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

General: Based on interview and review of documentation, the child-care center failed to present a verification of current records of Pediatric Abuse and Head Trauma (PAHT) training for a staff person hired on 09/19/2017. A review of ECE-TRIS supports this finding. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. 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 fixtures in the two-year-old, school-age, Preschool 1 and Preschool 2 restrooms. 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

Open / not marked corrected.

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

General: Based on observation, a dried brown stain was on the rim of the toilet seat in the preschool children’s restroom. Hygienic Practices In Compliance 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

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, thirteen (13) children were present in the school-age room; however, two (2) children did not have a documented arrival time on 06/27/22. Posted Documentation In Compliance Animals Not Applicable

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 and interview, of building one (1) in the hallway revealed holes throughout the ceiling. Interview with staff in charge revealed she was aware of the holes in the ceiling. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 of the one-year-old room a staff member did not wash the children's hands before lunch.

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 of a changing pad located in the restroom off the two-year-old room revealed a build up of dirt and debris. 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 of the outdoor play area the green gate drags on the sidewalk when opening. Continued observation revealed the gate would not close. 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 4. Premises Requirements.

General: Based on observation and interview, of the two-year-old room, there was not an adequate amount of developmental materials and toys for the children to play with. There were five (5) fabric toy cars, one (1) plastic green ball, and two (2) fabric story books. There were six children present in the room at the time of the observation. Further observation, revealed in the same room was an area the was sectioned off with a gate and divider that led to a space with large plastic blocks, age appropriate story books, cars, dolls, balls and manipulatives that were age appropriate for the children. Interview with the staff member revealed that she gets the toys out through out the day and puts them back in the gated area where the childen can not gain access of the matrials. Interview with the staff in charge is aware of this concern and has coached the staff member in regards to this concern.

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 of the infant room it was revealed four (4) of the five (5) cribs did not have a manufactures date. Upon request the staff in charge failed to provide the documentation to verify the cribs compliant with the federal safety standards. Continued observation in the infant room revealed a crib was being used to store a bouncy seat and exersaucer. Interview with the staff member did not verify that the sheets were changed before placing an infant in the crib. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, of the two-year-old room there were two (2) rest mats that were not twelve (12) inches apart. Transportation In Compliance Food Service/Food Program In Compliance 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 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 12/1/03 and 8/20/14 whose file did not contain a current statement from a health professional that they were free from active tuberculosis. Upon request, the director did not present a current statement for the aforementioned staff members at the time of the survey. 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

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was a bottle of OdoBan located on the changing table in the One’s Room.

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 and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed five (5) staff members with hire dates 8/28/15, 5/23/16, 8/20/14, 7/24/17 and 6/20/16 whose file did not contain a current evaluation. Upon request, the director did not present a current evaluation for the aforementioned staff members at the time of the survey. Employee Records 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 child care center failed to maintain the premises in accordance with regulatory requirements. There were several water stains in the ceiling in the Preschool Two Room. There was a water stain in the ceiling located above the coat hooks in the Preschool Three Room. There was a water stain in the ceiling located by the exit door leading to the outside play area in the Two’s Room. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The changing pad located in the Nursery was not padded. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. A portion of the green metal fence was missing, located toward the back of the outside play area. A portion of the green metal fence was no longer attached to the pole, located toward the side of the outside 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. One of the black knobs were broken off the toy kitchen set, located in the Preschool One Room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of the presented documentation revealed that verification of completed evacuation drills were presented for the months of January, February and April. Upon request, the director did not present verification of completed evacuation drills for the remaining months.

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 review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of the presented documentation revealed that the presented vehicle inspection report was dated 10/25/17. Upon request, the director did not present a current vehicle inspection report at the time of the survey. 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, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed five (5) staff members with hire dates 9/19/17, 8/20/14, 7/24/17, 5/23/16 and 6/20/16 whose file did not contain a current professional development plan. Upon request, the director did not present a current professional development plan for the aforementioned staff members at the time of the survey. 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 10. Director Requirements and Responsibilities.

General: Based on interview, the child care center failed to comply with regulations regarding director requirements. Per interviews, the center failed to assure the health, safety, and comfort of a three-year-old child while in the classroom. A three-year-old child was playing in the kitchen area when another three-year-old child approached them and stuck a bead into the child’s ear causing it to be dislodged in the ear canal. The three-year-old child was caused discomfort, and had to have the bead removed by a physician from the emergency room. Further interview with the director and staff member revealed the bead was retrieved from a previous art project that had been glued to a paper crown.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center director failed to assure compliance with regulatory requirements with regard to the health, safety and comfort of a child in care. Observation of the Nursery revealed damage to the door leading outside of the facility. Interview with the child care center director revealed a car ran into the side of the building on 03/21/18 and damaged the door, wall and concrete surface. Further interview revealed the director did not obtain written documentation to determine if the building was structurally safe for children in care in the child care center. 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, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide evidence of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment for staff members with hire dates 08/20/14 and 08/28/15. 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 5. Infant and Toddler Play Requirements.

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulatory programming requirements. Observation of the Two's Classroom revealed nine (9) children and two (2) staff. The children in the classroom were combined throughout the inspection from 9:37 AM to 1:50 PM. Interview with staff revealed the youngest child in the classroom was two-years-old and the oldest was three-years-old; therefore, toddlers were combined with older children. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Nursery revealed damage to the door leading outside of the facility. Interview with the child care center director revealed a car ran into the side of the building on 03/21/18 and damaged the door, wall and concrete surface.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Nursery revealed damage to the door leading outside of the facility. Interview with the child care center director revealed a car ran into the side of the building on 03/21/18 and damaged the door, wall and concrete surface. Further observation revealed exposure to the outside with uncontrolled air current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Nursery revealed damage to the door leading outside of the facility. Interview with the child care center director revealed a car ran into the side of the building on 03/21/18 and damaged the door, wall and concrete surface. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance 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

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 and interview the child care center failed to maintain employee’s records in accordance with regulatory requirements. Upon request the child care director did not present verification that the personnel file for the staff member with the hire date of 01/30/2017 contained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250 of educational qualifications. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the childcare center failed to maintain premises in accordance with regulatory requirements. Observation of the restroom located off preschool 1 and the boy's restroom located off preschool 3 revealed the ventilation system was not working properly. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation and interview the child care center failed to maintain the premises in accordance with regulatory requirements. Location of the changing table in the restroom off the two-year-old classroom revealed there were several large construction art projects stored on the changing table. Interview with the staff revealed the table was utilized for changing diapers. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. In the one-year-old classroom it was revealed there were various battery-operated toys that were not maintained and used according to the manufacturer's safety specifications; the batteries were non-operational. Transportation In Compliance Food Service In Compliance Children's Records In Compliance 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation and interview with the director, the child care center director failed to assure compliance with regulatory requirements. Based on review of documentation it was revealed that the center was unable to verify in writing that a staff meeting had been conducted. Interview with the Director revealed she acknowledged that she did not conduct a staff meeting within the last year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and interview with the director,the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the changing table located in the one-year-old room (2) revealed the table to contain discarded toys, books, sheets, and clothing. Interview with the director revealed she acknowledged the changing table was not within regulations.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview with the director, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in the one- year-old room (2) revealed that the activity ring mat had torn seams, exposing the foam. Continued observation in the pre-school classroom revealed there was a white play table that had a medium sized hole located on the top near the side of the table. The hole contained rough edges creating a safety hazard. Interview with the director revealed she acknowledged the deficiency.

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 Review of Documentation the child care center failed to post documentation in accordance with regulatory requirements. Observation in the one-year-old (2) classroom it was revealed there was no postings of the proper methods of diapering and hand-washing procedure at each diaper changing area. Interview with the director revealed she acknowledged that the procedures were not posted. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Based on observation in the infant room, a ten month old male infant was continually crying without any attention by the staff member. After observing the infant crying for approximately ten minutes, without recognition from a staff member, the surveyor asked why the infant was not being attended to, the staff member stated, "he cries all day every day". After approximately fifteen minutes, the surveyors left the room and the infant was continuing to cry. Approximately 30-45 minutes later, the surveyors returned to the infant room to find the infant still crying. At this time, a staff member was trying to feed the infant, even though he was still crying and very visibly still upset. The staff member tried more than a few times to insert food into his mouth, but he would turn away from the spoon. The staff member also stated during an interview that she did not know if the infant took a bottle. Approximately 30 minutes later, the infant could no longer be heard crying and had fallen asleep.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on a review of documentation, a staff member with a hire date of 08/20/14 failed to submit an out-of-state CRC on the first day of employment. The staff member was not observed to be alone with children and the staff in charge stated she does not work alone with children. The staff in charge presented documentation of the CRC returned for additional information, and at this time, still has not been approved.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory programming requirements. Based on a review of the documentation, there was unavailable for review, a lesson plan/activity plan which detailed activities which are individualized and developmentally appropriate for each child served that provides experience to promote the individual child's physical, emotional, social and intellectual growth and well-being including a variety of activies including: art, music, dramatic play, stories and books, science, block building, tactile activity, culture, indoor and outdoor play and a balance of active and quiet play. Based on an interview with a staff member, the authors that were listed as the lesson plan for the day had been used earlier in the week and today's lesson plan she had just "winged it". When the staff member was asked where the art activity observed during the survey fit into the schedule, she stated it was part of the large group activity.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, a laundry room without a door or gate covering the door, is accessible to the children. There was no door or gate closing the laundry room off from the children. Within the laundry room, a bottle of Power Cycle (stain lifter) was accessible to the children upon entry into the laundry room. Additionally observed was a bottle of bleach, a bottle of no-rinse floor cleaner, five (5) bottles of Enzymatic Digester, four (4) bottles of Georgia Peach Deodorant, and two(2) cans of spray disinfectant, all of which were labeled, "Keep out of reach of children" and were observed on the floor and accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Based on observation, a staff member entering into the infant room to relieve another staff member, immediately began feeding two (2) infants without washing her hands.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with the regulatory requirements regarding medication. Based on observation in the two year old room, a diaper wipe container was marked "medication" and was not locked. Approximately six (6) different types of diaper rash ointment were contained in the plastic container. 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 11. Toys and Furnishings.

Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, the bottom of a seat in the second row of the van, had a piece of sharp metal exposed due to a ripped seat covering.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation, the outdoor play equipment including a pink, white and blue riding toy had a plastic back which was broken along with broken handle grips, a Little Tykes walker had a broken knob which exposed a sharp, piece of plastic extending out the front, along with a two inch screw and was in disrepair along with several small toys including a push mower, and a Little Tykes trailer. Based on continued observation, a red seated metal tricycle had no pedals. The handrail on the climbing structure was loose and was not sturdy and secured.

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 Review of Documentation, the child care center failed to maintain food service in accordance with regulatory requirements. Based on a review of documentation, the menu that was posted was not dated.

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 park bench located on the playground area immediately in front of the back door was in disrepair. Specifically, a 2 X4 was missing from the bench seat. Continued observation revealed that at the end of the bench, where the 2 X 4 would be attached were 2 rusty nails protruding upward, creating an extremely hazardous seating surface.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4

General: Based on interview, the Cabinet failed to be contacted concerning a planned new building, addition, or major renovation prior to construction.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

General: Based on interview, the center failed to ensure the safety of a child as a child stood up in a chair and as he was stepping into another chair, the chair flipped out from him and he fell to the floor, landing on his face which caused the child to receive an injury to his nose which required medical attention.

Open Not marked corrected in the state record

Open / not marked corrected.