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

General: Based on review of documentation, a staff member (DOH: 12/21/23) had a background check completed in KARES with an eligible for hire status listed as 01/02/24. The background check was completed after the official date of hire. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, eight (8) staff members (DOH 12/22/22, 07/18/22, 12/20/21, 09/28/22, 02/23/23, 03/27/23, 11/05/21, and 06/27/23) did not have evidence of current evaluations on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

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 ECE-TRIS, the following was found: 1.) A staff member (DOH: 02/23/23) did not take the cabinet-approved orientation training within three (3) months of employment. The training was taken completed on 06/12/23. 2.) A staff member (DOH: 09/28/22) did not complete fifteen (15) hours of cabinet-approved early care and education training during the 07/01/23--06/30/24 training year 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 and interview, the following was found: Classroom #8 The surveyor entered the classroom at 10:02 am and observed twenty-three (23) children ages three (3) to-four (4)-years-old and two (2) staff members. One (1) staff member was sweeping the floor, and the second staff member was getting a child’s jacket. The children were lined up at the door preparing to go outside. At 10:07 am, the children were still lined up at the door while the staff member was still sweeping the floor. The staff member stated that the children had only been lined up for a few seconds and that she was trying to teach them the “kindergarten line”. At this point, some of the children were getting out of line and going to centers. The surveyor noted that one (1) female child was walking around drinking from a water bottle. The second staff member went to the dramatic play area to coax the children back in line. At 10:11 am, the children were told to “catch a bubble” and to stay in line. At 10:12, the surveyor noted that there nine (9) children out of line. At 10:12 am, the staff member tells the children to get out of line and sit on the edge of the carpeted area on the black line. At 10:13 am, she tells them to get their water bottles and line up at the door again. At 10:15 am, the children go outside. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, 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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

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

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, 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

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the proper methods for diapering a child was not posted in at the diapering station located in Clasroom #10. Animals 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 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

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 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.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) A staff member hired 11/05/2021, did not have evidence of completing 15 hours of annual early care and education training on file. 2.) A staff member hired 3/8/2023, did not take orientation within three months of employment. The course was taken 6/19/2023. 3.) A staff member hired 2/23/2023, did not take orientation within three months of employment. The course was taken 6/12/2023. 4.) A staff member hired 12/6/2022, did not take orientation within three months of employment. The course was taken 6/13/2023. 5.) A staff member hired 12/1/2022, did not take orientation within three months of employment. The course was taken 6/9/2023. 6.) A staff member hired 9/28/2022, did not take orientation within three months of employment. The course was taken 6/21/2023. A review of ECE-TRIS records supports the information found during the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 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

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, two sheets were loosely fitted to the crib mattresses in Classroom 2, this poses a suffocation hazard. 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, a phone charging cord was hanging low within Classroom 5. Personal items of staff should be kept out of reach of children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the ceiling fan vent in Classroom 9 was sheathed in a layer 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, there were several gnats observed flying near the sink within Classroom 7.

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 Boys’ restroom in Classroom 8 had a strong urine smell. Additionally, a toilet brush was placed in a grocery bag on the floor, with several remnants of toilet paper surrounding it. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the toilet within Classroom 7 was not clean. The bowl had black streaks around the basin. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) During a tour of Playground 3 the surveyor observed that the students had removed their jackets and placed them on a picnic table, on top of one another. 2.) During a tour of Room 5, Room 8, and Room 4 the surveyor observed jackets and other fabric items stored on hooks, these fabric items overlapped with one another. 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, 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) 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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the mulch under the blue slide on Playground 2 was sparse, exposing dirt. There was not sufficient protective surfacing. 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 following was found: 1.) There was excessive tape residue on a toy shelf in Classroom 5, Classroom 7, and Classroom 9. The tape residue had started to accumulate dirt and grime. 2.) There were blue crayon streaks on the wall and on the back of a shelving unit in Classroom 8. Additionally, a shelving unit in Classroom 9 had marker streaks on the back side. 3.) The trash can lid within Classroom 7 was not clean. The lid was coated in a sticky streaks and a powdery substance.

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, children's' chairs were stacked high within Classroom 7 and posed a tipping hazard. 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, a grain or bread was not served with lunch. The students were served hot dog pieces, corn, applesauce, and milk. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, there was no evidence to indicate that the emergency preparedness plan had been submitted to the proper emergency management authority in 2022 for the 2023 year. 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on observation and review of documentation, medical information pertaining to allergies were posted in Classroom 6, Classroom 4, and Classroom 7. There was no indication that permission had been received to publicly post the medical information.

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 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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, the statement of deficiency and corresponding plan of correction from the 2022 licensure year was not posted for public inspection. 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 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.

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 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

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 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.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, one (1) staff hired on 12/4/21 did not evidence of a professional development plan on file at the facility. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulation was not met. One (1) staff with a start date of 11/30/22 had a background check "In Process" in KARES and was alone in a classroom with six (6) children at the time of inspection. Two (2) staff with start dates of 12/6/22 and 12/5/22 respectively had background checks "In Process" in KARES and were in classrooms at the time of inspection. These staff were not alone with children. One (1) volunteer who comes to teach the children soccer, was alone with the children outside but had no background check on file at the facility.

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 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

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 observation and review of documentation, a volunteer who comes to teach the children soccer skills, was alone with the children outside. She has no record of submitting fingerprints for a background check.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, a staff person hired on 12/6/22 had previously lived in Ohio but did not have the results of the Out of State child abuse/neglect (CA/N) check or sex offender check on file at the facility. The staff was present the day of inspection.

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 review of documentation, one (1) staff hired on 8/10/22 background check was listed as "closed, no fingerprints taken" in KARES. The staff person was present the day of inspection. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, one (1) staff hired on 12/4/21 did not have evidence of a staff evaluation on file at the facility. 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, this regulation was not met. Four (4) staff with hire dates of 12/8/21, 11/4/22, 12/6/22, and 12/5/22 respectively did not have proof of education on file at the facility. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, this regulation was not met. Seven (7) staff did not have evidence of negative TB results on file at the facility. Hire dates for these staff were respectively 8/16/21, 9/17/20, 12/4/21, 9/28/22, 11/4/22, 12/6/22, and 12/5/22. One (1) staff with hire date of 6/27/22, did not go to a medical clinic to have the assessment/test completed but signed her own TB assessment. One (1) staff with a hire date of 11/5/21 did not go to a medical clinic to have an assessment/test completed but had the form filled out by another staff person. All TB assessments/tests need to be conducted in a healthcare setting.

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, this regulation was not met. Two (2) staff hired on 5/17/21 and 11/5/21 respectively did not complete the 15 hours of required training hours for the year. Six (6) staff did not complete the required Orientation course. These staff have hire dates of 12/20/21, 2/18/22, 6/27/22, 8/25/22, 7/26/22, and 8/30/22 respectively and have been employed for more than three months. 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 state regulations in regards to the premises. Observation of the Girls' restroom in Room Six found an air vent coated with a build- up of dust and what appeared to be multiple dead insects inside the light cover.

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 child care center failed to maintain state regulations. Observation of the Boys' restroom in Room Five found a large cardboard box completely blocking access to the toilet. Interview with classroom staff found the bathroom is used by children in care daily.

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 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

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 child care center failed to maintain state regulations in regards to the premises. Observation of the Girls' restroom in Room 6 found multiple black streaks inside the toilet bowl, and a build-up of a black substance along the inside of the rim. Hygienic Practices In Compliance First Aid/Medication In Compliance 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 state regulations. Observation of the outdoor playground area found multiple pieces of rubbish scattered throughout the older children's play area, including a used fast food cup and wrapper, a mound of wet towels, and a small pile of random trash.

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 state regulations. Observation of the outdoor playground found one (1) swing on the older children's playground with a broken chain, causing the swing to hang freely, unconnected on one side. Equipment In Compliance Transportation In Compliance Kitchen Requirements 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 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

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 children’s records in accordance with regulations. Review of children’s files found an immunization certificate was not presented for review at the time of survey for four (4) children with enrollment dates of 6/3/2022, 8/8/2022, 6/27/2022, and 10/24/2022 respectively. 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

Category: health medication. 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 children’s records in accordance with regulations. Review of children’s files found the written record for two (2) children failed to contain contact information to enable a person in charge to contact the child’s family physician and preferred hospital. 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 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

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on 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

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, this regulatory requirement was not met. During the investigation a review of video footage found that 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. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:090 · 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

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, 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

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 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

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, 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.

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, 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

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 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.

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 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

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, 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

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 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.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 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

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, this regulatory requirement was not met. Toilets in the girls' and the boys' bathroom in Room #9 (school age classroom) both contained dark rings inside of the toilet bowls. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation and interview, this regulatory requirement was not met. The following was found: 1. One staff person (hire date: 6/7/21) had a completed fingerprint-based background check in KARES with eligible for hire status; however, did not have evidence or results of an out of state background check from Florida. The staff person in charge stated that the staff person moved to Kentucky from Florida within the past five years; therefore, she would need a child abuse and neglect check and a sexual abuse registry check from this state. 2. One staff person (hire date: 2/1/21) had a completed child abuse/neglect check (CAN) and a completed criminal records check (CRC) on file; however, did not have evidence or results of an out of state background check from Connecticut. The staff person had a copy of a Connecticut driver’s license in her file and listed that she previously lived in Connecticut within the past five years; therefore, she would need a criminal records check, a child abuse/neglect check, and a sexual abuse registry check from this state. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, this regulatory requirement was not met. At the time of the survey, a State Fire Marshal inspection report was not presented for the surveyor to review. The staff person in charge stated that the Fire Marshal was scheduled to perform an inspection at the facility later in the week. 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 review of documentation and interview, four staff eligible for an annual performance review did not have documentation of a review on file in the facility. 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, three staff (hire dates: 7/26/21, 10/18/21, and 5/17/21) did not have educational documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. One staff file (hire date: 6/18/18) contained results of a negative T.B. test that is no longer current. The test was dated 3/24/19 which exceeds the two year time frame.

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 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

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, 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

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, 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

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 and interview, this regulatory requirement was not met. The following was found: 1. The surveyor inspected mini bus #1 and found that the plastic container used to store first aid supplies was broken and several pieces of the container were observed lying on the floor. 2. An inspection of the freezer in Room #2 (older infant classroom) found that it contained numerous food particles and debris. Plastic teethers and popsicles were being stored in the freezer. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on review of documentation, this regulatory requirement was not met. A review of the emergency drill log in the transportation binder found that the facility had not practiced monthly emergency procedures since November 2019.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on review of documentation, this regulatory requirement was not met. A review of the transportation log found that daily inspections of the vehicles used to transport children had not been documented since January 2020. The staff person in charge stated that children are transported from local elementary schools on a daily basis. 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, this regulatory requirement was not met. An inspection of the refrigerator in Room #3 (one year old classroom) found one unlabeled bottle. Food Service In Compliance 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 4 of 5 Inspection Report 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, this regulatory requirement was not met. The following was found: 1. One child did not have an immunization certificate on file. 2. One child had an immunization certificate on file that was no longer current as of 9/24/21. Written Documentation Not 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 9. Records.

General: Based on review of documentation, this regulatory requirement was not met. A review of the 2021 emergency drill log found that fire drills were not conducted during the months of July and August; therefore, drills were not conducted monthly. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Three classrooms (Room #4, Room #6, and Room #9) had a schedule of daily activities posted that was dated October 4 - 8, 2021; therefore, these were no longer 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, 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

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, 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).

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, 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.

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 excessive dust on exhaust vents in restrooms located in Classroom #5, Classroom #6, and Classroom #7.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. 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.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, 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

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, this regulatory requirement was not met. The surveyor found that three staff members lived in another state within the past five years, and did not have completed background checks from their prior state of residence. Staff member hired 6/22/2020, previously lived in Ohio, staff member hired 8/17/2020, previously lived in Tennessee, and staff member hired 7/21/2020, previously lived in Pennsylvania. It is important to note that the three states listed above do not participate in the national fingerprint program. 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 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.

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.

Based on observation and review of documentation, this regulatory requirement was not met. A staff member hired on 8/17/2020, was observed working alone with school-age children in Classroom #9 (A) side. This staff member did not have a criminal records check on file. Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child-care center failed to keep personal belongings of staff inaccessible to a child in care. The surveyor observed a Scotch brand laminator on top of the sensory table in Classroom #4. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

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, this regulatory requirement was not met. The surveyor observed fecal matter splattered all over the toilet bowl in the school-age restroom located on the “A” side of Classroom #9. Additionally, the surveyor observed urine in the toilet in the school-age restroom located on the “B” side of Classroom #9. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the surface of the diaper pad located in Classroom #2 extremely worn. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child-care center failed to keep furnishings clean. The surveyor found several Cheerios and raisins inside of a shelving unit in Classroom #4. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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 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

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met per 922 KAR 2:405E. 1. The surveyor observed doll clothes and soft dolls in Classroom #6 and Classroom #8. Due to the emergency administrative regulation, machine washable toys are not to be used. 2. Six staff members had a processed central registry check (CA/N) on file, but they did not have a criminal records check on file. A. A staff member hired on 8/17/2020 was observed working alone with school-age children in Classroom #9 (A) side. B. Staff members hired on 8/31/2020, 9/11/2020, and 6/15/2020, were all paired with an eligible staff member. C. Two staff members, both hired 7/6/2020, were not present during the survey.

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, staff hired on 08/28/18, did not have an evaluation on file. 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 hired on 01/10/19 and 09/09/19, did not have education documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the following was found: 1. Staff hired on 10/08/19, did not have documentation on file from a health care professional stating that she was free of active tuberculosis. 2. Staff hired on 01/10/19, had the results of a negative tuberculosis test on file dated 02/06/19, which was after her hire date. 3. Staff hired on 05/02/19, had the results of a negative tuberculosis test on file dated 05/31/19, which was after her hire date. 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 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.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child-care center failed to meet this regulation. The surveyor entered classroom #2 at approximately 9:15 a.m. and observed four infants standing in their designated cribs. The surveyor noted the children did not appear to be sleepy; they were standing and looking around the classroom. Staff interview found the children were in their cribs because their parents had requested that they nap at the same time. At approximately 9:52 a.m., the surveyor noted two children still standing in their cribs. At approximately 10:08 a.m., the surveyor noted one child still standing in a crib. The surveyor noted that during this required rest period, the infants did not fall asleep and staff did not offer an alternate activity. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the 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

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child-care center failed to have enough toys and materials to provide children with a variety of activities as follows; 1. The surveyor found no blocks that children could independently stack available to the children in care in classroom #1, classroom #2, and classroom #6. Additionally, the surveyor found only five blocks available to a group of seven children in classroom #5. 2. The surveyor found no multi-cultural materials represented in the classroom environment or available to the children in care in classroom #1 and classroom #6. 3. The surveyor found no musical instruments or music activities implemented in the daily routine in classroom #6. It is important to note the surveyor found the child-care center utilizes the Creative Curriculum in the infant, toddler, and preschool classrooms. The surveyor found several shelving units bare in the classrooms with the exception of classrooms #7 and #8. Staff indicated that they do not have enough materials and equipment to add to their classroom environments in order to implement the curriculum. For example, the surveyor found the lesson plan posted on the wall outside of classroom #2 had “Circus” as the theme and circus activities listed on the plan. The surveyor did not find any circus themed materials in the classroom. Furthermore, when the surveyor asked if the staff had the materials to do the balloon painting activity listed on the lesson plan, the staff person could not locate any of the materials. Additionally, the lesson plan posted in classroom #5 had “Tubes/Tunnels” as the theme and activities pertaining to tubes and tunnels listed on the plan. Yet, the surveyor did not find any materials or equipment in the classroom to implement the plan. The staff person indicated that she has to share materials with classroom #6. The surveyor only found only a few cardboard tubes that children had painted in classroom #6. The staff person in classroom #6 stated that she does not share materials. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance 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 8. General.

General: Based on observation and interview, the surveyor found the statement of deficiencies issued during the post-preliminary inspection conducted on 10/3/2008, and the plan of correction addressing those deficiencies issued was not posted or available for review. Additionally, the statement of deficiencies issued during an investigation conducted on 7/3/19, and the plan of correction addressing the deficiencies was not posted or available for review. Animals 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 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.

Open Not marked corrected in the state record

Open / not marked corrected.

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

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

Open Not marked corrected in the state record

Open / not marked corrected.

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

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, 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.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. 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

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, 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

Open Not marked corrected in the state record

Open / not marked corrected.