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

General: Based on review of documentation, the enrollment information presented for a child (DOE 08/15/24) failed to contain the name of the family's preferred hospital.

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, a toilet brush was stored on the floor of the Older Two's restroom, where it was accessible to the children.

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 and review of documentation, written performance evaluations for seven (7) staff members (DOH 11/06/23, DOH 04/11/05, DOH 04/11/22, DOH 01/31/10, DOH 03/30/23, DOH 07/27/20, and DOH 02/05/01) were not presented for review upon request.

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: Documentation verifying that two (2) staff members (DOH 06/10/24 and DOH 09/24/24) had completed training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request.

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, the following was found: 1) A staff member (DOH 06/10/24) failed to complete six (6) hours of cabinet-approved orientation training. A review of ECE-TRIS confirmed this finding.

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, multiple ceiling-mounted vent covers throughout the Toddler/Two year-old space contained an accumulation of dust. Additionally, the ceiling-mounted vent cover in the Younger Three's restroom contained a thick accumulation of dust.

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: Older One's Room: 1) The white wall contained areas of peeling paint. 2) Multiple ceiling tiles were stained with large brown spots, indicative of water damage. Older Two's restroom: 1) Sections of the border surrounding the lower portion of the wall was detached, exposing the rough and broken surface beneath. Younger Three's Room: 1) The border surrounding the lower portion of the wall was detached in several areas, exposing the rough and broken surface beneath. School Age Room: 1) A section of the border surrounding the lower portion of the wall was detached, exposing the rough surface beneath.

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 bottle of prescription medication was stored in the Infant 2 room refrigerator, where it was not kept locked. 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, bare dirt was visible beneath the swings on the preschool play area, indicating that the protective surface covering was not sufficient in that area.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on observation, the toddler play area was not shaded. The staff in charge reported that the play area was used by one and two year-olds. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the bottom corner of the Little Tikes slide within the toddler outdoor play space was broken, leaving a jagged edge.

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 small refrigerator near the Infant 2 classroom was equipped with an indicating thermometer which read fifty (50) degrees Fahrenheit, exceeding the maximum allowable internal temperature of forty (40) degrees Fahrenheit.

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) infant bottles, stored atop the counter between the the Infant 1 and Infant 2 rooms were not covered. Food Service 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 interview and review of documentation, the Fire Marshal report presented during the inspection was dated 03/10/21; therefore it was not current. 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 interview and review of documentation, annual written performance evaluations from 2023 for fifteen (15) staff members employed by were not presented at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the personnel record for a staff member (DOH: 06/10/24) did not contain a high school diploma, GED, or qualifying documentation from a comparable educational entity; or a Commonwealth Child Care Credential.

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 file for two staff members (DOH: 06/15/22 and 11/01/24) did not contain a current negative tuberculosis test, stating the individual is free of active tuberculosis; or a copy of a negative tuberculin results. 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 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, the following was found: 1. Children (DOE: 12/18/23, 06/11/24, 10/31/22, and 05/24/22) did not have preferred hospital on file. 2. Children (DOE: 06/11/24, 10/8/23, 06/20/23, and 02/28/22) did not have medical information on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the personnel file for two staff members (DOH: 11/22/21 and 06/19/17) did not contain a written annual plan for child-care staff professional development at the time of review. 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 Younger Two's classroom did not have a posted schedule of daily activities, to include dates and times of activities to be conducted with the children. Animals 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, a two (2) year-old child was bitten once (1) on the forehead and three (3) times on both the upper and lower back by classmates while in care in the Two-year-old classroom. Interview with multiple sources revealed that the bite that the child received on the forehead was noticed and documented by the staff, however, the three (3) additional bites that affected the child's back went unnoticed and undocumented until they were discovered by the child's parent approximately two (2) days after the child received the injuries. It was stated that the staff was aware that the child had possibly been bitten again after receiving the initial bite to the forehead, however, the staff failed to assess the child for additional bite marks.

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, ten staff members out of thirty-five with hire dates before 12/17/2021 did not have annual Evaluations completed at the time of review. 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, staff members with the hire dates of 8/18/2020 and 5/17/2021 did not have required 15 hours of training at the time of review. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, in the Transitional Room there was a crack and pieces missing around the edges of one ceiling tile, which also contained a water stain.

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 bathroom sink's hot water temperature in building one measured 80 degrees Fahrenheit, therefore was not a minimum of 90 degrees to a maximum of 120 degrees Fahrenheit. In the Pre-K room, the sink's hot water temperature measured 123 degrees Fahrenheit, which was over the maximum of 120 degrees Fahrenheit. In the Pre-K restroom, the sink's hot water measured 125 degrees Fahrenheit, which was over a maximum of 120 degrees Fahrenheit at the time of review. 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 review of documentation, twenty-two staff members out of thirty-five with hire dates before 12/17/2021 did not have an annual Professional Development Plan on file at the time of review. 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 and review of documentation, the Daily Planned Program in the Infant Two, Infant One, Toddler Three, and Middle Two's rooms were dated November 1st thru 30th 2022, therefore, they were not up to date at the time of review. Animals 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, cribs used by children in the Infant One room had mobiles attached to them. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. A review of staff files during the inspection found: 1.) Two staff members (hire dates: 7/17/2019 and 6/29/2020) had CAN checks on file as they were under 18 years of age when they were hired; however, the facility has yet to initiate the process for obtaining a background check for these staff in the Kentucky National Background Check Service (KARES) system, as they have turned 18 years of age. 2.) The facility has yet to initiate the process for obtaining a background check for a staff hired on 5/17/2022, in the Kentucky National Background Check Service (KARES) system. 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 2:280 · 922 KAR 2:280. Section 4. Procedures and Payments.

Based on review of documentation, this regulatory requirement was not met. The facility has yet to initiate the process for obtaining a background check for the staff hired on 5/17/2022, 7/17/2019, and 6/29/2020, in the Kentucky National Background Check Service (KARES) system. Therefore, these staff have not yet submitted their fingerprints. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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 11. Staff Requirements.

General: Based on review of documentation, two staff members (hire dates: 7/17/2019 and 5/17/2022) did not have a current TB test or statement from a health professional on file.

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, six staff members (hire dates: 8/18/2020, 6/15/2022, 4/14/2022, 7/17/2019, 6/13/2022, and 5/17/2022) did not have evidence of completing the required CPR/First Aid training on file at the facility. A review of ECE-TRIS records supports the information found during the survey.

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, the following was found: 1.) A staff member hired 3/29/2022, did not complete the required Orientation training. This staff member has been employed for more than three months. 2.) Six staff members (hire dates: 2/5/2001,8/18/2020, 5/1/2017, 7/17/2019, 4/15/2019, and 1/31/2010) did not have evidence of completing 15 hours of annual early care and education training on file. A review of ECE-TRIS records supports the information found during the survey. 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 4. Premises Requirements.

General: Based on observation, the following was found: 1.) In the bathroom of the School-Age room, there was a hole in the wall behind the door. 2.) In the bathroom of the Four's room, there was a ceiling vent that was not secured and had gaps around it. In addition, there were two small holes in the ceiling tiles.

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, in the Four's bathroom the toilet was not flushed after being used. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 13. Toys and Furnishings.

General: Based on observation, in the Four's room there was a yellow shelf that contained peeling paint. Transportation In Compliance Kitchen Requirements 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 Infant Two room, two infants were in the bouncy seats holding their bottles and feeding themselves. A bouncy seat is not an appropriate feeding furnishing for an infant who can hold their own bottle. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) There was a daily planned program of activities (lesson plan) without the date posted in the Infant One and Infant Two rooms. 2.) There was a daily planned program of activities (lesson plan) in the Three's room was dated for the week of 6/6/2022-6/10/2022; therefore it was not current. 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, one staff member was the sole caregiver of ten (10) children ages one and two years old at 9:15 am on the date of the inspection, exceeding the minimum staff to child ratio by four (4) children. Interview with the aforementioned staff member revealed a second staff member was supposed to be assisting her, but he/she had momentarily left the classroom. General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, the file for a staff member with hire date of of 2/18/20 did not contain verification that the staff member had completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training. Review of ECE-TRIS failed to verify completion of the aforementioned trainings. The staff member in charge acknowledged that the training had not been completed. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, a sign marked "Do not use" was posted on the door of the boys' bathroom in the Younger Pre K Room. The door was barricaded with a rolling shelf. Interview with the staff member in charge revealed that the toilet in the aforementioned classroom was clogged, and a plumber had been called to repair it. 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, cigarette butts were observed to be present on the ground in the paved portion of 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 4. Premises Requirements.

General: Based on observation, there was no protective surface under six (6) swings in the grassy portion of the outdoor play area. Equipment In Compliance Transportation In Compliance 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 observation, medication authorization forms were posted and visible to the public for several children in the Older Infants and Ones Transition Classrooms. Additionally, a children's allergy list was posted and visible to the public in the Younger Twos Classroom. Therefore, the confidentiality of the aforentioned children's information was not maintained. Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the file for a staff member with a hire date of 8/18/20 did not contain verification that a Criminal Abuse and Neglect background check and a Criminal Records check had been conducted. Interview with the staff member in charge revealed that the staff member had recently turned eighteen years old, and the CAN and CRC background checks had not been conducted at that time. Further review revealed the files for staff members with hire dates of 2/18/20 and 7/27/20 did not contain the results of a CAN background check. Interview with the staff member in charge revealed that although the CAN checks had been intiated, the results were not availible at the time of the inspection. Therefore, the center did not comply with the emergency regulation requiring child care centers to conduct CAN and CRC background checks and maintain the results of the background checks for all staff members. None of the staff members were observed to work alone with children. Additionally, observation of the Younger Infants Room revealed a staff member was not wearing gloves while bottle feeding an infant; therefore, center did not comply with the emergency regulation requiring staff members to wear gloves when serving bottles.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Based on interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. Upon request, the staff in charge did not provide verification that the KARES report had been accurately maintained to reflect the employee status of the twelve (12) employees who had left employment. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Upon request, the staff in charge did not present verification of a current copy of the administrative regulations. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure complaince with the health, safety and comfort of a child. Observation revealed in the one-year-old classroom, a child cried for undetermined amount of time during naptime. The staff did not attempt to soothe or check on the child, until the staff in charge entered the classroom and directed the staff to check on the child. 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's records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the records of the employees with the hire dates of 02/01/2000, 08/20/2018,06/10/2017 and 08/17/2017 contained documentation that they had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Review of the ECE-TRIS training system indicated the above-mentioned employees had not met the requirement. 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 child care center failed to maintain premises in accordance with regulatory requirements. The carpeting located in the School age and Pre-K classrooms contained areas where the carpet was missing, showing the floor underneath. The edges were frayed and could cause a potential tripping hazard.

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 premises in accordance with regulatory requirements. Observation in the one-year-old classroom revealed the wall had a large area where the paint was peeling.

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 maintain the premises in accordance with regulatory requirements. Observation of the children washing their hands prior to lunch revealed the staff to use a cloth towel to dry multiple children’s hands. Therefore the sink was not equipped with hand-drying blower or single use disposable hand drying material. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The toddler playground revealed there was a grassy area underneath the swings. Therefore, there was insufficient protective surface covering the areas under the swings. 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. The small-yellow cubed vinyl equipment in the one- year-old classroom had several areas where the vinyl was split, exposing the material inside.

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. Observation of the 2001 Chevrolet Van revealed the front row seat was torn, with exposed material. Continued observation revealed the armrest of the passenger side seat was loose from the door and had been duct-taped. 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, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the infant classrooms revealed that there were two (2) eight-month-old infants laying in bouncy seats self-feeding. Continued observation revealed a staff member had an infant laying on their lap, holding a bottle. Therefore, the infants were not held during bottle-feeding. Children's Records In Compliance Written Documentation In Compliance 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 interview and review of documentation, the child care center failed to comply with regulatory programming requirements. Upon request, the staff in charge did not present verification of a posted daily schedule of activity for the one-year-old classroom. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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, the child care center director failed to assure compliance with regulatory requirements. Observation of the van used for transporting children revealed two (2) booster seats were labeled with a manufacturer's tag that read "Do not use after 2011". Interview with the staff member in charge revealed the booster seats were used recently to transport children. Observation of the Three Year Old and School Age bathrooms revealed a plunger was located next to the toilet and accessible to the children in care. Observation of the Older Twos Classroom revealed a toilet brush was located next to the toilet and accessible to the children in care. Observation of the bathroom in the Threes and Fours Classroom revealed the switchplate cover on the light switch was bent and separated from the wall, creating a hole large enough for a child to put his/her fingers inside. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that the file for a staff member with a hire date of 08/20/18 contained a current statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory programming requirements. Observation of the Infant 1 Room revealed a Baby Einstein fish aquarium toy was in the crib with a sleeping infant. Continued observation revealed the sheets were loose in two (2) of the six (6) cribs. 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. Observation of the eating area in the Transition Room revealed a twenty-two (22) fluid ounce spray bottle of Spic & Span labeled "Keep Out of Reach of Children" was on top of a purple, plastic shelf containg drawers; the spray bottle was accessible to 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathroom located in the Transition Room revealed a ceiling tile was separated from its frame in the right corner of the room. Observation of the Middle Ones Classroom revealed a hole was in a ceiling tile above the changing table.

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 maintain the premises is accordance with regulatory requirements. Observation of the sinks in the Threes and Fours, Pre K and School Age bathrooms and classrooms revealed the hot water temperature exceeded 120 degrees. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Older Ones Room revealed a staff member did not wash her hands with soap and warm running water after wiping a child's nose. 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, the child care center failed to maintain an outdoor play are in accordance with regulatory requirements. Observation of the back portion of the playground revealed standing water, at least three inches deep, was pooled under a green tire swing, and at least one (1) and one half (1/2) inches under two green swings, indicating that the playground was not well drained.

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 are in accordance with regulatory requirements. Observation of the playground revealed the protective surface did not sufficiently cover the ground under two green swings, one green tire swing, a blue slide, yellow slide and a red slide.

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 child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the concrete portion of the playground revealed the lower tension wire on the right side of the fence was loose throughout the length of the fence. 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

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Three Year Old and Pre K Rooms revealed nap cots with sheets and blankets were stacked on top of each other, causing the sheets and blankets to touch; therefore, the center failed to store individual bedding in a sanitary manner. 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 8. Kitchen Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the stove in the kitchen revealed that it was not ventilated to outside air.

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, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator near the Infant 2 Room revealed the temperature measured forty-nine (49) degrees. Observation of the refrigerator in the Transition Room revealed that it did not contain a thermometer or other appropriate temperature-measuring device. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Observation of the Younger Twos Room revealed an allergy list was posted on a blue bin above the sink and was visible to the public. 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 review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation in the Infant 2 and Transition Rooms revealed that the daily schedule of activities were not dated. Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

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 interview and review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. The snack menu for the month of January 2018 indicated that cheese balls were served on 01/11/2018. Review of documentation revealed the ingredients did not contain a whole or enriched grain.

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 child care center failed to comply with regulatory programming requirements. In the older infants classroom a soothing sound/crib vibrator was attached to the inside of the crib.

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 and interview, the child care center director failed to maintain employee records in accordance with regualtory requirements. Staff members hired on 2 -1-16, 11-1-04, 4-15-05, 11-14-16, 8-1-04, 2-5-01, 11-1-04 and 5-9-16 failed to have a current annual evaluation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. In the older two's and younger three's toilet rooms a toilet scrub brush was located next to the toilets, accessible to children. 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 6. License Issuance.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, an out of state criminal records check (IN)for a staff member hired 12-20-16 failed to be presented, as the staff member currently resides in Indiana. Upon request, a completed criminal records check and child abuse and neglect check for a staff member hired on 10-24-16 failed to be presented. Criminal records check and child abuse and neglect check failed to be requested within regulatory timeframes for a staff member hired on 10-24-16. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory programming requirements. In the young infants room the staff member allowed an infant to continue to sleep in a rocker as opposed to placing the child in a crib.

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 and interview, the child care center failed to comply with regulatory programming requirements. In the younger threes, older threes and preschool classrooms there was a treasure box with random small toys and candy. Interview with the staff members revealed that upon good behavior for the day the children are allowed to get a prize out of the treasure box and at times they will pick candy as their prize for good behavior. 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 child care center failed to maintain the premises in accordance with regulatory requirements. In the bathroom located in the two's classroom, glade air freshener spray was located on a shelf accessible to children. There was a chair next to the shelf that a child could stand on to make it even more accessible. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

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. In the older three's bathroom there was a hole in the wall near the baseboard.

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 and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. The diaper changing area in the toddler transistion classroom failed to be adjacent to a sink. The staff member must go into a bathroom to wash hands.

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 child care center failed to maintain equipment in accordance with regulatory requirements. The bathroom located in the older two's classroom failed to be ventilated to outside air. The existing vent was not working. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. In the older two's classroom the children failed to have their hands washed with warm running water and soap prior to morning snack. In the younger one's transition room, upon completion of a diaper change, the staff member failed to wash the hands of a toddler. 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 3. General Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Upon the completion of a diaper change in the young one's transistion room, the staff member failed to wash 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 11. Toys and Furnishings.

General: Based on interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The infant classroom staff member stated that the infant mouthed toys are sanitized weekly by submerging them in bleach water for a couple of hours and then allowing them to airdry as opposed to the method of sanitizing infant mouthed toys established in 922 KAR 2:120 Section 11 (4). First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with the regulatory requirements regarding medication. In the young ones, transistion classroom, Baby Healing Ointment and Aquaphor Ointment spray were both located in two children's cubbies, failing to be locked. In the infant room, Albuterol Sulfate was not in a locked container. Outdoor Play Area In Compliance Equipment 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. In the older infants classroom one crib sheet was not tight fitting.

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 child care center failed to maintain equipment in accordance with regulatory requirements. In the older infants and younger infants classrooms, infants were observed sleeping in a crib that was not twelve inches from the other cribs in the classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The children's blankets used for naps were not stored in a sanitary manner as they were hanging on the end of cots, with the cots stacked together, and the blankets touching. Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The infant room and older three's refrigerators failed to have a device to measure the temperature of the refrigerator.

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 child care center failed to maintain food service in accordance with regulatory requirements. The older three's freezer failed to have a device to measure the temperature of the freezer. 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: nutrition. Open / not marked corrected.

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

General: Based on Observation the child care center failed to comply with staffing requirements. Observation in the Nursery room at 10:00am revealed two (2) staff members had supervisory authority over eleven (11) infants ages six (6) months to one (1) year old till 10:15am. Therefore, the center exceeded maximum staff-to-child ratios and maximum group size during this time. General Administration In Compliance 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: ratio. 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, the director failed to assure compliance with regulatory requirements. Review of staff files revealed an annual written performance evaluation was not presented for review at the time of survey for ten (10) staff members hired 8/20/12, 7/1/16, 1/31/10, 4/15/05, 8/2/04, 2/5/11, 3/14/13, 11/1/04, 3/31/14 and12/31/15. Interview with director revealed an evaluation had not been completed for these staff members.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center director failed to assure the compliance with regulatory requirements. Observation of the children’s bathroom in the two-year-old room revealed a toilet brush in the stall which was accessible to children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the staff member hired 8/20/12 listed a Tennessee address on her Child Abuse & Neglect Check (CAN). Continued review of staff files revealed a Tennessee Criminal Records Check (CRC) was not presented for review at the time of survey. Interview with director revealed the center failed to complete an out of state CRC for the staff members hired 8/20/12. Continued review of staff files revealed staff member hired 2/4/16 failed to have a Kentucky Criminal Records Checks CRC on file. Interview with the director and observation revealed the staff members were not working alone with 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 and Interview, the child care center failed to maintain employee records in accordance with regulations. review of staff files and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for one (1) staff member hired 5/8/15. Interview with director revealed this documentation was not available for review at the time of 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 the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the school age bathroom used by children, revealed the bathroom did not have working ventilation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation and Interview, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the Early Three’s Room revealed the diaper changing pad was torn, exposing the inner padding. Interview with director revealed this diapering surface was used for diapering children. 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 6. Sleeping and Napping Requirements.

General: Based on Observation the child care center failed to maintain equipment in accordance with regulations. Observation of the two-year-old classroom revealed several children’s blankets stacked atop each other on a plastic cot in the classroom.

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 regulations. Observation of Pre-K classroom revealed the blue vinyl matt next to the door was torn exposing inside foam material. Continued observation revealed in the infant room three (3) out of six (6) child seats on the table were missing safety straps. Observation of the child care center van revealed the front row seat was severely torn, exposing the inner cushion. 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 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requiremtns regarding transportaion. Based on a review of documentation, a current inspection from the Department of Transportation was not available. Based on interview with staff in charge, the deficiency was acknowledged.

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, and interview, the child care center director failed to assure compliance with the regulatory requirements. Based on observation, a set of electrical outlets in both the Younger 2's room, with children sitting in front of the outlet and, in the Pre-K room, in the tv area section, failed to contain coverings on the outlets. Based on interview with staff in charge, the deficiency was acknowledged. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of staff files, two staff members with hire dates of : 10/12, and 04/11/05, failed to have negative results of a tuberculin test, or a statement from a health professional stating the individual is free of tuberculosis. Based on interview with staff in charge, the deficiency was acknowledged.

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, the child care center failed to maintain the employee records in accordance with regulatory requirements. Based on a review of personnel files, staff members with hire dates of: 2/1/00, and 11/1/04 failed to show verification of 15 cabinet approved training hours. Based on interview, the staff in charge acknowledged the deficiency.

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, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation in the bathroom, a large ceiling tile, approximately 40 inches by 24 inches was precariously hanging from the ceiling and contained a metal vent. An adjoining tile was observed to have several water stains. Based on continued observation in the three to four year old bathroom, an air vent was dangling from the ceiling. Based on interview with staff in charge, the staff in charge acknowledged the deficiency.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain children's files in accordance with regulatory requirements. Based on a review of ten (10) children's files, none of the files contained information of a preferred hospital denoted in the file. Based on interview with staff in charge, the deficiency was acknowledged.

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, and interview, the child care center failed to comply with the regulatory requirements regarding first aid and/or medication. Based on observation, the first aid kit submitted for inspection failed to contain liquid soap. Based on continued observation, the first aid kit contained a bloody paper towel contaminating the other components found in the kit. Based on interview with staff in charge, the deficiency was acknowledged.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with the regulatory requirements regarding first aid and/or medication. Based on observation, a medication box containing several tubes of sunscreen was observed to be unlocked. Based on interview with staff in charge, the deficiency was acknowledged. 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.

General: Based on Observation, and interview, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, a red and blue, Little Tykes swing had a non-functioning seat belt in the toddler play area. Based on further observation, a red and black pedal-based merry-go-round contained two bicycles with only one pedal. The merry-go-round was non functioning. Based on interview with staff in charge, the deficiency was acknowledged.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, a brown and cream colored sliding board was not secured to the ground, making it unsafe for the children to climb upon. Another slide, in the toddler play area, colored blue and yellow, was also not secured to the ground and was easily toppled. Based on interview with staff in charge, the deficiency was acknowledged. 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.

General: Based on Observation, and interview, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation on the play area, a pink and blue lawnmower was observed to have pieces of plastic broken off of the front of the mower, leaving sharp jagged plastic exposed. A red riding airplane was observed to have two (2) broken wheels and a Little Tykes red and yellow covered car had a broken wheel, leaving them in disrepair. Also, a pink/white and purple riding toy had broken plastic on the front end, also in disrepair. Continued observation revealed several plastic cars and trucks on the playground which were broken and in disrepair. Sharp pieces of plastic from the broken toys were observed lying on the ground. Based on interview with staff in charge, the deficiency was acknowledged.

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 Observation, and interview, the child care center failed to comply with regulatory requirements in accordance with regulatory requirements. Based on observation, the first aid kit contained in the van failed to have a working flashlight. Based on interview with staff in charge, the deficiency was acknowledged.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Toddler Transition classroom revealed cream colored paint chipped all the way to the dry wall located near the kitchen set. Additional observation revealed a small hole in the wall on the left side of room with a crack approximately eight (8) inches long. Observation in the Toddler’s Middle classroom revealed cream colored paint peeled down to drywall in one area and gray paint revealed under the peeled paint in another area. Observation in the Older Two’s revealed clear packing tape over an area on the wall not in good repair approximately four (4) inches by seven (7) inch area by the play kitchen equipment. Observation in the Three-and-Four-Year-Old bathroom revealed a hole in the wall where baseboard has pulled away close to the toilet. Further observation revealed a crevice in the wall around the pipe where a sink had previously been located. Observation in the Four-Year-Old bathroom revealed water stain on ceiling tile with the fan. Further observation revealed ceiling tile with the air vent is warped, and sagging.

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, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in Infant Room 1 revealed staff failed to wash an infant’s hands before feeding them a bottle. Continued observation revealed staff failed to wash infant’s hands after a diaper change at the time of the survey. 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

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. Observation in Infant Room 1 revealed staff failed to wash hands before feeding a child a bottle. Additional observation revealed that staff failed to wash their hands after a diaper change. Observation in the Toddler Transition Room revealed staff wiped a child’s nose then proceeded to wash the face of another child failing to wash hands after each child.

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, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in Older Toddler Room revealed a rip in the diaper changing pad creating an opening on the end and exposing the absorbent interior material.

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 child care center failed to comply with the regulatory requirements regarding medication. Observation of Toddlers Middle and Middle Two’s classrooms revealed that medication failed to be in a locked place. Further observation in the Toddlers Middle classroom revealed a prescription ointment dated 10/10/13, in which the child’s name was marked out with a black mark. Medications that failed to be locked in the Toddlers Middle classroom consisted of: teething tablets, diaper rash ointments and a prescription for Magic Barrier Cream. Medications that failed to be locked in the Middle Two’s classroom consisted of: prescription for Magic Barrier Cream, Epi Pen and triple antibiotic cream. 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 6. Sleeping and Napping Requirements.

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in Infant Room 1 revealed loose fitting purple bedding on a mattress in a crib. Observation in Infant Room 2 revealed a crib with two (2) mattresses stacked on top of one another.

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 child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Toddler Transition Room, Younger Two’s, Younger Three’s, Three-and-Four’s, and Four-Year-Old Room revealed several rest mats with bedding on them, stacked on top of one another, with the bedding on mats touching bedding on other mats; failing to store the bedding in a sanitary manner.

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 child care center failed to maintain food service in accordance with regulatory requirements. Observation of the Three-and-Four-Year-Old-Room refrigerator revealed the thermometer registered forty-eight (48) degrees Fahrenheit at the time of the survey. Additional observation revealed milk and food for the children in care were stored in the afore mentioned refrigerator.

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, at approximately 11:49 am the staff member in Toddlers' Room 3/Transition Toddlers walked into the restroom to wash her hands and a one year old child’s hands after performing a diaper change. Further observation revealed four one year olds were present in the room unsupervised for approximately one minute.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, from approximately 8:45 am to approximately 9:15 am one staff member was supervising seven one year olds in Toddlers' Room 1/Younger Toddlers'. Further observation revealed a second staff member was in the room at 9:15 am to assist the first staff member in supervising the children.

Open Not marked corrected in the state record

Category: ratio. 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, the documentation for the monthly staff meetings was not available for review at the time of the survey.

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 Interview and review of documentation for each staff member present in the personnel file, a written annual evaluation had not been conducted for each staff member.

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 present for each staff member in the personnel file, a staff member hired on 05/14/12 had a copy of a criminal records check (CRC) that had not been completed on the first day of hire, Further review revealed the CRC had been requested by mailed on 06/07/12.

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 present for each staff member in the personnel file, a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250 was not present for a staff member hired on 03/14/13, a staff member hired on 10/09/12, and a staff member hired on 08/15/13.

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 present for each staff member in the personnel file, statement from a health professional that the individual was free of active tuberculosis or a copy of negative tuberculin results was not on file for a staff member hired on 11/01/04 and a staff member hired on 10/06/08.

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 present for each staff member in the personnel file, written evidence of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment was not present for the following six staff members were: a staff member hired on 05/02/10 had written evidence of ten hours of training; a staff member hired on 02/01/00 had written evidence of seven and one half hours of training; a staff member hired on 09/20/12 had written evidence of thirteen and one half hours of training; a staff member hired on 11/01/04 had written evidence of ten hours of training; a staff member hired on 08/16/10 had written evidence of thirteen hours of training, and a staff member hired on 02/05/01 had written evidence of one hour and one half 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, a plunger was located outside of restroom in Room 3/Older Threes' Room and was 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 4. Premises Requirements.

General: Based on Observation of Building 1, Toddlers' Room 2/Older Toddlers had an area of paint on the wall next to the restroom that was chipped down to the surface of the dry wall. Continued observation revealed the paint along the wall the table used by the children was pushed up against had chipped areas. Further observation of the room revealed two ceiling tiles with brown circular stains. Ongoing observation of Restroom 1 in the Twos' Room revealed a section of the dry wall behind the sink in the restroom was busted allowing for the dry wall material to be exposed. Observation of Building 2 revealed in Room 2/Younger Threes: three ceiling tiles with brown circular stains. Continued observation revealed a section of paint in the Girls' restroom located in Room 4/Preschool showed signs of peeling down to the surface of the dry wall. Further observation of Room 4/Preschool revealed that throughout the room the paint was chipped down to the surface of the dry wall.

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 ceiling tile in the Girls' restroom located in Room 4/Pre K was sagging. Further observation of the tile revealed it was broken.

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, fifty two (52) sheet covered mats were stacked in a fashion that allowed for each sheet to come into direct contact with another sheet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, six children in Twos' Room 3/Older Twos' Area 2 were not prompted or assisted in washing their hands before participating in activities/playing with toys after finishing a mid-morning snack. Continued observation revealed baby wipes were used to wash the hands of fourteen toddlers after they finished eating lunch. Further observation revealed the toddlers' were then allowed to play with toys before laying down for their afternoon nap. Ongoing observation revealed three infants' hands were not washed after having their diapers changed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, two staff members did not wash their hands prior to conducting a diaper change(s). Further observation revealed one of the two staff members did not wash her hands after conducting a diaper change.

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, the changing pad was torn along the edge in Toddlers' Room 3/Transition Toddlers'.

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, a staff member did not sanitize the diaper changing pad located in the diaper changing area between Infants' Room 1 and Infants' Room 2 in between two diaper changes.

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 Interview with staff members, scrubbing toys in warm, soapy water, using a brush to reach into crevices that had come into contact with a child's mouth, that had not yet been toilet trained, was not consistently practiced by the center. First Aid/Medication

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 and interview, medication for breathing treatments for two children in the Toddlers' Room 3/Transition Room was not in a locked container. Continued observation and interview revealed it was stored in the diaper bags in the two children’s cubbies. Further observation revealed an opened yellow plastic container located on the floor in the Toddlers' Room 1/Younger Toddlers with seventeen tubes of different diaper rash creams that contained drug facts accessible to the children in the room. 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, grass was visible through the ground covering.

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 no evidence of ground covering under or around the eight swings and five slides located on the Infants'/Toddlers' area of the outdoor playground.

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 vinyl covering on fifteen (15) mats was torn/ripped allowing for the foam padding to be exposed through the mesh backing.

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, the time on and time off the center's van was not documented for each child on the van sign on/sign off sheets for the months of September of 2013, October of 2013, November of 2013, and December of 2013.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, the mid morning snack served in Toddlers' Room #3/Older Toddlers was placed directly on the table surface for each child.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and interview, the center's snack menu was not posted. The director acknowledged during interview that the snack menu was not posted.

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, the mid-morning snack that was served in the Twos' Room #1/Younger Twos consisted of only cereal and water. Further observation revealed the mid-morning snack served in the Toddlers' Room #2/Older Toddlers consisted of gold fish crackers and water.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center's written orientation policy did not specify that the procedures that were taught at the orientation training would be implemented by each staff member.

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 Observation, information from the Kentucky Consumer Product Safety program was not posted.

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, and interview, a list of daily activities (lesson plan) was not posted in Toddler Room #1/Younger Toddlers. The director confirmed the lesson plan was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.