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

General: Based on review of documentation, a background check was not available for the facility cook during the inspection process. The director stated that no staff files were currently in the building, so reviewing this staff member's file was not possible. A review of the KARES system yielded no results for this employee; therefore, no hire date could be determined. Supervision 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 Four (4)-Year-Old Classroom were watching television (cartoons) at the time of the survey, but did not have a lesson plan posted that indicated it was part of the daily activities or lessons.

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, three (3) ceiling tiles appeared to be water-stained within the Three (3)-Year-Old classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the diaper changing pad within the One-Year-Old classroom had several small tears, exposing the interior foam. This renders the pad unable to be properly sanitized. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 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, diaper rash ointment in the Infant classroom was being stored in the the backpacks and diaper bags of infants instead of being locked or placed out of reach of children with identifying names. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the following was found: Outdoor Play Area 1.) A broken tension wire with sharp edges was protruding from the chain-link fence on the Toddler playground. 2.) The gate latch leading to the parking lot on the Toddler playground was not in working order, and did not lock properly. Equipment 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 Drink Requirements for All Child-Care Centers.

General: Based on observation, during the survey of the kitchen, a peanut butter jar was found open sitting on the counter, and a can of peaches was found nearby on the counter without a lid, exposing the contents. It should be noted the surveyor returned back to kitchen before leaving and witnessed the same items sitting in the same spots, still exposed.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the following was found: Four-Year Old Classroom 1.) Posted lesson plan was from the previous month (September). Two-Year-Old Classroom 1.) Posted lesson plan was from the previous month (September). One-Year-Old Classroom 1.) Posted lesson plan was from the previous month (September).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a background check was not available for the facility cook during the inspection process. This individual was working in the facility kitchen on the date of the inspection. The surveyor completed a name-based search on the KARES system and found that this individual did not clear the KY Child Abuse and Neglect check. This individual was previously deemed eligible on 11/9/18 and was separated from the facility on 1/1/23. A new application was not completed until 7/18/24 where this individual was deemed not eligible due to the Child Abuse and Neglect finding. 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 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on observation, the following was found: 1.) Children’s individual blankets were stored in a pile within the school-age classroom. The blankets had not been freshly laundered. This method of storage promotes the spread of germs and bacteria. 2.) An electrical outlet was not protected within the Three-year-old classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 9 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, regulation copy KAR 2:280 was not available for review.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, evaluations were not available for two (2) staff members (DOH 09/09/18 and 06/13/19). 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 negative skin result, nor a physician’s statement clearing them of active tuberculosis was available for two staff members (DOH 11/1/14 and facility cook DOH unknown). It is important to note that this violation for staff member (DOH 11/1/14) was cited during the 2023 inspection process. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation: 1.) The lesson plan posted within the Infant classroom listed “sand play”. When asked about this activity, the staff person in charge of the classroom stated that the lesson plan was oriented for older children, and that the lesson plan was not developed for her classroom. 2.) The lesson plan posted within the school-age classroom listed “Busy beads” when asked what this activity entailed the staff member in the classroom was not sure and presented sensory bottles. Additionally, the lesson plan listed “Outdoor play ride bikes” on the gross motor section of the lesson plan, however, no bikes were observed at the facility, only toddler-sized ride on toys. The posted lesson plan did not accurately reflect the programming within the classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 9 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.

General: Based on observation, the following was found: 1.) A child was playing Minecraft on their personal phone within the Four- to- Five-year-old classroom. This electronic viewing was not part of the planned programming. 2.) Children in the One-year-old classroom were observed watching television upon surveyor entry.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the children in the Four- to- Five-year-old classroom were served lunch while watching cartoons on the classroom television. Premises Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. 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’s purse was placed upon a shelf used to store board games and puzzles within the school-age classroom. The purse was accessible to the children in care. 2.) Several discarded cigarette stubs were present on the paved play area used by the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a bag of trash was found placed on the floor of the Three-year-old classroom; the trash was leaking milk. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 9 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, several gnats were observed flying near the trash can and sink area of the Four- to- Five-year-old classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, 1.) Three ceiling tiles appeared to be water-stained within the Two- to- Three-year-old classroom. 2.) One ceiling tile appeared to be water-stained within the One-year-old classroom. 3.) A portion of the wall, near the napping mats within the school-age classroom had chipping paint. 4.) The windowsill of the Infant classroom had chipping and chalking paint. 5.) The wall behind the cribs within the Infant classroom had chipping and peeling paint. 6.) There were several areas of chipping paint within the One-year-old classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) The water temperature within the school-age bathroom sink did not exceed 45 degrees Fahrenheit when measured with a thermometer. 2.) Handwashing soap was not available in the Four- to- Five-year-old classroom bathroom.

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, 1.) One toilet was not in working order within the school-age classroom. 2.) The surveyor observed that the cardboard core from a toilet paper roll had been placed inside the toilet basin and was clogging the toilet within the school-age classroom bathroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 9 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the diaper changing pad within the One-year-old classroom had several small tears, exposing the interior foam. This renders the pad unable to be properly sanitized. 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, two (2) tubes of diaper cream were not labeled with a child’s name within the One-year-old classroom. The creams were located within a blue cubby box. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) An area on the school-age playground appeared to be formerly used as a raised garden enclosure, the plastic framing of the area was degrading, and several small plastic fragments were present in the surrounding grass area. 2.) A broken plastic ball and snack wrappers were found on the mulched area of the school-age playground. 3.) A discarded hula hoop and a bunched-up tissue was found in a sensory table on the Toddler playground. 4.) A pole pad wrapped around the Basketball pole on the school-age playground was in disrepair. The vinyl covering was split down the seam, exposing the interior foam. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 9 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) A broken tension wire was protruding from the chain-link fence on the Toddler playground The wire had sharp edges and presented a safety risk. 2.) A short metal rod protruded from the concrete on the Toddler playground. 3.) A wasp nest was found on the basketball baseboard on the school-age playground. 4.) The gate latch leading to the parking lot on the Toddler playground was not in working order.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a small blue slide was placed on the asphalt area of the Toddler playground. There was no protective surfacing under the slide. 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, seven out of nine (9) vinyl napping mats within the school-age classroom had torn and frayed edges, exposing the interior foam, this renders the mats unable to be properly sanitized.

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, the following was found: 1.) A xylophone with rusted keys was used for play within the Two-year-old classroom. 2.) A cloth doll with blonde hair and a pink stripped shirt had visible stains within the school-age classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a cracked seesaw was found on the Toddler playground. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 9 Inspection Report 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, the following was found: 1.) The freezer within the Two- to- Three-year-old classroom registered a temperature of ten degrees Fahrenheit. 2.) A thermometer was not located within the deep freezer used to store foods within the kitchen of the facility. The surveyor was unable to determine whether food safe conditions were maintained. 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, upon entering the facility, the surveyor observed a grocery order had been dropped off at the entrance of the facility. The groceries remained outside for more than thirty minutes before being brought into the facility and placed in proper food safe storage. Many were perishable. 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: nutrition. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on review of documentation, the Emergency Preparedness Plan presented for review was last updated in 2022.

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, professional development plans were not available for two staff members (DOH 05/01/17 and 06/13/19).

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, the following was found: 1.) Fire, Tornado, Earthquake, and Lockdown drills from September to December 2023 were not available for review. The staff person in charge stated that the documents were not stored on site. 2.) Fire, Earthquake, Tornado, and Lockdown documentation reviewed did not include a roster of the children who had participated. 3.) Fire, Earthquake, Tornado, and Lockdown drills were documented as occurring at the same time; these drills require separate actions and should be documented individually. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 8 of 9 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the Statement of Deficiency and corresponding Plan of Correction from the 2023 licensure year was not posted for public inspection. The documentation available for public inspection was dated for the 2022 licensure year.

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, the posted Emergency diagram did not include written instruction directing building occupants on the proper actions to take in the event of an emergency. 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, two (2) staff members (DOH: 07/17/23 and 07/24/23) did not have education documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there were no current professional development plans on file. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the staff person in charge did not present the current liability insurance documentation. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the staff person in charge presented evidence of one (1) written staff meeting on file but there was no date to determine exactly when the staff meeting was conducted.

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, there were no current staff evaluations on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 05/01/17) did not have education documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the staff members (DOH: 11/01/14, 09/09/18, 07/24/23 and two [2] on 05/01/17) did not have current documentation on file from a health care professional stating they were free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members (DOH: 11/01/14, 06/06/19, and two [2] on 05/01/17) did not complete the required fifteen (15) hours of cabinet approved training. The ECE-TRIS system was reviewed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 2. Child Care Services.

General: Based on observation, the lesson plans for the Four- to Five-Year Old Classroom and the Older Two's Classroom were dated for July. There was not a current lesson plan posted in the classrooms. 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 kitchen door was found propped open at the time of the inspection. There was bleach, paint, floor stripper, drain cleaner, and glass cleaner found in unlocked cabinets or on shelves in the kitchen. It should be noted that a person has to go through the older Preschool Classroom to gain access to the kitchen. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, a one-year-old child was found in the classroom only in a diaper and a shirt. The staff member in the classroom stated that the child's pants were dirty. 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, there was only grass and no protective surface found under the slides and other climbing equipment on the playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 6. Sleeping and Napping Requirements.

General: Based on observation, there were several torn cots found in the School Age Classroom. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records 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 8. General.

General: Based on review of documentation and interview, staff person in charge did not present a copy of the written job descriptions.

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, three (3) staff members (5/1/2017, 6/5/2019, 6/18/2018) did not have a current TB test or statement from a health professional on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Three (3) staff members (6/27/2022, 5/28/2018, 6/5/2019) did not complete the required Orientation. These staff members have been employed for more than three (3) months. The ECE-TRIS system was reviewed. 2.) Two (2) staff members (6/13/2019, 8/16/2021) did not complete the required PAHT training. These staff members have been employed for more than one (1) year. The ECE-TRIS system was reviewed. 3.) A staff member hired on 5/1/2017 completed PAHT training on 6/29/2017; however, the staff member did not renew the training due 6/29/2022. The ECE-TRIS system was reviewed. 4.) A staff member hired on 11/1/2014 completed PAHT training on 7/6/2017; however, the staff member did not renew the training due 7/6/2022. The ECE-TRIS system was reviewed. 5.) A staff member hired on 6/6/2019 completed PAHT training on 6/29/2017; however, the staff member did not renew the training due 6/29/2022. The ECE-TRIS system was reviewed. 6.) Ten (10) staff members (5/1/2017, 6/6/2019, 5/28/2018, 11/1/2014, 5/1/2017, 8/16/2021, 10/30/2019, 6/6/2019, 6/13/2019, 6/5/2019) did not have evidence of completing 15 hours of annual early care and education training on file in the facility. A review of ECE-TRIS records supports the information found during the survey. 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, there were flies in several classrooms at the facility.

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 following was found: 1.) Walls had peeled paint in the Three's, Small Two's, One's, Infants and Four's rooms. 2.) Ceiling tiles were not in place, exposing gaps in the Two's, Small Two's and One's rooms. 3.) Ceiling vent was not in place, exposing a gap in the Four'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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the diaper changing pad in the One's room was ripped. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report 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, this regulatory requirement was not met. During the inspection of the outdoor play area the surveyor found pieces of plastic bag, papers and used paper cups on the ground on the Infant/Toddler 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, this regulatory requirement was not met. During an inspection of the outdoor play area, it was found that the mulch area of the Preschool and Infant/Toddler playground was overgrown with weeds. Also, the concrete area outside for the Two's classroom had weeds growing along the fence line.

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, this regulatory requirement was not met. During an inspection of the outdoor play area, it was found that the Preschool and Infant/Toddler area did not have a sufficient amount of ground cover. The mulch was sparse, and grass/dirt was visible at the bottom of the slides.

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, this regulatory requirement was not met. During an inspection of the outdoor play area, it was found that the fence on the Infant/Toddler playground area was in disrepair and a bungee cord was put on the fence to keep it from falling down. 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, the cribs sheets where infants are sleeping were loose.

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 and interview, the cribs were not spaced 12’’ apart. The staff member stated that when they put infants in the cribs to sleep, they do not move cribs. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) In the Three's room a small yellow couch was ripped in several places. 2.) In the Small Two's room, the door on the changing table was chipped.

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 in the Four's room, the trash can was dirty with stains on it. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that one (1) child enrolled (10/13/2021) did not have a preferred hospital listed in their file and another child enrolled (11/15/2021) did not have the physician's contact information on file in the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, Children and Parents Rights documentation was not posted in the facility and the staff in charge could not find it at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the list of children who participated in the Fire, Earthquake, Lockdown and Tornado drills at the facility was not presented during the inspection.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a list of children who participated in the Fire drills at the facility was not presented during the inspection. 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 interview and review of documentation, the program's License was not posted and a staff in charge did not find it in the facility. The staff in charge stated that they moved last year and have not yet found the License. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 10/05/2021 AND AS OF 10/08/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the Fire Marshal inspection was dated 5/10/2019; there was no documentation evidencing that an inspection was requested to ensure ongoing compliance.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, there was no written evidence that staff meetings had been conducted.

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, staff members hired 6/13/19, 6/6/19, and 10/30/19, did not have an evaluation on file. Additionally, staff member hired 6/6/19, had an evaluation on file that exceeded one year. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, two staff members hired 6/6/19, had a professional development plan on file that exceeded one year; these plans were not current. Additionally, two staff members hired 6/13/19 and 10/30/19 did not have a professional development plan in their personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two staff members hired 8/16/2021 did not have evidence of educational qualifications in their personnel files.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members hired 6/13/19 and 6/6/19 had a tuberculin skin result on file that exceeded two years and therefore was no longer current. Two staff members hired 8/16/2021 and one staff member hired 11/1/14 did not have a negative tuberculin skin result nor a physician’s statement in their personnel file clearing the individuals of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) A staff member hired on 6/6/2019 did not complete the required PAHT training. This staff member has been employed for more than one year. The ECE-TRIS system was reviewed. This deficiency was cited during the 2020 renewal process. 2.) Three staff members did not complete fifteen hours of Cabinet- approved early care and education training for the July 2020 – June 2021 year of employment. Staff member hired 6/13/19 completed 12 hours of training, Staff member hired 6/6/19 completed seven hours of training, and Staff member hired 11/1/14 completed zero hours. A review of ECE-TRIS supports this finding. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 2. Child Care Services.

General: Based on observation upon the surveyor's entry to the classroom, the Three- to- Four-year-old students were watching Cocomelon; there was no evidence that this viewing was a part of the planned programming. A lesson plan was not available for review. 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, Gain laundry detergent was stored under a sink in the School-aged classroom; this item was accessible to the children in care and labeled, “Keep out of 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 was a crack in the wall near the window and large tear in the carpet of the School-aged classroom. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the diaper changing surface in the Infant classroom was not padded. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, seven napping mats in the School-aged classroom were torn, exposing the foam padding; this renders the mat unable to be properly sanitized. Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a food service permit was not available for review. The center prepares breakfast, lunch, and snack.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, there was one bottle in the Infant classroom refrigerator that was not labeled with a child’s name. 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 8. General.

General: Based on review of documentation, job descriptions were not presented for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the statement of deficiency and corresponding plan of correction for the 2020 year of licensure was not posted for public inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the lesson plan posted in the Infant classroom was not current; the plan was dated July 26-30th. Additionally, a lesson plan was not posted in the Two- to Three-year-old classroom, Three- to Four-year-old classroom, or the School-age classroom. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was found that there was no toilet paper in the bathroom located in the young toddler classroom.

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, it was found that there was no proof of two staff meetings on file at the facility since the post-preliminary inspection. 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 9. Records.

General: Based on review of documentation, it was found that three staff members did not have annual performance evaluations on file at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that one staff member did not have proof of education on file at the facility. The date of hire for this staff is 10/30/2019. 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 3. General Requirements.

General: Based on observation of the kitchen, it was found that there was mop water that had not been empited, as well as cleaners such as bleach that were accessible to the children. The kitchen does have doors with locks at the top; however, these locks were not engaged at the time of this survey.

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 following was found: 1.) In the young toddler classroom, there was missing/cracked floor tile located underneath the windows and missing paint as well as crayon scuff marks on the walls. 2.) In the toddler classroom, there was missing paint as well as crayon and pen marks on the walls. 3.) In the preschool classroom, there were leaves, paper, and other debris on the floor by the door leading outside. 4.) In the school-age classroom, there were black stains in the carpet as well as an area of baseboard that contained a stain, which appeared to be from a drink spill. 5.) In the two’s and three’s classroom, there were areas of missing/chipped paint on the baseboards and multiple black stains on the carpet. A white stain was located in the back right-hand corner of the 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 following was found: 1.) In the toddler restroom, one toilet contained urine and one toilet had urine stains on the seat. 2.) In the school-age restroom, one toilet contained urine and toilet paper. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was found that the diaper changing mat in the young toddler classroom was beginning to tear and rip around the edges. This renders the mat unable to be properly sanitized. 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 following was found: 1.) In the toddler classroom, there was a red vinyl couch that contained red crayon marks. 2.) In the preschool classroom, there was a yellow couch that was dirty and was starting to rip. 3.) In the school-age classroom, there was a kitchen dramatic play set that had an excessive amount of tape residue on it. 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, the following was found: 1.) One child's file did not have a physician's contact listed on the enrollment paperwork at the facility. 2.) Four children's files did not have preferred hospital listed on the enrollment paperwork at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that there was no evidence of a chain of command on file at the facility during the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that three staff members did not have an annual professional development plan on file at the facility.

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, the following was found: 1.) There was no evidence of a fire drill being completed in July of 2020. 2.) There was no evidence of fire drills being completed from July of December of 2019. 3.) There was no evidence of earthquake/tornado drills being completed in the 3rd and 4th quarter of 2019. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, it was found that the current rates for the facility were not posted at the time of the inspection.

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, it was found that the handwashing procedures were not posted by the sink area in the young toddler classroom. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation, the following was found: 1.) In the school age classroom, there were soft items still available such as dress up items including an apron and cloth type purse. 2.) In the two- and three-year old classroom, there were also soft items available such as pillows and blankets. These items were located in a tunnel in the room.

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, during a walk-through of the facility, 19 children ages three to four-years-old were observed in the four-year-old room with one staff person. An interview with the staff person in charge found she had been in the room with the staff person but had briefly stepped inside the kitchen to flip sausage patties so they would not burn. The kitchen is located in the middle of the facility and can be entered through the four-year-old room and through the two-year-old room. The staff person in charge stated the person in charge of cooking meals was unloading a vehicle that contained groceries and supplies for the facility. This vehicle was observed by the surveyors upon arrival at the facility. The rear hatch of the vehicle was open and food items were observed in the back of the vehicle. It was also noted that the staff person responsible for cooking met the surveyors at the door leading into the two-year-old room. The surveyors observed the staff person in charge come from the kitchen and into the two-year-old room. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview with the staff person in charge, it was found every day she transports a staff person’s child to kindergarten. She also indicated that she brings another staff person’s child and the staff person in charge's nephew back to the facility. The facility is not currently licensed for transportation. Therefore, the facility is providing a service for which they have not been approved.

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, this regulatory requirement was not met. The following was found: 1. A child enrolled in January of 2019, had an immunization certificate on file that was no longer current. The immunization was dated 11/30/19. 2. A child enrolled on 9/18/19, did not have an immunization certificate on file. 3. A child enrolled on 3/29/19, did not have an immunization certificate on file. 4. A child enrolled on 11/07/19, did not have an immunization certificate on file. 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: 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, this regulatory requirement was not met. A child enrolled on 11/07/19, did not have a file on site. The child was missing identifying information about the child, which included the child's name, address, and date of birth. The facility did not have the family physician, physician's phone number, and the preferred hospital on file. The names of each person who can pick-up the child up were not on file. The child's general health information (including medical history and any allergies), and authorization for the facility to seek emergency medical care for the child in the parent's absence were missing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 02/10/2020 AND AS OF 02/14/2020, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 2:090 · 922 KAR 2:090. Section 12. Reports.

General: Based on observation and interview, this regulatory requirement was not met. On 12/02/19, a staff member observed a 12 month-old child that appeared to be discolored (blue) on her hands and face at the end of the day (3:30 PM-4:00 PM). When the parent picked the child up, she was concerned about the child and called an ambulance. The facility did not report this incident involving a medical emergency to the cabinet within twenty-four hours. The child was transported to the hospital by ambulance. The child was okay, and released from the hospital the same night. Employee Records In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. Two infants in the Infant Room were given bottles that were propped up by blankets. Based on interviews, one infant was seven months-old and the other infant was six months-old. The seven month-old infant was asleep in a swing with a bottle propped by a blanket, and the six month- old infant was awake in a swing with a bottle propped by a blanket. 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 observation and review of documentation, this regulatory requirement was not met. A child enrolled approximately three weeks prior to the inspection did not have a preferred hospital 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 staff member hired 6/6/19, did not complete six hours of cabinet-approved orientation within the first three months of employment. A review of ECE-TRIS supports this finding. Programming 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, there was no written proof of liability insurance coverage presented. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member hired 10/3/19, did not have documentation of educational qualifications on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 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, a staff member hired 11/1/14, had a negative tuberculosis skin result on file that exceeded two years. The record on file was dated 9/12/17.

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 review of documentation, 1.) The lesson plan in the three-year-old classroom was dated 6/3/19-6/7/19; 2.) The two year old classroom had a lesson plan that was dated 6/3/19 – 6/7/19; 3.) There was not a lesson plan posted in the one-year-old classroom.

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, five cribs in the infant room had sheets that were loose. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, 1.) There were Clorox wipes accessible beside the sink in the three-year-old classroom; 2.) There was roach bait insecticide in a cabinet under the sink in one-year-old classroom. The cabinet door did not have a lock; and 3.) The kitchen door was unlocked and had several bottles of cleaning supplies accessible. One of the doors leading into the kitchen is located in the two-year-old classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, 1.) The exhaust fan in the three-year-old classroom was sheathed in a layer of dust; and 2.) The school-age classroom had a large rip on the wall-to-wall carpet in the blocks center. 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 changing pad located in the bathroom between the two-year-old classroom and the school-aged classroom was ripped; rendering the pad unable to be properly sanitized. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the thermometer in the first aid kit was covered in a brown tacky substance. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, there was a stack of discarded swings on the sidewalk upon entering the playground 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, the mulch was sparse under the swing set on the playground and a significant amount of dirt was exposed. 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, 1.) There were crayon marks on the wall by a yellow shelf in the three-year-old classroom; 2.) A cushion furnishing the book nook in the three-year-old classroom had a large stain; 3.) There were black crayon marks on a table in the three-year-old classroom; and 4.) The cabinet door under the cubbies in the infant room had dirt and grime.

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, there was a significant amount of tape residue on the grocery stand playset located in the school-aged classroom. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in the one-year-old classroom a child was laying on a mat with an empty bottle in their hand. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

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 were three unlabeled bottles in the kitchen refrigerator. 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, three children enrolled 7/23/19, and one child enrolled 9/17/19, did not have a preferred hospital listed in their 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 8. General.

General: Based on review of documentation, there was no chain of command available for review.

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, there was no written schedule of staff working hours presented during the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: 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 disaster plan posted did not include written instructions outlining the course of action in the event of a natural or manmade disaster.

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, 1.) There was not a daily schedule posted in the one-year-old classroom; and 2.) The scheduled nap time in the two-year-old room is 12:30 pm – 2:30 pm as evidenced by the daily schedule; however, the children were still sleeping at 2:47 pm when surveyor re-entered the classroom. The teacher supervising the classroom stated that she was unfamiliar with the daily routine in this classroom. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.