the preschool room for approximately fifteen (15) minutes. The age of the youngest child was three-years-old. Therefore, staff-to-child ratio was not maintained. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 06/23/2022 AND AS OF 06/28/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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 review of documentation, the center’s Fire Marshal’s inspection report was not available for review. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the center had one (1) documented staff meeting on file dated 2/2/22.

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, two (2) caregivers hired on 3/15/18 and 11/23/20, did not have an annual written performance evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 4/4/22, did not have education 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 review of documentation, a caregiver hired on 12/12/17, had TB documentation on file that was dated 2/6/20. A caregiver hired on 9/26/19, had TB documentation on file that was dated 9/8/19. A caregiver hired on 1/13/21, had TB documentation on file that was dated 1/23/20. A caregiver hired on 3/15/18, had TB documentation on file that was dated 1/27/20. A caregiver hired on 11/23/20, had TB documentation on file that was dated 12/9/20. A caregiver hired on 4/4/22, 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 review of documentation, a caregiver hired on 12/12/17, completed two and a half (2 1/2) hours of training during a subsequent year of employment. Three (3) caregivers hired on 12/12/17, 9/26/19, 3/15/18, did not complete any training hours during a subsequent year of employment. Two (2) caregivers hired on 11/12/20 and 11/23/20, completed six (6) hours of training during the first year of employment. A caregiver hired on 1/13/21, did not complete six (6) hours of orientation training, one and one half (1 ½) hours of Pediatric Abusive Head Trauma Training, and did not complete any hours of training during the first year of employment. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the planned program of activities was not posted in the two-year-olds’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 4. Premises Requirements.

General: Based on observation, a light fixture above a sink was not shielded and did not have shatter proof bulbs in the restroom next to the preschool 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, six (6) children did not wash their hands with liquid soap and warm running water prior to eating lunch in the two-year-olds’ room. 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, medical tape was not in the first aid supplies. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a yellow and blue slide was placed on artificial grass turf in the older children's outdoor play area. A red and blue slide and a Step 2 yellow and blue slide were placed on artificial grass turf in the younger children's outdoor play area. Also, a gray and light blue slide and swing combo was placed on artificial grass turf in the younger children’s outdoor play area. The equipment did not have protective surface material underneath the artificial grass turf. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a crack, approximately six (6) inches long, was along the seam of a gray and light blue slide in the younger children’s outdoor play area. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals 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. Meal Planning Requirements for a Center that Provides Meals.

General: Based on review of documentation, the posted menu was dated March 2022. Meal Planning/Center Does Not Provide Meals Not Applicable 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, a caregiver hired on 12/12/17, had an annual professional development plan on file that was dated 6/30/20. A caregiver hired on 12/12/17, had an annual professional development plan on file that was dated 3/25/21. A caregiver hired on 9/26/19, had an annual professional development plan on file that was dated 2/22/21. A caregiver hired on 1/13/21, had an annual professional development plan on file that was dated 1/25/21. A caregiver hired on 11/12/20, had an annual professional development plan on file that was dated 12/2/20. A caregiver hired on 3/15/18, had an annual professional development plan on file that was dated 3/2/21. A caregiver hired on 11/23/20, had an annual professional development plan on file that was dated 1/15/21.

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, monthly, practiced fire drills were conducted on 02/07/22 and 03/18/22, but the time was not documented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a quarterly, practiced lockdown drill was not conducted in the third and fourth quarters of 2021 and the first quarter of 2022. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the center's statement of deficiencies and plan of correction for the current licensure year and the Kentucky Consumer Product Safety Program and the program's website were not posted. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 05/04/2022 AND AS OF 05/11/2022, 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 8. General.

General: Based on observation, interview and review of documentation, a two-year-old child sustained two (2) cuts, approximately two (2) inches long on his left shoulder at approximately 12:35 pm on 2/22/22 in the one and two-year-olds’ room. The child was shirtless while he rested on a mat located under a window. High winds blew out the window and pieces of glass cut the child on the shoulder and lodged underneath skin on the child's chest. The child was transported by helicopter to a hospital where glass was removed from his chest and he received treatment for cuts on the shoulder. 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 caregiver, hired on 9/26/19, had TB documentation on file that was dated 9/8/19. Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center's last Fire Marshal report was dated 3/13/17. Based on interview, the Fire Marshal inspected the center during 2020 but a report was not available for review. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, there was only one (1) documented staff meeting on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 1/13/21, had not completed the orientation training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a can of Gillette Foamy Shave Foam was on a shelf, accessible to the children in the older three-year-old children's room. The can had a label that stated, "To Keep out of Reach of Children." The shaving cream was not in use.

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 carpet had dark black stains in the "middle" room. 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, a yellow/blue slide was placed on artificial grass turf in the older children's outdoor play area. A blue slide and a red/blue slide were placed on artificial grass turf in the younger children's outdoor play area. The equipment did not have protective surface material underneath. 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, a crib mattress had an eight (8) inch long tear, along the seam, in the infants' room. 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, the Plexiglas, on three (3) cribs, had dried smears in the infants' room. A screw was missing from the base of a crib which caused the base to hang on the crib in the one-year-old's room. A ceiling vent had an accumulation of dust located in the "middle" room. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the fire drills did not include the time each drill was conducted on 7/27/20, 8/18/20, 9/24/20, 10/10/20, 11/2/20, 1/25/21, 2/5/21, 3/31/21, and 4/26/21. The tornado and earthquake drills did not include the time each drill was conducted during the third quarter of 2020 and first quarter of 2021. 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 10. Director Requirements and Responsibilities.

General: Based on observation, there was no date on the posted schedule of daily activities in the one and two-year-old's room. The posted schedule of daily activities was dated December 2019 to December 2020 in the one-year-olds' room. Animals Not Applicable 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 review of documentation, two (2) caregivers, hired on 12/12/17 and 11/23/20, had not completed the mandatory reopening training in accordance with 922 KAR 2:415E Section 9 (1). Also, a caregiver hired on 1/11/21, did not have a processed name-based criminal records check available for review in accordance with 922 KAR 2:415E Section 11(5)..

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, four (4) children did not wash their hands with liquid soap and warm running water upon arrival to the center. Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 08/28/2020 AND AS OF 09/01/2020, 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 interview, a caregiver hired 11/05/18, and two (2) caregivers each hired 12/12/17, did not have annual written performance evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

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 922KAR2:400E. Enhanced requirements for certified and licensed child care as a result of a declared state of emergency. Section 5. Cleaning and Sanitizing Requirements for Child Care Providers. (3) Machine washable toys shall not be used. The director failed to provide for the safety of children as evidenced by observation of twenty (20) stuffed animals and an animal number pillow were in the two year olds’ room. Sixteen (16) stuffed animals were in the preschool room. Two (2) soft baby dolls and two (2) soft stuffed animals were in the toddlers’ room. A stuffed animal was in the infants’ room and in the middle room. These items were machine washable. An interview revealed the center was aware of the emergency regulation. General: Based on review of 922KAR2:400E. Enhanced requirements for certified and licensed child care as a result of a declared state of emergency. Section 8. Training Requirements. (1) All child care staff, directors, owners, and operators shall complete a new, mandatory training on cleaning, sanitizing, health procedures, and mandatory reporting prior to the date of reopening. The director failed to provide for the safety of children as evidenced by a caregiver hired 09/26/19; a caregiver hired 09/13/19; a caregiver hired 06/14/19; a caregiver hired 11/05/18; a caregiver hired 03/15/18; and three (3) caregivers each hired 12/12/17, did not have documentation of completing the mandatory training prior to the center reopening. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a caregiver hired 09/26/19, a caregiver hired 09/13/19, and a caregiver hired 06/14/19, did not complete six (6) hours of cabinet approved orientation training within the first three (3) months 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 and review of documentation, a large bottle of hand sanitizer was labeled "Keep out of reach of children," and was stored accessible to the children on a table in the entrance/exit way for the children. A caregiver's purse was stored on a shelf and a caregiver's drinking bottle set on a child size table in the middle 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 4. Premises Requirements.

General: Based on observation, a four inch hole was at the bottom of the wall in the toddlers' room. In addition, a plaster material from the hole was on the floor. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a child did not wash her hands with warm running water and liquid soap after she was diapered in the toddlers' room. Fifteen (15) children did not wash their hands with warm running water and liquid soap after they ate lunch in the lunch 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 3. General Requirements.

General: Based on observation, a caregiver, wore gloves but did not wash her hands with warm running water and liquid soap before she diapered a toddler child in the toddlers' room. First Aid/Medication In Compliance Outdoor Play Area 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, an excessive amount of weed block was raised above the protective surface throughout the outside playground. An approximately five (5) feet long section of round, black plastic tubing set directly beside a picnic table and a caterpillar tunnel. An approximately five (5) feet long, "L" shaped round, black plastic tubing was propped against the fence inside the outside playground. Interview revealed these pieces of tubing were intended for the reconstruction of the outside playground. 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, three (3) nap mats were torn in the preschool 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 and interview, an excessive amount of rust was on the floor vent cover in the toddlers' room. A leg was missing from a large, plastic mop sink, used by the children, in the toddlers' room. This sink was not leveled and rocked back and forth. The ceiling smoke detector chirped. Interview revealed the smoke detector did not work properly. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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, a temperature indicating device or thermometer was not present to determine food was kept at zero degrees Fahrenheit or below in a freezer in the office. 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 interview and review of documentation, a child enrolled 10/23/19, and a child enrolled 06/17/19, did not have information on file for staff to contact the children's preferred hospital. 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, a caregiver hired 11/05/18, and three (3) caregivers each hired 12/12/17, did not have an annual written professional development plan on file. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 7/10/18, did not have a TB documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a substitute hired on 12/12/17, had not submit to and completed background checks prior to 09/30/18. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center's last documented staff meeting was on 2/12/18. 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 review of documentation, two (2) caregivers and a substitute, each hired on 12/12/17; a caregiver hired on 3/15/18, and a caregiver hired on 2/13/18, 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 observation and review of documentation, a caregiver hired on 3/15/18, had no documentation of a high school diploma, only a letter of recognition of academic achievement on file. Also, a caregiver hired on 7/10/18, had no documentation of education on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, review of documentation, a director hired on 12/12/17, lacked nine (9) hours of training. A caregiver hired on 12/12/17, lacked seven (7) hours of training, completed the Pediatric Abusive Head Trauma Training on 3/15/19, which was not within the first year of employment, and completed the orientation training on 3/13/19 which was not within the first three months of employment. A caregiver hired on 12/12/17, completed the Pediatric Abusive Head Trauma Training and orientation training on 3/15/19, and lacked nine (9) hours of training. A caregiver hired on 3/15/18, lacked seven and a half (7 1/2) hours of training. A caregiver hired on 2/13/18, lacked eight (8) hours of training and completed the Pediatric Abusive Head Trauma Training and orientation training on 3/15/19. A caregiver hired on 7/10/18, had no orientation training. A substitute hired on 12/12/17, lacked nine (9) hours of training and had not completed the Pediatric Abusive Head Trauma Training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the light fixture was not shielded or had shatter-proof bulbs in a restroom near the preschool room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Hygienic Practices In Compliance 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, a bottle of Dollar General Store Ibuprofen was not labeled to indicate for whom it was intended. This medication was placed on a shelf, in a storage room, in the nursery. 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, a four (4) foot long area of weed block was above the mulch on the outdoor play area. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the Plexiglas had white spots and smudges on three (3) cribs in the nursery. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the inside walls of a microwave had dried food splatters and dark marks. Also, the bottom inside wall of an oven was black and sooty. The microwave and oven were located in the kitchen. 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

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, two (2) bottles were each filled with milk and not covered in the nursery. 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 on 8/31/18, had an immunization certificate valid until 11/6/18; a child enrolled on 1/12/19, had an immunization certificate valid until 2/27/19; a child enrolled on 4/11/18, had no validity date on the immunization certificate, and a child enrolled on 11/22/18, had an immunization certificate valid until 8/20/18.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 8/13/18, did not include the child's health status and medical history on the enrollment form. Also, a child enrolled on 11/22/18, did not include a preferred hospital, the name of a physician, and the physician's contact information on the enrollment form. 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, twenty-seven (27) children were present at the center; however, only twenty-one (21) children had a documented arrival time.

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, two (2) caregivers hired on 3/15/18 and 2/13/18, did not have a professional development plan on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the center did not have posted a civil penalty notice issued by the cabinet during the current licensure year. The civil penalty notice was issued on 6/27/18.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no date on the posted schedule of daily activities in the two-year-olds' room; the posted schedule of daily activities was dated 2017 - 2018 in the nursery, and the posted schedule of daily activities was dated December 2017 - December 2018 in one-year-olds' room. Also, the posted schedule of daily activities did not include breakfast and the time it was to be served in the one-year-olds' room.

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 and hand-washing was not posted at a diaper changing area in the two-year-olds' room. 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 staff hired on 01/25/18, did not have TB documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, twelve (12) children, aged two-years to four-years-old, were served whole milk for lunch in the dining 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 8. Kitchen Requirements.

General: Based on Observation, a bottle was uncovered and was not labeled in the infants’ 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 10. Director Requirements and Responsibilities.

General: Based on Review of Documentation, the center’s discipline policy stated a child should be reminded of the center’s rules and be given an opportunity to change his/her behavior. If the child is at least three-years-old, and the inappropriate behavior continues, the teacher may remove the child from the group for a period of “Cool Down Time.” A staff member did not follow the center’s discipline policy when the staff member swatted her hand at a child after the child hit the staff member. The staff member’s swat did not make contact with the child and as a result, the staff member tapped the top of the child’s head with her fingertips and talked to the child about not hitting the staff member.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation and observation, a staff, hired on 02/13/18, supervised seven (7), two-year-old children alone for two (2) hours. The staff member did not have a processed child abuse/neglect check on file. Also, this staff, hired on 02/13/18, was only seventeen-years-old. A staff, hired on 03/15/18, supervised five (5), one-year-old children, alone for approximately thirty (30) minutes in the one-year-olds’ room, and supervised three (3) infants and one-year-old children alone for two (2) hours in the infants’ room. This caregiver did not have a processed child abuse/neglect check on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, a staff hired on 01/25/18, a staff hired on 03/15/18, and a volunteer, start date on 02/05/18, did not have proof a child abuse/neglect check was submitted timely.

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 01/25/18, and a staff hired on 03/15/18, did not have education verification 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, two (2) staff, both hired on 12/12/17, did not have documentation of completing six (6) hours of cabinet approved orientation training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, a toilet would not flush in the restroom located in the hallway. An interview revealed the toilet was not in good repair. 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, five (5), one-year-olds did not wash their hands with liquid soap and warm running water before eating lunch in the dining 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, a caregiver did not wash her hands with liquid soap and warm running water before putting on gloves and diapering a child, and did not wash her hands after diapering a child in the two-year-olds’ room. Also, a caregiver did not wash her hands with liquid soap and warm running water after wiping two (2) children’s noses in the one-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 diapering surface after diapering a child in the two-year-olds’ 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, plastic weed block was raised above protective surface in several areas on the outdoor playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, a child’s coat was stored on top of another child’s coat in the small room between the two-year-olds’ room and three-year to four-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, a buildup of food splatters were on the inside walls of the microwave in the kitchen. Transportation Not Applicable Food Service/Food Program 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 01/08/18, had an immunization certificate on file that was valid until 10/22/17. Also, a child, first date of attendance on 12/01/17, had an immunization certificate on file that was valid until 03/15/18. 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: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, a child, first date of attendance on 01/08/18, did not have information on file to enable the person in charge to contact the child’s preferred hospital. Also, a child, first date of attendance on 01/24/18, did not have information on file to enable the person in charge to contact the child’s physician and preferred hospital; did not have the name and phone number of each person to be contacted in an emergency situation involving or impacting the child, and did not have authorization by the parent for the provider to seek emergency medical care for the child in the parent's absence. 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, eleven (11) children did not have a documented arrival time on 03/27/18.

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 Review of Documentation and interview, a monthly, practiced fire drill was not conducted in December 2017. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview, a staff's purse and jacket were stored in the window in classroom E. These were accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the thermometer was inoperable in the kitchen freezer.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and interview, classroom B, C and D lesson plans were not developed. The lesson plan in the one-year-olds' room was dated 12/11/17 to 12/15/17. The lesson plan posted in classroom E and F, each was dated 1/15/18 to 1/19/18. 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 2. Child Care Services.

General: Based on Observation, staff hired 12/12/17, walked a child approximately seven (7) feet from classroom E to classroom A to get a tissue to wipe the child's nose. Staff left nine (9) children, two and three-years-old alone in classroom E. This same staff walked out of classroom E a second time to take a different child to the sink, located in the hallway, to wipe the child's nose and wash his hands. These children were left alone in the classroom for less than three (3) minutes. Staffing Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, a substitute hired 12/14/17, had a child abuse/neglect check from a previous child-care center. Also, a high school student did not have a child abuse/neglect check and a criminal records check on file. Director/owner stated the high school student worked daily in the classroom with childen. 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

Open / not marked corrected.

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

General: Based on Observation and interview, the ventilation vents had an accumulation of dust on each side of the fireplace in the eating area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview, eight (8) bulbs were not shielded or shatterproof in the hallway restroom, and a bulb was not shielded or shatterproof in classroom D.

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, there were ten (10) children in classroom E. Classroom E measured 320 square feet which allowed for nine (9) 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 and interview, the toilet bowl had a substantial amount of dried feces in classroom B. 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 hired 12/12/17, did not wash her hands with liquid soap and warm running water after she wiped two (2) children's nose. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area 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, black fabric weed block was exposed throughout the playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview, a broken swing was draped over the top bar to the swing set. The plastic chain covers on two (2) swings hung down from the chains. A slide was detached from the blue swing set. The middle step was completely cracked, from side to side, on the Naturally Playful Clubhouse Climber.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the door of classroom C had a twelve (12) inch crack. 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 Interview, the center did not have a food service permit. Interview with the local environmentalist determined the center had not received an inspection for a food service permit. The center has prepared meals on a daily basis.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and interview, the center did not have a weekly menu. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, five (5) children enrolled 12/12/17, did not have an immunization certificate on file. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Interview, the center did not have a wrritten volunteer policy for the high school student who volunteered daily.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and observation, twelve (12) children had a documented arrival time, but eleven (11) children were present at the center. Also, seven (7) parents had signed the 94E attendance record at the beginning of week on 1/22/18.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, an electrical outlet in the hallway and two (2) electrical outlets in the two-year-olds' room did not contain a safety plug. An orange extension cord was on the floor and ran underneath the base of the exit door which was adjacent to the preschool room. This cord presented a tripping hazard.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, a caregiver hired 12/12/17, supervised eight (8), two-year to five-year-old children alone, from 8:20 a.m. until 11:19 a.m., on 12/12/17. Documentation revealed the caregiver had no processed child abuse/neglect check on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 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 6. License Issuance.

General: Based on review of documentation, observation and interview, the director/owner and a substitute caregiver hired 12/12/17, had a child abuse/neglect check from a previous child-care center. Interview determined the director/owner submitted the background checks but could not provide documentation. Also, a high school student did not have a child abuse/neglect check and a criminal records check on file. Interview determined the high school student worked in the classroom with children on a daily basis. A caregiver hired 12/12/17, supervised eight (8), two-year to five-year-old children alone and did not have a processed child abuse/neglect check on file. 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 from 8:20 a.m. until 10:40 a.m., eight (8) children ran around the room, climbed on tables, sat on book shelves and scattered toys around the room. The surveyor questioned the director/owner about programming and then the caregiver read a book to the children at 10:40 a.m. Review of the planned program for the two-year-old children determined the plan 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, a caregiver’s cell phone, cell phone cord, small purse and coat were stored on the counter, accessible to children in the craft area. A large, black, torn plastic bag was stored on a crate in the craft area. Six (6) gallons of paint were stacked on the floor in the preschool restroom. There were five (5) gallons of paint, eight (8) cans of spray paint, two (2) multi-surface cleaners, three (3), half gallons of paint, two (2) bottles of glass cleaner, a box of baking soda cleaner, and a bottle of dishwashing gel located underneath the sink in the kitchen. Also, three (3) sharp knives, seventeen (17) butter knives and two (2) can openers with a sharp blades were located in a kitchen drawer, accessible to the children. Children walked through the kitchen to get to the preschool room and a restroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 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, cobwebs hung from the door frames in the hallway and restrooms, and were on walls throughout the center. The ventilation vent had an accumulation of dust in the hallway restroom. The ventilation vents had accumulation of dust on each side of the fireplace in the eating area. Splattered food was on the wall behind the high chairs in the eating area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, three (3) bulbs in the hallway restroom, a bulb in the infants' room, and four (4) bulbs in the eating area were not shielded or shattered proof. Interview determined the director/owner was not aware if the bulbs were shattered proof and was unaware of the covers for the lights.

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, there were five (5) toddler children in the toddlers' room which measured 150 square feet. This area allowed for four (4) 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 restroom in the hallway and the restroom beside the preschool room had a strong urine odor. The ceiling light did not work above the toilet in the restroom located in the hallway.

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, there was no hot running water at the handwashing sink beside the changing mat in room C. The water temperature registered sixty (60) degrees Fahrenheit at the handwashing sink in the toddlers' room. There was no liquid soap at the handwashing sink in room C. Also, there was no hand-drying material at the handwashing sink next to the changing table and at the handwashing sink in the restroom located in room C. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 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 toilet, in room C, made a loud knocking noise when flushed. Interview determined the flap, inside the tank, was in disrepair. 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, two (2) toddler children did not wash their hands after they were diapered. These children walked around and played with toys. Five (5) toddler children did not wash their hands after they ate breakfast.

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 high school student wore gloves but failed to wash her hands prior to preparing lunch. The toddlers' caregiver wore gloves but failed to wash her hands before she changed two (2) toddler children's diapers.

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 and review of documentation, the toddler caregiver did not disinfect the changing mat, after she changed two (2) diapers in the toddlers' room. The caregiver wiped the mat with bleach wipes and immediately placed a child on the mat. The label on the bottle of bleach wipes indicated the disinfectant solution was to be left on the surface for ten (10) minutes for the surface to be disinfected. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 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, a tube of Neosporin, a bottle of Tylenol and a bottle of peroxide were unlocked on a shelf in the craft area. These medications were not labeled to indicate for whom each was intended. A tube of antibiotic cream, packets of alcohol wipes and packets of staph wipes were stored unlocked and were not labeled to indicate for whom each was intended. These items were in a first aid kit. Also, a tube of A&D ointment was in the unlocked first aid kit. 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 black fabric was exposed throughout the playground. 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 and interview, there were fifteen (15) children’s coats hung on hangers which overlap and touched in the closet located near the entrance area. There were also coats that laid directly on the floor.

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 middle step was completely cracked, from side to side, on the Naturally Playful Clubhouse Climber. A broken swing was draped over the top bar to the swing set. The plastic chain covers, on two (2) swings, were torn and hung down from the chains.

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, interview and review of documentation, two (2) safety straps were missing from a high chair in the eating area. A sign on the back of the high chair stated, "Prevent serious injury or death from falls or sliding out, always secure child in the restraint." Surveyor observed a child sitting in the high chair. The wall exchange vents were rusty in the hallway restroom, in the two-year-olds' room and in the back left classroom. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the two-year to five-year-old year children walked through the kitchen to get to the preschool room and to use the restroom. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview, a toddler child, present on 12/12/17, did not have a written record on file. Two (2) children, present on 12/12/17, did not have contact information for their preferred hospital. Nine (9) children present on 12/12/17, did not have written authorization signed by the parent/guardian to seek emergency care in the parent’s absence. Documentation and interview revealed the written enrollment record for these nine (9) children was from the previous owner. 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 interview, the written evacutation plan was not provided to each child's parent/guardian upon each child's enrollment, in accordance with KRS 199.895.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the center had no written volunteer policy for the high school student who volunteered daily. Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.