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

General: Based on observation and review of documentation, a staff member (DOH: 03/05/02) completed one and a half (1 1/2) hours of pediatric abusive head trauma training on 05/29/18 and did not complete the training again within five (5) years. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, there was no ventilation to outside air in the shared restroom between the three (3) year-old room and the four (4) year-old 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, the following was found: 1) A staff member wiped a child’s hands with a cloth wipe after a diaper change and did not wash the child’s hands with liquid soap and running water in the one (1) year-old room. 2) A staff member did not wash a child’s hands with liquid soap and running water after a diaper change in the two (2) year-old room. 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, black weed block was raised approximately two (2) inches above the protective surface and presented a tripping hazard near the child’s picnic table on the playground. Equipment In Compliance 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 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 and review of documentation, the following was found: 1) A child enrolled on 03/26/24 had an immunization certificate that was valid until 04/11/24. 2) A child enrolled on 06/29/20 had an immunization certificate that was valid until 03/31/24. 3) A child enrolled on 02/26/24 had an immunization certificate that was valid until 03/01/24. 4) A child enrolled on 01/30/20 had an immunization certificate that was valid until 02/20/22. 5) A child enrolled on 05/18/23 did not have an immunization certificate on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and review of documentation, the following was found: 1) A child enrolled on 03/26/24 did not have health information pertaining to allergies, a physician, and a preferred hospital on file. 2) A child enrolled on 05/30/21 did not have health information pertaining to allergies and a preferred hospital on file. 3) A child enrolled on 02/26/24 did not have a preferred hospital on file. 4) A child enrolled on 10/01/23 did not have an authorized pick-up list, emergency contacts, and a preferred hospital on file. 5) A child enrolled on 10/24/23 did not have a preferred hospital on file. 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, a staff member (DOH: 10/04/21) did not have a written annual professional development plan. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 3/24/08, last completed the Pediatric Abusive Head Trauma Training on 5/16/18. A caregiver hired on 3/22/10, last completed the Pediatric Abusive Head Trauma Training on 5/31/18. Premises In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Meal Planning/Center Provides Meals 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. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation and interview, the posted menu in the center’s foyer was not dated. Interview determined the posted menu did not reflect the amended meals.

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 10/04/21, did not complete one and one half (1 1/2) hours of cabinet approved pediatric abusive head trauma training within 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 3. General Requirements.

General: Based on observation, interview and review of documentation, music with adult content played from a radio in the two-year-olds’ room. The music was not a part of the planned program of activities. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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, a caregiver’s jacket was on a chair and a caregiver's drink was on top of an activity table in the preschool room. These items were accessible to children. 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, ten (10) children in the two-year-olds' room and four (4) children in the preschool room did not wash their hands with liquid soap and warm running water after they ate snack. A child did not wash his hands with liquid soap and warm running water before he ate snack and after he wiped his nose in the three-year-olds' room. A child did not wash his hands with liquid soap and warm running water after he was diapered in the toddlers' room. 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, black fabric weed block was exposed throughout the playground. Several garden hoses were on the ground beside tricycles on the playground. These items created a tripping hazard on the playground.

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, two (2) slides were placed directly on grass and did not have a protective surface underneath on the outdoor playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 13. Toys and Furnishings.

General: Based on observation, an excessive amount of chipped, peeled and flaky paint was on the red metal swing set and rust was on twelve (12) swing chains on the outdoor playground. 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 temperature indicating device was not in the refrigerator used for children in the two-year-olds' room. 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 observation, thirteen (13) preschool-age children, eight (8), two-year-old children and a three-year-old child were served Cheez-it crackers and water for snack in their respective rooms. Two (2), two-year-old children were served dry cereal and water for snack in the two-year-olds’ room. The snacks did not meet snack requirements. Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a child, first date of attendance on 07/08/22, had an immunization certificate on file that was current until 07/02/22. A child, first date of attendance on 03/12/21, had an immunization certificate on file that was current until 05/09/22. A child, first date of attendance on 06/25/21, 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 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on interview and review of documentation, the center's written evacuation plan was not in accordance with KRS 199.895, which included being updated by December 31st each year. The evacuation plan on file was last updated 11/15/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, two (2) children's food allergy information was posted on the outside of the cabinet in plain view in the toddlers' room. This document was not kept confidential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the center did not conduct a shelter-in-place or lockdown drill in the third and fourth quarters of 2022. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the children’s faces appeared flush in the two-year-old's room on 6/14/22. Interview determined the center’s HVAC System was inoperable. The temperature in the two-year-old's room was eighty (80) degrees Fahrenheit on 6/14/22. An alternative cooling system was not in place. 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, two (2) caregivers hired on 6/29/09 and 10/4/21, did not have TB documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 13. Toys and Furnishings.

General: Based on interview, the center’s HVAC system was inoperable and parts were needed for it to be repaired. Interview determined the HVAC system will be repaired on 6/18/22 or 6/19/22.

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 did not have two (2) documented staff meetings available for review.

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, ten (10) caregivers hired on 1/13/20, 6/28/10, 3/5/02, 2/26/18, 10/7/02, 3/22/10, 4/9/91, 12/5/91, 6/29/09, and 3/2/15, each had an annual performance evaluation on file that was dated 10/30/20. A caregiver hired on 5/21/18, had an annual performance evaluation on file that was dated 11/2/20. 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, two (2) caregivers hired on 10/4/21 and 1/13/20, did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) caregivers hired on 10/4/21 and 1/13/20, did not have TB documentation on file. A caregiver hired on 10/7/02, had TB documentation on file that was dated 11/5/19. A caregiver hired on 4/9/91, had TB documentation on file that was dated 5/7/18. A caregiver hired on 6/29/09, had TB documentation on file that was dated 11/8/19.

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, the center did not have two (2) substitute staff available in case of need.

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) caregivers hired on 6/28/10 and 10/7/02 completed fourteen (14) hours of training during a subsequent year of employment. A caregiver hired on 1/13/20, completed eight and one half (8 1/2) hours of training during a subsequent 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, a planned program of activities was not posted in the infants’ room. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a red/blue Little Tikes Slide was placed directly on the ground and did not have a protective surface in the younger children’s outdoor play area. 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 Not Applicable 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 7/5/21, did not include a preferred hospital in the enrollment information. A child enrolled on 9/10/20, did not include the physician’s phone number in the enrollment information. A child enrolled on 4/14/21, did not include the physician’s phone number and preferred hospital in the enrollment information. 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, five (5) caregivers hired on 6/28/10, 3/5/02, 10/7/02, 3/22/10, and 3/2/15, each had an annual professional development plan on file that was dated 10/20/20. A caregiver hired on 5/21/18, had an annual professional development plan on file that was dated 10/23/20. A caregiver hired on 2/26/18, had an annual professional development plan on file that was dated 10/2/20. Two (2) caregivers hired on 4/9/91, and 12/5/91, each had an annual professional development plan on file that was dated 10/1/20. A caregiver hired on 6/29/09, had an annual professional development plan on file that was dated 10/29/20. A caregiver hired on 3/24/08, had an annual professional development plan on file that was dated 10/22/20. A caregiver hired on 1/13/20, did not have an annual professional development plan on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, a monthly, practiced fire drill was not conducted in June, July, and August 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 8. General.

General: Based on review of documentation, the posted statement of deficiencies and plan of correction was dated 12/3/19. Therefore, the statement of deficiencies/plan of correction was not posted for the current licensure year. In addition, the KRS 199.898(3) children/parents rights was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a schedule of daily activities was not posted in the infants’ room. Animals Not Applicable

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 posted daily planned program of activities was dated July 20th through July 25th and was not being followed in the four-year-olds' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises In Compliance 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, fabric weed block was raised above the protective surface in several areas in the older children’s outdoor play 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, two (2) Little Tikes slides were placed on the ground and did not have protective surface in the younger children’s outdoor play area. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a red, blue, and gray striped sheet, a pink sheet, and a white sheet were loosely fitted on crib mattresses in the infants’ room. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) children enrolled on 9/14/20 and 1/5/20, did not have information on file for staff to contact each child's physician. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the center failed to ensure machine washable toys shall not be used and all child care staff, directors, owners and operators complete a new, mandatory training on cleaning, sanitizing, health procedures, and mandatory reporting prior to the date of reopening, in accordance with 922 KAR 2:405E. Five (5) stuffed body baby dolls were located in the two-year-olds’ room. Two (2) stuffed body baby dolls were located in the three-year-olds’ room. Also, two (2) bean bags were in the reading area located in the three-year-olds’ room. A caregiver hired on 3/2/15, did not completed the mandatory training.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a staff member hired 07/01/19, had no TB skin test 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 and interview, staff member hired on 07/01/19, did not have documentation of education on file. 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, a cell phone was placed on the computer table in the four-year-olds' room and was accessible to children. Interview with staff determined the cell phone belonged to a staff member. 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 fabric weed block protruded approximately three (3) inches above the mulch in several areas in the outdoor play area. The raised weed block created a tripping 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 11. Toys and Furnishings.

General: Based on observation, five (5) swing chains were rusted on the outdoor playground. Transportation Not Applicable Food Service/Food Program Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, one (1) child was not offered milk with their lunch in the two-year-olds class on 12/03/19. Review of documentation determined there was no special instructions on file from a parent or health professional requesting a dietary restriction. Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, one (1) child enrolled 10/09/17, had an immunization certificate valid until 12/26/18. 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

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, sixty-one (61) children were present on 12/03/19 and only fifty-eight (58) children had an arrival time documented. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, an infant slept on a Dock-A-Tot enclosure in a crib in the infants' room. The manufacturer recommended Dock-A-Tot not be used in a crib. Employee Records In Compliance 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 6. Sleeping and Napping Requirements.

General: Based on observation, an infant slept in a crib with loose bedding, four (4) loose cloths and a Dock-a-Tot enclosure while in the infants’ room. Children's Records 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 Review of Documentation, the center's zoning documentation was not on file. Director Requirements In Compliance Employee 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 11. Staff Requirements.

General: Based on Review of Documentation, two (2) staff, hired on 05/21/18, completed six (6) hours of cabinet approved orientation training on 09/13/18, which was not within the first three (3) months of employment. A staff, hired on 05/08/17, completed one and a half (1 ½) hours of cabinet approved training during the first year of employment. A staff, hired on 04/09/91, completed eleven (11) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 12/05/91, completed nine and a half (9 ½) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 06/29/09, completed eight and a half (8 ½) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 03/02/15, completed twelve (12) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 10/11/04, completed seven and a half hours (7 ½) of cabinet approved training during a subsequent year of employment. A staff, hired on 10/07/02, completed four and a half (4 ½) hours of cabinet approved training during a subsequent year of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, four (4) infants slept in an individual crib with loose bedding, and two (2) infants slept in an individual crib with a pacifier clip in the crib. This was in the infants' room. 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 container of bleach wipes was stored in blue cloth bag on a three-foot-high shelf in the 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 3. General Requirements.

General: Based on Observation, two (2) small rolls of plastic trash bags were stored on top of a four-foot-high shelf in the restroom between the three and four-year-olds' room. These bags were accessible to children and were not a part of the planned program of instruction.

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, dead bugs were in the light shield in the one-year-olds' restroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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, nine (9) children did not wash their hands with liquid soap and warm, running water after eating a snack in the two-year-olds' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, clear taped covered cracks on the surface of the diapering mat in the infants' 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, black fabric weedblock was raised above the protective surface in several areas on the outside playground. Equipment In Compliance Transportation Not Applicable Food Service/Food Program Not Applicable Food Service In Compliance Children's Records In Compliance Written 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 Review of Documentation, a staff, hired on 10/07/02, had an annual professional development plan on file that was dated 01/03/18. A staff, hired on 03/22/10, had an annual professional development plan on file that was dated 12/28/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, a caregiver hired on 5/8/17, did not have documentation of education on file.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, a caregiver hired on 3/2/15, lacked fifteen (15) hours of training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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, fabric weed block was above the rubber mulch in several areas of the outdoor play area. This created 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 11. Toys and Furnishings.

General: Based on Observation, a turquoise Bumbo Seat and a pink Bumbo Seat were in the infants' room. A review of the Consumer Product Safety Commission recall information determined the Bumbo Seats were recalled in 2007, and instructed consumers to order a free repair kit which included a restraint belt and a warning label. Interview determined the staff were unaware of the recall; therefore, the safety belt and warning label had not been obtained. A blue adult-size chair had an eight (8) inch crack on the back section of the chair and rust on the metal legs located in the outdoor play area. Transportation Not Applicable Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a child enrolled on 2/1/17, did not include a name and phone number of an individual to be contacted in an emergency situation involving the child enrolled. Also, the name of each person designated to pick up the child was not in writing. Written Documentation 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, a caregiver hired on 10/11/04, had a professional development plan on file dated 10/11/16; a caregiver hired on 10/7/02, had a professional development plan on file dated 10/7/16; a caregiver hired on 3/22/10, had a professional development plan on file dated 3/28/16; a caregiver hired on 11/24/14, had a professional development plan on file dated 10/29/16, and a caregiver hired on 6/20/16, had a professional development plan on file dated 9/14/16. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, a staff, hired on 07/18/16, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, a staff, hired on 01/19/15, completed seven and a half (7 ½) hours of cabinet approved training during the first year of employment. A staff, hired on 03/24/08, completed six (6) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 06/28/10, completed nine (9) hours of cabinet approved training hours during the subsequent year of employment. A staff, hired on 06/29/09, did not complete any cabinet approved training hours during the subsequent year of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 slept in a crib with a bib around his neck and a pacifier clip in the crib in the infants’ room. Also, an infant slept in a crib with a small plush toy attached to his pacifier in the infants’ room. 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 fleece jacket hung on the back of a rocking chair in the infants’ room. A caregiver’s purse was on a portable file, which was located below the window, in the four-year-olds’ room. A wadded up plastic bag was stored in an unlocked drawer in the four-year-olds’ room. A large roll of plastic trash bags was stored on the top of a plastic chest of drawers in the boys’ restroom. A caregiver’s jacket hung on the back of an adult-size chair in the three-year-olds’ room. All of these items were accessible to children. 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, black landscape material was raised above the protective surface in several areas on the outdoor playground. Two (2) of the longest areas measured approximately five (5) feet. 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, a caregiver washed her hands and then served water to eight (8) children from the same handwashing sink. The sink was not cleaned or sanitized in the four-year-olds' room. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the center caters the breakfast and lunch meals and afternoon snack. The caterer's food service permit expired on 12/31/16. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 Review of Documentation, a child, first date of attendance on 01/04/17; a child, first date of attendance on 07/01/14, and a child, first date of attendance on 01/07/16, each did not have information on file to enable the person in charge to contact the child’s preferred hospital. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a daily schedule was not posted in the one year olds’ room. Animals Not Applicable

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 and interview, a caregiver hired 3/30/15, had no proof of a submitted criminal records check and a child abuse/neglect check available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation and interview, caregivers hired 3/15/10, had not completed any training hours. Two (2) caregivers, hired 11/2/09 and 11/24/14, lacked three (3) hours of training. A caregiver hired 3/22/10, lacked four (4) hours of training, and a caregiver hired 8/6/07, lacked one (1) hour of training. The director confirmed training was not completed timely. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, a child enrolled 6/23/13, had an immunization certificate on file that was valid until 10/31/15.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, a child enrolled 6/23/13, 11/8/13, 1/5/15 and 8/17/15, did not have information on file to enable the person in charge to contact the child's preferred hospital. Also, a child enrolled 4/28/15, enrollment information did not include the name of the person to pick up the child. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 25 Web site: http://chfs.ky.gov/ Inspection Report

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

Based on observation, pop music played on the radio in the infants' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, four (4) infants slept in cribs with loose bedding 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 4. Premises Requirements.

Based on observation, twelve inches of black fabric landscape material were raised above the protective surface in three (3) areas on the outdoor playground.

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.

Based on observation, nine (9) crib mattresses had non-fitted sheets in the infants' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, two (2) infants slept in cribs that were spaced approximately six (6) inches from other cribs in the infants' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, a schedule of daily activities was not posted in the two year olds' room.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 3

Infants Room: Based on observation, five (5) crib mattresses were elevated by placing blankets underneath each mattress. One (1) infant had a statement from a physician that stated, “This child has been a patient at our practice since birth and [child] has been diagnosed with GE reflux. Due to this diagnosis, [child] needs to sit up for thirty (30) minutes after eating."

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on review of documentation, a child enrolled 7/19/10 had an immunization certificate that was valid until 11/20/11. 99 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (4) Permission forms for each trip off the premises signed by the parent; An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 37 of 41 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing In Compliance 2) Staff Policies In Compliance 3) Job Description In Compliance 4) Organization Chart In Compliance 5) Chain of Command In Compliance 6) Other Procedures-a) Rights for Children b)922 KAR 2:090 c) 922 KAR 2:110 d)922 KAR 2:120 In Compliance 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival In Compliance 2) Departure In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.