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

General: Based on interview and review of documentation, a four-year-old child was found alone, without supervision in the front lobby of the child care center. The child was left unsupervised for approximately five to ten (5-10) minutes. The child was found asleep in the windowsill. The child was dropped off by the school bus at 2:54 pm (per attendance records) and signed out of the facility at 3:12 pm (per attendance records); therefore, this confirms the approximate amount of time the child was unsupervised. It should be noted that this child is diagnosed with autism. Staffing Requirements 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 6. Sleeping and Napping Requirements.

Based on observation, the child care center failed to maintain state regulations. During the survey of the Infant room, it was found that blankets were being used inside of the cribs with infants while they slept/napped. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: One-Year-Old Classroom: 1.) A mop and bucket with cleaning liquid/solution positioned in the room between the sink and the refrigerator, within reach of children. Four-Year-Old Classroom: 1.) A staff members drink was placed on the handwashing sink in an area 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.

Based on observation, the following was found: One-Year-Old Classroom 1.) Multiple light fixtures in the room were non-functioning at the time of the survey, affecting visibility. Preschool Classroom 1.) Multiple light fixtures in the room were non-functioning at the time of the survey, affecting visibility. Entryway/Foyer 1.) The ceiling light was not working at the time of the survey, affecting visibility in the area for staff, children, and guests.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, the following was found: One-Year-Old Classroom 1.) Chipped paint was found in multiple areas around the window. Kitchen 1.) Several missing floor tiles and multiple large stains were found on the floor. Two-Year-Old Classroom 1.) Multiple areas of chipped/missing paint were found on all of the walls in the classroom. Four-Year-Old Classroom 1.) Multiple areas of chipping paint around the window seal. 2.) Multiple ceiling tiles had water stains on the outer surface. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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.

Based on observation, the child care center failed to maintain state regulations. During the survey of the outdoor play area, a beer bottle containing liquid and cigarette butts was found near the play equipment, accessible to children.

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 of the outdoor play area, it was found that multiple areas of weeds and growth were found in and around the fencing, accessible to children. Equipment In Compliance Transportation 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 14. Transportation.

General: Based on review of documentation, the presented insurance for the 2018 Chevy van, used for the transportation of children, had expired on 07/20/24. Kitchen Requirements In Compliance 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

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, one (1) child (DOE: 03/30/23) did not have documentation of a preferred hospital listed in their personal file. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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, the following was found: One-Year-Old Classroom 1.) The posted lesson plan (daily planned program) was not dated, and it could not be determined if it was current or not. Four-Year-Old Classroom 1.) The posted lesson plan (daily planned program) was not dated, and it could not be determined if it was current or not. Animals Not Applicable

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, two (2) overhead light fixtures in the upstairs gross motor area were not in good repair. The lights would not illuminate, and one light shield was discolored. The staff member in charge stated that she was aware of the issue. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were four (4) water-stained ceiling tiles in Classroom #4 (B) and three (3) water-stained ceiling tiles in Classroom #5. The staff member in charge stated that she was aware of the issue. 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, one (1) metal fencing bar was broken, and one (1) bar was missing. According to the staff member in charge, they have had problems with people breaking into the playground area after daycare hours. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance 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 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on observation of the upstairs School Age Room, there were bathroom stall doors, stall walls and other materials located on the tables, floor and propped up against the wall. Staff stated that these items will be assembled in one of the bathrooms this weekend. 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, one (1) staff member hired 7/25/18 had zero (0) hours out of fifteen (15) hours of early care and education training recorded on ECE- TRIS for the July 1, 2021 – June 30, 2022, training year. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation of the diaper changing station in the downstairs bathroom, there was a spray bottle of cleaner on the pad of the diaper changing station. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance 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

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, one (1) child's file reviewed did not list a preferred hospital and one (1) child's file reviewed did not list a preferred physician. One (1) child's file reviewed did not list a preferred hospital or physician. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

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, the child-care center did not have current Fire Marshal documentation. The surveyor found Fire Marshal documentation posted in the child-care center dated 12/17/2018. Another document presented for review was the Fire Alarm Inspection Certificate; however, this does not meet the regulation.

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, the surveyor found three bouncy seats stored inside of a crib designated for a child enrolled in the infant classroom. The child was present during the observation. The staff person stated that she had placed the bouncy seats inside of the child’s crib to make more room for the children to play with toys. It should be noted, storage of the bouncy seats in a crib designated for a child promotes the transfer of germs and/or other debris to the crib. Director Requirements In Compliance 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 and ECE-TRIS, a staff person hired on 7/25/2018, did not complete 15 hours of early care and education training between July 1, 2020 and June 30, 2021. 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 surveyor found a wristlet wallet and car keys on a low shelf in the two-year-old classroom. The staff person stated that the wallet and car keys belonged to an Occupational Therapist who was present in the classroom and working with a 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 surveyor found a water-stained ceiling tile in the two-year-old classroom, the three-year-old classroom, and preschool #2 classroom. Additionally, the surveyor found a hole in a ceiling tile in the preschool #2 classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation 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 14. Transportation.

General: Based on interview and review of documentation, the child-care center failed to get prior approval from the Division of Regulated Child Care before using three vehicles to transport children. The surveyor found that the 2008 and 2010 Ford Econoline 15-passenger vans were the only two vehicles approved during the change of ownership inspection conducted on 7/25/2018. These two vehicles are currently not in use. The surveyor found that three additional vehicles have since been added: a 2018 Chevy Express 15-passenger van, a 2019 Chevy Express 15-passenger van, and a 2004 Toyota Sienna minivan. The staff person in charge stated that the 2018 Chevy Express van was currently in the shop. The 2019 Chevy Express van is used each day, and occasionally the 2004 Toyota Sienna minivan.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation, the 2004 Toyota Sienna minivan was not equipped with a fire extinguisher and emergency triangles. 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 14. Transportation.

General: Based on review of documentation, an annual inspection conducted by the transportation cabinet or it's designee was not completed on the 2018 and 2019 Chevy Express 15-passenger vans. Kitchen Requirements In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, this regulatory requirement was not met. The surveyor observed two cans of formula (Good Start and Nutramigen) in the infant classroom. The staff person stated that the children's parents provide the cans of formula and she prepares the bottles. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, it was found during a tour of one of the kindergarten classrooms, that there was a child sitting alone at a table with no staff member present. The surveyor went into the classroom at approximately 8:37AM and the child was there. The surveyor then went into the school-age classroom to count ratios and perform a walkthrough of the classroom. Once the surveyor was done with this walkthrough, the kindergarten classroom was re-entered and there was a teacher present, as well as other children. Therefore, the child was left unsupervised for less than approximately ten minutes. Staffing Requirements In Compliance General Administration 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 review of documentation, this regulatory requirement was not met. Four staff members did not have evaluations on file or the evaluations on file were not dated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) There was an uncovered electrical outlet by the soap dispenser located in the boy bathroom downstairs. 2.) In the boys bathroom located downstairs. the toilet paper was being stored on the half wall in the bathroom. 3.) In the women's bathroom located downstairs, the toilet paper was being stored on top of the toilet paper dispenser. Having the toilet paper stored in this manner is not a sanitary practice. Employee Records In Compliance 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 observation, it was found that the lesson plans in the preschool classroom, as well as the two-year-old classrooms were outdated.

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 during a tour of the two-year-old classroom, it was found that teacher was using inappropriate language around the children. There was one instance where the teacher had bent over to pick something up off the floor and said, "Jesus Christ," loud enough to where the children could hear her. In addition, it was found that the children were eating breakfast during the time of the walkthrough. The teacher said to the children that, "They were going to sit down at the breakfast table and act like they got some sense." These phrases are not age appropriate for two-year-old children. 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 accessible to children in care: 1.) In the two-year-old classroom, there were two drinks sitting on a shelf. Both of these drinks belonged to a staff member in the room. 2.) Also in the two-year-old classroom, the teacher's phone charger was plugged into the wall and the phone was charging on a half wall that joined this room and the neighboring room. The phone charging chord was hanging down loosely. Additionally, this posed a risk to the children if they were to grab the cord and the phone fell and hit them. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) In the boys bathroom located upstairs, the sink appeared to be pulling away from the wall. The paint around the sink was flaking and peeling away from the wall as well. 2.) In the one- and two-year-old classroom, the handwashing sink was in disrepair. When the surveyor opened the cabinet door of the sink, the bottom piece of trim fell off. The teacher in the classroom reported that they had tried to fix the sink with glue, but that it did not work. 3.) In the girls' bathroom located upstairs, there was a lock that was missing on one of the bathroom stall doors. You could see into the stall through the hole where the lock should have been.

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, it was found in the girls' bathroom located upstairs, a water spout that was rusted. There was also rust on the wall around where the spout was located.

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: 1.) There was an area of missing paint underneath the mirror located in the infant classroom. 2.) There were numerous stained ceiling tiles in the downstairs boys' bathroom. 3.) There was an area of the wall where the baseboard was missing in the preschool room. This area was located in the quiet corner of the classroom. In addition, in the preschool room there was an area of missing paint underneath the feelings poster hanging in the room. 4.) There was an area of missing paint underneath the soap dispenser in the girls' bathroom located upstairs. 5.) In both of the kindergarten classrooms, there were areas where the walls were dirty with what appeared to be some scuff marks and dirt.

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 following was found: 1.) In the boy's bathroom located upstairs, there was one toilet that contained urine. In addition, it was found that one toilet contained cheerios and milk. 2.) In the girls' bathroom located downstairs, there were a total of three light panels. Only one of the three panels were in working order; therefore, this bathroom was not properly lit. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 8. Kitchen Requirements.

General: Based on observation, it was found that there was a milk cooler in the room located next to the indoor gross motor room. This milk cooler did not contain an indicating thermometer. In addtion, there was a spill in the bottom of the cooler, as well as an odor coming from the cooler when the lid was opened.

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, it was found that there was one unlabeled bottle in the infant classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was found that there were three gallon jugs of milk in the milk cooler. These gallons of milk were dated for November 10th, 2020; therefore, making them out of date. 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.

General: Based on observation and review of documentation, this regulatory requirement was not met. Three staff members did not have professional development plans on file or the plans on file were not dated. 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 10. Director Requirements and Responsibilities.

General: Based on observation, there was not a daily schedule posted in one of the kindergarten classrooms.

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 following was found: 1.) The handwashing steps were not posted in the kindergarten classroom where there is a handwashing sink present. 2.) The diapering steps were not posted in the girls' bathroom located upstairs. There was a diaper changing station present in this bathroom. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. A staff member hired on 9/28/2020, did not complete a criminal records background check. This staff member was not working alone during the renewal 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, one staff member hired on 5/6/19, 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.

General: Based on review of documentation, the child-care center failed to meet this regulation. 1. Four staff had TB documentation on file that was obtained after their date of hire. 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 and ECE-TRIS, the surveyor found the following: 1. One (1) staff hired 1/16/19, completed the six (6) hour orientation training on 7/24/19, which is after the ninety-day timeframe requirement. 2. Two staff hired 4/11/19 and 10/29/18, have yet to complete the six-hour Orientation training. 3. Four staff hired 7/25/18, did not complete fifteen hours of early care and education training. 4. One staff hired 7/25/18, has yet to complete the pediatric abusive head trauma training that is required within the first year of employment. 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 was found: 1. The men’s bathroom upstairs, which is used by the children, contained three rusted metal partitions between the toilets. 2. The men’s bathroom downstairs, which is used by the children, contained long, rusted screws exposed at the base of several of the toilets. 3. The women’s bathroom downstairs, which is used by the children, contained a long rusted screw exposed at the base of one of the toilets.

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 upstairs women's bathroom, which is used by the children, contained a stained ceiling tile next to a vent. 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, this regulatory requirement was not met. Three metal framed cars in the outdoor play area were sitting on blacktop. These cars contained bars that the children can climb on. Blacktop is not a protective surface for climbing equipment.

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 chain-link fence around the outdoor play area contained two sections where the top metal railing was not connected to the fencing. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The back of a wooden cubby in the three-year-old room was broken and a hole was visible.

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, this regulatory requirement was not met. The following items were found: 1. A shapes rug in the three-year-old room was stained around the edges. 2. A blue ball catcher on the playground was cracked and broken. 3. The Early Head Start Room (nine months to one-year-old) contained a sink vanity with a broken wooden drawer. The bottom of the drawer was not attached to the sides. This was the top drawer of the vanity. Transportation In Compliance Food Service/Food Program In Compliance Food Service 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, the surveyor found individualized professional development plans on file for staff. The surveyor found five staff members did not have a professional development plan 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 10. Director Requirements and Responsibilities.

General: Based on observation and review of documentation, this regulatory requirement was not met. The three-year-old room did not have a posted daily schedule of activities. 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 and review of documentation, this regulatory requirement was not met. The older school-age room contained a fish. The facility did not have written 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 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on interview and review of documentation, it was determined this regulatory requirement was not met. The surveyor and representatives from DCBS and Crimes Against Children visited the facility and after a short interview, asked to see staff files for those employees allegedly involved. Investigators also asked to see attendance records for the child involved and a sibling. The staff member present stated she could not locate the files and the owner was not at the facility. The owner arrived some time later and provided the necessary files for review. The owner stated the attendance records provided indicated the children were not at the facility during the timeframe in question. The owner stated the contract had lapsed and the children had quit coming to the facility. DCBS investigators conducted a home visit with the child’s mother later that evening and she stated the children had always gone to the facility and never had a lapse in attendance. The mother produced text messages from teachers and photos from a field trip during the dates in question. Investigators returned to the facility and questioned the staff about this. Staff stated billing records were provided earlier and the family was not current with the new ownership. Staff stated the family was still paying the previous owner, as their contract had not ended. Staff stated the current attendance records were stored off site and could not be immediately accessed. Director Requirements In Compliance Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, it was determined this regulatory requirement was not met. Upon asking to review attendance records for two (2) specific children, investigators were provided attendance records that were not accurate and factual. The records provided indicated the children in question had not been in attendance at the facility for approximately one (1) month. Text messages and pictures provided by the children’s mother from a field trip during the time frame in question, prove the children were present and in attendance at the facility. Staff stated the original records provided were only billing records and the family was still paying their old contract to the previous owner and had not started a new contract with the current ownership. Staff did not provide an accurate attendance record for the children.

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, this regulatory requirement was not met. The following was found: 1. During a tour of the school age activity room/cafeteria on the upper level the surveyor observed a metal shovel sitting beside the exterior door. The shovel was accessible to the children in the classroom. 2. During a tour of the indoor gross motor room on the upper level of the building the surveyor observed a phone charging base sitting on a small ledge. The electrical cord was observed dangling down towards the floor. It was not secure and was 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 Review of Documentation, staff hired on 07/25/18 did not have education documentation on file. 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

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. A tour of the one (1) year old classroom on side A found that the second drawer on the sink cabinet was broken. The bottom platform in the drawer was missing. 2. A tour of the one (1) year old classroom on side B found that the handle was broken on the top drawer of the sink cabinet.

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. During a tour of the school age activity room/cafeteria the surveyor observed an excessive amount of dirt and grime accumulated on the tile floor next to the baseboards. Metal chairs were observed stacked on both of these walls. 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. During a tour of the preschool classroom on the upper level of the building the surveyor observed a wooden refrigerator in the dramatic play area that was missing both handles; therefore, the doors would not open. Transportation In Compliance 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, and interview, this regulatory requirement was not met. During a tour of the one (1) year old classroom on side B the surveyor observed a plastic bucket sitting beside the hand washing sink that contained wet sippy cups and lids. The staff person working in the classroom stated that she had just finished washing the children's sippy cups from lunch. This process does not meet the requirement of the regulation. Children's Records Discussed Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, there was no written procedure stating that staff would implement what they learned in Orientation I and II into the classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 10. Director Requirements and Responsibilities.

General: Based on Review of Documentation, this regulatory requirement was not met. The school age classroom had a schedule of daily activities posted that was dated December 2017 and was labeled "Winter Wonderland"; therefore, it was no longer current. Animals 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, the following was found: 1. The staff person in the Infant I classroom was alone in the classroom with five (5) infants at the time of the survey. It was found that the staff person did not have a completed background check from the NBCP on file in the facility. 2. The staff person in the Twos A classroom was alone in the classroom with seven (7) children at the time of the survey. It was found that the staff person did not have a completed background check from the NBCP on file in the facility. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Staffing 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 2. Child Care Services.

General: Based on observation upon entering the facility at 9:30 a.m., there was one (1) staff person with eight (8) infants in the Infant II classroom. Another staff person did not enter the classroom until 10:09 a.m. The age of the youngest child in the classroom was three (3) months. General Administration In Compliance Director Requirements In Compliance Employee Records 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 surveyor found a staff person hired on 10/17/18 did not have negative TB 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, and ECE-TRIS, six (6) staff hired on 7/25/18 have not completed the six (6) hour orientation training as required by the regulations. 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 2. Child Care Services.

General: Based on observation upon entering the Ones A classroom, there were seven (7) children in a gated area of the classroom. The area was approximately twenty-four (24) square feet in size. The staff person in the room was observed cleaning the eating area after breakfast. Several of the children were trying to get out of the gated area and some were crying. When the staff person finished cleaning, she opened the gate to the area and said, "Now you can come out." It appeared that the children were put in the gated area to restrict their movement around the room while the staff person cleaned.

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, there were three (3) male infants sleeping on "Boppy Pillows" in cribs in the Infant II classroom at the time of the inspection. The infants ranged in age from three (3) months to six (6) months. There were no statements from the infants' physicians indicating an altered sleep position was required for the infants. One (1) of the infants also had a bib around his neck. 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 staff person's purse was located on a stack of cots in the Head Start classroom. The purse was accessible to the children in care. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a child in the Ones B classroom did not have his hands washed after having his diaper changed. The child was changed and sent back to the play area without washing his hands. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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 observation, a staff person in the Ones B classroom changed a child's diaper and did not wash her hands afterward.

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, a staff person in the Ones B classroom changed a child's diaper and did not disinfect the diapering surface afterward. 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, there were several pices of trash on the playground including but not limited to: cups, paper, food wrappers, empty cigarette box, etc.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was a metal pole in the middle of the playground that was no longer serving a purpose. It had once been part of a play structure. The pole is a tripping hazard to the children in care.

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 chain link fence surrounding the playground was not secured to the metal poles at the bottom of the fence. This left gaps large enough for children to crawl under or become an entrapment hazard. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 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 6. Sleeping and Napping Requirements.

General: Based on observation, there were five (5) infants in the Infant I classroom at the time of the survey. There were only four (4) cribs available for use for the infants in that classroom.

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 plastic tub to the water table on the playground was broken leaving sharp edges accessible to the children. The tub also contained a large amount of brown water. Transportation In Compliance 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 9. Food and Meal Requirements.

General: Based on observation, the staff persons in the Infant I classroom and the Infant II classroom were preparing formula in bottles for the children in care. The facility does not provide formula for the children and the powdered formula and water being prepared were not pre-measured by the parent before mixing.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the menu posted in the facility was not current. The menu was dated for the week of 10/8/18 through 10/12/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, child enrolled 10/28/14 did not have documentation of a preferred hospital listed by the parent on file in 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 observation, a child's immunization document was located on a table in the front entryway of the facility. The document was visible to anyone entering or exiting 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 10. Director Requirements and Responsibilities.

General: Based on observation, none of the lists of daily activities posted in the classrooms in use were for the current day/week. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.