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

General: Based on observation and interview, three (3) two-year-old children did not wash their hands after a diaper change. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 17 of 32 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 member diapered three (3) two year old children. The staff member switched gloves between diapering each child but did not wash his/her hands after each child.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the light switch in the toddler restroom was broken. It was lifted from the wall on the left side and a screw was exposed on the right side.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the interior of the oven was soiled. There was a build-up on the interior base and the interior of the oven door.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the daily attendance record contained the end of the week signature for twelve (12) children; however, they were signed in to care for the day.

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 interview and review of documentation, current written proof of liability insurance coverage of at least $100,000 per occurrence was not presented for review. 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 and review of documentation, the personnel record for a staff member (DOH: 09/15/19) did not contain an evaluation at the time of the inspection. Employee Records In Compliance 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 interview and observation, there was a hand sanitizer station set up at the entry of the classroom. Therefore, the hand sanitizer was accessible to the children. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation during the inspection, the following was found: School Age Room 1) There was a section of a wall that was peeling a large piece paint that was hanging from the wall. The drywall was exposed. 2) The left and right side of the corner walls of the threshold entering the classroom was chipping paint and drywall. The metal mesh was visible. Children’s Bathroom 1) The wall behind the three (3) handwashing sinks were heavily peeling paint and drywall causing the wall to have numerous cracks. 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 changing pad within the Infant room contained cracks and small holes. 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 13. Toys and Furnishings.

General: Based on observation the following was found: Outdoor Play Area: The material on the small round trampoline was dried rotted. The material was partially attached to the frame of the trampoline. Infant Room: There was a small green plastic stepping stool sitting in front of the hand washing sink that was soiled with dust and debris. Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was aluminum foil and a sticky substance frozen in a piece of ice located on the floor of the refrigerator freezer within the Infant room. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, there were two (2) staff members working within the infant room. Review of the Kentucky Applicants Registry and Employment screening verified the staff member (DOH: 11/03/23) was working at the child care center without a completed background check with a determination date. The staff member was not observed working alone on the day of the inspection. 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 review of documentation, staff member's (DOH: 07/266/22) personnel record did not contain an annual written performance evaluation on the day of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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, personnel records for two staff members (DOH: 06/24/21 and 10/11/21) did not contain documentation of a current tuberculosis skin test or a statement from a health care professional stating that the adult was free from active tuberculosis on the day of the inspection.

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: Review of documentation revealed, staff members (DOH: 07/10/23, 02/08/21, and 09/15/19) did not complete the required first aid and cardiopulmonary resuscitation training within ninety (90) days of employment.

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 a staff member's (DOH: 09/15/19) record did not contain documentation verifying the staff member had completed one and one-half (1.5) hours of cabinet-approved pediatric abusive head trauma training. Review of the Early Care and Education Training Records Information System (ECE-TRIS) did not verify that the training had been completed by the staff member. 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, there was an OPC rodent control box adjacent to the entry/exit door on the outdoor play area.

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 air vent contained an accumulation of dust within the infant room.

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 of the facility during the inspection, the following was found: Bathroom within the school-age room 1) The wall behind three (3) sinks was chipping and peeling paint and drywall. 2) The corner of a wall was missing drywall and the metal flashing that was exposed was rusted. 3) There were four (4) holes in a wall and the drywall was exposed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

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 changing table within the one-and-two-year-old room was not immediately adjacent to a sink on the day of the inspection. 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: Observation of a staff member changing a child’s diaper revealed the staff member did not wash the child’s hands after the diapering procedure was completed. The staff member placed the child on the floor and said, “Go play”.

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: Observation of the changing table within the infant room revealed the changing pad was cracked and the inside absorbent material was exposed. 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 of the facility during the inspection, the following was found: 1) There was a twenty (20) inch by twenty (20) inch deep hole on the playground that was accessible to the children. 2) There was a fourteen (14) inch by nine (9) inch deep hole on the playground that was accessible to the children. 3) There was a rotted, wooden landscape timber that contained sharp splintered edges and a rusted nail protruding from the timber that was accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

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 of the facility during the inspection, the following was found: Infant Room 1) There was one (1) crib with three (3) mattresses stacked on top of each other. Continued observation of the crib revealed there was plastic wrapping on two (2) of the mattresses. 2) There were five (5) cribs that contained mattresses that were doubled stacked.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were five (5) vinyl mats that were cracked, and vinyl was peeling off of the mats, the inside absorbent material was exposed. Interview with a staff member revealed the vinyl mats were used by the children for napping.

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, there were multiple child size chairs that were chipping paint and rusted within the school-age room. 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 Not Applicable 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, a child’s record with the enrollment date 03/28/17 contained an immunization certificate dated 09/27/22. The documentation presented was not current. Therefore, there was not a current immunization certificate presented for the child on the day of the inspection. 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 9. Records.

General: Based on review of documentation, personnel records for staff members (DOH: 06/24/21 and 10/11/21, 09/15/19, and 07/26/22) did not contain a professional development plan on the day of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of documentation revealed that the child care center did not conduct a lock down drill for the first, second, and third quarters of 2023. Interview with the staff in- charge revealed that drills had not been conducted. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, the following was found: 1) Staff hired 06/24/21 and 10/11/21, did not complete the required Orientation training. Both staff members have been employed for more than three months. 2) Staff hired 02/08/21, did not complete the required PAHT training. This staff member has been employed for more than one year. The ECE-TRIS system was reviewed and confirmed these findings. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there were several ceiling tiles in the Two-Year-Old classroom that contained water stains. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, there were two bottles without labels located in the Infant room refrigerator. 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 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 interview and review of documentation, the staff in charge did not present verification that a current copy of the administrative regulations had been maintained. 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 interview and review of documentation, the staff in charge did not present verification that the record for the employee with a hire date of 02/10/2021 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. 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 staff in charge did not provide verification that six (6) of the six (6) employees eligible had met the requirement of fifteen (15) hours of cabinet-approved early care and education training during the last year of employment. Continued review revealed the employee with the hire date of 03/22/2017 had not completed Pediatric and Head trauma Training. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirements. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the daily activity of programming was posted in writing that had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for four (4) of the four (4) classrooms that were operating. Premises In Compliance 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 6. Sleeping and Napping Requirements.

General: Based on observation in the infant classroom; there were four (4) crib mattress with sheets that had excessive material; therefore, the sheets were not tight fitted. 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 13. Toys and Furnishings.

General: Based on observation, a small blue vinyl couch and chair located in the transition classroom was worn on the arm edges and had a tear in the seat cushion of the couch, exposing the foam material inside.

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: Observation in the toddler classroom revealed six (6) toddlers were seated at the table in bucket seats. The toddlers were not securely attached into their seats by safety restraints. Therefore, the seats were not used in accordance with the manufacturer’s safety requirements. Additionally, the area rug in the transition classroom was soiled with dark stains. 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 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 interview and review of documentation, the staff in charge did not present verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been submitted to the local emergency management team within the last year.

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, interview and review of documentation, the staff in charge did not provide verification that the daily attendance record for 07/22/2021 had been maintained accurately. Review of the attendance record revealed that forty-three (43) children had been signed in. Observation revealed there were thirty-eight (38) children present. Posted Documentation 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 interview and review of documentation, in the toddler classroom there was no posting of the proper methods of handwashing or diapering procedures at the diaper changing area. 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.

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory requirements. Review of all presented staff files revealed one (1) staff member with the hire date 03/22/2017 whose file did not contain a current written staff evaluation. Upon request, the staff in-charge did not present the document at the time of the 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 regulatory requirements. Review of all presented staff files revealed one (1) staff member's file with the hire date 01/06/2021 whose file did not contain verification that the staff member had completed six (6) hours of cabinet-approved orientation training within ninety (90) days of employment. Review of the ECE TRIS report could not verify that the training had been completed. Continued observation of the staff files revealed there were two (2) staff members with the hire dates 3/22/2017 and 03/22/2017 whose file did not contain current documentation of current pediatric head trauma training. Review of the ECE TRIS report could not verify that the training had been completed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's 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 interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Review of all presented children's files revealed there were nine (9) children's files that did not contain a current immunization certificate. Upon request the staff in-charge did not present the documents at the time of the inspection.

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 interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Reveiw of all presented children's records revealed there were eleven (11) children's files that did not contain the child's general health status and medical history; there were twenty-five (25) children's files that did not contain an enrollment date for the child's first day at the child care center; there were eleven (11) children's files that did not contain a family physician listed; there were five (5) children's files that did not contain the child's date of birth; there was seven (7) children's files that did not contain the parent signature on the enrollment form; there were nine (9) children's files that did not contain the name of the parent's preferred hospital; there were nine (9) children's files that did not contain identifying information for the child; there were nine (9) files that did not contain the parent's contact information; there were eight (8) children's files that did not contain a name of each designated person that can pick the child up; there were ten (10) children's files that did not contain the name and phone number for the child care center to call in an emergency; and there were nine (9) children's files that did not contain authorization by the parent for the child care center to seek medical care in the parent's absence. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of all presented staff records revealed there were two (2) staff members with the hire dates 03/19/2019 and 03/22/2017 whose file did not contain a current written professional development plan. Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.

General: Based on observation and interview, the child care center failed to assure compliance with the regulatory requirements specific to the current pandemic established in 922 KAR 2:415e. Per the standard established in 922 KAR2:415e Section 4(9) (a), a child care provider shall not provide access to visitors or students conducting classroom observations, except as necessary to complete a final observation required for a Child Development Associate credential. Observation of the entry door at 12:30p.m. revealed a teen-age child was let into the center. The surveyor asked the visitor if they were a staff member and the individual stated "No". The surveyor asked the visitor if she / he was enrolled at the child care center and the individual stated "No". The child stated that she / he was seventeen (17) years-old and she / he had just got out of school and she / he was at the child care center to wait on their ride home and the visitor also revealed that she / he comes to the center almost every day. Interview with the director confirmed the child was there waiting on a ride home.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the ventilation hood on the kitchen stove did not appear to be operational or vented to outside air. Review of Division of Regulated Child Care records revealed a regulatory violation specific to the lack of adequate ventilation to outside air in the kitchen of All Kids Matter Childcare was identified during a Change of Location inspection conducted on 11/18/2020. Review of the Plan of Correction submitted to the cabinet by All Kids Matter Childcare on 11/25/2020 revealed the following statements: “LGC Electric came out to service ventilation. Outside ventilation is working.” “As the director, I will monitor ventilation requirements daily, to assure equipment is working properly, for the health and safety of the center.” Therefore, the center failed to implement the submitted plan of correction.

Open Not marked corrected in the state record

Category: nutrition. 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 regulatory requirements. Observation in the bathroom adjacent to the toilets revealed the bottom of the wall failed to have baseboards and drywall which resulted in exposed framing inside of the wall. Observation in the kitchen revealed a large hole in the wall where the grease trap was intended to be installed. The grease trap was sitting in the kitchen waiting to be installed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation failed to reveal hot water from the sinks in the bathrooms and kitchen. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the bathroom containing three (3) toilets revealed one (1) of the toilets continued to run after flushing, indicative of disrepair. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation in the Infant room revealed wooden cubbies on the wall which failed to be clean and in good repair. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to assure compliance with the food service requirements. Observation in the kitchen failed to reveal ventilation to outside air.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, a staff member provided supervision to two (2) separate groups of children, from two different classrooms, while standing at the end of the dividing wall between the two (2) classrooms. One group of children consisted of five(5) one to two-year-old children; and the second group consisted of five (5) children ranging in age from eight-years-old to eleven-years-old. Therefore, the sole staff member was responsible for a total of ten (10) children, with the youngest child being one-year-old, which exceeded the miminum staff-to-child ratio by four (4) children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's 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 9. Records.

General: Based on observation, interview and review of documentation, no enrollment information was available for review for two (2) school age children who was present at the time of the inspection. Interview with two (2) staff members confirmed that the children are enrolled in a neighboring center that shares ownership interest in the center. The parents of children enrolled in the neighboring center are asked to drop off their children at the inspected center when enrollment is low at the neighboring center. Further interview revealed that files are generally kept at both centers; however, no file could be located for the two (2) aforementioned childen. The ownership for each referenced child care center is identified in DRCC documentation as different Limited Liability Companies (LLC). 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, on 10/29/2020 twenty-four (24) children were observed to be present and in the care of the center; however, no children were signed in to care on the daily attendence records for the day. Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory requirements specific to the current pandemic, as established in 922 KAR 2:405E. Upon arrival, the staff member in the preschool classroom was not wearing a face mask. Additionally, the staff member who met the surveyors at the door and took their temperatures was not wearing a face mask. Also, zero (0) of the five (5) school age children were wearing a face mask to cover the nose and mouth. The children were wearing masks around their chins, but not on their faces. All children were sitting at a table within inches of each other.

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 regulatory requirements. Upon review of records and interview with the staff in charge, verification that two (2) staff with the hire dates of 4/02/19 and 9/24/18 had proof or documentation that showed Six (6) hours of cabinet- approved orientation within the first three (3) months of employment was not presented for review. 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 and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the vent covers located on the wall in the office foyer and in the ceilings of the three to five year old room and in the toddler rooms revealed they were dirty and covered in dust buildup. Interview with the staff in charge revealed the vent covers were in need of cleaning. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulations. Observation in the boys bathroom revealed there was no supply of toilet paper next to the toilet seat in the first stall.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Based on interview and review of documentation, the child care center failed to maintain background checks in accordance with regulations. Review of KARES surveyor report revealed the status of five (5) staff members is listed as “eligible not employed”. Interview with the director revealed the five (5) aforementioned staff members are employed with the child care center. Review of KARES surveyor report revealed three (3) other staff member were not listed on the KARES surveyor report but the staff files for the aforementioned three (3) staff members did reveal a National Background Check Program (NBCP) employment authorization form. Upon return to the DRCC office, verification of the National Background Check Program (NBCP) and the KARES surveyor report for another location, All Kids Matter II, revealed the status is “current employee” for two (2) of the aforementioned staff members, and the other one (1) staff member’s status is “eligible not employed”. Therefore the director has not maintained the background status through the National Background Check Program (NBCP) for five (5) of the qualified staff members with the child care center, All Kids Matter, L383620. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance 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

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 revealed a file for a staff member with the hire date 04/01/2019 did not have proof of education documentation (high school diploma, GED, or Commonwealth Child Care Credential). Interview with the director revealed this information was not available at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the files for four (4) staff members with the hire dates of 04/01/2019, 03/21/2017, 03/21/2017, and 03/21/2017 failed to have record of a tuberculin results or a statement from a health professional that the individual is free of active tuberculosis. Interview with the director revealed this information was unavailable at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on 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 fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for six (6) staff members with the hire dates of 03/21/2017, 03/21/2017, 03/21/2017, 03/21/2017, 03/21/2017, and 03/21/2017. Interview with the director revealed this information was unavailable at the time of survey. 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 programming in accordance with regulatory requirements. In the infant room, it was observed from the timeframe of 11:05am to 11:15am, four (4) one-year-old children were sitting in high chairs with no activity presented to them. 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 child care center failed to maintain premises in accordance with regulations. Observation in the preschool room revealed an accumulation of dust in the ceiling vent. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the infant room sink revealed there was no available hand drying blower or single use disposable hand drying material. 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 comply with regulations regarding hygiene practices. In the infant room, a staff member completed a diaper change on a one-year-old child; after completing the diaper change the aforementioned staff member did not assist the child to wash his/her hands.

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 regulations regarding hygiene practices. In the infant room, a staff member did not wash her hands after completing a diaper change on a one-year-old child. Further observation revealed the aforementioned staff member was observed to serve milk to four (4) one-year-old children sitting in high chairs. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain hygienic practices in accordance with regulations. Observation in the infant room revealed the diaper-changing pad located on top of the diaper changing table was torn and was exposing fabric.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding hygiene practices. In the infant room, a staff member did not disinfect the diaper- changing pad after completing a diaper change on a one-year-old child. 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 comply with regulations regarding outdoor play area. Observation of the playground revealed there was not enough protective surface under the slide, evidenced by exposed ground. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulations. Observation in the toddler’s room revealed the small red sofa cushion was torn and frayed at the edges, exposing fabric at the seams. In the infant room, four (4) cribs had several areas of paint chipping away from the railing.

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 child care center failed to maintain equipment in accordance with regulatory requirements. A battery-operated toy in the infant room was not maintained and used according to the manufacturer's safety specifications; the batteries were nonoperational. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Food Service/Food Program Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation in the infant room revealed four (4) one-year-old children were served pasteurized low fat one (1) percent milk. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. The center failed to ensure all equipment surfaces contacting food were clean and sanitary. Observation of the kitchen revealed the stove had food debris and grease buildup on the inside walls and on the inside of the doors.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding food service. Observation in the refrigerator located in the kitchen revealed that the refrigerator thermometer registered sixty-five (65) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Three (3) bottles located in the refrigerator in the infant room were not properly covered.

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 interview and review of documentation, the child care center failed to maintain food service in accordance with regulations. The weekly menu was not posted in a conspicuous place or readily available. Interview with the director revealed this information was unavailable for review at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. In the infant room, it was observed that a twelve-year-old child was assisting a staff member in gathering children for an activity. Interview with the staff member and the director revealed the twelve-year-old child was not an employee of the child care center but the daughter of the aforementioned staff member. Upon request, the written record for the twelve-year-old child was not presented for review at the time of survey. Further interview with the director revealed there was no written record for the twelve-year-old child, completed and signed by the child’s parent and retained on file on the first day of attendance to include the child’s name, address, and date of birth, contact information for the parent’s home or place of employment, family physician, preferred hospital, name of person designated in writing to pick-up the child, child’s general health status, name and phone number of person to be contacted in the event of an emergency, or authorization from the parent to seek emergency medical care for the child in the parent’s absence. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulations regarding written documentation. Review of the attendance records and interview with the director revealed not all twenty-five (25) children present during time of survey were signed into the daily attendance records; only seven (7) were signed into the daily attendance record for that day.

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 interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulations. The center failed to present the names of the children in attendance when the earthquake and tornado drills were conducted within the year for review at the time of survey. Interview with the director revealed the earthquake and tornado drills were conducted; however, she could not locate the names of people present during the drills at the time of survey. The center failed to present the names of the children in attendance during fire drills for the months of March, November and December. The documentation of fire drills that were conducted in the month of March did not indicate the time and date. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on observation, the child care center failed to maintain the premises in accordance with regulations. In the School Aged room, the orange-colored wall had peeled/chipped paint. 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 2:280 · 922 KAR 2:280. Section 4. Procedures and Payments.

Based on review of documentation and interview, the child care center failed to comply with the regulatory requirements regarding background checks. Observation revealed that a staff member with a hire date of 5/1/18 was working on the date of the survey in the presence of qualified staff. In addition, a review of staff files revealed that the fingerprints for the staff member with a hire date of 5/1/18 had not been submitted to an authorized collection site for the Kentucky National Background Check Program (NBCP). Furthermore, the director acknowledged that she had not submitted the fingerprints to an authorized collection site for NBCP because she was unfamiliar with how to proceed. Moreover, the director revealed the staff member with a hire date of 5/1/18 has not worked alone with children in care. 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.

Based on review of documentation and interview, the child care center failed to assure compliance with regulatory requirements. No annual written performance evaluations were presented for review at the time of survey for five (5) staff members with a hire date of 3/21/17. The Director acknowledged that the annual written performance evaluations were not available for the aforementioned staff members 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

Category: recordkeeping. Open / not marked corrected.

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

Based on observation, the child care center failed to assure compliance with regulatory requirements. In the Three (3) to Five (5) Year-Old room, there was one (1) uncovered electrical outlet near the children’s coat rack as well as multiple uncovered electrical outlets below the television. Additionally, in the Toddler room, there was an uncovered electrical outlet in the wall. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE-TRIS reports revealed documentation of fifteen (15) hours of cabinet-approved training during each subsequent year of employment was not presented for review at the time of survey for the following: a) the director whose hire date is 3/21/17, b) six (6) other staff members with a hire date of 3/21/17 and c) a staff member with a hiring date of 5/1/17. In addition, documentation of the completion of pediatric abusive head trauma (PAHT) training within the first year of employment (including once every five (5) years thereafter) was not presented for review at the time of survey for six (6) staff members with a hire date of 3/21/17 and a staff member with a hire date of 5/1/17. Furthermore, the director acknowledged that she was unaware that staff members with supervisory authority over children were required to receive at least Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment, including one and one-half (1 ½) hours of pediatric abusive head trauma training completed once every five (5) years. 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 11. Toys and Furnishings.

Based on observation, the child care center failed to maintain equipment in accordance with regulations. The slide located in the outside playground area had a collection of large cobwebs. Additionally, the shading umbrella for the child-sized outside table located in the playground area was torn.

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.

Based on observation, the child care center failed to maintain equipment in accordance with regulations, in the Toddler room, the red-colored seating pads to a wooden seat were frayed at the edges. Transportation Not Applicable 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 In Compliance Children's Records In Compliance 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 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Infant room revealed a sleeping infant covered in a loose blanket. Premises In Compliance 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, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation revealed a container of wipes and a roll of paper towels lying on the mat on the changing table. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation of toys on the playground revealed a pink and black electric-style guitar that lacked batteries and a black and red Hot Wheels bike with a battery operated sound pack on the handle bars that also failed to contain working batteries. Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on observation, a microwave was observed sitting atop a small refrigerator in the Infant Room. Interview with the staff revealed the staff member uses it to warm up an infant's bottle. Interview with the staff in charge revealed the infant's parent requested the bottle be heated by microwave.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed brown food splatter on the side of the cabinet, next to the stove, housing the professional type ovens.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation revealed a whole gallon, and a partial gallon of 2 % milk in the refrigerator. Interview with the staff in charge revealed the children do not like 1% or skim milk, so she was serving the children the 2% milk. Children aged one (1) year to two (2) years were also served the 2 % instead of whole milk, per the interview with the staff member. 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

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Review of the posted menu failed to reveal a menu for the current date. The June menu that was posted failed to be accurate with the calendar and failed to contain a menu for the date of the survey (06/29/17). Interview with the staff in charge acknowledged the error in the menu. 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, the child care center failed to maintain children's records in accordance with regulatory requirements. A review of documentation revealed a file for a child enrolled on 05/04/17 failed to have enrollment information including a preferred hospital, a contact number for a person in charge to contact the child's physician, persons designated in writing to pick up the child, and an authorization by the parent for the child-care center to seek emergency medical care for the child in the parent's absence. 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 2. General.

General: Based on Review of Documentation, the child care center failed to maintain the written documentation in accordance with regulatory requirements. A review of documentation revealed that a copy of the children and parent's rights was not available at the time requested and could not be located after an extended length of time was provided.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon review of the attendance records for 06/29/17, thirteen (13) children were signed in for the day. Twenty (20) children were observed in the center at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.