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

General: Based on interview and review of documentation, this regulation was not met. A child was injured at the center when he tripped and fell into the sink on September 9, 2024. The child's parents were notified immediately of the incident. The parents sought medical attention after the incident occurred; however, the incident was not reported to the Division of Regulated Child Care (DRCC).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, after a diaper change in Preschool Room A, the staff member failed to wash the child's hands. The staff member picked him up from the changing table and placed him on the ground.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, it was observed that two (2) infants in Infant Room B were out of scope of vision for approximately three to four (3-4) minutes. The infants crawled behind the changing table and were unable to be seen. One (1) staff member was feeding an infant at the back of the room and the second staff member was seated on the floor in the middle of the room with other infants. After three to four (3-4) minutes, the staff member that was previously seated became aware of the children being out of scope of vision and proceeded to retrieve them. 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 6. License Issuance.

General: Based on observation, interview and review of documentation, the child care center failed to maintain state regulations. During the review of the facility's documentation, it was found that the Fire Marshal report presented for review expired on 06/09/23. A subsequent interview with staff-in-charge found she had not initiated any communication with the Fire Marshal to inquire about an inspection.

Open Not marked corrected in the state record

Category: physical safety. 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 failed to maintain state regulations. It was found that the presented documentation for liability insurance had expired on 11/30/23. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was found: Discovery Preschool B 1. A child was observed with a runny nose that was present upon entering and not addressed while surveyor was in the room. 2. The cubbies located outside the classroom door contained children's jackets and coats that were touching, contributing to the spread of germs. Pre-K Room 1. A collection of chairs was stacked unevenly, presenting an injury risk for children in care. 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 child care center failed to maintain employee records. During the file review, the following was found: 1. Two (2) employee files (DOH: 08/21/15 and 08/20/07) contained TB certificates that had expired. 2. Two (2) employee files (DOH: 11/13/15 and 10/18/23) contained TB certificates that had been obtained after the expiry date had lapsed. 3. One (1) employee file (DOH: 04/17/24) contained a record of TB skin testing that failed to meet regulation requirements (the documentation was from an unknown source). 4. One (1) employee file (DOH: 07/15/24) contained no proof of TB skin test or other acceptable documentation to prove they were free from active tuberculosis.

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 maintain employee records. During the survey, the following was found: 1. Two (2) employees (DOH: 09/28/22 and 08/21/15) had completed zero (0) hours of annual training for the dates 07/01/23-06/30/2024. A review of ECE-TRIS confirmed these findings. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was observed: Infant Room A 1. A cord was observed hanging above a crib which was accessible to a child who could pull themselves up, presenting an injury hazard. Discovery Preschool B 1. A cord was observed hanging between a speaker and wall plug which was accessible to children in care. Discovery Preschool A (closet) 1. Two large bottles of cleaning chemicals were accessible to children in care. Both had KEEP OUT OF REACH OF CHILDREN on the outer label. Pre-K Room 1. Hand sanitizer, with KEEP OUT OF REACH OF CHILDREN on the outer label, was accessible to children in care. 2. An unlocked cabinet contained staff food and drink (McDonald's breakfast sandwich and a McDonald's soda) that was accessible to children in care. 3. A cord was observed hanging from a pencil sharpener on a shelf which was accessible to 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.

Based on observation, the following was found: Discovery Preschool A: 1.) A large metal air vent along the back wall was covered in dust and dirt. It should be noted this vent was 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, it was found that a window in Infant Room A was in disrepair. The window was unable to close completely and unable to lock. It should be noted that this window was facing the front of the building and was a concern to staff. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was found: Infant Room A 1.) A baseboard near the sink was peeling away from the wall which was accessible to children in care. Discovery Preschool A 1. The wall outside of the bathroom had excessive crayon markings. 2. Underneath the cubbies, at the back of the room, the wall was in disrepair. Discovery Preschool B 1. On the wall opposite of the entrance door to the room, an area of ceiling had exposed metal framing and drywall damage. 2. On the wall opposite to the entrance door to the room, a large square of drywall was in disrepair. Toddler Room B 1. The door to the playground had excessive tape residue buildup on the outer surface. Toddler Room A 1. A side wall (right) had paint peeling near the ceiling. 2. A side wall (left) had excessive tape residue buildup. 3. A carpet near the entrance door to the room contained a large stain. Pre-K Room 1. One wall of the room (right) had excessive scuff markings. Preschool Room (3–4-year-olds) 1. A door in the back of the room had excessive tape residue buildup. 2. A wall in the room (left) had excessive tape residue buildup. Infant Room B 1. An area near on the wall near the classroom sink had excessive dirt and tape residue buildup.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was observed: Toddler Room A 1. The water temperature was recorded at eighty (80) degrees, which is below the regulation stating that water must be between ninety and one hundred and twenty (90-120) degrees. Pre-K Room 1. The water temperature was recorded at eighty-two (82) degrees, which is below the regulation stating that water must be between ninety and one hundred and twenty (90-120) degrees. Preschool Room (3-4-year-olds) 1. The water temperature was recorded at eighty-four (84) degrees, which is below the regulation stating that water must be between ninety and one hundred and twenty (90-120) degrees. 2. The two (2) accessible sinks used for handwashing, were draining slowly at the time of the survey. 3. A sink in the restroom to the right contained debris in the drain and could not drain properly.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain state regulations. During the survey it was observed that a toilet in Discovery Room B was inoperable. The third toilet in the restroom was held shut with clear packing tape. A subsequent interview with staff-in-charge found that she was aware of the issue and stated she would put in a building work order. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report 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, the child care center failed to maintain state regulations. During the survey, it was observed that a staff member failed to wash her hands after completing a diaper change. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was observed: 1. An overgrowth of vines along the privacy fence line. 2. The fence separating the different playground areas was unsecured and in disrepair on the bottom. 3. An unlocked, separate storage area contained discarded toys and natural debris and was accessible to children in care at the time of the survey. 4. A water hose near the exit door leading to the play area was unraveled and presented a tripping hazard to the children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, multiple rest/nap cots were observed in the Discovery Preschool B classroom with less than twelve (12) inch spacing between each cot.

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 child care center failed to maintain state regulations. During the survey, the following was found: Infant Room A 1. An adult rocking chair was soiled with an unknown white substance. Discovery Preschool B 1. A toy barn was excessively dirty with an unknown blue and white substance. Toddler Room B 1.) A play mirror in the Dramatic Play Area was covered with handprints and dirt.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, the child care center failed to maintain state regulations. During the survey of the Discovery Preschool A classroom, a large, circular mounted fan was found to be covered in dust and dirt. 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

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain state regulations. The following was found during the review of children's files: 1. Two (2) children (DOE: 02/10/22 and 09/30/22) did not have immunization records available for review at the child care center. 2. One (1) child (DOE: 05/29/19) did not have a current immunization certificate available for review at the child care center. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to maintain state regulations. During the survey, the following was found: Infant Room A 1. The posted lesson plan was undated and therefore cannot be confirmed as current. Discovery Preschool A 1. The posted lesson plan was undated and therefore cannot be confirmed as current. Toddler Room A 1. The posted lesson plan was undated and therefore cannot be confirmed as current. Pre-K Room 1. The posted lesson plan was undated and therefore cannot be confirmed as current. Parent Information Board 1. The previous years Statement of Deficiency and Plan of Correction contained a cover letter that obscured parents view of the enclosed information. Animals 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, the cribs in Infant A classroom were not spaced twelve (12) inches apart. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 15. Animals.

General: Based on observation and review of documentation, this regulation was not met. On the day of inspection, the local Humane Society had two (2) small dogs at the center to visit a few classrooms. The center did not obtain parental permission prior to them visiting.

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, four staff who were present on the day of inspection did not have evidence of cleared background checks in KARES. The following was found: 1.) Three staff hired on 7/31/23, 10/25/22, and 6/21/23, were still in process in KARES on the day of inspection. 2.) One staff member hired on 7/27/23, did not have evidence of submitting a background check in KARES prior to employment. None of these staff were working alone during the inspection. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the Toddler A classroom contained a lamp on a wall shelf; the cord was hanging down and not secured. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 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 8. General.

General: Based on review of documentation, the center did not have a current copy of the regulations at the time of inspection.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, eleven (11) staff eligible for an annual evaluation did not have evidence of an evaluation on file at the facility. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, four (4) staff did not have evidence of education on file at the facility. Hire dates for the staff were 7/18/23, 7/31/23, 7/26/23, and 7/27/23.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Two (2) staff hired on 7/18/23, and 7/31/23, did not have documentation of negative TB results or a statement from a health care professional stating that the staff is free from active tuberculosis on file at the facility. 2.) Two (2) staff hired on 5/3/21, and 5/27/15, did not have updated documentation of a negative TB test or a statement from a health care professional stating that the staff is free from active tuberculosis on file at the facility. The TB tests on file for these staff expired on 5/3/23, and 5/10/23. 3.) One (1) staff hired on 6/26/23, had documentation of TB results on file, but the copy was too small to read to determine if it was current/valid.

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, one (1)staff hired 9/6/22, has not completed the required CPR/First Aid training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Seven (7) staff did not have the required 15 hours of annual training. Hire dates for these staff were 3/2/22, 1/19/22, 12/21/21, 5/27/15, 10/6/20, 2/28/22, and 6/26/23. 2.) Six (6) staff did not have documentation of completing the required orientation training within the first three months of employment. All staff have been employed more than three months. Hire dates for these staff were 9/28/22, 5/1/23 (2), 5/10/23, 9/6/22, and 9/12/22. A review of ECE-TRIS confirms these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) There were three (3)stained ceiling tiles within the Infant B classroom. 2.) The Toddler A classroom contained an area of torn drywall. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a staff in the Infant A classroom did not wash a child's hands after diapering. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 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 in the Toddler B classroom did not wash her hands after wiping a child's nose. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment 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 refrigerator in Infant A classroom was reading 50 degrees Fahrenheit on the thermometer. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Two (2) children enrolled on 8/1/19, and 7/18/22, did not have up-to-date immunization records on file at the facility at the time of survey. The records in the files expired on 1/31/22, and 1/31/23. 2.) One (1) child enrolled on 8/1/22, did not have an immunization record on file at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 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, one (1) child enrolled on 7/18/22, did not have a preferred hospital listed 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 5. Evacuation Plan.

General: Based on review of documentation, there was no evidence that the facility's emergency preparedness plan had been updated or submitted to the proper authority for review since 2021.

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, two (2) staff did not have a professional development plan on file at the facility. Hire dates for these staff were 10/12/21, and 12/27/21.

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, there were no attendance records for any of the documented drills on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report 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, the following was found: 1.) The Toddler Two classroom did not have a lesson plan posted. 2.) The statement of deficiency and plan of correction from the 2022 survey was not posted at the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) The Toddler A classroom did not have the diaper steps posted within the classroom. 2.) The Pre-K classroom did not have the handwashing steps posted within the classroom. Animals 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 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 12/07/2023 AND AS OF 12/11/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interview, it was determined that the center failed to provide for the health, safety and comfort for a child when a staff grabbed a child by the legs at nap time. The child had bruising on his leg.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation,the director failed to assure compliance with regulatory requirements. Review of staff files on 6/8/22 revealed an annual written performance evaluation was not presented for review at the time of survey for seven (7) staff members hired 10/6/20, 5/17/21, 6/9/18, 11/21/16, 5/27/15, 5/3/21 and 6/27/16. Interview with director revealed she could not locate this documentation at the time of survey. 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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files 0n 6/8/22 revealed the statement of negative tuberculin results presented for review for three (3) staff members hired 8/20/07, 11/21/16 and 11/13/17 were no longer current as the tests are dated 6/3/20, 3/2/20 and 3/4/20. Interview with director revealed this documentation was not available for review at the time of survey. 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 interview and review of documentation,the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for six (6) staff members with hire dates of 10/6/20, 6/9/18, 8/9/21, 11/21/16, 5/27/15 and 11/13/17. Continued review of staff files revealed documentation of six (6) hours of cabinet-approved orientation was not presented for review at the time of survey for one (1) staff member hired 3/2/22. Interview with director revealed this documentation was not available for review at the time of survey. 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 child care center failed to maintain the premises in accordance with regulations. Observation of the Toddler B Room revealed cleaning supplies labeled keep out of reach of children in an unlocked cabinet located under the changing table, accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Toddler B Room revealed plastic bags in an unlocked cabinet located under the changing table, accessible to 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, the child care center failed to maintain the premises in accordance with regulations. Observation of the Toddler B, Discovery B, and Pre-K Rooms revealed the classroom vents were covered with a thick layer of dust. Continued observation in the Infant B Room revealed a brown water-stained ceiling tile. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulations. Observation of Infant A Room revealed a staff member changed a child’s diaper, placed the child on the floor, and handed the child a toy however, the staff member did not wash the child’s r hands after diapering the child. 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 3. General Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulations. Observation of Infant A Room revealed a staff member changed a child’s diaper, placed the child on the floor, and handed the child a toy however, the staff member did not wash her hands after diapering the child.

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, the child care center failed to maintain hygienic practices in accordance with regulations. The center failed to keep all toilet training chairs out of reach of other toilets or toilet training chairs. Observation of the Discovery A bathroom revealed a training chair located on a wall within reach of the toilet and accessible to children. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulations. The center failed to maintain the fence around the outdoor play area in good condition. Observation of the Playground #2 revealed a wooden board was protruding from the fence with an exposed nail. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, there were eight staff who did not have current staff evaluations on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, staff hired on 10/30/02 did not have education documentation on file. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, staff hired on 11/13/15 did not have documentation on file from a health care professional stating that she was free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) There were six staff who did not have the required fifteen hours of cabinet approved training on file. 2) A staff member hired on 05/27/2015, completed PAHT training on 07/28/2016; however, did not renew the training due 07/28/2021. 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 6. Sleeping and Napping Requirements.

General: Based on observation, an infant was found in a crib with a pacifier that had a stuffed animal attached to the end of the pacifier. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) There were several wall and ceiling vents throughout the facility that were covered in dust. 2) There was water stain and what looked like mold on a ceiling tile in the Preschool classroom. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a staff person did not wash a child's hands after changing the child's diaper on the diaper changing table. 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 3. General Requirements.

General: Based on observation, a staff person did not wash her own hands after wiping a child's nose with a tissue.

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, there were numerous food crumbs found around and on the diaper changing pad in Infant B classroom. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) There were containers of diaper cream found in an open cabinet underneath the changing table in the Discovery Preschool B classroom. 2) There was a tube of Desitin found in an open cabinet underneath the changing table in the Discovery Preschool A classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, there were two masks and a large wet pink towel found on the ground of the 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, there were several dirty spots found on the seat of the blue rocking chair located in the Infant B classroom. Transportation Not Applicable 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

Open / not marked corrected.

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

General: Based on review of documentation, one child's did not have a current immunization record 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, one child did not have an enrollment form on file listing the medical history, emergency authorization, idenification information, parent contact, physician's contact, pick up authorization and preferred hospital for the child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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 observation, there was a sticky note found on a board in the Toddler B classroom that listed a child's name who should not have milk. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, this regulatory requirement was not met. On 9/1/21, the facility reported that a one-year-old child was accidentally left alone in the Toddler B Classroom for approximately 45 minutes when her group went outside to play. Staff stated during interview that the two staff assigned to the group had eight children present in their group at 10:00AM and they took the group outside. One staff person was assigned to cover a staff person's break in another classroom at 10:30AM, so she left the group at this time and took two children from the group with her. Therefore, one staff person was left to care for the remaining six children. At 10:45AM, this staff person returned back inside to the Toddler B Classroom from the playground. At this time, an administrative staff person was walking through the Toddler B Classroom to get to the Infant B Classroom and noticed a female child asleep on pillows in the corner of the classroom. The administrative staff person immediately brought the situation to the staff person's attention and it was discovered that a name to face count was not conducted by staff when they exited the classroom to go to the playground. The staff person was terminated as a result of the incident. It is important to note that the Toddler B Classroom and the Infant B Classroom are separated by a half wall. There were two staff present with a group of children on the Infant B Classroom side; however, they were not aware of the child sleeping on the other side of the wall and she was not visible to them. 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 review of documentation and interview, this regulatory requirement was not met. It was found that the name-to-face policy regarding supervising children while entering and leaving the playground was not followed by the staff on 9/1/21. A one-year-old child was left alone/unsupervised in the Toddler B Classroom for approximately 45 minutes when her group went outside to the playground. The child was found by a staff person that was passing through Toddler B to get to another classroom. 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

Category: supervision. Open / not marked corrected.

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

General: Based on interview, this regulatory requirement was not met. An interview with staff during the investigation revealed that on 9/1/21, at approximately 10:30AM, a staff person working in the Toddler B Classroom was asked to cover a staff person's break in the Toddler A Classroom. The staff person took two children with her to the Toddler A Classrsoom that were present in the Toddler B Classroom so that the second staff person working in the Toddler B Classroom would not be over ratio. This practice does not provide regularity of routines.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, the surveyor found three brooms and two dustpans in the restroom that is used by children. Additionally, there was a potty seat lying on the floor and an uncovered trash can that contained trash. It is important to note, that these items were in the traffic pattern of children going in and out of the restroom. 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 that one staff person hired on 3/4/2020, did not have proof of education on file. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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, the surveyor found one water stained ceiling tile located in the Discovery Preschool B classroom. Additionally, the surveyor observed excessive tape residue and scuff marks on the wall behind cribs located in the Infant A classroom. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following topical ointments within reach of the children enrolled in Discovery Preschool B: Butt Paste, Major Clotrimazole, and Kroger Jock Cream. The medication was found in a white container on top of a few stacked cots located in the children’s restroom. Additionally, two of the three ointments (Butt Paste and Major Clotrimazole) were not labeled with a 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 11. Toys and Furnishings.

General: Based on observation, the surveyor found excessive tape residue on a shelving unit located in the Discovery Preschool B classroom and on a shelving unit located in the Toddler B classroom. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a staff person witnessed another staff person walk over to a preschool child, grab the child by the left upper arm and yank the child up quickly from a chair and force the child into another classroom center which was a few feet from the chair. According to the witness, the child then curled up into a fetal position on the floor with her head in her hands visibly upset. 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 staff person witnessed another staff person walk over to a preschool child, grab the child by the left upper arm and yank the child up quickly from a chair and force the child into another classroom center which was a few feet away from the chair. According to the witness, the child then curled up into a fetal position on the floor with her head in her hands visibly upset. This same staff person had been verbally reprimanded in the past for her tone of voice with children.

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 observation and review of documentation, the facility did not have documentation of a current fire marshall inspection. Director Requirements In Compliance Employee 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 observation and review of documentation, one staff did not have hire date in file. The assistant director was not able to provide this date at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, staff hired on 10/30/2018 did not have required 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 observation and review of documentation, staff with hire dates of 11/06/2013, 05/26/2015, 09/01/2016, 01/05/2015, 02/20/2017, 06/27/2016, and 11/18/2016 did not have the required yearly training hours on file or in ECE-TRIS. 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 door to the kitchen was unlocked and accesible through the Pre-K room giving children access to knives.

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, Toddler Room B contained a toy kitchen sink that was cracked which made a sharp piece of plastic stick out creating a danger. In Toddler B there was a long extension cord spread out on the floor causing a trip hazard. In the Discovery Preschool Room the changing pad was deeply soiled with dark staining. In the Discovery Preschool B room the baby dolls were soiled. The table in the room was covered in food. The shelf that contained the baby dolls had sticky residue in multiple areas. The Pre K Room vent was full of dust. 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 6. Sleeping and Napping Requirements.

General: Based on observation, individual cribs were not moved when children were napping in cribs to ensure a twelve inch spacing in between beds. Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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, Infant Room B's refridgerator did not contain a thermometer. 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 observation and review of documentation, children with dates of enrollment of 01/09/219 and 08/29/2018 did not have preferred hospital listed in file. 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 and review of documentation, records of tornado and earthquake drills were documented to occur at the same time on the dame day. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 05/22/2018 AND AS OF 06/07/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found through a review of thrity (30) staff files that five (5) staff files did not have documentation of an annual staff evaluation. 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

Category: recordkeeping. 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 through a review of thrity (30) staff files that six (6) staff files did not have the fifteen (15) hours of cabinet-approved early child care training. A review of ECE-TRIS confirmed this. It was found that a staff person with a hire date of 08/22/2017 did not have the six (6) hours of cabinet-approved orientation training within the first three (3) months of employment. A review of ECE-TRIS confirmed this. 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, it was found that the trim on the wall in the Toddler B classroom was observed to be peeling away from the wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was found that there were two (2) unflushed toilets containing urine in the preschool room. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that there was a tear on the diaper changing pad in the Infant A classroom that exposed the foam. 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 6. Sleeping and Napping Requirements.

General: Based on Observation, it was found that there were several torn nap mats in the Pre-K classroom and in the Preschool classroom exposing the foam. 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 11. Toys and Furnishings.

General: Based on Observation, it was found that the plastic wall calander that was hanging on the wall in the Preschool room was torn in several areas. It was also found that the trash can in the Preschool room was covered in dirt and stains. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found through a review of ten (10) children's files that one (1) child's file did not contain an immunization certificate. The child's date of enrollment was 08/14/2017. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility did not have a current evacuation plan. The most recent plan was from 11/04/2016.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found through a review of thrity (30) staff files that nine (9) staff files did not have evidence of an annual professional development plan.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility did not have an orientation procedure. 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 10. Director Requirements and Responsibilities.

General: Based on Interview, it ws found that on 3/21/18 a staff person in Discovery Preschool A got a spray bottle filled with water and proceeded to spray some of the children. One (1) of the children began to cry after being sprayed in the face. The incident occured while they were transitioning the children from lunch to nap time. One (1) staff person was helping children with toileting while the other staff person who sprayed the children was getting children on their cots. It was stated in interview that when a child started to get off their cot the staff person asked the child if he wanted to be sprayed again. Interviews also found that the staff person said she told the children she was making it rain and that this was done to get the children to calm down. 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, it ws found that on 3/21/18 a staff person in Discovery Preschool A got a spray bottle filled with water and proceeded to spray some of the children. One (1) of the children began to cry after being sprayed in the face. The incident occured while they were transitioning the children from lunch to nap time. One (1) staff person was helping children with toileting while the other staff person who sprayed the children was getting children on their cots. It was stated in interview that when a child started to get off their cot the staff person asked the child if he wanted to be sprayed again. Interviews also found that the staff person said she told the children she was making it rain and that this was done to get the children to calm down.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, it was found that on 6/30/16 a two-year-old child was left unattended on the playground for approximately one (1) to two (2) minutes. The child knocked on the door and a staff person let the child in the facility. The child's class was on the playground and came in without her. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 28 Jul 16 AND AS OF 17 Aug 16, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, eight (8) staff eligible for an annual performance review did not have documentation of a review on file in the facility. The staff person in charge stated that she was in process of completing these.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview, this regulatory requirement was not met. Two (2) staff files (hire dates: 11/13/15 and 7/28/15) did not contain evidence or results of a criminal records check (CRC). The surveyor observed these two (2) staff working together with fifteen (15) children in the two (2) - three (3) year old classroom during the visit. The staff person in charge stated that she thought this documentation had been obtained on both staff; however, was not able to locate it during the visit.

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 Observation, review of documentation and interview, the following was found: 1. Two (2) staff files (hire dates: 11/13/15 and 7/28/15) did not contain evidence or results of a criminal records check (CRC). The surveyor observed these two (2) staff working together with fifteen (15) children in the two (2) - three (3) year old classroom during the visit. The staff person in charge stated that she thought this documentation had been obtained on both staff; however, was not able to locate it during the visit. 2. An employee hired on 6/21/15 had copies of a CRC and a child abuse/neglect check (CAN) that had been mailed for processing; however, the results had not been obtained. 3. An employee hired on 8/13/15 had a copy of a CAN check that had been mailed for processing; however, the results had not been obtained. 4. An employee hired 3/9/15 did not have evidence or results of a CRC on file. 4. An employee hired on 7/28/15 has lived in Ohio within the last five (5) years. The staff person in charge stated that she has not submitted an Ohio background check for this employee.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, this regulatory requirement was not met. A review of staff files during the visit found five (5) staff that did not have the date of employment listed in their file. The staff person in charge reviewed internal documentation and then identified 6/21/15, 7/15/15, 3/9/15, 7/28/15 and 3/24/16 as the hire dates.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, seven (7) staff (hire dates: 6/21/15, 8/13/15, 2/9/16, 8/20/15, 2 on 7/28/15 and 3/22/16) did not have educational documentation on file. The staff person in charge stated that she was not aware that this documentation had not been obtained.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the following was found: 1. Four (4) staff files (hire dates: 2/8/16, 9/13/13, 11/6/13 and 7/28/15) contained results of negative T.B. tests that are no longer current. The tests were dated 3/13/14, 1/24/16, 1/31/14 and 1/23/14 which exceeds the two (2) year time frame. 2. Two (2) staff (hire dates: 8/20/15 and 3/24/16) did not have T.B. documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the following was found: 1. Seven (7) staff files (hire dates: 6/21/15, 8/13/15, 1/15/16, 3/9/15, 2 on 7/28/15 and 8/21/15) did not contain evidence of the six (6) hours of cabinet-approved training being completed within the first three (3) months of employment. 2. Four (4) staff files (hire dates: 1/29/15, 5/11/15, 5/26/15 and 3/9/15) did not contain evidence of the pediatric abusive head trauma training class being completed within the first year of employment. 3. Nine (9) staff files (hire dates: 9/13/13, 5/8/09, 11/3/08, 5/17/13, 1/29/15, 9/29/14, 7/8/14, 11/6/13 and 3/9/15) did not contain the required fifteen (15) hours of training. The surveyor reviewed the Early Care and Education Training Records Information System (ECE-TRIS) website and the staff person's personnel file at the facility and found no evidence that this training had been completed. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and interview, this regulatory requirement was not met. During a tour of the facility the surveyor observed a ceiling tile in the corner of the preschool classroom that contained a dark stain. The staff person in charge stated that she was aware of this issue and had submitted a request for it to be replaced.

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, this regulatory requirement was not met. During a tour of the Infant B Classroom, the surveyor observed infants asleep in cribs that were positioned end to end with no space in-between them.

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. A tour of the facility found that the refrigerators used for the storage of the bottles in Toddler A and Infant B did not have an indicating thermometer. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, this regulatory requirement was not met. During the inspection the surveyor observed a physical therapist working with a child present in the preschool classroom. The therapist stated that she worked for an agency called Horn & Associates and stated that it was her first day working with the child at the facility. The therapist further stated that she would be conducting therapy sessions with the child one (1) day a week at the facility. Later during the visit a second therapist arrived at the facility to work with the same child. The staff person in charge stated that she had not obtained permission from the parent for third-party professional services in the child care center.

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 Review of Documentation and interview, the facility had an emergency preparedness plan; however, did not have evidence that the plan had been submitted to the local emergency management official. The staff person in charge stated that she was not aware of this regulatory requirement.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, three (3) employees eligible for an annual professional development plan did not have documentation of a plan on file in the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, this regulatory requirement was not met. The Statement of Deficiency/Plan of Correction from a 3/24/16 investigation was posted; however, a statement of deficiencies and plan of correction from a 7/22/15 relicensure inspection was not posted. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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, on 3/9/16 sometime between 3:50 and 4:00 p.m. a one (1) year old child was left outside on the playground without a qualified staff person being present. Interviews with staff found that at approximately 3:15 p.m. the staff person in Toddler A had six (6) children in her care. She used the classroom I-Pad to do a named to face count of children before she took her group outside and then handed the I-Pad over the half wall in the room to a staff person in Toddler B. She then took the children outside. The staff person indicated in interview that each classroom has their own I-Pad to document a name to face count of the children in their room every half hour and anytime they transition from one (1) hour to another such as going outside and inside. However, some of the classrooms I-Pads had lost power and they had to share with another classroom. Thus Toddler A was sharing with Toddler B. The staff person stated she took her children outside noting that three (3) of her children are not walking so she must carry them in and out. Sometime between 3:50-4:00 p.m. the staff person in Toddler A was bringing her children back inside. One (1) child remianed outside on the playground with her father who had come to the facility to visit. The staff person got the non-walkers to the door, which based on observation is hidden by a tall wood fence that encloses the air conditioning unit, and then she called for the walkers to follow. The children were following the staff person inside. However, when the staff person got the children inside and at the table to drink their water the staff person noticed there were only four (4) children noting that one (1) child was outside with their parent. The staff person asked for the I-Pad from staff in Toddler B who were going outside. The staff person stated she noticed through the window located in Toddler B that the child she was missing was still outside and was sliding down the slide. She also saw that the parent who had come to visit his child was still outside with his child as well. A staff person in Toddler B went outside and got the child who had not come in with the group and gave him to the staff person in Toddler A. Interviews found that the staff person who left the child outside was sent home and received a written warning. The child was left outside somewhere between five (5) and ten (10) minutes or possibly less. The amount of time varied per staff interviews. Interviews also indicated that additional power cords were purchased to avoid having to share the I-Pads again. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the annual evaluations for the staff had not been completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff person hired 5/16/15 did not have evidence of meeting the education requirement on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were two (2) staff who had TB skins tests file that were dated more than two (2) years ago. The hire dates for these staff were 11/3/08 and 7/8/14.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were three (3) staff who did not complete the required annual training; hire dates were 5/19/14, 2/28/14, and 5/8/09. Also, a staff person hired 1/26/15 did not have documentation of completing the required orientation training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, there was a wall in the preschool room that had peeling paint and a sticky residue that appeared to be caused by removed tape.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the painted finish on the the rocking chair in Infant B was wearing off.

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 caulking around the sink in the preschool room was damaged; it was chipping and discolored.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were six (6) out of the ten (10) files reviewed that did not include a preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, it was found that on two (2) separate occassions during the week of March 9th through the 13th, the infant classroom and the toddler classroom were over ratio by one (1) child. In an interview with staff from the toddler classroom and they infant classroom, they stated that for two (2) days they were over ratio. The staff in charge stated that she was informed of the ratio issues when she returned to the facility.

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 Interview, it was found that on two (2) separate occassions during the week of March 9th through the 13th, the infant classroom and the toddler classroom were over ratio by one (1) child. In an interview with staff from the toddler classroom and they infant classroom, they stated that for two (2) days they were over ratio. The staff in charge stated that she was informed of the ratio issues when she returned to the facility. General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 13 Apr 15 AND AS OF 24 Apr 15, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, it was found that on 12/15/14 a staff person working in the three (3) to four (4) year room was observed sleeping while sitting in a chair during the children's nap time. The staff person in charge stated during interview that when she walked into the room she observed one (1) of the staff present in the classroom sitting in a chair with her legs stretched out and crossed at the ankles. The staff person's head was bent down with her chin resting on her chest and her eyes were closed. The staff person in charge nudged the staff person who then woke up. The staff person in charge spoke briefly spoke with the staff person who indicated she was not feeling well,then sent the staff person was sent home. On 12/22/14 the staff person's employment at the facility was terminated. It was undetermined as to exactly how long the staff person had been asleep but during an interview with the staff person in charge and an interview with the additional staff person who was in the room at the time indicated it could not have been more than a few minutes. Employee Records

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a staff person hired 10/23/14 did not have a copy of a high school diploma, GED or other qualifying documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the staff person hired 10/23/14 did not have a copy of a T.B. skin test, or a statement from a health professional indicating that the individual is free from the symptoms of T.B.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, it was found that a two (2) year old child got out of his classroom and walked approximately twenty (20) feet going through one door to the front foyer before being stopped by the staff in charge of the facility. The staff in charge stated that she was sitting in her office when she noticed the two (2) year old child approaching and going out the first door to the foyer of the facility. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, there was not a current copy of the licensing regulations on file to provide to staff.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, staff member rehired on 05/19/14 did not have a criminal records check or child abuse and neglect check on file. The staff person also lived in Ohio. There was no proof that any of the background checks had been submitted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff members hired on 05/15/14, 10/08/13, 02/18/14, 01/20/14, 02/28/14, 05/05/14 and 02/21/13 did not have education documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff member hired on 11/06/13 had a TB skin test read on 02/03/14. Staff member rehired on 05/19/14 did not have a statement from a health professional that the staff member was free of active tuberculosis on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, staff members hired on 07/20/12, 01/20/14, 11/06/13 and 09/17/13 did not have Orientation I & II on file. Staff members hired on 07/20/12 and 05/08/09 did not have the fifteen (15) hours of cabinet approved training on file. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, there was a large water stain on the ceiling tile in the Tobble B classroom. The wall vent in the four (4) year old classroom and in the older two (2) year old classroom were very dirty.

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, there were several torn purple mats in the older two (2) year old 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, there were several torn books in the older two (2) year old classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the Kentucky Consumer Product Safety Program information was not posted.

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, there were two (2) staff who had lived out of the state within the past five (5) years. There were no results of the out of state background check on file for either staff. (hire dates: 12/27/10 and 2/29/12).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, three staff did not have evidence of meeting the educational requirement on file (hire dates: 5/22/13, 5/17/13, and 6/12/13).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was one (1) staff who did not have evidnce of being free from TB on file (hire date: 5/22/13).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff person hired 12/22/11 had only fourteen (14) hours of training for his current training year. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the enrollment packet for a child enrolled on 6/5/12 was not signed by a parent. 1080 - Documentation for Off Premise Trip Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 25 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

General: Based on Interview, a staff member was observed holding a child under his arms, facing her and slightly shaking him from front to back. The staff member was removed from the building pending investigation. The child was crying but was not injured.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, three (3) staff members did not have documentation of a High School diploma, GED or Commonwealth Childcare Credential on file. Thirty-eight (38) records were reviewed. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 38 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on Review of Documentation, three (3) staff members did not have documentation of a current TB test on file. One (1) staff member hired on 2/29/12 did not have a TB test until 3/17/12. Thirty-eight (38) staff records were reviewed. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 6

General: Based on Interview, during an investigation at the facility, it was revealed that on 3/7/12 a parent reported allegations of child abuse to administrative staff at the facility. Administrative staff made an incident report to the Division of Regulated Child Care but did not report allegations of child abuse to the investigating agency.

Open Not marked corrected in the state record

Open / not marked corrected.