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

General: Based on observation and review of documentation, the child care center failed to maintain state regulations. At the time of the survey, no abuse and neglect policy or procedure was presented for review. 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 9. Records.

General: Based on review of documentation, the child care center failed to maintain state regulations. The enrollment packet for one (1) child in care, (DOE: 02/02/2024), did not contain a preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was observed: Toddler Room 1.) In the One-Year-Old Toddler room, a white electrical cord was hanging from the air conditioner to the wall outlet. The wire was hanging low and could be easily pulled/tugged on by children. School Age House 1.) In the School Age House, an uncovered electrical outlet was observed beneath the air conditioning unit near the kitchen area. 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 13. Reports.

General: Based on interview and review of documentation, the child care center failed to maintain state regulations. At the time of survey, two (2) vehicles were presented for inspection, although one (1), a 2021 Ford Transit, was not previously inspected and approved by DRCC. Through review of the facility's paperwork, it was determined that no Change Request had been submitted to add this vehicle to the license. It should be noted that this vehicle does transport children daily from various elementary schools to the facility and is currently in use.

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 state regulations. During the survey, the following was found: 1.) An employee, (DOH: 05/24/2024), did not obtain a tuberculosis skin test prior to their first day of employment. It should be noted this employee does have a tuberculosis skin test on file as of 06/20/2024. 2.) An employee, (DOH: 11/10/2004), failed to renew their tuberculosis skin test within the two (2) year time frame. It should be noted the test has been since updated and is current. 3.) An employee, (DOH: 02/15/2021), failed to renew their tuberculosis skin test within the two (2) year time frame. It should be noted the test has been since updated and is current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report

Open Not marked corrected in the state record

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 state regulations. During the survey, the following was observed: 1.) An employee, (DOH: 12/21/2005), had failed to update their pediatric abusive head trauma training within the five (5) year regulation. It should be noted the training has since been updated. 2.) An employee, (DOH: 05/24/2024), has not yet completed their orientation training which is required within the first three (3) months of employment. 3.) An employee, (DOH: 09/06/2005), has not updated their pediatric abusive head trauma training within the five (5) year regulation. 4.) An employee, (DOH: 05/29/2024), took their orientation training on 09/13/24, however it was due 08/21/24. 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, the child care center failed to maintain state regulations. During the survey, it was found that the One-Year-Old Toddler room did not have items for multicultural exposure or dramatic play available to the children in care. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was observed: Two's Room #2 1.) In the Two-Year-Old #2 classroom, in various drawers of the clear and white plastic storage system, there was, paint, a staple remover, and White Out accessible to children in care. It should be noted the White Out had a KEEP OUT OF REACH CHILDREN warning on the outer label. Three's Room 1.) In the Three-Year-Old room, there was a staff purse, and two (2) travel cups found on a counter that was accessible to children in care. Pre-K Overflow Room 1.) In the Pre-K Overflow room, a can of wood stain was found was found in a cabinet that was accessible to children in care. 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 observed: Two's Room #1 1.) In the Two-Year-Old #1 room there were cobwebs and dust connecting from the air conditioning unit to the window. Two's Room #2 1.) In the Two-Year-Old #2 room reaching from the window to a toy house, there were cobwebs and dust built up, accessible to 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 child care center failed to maintain state regulations. During the survey, the following was observed: Pre-K Room 1.) In the Pre-K room underneath the window-mounted air conditioning unit the wall was in excessive disrepair. 2.) In the Pre-K room, a broken ceiling tile was observed. Girl's Restroom 1.) In the Girl's Restroom beneath the soap dispenser, an excessive amount of paint had been chipped away. An interview with the Director revealed the soap dispenser had recently been replaced and the former unit was much larger and left the unpainted area.

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, in the Two-Year-Old Classroom #1, the water temperature of the sink was seventy-six (76) degrees Fahrenheit. The regulation states the water temperature should be between ninety (90) and one hundred and twenty (120) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was observed: Girl's Restroom 1.) In the first stall of the Girl's Restroom, there was urine and toilet paper that had not been flushed. 2.) In the second stall of the Girl's Restroom, the toilet seat was worn and therefore not able to be properly disinfected after use. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was observed: Older Children's Playground 1.) On the Older Children's Playground, there was a long piece of plastic tubing sticking out from the ground posing a trip hazard. Younger Children's Playground 1.) On the Younger Children's Playground, there were excessive weeds growing through the fence and onto the playground in several areas.

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 observed that a large green climber toy did not have a protective surface that equaled the height of the equipment, creating an inadequate fall zone. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was observed: Toddler Room 1.) In the One-Year-Old Toddler room, the cabinet beneath the changing table had a large chip missing exposing raw wood which poses an injury risk to the children in care. Two's Room #1 1.) In the Two-Year-Old #1 room, a rug near the windows had multiple fraying edges and therefore was in disrepair. Pre-K Room 1. In the Pre-K room the adult chair in the room was in disrepair and colorful duct tape was covering the damage. The tape appeared to be curling and collecting debris and was accessible to the children in care. Girl's Restroom 1. In the Girl's Restroom the cabinet below the sink had excessive chipping paint.

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, it was observed on the younger children's playground, a blue metal and wooden car toy had two tires in disrepair. Both tires had been taped significantly, and one tire was deflated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report Transportation 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 transportation routes available on both vehicles used to transport children were outdated and not current for the destinations presented.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. A 2021 Ford Transit used to transport children from school to the facility daily did not have a fire extinguisher available in the vehicle. 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 interview and review of documentation, the child care center failed to maintain state regulations. One (1) employee, (DOH: 11/10/2004), did not have a professional development plan on file for the current year. Interview with the Director revealed she was unaware she had to maintain a professional development plan. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain state regulations. It was observed that the orientation policy in the staff handbook does not contain language regarding the implementation of information learned during the mandatory orientation course. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, the following was found: Two's Room #2 1.) In the Two-Year-Old room, there was no lesson plan posted for review. Pre-K Room 1.) In the Pre-K room, the lesson plan that was posted for review was dated for 09/03/24--09/06/24 and therefore not current. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an area of chain-link fence was in disrepair on the Older Children’s playground. The top portion of the fence frame was missing, and the chain link was bent inward. 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 2. Child Care Services.

General: Based on observation and interview, at 9:46am the surveyor was walking in the hallway when a female child exited the Three-Year-Old classroom and walked to the bathroom that was down the hall and around the corner. The child returned to the classroom at 9:49 am. The staff members present were unaware that the child had left. The child was not within scope of vison or range of voice of a staff member for three 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 8. General.

General: Based on review of documentation, regulation copy KAR 2:280 was not available for review during the inspection process; additionally, KAR 2:120 was dated 2018, the regulation was updated in 2022 and the current regulation copy was not available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report 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, staff members hired 12/21/05, and 6/30/19, had negative tuberculin skin results on file that exceeded two years. Therefore the documentation was no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 4/14/16, did not have proof of completing cabinet-approved orientation training; this training is required within the first 90 days of employment. A review of ECE-TRIS supports this finding. 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 3. General Requirements.

General: Based on observation, the radio in the One-Year-Old classroom was playing music that contained foul and profane language. The radio was playing “In Da Club” by 50 Cent during the inspection of the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, two crib sheets were loosely fitted to the mattresses within the Infant classroom; this poses a suffocation hazard. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the light fixture cover within block area of the School-Age building was hanging loosely from the fixture. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 4. Premises Requirements.

General: Based on observation, an exhaust vent within the School-Age classroom contained excessive dust. In addition, the vent was not securely fastened to the wall. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the trash can used to dispose of soiled diapers within the Two-Year-Old classroom was not covered.

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, a radio was placed on the diaper changing pad within the One-Year-Old classroom. Only items used for diapering should be placed on a diaper changing surface. 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.) A bottle of Cold and Cough medication was located in a cabinet drawer within the Two-Year-Old classroom; the medication was not labeled with a child’s name or kept in a separate and locked location. 2.) Two tubes of diaper cream within the Two-Year-Old classroom were not labeled with a child’s name. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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 was trash and debris located on the playground, near the fence and under a swing set.

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, a wire hung approximately four feet from the ground near the edge of the Older Children’s playground. The wire was attached to a utility pole.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) Several areas of the playground did not have sufficient protective surfacing underneath equipment used for climbing and swinging. The areas included were under/around the following: swing set, the large green jungle gym, the blue and yellow slide, the red monkey bars, and the hexagonal jungle gym. 2.) A small red and tan slide was placed within close proximity to a teeter-totter. The fall zone of the slide was not equal to the height of the equipment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) Two tricycles located on the playground were in disrepair. One had a cracked seat and the other was missing the seat base. 2.) Duct tape lined the bucket seat table within the One-Year-Old classroom; the edges of the tape had started to peel and exposed sticky tape residue. The tape residue contained dirt and grime. 3.) An image of two stick people being shot by guns was drawn on a grey,tan, and red climber. 4.) A large purple tote within the Four-Year-Old classroom had a cracked handle, exposing jagged edges. 5.) A mirror within the Two-Year-Old classroom had a vinyl pad covering the edges. The vinyl covering was separating from the interior foam. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 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 13. Toys and Furnishings.

General: Based on observation, the following was found: 1.) A flat screen TV was stored on a bookshelf within the School-Age classroom and presented a tip-over hazard. 2.) A flat screen TV was stored on a block shelf within the Two-Year-Old classroom and presented a tip-over hazard. 3.) One out of six bucket seats at the table in the One-year-old classroom contained a seat belt. The remaining five seats were not equipped with the manufacturer’s seat belt. 4.) Several of the highchairs located within the cafeteria were not equipped with the manufacturer’s seat belt. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a current vehicle inspection report was not presented for review. The staff person in charge believed that the last inspection occurred in November of 2022; however, the documentation was unable to be located. 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 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 to support that the emergency preparedness plan had been submitted to the proper emergency management authority in 2022 for the 2023 year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, there was no written documentation evidencing that lockdown drills had been practiced. The staff person in charge stated that this drill is conducted on the same day as the earthquake drill; however, was unaware of the requirement to document the lockdown drill. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 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 and interview, the lesson plan posted in the Two-Year-Old classroom was dated, “Week 3”. The surveyor asked if this was current, and the staff person in charge of the classroom indicated that this was the schedule for the following week and the current lesson plan was not available. Animals Not Applicable

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 in regards to the health, safety, and comfort of children. The following was found: 1.) It was found that there were two (2) electrical wall outlets located in the dining area and Three's room. These outlets did not have safety covers and were in reach of children. 2.) In the dining area there was an uncovered thermostat used to regulate the heating and air conditioning. It was located directly beside the light switch, to the left of the entrance door. This was within reach of the children. 3.) In the dining area, there was a bucket of water with a light blue coloring, located on a stool in the upper right corner of the room. The bucket sat unattended during breakfast and for several minutes afterward. The bucket was within reach of children as they entered and exited the dining room. It could not be determined what was mixed with the water in the bucket. 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 in accordance with regulations. Review of staff files found a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results was not presented for review at the time of survey for a staff member hired on 9/06/2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain state regulations regarding employee records. During the review of staff files, it was revealed that staff member hired on 6/30/2019, did not have proof of Cardiopulmonary Resuscitation or First Aid training. A review of the Early Care and Education Training Records Information System records confirmed this finding.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain state regulations in regards to employee requirements and records. During the review of staff files and Early Care and Education Training Records Information System data, it was found that a staff member hired on 09/06/2005, only completed one (1) hour of annual training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. The following was found: 1.) Upon observation, it was found that there was a large buildup of dust/dirt on the baseboard located in the far back right corner of the dining area. 2.) A section of black baseboard had separated from the wall, located in the Four's room. This was in the back right corner, behind a wooden play table. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. The following was found: 1.) The playground area contained a wooden slat on the right side of a storage building was in decay, creating a large hole, accessible to children on the playground. 2.) A large gap was observed between the front of the storage unit door and the ground. This poses a possible entrapment situation for the children. 3.) A Little Tykes shopping cart, full of mulch, was sitting on top of a Little Tikes slide that was being used by children on the playground during the survey. This shopping cart was in the path of children using the slide. 4.) There was a section of broken border wood on the right-hand side of the green jungle gym climbing structure. 5.) A large evergreen tree, in the far back left corner of the play area, was leaning to the left into a section of electrical lines. This causes a safety hazard with the electrical lines. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations in regards to protective surfaces on the outside play area. During the survey, it was observed that the green jungle gym, located in the School-Age play area, did not have any protective surfacing material underneath or around the equipment in the fall zone. 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, the child care center failed to maintain state regulations in regards to twelve (12) inch spacing between mats. In the One-Year-Old room, it was found during naptime that two mats, occupied by children, were touching each other. The mats were located in the front of the room, directly beside a teacher who was positioned beside them on the floor.

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 of the One's room, it was found that the bucket table, located in the back of the room, had several layers of gray duct tape on the outer edge. Several areas were peeling back, exposing the sticky side of the tape.

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 in regards to indoor equipment. During the survey of the Pre-K room, it was found that a small, black, flat screen television was sitting on a shelf in the front left of the classroom. The television was not mounted to the wall or shelf and was within reach of children. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain state regulations. Upon review of the children's files, the following was found: 1.) Four children’s files did not contain a preferred hospital. The dates of enrollment for these children are 04/05/21, 03/13/22, 9/16/21, and 04/07/21. 2.) One children’s file did not have parental signatures on any of the presented documentation. The date of enrollment for this child is 04/07/21. 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 11. Staff Requirements.

General: Based on review of documentation, this regulatory requirement was not met. A staff hired on 4/18/2022, did not have negative TB documentation on file prior to employment. Programming 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, this regulatory requirement was not met. During the investigation, three infants were found in cribs along with multiple blankets, one in a bouncy seat set in the crib with a blanket over its head, and one on a play mat set in the crib.

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 during the investigation in the infant room, two infants were found in cribs; one strapped in the bouncy seat that was set in the crib with blanket covering his face, and other on a play mat that was set in the crib. This poses a safety risk for the infants in care. Programming 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 and interview, this regulatory requirement was not met. A review of the policies and procedures found that the facility did not have a current chain of command. The chain of command had a staff person's name listed that is no longer employed at the facility.

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. Nine staff eligible for an annual performance review did not have current documentation of a review on file in the facility. The documentation on file was dated 2019. 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 9. Records.

General: Based on review of documentation and interview, this regulatory requirement was not met. A review of staff files during the inspection found two staff that did not have the date of employment listed in their file. The staff person in charge verbally identified the dates - 10/5/21 and 2/15/21 as the hire dates. However, the dates of hire were not maintained in the personnel files. 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, this regulatory requirement was not met. One staff person (hire date: 10/5/21) did not have educational documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. One staff person (hire date: 10/5/21) did not have negative T.B. 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 the Training Records Information System (TRIS), the following was found: 1. One staff person (hire date: 4/14/16) did not complete the required PAHT training. This staff member has been employed for more than one year. 2. Two staff (hire dates: 6/30/19 and 10/17/19) did not complete the required 15 hours of cabinet-approved training hours between 7/1/2020 and 6/30/21. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. There is a diaper changing table in the two year old gross motor room, but there is not a sink; therefore, staff and children have to exit the room and enter the two year old classroom in the next room over to access a sink after diaper changes. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The surveyor toured the playgrounds during the visit and found several pieces of equipment that did not have a sufficient amount of fall zone surfacing underneath. The following was found: 1. The surface under three swings consisted of a small rubber mat and compacted dirt under each swing. 2. A yellow slide and tunnel structure (approximately three feet tall) was positioned on grass and dirt. 3. A wavy metal climber (approximately four feet tall and 15 feet long) was positioned on grass, dirt and sparse mulch. 4. The ground underneath a set of monkey bars (approximately seven feet tall) consisted of dirt, grass and a thin black mat that was much smaller than the structure. 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, this regulatory requirement was not met. During a tour of the facility prior to nap time, it was observed that children's sheet covered mats were stacked on top of each other, and that each child's individual bedding was laid on top of their mat; therefore, the children's bedding touched the mat above. Children's bedding stored in this manner allows infectious and contagious conditions to transfer; therefore, it creates a health risk to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The kidney shaped table with bucket seats in the one year old classroom contained a foam edging around the outer edge of the table that was in disrepair. Numerous chunks of the foam were missing on one side and the Duct tape used to secure the edging to the table was peeling off in several areas. 2. The vinyl covering on a red and black video game chair in the school age classroom was ripped along the seam and the interior stuffing was protruding out. 3. A large game table in the school age classroom contained numerous areas of chipped/peeling paint. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. At the time of the survey, a review of the facility vehicle inspection documentation found that a 15 passenger van and a mini bus used by the facility daily to transport children from local schools to the facility had not been inspected since 8/30/19. 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, this regulatory requirement was not met. Two children did not have an immunization certificate on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, this regulatory requirement was not met. The following was found: 1. One child had an enrollment packet on file; however, it was not signed by the child’s parent. 2. Two of the children’s files/enrollment documentation did not contain information for the family’s preferred hospital. 3. One child’s file/enrollment paperwork did not have physician contact information. 4. One child that was present at the facility on the day of the inspection did not have enrollment paperwork on file; therefore, none of the required information had been obtained. The staff person in charge identified the child as a sibling of another child enrolled at the facility. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Ten employee files did not have a current annual professional development plan on file at the facility. The last professional development plan that had been completed was 2019. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. During a review of the 2021 emergency drill log, the following was found: 1. A fire drill was not conducted during the month of September; therefore, drills were not conducted monthly. 2. There was no record of quarterly tornado drills conducted by the facility. 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 10. Director Requirements and Responsibilities.

Based on observation and a review of documentation, a staff person hired on 8/7/2020, did not have the results of or evidence of the application for a criminal background check on file. The staff person was observed alone caring for five children in the Tot's Room. 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, at the time of the survey there was no one present with the children that was currently certified in CPR or first aid. None of the 14 staff files presented for review contained current certification for CPR or first aid. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The Pre-K Room (Rm 3), contained an open window with no screen. 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

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The three swings on the playground used by the younger children and the five swings on the playground used by the older children contained rusty chains. 2. A swing on the playground used by the older children contained a broken hook at the bottom of the chain by the seat. 3. A toy shelf in the two-year-old room (Rm 5), contained several areas of chipped paint along the edges of the shelves. 4. The school-age building (Bldg 2), contained a thermometer in the refrigerator that had a sticky substance spilled on the surface. 5. The school-age building (Bldg 2), contained a thermometer in the freezer that was cracked on the surface. 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 observation and review of documentation, the recorded fire drills on 8/13/2020, and 9/11/2020, did not include the names of the children that participated in the drills. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The Tot's Room (Rm 6), contained a lesson plan that was no longer current. The posted lesson plan was dated 8/10 through 8/14. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and observation, a staff person hired on 8/7/2020, did not have the results of or evidence of the application for a criminal background check on file in the facility. The staff person was observed alone caring for five children in the Tot's Room.

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, staff hired on 08/10/86, and 09/06/05, did not have a current professional development plan on file. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff hired on 05/15/19 had no documentation on file or in KARES showing that paperwork had been submitted for background checks. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was found that there was an uncovered electrical outlet in the lunch room located on the right hand side of the hallway. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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, staff hired on 05/15/19, did not have current 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) Staff hired on 04/14/16, did not have pediatric abusive head trauma documentation on file. 2) Staff hired on 08/10/86, 09/06/05, 11/10/04, 12/21/05, 04/14/16, 10/15/84, 09/23/97, 11/10/03, 04/24/14, 04/29/13 and 08/10/97 did not have the required fifteen (15) hours of cabinet approved training on file. This information was verified through 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 following was found: 1.) In the school aged building, there were cleaners such as lysol wipes and windex being stored in an unlocked cabinet under the sink in the kitchen area. 2.) In the four and five year old classroom, there were staff members' purses and cups that contained liquid being stored in an unlocked closet.

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 infant classroom, there were numerous cobwebs on the blinds. 2.) In the three year old classroom, there was an electrical outlet that was missing the face plate. HSS notes that there were not any exsposed wires or hazards as a result of this missing plate. 3.) In the lunch room located on the right side of the hallway, there was an electrial outlet that had a broken plate.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) In the lunch room located on the left side of the hallway, the floor was very dirty and grimy along the perimeter of the room. 2.) The carpet was frayed under the door where the two one year old rooms adjoin. 3.) In the two year old classroom, there was a hole in the wall that was covered up by clear tape. 4.) In addition, there was also a hole in the wall on the left hand side of the closet in the two year old room. 5.) Also, in the two year old room, there was missing/chipped paint and tape residue under the baseball poster. 6.) In the school aged room located in the downstairs of the main building, there was a missing tile in the area where the blocks were stacked. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, it was found that there were not any paper towels in the bathroom located in the school aged building. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was found that there was not adequate ground cover on either of the playgrounds. Both of these playgrounds contained slides and climbers that the children played on. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) In the three year old classroom, there was a rug with different animals on it that was ripped and frayed around the edges. 2.) In the school aged classroom located in the main builidng, there was a gaming chair that was ripped leaving the padding underneath exposed. 3.) In the one year old room, there was a padded mirror on the wall in which the vinyl material was coming off. As a result, it left the padding underneath exposed. 4.) In the tots classroom, there was a white shelf that was in disrepair. This shelf was not smooth and had areas of chipped paint. 5.) In the tots classroom, there was a hard plastic child's pool that contained toys. This pool was very worn, warped around the edges, and no longer in good repair. 6.) In the two year old classroom, there was a cabinet door that was in disrepair and had duct tape on it.

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 following was found: 1.) The 2001 Chevy van used to transport children was dirty with debris such as paper and crayons. 2.) In the same van, there was a piece of the van located under the air conditoner that was in disrepair and had been taped with red duct tape. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 12. Reports.

General: Based on interview and observation, the director stated that right after Christmas they had to move out of the school age building due to a water leak behind the kitchen cabinets. She stated that the children were moved into the Fellowship Hall located in the church. She also stated that the children sometimes use two (2) classrooms upstairs. The Fellowship Hall and the upstairs classrooms are not a part of the facilities licensed space. Children were observed being cared for in the Fellowship Hall during the inspection.

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 interview, the director stated that the school age building experienced a great deal of damage due to a water leak behind the kitchen cabinets. She stated that the building was gutted and they were having all new flooring put down and new construction was being done to the building. The director did not notify the cabinet prior to the start of the renovation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the school age staff person stated that the children will sometimes go through the kitchen to get to the bathrooms which are located in the main hallway of the building. The surveyor noted Pine Sol and bleach sitting out on the kitchen counter. These items were accessible to the children. There is also a stove in the kitchen that the children would have to pass to get to the bathrooms. 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 interview and observation, the school age staff person stated that the children will sometimes go through the kitchen to get to the bathrooms which are located in the main hallway of the building. The surveyor noted Pine Sol and bleach sitting out on the kitchen counter. These items were accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 04/09/2019 AND AS OF 04/22/2019, 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 12. Reports.

General: Based on interview and review of documentation, an incident wherein a female child fell and broke her nose, resulting in emergency medical care was not reported to the Cabinet. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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, a staff person hired 6/7/17 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years.

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, there is no one on duty and present with children that is currently certified in Adult CPR from 7:00 a.m. to 7:30 a.m. and from 5:00 p.m. to 6:00 p.m.. There are school-age children present during these times. Also, the three (3) staff identified as van drivers that transport school-age children were not certified in Adult CPR. 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

Category: health medication. 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. Fourteen (14) of the sixteen (16) staff files reviewed did not contain fifteen (15) hours of annual training for the last full year of employment. 2. Staff person hired 4/14/16 did not have evidence of completing the Pediatric Abusive Head Trauma training within the first year of employment. A review of ECE-TRIS records supports the information found during the 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, it was determined that in the Two (2) Year Old Room, the cabinet under the sink in the room was not locked. This cabinet contained a bottle of Ultra Joy Soap detergent and a bottle of Keystone Pot and Pan detergent. The cabinet was easily accessible to children in the room. In the Four (4) Year Old Room, a purple travel mug containing an unknown liquid was located on a table used by children. Children were sitting at the next table and the cup was easily accessible to children. Also in the Four (4) Year Old Room, a cell phone was located on the table being used by children. The cell phone was beside a student who was sitting at the table. The teacher was at another table with students for the duration of the time the surveyor was in the room. The cell phone was easily accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was determined that the air conditioning units in the Three (3) Year Old Room and the Four (4) Year Old Room were very dirty and in need of cleaning. The units had a layer of dirt, dust, and grime covering the vents. Both units in these rooms were in use at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was determined that in the bathroom used by the boys the paint was peeling and chipping on the wall behind the urinal. A large area of paint had chipped and peeled around both sides and the top of the urinal. Paint could be seen flaking and chipping. The side of the wall near the toilet was also chipping and peeling paint. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, it was determined that in the One (1) Year Old Room, several of the books were torn and missing pages or covers. The spines of these books were torn and the covers in disrepair. These books also contained torn or bent pages. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled 9/3/12 did not have documentation of a preferred hospital listed by the parent on file in the facility. Written Documentation In Compliance Posted Documentation In Compliance Animals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on observation, it was determined the Two (2) Year Old Room had a fish in a small tank and did not have a written parental consent from each parent on file. The teacher stated she was not aware a consent form was needed. The children's files also did not contain any type of written consent form for the fish.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found through a review of seventeen (17) staff files that four (4) staff files did not have evidence of an annual staff evaluation. 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 6. License Issuance.

General: Based on Review of Documentation, it was found that a staff person that was re-hired 09/2017 did not have a new child abuse and neglect check completed not was there evidence that one had been applied for. This staff person was not observed to be working alone with children. It was also found that a staff person with a hire date of 06/07/2017 did not have evidence of a criminal records check nor evidence that one had been applied for. This staff person was not observed to be working alone with children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found through a review of seventeen (17) staff files that two (2) staff files did not have evidence of proof of education.

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 through a review of seventeen (17) staff files that six (6) staff files had no evidence of being free of TB. The dates of hire for the staff were 06/07/2017, 09/05/2006, 09/06/2005, 08/10/1997, 04/29/2013 and 12/21/2005.

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 through a review of seventeen (17) staff files that thriteen (13) staff files did not have the one and one-half (1 1/2) hours of pediatric abusive head trauma training. A review of ECE-TRIS confirmed this. The dtaes of hire for the staff were, 04/24/2014, 09/23/1997, 08/10/1986, 09/10/2003, 11/10/2003, 09/05/2006, 11/10/1985, 09/10/1998, 11/10/2004, 09/06/2005, 06/06/2016, 08/10/1997, 12/21/2005 and 04/29/2013. 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, during a tour of the facility the door to a storage closet beside the kitchen was open. Inside the closet on a shelf on the bottom rack there were bottles of Acid-Lime, Blue-glo disinfectant, Sanitize E.S and Metal Safe dishwasher detergent. On the shelf above these items there were two (2) cans of GFS Pancoating spray. The labels on all of the containers stated to "Keep out of the reach of children." The bathrooms the children use are located in the same hallway where the storage clsoet is located. At the time of the survey a staff person took a group of children to the bathroom.

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, at the time of the survey in the room located beside the one-year-old room there were four (4) children ages ten to thirteen months (10-13) with two (2) staff. A diaper changing table was observed against the wall beside an opening the leads into the one-year-old room. There is not a sink in this room There is a half door with a slide lock that seperates the two (2) rooms. Staff in the room were asked what they do about handwashing after diaper changes and they stated that they take the child and go into the one-year-old room wash hands at the sink in that room. Let it be noted that staff must unlock the half door and walk across the room to get to the sink. This is contaminating surfaces from the changing table to the sink. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, during an inspection of the first aid kit on the van used to transport children from school and on field trips six (6) individual packets of Tylenol were found. A packet of Neoporin antibacterial ointment was found in the first aid kit on the mini bus used to transport children from school and on field trips. The Tylenol and Neosporin were not labeled for an individual and they were not in a locked container or area. 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 large areas of grass and dirt under a green, curved metal climber on the large playground. There was a small amount of mulch that could be seen through the dirt and grass. On this same playground there was a tall metal slide sitting on dirt and grass with a small amount of mulch showing through. One (1) of the swings had only dirt underneath the area. 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, during a tour of the facility a child in the room located by the one-year-old room was observed sleeping on the floor in a corner where there were pillows. An interview with staff found that the child falls asleep every day and takes a nap. The child was not on a cot or two (2) inch thick waterproof mat. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, during an inspection of the first aid supplies on the van used to transport children from school and on field trips it was found there was no liquid soap available. The flashlight on the van was not working properly and there was not a flashlight on the mini bus. 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, a child's bottle was found uncovered in the door of the refrigerator in the infant room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, at the time of the survey children were observed eating breakfast in areas designated for food service. A group of one-year-old children were observed sitting in high chairs. The children's breakfast consisted of milk, apple slices, and pancakes. The pancakes and apple slices were placed directly on the high chair tray. The children were not provided with a plate or bowl. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a child with an enrollment date of 08/23/2013 did not have the preferred hospital listed in the file. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found through a review of seventeen (17) staff files that seven (7) staff files did not have evidence of an annual professional development plan. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, during a tour of the infant room a plan of activities was posted on the window. There were no dates as to when these activities would be conducted. This was also found in the Pre-K room. During a tour of the 2's room the plannned program of activities with dates the activities would be conducted was not posted. An interview with staff in the room found that they keep the planned activities in a folder on a shelf. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that one (1) staff person was supervising eleven (11) one-year-old and two-year-old children in the Two Year Old classroom. The staff person stated that she had been the only teacher in the classroom that morning. A review of the attendance records found that the classroom was out of ratio from 8:00 a.m. until a second staff person joined her at 8:55 a.m. In addition, at 9:45 a.m. the second staff person was observed to leave the classroom for one (1) minute, thus leaving a single staff person alone with the eleven (11) one-year-old and two-year-old children. General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, staff hired on 09/23/97 had only twelve (12) hours of cabinet approved training on file. Staff hired on 04/24/14 has not completed the required Pediatric Abusive Head Trauma class. This information was verified through 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, it was found that an unlocked drawer in the kitchenette of the School Age building contained a screwdriver, a box cutter and empty plastic bags. An unlocked cabinet in this same kitchenette was found to contain Smart Sense disinfecting spray and multiple cans of spray paint, each of which bore the label, "Keep Out of Reach of Children." The children walk through this kitchenette to get to the classroom areas.

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, it was found that empty plastic bags, a screwdriver and a box cutter were accessible to the children in the School Age building. These items were not being used as part of a scheduled activity. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the medication box located in the Two Year Old classroom contained a can of Dermaplast pain relieving spray. This can was not labeled. 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: health medication. Open / not marked corrected.

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

General: Based on Observation, it was found that all climbers, slides and swings located on both playgrounds were positioned on very sparse mulch, grass and dirt. These items included five (5) swings, four (4) climber/slide combination units ranging from two (2) to three (3) feet in height, multiple metal automobile-shaped climbers, an arch jungle gym, six (6) feet tall monkey bars, a wave/arch jungle gym and a seven (7) feet tall metal slide. The director stated that the facility had not had mulch since spring. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the arch monkey bars were not securely anchored to the ground.

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 six (6) bucket seats located in the Older Infants classroom did not have the manufacturer required safety straps installed. It was also found that seven (7) highchairs in the eating room did not have the manufacturer required safety straps installed. These seats were being used by the children during the survey. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the fire extinguisher on the 2001 Chevy 3500 van was empty. 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, it was found that the two-year-old children were served whole milk for breakfast. Children over two (2) years of age were being served 2% milk. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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 out of seventeen (17) staff files reviewed, nine (9) staff files did not have evidence of the fifteen (15) hours of cabinet- approved early care and education training during each subsequent year of employment. The dates of hire are 12/21/2005, 09/06/2005, 11/10/2004, 09/10/1998, 11/10/1985, 09/05/2006, 11/10/2003, 09/10/2003 and 09/23/1997 for the employees lacking the training hours.

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 in the lunch room where the children eat their lunch, there was an electrical box hanging out of the wall exposing wires.

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 Interview, it was found in an interview with staff in the infant classroom, that the toys in the infant classroom are only cleaned with a bleach water solution. First Aid/Medication

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, it was found that in the lunch room where the children eat, there were three (3) children's names posted that listed their allergy restrictions. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 25 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that the refrigerator handle in the afterschool classroom was broken. It was also found that face of a drawer was broke off on a cabinet in the 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 Review of Documentation, it was found that the staff have not been provided with a current copy of the administrative regulations. The most current copy of the regulations were from 2008.

Open Not marked corrected in the state record

Category: ratio. 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 with a hire date of 05/08/2014 did not have evidence of six (6) hours of cabinet-approved orientation within the first three (3) months of employment. It was also found that staff persons with hire dates of 08/10/1997 and 09/10/2003 did not have the required 15 hours of cabinet-approved early care and education training during each subsequent year of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that there was not a current program of activities in the infant classroom, toddler classroom, afterschool classroom and the four (4) and five (5) year old classroom. It was also found that there were no music and cultural materials available for the children in the four (4) and five (5) year old classroom nor was it written on the program of activities.

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, it was found that there was a container filled with several bottles of sunscreen sitting on top of the refrigerator. It was also found that there were several cans of paint stored in the bathroom bath tub where the children use the restroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was found that there was a tear in the screen on the window in the boys' bathroom.

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 that there were several areas of chipped paint on the walls in the afterschool classroom. There was found to be a hole in the wall by the closet in the two (2) year old classroom and a hole in the wall above the book area in the two (2) year old classroom. It was also found that there was paint chipping from the ceiling.

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, it was found that there was no seating available for the children in the toddler classroom. Transportation

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, it was found that there was no thermometer in the refrigerator in the afterschool classroom. 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 Review of Documentation, it was found that a staff person with the hire date of 11/10/1985 did not have evidence of a 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 Observation, the facility failed to maintain minimum staff to child ratio and group size. At the time of survey, ten (10) infant aged children were observed being cared for by one (1) staff member for approximately one (1) minute. The staff to child ratio for an infant classroom is one (1) staff member for five (5) children. In the toddler classroom, two (2) staff members were observed caring for thirteen (13) children which exceeds the minimum ratio. The children were one (1) year old. The maximum group size for one (1) year old children is twelve (12). In the outdoor play area, thirty-eight (38) children were found being cared for by three (3) staff members. The youngest child was three (3) years of age. The maximum group size for a child three (3) years old is twenty-four (24). Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the director failed to supervise staff conduct to ensure implementation of program policies and procedures. Based on interview, one (1) staff member had placed a child in care in time out while standing and facing a wall. In the section labeled Discipline of Children, the written policy of the facility states, “at no time can a teacher put a child standing in time out with the child’s face/nose facing towards a wall.” During staff interview, a staff member reported that a child had been placed in time out while standing and facing a wall. Based on interview, one (1) staff member reported that socks had been placed on a child’s hands to prevent the child from hitting other children. The staff member reported that the socks had been placed on the child’s hands on more than one occasion. The staff member also reported that the socks are usually kept on the child’s hands for no more than fifteen (15) minutes at a time. The staff member stated that the socks were never placed on the hands of other children. The facility written policy states, “No child shall be teased, humiliated, frightened, ridiculed, or belittled at any time. No child shall be shamed.”

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, the facility failed to ensure that a child in care be provided with experiences that are developmentally appropriate for each child served. Staff members reported that a child in care is made to wear socks on the child’s hands to prevent the child from hitting other children. The staff members reported that no other children in the classroom are made to wear socks on their hands when they hit other children. The staff members stated that the child is usually made to wear the socks for no more than fifteen (15) minutes. Also, the staff members reported that a child in care was placed in time out while standing and facing a wall. The staff member reported that a sheet of paper was taped to a wall, with a red circle drawn in the middle of the paper. The staff member reported that a child in care was made to stand in time out while looking at the paper taped to the wall. The staff member reported that the child was made to stand for no more than five (5) minutes. The staff member reported that only one (1) particular child is made to stand for time out.

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 facility failed to ensure that no bedding or toys be in a crib with a sleeping infant. In the infant classroom, three (3) infant aged children were observed sleeping in cribs with toys present in the cribs. One (1) crib contained a sleeping infant with a blue blanket placed over the child’s face. Equipment

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 facility failed to ensure that cribs used for sleeping and napping be spaced twelve (12) inches apart. In the infant classroom, three (3) children were observed sleeping in cribs. The cribs were not spaced twelve (12) inches apart. The cribs had no space between them.

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 11-10-85, 6-4-10, 11-10-03, and 11-10-04 did not have documentation of fifteen (15) hours of annual training during the last full year of employment on file at the facility.

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 ten (10) children’s records reviewed during the survey did not have a preferred hospital and contact information on file in the facility.

Open Not marked corrected in the state record

Open / not marked corrected.