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

General: Based on observation, the surveyor discovered the following: Wobbler Classroom: 1. There was a brown substance on one (1) ceiling tile. Mens' Restroom: 1. There was a brown substance on five (5) ceiling tiles. School-Age Classroom: 1. There was a brown substance on four (4) ceiling tiles. Four-Year-Old Classroom: 1. There was brown substance on eleven (11) ceiling tiles. Toddler Classroom: 1. There was a brown substance on four (4) ceiling tiles. Nursery: 1. There was a brown substance on one (1) ceiling tile. Restroom 1: 1. There was a brown substance on one (1) ceiling tile. School-Age Restroom: 1. There was a brown substance on three (3) ceiling tiles. During interview, the surveyor learned that the owner of the child-care center is working with the insurance company in regards of the roof leaking.

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, on 09/09/24 a staff person was vacuuming after lunch and a two-year-old child kept wrapping the vacuum cord around his neck; the child was strapped in a standard size highchair without the tray and given a toy to occupy him until vacuuming was completed. A second staff person was changing a diaper. Staff stated that the child was in the high chair for approximately five to ten (5-10) minutes. While in the high chair, another child came over and pushed the highchair over, and the child landed on his face. The child went to the hospital and was diagnosed with a fracture to his nose. Director Requirements In Compliance Employee Records 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, the surveyor found the following: Toddler 1 Classroom: 1. When the surveyor arrived to the child-care center, the surveyor conducted a head count in the Toddler 1 Classroom at 11:14 am and found that there were nine (9) children with the youngest child being two (2) years old with two (2) staff persons present. At 11:22 am, the surveyor observed two (2) staff exit the Toddler 1 Classroom and enter a side room that was connected to the Toddler 1 area. The surveyor observed both staff to re-enter the classroom approximately twenty (20) seconds later. Toddler 2 Classroom: 1. The surveyor conducted a head count in the Toddler 2 Classroom at 11:14:30 am and found that there were ten (10) children with the youngest child being fourteen (14) months old with two (2) staff present. At 11:19 am, the surveyor observed one (1) staff person to leave the classroom and enter a side room that was connected to the Toddler 2 area. The surveyor observed the other staff person to be alone in the classroom from 11:19 am until 11:20:59 am. When the surveyor reviewed employee documentation, the surveyor found that the staff person who was left alone in this classroom was under the age of eighteen (18) years of age. 2. When the surveyor re-entered the classroom at 12:33 pm, the surveyor observed a staff person leave the classroom and enter a side room that was connected to the Toddler 2 area approximately twelve (12) times in a three (3) minute span. During the time that she was leaving the classroom, the other staff person, who was under age eighteen (18), was again left alone with the children. Therefore, the child-care center failed to ensure adequate supervision by a qualified staff throughout the child-care center at all times. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report Staffing Requirements Not In Compliance

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, the surveyor found the following: Toddler 2 Classroom: 1. The surveyor conducted a head count in the Toddler 2 Classroom at 11:14:30 am and found that there were ten (10) children with the youngest child being fourteen (14) months old with two (2) staff present. At 11:19 am, the surveyor observed one (1) staff person to leave the classroom and enter a side room that was connected to the Toddler 2 area. The surveyor observed a staff person to be alone in the classroom from 11:19 am until 11:20:59 am with ten (10) children. During review of employee documentation, the surveyor found that the staff person who was left alone in the classroom was under the age of eighteen (18). 2. When the surveyor re-entered the classroom at 12:33 pm, the surveyor observed a staff person to leave the classroom and enter a connecting side room approximately twelve (12) times in a three (3) minute span. During the time that she was leaving the classroom, the other staff person, who was underage, was left alone in the classroom with ten (10) children and the youngest child being fourteen (14) months old. Therefore, the child-care center failed to maintain staff-to-child ratios in the Toddler 2 Classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report 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 8. General.

General: Based on observation, the surveyor found the following: Toddler 1 Classroom: 1. There was a long grey cord plugged into a wall; the cord was connected to a telephone located on a white shelf. The surveyor observed the cord to not be secured and could easily be pulled. Infant Classroom: 1. There was a baby swing placed next to the door ; the swing had a long cord plugged into the wall that was not secured. School Age Classroom: 1. There was a cardboard box in the back right corner that contained a yellow screwdriver and a pink power drill. 2. There were pieces of wood that appeared to be pieces of a shelf that were placed against the wall. During interview with staff-in-charge, she stated that the pieces of wood belonged to a food play set that she was putting together for the Preschool Classroom. 3. There was a large printer that had cords plugged into the wall that were not secured. 4. There was a Febreeze Wall Plug In that was accessible to children. The surveyor looked up the packaging for the plug in and the packaging stated, "Keep Out of Reach of Children." School Age Rest Room: 1. There was a Febreeze Wall Plug In that was accessible to children. The surveyor looked up the packaging for the plug in and the packaging stated, "Keep Out of Reach of Children." Pre--K 1 Hallway next to the rest room: 1. There was a Febreeze Wall Plug In that was accessible to children. The surveyor looked up the packaging for the plug in and the packaging stated, "Keep Out of Reach of Children." Kitchen: 1. The door to the kitchen was propped open and gave children access to enter the kitchen. The surveyor observed a mop bucket with water was located next to the entrance to the door. All of the items mentioned were accessible to children; therefore, the health, safety and comfort of the children was compromised.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Based on observation, the surveyor found that the indoor gross motor area was being used as a School Age Classroom on the day of the surveyor's visit. The surveyor found that there were seven (7) children ages five to nine (5-9) years of age utilizing the space as a classroom during the summer months. During interview with staff-in-charge, she stated that when children from other classrooms needed to utilize the indoor gross motor area, they would keep the children separated during the scheduled times. Therefore, the child-care center failed to notify DRCC of changes to the diagram that would increase a change in capacity for the child-care center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the child-care center had not received an official visit from the local fire marshal since opening the child-care center in 2023. The surveyor found that the child-care center had a letter of occupancy dated 01/06/23 on file at the child-care center. During interview with staff-in-charge, she stated that the fire marshal had not been to the child-care center and that she would be in contact with the local fire marshal to set up an appointment. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 Inspection Report Employee Records 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 review of documentation and ECE-TRIS, the surveyor found that the a staff (DOH: 03/04/24) person had not completed the required cabinet approved training in first aid and cardiopulmonary resuscitation (CPR).

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 surveyor found the following: 1. Based on review of ECE-TRIS, one (1) staff person (DOH: 03/04/24) did not have documentation that Orientation was completed within the first three (3) months of hire. 2. Based on review of ECE-TRIS, one (1) staff person (DOH: 01/23/23) completed nine and a half (9.5) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 01/23/23 - 01/23/24. 3. Based on review of ECE-TRIS, one (1) staff person (DOH: 10/16/23) completed fourteen (14) hours of the required fifteen (15) hours of cabinet-approved early care and education training between 07/01/22 - 06/30/23. 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 surveyor found that there were four (4) children in the School Age Classroom on tablets when the surveyor entered the classroom at 11:14 am. The surveyor conducted a walk-through of the child-care center and did classroom observations. The surveyor walked back into the School Age Classroom and observed three (3) children to place their tablets down on a table at 12:10 pm and play a group game. The surveyor observed one (1) child to stay on her tablet for approximately one (1) hour and twenty (20) minutes; therefore, the child-care center failed to ensure that children were not on electronic devices for longer than one (1) hour.

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 surveyor found a four-month-old child in the Infant Classroom asleep in a crib and the child was wrapped in a sleep sack with his arms tucked in and not able to move freely; therefore, the child-care center failed to have the child in the crib with only a fitted sheet. During interview with staff supervising the child in the classroom, she stated that he had been asleep for approximately thirty (30) minutes. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: Infant Classroom: 1. There was a circular mouse/insect trap placed on the floor next to the sink area. The trap stated, "Keep Out of Reach of Children." Pre-K 1 Classroom: 1. There was a set of car keys placed on the staff desk. The keys were observed to be within reach of children. Each item mentioned was observed to be accessible to 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, the surveyor found the following: School Age Classroom: 1. There was debris on the oval rug around the play area. 2. There was debris throughout the classroom floor. Preschool Classroom: 1. There were food crumbs throughout the classroom floor. Pre-K 1 Classroom: 1. When the surveyor entered the classroom at 12:08 pm, there was a white trash bag full of what appeared to be garbage placed on the floor next to the garbage can. The surveyor observed a staff person to take the trash bag out of the classroom at 12:11 pm. Toddler 2: 1. There were food crumbs on the floor around the high chairs. Therefore. the premises was not kept clean.

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 surveyor found the following: School Age Classroom: 1. There were fourteen (14) ceiling tiles that were discolored and appeared to have water damage. School Age Rest Room: 1. There was one (1) ceiling tile that was discolored and appeared to have water damage. Preschool Classroom: 1. There were five (5) ceiling tiles that were discolored and appeared to have water damage. 2. There was a ceiling tile above the circle time area that had two (2) holes. Pre-K 1 Classroom: 1. There were six (6) ceiling tiles that were discolored and appeared to have water damage. Pre-K 1 Classroom Rest Room: 1. There was one (1) ceiling tile that was discolored and appeared to have water damage. Toddler 1 Classroom: 1. There were eleven (11) ceiling tiles that were discolored and appeared to have water damage. 2. There were two (2) ceiling tiles missing from the ceiling. Toddler 2 Classroom: 1. There were five (5) ceiling tiles that were discolored and appeared to have water damage. Toddler Area Rest Room: 1. There was a missing ceiling tile over the toilet area. Therefore, the ceilings were not kept in good repair. During interview with staff-in-charge, she stated that the roof had recently been replaced and the next step was to have the ceiling tiles replaced as well. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 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 surveyor found that the indoor gross motor area was being used as a School Age Classroom on the day of the surveyor's visit. The surveyor found that there were seven (7) children ages five to nine (5-9) years of age utilizing the space as a classroom during the summer months. During interview with staff-in-charge, she stated that when children from other classrooms needed to utilize the indoor gross motor area, they would keep the children separated during the scheduled times. While the surveyor was at the child-care center, staff-in-charge asked if the surveyor was able to change the diagram and increase capacity to reflect the space to be used as a classroom instead of an indoor gross motor space. The surveyor also added an outdoor playground while at the child-care center.

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 surveyor found the following: School Age Rest Room: 1. The urinal would not flush; therefore, the urinal was not kept in proper working condition. Toddler Area Rest Room: 1. The toilet seat moved easily and was not tightly secured to the toilet located in the first restroom. 2. The toilet seat moved easily and was not tightly secured to the toilet located in the second restroom. 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 surveyor found that a staff person in the Toddler 2 Classroom was wiping children's faces with a baby wipe when they were finished eating their food. The surveyor observed the staff person to not wash her hands in between each child; therefore, the child-care center failed to follow handwashing procedures.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found that a staff person in the Toddler 2 Classroom was wiping children's faces with a baby wipe when they were finished eating their food. The surveyor observed the staff person to use the same baby wipe to wipe off multiple children's faces within the classroom; therefore, the child-care center failed to ensure that the staff person used a clean and individual wipe for each child. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 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 surveyor found that there was no thermometer in the refrigerator located in the Infant Classroom; therefore, the surveyor was unable to determine if the refrigerator was forty (40) degrees Fahrenheit or below.

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 surveyor was unable to locate a thermometer in the freezer located in the kitchen; therefore, the surveyor was unable to determine if the freezer was zero (0) degrees Fahrenheit or below.

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 surveyor found a rolling cart located in the entrance of the kitchen that had spilt milk on the top portion of the cart; therefore, the kitchen equipment was not kept clean and sanitary. Food Service 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the surveyor found an unopened gallon of 1% milk in the kitchen refrigerator that had a best by date of 06/13/24; therefore, the child-care center failed to keep the milk free from spoilage. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 07/21/20) file contained an immunization certificate that was no longer current as of 04/19/24. 2. A child’s (DOE: 01/02/24) file contained an immunization certificate that was no longer current as of 04/15/24. 3. A child’s (DOE: 03/25/24) file contained an immunization certificate that was no longer current as of 05/06/24. 4. A child’s (DOE: 05/06/24) file contained an immunization certificate that was no longer current as of 06/15/24. 5. A child’s (DOE: 05/13/24) file contained an immunization certificate that was no longer current as of 05/30/24. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Based on interviews, the surveyor learned that the child-care center failed to report an incident to the Division of Regulated Child Care (DRCC) within twenty-four (24) hours when a child received an injury that required medical attention. On 10/25/23, a one-year-old child’s nose began bleeding when the child was bitten on the nose by another child in the Toddler Classroom. Staff at the child-care center notified the child’s parent of the incident and the child was taken for medical treatment. Staff members confirmed during interviews that they were aware that the child received medical treatment. Staff member thought the incident did not have to be reported to DRCC since the child-care center did not send the child for medical treatment. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor observed a staff person from the One Year Old Classroom to enter a restroom located by the One Year Old Classroom and Two Year Old Classroom at approximately 12:56 p.m. The surveyor observed there to be no staff person inside the One Year Old Classroom. The surveyor observed the staff person from the Two Year Old Classroom to walk into the One Year Old Classroom, leaving the Two Year Old Classroom without a staff person. The surveyor observed another staff person to walk back to the One Year Old Classroom and Two Year Old Classroom at approximately 12:58 p.m. and go into the One Year Old Classroom, allowing the other staff person to go back to the Two Year Old Classroom. Therefore, the Two Year Old Classroom was observed to have a qualified staff person at approximately 12:58 p.m. The One Year Old Classroom and Two Year Old Classroom was observed to be a large room that was divided down the middle by small child sized shelving. The One Year Old Classroom was observed to be on one (1) side of the shelving and the Two Year Old Classroom was observed to be on the other side of the shelving. During interview, staff-in-charge stated that the staff person in the One Year Old Classroom got sick and had to go to the restroom to vomit. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.