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

General: Based on interview and review of documentation, the child care center failed to maintain Employee Records in accordance with state regulations. One (1) staff (DOH 10/02/23) did not have a current background check on file at the center or in KARES. The document presented for review was dated 03/20/19, which expired five (5) years from that date, 03/20/24. A subsequent interview with staff-in-charge found they were unaware it had expired. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain Employee Records in accordance with state regulations. One (1) staff (DOH 07/19/23) had not completed the required CPR/First Aid training at the time of the survey. 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: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain Employee Records in accordance with state regulations. One (1) staff (DOH 05/02/23) had not completed Pediatric Abuse Head Trauma (PAHT) training that is required one (1) year after the employee's initial hire date. 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 interview and review of documentation, a daily planned program (lesson plan) was not posted or made avialable for review in Classroom #112. The staff member could not locate the document. 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: Classroom #125 1. A container of Clorox wipes on top of a box within reach of the children in care. 2. A bottle of disinfectant spray on a shelf within reach of the children in care. 3. A purse on top of a desk within reach of the children in care. The purse was opened; therefore, the surveyor could see a container of food and a bottle of lotion. It is unknown the rest of the contents of the purse. It should be noted, the children present were five years old. School-Age Classroom 1. A container of Clorox wipes on a shelf within reach of the children in care It should be noted, the children present were six to-eight-years-old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: Classroom #130 1. Leftover Rice Krispie cereal in the handwashing sink. Classroom #108 1. Black residue inside a faucet extender attached to the hand-washing sink.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, The following was found: Classroom #121 1. Excessive black scuff marks on the wall behind a circle shaped table. Classroom #108 1. A section of chipped and peeling paint on the wall. Hygienic Practices In Compliance 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the surveyor found a sock, sanitary napkin, a potato chip bag, and a Spiderman sippy cup that contained milk, on the Toddler playground. The surveyor noted that a group of toddlers had been playing on the playground prior to the surveyor's inspection of the playground area. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation in Classroom #104, the surveyor found one (1) loose crib sheet that was not tight fitting to the crib mattress.

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: School-Age Classroom: 1. Excessive stains on two (2) area rugs. Transportation Not Applicable Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. A staff member hired on 5/15/2023, did not have the results of an out-of-state background check from Georgia. This staff member has lived in Georgia within the last five (5) years. The facility conducted a child abuse and neglect check from Georgia, but there was no written evidence that the sexual offender registry check was conducted from Georgia when the staff member was hired. This staff member was not working alone during the renewal survey. 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, two (2) children’s blankets hung loosely from the cubbies in Classroom 125, and the blankets touched one another. This method of storage promotes the spread of germs and bacteria. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. A substitute staff member hired on 5/24/2019 did not have written evidence of an evaluation on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Five (5) staff did not have proof of education on file. These staff were hired respectively on 10/26/2022, 11/07/2022, 5/15/2023, 4/24/2023, and 4/10/2023

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 toilets attached to classrooms 108 and 130 did not have a supply of toilet paper.

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. Three (3) staff did not have current negative TB documentation on file as follows: 1. A staff member hired on 3/28/2022 had a TB skin test on file dated 4/15/2021. The TB skin test is current for two (2) years. 2. A staff member hired on 5/04/2021 had a TB skin test on file dated 5/04/2021. The TB skin test is current for two (2) years. 3. A substitute staff member hired on 5/24/2019 had a TB skin test on file dated 5/27/2021. The TB skin test is current for two (2) years. Child-care center staff shall provide prior to employment and every two (2) years thereafter: a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin results.

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, this regulatory requirement was not met. There was no written evidence of CPR and First Aid training for a staff member hired on 10/26/2022. The ECE-TRIS system was reviewed and confirmed these findings.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The following was found: 1. A staff member hired on 10/26/2022, did not complete the required Orientation. This staff member has been employed for more than three (3) months. 2. A staff member hired on 2/21/2022 completed seven and one-half (7.5) of the fifteen (15) hours of cabinet-approved early care and education training between 2/21/2022 and 2/21/2023. The ECE-TRIS system was reviewed and confirmed these findings. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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 6. Sleeping and Napping Requirements.

General: Based on observation, an infant child was observed sleeping in a bouncer in classroom 112. There was not a crib available to place the sleeping child, as the cribs were being used by other infants.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, two (2) infants were sleeping with pacifier clips attached to their clothing within Classroom 112. Additionally, two (2) mattress sheets in classroom 112 were loosely fitted to the mattress. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a child’s bag was stored on a low shelf in classroom 116. The bag contained sunscreen and diaper cream; these items were accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation: 1.) There were several areas of peeling and chipping paint on the walls of classroom 104. 2.) There were areas of uncovered drywall that had not been sanded in classroom 125. 3.) The carpet behind the teacher’s desk in Classroom 125 had a large pile of pencil shavings. 4.) There were several pencil marks on the walls of Classroom 127 and Classroom 121.

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, urine and feces were observed in the toilets beside Classroom 125. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report 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, a bottle of Children’s Pain reliever was stored in the first aid box in classroom 108. The medication was not kept in a separate and locked location; additionally, the medication was not labeled with a child’s name. 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, during a tour of Classroom 112 the surveyor observed eight (8) infants with two (2) staff members. Only six (6) cribs were present in this classroom, all full of sleeping infants. One (1) child was asleep in a bouncer and one (1) child slept in a staff member’s arms.

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: 1.) Two(2) green cushions in the reading area of Classroom 127 had visible dirt stains. 2.) A toy storage shelf in classroom 127 had tape residue which had started to accumulate dirt and grime. 3.) A plastic toy bin in Classroom 127 was cracked and broken.

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, several chairs were stacked high within classroom 121 and presented a pullover hazard. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 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 classroom 112 had a brown paper towel frozen onto the shelf.

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, three (3) bottles in Classroom 112 were not labeled with a child’s name. Additionally, two (2) of the bottles were not capped or covered. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Three (3) staff members and one (1) substitute staff member did not have current professional development plans on file. These staff were hired respectively on 2/11/2022, 5/04/2021 (PD plan was not dated), 10/04/2021, and 5/24/2019 (sub).

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 times of the fire drills conducted in March, April, and May of 2023 were not documented. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, the statement of deficiency with corresponding plan of correction from the 2022 licensure year was not posted for public inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

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, a lesson plan was not posted or available in classroom 125 or 148. The lesson plans posted in Classrooms 116, 108, and 127 were not current because the posted plans were dated 5/8/2023-5/12/2023. The lesson plan posted in Classroom 140 was dated 5/2/2023-5/6/2023. Animals 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 children enrolled on 3/21/22, 8/24/20, 7/29/21, and 4/5/21, did not have immunization records on file at the facility.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, two staff hired on 3/18/22, and 2/9/22, did not completed the required CPR/FA training. These staff have been employed for more than three months. A review of ECE-TRIS was completed and confirmed this finding.

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, the following was found: 1.) Three staff hired 5/5/21, 7/14/21, and 12/14/21, did not complete the required Orientation training within the first three months of employment. The courses were completed on 3/1/22, 3/1/22, and 5/25/22. 2.) Two staff hired 3/18/22, and 2/9/22, have yet to complete the required Orientation training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, interview, and review of documentation, the surveyor found that staff were not following their written planned program (lesson plan) in each classroom. A review of lesson plans found the theme for the week was Boats and Ships. However, there were no thematic materials available to the children in the classroom or available for staff to implement the activities. Some of the activities listed on the lesson plans included: place boats in water table, provide books about boats and ships, put blue dye in the water, and add Noah’s Ark animals, and provide boat file folder games. Staff stated that they did not have the any of these materials. 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: 1.) The surveyor found a spray bottle labeled sanitizer and a spray bottle labeled disinfectant on a countertop in Classroom 130. The spray bottles were within reach of the school- age children. 2.) A bottle of Lysol and Fabuloso were found in an unlocked cabinet in Classroom 125.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found soap scum, grime, and remnants of food in sinks located in Classroom 104, Classroom 108, Classroom 121, and Classroom 125. Additionally, the surveyor observed some milk on the floor in Classroom 125.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found dents, a section of peeled paint, and excessive tape residue on a wall in Classroom 127. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Outdoor Play Area 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.

General: Based on observation, the surveyor found several pieces of discarded tissue, a plastic cup, and a piece of plastic on the toddler playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1.) There were missing handles on a pretend kitchen set in Classroom 108. 2.) A wobbly child-sized table was located in Classroom 130. 3.) There were excessive stains on an area rug in Classroom 127. 4.) There was food and a sticky residue on a table in Classroom 125.

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 surveyor found two preschool sized toilets in the restroom located between Classroom 127 and Classroom 130. The surveyor noted that there were ten school-age children ages five-to ten-years-old present in Classroom 130. The surveyor inquired about the school-agers' restrooms, and the staff person stated that the school-agers use the preschool sized toilets. The surveyor noted that the preschool sized toilets are not a suitable size for the school-age children.

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 surveyor entered Classroom 130 at approximately 10:00 a.m. and observed a ten-year-old female sitting in a chair that was not suitable for her size. The surveyor noted the child could not place her legs underneath the table. The surveyor found the tables and chairs were not a suitable size for a few of the other school-agers present in the classroom. The staff person stated the school-age children have been using Classroom 130 since June 1st. Transportation In Compliance Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the surveyor found an excessive amount of white residue (mineral scale) in the crock-pot located in Classroom 104. The crock-pot is used to warm bottles for infants and toddlers. Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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

Category: nutrition. 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 child enrolled on 4/26/21, did not have physician contact information on file at the facility. 2.) Three children enrolled on 3/19/21, 8/24/20, and 4/5/21, did not have a preferred hospital on file at the facility. 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, one staff hired on 9/18/19, did not have a professional development plan on file at the facility. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the lesson plan (daily planned program) was not posted or available for review in Classroom 130 (Camp Creation). The staff person could not locate the document. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The surveyor toured the infant classroom at 2:13PM and observed a child standing up in a crib. The only item in the crib with the child was an empty bottle. The surveyor toured the classroom two additional times during the visit and observed the child still standing up in the crib. No activities or toys were available to the child during this time. It is important to note that the staff person working in the classroom was sitting in an adult chair in the room at the time and observed using a breast pump on herself. Premises 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, a staff person stated that she took her two-year-old class with her when she returned breakfast items back to the kitchen. She stated that she had six or seven two-year-old children with her during that time but they were all seated on the floor in the doorway of the kitchen and were never actually in the kitchen. She stated that after putting the breakfast items away she also did some prep work for lunch by placing a pot on the stove. She stated that the stove was never turned on in the presence of the children. She stated that after approximately ten minutes she took the children back to their classroom. Based on this information, it was determined that the children could not be adequately supervised while the teacher was in the kitchen. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation and interview, the health, safety and comfort of children in care was not maintained. A witness reported seeing a staff person in the kitchen with several two-year-old children during the morning hours on 08/24/2021. After interviewing the staff person in question, it was determined that she was in the kitchen putting away milk and other breakfast items on the morning of the 08/24/2021. She stated that she had six or seven two-year-old children with her during that time but they were all seated on the floor in the doorway of the kitchen and were never actually in the kitchen. She stated that after putting the breakfast items away she also did some prep work for lunch by placing a pot on the stove. She stated that the stove was never turned on in the presence of the children. She stated that after approximately ten minutes she took the children back to their classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the surveyor found that the staff person in charge failed to ensure children are adequately supervised. Interviews found that during the summer, approximately ten children, ages five- to eight-years-old, played in the gym while the staff person in charge prepared meals. The staff person in charge stated that she would leave the kitchen door and the ‘garage door’ at the counter opened so that she could hear the children playing. She indicated that since the children were school age, they could be supervised within scope of vision or range of voice. It is important to note that a five-year-old child in the group had not started public school and therefore, was not considered school age. 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 interview, the kitchen door was left open while the staff person in charge prepared meals. The staff person in charge stated that she left the kitchen door and the ‘garage door’ at the counter open so that she could hear the children playing. This was a frequent occurrence during the summer. Interviews found that a five-year-old child helped the staff person in charge throughout the day and often missed activities taking place in the classroom. Occasionally, a seven-year- old child helped the five-year-old child deliver the "food tote" to classrooms. The staff person in charge confirmed that two children were allowed to open the front door of the facility. The staff stated that she would be in the doorway of the gym watching the children answer the door. If the children knew the person at the door, they would allow the person inside the building and if they did not know the person at the door; they would run down the hall to the gym and tell the staff person in charge. 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, a five-year-old child often missed activities taking place in the classroom because she helped the staff person in charge with staff duties. For example, she pushed the lunch cart to each classroom and carried the tote of food into the classrooms; she delivered cleaning supplies, such as the mop and mop bucket, bottles of sanitizing solution and toilet paper. Staff used the walkie-talkie when they needed the supplies, and the five-year-old child would bring them the supplies. Finally, the child pushed the green button on the wall to allow people inside the building while the staff person in charge watched from the doorway of the gym. 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 interview, both a five-year-old child and a six-year-old child were permitted to stand on a stool in the kitchen and watch the staff person in charge wash dishes. The staff person in charge confirmed that the children were allowed in the kitchen, but reported they were not allowed to touch the water. Children's Records In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, this regulatory requirement was not met. A child identified as being four months old was observed sleeping in a swing in the infant classroom from approximately 9:15AM - 10:05AM. The staff person working in the classroom identified the child as her son and did not able provide documentation stating that the child required an alternate sleeping position. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The following was found: 1. A staff member hired on 5/05/2021, had a copy of a criminal background check on file that was submitted on 4/13/2021, and the results had not yet come back. The staff member was observed supervising two (2) children alone in the infant room during the renewal survey. 2. A substitute staff member hired on 5/30/2017, did not have a personnel file on site. The KARES system was reviewed, and the staff member was not listed. The substitute staff member did not have evidence of a completed background check. The substitute staff member was observed supervising three (3) children alone in the One Year Old Classroom during the renewal survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. A staff member hired on 3/19/2018, did not have an out-of-state background check on file. The staff member lived in Michigan within the last five (5) years. This staff member was observed supervising six (6) children alone in the two-year-old room during the renewal survey. 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 9. Records.

General: Based on observation and review of documentation, this regulatory requirement was not met. Three (3) staff did not have professional development plans on file. Professional development plans are to be conducted annually. Posted Documentation In Compliance 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 observation, this regulatory requirement was not met. The following was found: 1. The surveyor observed toilet plungers positioned on the floor next to toilets in three (3) bathrooms (Two Year Old Classroom, Preschool Classroom and School Age Classroom). This manner of storage is not sanitary and promotes the spread of germs. 2. The surveyors entered the Infant Classroom at approximately 9:15AM, and observed an 11-month-old child buckled into a Bouncy seat. The child was wiggling around in the seat and attempted to turn over. Putting a child this age in a bouncy seat is counter to recommendations from the manufacturer's guidelines. The guidelines state that the use of Bouncy seats should stop when the child is able to sit up unassisted. It is important to note that the staff person working in the classroom was sitting in an adult chair in the room at the time and observed using a breast pump on herself. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. Two(2) staff did not have an evaluation on file. Evaluations are to be conducted annually.

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 observation and review of documentation, this regulatory requirement was not met. The following was found: 1. A staff member hired on 5/05/2021, did not have the results of a criminal records check on file. She was observed working alone with two (2) infants during the renewal survey. 2. A staff member hired on 3/19/2018, did not have an out-of-state background check on file. The staff member lived in Michigan within the last five (5) years. This staff member was observed working alone with six (6) children in the two-year-old room during the renewal survey. 3. A substitute staff member hired on 5/30/2017, did not have a personnel file on site. The KARES system was reviewed for a completed background check and the staff member was not listed. This staff member was observed working alone with a group of three (3) children in the One Year Old Classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. A substitute staff member that was present during the renewal survey conducted on 7/01/2021, did not have a personnel file on site. Based on interview, this staff member was hired on 5/30/2017. The staff in charge indicated that the staff member works at another center that is under the same ownership and she helps at this location when needed. The staff in charge indicated that the substitute staff member did not bring her file. The staff member was observed supervising three (3) children alone in the One Year Old Classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. A staff member hired on 9/18/2019, did not have a current TB skin test on file. The TB skin test on file for this staff was dated 2/15/2019; therefore, it was no longer current as of 2/15/2021.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. A staff member hired on 2/01/2021, did not complete the required fifteen (15) hours of cabinet-approved training between July 1st and the following June 30th of each subsequent year of employment in a child care center. This staff member had been employed in child care prior to 2/01/2021. The ECE-TRIS system was reviewed. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The surveyor observed an excessive amount of green paint splattered on the cabinets near the sink in the infant classroom. 2. The Green Classroom (Room #130) had a broken electrical outlet plate. Only a small piece of the plate remained intact. A radio was observed plugged into the outlet during the inspection. 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, this regulatory requirement was not met. The following was found: 1. The wall beside the children's activity table in the One Year Old Classroom contained excessive crayon marks. 2. A ceiling tile in the Two Year Old Classroom contained a dark stain. 3. The surveyor observed peeling paint on the wall behind the entrance/exit door in the Infant 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, this regulatory requirement was not met. The water temperature at the sink in the school age classroom registered 78 degrees Fahrenheit when measured with a calibrated thermometer. The children use these sinks for hand washing. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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, this regulatory requirement was not met. The following was found: 1. One (1) child did not have an immunization certificate on file. 2. Two (2) children had immunization certificates that were no longer current as of 4/30/21 and 5/5/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The following was found: 1. Four (4) of the children’s files/enrollment documentation did not contain information for the family’s preferred hospital. 2. One (1) child’s file/enrollment paperwork did not have physician contact information. 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 5. Evacuation Plan.

General: Based on observation and review of documentation, this regulatory requirement was not met. The facility did not have evidence of an updated emergency preparedness plan on file. The last submission of the emergency preparedness plan was 4/16/2019. The emergency preparedness plan shall be updated annually in accordance with KRS 199.895.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The surveyor observed two (2) children present in the infant classroom during the visit; however, neither child had an arrival time documented on the classroom attendance form.

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, three staff eligible for an annual performance review did not have documentation of a review on file in the facility. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Two staff did not have evidence of a negative TB skin test or physician's statement documenting he/she was free from tuberculosis prior to employment. One staff person was hired on 11/25/19; however, did not have a TB skin test until 11/29/19. The second staff person was hired on 1/2/20; however, did not have a TB skin test until 1/8/20. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation In Compliance 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, this regulatory requirement was not met. One child did not have an immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. At the time of the survey it was found that two children's files did not contain the name and phone number of the child's physician. 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, this regulatory requirement was not met. One staff person had a plan in their file that was not dated; therefore, the surveyor was unable to determine if the plan was current. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on interview, staff person stated that on 01/29/2020, at approximately 7:45am, she was in the Wobbler classroom with only one child in the room who was nine- months-old. She stated that she was sitting in a chair at the diaper changing cabinet with the doors open getting diaper supplies out. She stated that when she closed the cabinet, the child cried out and she realized the child's finger was smashed in the door. She stated that she did not realize the child was standing up against the right side of the cabinet and had his finger(s) in the doorway. She stated that first aid was administered and parents were notified. Staffing Requirements In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation and interview, the staff person in charge stated that on 01/29/2020, a nine-month-old child got his finger smashed in a diaper storage cabinet in the Wobbler classroom when a staff person shut the cabinet door without knowing the child was in contact with the door. The staff person involved in the incident stated that she was at the diaper storage cabinet retrieving diapers and did not know the child had his finger in the door when she closed the cabinet. The teacher stated that he was the only child in the classroom when the incident occurred and she immediately administered first aid to the child. The child's parents were notified. Based on interview with the parent, the child's fingernail came off and he received stitches internally and externally to the tip of his finger, but the doctor stated that the child's finger should heal correctly over time. 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 11. Staff Requirements.

General: Based on review of documentation, it was found that one staff person did not have proof of education on file at the facility. The date of hire for this staff is 10/17/2019.

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. During a tour of the infant room, three (3) transition bottles were observed inside the refrigerator. The transition bottles were stored in the shelves on the inisde of the door. It was found that the three (3) transition bottles, which contained a white liquid, did not have a cap, lid or other form of cover over the exposed nipple.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation in the Kentucky National Background Check Service (KARES) database, the surveyor found a staff person hired on 4/1/19 had fingerprints submitted on 7/9/19 and an eligible for hire status dated 7/28/19. Per documentation presented for review and a review of the KARES database, the staff person was fingerprinted after being hired. The director stated the staff person transferred from another Creation Kingdom location and her fingerprints had to be submitted a second time. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a staff person hired on 8/5/19 did not have a proof of education. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a staff person hired on 8/5/19 did not have TB verification.

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 information, a staff person hired on 4/1/19 had not completed the six (6) hour orientation training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following areas were unclean or in disrepair: 1. Four (4) classrooms contained areas under the hand washing /water fountain sinks that the surfacing was peeling off inside the cabinets. It appeared that there might have been water leaks under these sinks at some point. This was observed in the following classrooms: Room 121 (Yellow room), Room 130 (Green room), Room 127 (Blue room), and Room 125 (Purple Transitional Kindergarten room). 2. Room 127 (Blue room) contained a black stain in the middle of the carpet near a shelf that contained puzzles. 3. The bathrooms in Room 127 (Blue room) and in Room 125 (Purple Transitional Kindergarten room) contained vents in the ceilings with a large accumulation of dust.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. Room 112, the Infant room, contained two (2) unprotected florescent light bulbs in the closet. The light bulbs were not shatter-proof. Infant car seats were stored in this closet. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on review of documentation, the surveyor found there were no emergency procedures practiced by staff who transport children for the month of June and July.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on review of documentation, the surveyor found that the child-care center did not have the current inspection conducted by the transportation cabinet or its designee for the 2006 vehicle used to transport children. 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. Room 104, the Wobbler room, contained two (2) uncovered bottles in the refrigerator door. 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, a child enrolled on 4/29/19 had immunization documentation on file that was no longer valid as of 7/4/19. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.