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

General: Based on observation and review of documentation, a staff member (DOH: 04/05/22) did not have an annual performance evaluation on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, a staff member (DOH: 04/24/17) completed zero (0) annual training hours between July 1 and the following June 30 of the subsequent year of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance 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 In Compliance Written Documentation 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 9. Records.

General: Based on observation and review of documentation, the following was found: 1) A staff member (DOH: 06/20/14) had an annual professional development plan dated 03/02/23. 2) A staff member (DOH: 03/27/18) had an annual professional development plan dated 01/28/23. 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 7. First Aid and Medicine.

General: Based on review of documentation, a caregiver hired on 11/15/22, had not completed 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 review of documentation, a caregiver hired on 4/5/22, had seven and a half (7 ½) training hours during the first year of employment. A caregiver hired on 7/24/17, last completed the Pediatric Abusive Head Trauma Training on 3/9/18. 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 2 Inspection Report Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the cover was missing off of the ventilation system in the family restroom. 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 11/11/19, did not have authorization, on file, by the parent for the center to seek emergency medical care for the child in the parent’s absence. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 11/15/22, 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, a caregiver hired on 9/1/12, had TB documentation on file that was dated 12/15/20.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 10/3/22, had not completed the first aid and CPR training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 11. Staff Requirements.

General: Based on review of documentation, a caregiver hired on 10/3/22, had not completed orientation training. Equipment In Compliance Children's 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 9. Records.

General: Based on review of documentation, a child enrolled on 5/23/22, had an immunization certificate on file that was valid until 12/31/22. Written Documentation 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, weed block was raised above the rubber mulch in several areas, which presented a tripping hazard, throughout the 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 7/24/07, had no evaluation on file. Employee Records In Compliance Programming In Compliance 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, weed block was above the rubber mulch in several areas throughout the outdoor play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 11. Toys and Furnishings.

General: Based on observation, a bolt was protruded five and a half (5 1/2) inches upwards from a red airplane play apparatus in the outdoor play area. Transportation Not Applicable Food Service/Food Program Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no name on two (2) Tommee Tippee Bottles to indicate to whom the bottles belonged> These bottles were located in the refrigerator in the infants' room. 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 observation and review of documentation, nine (9) parents had signed the DCC-94E, Child Care Daily Attendance Record prior to the end of the week in the four- year-old's room. Six (6) parents had signed the DCC-94E, Child Care Daily Attendance Record prior to the end of the week in the two-year-old's room. Also, eleven (11) children were present in the two-year-old's room, but only seven (7) 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, a caregiver hired on 6/20/14, had a professional development plan dated 9/1/19. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no date on the posted schedule of daily activities in the four-year-old's room, infants' room, three-year-old's room, one-year-old's room, and two-year-old's room. Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, machine washable toys shall not be used, in accordance with 922 KAR 2:415E Section 6 (3). A washable, stuffed body doll was in the four-year-old's 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 observation and review of documentation, a staff, hired on 03/09/20, and a staff, hired on 03/03/20, were present at the center and did not initiate the background check process. Supervision In Compliance Staffing Requirements In Compliance General Administration 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 review of documentation, the Fire Marshal inspection report was dated 08/26/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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, a staff, hired on 11/15/16, had an annual written performance evaluation on file that was dated 03/01/19. 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 staff, hired on 05/13/19, completed six (6) hours of cabinet approved orientation training on 08/24/19, which was not within the first three (3) months of employment. A staff, hired on 06/20/14, completed one and a half (1 ½) hours of cabinet approved pediatric abusive head trauma training on 02/15/15, and did not complete the training again within five (5) years. 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 staff member’s set of keys were stored in an unlocked drawer, at the counter where the handwashing sink was located, in the orange one-year-old room. A staff member’s set of keys were stored in an unlocked drawer, at the counter where the handwashing sink was located, in the red two-year-old room. A staff member’s set of keys were stored in an unlocked drawer, at the counter where the handwashing sink was located, in the three-year-old room. These items were accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, four (4) large top seal plastic bags were stored in an unlocked drawer, at the counter where the handwashing sink was located, in the red two-year- old room. A roll of small plastic bags was stored on the lower shelf of an unlocked cabinet, on the wall, in the orange restroom. These items 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the hot water temperature registered seventy-eight (78) degrees Fahrenheit at a sink in the orange one-year-old room. The hot water temperature registered seventy-six (76) degrees Fahrenheit at a sink in the blue three-year-old room. The hot water temperature registered seventy-two (72) degrees Fahrenheit at a sink in the three-year-old restroom. The hot water temperature registered seventy (70) degrees Fahrenheit at a sink in the purple one-year-old room. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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, black fabric weed block was raised above the protective surface in several areas on the outdoor 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, approximately a foot long edge of carpet was unattached to a small area rug in the blue three-year-old room. A nail protruded two (2) inches from the base of a metal house-shaped structure on the outside playground. Transportation Not Applicable Food Service/Food Program Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 12. Reports.

General: Based on interview and review of documentation, transportation services were implemented when the center used a third party to transport children for a field trip to the local movie theatre on six (6) dates. Thirteen (13) children were transported on 06/13/18; twelve (12) children were transported on 06/20/18; seven (7) children were transported on 06/27/18; nine (9) children were transported on 07/11/18, ten (10) children were transported on 07/18/18, and thirteen (13) children were transported on 07/25/18. The center did not have prior approval from the cabinet to implement/arrange transportation services. Director Requirements In Compliance 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 11. Staff Requirements.

General: Based on interview and review of documentation, a staff, hired on 07/24/17, completed one and a half (1 ½) hours of cabinet approved training during the first year of employment. A staff, hired on 07/24/17, completed six (6) hours of cabinet approved orientation training on 11/10/18, which was not within the first three (3) months of employment. A staff, hired on 01/02/19, completed six (6) hours of cabinet approved orientation training on 04/06/19, which was not within the first three (3) months of employment. A staff, hired on 07/18/12, completed four (4) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 06/20/14, completed eleven and a half (11 ½) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 10/15/15, completed nine (9) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 02/12/16, completed twelve and a half (12 ½) hours of cabinet approved training during a subsequent year of employment. A staff, hired on 02/27/17, completed thirteen (13) hours of cabinet approved training during a subsequent year of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a pair of sharp adult scissors were in the top drawer of the sink counter in the two-year-olds’ room. The drawer had a child proof lock in place but left a two (2) inch opening, which allow access to the scissors. A pair of sharp adult scissors were in a top unlocked drawer at the sink counter in the four-year-olds’ room. These items were accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, a roll of small plastic trash bags was stored in an unlocked cabinet on the wall in the girls’ restroom. Five (5) extra-large top seal plastic bags were stored in an unlocked drawer at the sink counter in the "orange" one-year-olds’ room. A box of small plastic bags was stored in an unlocked drawer in the three-year-olds’ room. A roll of small plastic trash bags was stored in an unlocked drawer under the diapering table in the three-year-olds’ restroom. An empty extra-large plastic top seal bag was stored at the top of a child's bag, which hung on a hook in the hall adjacent to the three-year-olds’ room. Two (2) rolls of small plastic trash bags were stored in an unlocked drawer of the diapering table in the purple one-year-olds’ room. These items 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, a large brown stain was on the ceiling tile in the "orange" one-year-olds’ room. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a caregiver failed to wash her hands with liquid soap and warm running water before putting on gloves and diapering a child in the "purple" one-year- olds’ 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, black fabric weed-block was raised above the protective surface in several areas and created a tripping hazard on 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, five (5) crib mattresses were torn and exposed cushion 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 11. Toys and Furnishings.

General: Based on observation, a thick accumulation of ice was in the freezer of a miniature refrigerator in the purple one-year-olds’ room. Three (3) seats were broken and partially missing from a four (4) seat bouncy apparatus on the outside playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on interview and review of documentation, transportation services were implemented when the center used a third party to transport children for a field trip to the local movie theatre on six (6) dates. Thirteen (13) children were transported on 06/13/18; twelve (12) children were transported on 06/20/18; seven (7) children were transported on 06/27/18; nine (9) children were transported on 07/11/18, ten (10) children were transported on 07/18/18, and thirteen (13) children were transported on 07/25/18. The center did not have prior approval from the cabinet to implement transportation services.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on interview and review of documentation, the center made arrangements with a third party to transport children to the movie theatre for a field trip on 06/13/18, 06/20/18, 06/27/18, 07/11/18, 07/18/18, and 07/25/18. The center is not approved for transportation services. Food Service/Food Program Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation, there was no thermometer or temperature indicating device in the miniature refrigerator 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 8. Kitchen Requirements.

General: Based on observation, there was no temperature indicating device for staff to verify frozen food was kept at zero degrees Fahrenheit or below, in the freezer and deep freezer located in the kitchen. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff, hired on 03/27/18, had an annual written professional development plan on file that was dated 03/27/18. 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 interview and review of documentation, the center's plan of correction for the current year and the center’s services and rates were not posted.

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 review of documentation, the proper methods of diapering were not posted at the diapering station in the "orange" one-year-olds’ room. The proper methods of handwashing were not posted at the diapering station in the infants’ 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 10. Director Requirements and Responsibilities.

General: Based on Review of Documentation and interview, a caregiver sprayed two (2) children with a spray mop filled with a cleaning solution, at approximately 4:45 pm on 01/24/19, in the three-year-olds' room. In addition, the caregiver picked up children by their arm. Employee Records In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a child was not provided a sheet and blanket for rest time in the purple, 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 6. Sleeping and Napping Requirements.

General: Based on Observation, two (2) children slept on an individual cot that was spaced less than twelve (12) inches from another cot in the four-year-olds’ room. Children's Records 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on Review of Documentation, staffs hired 7/24/17, 1/22/18, and 2/27/17, did not complete six (6) hours of orientation training within the first three (3) months of their employment. In addition, a staff hired 2/27/17, completed orientation training on 1/25/18, which was not within the first three (3) months of employment. Also, a staff hired 2/22/17, had not completed any training hours. 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 side exit/entrance door was propped open which lead to the outdoor playground. This door was not screened or protected. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 weed block was raised above the mulch throughout the entire outdoor play area. The raised weed block was 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 6. Sleeping and Napping Requirements.

General: Based on Observation, four (4) crib mattresses were torn in the infants' room. Also, six (6) fitted crib sheets were too tight on the mattress and caused the mattress corners to bow upwards. 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 and interview, seventeen (17) children were present in the red room, but fifteen (15) children had documented arrival times. Posted Documentation In Compliance Animals In Compliance

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 Review of Documentation, a staff hired on 06/20/14, and a staff hired on 01/01/16, did not have an annual written performance evaluation on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, a staff hired on 03/31/17, and a staff hired on 04/17/17, did not have proof a criminal records check had been submitted timely. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation and interview, a staff hired on 08/22/16; a staff hired on 04/17/17; a staff hired on 02/22/17; a staff hired on 03/07/17, and a staff hired on 06/20/16, 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 10/05/16; a staff hired on 09/20/16; a staff hired on 05/20/16; a staff hired on 08/29/16; a staff hired on 10/26/16; a staff hired on 01/09/17, and a staff hired on 01/01/16, did not complete six (6) hours of cabinet approved orientation training. A staff, hired on 02/10/16, completed six (6) hours of cabinet approved orientation on 02/11/17, a staff, hired on 11/02/16, completed six (6) hours cabinet approve orientation training on 02/15/17, and a staff, hired on 06/20/16, completed six (6) hours of cabinet approved orientation training on 09/29/16, which was not within the first three (3) months of employment. A staff, hired on 01/01/16, did not complete any training hours, which included pediatric abusive head trauma training, during the first year of employment. A staff, hired on 02/10/16, completed six (6) hours of cabinet approved training hours during the first year of employment and did not completed pediatric abusive head trauma training. A staff, hired on 09/01/12, completed fourteen (14) hours of cabinet approved training hours during a subsequent year of employment. A staff, hired on 07/18/12, completed seven (7) hours of cabinet approved training hours during a subsequent year of employment. A staff, hired on 11/15/14, completed two (2) hours of cabinet approved training hours during a subsequent year of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, two (2) caregivers' drinks and a spray bottle full of bleach water was on the counter in the four and five-year-olds’ room. A plastic bag full of wadded up plastic bags was stored in the unlocked lower compartment of the diapering station in the older one year olds’ room. A container of metal push pins and a pair of sharp adult scissors were stored in an unlocked drawer in the three-year-olds’ room. A bottle of bleach, a bottle of disinfectant, germicide, detergent and deodorant were stored on the counter in the three-year-olds’ room. All of 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, a tear was in the surface of the diapering mat in the infants’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, a four (4) ounce tube of Desitin diaper cream was stored unlocked in the bottom drawer of a chest of drawers in the three-year-olds’ room. 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, black fabric weed block was raised above the protective surface in several areas on the playground. The largest area of exposure was approximately five (5) feet long. 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, chipped paint was on a two (2) foot high wooden purple shelf in the four and five-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 small blue and red area rug was soiled in the four and five-year-olds’ room. A small multi-colored alphabet rug was soiled in the older one-year- olds’ room. Two (2) seats were broken and partially missing from a four (4) seat spring rider teeter-totter on the playground. 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 Observation, two (2) bottles were not labeled in the infants’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

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 09/12/16, did not list the name of each person designated to pick-up the child. 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 staff hired on 01/01/16, did not have an annual professional development plan on file. A staff, hired on 02/10/16, had an annual professional development plan on file that was dated 02/08/16. 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 Observation and interview, a caregiver supervised fourteen (14) children, aged three to four years old for two (2) minutes in the preschool room. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, a sheet was not provided to a child at naptime in the preschool room on 5/2/16.

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 10/20/13, had TB documentation dated 10/24/13. Also, a caregiver hired on 6/20/14, had TB documentation dated 1/21/14.

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, eleven (11) lunch plates were stacked on top of each other on a counter in the two (2) year olds' room.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, two (2) caregivers, each hired on 3/28/16, had no documentation of a submitted criminal records check 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, three (3) caregivers hired on 10/15/15, 3/17/16, and 3/28/16, had no 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 4. Director Requirements and Responsibilities.

General: Based on review of documentation, a caregiver hired on 9/1/12, 10/20/13, and 1/5/15, had no written performance evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 7/18/12, lacked six (6) hours of training during the subsequent year of employment, and a caregiver hired on 1/5/15, lacked four and a half (4 ½) hours of training during the first year of employment. A caregiver hired on 10/20/13, lacked four and a half (4 ½) hours of training and had college coursework which was not approved as acceptable training. Also, a caregiver hired on 11/20/15, had no documentation of completing six (6) hours of training.

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, an open bag of Miracle Gro Potting Soil Mix was on top of a flower pot located outside of the door which leads to the outdoor play area. The label on the bag indicated to "Keep Out of the Reach of Children."

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were four (4) soiled ceiling tiles in the orange room. Also, there was a two (2) inch long and three (3) inch wide hole in the wall from where the blue partition was anchored between the toilet and sink in the boys’ restroom near the red room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the hot water registered at seventy (70) degrees Fahrenheit at a sink in the restroom near the purple room and blue room. The hot water registered eighty (80) degrees Fahrenheit at a sink in the green room and at sinks in the girls and boys' restrooms near the red room. The hot water registered seventy-nine (79) degrees Fahrenheit at a sink in the yellow, orange, and red rooms. Also, a sink was not equipped with cold running water in the boys' restroom next to the red room.

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 tube of Babyganics Eczema Care Skin Protectant Cream, Boudreaux's Butt Paste, Aveeno Baby Diaper Rash Cream, and Equate Diaper Rash Relief were on a shelf in the infants' room. Also, the tube of Babyganics Eczema Care Skin Protectant Cream was not labeled to indicate for whom it was intended. Outdoor Play Area

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, black fabric weed block was on top of the protective surface throughout the 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 6. Sleeping and Napping Requirements.

General: Based on observation, six (6) crib mattresses had loose sheets.

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 red and blue ABC area rug, a red and blue numbered area rug, a doll house area rug, and a Disney Cars area rug were soiled in the two (2) year olds' room. Also, based on interview the center's kitchen stove was inoperable for two (2) days.

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 8/10/15, had no general health status and medical history listed, and no name and phone number for a person to be contacted in an emergency situation impacting the child.

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 7/18/12, 9/1/12, and 1/5/15, had no plan for child care staff professional development on file.

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, a four (4) foot cord was draped down from the back of a radio and plugged into an electrical outlet. This cord was connected to a radio on a two and one half (2 1/2) book shelf in the yellow class room. The cord was in front of the shelf, accessible to children. Also, a six (6) foot cord was draped down from the back of a television and plugged into an electrical outlet. This cord was connected to a television on a two (2) foot table in the blue class room. This cord was located on the right side of the table, accessible to children.

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, three (3) caregivers hired on 09/01/12, 09/30/12 and 10/01/13, lacked fifteen (15) hours of annual training. Also, a caregiver hired on 06/11/12, lacked twelve (12) hours of annual training.

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 protective ground cover was sparse at the slide. Also a wide area of concrete was exposed above the protective ground cover.

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 changing table had two (2) one half (1/2) inch holes in the yellow class 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, one (1) high chair (Baby Trend brand) did not have safety straps and did not follow warning label which stated, "always secure child in restraint system".

Open Not marked corrected in the state record

Open / not marked corrected.

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

Three/four year olds' room: Based on observation, four (4) batteries were located in a plastic container on a shelf accessible to children.

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 interviews, eight (8) caregivers did not have professional development plans 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 interview, three (3) caregivers, hired 8/8/13, 9/3/13, and 10/15/13, had not completed orientation training. Also, a caregiver hired 9/1/12 had (7) hours of training, two (2) caregivers, hired 9/15/12 and 9/30/12, had five (5) hours of training, and a caregiver, hired 7/30/12, had four (4) hours training within the first year of employment. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

Three year olds' room: Based on observation, the daily list of activities was dated 2/3/14 - 2/7/14.

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.

Toddlers' room: Based on observation, adult gospel music played on the radio.

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.

Girls' restroom #1: Based on observation, the water temperature registered sixty (60) degrees Fahrenheit at the sink in the girls' restroom #1. Also, the water temperature registered sixty-five (65) degrees Fahrenheit at each sink in the three/four year olds' room and the toddlers' room. In addition, the water temperature registered 130 degrees Fahrenheit at the sink in girls' restroom #2 and the boys' restroom. The water temperature also registered 128 degrees Fahrenheit at the sink 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.

Girls' restroom #1: Based on observation, the seat was missing from the toilet. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

Toddlers' room: Based on observation, a caregiver failed to wash a child's hands before giving him a snack.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Playground : Based on observation, the mulch was sparce and the ground could be seen.

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.

Playground: Based on observation, four (4) slides did not have a protective surface.

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.

Infants' room: Based on observation, a crib mattress was torn.

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.

Infants' room: Based on observation, a pink adult-size chair had brown stains. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 26 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 11. Toys and Furnishings.

red/empty room: Based on observation, a screw protruded from a dramatic play cupboard.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Toddlers' room: Based on observation, four (4) bottles located were not individually labeled in the refrigerator.

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.

Toddlers' room: Based on observation, approximately fifteen (15) minutes before lunch was served on 02/25/14, the caregiver gave two (2) snack sticks to a ten (10) month old infant but did not give the other one year old children a snack stick. Two (2) of the one year old children went over to the infant, who was in a exersaucer, and one of the one year olds took the snack sticks away from the infant. The caregiver took the snack sticks away from the one year old child and the child cried.

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, ten (10) children (enrolled 8/1/13, 4/15/13, 5/13/11, 10/28/13, 1/28/13, 11/24/13, 10/25/13, 9/23/13, 12/2/13, and 10/1/13) did not have the preferred hospital listed in their file. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

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 review of documentation, a caregiver was named as an alleged perpetrator in a child abuse or neglect report on 6/10/13. Interview with a staff member determined this caregiver worked from 6/10/13 through 6/14/13, and was observed at the center on 6/14/13. Employee Records

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 (DOH: 5/23/13) did not maintain TB documentation on file. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on review of documentation and interview, a caregiver hired 07/10/12 had a TB skin test dated 02/23/11; a caregiver hired 07/16/12, had a TB skin test dated 09/29/10; a caregiver hired 07/16/12, had a TB skin test dated 05/12/10; a caregiver hired 09/15/12, had a TB skin test dated 02/23/11, and a caregiver hired 09/15/12, had a TB skin test dated 07/28/10. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 40 Web site: http://chfs.ky.gov/ Inspection Report 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: General: Based on review of documentation, two (2) caregivers, both hired 07/16/12, did not have orientation training on file. 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)

General: Based on observation, there was black weed block exposed throughout the playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.