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

Based on interviews and a review of video footage, it was determined that on 03/18/26, a staff member in the Two-Year-Old Classroom observed a child taking snacks from a peer and responded by swatting/tapping the child’s hand while stating, “No, we don’t take our friends’ food.” Programming 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 interviews, documentation, and CCTV video review, a staff member was observed on camera, and later confirmed to the surveyor, taping a child's shoes to the child’s feet to keep them on. In the video, the child can be seen walking back and forth in the classroom with the taped shoes, while the staff member took a photo with her phone, as confirmed in her interview. The photo was sent to other staff members via a group message. It should be noted that another staff member was present in the room and did not alert management when the event occurred. Both staff members were terminated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the facility reported that on 4/14/25, a child was given the bottle of a classmate which contained breast milk. Child did receive medical attention. Director Requirements 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, the following was found: 1. Four (4) staff members (DOH: 12/04/24, 07/25/24, 06/04/24, and 03/10/25) did not have proof of educational qualifications available for review at the time of survey.

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, the following was found: 1. One (1) staff member (DOH: 01/24/24) did not obtain an eligible for hire background check status until 02/01/24, which was after their date of hire. 2. One (1) staff member (DOH: 04/11/24) did not obtain an eligible for hire background check status until 04/16/24, which was after their date of hire. 3. One (1) staff member (DOH: 06/04/24) did not obtain an eligible for hire background check status until 06/06/24, which was after their date of hire. 4. One (1) staff member (DOH: 08/09/24) did not obtain an eligible for hire background check status until 08/14/24, which was after their date of hire. 5. One (1) staff member (DOH: 06/17/24) did not obtain an eligible for hire background check status until 07/03/24, which was after their date of hire.

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. Eleven (11) staff members (DOH: 01/24/24, 04/11/24, 06/04/24, 03/10/25 [x3], 08/09/24, 04/18/24, 02/10/25, 06/17/24, and 03/05/25) did not have a negative TB skin test or statement from a medical professional available for review prior to their date of hire. It should be noted all eleven (11) employees did currently have a negative TB skin test available for review at the time of survey. 2. Two (2) staff members (DOH: 11/18/24 and 03/10/25) did not have a negative TB skin test or statement from a medical professional available for review at the time of survey.

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. One (1) staff member (DOH: 09/14/20) completed fourteen (14) hours of the required fifteen (15) hours of annual training for the year dated 07/01/23 to 06/30/24. 2. One (1) staff member (DOH: 02/04/08) completed two (2) hours of the required fifteen (15) hours of annual training for the year dated 07/01/23 to 06/30/24. 3. One (1) staff member (DOH: 01/17/17) completed six (6) hours of the required fifteen (15) hours of annual training for the year dated 07/01/23 to 06/30/24. 4. One (1) staff member (DOH: 08/18/17) completed twelve (12) hours of the required fifteen (15) hours of annual training for the year dated 07/01/23 to 06/30/24. 5. One (1) staff member (DOH: 08/25/23) completed zero (0) hours of the required fifteen (15) hours of annual training for the year dated 08/25/23 to 08/25/24. 6. One (1) staff member (DOH: 10/09/23) completed twelve (12) hours of the required fifteen (15) hours of annual training for the year dated 10/09/23 to 10/09/24. Additionally, this staff member did not complete their orientation training within the first three (3) months of employment, though it should be noted the training was completed on 03/25/24. 7. One (1) staff member (DOH: 08/08/23) completed fourteen and one half (14.5) hours of the required fifteen (15) hours of annual training for the year dated 08/08/23 to 08/08/24. 8. One (1) staff member (DOH: 06/02/23) completed zero (0) hours of the required fifteen (15) hours of annual training for the year dated 06/09/24 to 06/30/24. 9. One (1) staff member (DOH: 05/01/23) completed zero (0) hours of the required fifteen (15) hours of annual training for the year dated 05/02/24 to 06/30/24. 10. One (1) staff member (DOH: 08/28/23) completed fourteen and one half (14.5) hours of the required fifteen (15) hours of annual training for the year dated 08/28/23 to 08/28/24. 11. One (1) staff member (DOH: 01/24/24) completed six (6) hours of the required fifteen (15) hours of annual training for the year dated 01/24/24 to 01/24/25. Additionally, this staff member had not completed their pediatric abusive head trauma training at the time of survey, which was after their first year of employment had lapsed. Finally, this staff member did not complete their orientation training within the first three (3) months of employment, though it should be noted the training was completed on 07/02/24. 12. One (1) staff member (DOH: 08/08/23) did not complete their pediatric abusive head trauma training prior to their first year of employment having lapsed. It should be noted this staff member had previously taken the pediatric abusive head trauma training on 10/09/19, however, it had not been renewed since that date. 13. One (1) staff member (DOH: 08/09/24) had not completed their orientation training, nor received CPR and First Aid training at the time of survey, which was after their first three (3) months of employment had lapsed. A review of ECE-TRIS confirmed these findings.

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

General: Based on observation, the following was found: Tiny Tots Room 1) An area of tape residue was observed on the back wall between the two (2) shelves. Preschool Room 1) An area of chipped paint was observed next to the handwashing sink. 2) An area of tape residue was located on the floor by the blocks. Jr. Tots 1) An area of chipped paint was on the wall behind the trash can. 2) An area of chipped paint was on the wall near the block area. Busy Bees 1) A section of baseboard was missing on the wall near the dramatic play area. The drywall was crumbled and in disrepair in this area. 2) An area of sticky residue was on the wall next to the soap dispenser by the handwashing sink. Pre-K2 1) An area of tape residue was on the floor next to the circle-time rug. 2) An area of tape residue was on the wall between the two (2) wooden shelves adjacent to the circle-time rug. Gym 1) An area of chipped paint was observed on the wall adjacent to the blocks.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the Busy Bees Room contained a bottle of Children's Advil Fever that did not contain the child's name. Outdoor Play Area In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the Jr. Tots Room contained a stack of cots with the sheets on them. Some of the sheets were draped over the cots touching the sheets on the other children's cots. The bedding was not stored in a sanitary manner.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: Pre-K1 1) An area of tape residue was observed on top of a table used by the children. Preschool 1) An area of tape residue was observed on a wooden shelf that was storing dolls. 2) An area of tape residue was found on a wooden shelf that contained science items. Crawlers 1) Tape residue was observed around the inside of the diaper changing table. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 23 of 34 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the bathroom inside the Preschool Room contained an exhaust fan in the ceiling without a cover. The exhaust fan was exposed and contained an accumulation of dust.

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 Crawlers Room contained a thermometer inside the refrigerator that read forty-nine (49) degrees Fahrenheit. A cold-storage facility shall be forty (40) degrees or below.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1. One (1) child in care (DOE: 09/04/24) had an enrollment file that did not contain a contact telephone number for their preferred physician. Additionally, this child’s enrollment file did not contain a preferred hospital or contact telephone number. 2. Nine (9) children in care (DOE: 08/09/21, 10/14/24, 09/11/23, 03/10/25, 09/23/24, 06/15/20, 11/7/22, 08/16/23, and 07/01/24) had enrollment files that did not contain a contact telephone number for their preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the facility failed to provide for the health, safety, and comfort of a child in care. On 02/03/25, a staff member in the Junior Tots alerted administrators that a staff member working in the classroom had inappropriately handled a two-year-old child. A review of the footage from the classroom revealed that a staff member was sitting on the floor with a child on her lap when a second child hit her on the brow with a textured block. The staff member grabbed the child, who had hit her, by his shoulders and yanked him onto the floor, causing the child to hit his head on the toys surrounding them.

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, the child care center failed to maintain state regulations. On 01/21/25, two (2) staff were working in the PreK One (1) classroom with sixteen (16) children in care. At 3:29 pm one (1) staff member and one (1) child exited the classroom, leaving one (1) staff member with fifteen (15) remaining children. The ages of this classroom range from three to four (3-4) years old, which makes the ratio one (1) teacher to fourteen (14) children, meaning that after the first staff left the room, the remaining staff was out of ratio by one (1) child. This is supported by video evidence and staff interview. The staff member that remained in the classroom estimated she was left alone for approximately two (2) minutes. 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 interview and review of documentation including video footage, the child care center failed to maintain state regulations. During the investigation, the following was found: 1. On 01/21/25 a staff member aggressively pulled a child in care from their seat and removed them from the classroom. This is supported by video evidence and staff interview. Therefore, the health, safety, and comfort of the child in care was compromised. 2. On 01/21/25 a staff in charge overheard a child in care yelling, “I don’t want a whoopin’.” When asked about the issue, the staff member admitted to “taking care” of it. Therefore, the health, safety, and comfort of the child in care was compromised. 3. On 01/21/25 a staff member was observed pulling a child in care through the hallway towards the restrooms aggressively. Therefore, the health, safety, and comfort of the child in care was compromised.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: Crawlers Room 1) The cords that were plugged in on the bottom shelf were on the floor, accessible to children. Busy Bees Room 1) The cord from the plugged lamp was hanging low, accessible to the children in care. The lamp was on top of the cabinet making it unsafe as the children could pull the cord and pull the lamp down. 2) Chairs were stacked high, creating a tripping and falling hazard. 3) There was uncovered outlet in the block area. Pre-K 2 Room 1) There was a loose plugged in cord accessible to children. Preschool Room 1) There was uncovered outlet in the library area. Director Requirements In Compliance Employee Records 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 review of documentation, and ECE-TRIS, a staff member (DOH 01/24/24) has yet to receive First Aid and cardiopulmonary resuscitation (CPR) training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. 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, a staff member (DOH 01/24/24), has yet to complete the cabinet approved six-hour orientation training. The employee has been hired more than ninety (90) days. 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, infant was sleeping in the bouncy seat for approximately twenty (20) minutes. The staff member stated that sometimes staff put them in a crib after falling asleep in the bouncy seat. 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 following was found: Tiny Tots Room 1) Staff purse was hanging low, accessible to children. Junior Tots Room 1) Two (2) staff's purses were hanging low, accessible to children. Preschool Room 1) Staff purse was hanging low, accessible to children Busy Bees Room 1) Bleach bottle was hanging low on side of the changing table, accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: Infant Room 1) The edges of the floor carpet were peeling. Pre-K 2 Room 1) Floors were dirty with stains. Junior Tots Room 1) Wall vent was very dusty. Busy Bees Room 1) Wall vent was very dusty. Preschool Room 1) Classroom walls have an excessive amount of chipped paint. 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

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, there was no toilet paper in the bathroom by Pre-K 2 Room.

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 sink was dirty with food particles in it, in the Pre-K 2 Room. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the medication box was on top of small shelf and was unlocked in the Crawlers Room. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, infants were sleeping in the cribs that were not spaced 12’’ apart. The cribs were lined up with no spacing between them. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the refrigerator in the Tiny Tots room was dirty with stains.

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 bottles were not labeled in the Crawlers Room. 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

Open / not marked corrected.

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

General: Based on observation and review of documentation, there were no current daily planned program of activities (lesson plan) posted in Tiny Tots Room, Crawlers Room, Infant Room, Pre-K 2 Room, Busy Bees Room and Preschool.

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, there was no daily schedule posted in the Pre-K 2 Room. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, on 05/16/24 a staff member in the Preschool Room grabbed a three-year-old child by the arm. Based on interview, the staff member asked the child to get in line with the other students to go to the gym and the child was not listening so the staff member grabbed the child by the arm. The child sustained fingernail marks on her arm and her arm was bleeding. The video was reviewed from 05/16/24 and it did not show the staff member grab the child's arm because the child was out of camera range, but it did show the child holding her arm as if she were hurt when she got in line with the other children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the facility failed to report an injury to the Division of Regulated Child Care (DRCC) within twenty-four (24) hours. The incident occurred on 02/28/23 and was reported to DRCC on 07/10/23. Director Requirements In Compliance Employee Records 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 review of documentation, it was found that four (4) staff members did not have background checks submitted for this center prior to employment. In addition, one (1) staff member's background check eligibility was expired. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of video footage from 06/08/23, and 06/12/23, in the one-year-old classroom, the following was found: 1) Children were viewed sitting, standing, jumping, and lying on top of the child size tables in the classroom while staff were using their phones; in many instances staff just sat in chairs across the room and casually watched the children. 2) Two (2) children were smacking/fighting with one another while a staff member watched. The staff member said something to one (1) of the children and then pushed that child towards the other child he was fighting as if encouraging it. The child swung at the other child and one (1) of them fell down. The staff member stood the child back up and pushed the child towards the other child again. The staff member kept doing this until one (1) of the children ran off. At no point did the staff member try and stop the fighting. 3) Children were viewed multiple times hitting, biting, smacking, kicking, and pushing one another while staff did nothing about it. 4) A child was seen hanging from the sink by her fingers and she fell backwards, landing on her bottom on the linoleum floor. A staff member just laughed and did nothing to assist the child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 9 5) A tall heater was placed in between several of the children who were asleep on cots. The heater placement poses a safety risk to the children in the classroom. 6) A staff member put a piece of food in her mouth; the staff member then took the food out of her mouth and put it in a child's mouth. This happened more than once. 7) A staff member took off her shoe (she was not wearing socks) and touched a child's face with her foot. 8) After changing a child's diaper, the staff member initially picked up the child under each arm; as the staff member was placing him on the floor, she had only one (1) hand around the child's elbow by the time his feet hit the ground. The child cried, ran over to the other staff member, and pointed to his arm. The staff member was using her phone and did nothing to assist the child. 9) The heater placed on the floor was plugged into an outlet that was located high on the wall. Two (2) children were seen running around the heater and under the cord while one (1) staff was using her phone and the other staff was out of the classroom. 10) Two (2) children were wrestling on the floor. A staff member walked up to the child that was on top of the other child, grabbed the child's shirt with one (1) hand, grabbed the child's pants with the other hand, lifted the child off the other child, and placed the child on her stomach on the floor. 11) A staff member picked up a baby doll, aggressively threw the doll against the wall, and then appeared to say something to the children. Some of the children were later observed throwing dolls and toys against the wall. 12) A staff member was viewed pulling a child up from the floor by the collar of his shirt. 13) A staff member walked over near the classroom door and lifted a child up by the left arm, causing him to fall. 14) A staff member took a child by the arm and pushed her towards the other staff member who was vacuuming. The child appeared to be scared of the vacuum, but the staff member held the child’s hand. The other staff member hit the child’s feet with the vacuum while the child was trying to get away. Then the staff member started chasing the child around the room with the vacuum. Both staff were laughing, and the child was crying. When the staff member finished vacuuming, she grabbed the child by the hand and made her walk with her out of the classroom while the staff pushed the vacuum. he child seemed to be very hesitant to go with the staff member. 15) A staff member called for a child to come over to where she was sitting. The staff member turned the child around, so his back was to her stomach. While the child was standing, the staff member wrapped her legs around the child's legs, held his hands by the wrists above his head with one (1) of her hands, and took her fist and tapped it on the child's belly. The staff member then took both of the child's arms and crossed them behind his head, holding them there. This went on for approximately one (1) minute. 16) On more than one (1) occasion, a staff person motioned as if she were going to hit a child with her hand but then did not. 17) A staff member was seated on the floor asked a child to come over to her. When the child was approximately two (2) feet away from her, she yanked the child by the front of her shirt and pulled her to the ground in order to put the child’s shoes on her feet. 18) While a staff member was vacuuming, she appeared to deliberately bump into a child more than once, causing the child to fall over onto her hands and bump her face on the front of the vacuum. 19) A child was lying on the floor and a staff member seated in a chair looked over at the child and kicked the child on the leg with her foot. 20) A staff member walked over and flicked a child on top of her head with her fingers for no apparent reason. 21) A child kicked a ball towards a staff member. The staff member picked up the ball and threw it at the child, hitting the child on the front of her body. 22) A child was lying on a pillow when a staff member jerked the pillow out from under her, causing her to topple over onto the ground. 23) A staff member appeared to say something to a child and then walked up to her and kicked the child in the butt/backside with her foot. 24) A child was teetering around after just getting up from nap. A staff member walked up to the child and pushed the child out of the way. The child fell down to the floor. The staff member did nothing and walked away. 25) A staff member swatted a child on the head with her hand for no reason. 26) A staff member flicked two (2) children on their ear for apparently no reason. The children immediately grabbed the side of his/her head. 27) A staff member hit a child on the head with a plastic bin. This is the same child who fell, hitting his head against the wall. 28) A staff member was sitting on the floor when a child ran up to the staff member. The staff member shoved the child away with her hand. 29) A staff member walked over to a child and pushed the child on the bottom with her shoe, causing the child to stumble. 30) A parent was seen picking up a child for the day. A staff member was hugging and kissing on another child in front of the parent. As soon as the parent left, the staff member smacked the child on the bottom with her hand. 31) A staff member and a child appeared to be arguing. The staff member and the child were both saying something, waving their arms, and shaking their heads. 32) A staff member walked over to a child, stood over him, and then flicked/pinched him on his ear. The child grabbed his ear. 33) A staff member pushed a child’s head to the ground more than once while they were both seated on the floor. 34) A child walked past a staff member seated in a chair. The staff member flicked her finger to the side of the child’s head and then threw a block at her twice. The staff member then pointed a finger at her and appeared to say something to her before throwing a block at her again. 35) A staff member was viewed combing multiple children's hair with the same comb. 36) The children were allowed to leave their shoes off all day and run around in their socks/bare feet. Children were seen walking around holding their shoes, putting the shoes in their mouths, and even hitting children with the shoes. Children's shoes should remain on at all times in case there is an evacuation of the building. 37) A staff member was seen sitting on top of one of the child size tables with her legs crossed and shoes touching the table. This is not a sanitary practice. 38) A staff member lifted a child up from a cot by the arm and placed the child on the floor. 39) A staff member was sitting on top of the child size table while the children were eating their lunch. 40) Both staff members lay in between children during nap time. The lights in the room were turned off but the staff members were using their phones and the light from their screens shone directly on the children that were lying beside of them. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 9 41) A child was standing, holding a toy in each hand. A staff member walked up to the child, jerked both toys out of the child’s hands, and put them on a high shelf. The child was visibly upset. 42) A staff member was seen dancing around the room. The staff member grabbed the back of a chair, stuck out her bottom, and started shaking it in front of a child. 43) A staff member walked over quickly to where a child was seated for lunch, jerked the child out of the chair by the arm before walking her over to the changing table and aggressively placing the child on the changing pad. 44) A staff member was seen taking both of her hands to either side of a one-year-old child's face and squeezing the child's cheeks together. The child grabbed both of the staff's arms with her hands. The staff tried to get her arms free from the child's grasp, causing the child to fall down. The child got up; the staff member swatted the child on the bottom with her open hand and then appeared to tickle the child. 45) A staff member was seen taking a child's shoe and hitting the child on the leg with the shoe. 46) Staff are viewed multiple times throwing foam blocks at the children, often hitting them on the head, back, or other parts of their bodies. 47) A staff member seated in a chair leaned over and flicked a child on the head with her fingers. The child was just sitting on the floor. The same staff then picked up a ball and threw it towards the child she had just flicked but missed the child; instead, it hit another child on the shoulder. 48) A staff member stood up and threw a foam block, hitting a child on the head. The staff member then motioned for the child to come over to her. The staff member placed her hands on the child's hips, lifted the child up, flipped the child completely over, and the the child landed on the staff's shoulders. The child's bottom was resting on the staff's shoulders with his torso and legs straight out. The child started to squirm. The staff member kept the child in this position for approximately thirteen (13) seconds. 49) Two (2) children were standing with their hands on the ground, heads down, and bottoms up in the air. A staff member came up to the first child, took her foot between the child's legs, and flipped the child completely over causing the child to land on her back. The staff member walked over to the second child and did the same exact thing. The staff member then sat down in a chair, stuck her foot out, and flipped the first child over again the same exact way. Both children appeared stunned. 50) A staff member was on the floor with a child to put on the child’s shoes. The staff member jerked the child by the ankles to get the child closer to the staff member. The staff member then pulled the child up by the elbow and pushed the child away. 51) A staff member was sitting on the floor and a child was approximately two (2) feet away from her when the child began to turn to walk away. The staff member grabbed the child by the shirt aggressively, pulled her to the ground, looked the child straight in the face, and said something to her. 52) A child picked up a toy and a staff member jerked it out of her hand. 53) A staff member was seated with a child standing at her legs facing the staff member. The staff member wrapped both of her hands around the child’s neck and then leaned toward the child’s face. 54) Two (2) staff in the one-year-old classroom were observed sitting in chairs, using their phones multiple times while not directly supervising the children and ignoring children when they would walk up to the staff. Children were sitting/standing on tables, aggressively hitting one another, and walking out of the classroom while both staff were using their phones.

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 video footage from the one-year-old classroom taken on 06/08/23, a staff member appeared to be asleep on the floor for approximately fifty-four (54) minutes during the children's nap time. Employee Records 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 review of video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, the following was found: 1) On multiple occasions both staff were viewed standing at the open classroom doorway with their backs to the children in the classroom while looking out into the hallway. 2) A child tripped over his own feet and fell onto the wall, hitting his head. The child got up and appeared to be crying, holding his head. One (1) staff was cleaning out the highchairs across the room from where the child fell and the other staff was not in the classroom. There was one (1) staff present with nine (9) one-year-old children when the incident occurred. 3) Five (5) children can be seen coming into the classroom alone and the staff member can barely be seen at the edge of the classroom door. Then the staff member completely went out of view and the children were left alone in the classroom for approximately one (1) minute. 4) Several children were playing behind the changing table where the plastic cots are stored. They were lifting the edge of a cot up and down and one of the children ended up smashing a finger. Both staff were seated across the other side of the room not supervising the children at all. The child that got his hand smashed ran up to one (1) of the staff members crying and holding his hand. The staff member said something and just laughed. 5) A staff member exited the classroom at 9:13:17, leaving the class out of ratio. Then the second staff person left the classroom at 9:15:19, leaving the classroom without any adult supervision. One (1) staff returned at 9:16:05, and the second staff person returned at 9:16:25. The children were without any supervision for approximately one (1) minute. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 9 Inspection Report

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, the following was found: 1) Staff was seen changing a one-year-old child's diaper on the changing table. The staff turned around, walked to the sink area, and grabbed a black garbage bag out from under the sink cabinet. Staff then returned to the changing table. The staff was away from the changing table for approximately fourteen (14) seconds. 2) A staff member was changing a diaper and while some of the children across the room were playing with the canister that had popped out of the adult vacuum. The staff member walked away from the child on the changing pad and went over to the vacuum to fix it. The staff member had her back to the child on the changing pad the entire time she was fixing the vacuum. The staff member then walked back to the changing pad. The child was left unattended for approximately two (2) minutes on the changing pad. The second staff person was not in the classroom when this occurred. 3) A staff member was changing a child's diaper when she walked several steps away; she stretched and then went back to the changing pad. The staff member was away from the changing pad for approximately nine (9) seconds. Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, the following was found: 1) On 06/08/23, a staff member was left alone with more than six (6) one-year-old children a minimum of nineteen (19) times. 2) On 06/12/23, a staff member was left alone with more than six (6) one-year-old children a minimum of twenty-two (22) times. 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 11. Staff Requirements.

General: Based on review of documentation, the following was found: 1) Staff hired 03/22, did not have any cabinet-approved training on file. 2) Staff hired 03/22, did not complete the required orientation. 3) Two (2) staff hired on 03/22, and 05/22, did not complete the required pediatric abusive head trauma training. Both staff have been employed for more than one (1) year. The ECE-TRIS was reviewed and supports these findings. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 9 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: : Based on review of video footage from the one-year-old classroom taken on 06/08/23 and 06/12/23, the following was found: 1) There were two (2) staff present and there was no programming, no positive interaction, or structured activities completed with any of the children on 06/08/23. The two (2) staff mainly looked at their phones, walked in and out of the classroom, let the children run and do whatever they wanted the entire time they were in the room. 2) The bookshelf was completely turned around and the children did not have access to any of the books. 3) There were some blocks, baby dolls, and what appeared to be dinosaurs for the children to play with the entire day. 4) On 06/12/23, the staff were observed completing two (2) art projects but the rest of the day the children were again allowed to run and play with the same toys they had on 06/08/23. 5) Children were turning over their sippy cups, spilling the liquid; they then wiped their hands through the liquid and licked it up off the table while staff were seated using their phones.

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 video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, the following was found: 1) The children were made to sit in chairs and highchairs for approximately six (6) minutes without anything to do before lunch was served. This happened at lunch both days. 2) After the children were finished eating lunch, they were made to sit until staff were finished eating their lunch. This happened both days. Some of the children seated in chairs ended up getting up and dancing around but the three (3) children in highchairs waited with nothing to do for approximately fifteen (15) minutes after they were finished eating lunch. 3) A child was placed in a highchair at 9:33:02, for playing with the edge of a rug. The child was let out of the highchair at 10:43.10. He was in the highchair for approximately one (1) hour ten (10) minutes.

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 video footage from the one-year-old classroom taken on 06/08/23 and 06/12/23, the following was found: 1) A child was standing with her foot on a plastic storage bin. A staff member jerked up the bin, hit the child in the chest and left arm with the bin, and then placed the bin on the shelf. The child went up to the staff member who pushed the child away and slapped the child's left hand. The staff member then picked up a foam block and threw it at the child's head. The child grabbed her head and fell to the floor with her face on the carpet. While the child was on the floor two (2) other children began to climb over the child, falling, etc. The staff member reached over and smacked both of those children on their heads with her hand. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 9 2) A child took a book from another child. A staff member took the book and smacked the child on the face with the book. 3) A child threw her lunch plate off the table. A staff member got up and smacked the child on the mouth with her hand/finger. 4) A staff member was sweeping the floor after lunch. Some children were running around and ended up falling on top of each other. The staff member took the handle of the broom and hit one (1) of the children on the head twice. The child grabbed his head. 5) A staff member used her hand and spanked a child on the bottom for sitting in the adult size chair. The child then smacked the staff member on the hand with her hand. The staff member grabbed the child's hand, swatted it away, again grabbed the child's hand, placed it on the seat of the chair, and then sat on the child's hand. The staff member sat on the child's hand for approximately three (3) seconds and then laughed at the child. 6) A child was walking around with a plastic bin on top of his head. A staff member snatched the bin off the child's head and smacked him on the head with her hand. 7) A child took another child's sippy cup. A staff member gave the cup back to the other child and then kicked the child on the bottom with her foot. 8) A staff member flicked a child on the ear for spilling his drink and the child grabbed his ear. The staff member then came back again, flicked the child's ear a second time, and then hit him on the back of the head. 9) A child walked up to a staff member and appeared to hit the staff member on the leg with her hand. The staff member was changing a diaper, so she reached out with her foot and kicked the child. The staff member then poked the child on the face three (3) times with her finger, causing the child's head to go backwards each time. The same child then climbed on top of a play kitchen and the staff member smacked the child's forehead with her hand. 10) A child reached for a Ziplock bag that was on the floor during an art project and a staff member used her hand to smack the child on top of his hand. 11) A staff member smacked a child twice on the head with her hand for spilling the liquid out of his sippy cup onto the table. 12) A staff member was using her phone and looked up to see a child take another child's sippy cup. The staff member walked over and pushed the child with her foot. 13) A child had scooted a pen that was on top of a shelf. A staff member saw this and smacked him on the back of the head with her hand. 14) A child pushed another child; a staff member pushed the child in the chest and knocked him down. The child got up and walked over to the staff member. The staff member gave the child a hug. 15) A staff member saw two (2) children on top of the cots, so she walked over to them and smacked them on top of the head with her hand. 16) Two (2) children were standing on top of a table. A staff member took a new roll of paper towels and hit one (1) child on top of the head with the paper towels, flicked him on the ear, and then took the paper towels and smacked the other child on the face causing him to fall down. 17) A child was standing next to a staff member who was seated in a chair; the child wiped his nose with his hand and then wiped his hand on the staff's pant leg. The staff member initially grabbed the child's arm and then let go of his arm; the staff member then grabbed the child's shirt and wiped the substance off of her leg with the child's shirt. 18) A child was standing on the step at the sink; a staff member got the child down and smacked him on the bottom with her hand. 19) A child finished lunch, got up from the table, picked his chair up, and began to walk away with the chair. A staff member immediately jerked him all the way around by the arm, grabbed the chair, and forcefully placed him on the chair at the table. 20) Two (2) children knocked over the play kitchen and it landed on top of another child. The staff member walked over and used her hand to spank one (1) of the children twice on the upper part of her leg/bottom area. 21) A child was seen turning his sippy cup upside down and spilling the contents. A staff member was using her phone but looked up, walked over to the child, and popped him in the head with her hand. This is the same child who had fallen earlier and hit his head on the wall. 22) A child was placed in a highchair with nothing to do for six (6) minutes. It could not be determined what the child did prior to this discipline. 23) A staff member walked over to a child who was playing with the adult vacuum and flicked the child on the ear with her fingers. The child slumped down to the floor and appeared to be crying. 24) A child sneezed while standing directly in front of a staff member who was seated on a chair. The staff member was visibly angry, jerked the child around by the upper part of his arm, and moved him away from her. 25) A staff member grabbed one (1) of the children for hitting, took the child over to the carpeted area, placed the child on his stomach, pushed the child’s torso down with her hand, and then pushed the child’s head onto the carpet with her hand. 26) Two (2) children kept hitting another child and the staff just watched. Finally, one (1) of the staff members got up and chased after the two (2) children. The staff member got one (1) of them behind the changing table, leaned down over the child (completely out of camera view), and did something to the child; when the child came out from behind the table, he was crying and visibly upset. The staff member then did the same to the other child. One (1) of the children ran over to the other staff member, crying and showing the staff member his hand, but the staff member did nothing. 27) A staff member flicked a child’s ear for flipping up the edge of the rug. The staff member then flicked another child’s ear and that child appeared to have done nothing. 28) A staff member randomly walked up to a child, flicked him on the ear and smacked him on the back. The child grabbed his ear and then appeared to try and flick another child on the ear. A staff member saw this and made him sit in time out. 29) At 8:59:52, a child was in a highchair for an unknown reason. The child was let out of the highchair at 9:22:17. The child had nothing to play with and no activity was provided during that time. The child was in the highchair for approximately twenty-three (23) minutes. This was the second time this child had been placed in the highchair. 30) A staff member was using the facility's iPad and the other staff member had left the classroom while two (2) children were fighting over the tray that went to a highchair. One (1) child appeared to bite the hand of the other child who then appeared to cry out. The staff member stood up, walked over to the biter, stood directly in front of him (blocking him completely from the camera), leaned over him, and did something to him more than once. When she was finished, she moved out of the way and the child was very upset and crying. 31) Right before nap time, two (2) children were playing with the sheets that were on their cots. A staff member walked over to them and one (1) of the children automatically put his hand to the side of his head as if protecting his ears, but the staff member still flicked both children on the ear. The staff member walked away, and children resumed playing with their sheets. The staff member came back over and flicked them on the ear/head area again. They grabbed their ears afterwards. The staff member then aggressively grabbed one (1) of the children’s legs and flipped the child over while he was seated on his cot; she then did the same thing to the other child. The staff member then threw the children's bedding over them and smacked both children on top of the head. The same staff member then walked over to another child and aggressively put that child down on her stomach on her cot; the other staff member threw a large square pillow at the child’s head. Then a staff member walked by a child who was seated up on her knees and she flicked the child on the ear. The child immediately lay down on her cot. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 9 32) A child was sitting on her hands while on her cot; a staff member reached over and hit the child on the head with her hand. 33) A child threw a toy; the staff member threw it back at the child, hitting her on the leg. The staff member then pointed a finger at the child, said something, and then smacked the child on top of the head with her hand. The staff member then picked up a foam block and threw it at the child but missed her. The staff member picked up the block again and threw it close range and hit the child on the face. The child grabbed her face; the staff member grabbed the block again and hit the child on the back of the head with the block. 34) Two (2) children were seen trying to climb a bookshelf while both staff are using their phones. While seated, one (1) staff member looked up and threw two (2) blocks across the room in the children's direction trying to get them down. 35) Two (2) children were wrestling with a toy; a staff member grabbed one (1) of the children and stood in front of him (could not see the child on video), looked around as if to see if anyone were looking, and did something to the child. The staff member took the child by the hand and sat him on the floor next to a bookshelf. The child was crying and grabbed his lower back. 36) A child was placed back in the highchair again for possibly biting another child. He was in the highchair for approximately eight (8) minutes. The staff member handed him a dinosaur to hold. This was the fourth time this child had been placed in a highchair. 37) A child swatted at a child in a highchair with his hand; a staff member saw this and slapped the child on the head. The child ran off holding his head. Premises Not In Compliance

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

General: Based on review of video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, a cup that resembled a Starbucks cup was located on a low shelf accessible to the children. The staff member drank from the cup multiple times. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, the following was found: 1) Children's hands were not washed after getting their diapers changed. 2) Children's hands were not washed before or after eating food. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 9 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, the following was found: 1) During a diaper change, a staff member was viewed wiping a child's nose with a tissue and then continuing with the diaper change. The staff member did not wash her hands prior to wiping the child's nose. 2) Staff never washed their hands in between each diaper change. 3) Staff never washed their hands prior to feeding children food. 4) A staff member was seen wiping a child's nose but did not wash her hands afterwards. 5) A staff member was eating something out of a yellow bag while seated on the floor. The staff member used her fingers to eat the food. The staff member was seen using those same fingers to give some of the food to some children in the classroom to eat.

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 review of video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, the following was found: 1) The diaper changing pad was not cleaned in between each diaper change. The diaper changing pad was only cleaned after all the children's diapers had been changed. 2) A staff member was seen cleaning the highchair trays while the trays were located on top of the changing pad.

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 review of video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, a staff member was viewed multiple times changing children's diapers and not using a wipe to clean the child before putting the new diaper on the child. 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 review of video footage from the one-year-old classroom taken on 06/08/23 and 06/12/23, there were only two (2) adult size chairs being used in the classroom. The child size chairs were only brought out at lunch time and then immediately stacked back up and not for use. Therefore, the children in the classroom did not have the option to sit in the chairs other than at meal times. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 8 of 9 Inspection Report Food Service 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on review of video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, the following was found: 1) On more than one (1) occasion, the children were reaching up towards the food tray that was on a high shelf appearing to want more food while staff sat in their chairs using their phones not attending to the children's needs. 2) A child appeared to want more snack but the two (2) staff just kept eating their food and appeared to be taunting the child. 3) The staff member took what appeared to be half of a granola bar and held it up in the air. The children had their hands in the air appearing to want the granola bar. The staff member then threw the granola bar in the air and it fell to the floor. The children fought over the granola bar.

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 review of video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, the following was found: 1) Children were viewed eating each other's pancakes and drinking out of each other's sippy cups while walking around the classroom. 2) A child threw her lunch plate off the table. The staff member picked a piece of the food from the child's plate off the floor and handed it to another child at the table. 3) A child appeared to be finished eating. The staff member picked a piece of food off the child's plate and gave it to another child to eat.

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 review of video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, children were not seated at the table for breakfast or snack. The children were handed their breakfast and allowed to walk around the classroom with the food or sit on the floor. The children were also allowed to walk around with sippy cups.

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 review of video footage from the one-year-old classroom taken on 06/08/23, and 06/12/23, children were never served a drink with their meals. They were given their sippy cups several minutes after they were finished with their food. It should be noted that both staff members also ate food while the children ate and both staff members had something to drink.

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. The diaper changing pad in the Junior Tots room was covered with yellow and brown stains. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on review of documentation, the following was found: 1. A staff member (DOH: 10/10/22) did not have evidence or results of an out-of-state background check from Illinois. The staff file indicated that this staff previously lived in Illinois from 2016-2018. The facility had submitted for the Child Abuse and Neglect Check from Illinois. There was no written evidence of a criminal records check or a sex offender registry check from Illinois. 2. A staff member (DOH: 01/09/22) did not have evidence or results of an out-of-state background check from Illinois. The staff file indicated that this staff previously lived in Illinois from 2014-2022. The facility had submitted for the Child Abuse and Neglect Check from Illinois. There was no written evidence of a criminal records check or a sex offender registry check from Illinois. 3. A staff member (DOH: 8/31/22) did not have evidence or results of an out-of-state background check from Illinois. The staff person currently resides in Illinois. The facility had submitted for a Child Abuse and Neglect Check from Illinois. There was no written evidence of a criminal records check or a sex offender registry check from Illinois. 4. A staff member (DOH: 08/29/22) did not have written evidence or results of an out-of-state background check from Georgia. The staff person currently resides in Georgia. There was no written evidence of a Child Abuse and Neglect Check or a sex offender registry check from Georgia. The facility had completed a CAN check from Kentucky for this individual. 5. A staff member (DOH: 11/02/22) did not have written evidence or results of an out-of-state background check from Ohio. The staff person currently resides in Ohio. There was no written evidence of a Child Abuse and Neglect Check or a sex offender registry check from Ohio. None of these staff members were working alone with the children during the renewal survey. 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 8. General.

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was found: 1.) Multiple electrical cords that were plugged into an outlet, draped over a stack of folded blankets, on top of a white cubby, in the Busy Bee room. 2.) An electrical cord hanging down freely, beside a lamp, near the entrance door in the Junior Tot's room. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, the following was found: seven (7) staff members (DOH: 02/22/23, 02/27/23, 11/21/22, 05/23/22, 11/02/22, 02/27/23, and 05/05/22) did not have proof of education 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.

Based on review of documentation, the following was found: 1. No TB documentation was presented for five (5) staff members (DOH: 08/15/22, 02/22/23, 02/27/23, 11/02/22, 02/27/23). 2. Documentation presented for staff member (DOH: 09/14/20), included the most recent TB skin test dated 09/14/20, which was no longer current. 3. Documentation presented for a substitute staff member (DOH: 08/18/17), included the most recent TB skin test dated 09/08/20, which was no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, the following was found: ten (10) staff members (DOH: 07/05/22, 11/02/22, 08/08/22, 08/15/22, 12/02/22, 11/21/22, 06/01/22, 03/31/22, 05/05/22 and 08/18/17 [sub]) did not have written evidence of CPR and First Aid training. The ECE-TRIS system was reviewed and confirmed these findings. 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

Category: health medication. Open / not marked corrected.

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

Based on review of documentation, the following was found: 1. A staff member (DOH: 07/05/22) has not completed orientation training, which is required within ninety (90) days of employment. 2. A staff member (DOH: 06/01/22) has not completed orientation training, which is required within ninety (90) days of employment. 3. A staff member (DOH: 11/02/22) has not completed orientation training, which is required within ninety (90) days of employment. 4. A staff member (DOH: 08/08/22) has not completed orientation training, which is required within ninety (90) days of employment. 5. A staff member (DOH: 02/28/22) has not completed orientation training, which is required within ninety (90) days of employment. 6. A staff member (DOH: 05/05/22) has not completed orientation training, which is required within ninety (90) days of employment. 7. A staff member (DOH: 05/25/21) completed 10.50 of the required fifteen (15) cabinet-approved early care and education training hours between 07/01/21 and 6/30/22. 8. A staff member (DOH: 09/14/20) completed 2.0 of the required fifteen (15) cabinet-approved early care and education training hours between 7/01/2021 and 6/30/2022. 9. A staff member (DOH: 11/08/21) did not complete any of the required fifteen (15) cabinet-approved early care and education training hours between 11/08/21 and 06/30/22. 10. A staff member (DOH: 08/14/17) did not complete any of the required fifteen (15) cabinet-approved early care and education training hours between 07/01/21 and 06/30/22. 11. A substitute staff member (DOH: 08/18/17) did not complete any of the required fifteen (15) cabinet-approved early care and education training hours between 07/01/21 and 06/30/22. The ECE-TRIS system was reviewed and confirmed these findings. 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to maintain state regulations. During the survey of the Crawlers room, two (2) infants, asleep at the time, had items inside their individual cribs. The first was located in the crib next to the back wall. The sleeping infant had a clip attached to their pacifier and onesie (outfit). The second was located in the crib closest to the entrance door. The sleeping infant had a bib around their neck, fastened with velcro. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was found: 1.) A bottle of Dr. Pepper Zero was found on a small black shelf in the PreK #2 room, next to the classroom sink, accessible to children in care. 2.) A bag of De-Icer salt was found on the front porch, directly to the left of the front entrance door. The front door is used to access the outside playground, making the bag of De-Icer accessible to children when entering and exiting.

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. During the survey the following was found: 1.) An unknown black substance was found on the back of the PreK #2 classroom sink. It was located behind the faucet, accessible to children in care. 2.) A ceiling vent, located in the bathroom near the Preschool room, was covered in dust and had no protective covering, exposing the fan and the inside electrical components. 3.) An electrical outlet in the Junior Tot's room was being held in place on the wall with multiple pieces of tape. The outlet was located approximately at the half-way point on the left wall, accessible to children in care. 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 child care center failed to maintain state regulations. During the survey, the following was found: 1.) Red and purple paint on the left wall, near the classroom sink, in the PreK #2 room. 2.) A missing ceiling tile, just above the door, in the bathroom near the Preschool room. 3.) Multiple spots of peeling paint that exposed the drywall underneath, on the right-side wall, in the PreK #1 classroom. 4.) A large, circular brown stain was found on a ceiling tile, just above the toilet, in the hallway bathroom that is at the top of the ramp. This bathroom and ramp is located directly across from the center kitchen Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on observation, the child care center failed to maintain state regulations. Multiple pieces of trash and debris were found on the outdoor play area during the survey. 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.

Based on observation, the child care center failed to maintain state regulations in regard to Equipment. A blue play sofa, located in the Junior Tots dramatic play area, had a tear/hole on the seated cushion on the front left. The tear exposed the yellow padding inside, making it accessible to children in care. Transportation Not Applicable 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.

Based on observation, the child care center failed to maintain state regulations in regard to Kitchen Equipment. During the survey, the mini fridges in the Junior Tot, PreK #1, and Infant classrooms were found to be missing an indicating thermometer to allow a person to measure the internal temperature where food and bottles are stored for children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report 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.

Based on observation, the child care center failed to maintain state regulations. A plastic container of baby food (sweet potatoes) was found uncovered and unlabeled in the Infant's room black mini fridge. 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 9. Records.

Based on review of documentation, six (6) staff members (DOH: 02/28/22, 03/31/22, 09/14/20, 01/17/17, 03/07/22, and 08/18/17) did not have current professional development plans on file. 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.

Based on observation, the posted snack menu for 04/04/23 indicated that Cheez-its and water will be served for snack. A snack shall include two (2) of the following components: milk, meat or meat alternative, bread, grain; or a fruit, vegetable, or 100 percent juice. Water does not count as a second component for snack. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the following was found: 1) A staff member witnessed another staff member pinch and then squeeze the leg of a two-year-old child because the child did not have her shoes on while she was on the playground. The staff member then aggressively put the child's shoes back on her feet and then slammed the child's legs and feet to the ground. 2) A staff member also witnessed the same staff member jerk another two-year-old child by the upper arm off the bottom of the slide and place him on the ground for coming down the slide on his belly. Both incidents happened within a few minutes of each another and were both reported to the staff person in charge. Both children were checked for any marks/bruising and there were no visible marks/bruising found. Both sets of parents were notified of the incident. 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 2. Child Care Services.

General: Based on interview, the following was found: 1) A staff member witnessed another staff member pinch and then squeeze the leg of a two-year-old child because the child did not have her shoes on while she was on the playground. The staff member then aggressively put the child's shoes back on her feet and then slammed her legs and feet to the ground. 2) A staff member also witnessed the same staff member jerk another two-year-old child by the upper arm off the bottom of the slide and place the child on the ground for coming down the slide on his belly. Both incidents happened within a few minutes of one another and were both reported to the staff person in charge.

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 CONFIRMED that the center did not provide for the health, safety and comfort of a child when he was picked up out of his high chair. The staff member lost her balance when another child was crawling behind her, which caused her to fall over and land on her back with a child on top of her chest. The child was diagnosed with a spiral fracture of his right leg. Director Requirements In Compliance Employee Records In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, observation and interview, this regulatory requirement was not met. One staff person (hire date: 5/5/22) had KARES documentation on file which listed the following as the employee's employment eligibility status: New Application must be Submitted. This staff person was not listed under the facility's name in the KARES database prior to the inspection. The staff person in charge attempted to re-enter the staff person's information in KARES during the visit; however, stated that she was not able to because the staff person's driver's license was expired. This staff person was not observed working alone during the visit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 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 review of documentation and observation, this regulatory requirement was not met. The surveyor toured the facility with the staff person in charge upon arrival and observed one staff person caring for two children alone in the Jr Tots Classroom (one-to-two-year old's). During the file review, it was found that this staff person was hired on 4/25/22. Her personnel file only contained a packet of background check forms that had been filled out by the staff person and an IdentoGo form. There was no evidence on file that the staff person's fingerprints had been submitted for processing and a review of the Kentucky National Background check service (KARES) supported this finding. The staff person in charge entered the staff person's information in KARES during the visit and provided the surveyor with documentation stating that the staff person's background check was "In Process".

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 observation, this regulatory requirement was not met. One staff person (hire date: 10/8/21) 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 New Jersey and South Carolina. The staff person had listed in her file that she previously lived in these two states within the past five years; therefore, she would need a criminal records check, child abuse/neglect check, and a sexual abuse registry check from these states. This staff person was observed working alone with children in the Preschool Classroom during the inspection. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. During a tour of the Infant Classroom, the surveyor observed a lamp clipped to a shelf above the diaper changing table. The lamp was plugged into an electrical outlet next to the diaper table and the cord was hanging loose above the area. The cord was accessible to the children. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found documentation of only one staff meeting in the previous year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, five staff eligible for an annual performance review did not have current documentation of a review on file at the facility. The documentation on file was dated 2018 and 2019. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and observation, this regulatory requirement was not met. The following was found: 1. The facility failed to obtain the results of a background check from a previous state of residence for one employee (hire date: 10/8/21) prior to allowing the staff person to work alone with children. A review of this staff person's file during the inspection found New Jersey and South Carolina listed as a previous residence within the past five years. The staff person in charge stated that this was an oversight on her part and indicated that out of state background checks had not been submitted for processing. This staff person was observed caring for seven preschool children alone during the visit. 2. The surveyor toured the facility with the staff person in charge upon arrival and observed one staff person caring for two children in the Jr Tots Classroom (one-tp-two year old's). During the file review, it was found that this staff person was hired on 4/25/22. Her personnel file only contained a packet of background check forms that had been filled out by the staff person and an IdentoGo form. There was no evidence on file that the staff person's fingerprints had been submitted for processing and a review of the Kentucky National Background check service (KARES) supported this finding. The staff person in charge entered the staff person's information in KARES during the visit and provided the surveyor with documentation stating that the staff person's background check was "In Process". Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, seven staff (hire dates: 11/8/21, 12/28/21, 11/13/21, 4/15/22, 5/14/21, 5/5/22, and 4/25/22) 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. The following was found: 1. One staff file (hire date: 6/11/19) contained results of a negative T.B. test that is no longer current. The test was dated 9/16/19, which exceeds the two year time frame. 2. One staff person (hire date: 4/25/22) did not have T.B. documentation on file. 3. One staff person (hire date: 10/8/21) had TB documentation in her file; however, the documentation did not contain a date. Therefore, the surveyor was not able to determine if it was current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, 14 staff out of 25 did not have evidence of completing CPR/First Aid training on file at the facility. 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 3 of 7 Inspection Report

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 and the Training Records Information System (TRIS), the following was found: 1. Four staff (hire dates: 5/25/21, 10/8/21, 12/28/21, and 11/13/21) did not complete the required Orientation training. These staff have been employed for more than three months. 2. One staff person hired on 6/11/19, completed PAHT training on 11/24/15; however, did not renew the training due 11/14/20. 3. Three staff (hire dates: 9/17/18, 8/18/17, and 6/11/19) did not complete the required 15 hours of cabinet-approved training hours between 7/1/2020 and 6/30/21. 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 3. General Requirements.

General: Based on observation, this regulatory requirement was not met. A container of Clorox Disinfecting wipes were positioned on a low shelf in the gym and was accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The wall where riding toys are stored in the gym contained numerous areas of chipped paint and small divots. 2. A wall in the dramatic play area in the second Preschool Classroom contained approximately 10-12 small holes. An administrative staff person stated during interview that a shelf had been removed from the wall. 3. The wall above the sink and counter top in the Jr. Tots Classroom had been repaired with dry wall mud; however, the area had not been sanded or painted. The surveyor observed several smaller areas throughout this classroom that had been repaired, but not sanded or painted. 4. The walls in the Busy Bee's Classroom were in disrepair. The surveyor observed excessive chipped paint beside a stack of cots and beside the sensory tables. The wall in the circle time area contained chipped paint and small divots. The wall next to the door used to enter and exit the classroom contained several areas of torn drywall. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The diaper changing mat in the Tiny Tots Classroom contained two large tears on the top surface. Therefore, it could no longer be properly cleaned and sanitized. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. A container positioned on a shelf next to the diaper changing table in the Crawler's Classroom contained a bottle of Aquaphor Healing Ointment that was not labeled with a child's name. 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, this regulatory requirement was not met. The surveyor observed two small plastic slides positioned on top of blacktop on the toddler playground. One of the slides had a thin outdoor sheet underneath it; however, there was no protective surfacing material underneath the slides. 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.

Based on observation, this regulatory requirement was not met. The Busy Bee's Classroom contained a bean bag with a large tear in the vinyl cover and a mirror hanging on the wall with excessive smudges and grime smeared on the surface.

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, this regulatory requirement was not met. The following was found: 1. The crock pot used to warm infant bottles in the Crawlers Classroom contained a dark ring of film on the inside. 2. A face plate on an electrical outlet in the Preschool Classroom was broken and contained sharp edges. 3. A face plate on an electrical outlet in a second Preschool Classroom was broken. Two pieces of Duct tape had been placed over the outlet in an attempt to secure it to the wall and a large pillow had been placed in front of the area. 4. During a tour of the Infant Classroom, the surveyor observed a sign posted on the bathroom door that stated, "Bathroom Sink Broken. Please Wash Hands Infant Room Sink". The surveyor turned the knobs on the sink and found that only a few drops of water comes out of the faucet; therefore, it does not work properly. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1.The refrigerator used for the storage of yogurt sticks in the Preschool Classroom did not have an indicating thermometer. 2. The refrigerator used for the storage of a child's milk in the Jr. Tots Classroom did not have an indicating thermometer. 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, one child (enrollment date: 8/9/21) had an immunization certificate on file that was no longer current as of 9/26/21.

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, two children's files did not contain the name and phone number of the child's physician (enrollment dates: 1/3/22 and 8/9/21). 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, four staff (hire dates: 2/18/21, 9/14/20, 8/1/00, and 6/11/19) did not have evidence of a staff professional development plan on file at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 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 review of documentation, this regulatory requirement was not met. At the time of the survey it was found that there was no record of quarterly earthquake and tornado drills conducted at the facility.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. At the time of the survey it was found that there was no record of lockdown drills conducted at the facility. Posted Documentation In Compliance 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.

During the investigation it was found that a three-year-old child was left alone and unsupervised in the gym for a few minutes on March 16, 2022, at approximately 5:00 pm. On March 16, 2022, the preschool class was transitioning from the gym to the playground. A staff member stated that she was positioned in the front of the line and a second staff person was positioned in the back of the line as they walked to the playground. After they reached the playground, a third staff member brought the three-year-old child outside and told the staff that she had found him alone in the gym. Based on interviews, the surveyor found that the staff forgot to count the children during the transition. Staffing Requirements 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 interviews, the center failed to maintain the health and safety of the children in care by allowing children to have access to their classrooms during construction on the roof. During the investigation, the surveyor found that the gym, infant, and preschool classrooms were affected for a few days during construction on the roof. Staff stated that they could see the sky through holes in the ceilings and dust and debris on classroom floors and tables. Staff stated that the ceilings were later patched, and staff cleaned their classrooms the best that they could, but dust and debris continued to fall while the children were present in their classrooms. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interviews, the childcare center failed to maintain the premises requirements. Staff reported trying to clean their classrooms the best that they could while a new roof was being installed. However, dust and debris continued to fall in the classrooms while children were present. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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 interviews, a two-year-old child wandered away from her class as the children were lining up to go to the playground. A teacher found the child in the staff workroom playing with sand. The teacher escorted the child to the playground and informed the child's teachers of the incident. It is estimated that the child was unsupervised approximately three-to-five minutes. Staffing Requirements 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 11. Staff Requirements.

General: Based on observation and review of documentation, this regulatory requirement was not met. A staff member hired on 10/14/2020, did not have written evidence of completing the six-hour cabinet-approved orientation training within the first three months of employment. The ECE-TRIS system was reviewed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The following was found: 1. The Crawlers Room did not have a dated lesson plan posted. 2. The Infant Room did not have a posted lesson plan. 3. The Tots Room did not have a posted lesson plan. 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, this regulatory requirement was not met. The following was found: 1. The women’s hall bathroom that is used by the children, contained an insect glue trap on the floor behind the door. The trap was accessible to the children. 2. The Tots Room (one-year-olds) contained an unlocked cabinet under the diaper-changing table that contained numerous diaper ointments. This area was accessible to the children. The diaper ointments were labeled “keep out of reach of children”.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The Crawlers Room contained a dusty vent on the wall. 2. The Infant Room contained dried, rusty, water stains on the wall behind one of the cribs. 3. The Pre-K 2 B Room contained a section of missing baseboard next to the home living area. 4. The Pre-K 2 B Room contained a stained ceiling tile above the home living area. 5. The bathroom in the Busy Bees Room contained a missing ceiling tile. 6. The bathroom in the Busy Bees Room contained a missing cover over the exhaust fan in the ceiling. 7. The Tots Room contained a dusty vent on the wall. 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

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 Busy Bees Room contained chipped paint on the wall near the library area and the wall by the science area. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The Infant Room contained tape residue on several of the cribs. The residue was located on the Plexiglass area of the cribs. 2. The Pre-K 1 Room contained areas of trim that were coming off of the sides of the handwashing sink. 3. The Busy Bees Room contained a mirror in the library area that contained scuffs and smudges. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. There was not a thermometer inside the freezer in the Crawlers Room; therefore, the temperature of the freezer could not be determined. The freezer was storing breastmilk and teethers for the children. A freezer shall be kept at zero degrees Fahrenheit or below. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The following was found: 1. A child's enrollment information did not include signed authorization by the parent for the child-care center to seek emergency medical care for the child in the parent's absence. 2. A child’s enrollment information did not include a preferred hospital. This area was left blank on the enrollment form. Written Documentation In Compliance Posted Documentation In Compliance Animals 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. Animals.

General: Based on observation, interview and review of documentation, this regulatory requirement was not met. The Preschool Room contained a fish. Eleven of the seventeen children enrolled in this classroom had written parental consent to be in the presence of the fish. Emergency Regulation 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, there is a large opening instead of a door leading directly into the kitchen off of the main facility hallway. There was an unlocked kitchen drawer with knives inside and an unlocked cabinet with a bottle of bleach inside. These items were accessible to the children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of the Training Records Information System (TRIS), the following was found: Three staff (hire dates: 8/20/18, 12/26/18, and 11/1/18) did not complete the pediatric abusive head trauma training class within the first year of employment. The certificates were dated 2/11/20, 3/20/20, and 3/16/20. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, blue marker and dirt marks were found on the changing pads in the infant classroom and Busy Bee's classroom. 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, a section of the left side edge of the laminate sink counter top in the Pre-K II classroom had broken off and there was a sharp edge exposed. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation 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, this regulatory requirement was not met. It was found through a review of job descriptions provided for review there was not an individual job description for the postion of Director, Assistant Director and Cook. During the exit conference the director indicated that the facility Board is revising the job descriptions for the Director and Assistant Director. The director stated she was unaware that a job description for the position of cook was a requirement.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. During a tour of the Jr. Tots Classroom (one (1) year olds) the surveyor observed an oil diffuser positioned on top of a toy shelf. The diffuser was plugged into an electrical outlet near the floor and the cord was hanging loose along the side of the shelf; therefore, was accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was determined this regulatory requirement was not met. 1. An employee with a hire date of 02/15/2018, did not have a TB verification dated pre-employment. The record on file was dated 02/21/2018. 2. An employee with a hire date of 12/26/2018, did not have a TB verification in the file presented for review that was dated pre- employement. The record on file was dated 01/15/2018.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was determined this regulatory requirement was not met. The following was found: 1. A staff member with a hire date of 10/10/2016, only had record of ten (10) hours of annual training in the file presented for review. 2. A staff member with a hire date of 08/14/2017, only had record of eleven (11) hours of annual training in the file presented for review. 3. A staff member with a hire date of 05/31/2017, only had record of eight (8) hours of annual training in the file presented for review. 4. A staff member with a hire date of 12/27/2018, did not complete orientation training in the designated timeframe per regulation. The record on file was dated 04/01/2019. 5. A staff member with a hire date of 06/01/2018, did not complete orientation training in the designated timeframe per regulation. The record on file was dated 11/27/2018. 6. A staff member with a hire date of 08/20/2018, did not complete orientation training in the designated timeframe per regulation. The record on file was dated 01/09/2019. 7. A staff member with a hire date of 08/20/2018, did not complete orientation training in the designated timeframe per regulation. The record on file was dated 02/19/2019. 8. A staff member with a hire date of 07/30/2018, did not complete orientation training in the designated timeframe per regulation. The record on file was dated 12/03/2018. 9. A staff member with a hire date of 08/27/2018, did not complete orientation training in the designated timeframe per regulation. The record on file was dated 02/25/2019. 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 3. General Requirements.

General: Based on observation, this regulatory requirement was not met. During a tour of the Tiny Tot's Classroom (one (1) year olds) the surveyor observed a sharp knife lying in the classroom sink along with several dirty dishes. It appeared as though this sink is not used for children's hand washing; however, the children's hand washing sink is positioned right beside the sink with the knife.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, observation and interview, this regulatory requirement was not met. The surveyor observed eight (8) children present in the Jr. Tots Classroom during the visit. A review of the building diagram obtained during the 1/11/18 change of location inspection found that the classroom was over capacity because seven (7) was noted as being the room capacity. It is important to note that this same diagram was posted in all the classrooms throughout the facility. The staff person in charge stated during interview that she was told that the Jr. Tots Classroom was large enough for eight (8) children and she presented the surveyor with a copy of a Fire Marshal inspection dated 10/23/17. A review of the Fire Marshal inspection revealed that the Jr. Tots Room was listed as a total capacity of eight (8). The surveyor measured the classroom during the visit and found it to be 13' 8" by 20'2" which only provides the minimum thirty-five (35) square feet of space for seven (7) children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. During a tour of the Preschool Classroom the surveyor observed an floor drain positioned between the classroom tables and counter space area. The floor drain was covered; however, the cover was not level with the tile flooring. It was set deeper into the floor approximately one (1) inch which created a trip hazard. Numerous dirt and food particles had collected in the area. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. A bottle of Blue Lizard Austrailian Sunscreen was observed sitting in a child's cubbie in the Pre K 1 Classroom. 2. A container of Boogie Mist saline solution (labeled "Keep Out of Reach of Children") was observed sitting in a child's cubbie in the Tiny Tot's Classroom. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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 8. Kitchen Requirements.

General: Based on observation, this regulatory requirement was not met. During a tour of the Tiny Tots Classroom (one (1) year olds) the surveyor observed approximatley nine (9) reusable sippy cups and lids that had been washed by hand in the classroom sink after breakfast and were found in a dish drainer beside the sink. This process does not meet the requirement of the regulation because the items are not sanitized. The director acknowledged this finding during the exit interview. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff person hired on 1/30/18 had TB documentation on file dated 2/5/18; therefore, the documentation was not obtained prior to the staff person's date of hire.

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 person hired on 8/15/2013 only completed thirteen (13) hours of Early Care and Education Training. (2) A staff person hired on 1/23/17 only completed 8.5 hours of Early Care and Education training. (3) A staff person hired on 10/1/17 has not completed the six (6) hour orientation training. (4) A staff person hired on 1/17/17 did not complete the six (6) hour orientation training within the ninety (90) day time-frame. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, in the prek1 room there was an unlocked cabinet with toxic paint in reach of children. In the Tiny Tots room the diaper changing table cabinet was unlocked with diaper rash meds in reach of children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the prek1 room there was a pair of scissors on a low shelf in an unlocked cabinet accesible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that in the girls' bathroom located in the small hallway there were three (3) ceiling tiles that were stained from apparent water damage. One (1) ceiling tile was found to be partially missing, leaving an open spot in the ceiling. It was also found that the celing tile around the light fixture was broken and bowed. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a medication administration permission form dated 3-25-18 did not include a time for the medication to be administered. A medication administration permission form dated 4-9-18 stated that the medication was to be given "as needed." A time of day was not specified.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, it was found that an unlocked cabinet in the kitchen contained an unlabeled inhaler, a bottle of Equate Children's Acetaminopen and an unlabeled bottle of Caladryl Clear Lotion. It should be noted that the kitchen is an open concept and does not have a door separating it from the rest of the facility. Outdoor Play Area Not Applicable 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

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the blue couch in the Busy Bee room was ripped and in need of repair or replacement. The blue chair in the PreK2 room was ripped and in need of repair or replacement. The blue couch in the PreK1 room was ripped and in need of repair or replacement. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that two (2) children's files out of ten (10) children's files reviewed did not contain information regarding the parents' preferred hospital. One (1) of the forms stated "nearest" and the other stated "no preference." It was also found that the file for one (1) child did not contain an enrollment packet or contract signed by the parents therefore the following information was missing: a medical history, authorization for emergency medical care, parental contact information, physician contact information, pick-up authorization and information regarding the parent's 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 9. Records.

General: Based on Observation, it was found that in the Infant classroom, medication administration forms for two (2) children were posted and able to be viewed by anyone entering the room. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on interviews and review of documentation, the facility failed to notify the cabinet within twenty-four (24) hours of discovery of an injury to a child that required medical attention. Based on interviews, a toddler fell into a chair causing an injury to his forehead and was treated at a physician’s office on 6/27/17. Based on record review, the incident was reported on 6/29/17. Therefore, the cabinet was not notified within the twenty-four (24) hour time-frame. The director reported that she was on vacation during the time of the incident and was unable to notify the cabinet within the twenty-four (24) hour time-frame. Director Requirements In Compliance Employee Records 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, two (2) employees had their criminal record checks in their files, but the there was no documentation to indicate these requests were made prior to or on the date employment began. The hire dates listed for these individuals were 12/6/16 and 9/12/16. One (1) employee who has resided out of Kentucky did not have an Out Of State Background check requested or completed in her file; the hire date was 2/9/17.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one employee did not have a valid TB skin test result in the file. The hire date for this employee was 1/17/17. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, three (3) employees did not have the required fifteen (15) hours of training completed; this was verified through ECE-TRIS, the employees hire dates were 08/18/00, 05/01/2015, and 08/13/15. Two (2) employees with hire dates of 12/6/16 and 7/25/16 have not yet completed the required Orientation Training in their first ninety (90) days. Seven (7) employees did not complete the required Orientation Training within their first ninety (90) days, their hire dates were 7/5/16, 8/5/16, 9/9/16, 11/1/16, 9/26/16, 8/29/16 and 8/1/16. 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 3. General Requirements.

General: Based on Observation, the Tiny Tot's Room contained an adult desk, on the nap-side of the room, that contained a cup with sharp push-pins and a sharp stapler remover inside it. Based on interview one (1) child in the room was mobile and the location of the push-pins and the stapler remover would have been accessible to the mobile child.

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 Busy Bee's Room and the Preschool Room contained some rust and chipped paint in the lower section of the window frame in the back of the classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the Preschool Room contained a section of chipped paint and crumbling drywall adjacent to back door.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the overhead light in the bathroom of the Busy Bee's Room was not working. 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 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the sand table in Busy Bee's Room contained a vinyl cover that was torn and repaired with duct-tape.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the Busy Bee's Room contained a metal vent cover near the circle time rug that was not secured to the wall properly. The Preschool Room contained some mini-blinds on the side window that were in disrepair. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the Jr. Tot's Room contained a mini-refrigerator with milk stored inside it and it did not contain a thermometer. The temperature of the refrigerator could not be determined.

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 Review of Documentation, the posted menu for April 3-7 indicated that on Wednesday the children were going to be served Chex Mix and water. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was one child's file that was missing the parent's signature for emergency authorization for the child to be transported during an emergency. Written Documentation In Compliance Posted Documentation In Compliance Animals 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. Animals.

General: Based on Observation, the Preschool Room contained a fish on the counter and the facility did not have parental consent for the children to be in the presence of the fish.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the surveyor saw a staff person come around the corner of the hallway and enter the infant classroom. The surveyor went into the classroom and noted there were six (6) infants with two (2) staff. There was only one (1) staff in the infant room with six (6) children when the surveyor saw the staff person in the hallway. The director acknowledged this finding.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Observation, in several classrooms there were lunch menus posted with a child's name printed on the sheet. Certain foods were marked through on the menus and words like, "no bread", "milk is ok" was printed on the lists. This is considered confidential information for the child. The director stated that she did not understand this regulation and felt if a child could not have a certain food then anyone who walked into the classroom should be aware of this to help prevent a medical emergency. She stated that the parent is the one who completes the lunch sheet and is aware it is posted in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff did not have a current evaluation on file. The evaluation on file was dated 8/25/14. This staff was hired on 9/24/1998. The director acknowledged the deficiency. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, three (3) staff did not have out-of-state background checks on file. The staff were hired on 2/28/15, 8/1/15, and 11/9/15. The staff hired on 2/28/15 lived in Illinois, the staff hired 8/1/15 lived in Florida, and the staff hired on 11/9/15 lived in Ohio within the last five (5) years. These three (3) staff members were not working alone during the relicensure survey. The director inquired about how to obtain the out-of-state background checks.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff hired on 8/25/15 did not have proof of education on file. The director indicated that she ordered the information 3-4 months ago and it still has not come back yet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the lesson plan for the preschool classroom was dated 04/18-04/22.

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, there was a bottle of disinfectant spray sitting out on a counter in the preschool classroom. This spray was accessible to the children. The director acknowledged this finding.

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 wall vent in the dramatic play area in the preschool classroom was covered in dust. There was chipping paint on several walls in the preschool classroom and the Jr. Tots classroom. There was a large section of missing drywall found on a wall in the eating area. The director stated that the facility is planning a work day in May for repairs and cleaning of the facility.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, a staff person was seen wiping a child's nose in the Tiny Tot's classroom and not wash her hands afterwards. She was then seen picking up another child and placing the child in her lap at the table.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, there were cigarette butts and paper found on the playground. The director stated that she cleans the playground every morning but trash still gets on the playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the weed cloth was showing through the mulch on the playground posing a tripping hazard. The director stated that more mulch is going to be brought in soon.

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, there were several torn books in the preschool classroom. The director acknowledged this finding.

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, gray duct tape was found covering a broken section on the green alligator seesaw in the indoor gym. The director stated she would remove the equipment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, this regulatory requirement was not met. A review of the 4/25/16 facility attendance records found that six (6) children had an arrival time documented; however, did not have a departure time. Also, three (3) children had a departure time documented, but did not have an arrival time. The staff person in charge stated that sometimes their parents forget.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff did not have a professional development plan on file. The staff was hired on 7/1/89. The director indicated that it was on her to do list.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff (hire date: 2/14/2013) had TB skin documentation on file that was no longer valid as of 11/19/2014.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that in the Jr. Tot's classroom, eight (8) children ranging from ages eighteen (18) months to twenty-six (26) months were mixed together. The staff in charge stated that the children stay in the classroom like this until space becomes available to put a two (2) year old in an older classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that there was a hole in the wall in the upstairs restroom used by the children for toileting. It was also found that there were several areas of chipping paint in the infant classroom, Busy Bee's classroom, Jr. Tot's classroom and Pre K2 classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was found that the tank lid to the toilet was broken in several pieces. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, child enrolled 6-4-12 did not have evidence of a preferred hospital on file in the facility.

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, it was found that the classrooms do not consistently maintain the required staff to child ratio at nap time. The staff are premitted to take lunch breaks during nap time leaving one (1) staff person in the room. It was found that a staff person had been left with fourteen (14) two (2) year old and a staff person had been left with eight (8) one (1) year olds. The staff take breaks that are thirty (30) minutes or one (1) hour based on the number of hours the staff person works. Programming

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, and interview there were nine (9) children in the Junior Tots room. Three (3) of the children were two (2) years old and six (6) were one (1) year old. There are fourteen (14) children enrolled in this group, some part time, and four (4) are two (2) years old and the rest are one (1) year old. The staff person in charge stated that there is no room for the two (2) year olds to move up to the two (2) year old class. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there were brownish spots or stains on the carpet in the Tiny Tots room. Based on interview there had once been mold in a near by area of the carpet. The carpet had been cleaned but the brown spots remained. Also, the gym ceiling had areas where there were holes in the plaster. The staff person in charge stated the plaster had recently been scraped because there had been water damage but the finish wasn't going to be completed until spring to ensure the roof no longer leaked. The walls also had unpainted areas. The staff person in charge stated that these things were cited during a relicensure visit and the plan of correction submitted stated that the repairs would be completed by the end of May 2014.

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 facility failed to ensure that indoor equipment be designed to guard against situations that may cause strangulation. In the Jr. Tots classroom, the drawstring on the green window blinds measured twenty-one (21) inches from the ground. The drawstring was within reach of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the facility failed to maintain adequate supervision at all times by a qualified staff person who ensures each child is within scope of vision and range of voice. At the time of survey, a four (4) year old child enrolled in the Pre-Kindergarten One (1) classroom, was observed in the toilet room unsupervised. The toilet room is located outside of the classroom, directly left of the classroom. While the child was in the toilet room, the child was not within the range of vision of the staff member. The child was unsupervised in the toilet room for approximately two (2) minutes. The door to both the classroom and toilet room were open, however, the staff member was not within scope of vision while standing inside the classroom.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Review of Documentation, the facility did not have a copy of the current regulations.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) staff (hire dates: 2/14/13 and 2/4/13) eligible for an annual performance review did not have documentation of a review on file in the facility.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff person (hire date: 1/20/14) had a criminal records check (CRC) that was dated 1/30/14 and another staff person (hire date: 2/20/14) had a CRC that was dated 3/19/14. There was no documentation to verify that the criminal records checks were submitted within the regulatory timeframe.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff person (hire date: 10/12/13) did not have educational documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) employee did not have evidence of a negative TB skin test or physician's statement documenting he/she was free from tuberculosis prior to employment. The employee was hired on 2/10/14; however, did not have a TB skin test until 2/17/14.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the following was found: 1. Three (3) staff files (hire dates: 2/14/13, 2/4/13 and 7/1/13) did not contain evidence of the six (6) hours of cabinet-approved training being completed within the first three (3) months of employment. 2. One (1) staff file (hire date: 2/4/13) did not contain the required nine (9) hours of training the first year of employment. 3. One (1) staff file (hire date: 8/18/00) did not contain the required fifteen (15) hours of training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the facility failed to ensure that an infant or toddler aged child shall participate in an activity with an older child for no more than one (1) hour per day. At the time of survey, two (2) two-year old children were observed participating in an activity with six (6) one-year old children. The oldest child in the classroom was two (2) years and one (1) month old. The youngest child in the classroom was eighteen (18) months old. The staff member in the classroom reported that the two-year old children are always in the classroom with the one-year old children. The staff member also reported that the two-year old children were not scheduled to transition into the two-year old classroom until May 2014.

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 facility failed to ensure the walls of the building is smooth, in good repair, and constructed to be easily cleaned. At the time of survey, an excessive amount of chipped paint was observed in the following locations: along the baseboard under the calendar in the Jr. Tots classroom, on the wall to the right of the yellow door in the Busy Bees classroom, along the blue baseboard behind the swings in the Infant classroom, along the red baseboard in the block area of the Pre-Kindergarten One (1) classroom, at the window ledge of three (3) windows in the Gymnasium, at the window ledge of two (2) windows in the back of the Preschool classroom, along the baseboard in the toilet room located in the Pre-Kindergarten two (2) classroom. At the time of survey, pieces of drywall were observed damaged and flaking in the following areas of the facility: behind the dramatic play area in the Jr. Tots classroom, along the metal trim in the toilet room of the Prekindergarten two (2) classroom, and at the end of the Gymnasium below the basketball goal.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the facility failed to ensure that the handwashing sink in the preschool classroom be equipped with liquid soap, a hand drying blower or single use disposable hand drying material.

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 facility failed to ensure that toilet training chairs used, be kept out of of reach of other toilets or toilet training chairs and be sanitized after each use. In the Busy Bees classroom, two (2) toilet training chairs were located on the floor, in front of the toilet. The space between the training chairs was approximately four (4) inches. The staff member in the classroom reported that the training chairs are sprayed with soapy water mixture, and then wiped with a paper towel between uses. The staff member also reported that the training chairs are only sanitized at the end of the day. In the Preschool classroom, two (2) toilet chairs were observed on the floor by the toilet in the toilet room. The training chairs were stored across from each other, with approximately six (6) inches of space between the chairs and the toilet. The staff member stated that the toilet chairs are cleaned with soap and water in between uses, however, did not state if the chairs are sanitized. In both the Busy Bees and Preschool classroom, the training chairs were stored within reach of another toilet chair and toilet.

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, the facility failed to obtain a written request from the child’s parent to administer medication in an Epi Pen form for a child enrolled in the Tiny Tots classroom. The staff member reported that the Epi Pen is for a child with a life threatening allergy but had not been used. The Epi Pen was located in a locked box inside a cabinet in the classroom.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the facility failed to ensure that medication be kept in the original bottle and properly labeled. In the Tiny Tots classroom, an Epi Pen was observed in a locked box inside a teacher cabinet. The Epi Pen was not in the original box, or labeled with a prescription or name. In the infant classroom, a bottle of Benadryl was observed in a locked box inside a cabinet. The Benadryl was not labeled, and the staff member could not identify the person the medication belonged to. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the facility failed to ensure that individual bedding be stored in a sanitary manner. In the Jr. Tots classroom, a blue blanket was observed lying on top of a cot, which was stacked in a row with other cots. The edges of the blanket were observed hanging over the side of the cot, touching four (4) other cots. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the facility failed to maintain that all toys, equipment, and furniture contacted by a child shall be kept clean and in good repair. In the Jr. Tots classroom, two (2) shelves located in the library were observed to be in poor repair. The backs of the shelves were loose and not secured to the sides of the shelves. A clear, plastic tape had been placed along the connecting sides of the shelf to the back. The plastic tape had become frayed, and the back of the shelf was loose. In the Gymnasium area, three (3) tricycles were observed with missing pedals. In the Tiny Tots classroom, three (3) high chairs were observed against the wall. The high chairs did not have straps in the seats. The staff member reported that they use the high chairs to feed the toddler aged children during meal service. The staff member reported that the straps had been removed from the high chairs. In the infant classroom, two (2) high chairs were observed without straps. One (1) of the high chairs in the infant classroom was in use by an infant aged child. The child was not strapped into the high chair. The staff member reported that the straps of the high chair had been removed.

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 Interview, the facility failed to ensure compliance with a food service permit. In the infant classroom, the staff member reported that the microwave is used to heat baby food for the infant aged children. The facility did not obtain a food service permit that would allow the facility to heat food.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the facility failed to ensure eating and drinking utensils be kept clean and sanitary. At the time of survey, two (2) sippy cups and three (3) spoons were observed in a single compartment sink in the infant classroom. The staff member in the classroom reported that they wash the dishes used by the children in the single compartment sink. The staff member also reported that the sink is sometimes shared as a hand washing sink and is not sanitized in between uses. The staff member reported that the dishes used by children enrolled in the facility are washed with soap and water, but are not sanitized.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the facility failed to ensure that bottles are individually labeled. In the infant classroom one (1) bottle located in the refrigerator of the classroom, was not labeled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the facility currently has three (3) children who receive child care subsidy. However, the facility was not using the required sheet to document each child's time of arrival and departure.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) eligible staff did not have evidence of a professional development plan on file in the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Observation, it was found that the current rates and services were not posted in a conspicuous place. The rates and services were posted down behind the counter where the front desk is located. It was also found that the facility had received a civil penalty in January 2014. This was not posted in a conspicuous place. Information regarding the Kentucky Consumer Product Safety Program and the programs website and information was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview it was found that the facility employed a person that was found by the cabinet to have neglected a child, pursuant to 922 KAR 1:470. Following the Division of Regulated Child Care's receipt of a child abuse and neglect check submitted by this facility for an employee a phone interview was conducted with the director. During this interview it was confirmed that this individual was employed by the facility. The director also confirmed that she had a copy of the child abuse and neglect check that identified the substantiation but had not realized there was a substantiated finding marked on the report. The director indicated that the individual listed on the child abuse and neglect check was hired in February but only worked a couple of days due to a family emergency. During the brief time the person worked she was under the supervision of another qualified teacher. The director went on to indicate that the individual had also worked on April 29, 2013 and May 3, 2013.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, during a tour of the preschool room a blue table in the discovery area was observed to have numerous areas of chipping and peeling paint.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Based on observation an uncovered outlet was observed in the home living area in the Busy Bees room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a play pen/play yard was observed in the Tiny Tots room. An interview with staff found that the play pen/play yard is used to place a child who has bitten another child. The child only placed in the play pen/play yard for a "few seconds". Time out is not age appropriate for children under the age of two (2) years old. Based on observation it was found there was not a daily planned program of activities posted in the infant room.

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, Based on observation during a tour of the preschool room numeorus areas of chipping and peeling paint were observed on the walls in the dramatic play area and the book center.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, Based on interview with staff in the infant room it was found that toys are sanitized daily by placing them in soapy water with a disinfectant and washed with a cloth. The toys are then air dried. This does not meet the requirement for the sanitation of toys. General: Based on Interview, Based on interview with staff in the infant room it was found that toys are sanitized daily by placing them in soapy water with a disinfectant and washed with a cloth. The toys are then air dried. This does not meet the requirement for the sanitation of toys. First Aid/Medication

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Based on observation a zip lock bag labeled "teething tablets" and a child's name were observed in the locked medication box. The teething tablets were not in the original container as required by the regulation. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, a play pen was observed in the Tiny Tots room. The play pen/play yard is used for "Time Out" when a child has bitten another child. The play pen/play yard does not meet the new requirements for 16 C.F.R. 1221.

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, Based on observation a blue race car on the playground had an area where a steering wheel was missing that had been covered in duct tape. Duct tape is not an acceptable form of repair for equipment. General: Based on Observation, Based on observation a blue race car on the playground had an area where a steering wheel was missing that had been covered in duct tape. Duct tape is not an acceptable form of repair for equipment.

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, Based on observation in the Tiny Tots room it was found that the procedure for diaper changing was not posted. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on Review of Documentation, the surveyor found that one (1) staff person (hire date: 11/30/09) did not have an annual professional development plan on file at the time of the inspection. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.