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

General: Based on observation, the surveyor found excessive crayon marks on the wall in the dramatic play area in Classroom #8. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Equipment Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on observation, the following was found: Classroom #8 1.) The surveyor observed several stains embedded in a pink area rug. Transportation In Compliance Kitchen Requirements Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on observation, the following was found: Classroom #2 1.) The surveyor observed a brown sticky substance inside the refrigerator. Classroom #3 1.) The surveyor observed dried milk inside the refrigerator. 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 Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on review of documentation, the following was found: 1.) A staff member (DOH: 12/21/23), had TB documentation on file; however, the document was dated 12/28/23, which was after the staff member's official date of hire. 2.) A staff member (DOH: 12/22/22), did not have current TB documentation on file. The document presented for review was dated 09/11/22. 3.) A staff member (DOH: 02/18/22), did not have a current TB documentation on file. The document presented for review was dated 02/14/22.

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

General: Based on interview, this regulatory requirement was not met. 1.) It was reported by several staff members that the facility exceeds staff-to-child ratio in the morning in Classroom 8. Staff members report that the staff-to-child ratio is exceeded in Classroom 8 when staff members do not arrive at their scheduled time, call in, or if children arrive too quickly. 2.) It was reported that on one (1) occasion Classroom 8 contained thirty-two (32) children, with the youngest in the group being aged three (3), with three (3) staff members present; this exceeded the group size of twenty-four (24) by eight (8) children. This reportedly occurred in early September 2024 and was not remedied for approximately 15 to 30 (15-30) minutes. Hygienic Practices In Compliance Food Service In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 8. General.

General: Based on interview and review of documentation during the investigation, it was found that on 07/25/24 around 10:40 am, a staff member was changing a one-year-old child's diaper. This staff member picked up the child and stood him up on the changing table to pull up his pants. She then leaned towards the trash can to throw away her gloves and that is when the child fell off the changing table onto the floor. The changing table was 34” in height. The visible injury according to the staff member was a busted lower lip and redness on the child's chest. The child fell on his chest, then hit his head on the floor.

922 KAR 2:090 · Correction status not published

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

General: Based on observation, the following was found: 1.) The Playground on the far right of the building contained trash and other litter on the ground, in the grassy area. 3.) Playground 3 had two discarded paper cups placed on the ground near the fence. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 14. Transportation.

General: Based on review of documentation, the drivers history records check performed on the facility driver was more than one-year-old. The last history check was completed on 5/31/2022. Programming Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on observation, diaper cream was stored on a low shelf within Classroom 6; the creams were labeled, “Keep out of reach of children” and were accessible to the children in care. Outdoor Play Area Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on interview and review of documentation, there was no written evidence to indicate that earthquake, tornado, and lockdown drills had been practiced. During interview with the staff person in charge it was stated that the drills are conducted in succession after the fire drill. These drills require separate actions and should be documented individually. Posted Documentation Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on interview and review of documentation, this regulatory requirement was not met. On 08/06/23, an eleven-year-old child was playing basketball in the outdoor play area with a friend. The basketball got away from the child and went towards a staff member's head. The staff member was angry and yelled at the child, “I am tired of you being so rough with this ball”. The child responded asking why the staff member was yelling at him. The staff member responded by yelling in the child's face, “I am an adult”. The staff further stated to the child, “Your momma oughta knock the teeth out of your face." She continued to say, "If I was your momma, I'd slap the glasses off your face.” The staff member was terminated from employment after this incident. A child shall not be subjected to loud, threatening, frightening, or humiliating language.

922 KAR 2:120 · Correction status not published

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

General: Based on the surveyor's observation of a diaper change, the staff member only wiped a spot on the changing pad before conducting the diaper change. The staff member did not wash her hands or the child's hands after changing the diaper. The staff member also did not clean the changing pad after the diapering process was complete. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

922 KAR 2:120 · Correction status not published

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

General: Based on the surveyor's observation of a diaper change, the staff member only wiped a spot on the changing pad before conducting the diaper change. The staff member did not wash her hands or the child's hands after changing the diaper. The staff member also did not clean the changing pad after the diapering process was complete.

922 KAR 2:120 · Correction status not published

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

General: Based on observation and interview, the child care center failed to maintain state regulations in regards to the premises. Observation of the sinks in Room Three and Room Two found they were not dispensing hot water. Interview with staff in both classrooms found that the hot water rarely works in either room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

922 KAR 2:120 · Correction status not published

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

General: Based on observation and review of documentation, a volunteer who comes to teach the children soccer skills, was alone with the children outside but had not submitted an application for a background check on file at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

922 KAR 2:280 · Correction status not published

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

General: Based on observation, the child care center failed to maintain state regulations. Observation of the classroom refrigerators throughout the facility found there were no thermometers in the freezer compartments in Room Three and Room Two. 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

922 KAR 2:120 · Correction status not published

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

General: Based on observation and review of documentation, child care center failed to post documentation in accordance with regulations. Review of documentation in Room Ten, Room Three, and Room Two found the daily schedule of activities was either void of a printed date or outdated. Animals In Compliance

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

General: Based on interview and review of documentation, this regulatory requirement was not met. On 9/30/2022 a four-year-old child was not given a cupcake during snack time. The cupcake was an extra treat for a birthday celebration of another child in the classroom. The child was given the required snack, but not the extra treat. Based on interview, the child was not given the cupcake due to behavior issues that the child was having that day. Food shall not be used for reward or discipline. Equipment In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on observation and interview, this regulatory requirement was not met. During the investigation it was found on the facility’s video footage that a staff member did not follow the program of activities. The children in the classroom were climbing and jumping on the tables for more than 15 minutes. It was observed on the video footage that most of the shelves were turned around and children did not have access to the toys/materials in the classroom. Hygienic Practices In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on interview, this regulatory requirement was not met. During the investigation it was found from the staff in charge that no incident report was written for a child that got bitten in the classroom on 9/30/2022. Programming Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 8. General.

General: Based on observation, this regulatory requirement was not met. During the investigation it was found on the facility’s video footage that a staff member approached a child who got bitten by another child. The staff member took a picture on the phone and did not apply basic first aid to the child who got bitten on the shoulder. In addition, a staff member was sitting in the chair and was not able to see and supervise all children in the classroom. Some of the children were pushing shelves, throwing toys, and biting each other but the staff member did not see any of that. Also, while sitting in the chair the staff member was in front of the tables where children climbed and were jumping for several minutes on and off without staff intervention. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements Not In Compliance

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

General: Based on review of documentation, this regulatory requirement was not met. The surveyor reviewed video footage from 8/17/22 with the staff person in charge and found that several children did not go to sleep during rest time in Room #5 and Room #8, but they were not allowed to play quietly. Hygienic Practices In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on review of documentation and interview, this regulatory requirement was not met. One (1) staff person (hire date: 6/27/22) did not have educational documentation on file. The staff person in charge stated that this staff person is no longer employed. Her last day was identified as 8/11/22.

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation and interview, this regulatory requirement was not met. One (1) staff person (hire date: 6/27/22) had a T.B. screening form in her file; however, the form was blank. The staff person in charge stated that this staff person is no longer employed. Her last day was identified as 8/11/22. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation, this regulatory requirement was not met. The surveyor reviewed video footage from 8/17/22 with the staff person in charge and found that rest time in Room #5 lasted from approximately 11:45AM - 2:20PM; therefore, it exceeded the two hour limit.

922 KAR 2:090. Section 8. General.

General: Based on interview and review of documentation, it was found that the facility did not provide for the health, safety and comfort of the child when he was given fish sticks by a staff member to eat for lunch with a known allergy to fish. Director Requirements In Compliance Employee Records In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation and interview, this regulatory requirement was not met. An interview with staff during the investigation found that on 6/20/22, one staff person cared for 21 children (four - five year olds) alone in Room #8 (Pre-K Classroom) from approximately 10:00AM - 3:00PM. Since the youngest child in the group was a four year old, the minimum staff to child ratio would need to be one staff person for 14 children. The facility exceeded the staff/child ratio by seven children. The staff person in-charge stated that several staff, including herself had called in sick on 6/20/22 and three additional staff were scheduled to be off on 6/20/22 which led to the understaffing issue.

922 KAR 2:120 · Correction status not published

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

General: Based on observation, this regulatory requirement was not met. The surveyor toured Room #2 (older infant classroom) and observed two infants asleep in cribs with pacifiers in their mouth. Both pacifiers were connected to stuffed animals. Premises Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on observation, one plastic slide (approximately two feet tall) was placed directly on the grass. There was no protective surface material underneath the slide. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on observation, this regulatory requirement was not met. The surveyor inspected mini bus #1 and found that the first aid supplies were observed in an unlocked container on the floor of the first row of seats; therefore, accessible to the children. Outdoor Play Area Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on review of documentation and the Training Records Information System (TRIS), the following was found: 1. One staff person (hire date: 6/18/18) completed PAHT training on 3/30/16; however, did not renew the training due 3/30/21. This same staff person did not complete the required 15 hours of cabinet-approved training hours between 7/1/2020 and 6/30/21. 2. One staff person (hire date: 3/30/20) did not complete the required PAHT training. This staff person has been employed for more than one year. This same staff person did not complete the required 15 hours of cabinet-approved training hours between 7/1/2020 and 6/30/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Programming Not In Compliance

922 KAR 2:090. Section 8. General.

General: Based on observation, this requirement was not met. During the investigation, it was found that several staff members and children (ages two and up) did not wear masks as required by the Department of Public Health’s emergency regulation (902 KAR 2:213E).

922 KAR 2:090 · Correction status not published

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

General: Based on observation, this requirement was not met. During the investigation, the surveyor entered Room Three and observed one staff member supervising seven toddlers. The youngest child in the group was 12 months old. The surveyor waited a few minutes until another staff member came into the classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report General Administration Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 8. General.

General: Based on interview and review of documentation, this regulatory requirement was not met. On 3/22/21, a one-year-old child obtained an injury to the leg when being pushed in a Bye-Bye buggy. While staff was attempting to maneuver the buggy through the door, the child placed his leg outside of the buggy and the leg became wedged between the buggy and the doorframe. The child was determined to have a "Toddler Fracture" as a result of the incident.

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation, this regulatory requirement was not met. 1. A staff member hired on 8/17/2020, was observed working alone with school-age children in Classroom #9 (A) side. This staff member had a processed Central Registry Check (CA/N) check, but did not have a Criminal Records Check on File. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

922 KAR 2:280 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the child-care center failed to maintain confidentiality of information concerning a child. The surveyor observed two documents labeled “AAK Center Allergy/ Medical List" posted in Classroom #3 and Classroom #7. The documents included the names of the children and their medical information. Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, the child-care center failed to assure the health and safety of each child in care as follows: 1. A television cord was accessible, hanging in front of a bookshelf in school-age Classroom #9 (A) side. 2. Toilet tissue stored in an unsanitary manner, on the floor and on the back of a toilet tank, in restrooms located in Classroom #7 and Classroom #8.

922 KAR 2:090 · Correction status not published

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

General: Based on observation, this regulatory requirement was not met. The surveyor observed live gnats in restrooms located in Classroom #7 and Classroom #8. Furthermore, live gnats were observed in the office during the exit interview.

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

General: Based on observation and interview, the child-care center failed to meet this regulation. The surveyor entered classroom #1 at approximately 9:09 a.m. and observed a male infant in a car seat located in an enclosed gated area. The surveyor noted the infant was buckled in the car seat and was asleep. Staff interview found the seven-week-old infant had arrived at 7:06 a.m. and had been asleep the entire time. Staff person #1 stated that the infant’s parents had requested they not remove him from his car seat if he was asleep. The surveyor noted the infant had been in the car seat for two hours. It is important to note the infant was asleep on his back; however, there was not a waiver on file from a health care professional allowing staff to leave the infant confined to a car seat for sleeping purposes. At approximately 9:30 a.m., the surveyor noted staff had removed the infant from his car seat.

922 KAR 2:120 · Correction status not published

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

General: Based on observation, the surveyor found dried urine splatters on top of the toilet seat and a build-up of grime inside the toilet bowl in the restroom located in classroom #10. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on review of documentation, staff hired on 08/28/18, did not have an evaluation on file. Employee Records Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation and interview, on 09/24/19, a one-year-old child was placed in a highchair by the child's mother to eat breakfast in the Infant 2 classroom. The safety straps were not secured around the child after placing him in the highchair. A staff member stated that after he was finished with breakfast several minutes later, she went to remove the child from the highchair without knowing the child had not been secured. The staff member stated that she removed the tray and turned to place the tray down when the child fell forward out of the high chair and landed on the linoleum floor. The staff member stated that she checked the child over and found no marks or bruises. The staff person in charge notified the child's parents. The staff person in charge stated that the child was not taken to a doctor or hospital for an examination. It should be noted that the same type of incident in the same classroom occurred on 06/13/19, to an eleven-month-old child.

922 KAR 2:090 · Correction status not published

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

A PLAN OF CORRECTION WAS DUE ON 09/03/2019 AND AS OF 09/13/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, interview and review of documentation, this regulatory requirement was not met. On 6/13/19 an eleven (11) month-old infant was placed in a highchair to eat lunch in the Infant 2 classroom. The staff member did not fasten the safety straps around the infant in the highchair after placing him in the seat. A little while later, another staff member went to remove the eleven (11) month-old infant from the highchair after the infant finished eating his lunch. The staff member stated in interview that she removed the tray, turned her back and stepped away from the child to clean the highchair tray when the infant fell face first out of the highchair onto the floor. The staff member stated that she was unaware that the infant was not buckled into the highchair seat. The floor in the Infant 2 classroom appeared to be a hard, linoleum type floor. The facility staff notified the infant’s parents immediately of the incident. The eleven (11) month-old was taken to the doctor by his parents and he did not sustain any injuries. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, interview and review of documentation, this regulatory requirement was not met. On 6/13/19 an eleven (11) month-old infant was placed in a highchair to eat lunch in the Infant 2 classroom. The staff member did not fasten the safety straps around the infant in the highchair after placing him in the seat. A little while later, another staff member removed the eleven (11) month-old infant from the highchair after the infant finished eating his lunch. The staff member stated in interview that she removed the tray, turned her back and stepped away from the child to clean the highchair tray and the infant fell face first out of the highchair onto the floor. The staff member stated that she was unaware that the infant was not buckled into the highchair seat. The floor in the Infant 2 classroom appeared to be a hard, linoleum type floor. The facility staff notified the infant’s parents immediately of the incident. The eleven (11) month-old was taken to the doctor by his parents and he did not sustain any injuries. Furnishings and equipment used by the children shall be used according to the manufacturer's safety specifications. According to the manufacturer's safety specifications, the safety straps shall be used when placing a child in the highchair.

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

General: Based on observation, this regulatory requirement was not met. During a tour of the Pre-K Classroom (Room #8) the surveyor observed two (2) staff purses located on the floor of the classroom storage closet. The lock on the closet door was not fastened; therefore, the purses were accessible to the children in the classroom. Hygienic Practices In Compliance 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 1 of 2 Inspection Report Food Service/Food Program Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on observation and interview, this regulatory requirement was not met. During an inspection of the kitchen refrigerator the surveyor only found 2% milk available to serve to the children. The staff person working in the kitchen stated during interview that 2% milk is always served to all age groups. The staff person in charge stated that she was not aware of this regulatory requirement. Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

922 KAR 2:120 · Correction status not published