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

General: Based on interview and review of documentation, a copy of the administrative regulation was not presented for review or made available. The presented documentation was a Standard of Practice, not the administrative regulation. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Documentation verifying that a staff member (DOH 01/06/20) had received training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A staff member (DOH 01/06/20) last completed pediatric abusive head trauma (PAHT) training on 02/07/19, which had passed its five (5) year renewal date as of 02/07/24. A review of ECE-TRIS confirmed this finding. 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: Observation of the Four year-old room revealed that the ceiling-mounted vent near the door contained an accumulation of dust.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: Three year-old Room- 1) One (1) ceiling tile near the door contained a large, brown stain, indicative of water damage. Two year-old room- 1) The wall near the yellow shelf contained a section of peeling paint. 2) The wall surrounding the electrical plates contained several small holes. The holes were located on the lower portion of the wall where they were accessible to the children in care. PreK Room- 1) The ceiling tiles near the restroom contained large, brown spots, indicative of water damage. Four year-old Room- 1)The walls beneath the window and near the circle time rug contained areas of peeling paint. 2) One (1) ceiling tile near the door was stained with a large, brown spot, indicative of water damage. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a staff member in the One Year Old classroom failed to ensure that a toddler washed their hands after being diapered. 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 3. General Requirements.

General: Based on observation, a staff member in the Two Year Old room failed to wash their hands after wiping a child's nose. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surface beneath the changing pad in the Two Year Old room was soiled with crumbs and other debris. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the thermometer installed in the Kenmore freezer in the kitchen read twelve (12) degrees Fahrenheit, exceeding the maximum allowable temperature of zero (0) degrees Fahrenheit. 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 Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the plan of activities posted within the Wobbler classroom was dated "August" and was, therefore, not current at the time of the inspection. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on review of documentation and interview, the daily planned activities for the Toddlers’ and Threes’ classrooms were not updated; they were scheduled from August 28th, 2023 to September 1st, 2023. 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.

Based on observation and interview, the emergency telephone numbers for the police department, fire department, emergency medical care and rescue squad, and poison control center were not posted or accessible in the event of emergency. Interview with the staff in charge supported these findings.

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 and interview, the drywall in the far right corner of the Twos’ classroom was broken, revealing a mesh.

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 in the Twos' classroom, the toilet seat was not properly attached to the toilet bowl and felt loose. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the outdoor play area for older children at the facility lacked sufficient protective surfacing under the swings and slides. Instead of mulch, there was mostly dirt underneath the equipment. Furthermore, there was no proper fall zone around the slides that matched the measurement of the height of the equipment. 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.

Based on observation and interview, cribs in the Infants’ classroom did not have a manufacture date. Upon request the staff in charge failed to provide the documentation to verify the cribs were compliant with the federal safety standards. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals 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. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, a weekly menu posted in the hallway was not updated, the menu posted was for the week ending 10/06/2023. 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 observation, the following was found: 1.) Nine (9) children enrolled on 08/23/2021, 04/24/2023, 10/19/2021, 01/09/2023, 12/13/2021, 05/23/2019, 08/23/2021, 08/16/2021, and 07/31/2023 did not have information on file to enable the person in charge to contact the preferred hospital in the parents' absence. 2.) Two (2) children enrolled on 08/23/2021 and 07/31/2023 did not have information on file to enable the person in charge to contact the child's family physician in case of emergency. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The statement of deficiency and plan of correction from a renewal survey conducted on 6/09/2021, was not posted for public inspection. Animals 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, this regulatory requirement was not met. The following was found: 1. The younger Two-Year-Old room contained an unlocked cabinet, within reach of a child, under the hand washing sink that contained Lysol Power Toilet Bowl Cleaner. The staff in charge moved the cleaner to a secured location after the surveyor pointed it out. 2. The School-Age building contained a cabinet in the back of the room that contained a white bucket with cleaning supplies such as Lysol Disinfectant Spray and Scrubbing Bubbles. In addition, a spray can of Raid Ant Killer was in the bucket. These cleaners and insect spray were in an unlocked cabinet, within reach of a child, in the classroom. 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, this regulatory requirement was not met. The following was found: 1. The bathroom in the Four-Year-Old room contained a dusty vent in the ceiling over the toilet. 2. The School-Age building contained a section of chair rail trim that was not secured to the wall. This section was located near the bulletin board. 3. The School-Age building contained a dusty vent on the wall near the home-living 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 4. Premises Requirements.

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The older Three-Year-Old room contained an area of chipped paint on the back wall next to a child that was on his nap mat. 2. The boy’s bathroom inside the School-Age building contained an area of chipped paint next to the toilet. 3. The School-Age building contained areas of chipped paint on the wall by the home-living area. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The School-Age building contained two sets of mini-blinds that were in disrepair. One was located in the back of the room by the library and the other was on a front window by the block area. 2. The School-Age building contained a screen on a window in the back of the room that was not connected to the frame. This window was located near the sensory table. 3. The School-Age building contained a cabinet under the hand washing sink (in the classroom) that contained what appeared to be rust in the bottom. 4. The younger Three's room contained a white drawer next to the hand washing sink that was not flush with the frame when it was closed. The drawer may not have been on its track. 5. The kitchen contained a drawer with a missing face cover under the counter next to the storage area for pots and pans. 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 9. Records.

General: Based on review of documentation, this regulatory requirement was not met. Two staff did not have professional development plans on file that were dated; therefore, it could not be determined if these plans were current. The staff were both hired on 1/06/2020. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: On 2/2/2022, observation revealed a preschool child in the hallway, with no adult supervision. The child was wearing a coat and appeared to have just arrived. The child spoke to the Division of Regulated Child Care (DRCC) representative and looked into classrooms. The DRCC representative then went to the infant room and asked the staff in the room who was responsible for the unsupervised child. The staff in charge, and another staff member, stated that the child was supposed to be going to his classroom. Then a staff member exited the infant classroom and retrieved the unsupervised child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: On 2/2/2022 the number of children and staff in the Preschool classroom exceeded the minimum staff to child ratio in accordance with regulatory standards. The youngest child in the room was three (3) years old. Upon initial observation there were thirteen (13) children with one (1) staff member, exceeding the minimum staff to child ratio by one (1) child. Two (2) children were removed from the room, but two (2) additional children arrived within a few minutes. Therefore, the number of children continued to exceed to the minimum staff to child ratio. General Administration 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 8. General.

General: Based on interviews and observation, a staff member who was named as the alleged perpetrator in a child abuse or neglect report accepted by the cabinet was not removed from direct contact with children for the duration of the investigation. A Department of Community Based Services (DCBS) representative initiated an investigation at the center on 2/2/2022. At that time, the DCBS representative identified the individual named in the investigation. On 2/9/2022 the named individual was observed having sole supervisory and disciplinary control of a group of preschool children who were in her direct care and contact. Interview with the DCBS representative confirmed the DCBS investigation was still ongoing as of 2/9/2022.

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, a one-year-old child in Room 1 was observed to have a plastic glove in his/her mouth. A staff member was observed to take the glove away from the child upon the surveyor's entrance into the room. There were three (3) uncovered electrical outlets in Room 2.

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, during an inspection conducted on 6/9/2021, the staff member who identified him/herself as the director was not the director listed in the Division of Regulated Child Care records. Interview with the aforementioned director revealed he/she had acted as director since 6/1/2021, but this change was not reported to DRCC. 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

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 employee file for a staff member with a hire date of 2/3/2020 did not contain verification that the staff member had completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training within the past five (5) years. Review of ECE-Tris documentation failed to verify the completion of the training. The staff member in charge acknowledged that the training had not been completed. 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, ceiling tiles in Room 1 and Room 3 contained brown, bulging, circular stains, indicative of water damage. Ceiling tiles in Room 6 contained brown, circular stains, indicative of water damage.

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 sink in Room 2 drained very slowly, indicating that it was not functioning properly.

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 toilet in the School Age Portable did not flush completely. There was no ventilation to outside air in the bathrooms located in Room 1 and Room 7. The outside of the toilet bowl in the bathroom located in Room 7 contained an accumulation of an unknown substance. The training seat on top of the aforementioned toilet also contained an accumulation of an unknown substance. 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 changing pads were torn in Room 4 and Room 7. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the walkway between the facility and the playground contained several cigarette butts.

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 wooden fence surrounding the outdoor play area contained sharp, protruding nails, loose planks, and a missing plank. 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 florescent light cover in Room 6 was partially detached from the fixture. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the kitchen was not ventilated 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 8. Kitchen Requirements.

General: Based on observation, the temperature of a refrigerator containing milk in the kitchen measured fifty degrees. The temperature of the mini refrigerator in Room 3 measured 45 degrees. 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 9. Records.

General: Based on review of documentation, a child's medication form was posted and visible to the public in Room 2; therefore, the confidentiality of the child's record was not maintained. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. Review of documentation revealed a staff member in the four and five- year-old classroom wrapped a child's wrists together with blue painter's tape during nap time. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory programming requirements. Observation of the children eating lunch in the preschool room revealed the children were eating their lunch and watching a cartoon on the television. Observation of the children eating lunch in the school age room revealed a child was sitting at a table playing a video game on an ipad while eating their lunch. 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: 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. The exit door leading outside to building #2 was propped open with a child size blue chair. The opening into the facility was not protected against the entrance of vermin. Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Upon review of records and interview, an annual staff evaluations was not presented for an employee with the hire date of 7/01/2019. 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 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, there was a staff member with the hire date of 7/01/19 that had no proof of documentation that showed Six (6) hours of cabinet-approved orientation within the first three (3) months of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory programming requirements. Upon review of records and interview, the daycare staff in charge agreed that the children in the school age room were being required to nap, instead of having the alternative choice of playing quietly. The director corrected this after it was noticed by the surveyor. Premises In Compliance 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 and interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the large back outdoor play area revealed litter in the playground, including a clear latex glove. Interview with the staff in charge confirmed that the playground was in need of cleaning. 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 and interview, the child care center failed to maintain equipment in accordance with regulations. Observation of the cot placement during a nap time in the school age room revealed the cots were not spaced twelve (12) inches apart to allow free and safe movement by a person. Interview with the staff in charge revealed that the mats were placed too close to each other. 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

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 child care center director failed to assure compliance with regulatory requirements. Review of surveillance footage and interviews with staff members revealed that a staff member forcibly pushed a one-year-old child's head into a cot, causing the child to injure his/her head. Contined review of the surveillance footage revealed the aforementioned staff member lifted another one-year-old child by his/her shirt and moved him/her to a table, as his/her feet dangled in the air. Interview with the staff member in charge revealed the employment of the aforementioned staff member was immediately terminated.

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 review of documentation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. A review of recorded video revealed a staff member with her back to the children, failing to provide supervision as the staff member's attention was focused on a verbal encounter with a parent who was standing in the hallway. Children were observed roaming aimlessly through the room, rough-housing, and generally participating in self-directed activities, for approximately three (3) minutes. The staff member failed to acknowledge verbally, or by vision, the ten (10) children in the room during the confrontation with the parent. Director Requirements In Compliance Programming Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory programming requirements. Observation in the infant room revealed three (3) sleeping infants, each covered with a loose fitting blanket. Additionally, one (1) of the aforementioned sleeping infants' crib contained a small stuffed animal, lying beside the child. 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

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 files in accordance with regulatory requirements. A review of a child's file failed to reveal the child's enrollment date. Interview with the staff in charge revealed the enrollment date was not available at the time of the investigation. 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, interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation failed to reveal a staff schedule for the week of 03/11/19-03/15/19. Interview with the staff in charge revealed a staff schedule was not available for the specific week at the time of the request. Posted Documentation 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 8. General.

General: Based on review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. A review of documentation revealed the posted Statement of Deficiency (SOD) and Plan of Correction (POC) was dated 07/10/17, failing to have posted each statement of deficiency and plan of correction for the current licensure year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area. Observation revealed a wooden fence with a missing slat, broken slats, and a section of the fence which was disconnected from the post. Equipment 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 child care center director failed to assure compliance with regulatory requirements. A review of documentation failed to show recurring staff meetings were conducted, managed and documented. Documentation revealed a staff meeting dated 09/21/18. Interview with the staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. A review of documentation failed to reveal an annual written performance evaluation assessing each staff person's interaction with children in care and classroom performance for staff members with hire dates of: 08/07/17, 03/10/14, 09/29/14, 09/30/14, 07/08/17, 02/28/18, 08/23/17 and 09/01/16. Interview with staff in charge revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center director failed to assure compliance with regulatory requirements. Observation in the One Year Old room revealed a child sitting in a high chair without food or materials. Interview with the staff members revealed the child is placed in the chair whenever he bites throughout the day. The child was removed from the chair but continued to be aggressively placed on the floor repeatedly, and required to sit for prolonged periods of time. The child was never observed to be redirected to an alternate activity, or told why he was being removed from the situation. A staff member was also heard asking the other staff member, "Can I put him back in the chair?" Also observed, a staff member was observed to be in the child's face with a finger-shaking and saying "NO"! Additionally, in the One Year Old room, during lunch time, a staff member was observed eating, while the other staff member attended to paperwork, both failing to assist the children with eating, cutting portion sizes, observing children using the incorrect end of the spoon, and a child with mucous running into her mouth while eating. A child was observed overturning his plate, prior to eating, moments after receiving his plate of food. The food and plate was removed from the table and the child was removed from the table, never eating a lunch meal.

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, interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. A review of documentation failed to reveal an annual activity involving parental or family participation. Interview with the staff in charge revealed the documentation was not available at the time of the survey. 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 observation, interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files and an ECE-TRIS report failed to reveal completion of orientation training within the first three (3) months of employment for staff members with hire dates of 09/04/18 and 11/15/18. Interview with the staff in charge revealed the documentation was not available at the time of the 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 and review of documentation, the child care center failed to comply with regulatory programming requirements. A review of documentation failed to reveal a planned, written daily program posted in a conspicuous place of activities that are individualized and developmentally appropriate for each child served, whcih includes art or music, math or numbers, dramatic play, stories and books, science or nature, block building or stacking, tactile or sensory activity, multi-cultural exposure, indoor or outdoor play, and an opportunity for a child to have some free choice of activity. Observation in the One Year Old, Two Year Old and Three Year Old room revealed the children involved in free play during multiple walk-through observations conducted from approximately 9:45 A.M. to 3:30 P.M. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the school age room revealed a gallon jug of Maxim Assure Antibacterial cleaner, and two (2) 19 ounce cans of Great Value Disinfectant Spray, both containing a label reading Keep Out of the Reach of Children, located on a shelf in the programming area, which was accessible to the children. Additionally, a sink cabinet located in the programming area failed to be locked and contained: an 8 ounce can of Glade Deodorant Spray, a 40 ounce container of Mr. Clean All Surface Cleaner, and a 32 ounce container of Mean Green Super Strength Cleaner, two (2) 19 ounce cans of Kaboom Foam-tastic cleaner, and a 28 ounce can of Ajax with bleach cleanser, all labeled Keep Out of the Reach of Children. Immediately outside of the rear door was a large, opened bag of rock salt, also accessible to the children entering onto the playground, or to the school-age building.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Four Year Old room revealed four (4) ceiling bulbs which failed to be shielded or shatter-proof, displaying a heavy accumulation of dust.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Four Year Old room revealed several ceiling tiles in the bathroom which were bulging and appeared to be insecure. Additionally, multiple blue tiles on the floor, in the hallway, outside of the Two Year Old room, were broken and in disrepair. Observation in the outer building revealed a narrow hole in the floor, approximately 12 inches long, located in front of the entry door, and multiple broken floor tiles in front of the bathroom door. The outer building also contained crumbling plaster around the entry door. Observation in the Infant Room revealed an orange wall containing peeling paint along the baseboard, in an area accessible to the children. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain hygienic practices in accordance with regulatory requirements. Observation in the One Year Old room failed to reveal handwashing with soap and water after lunch. The children were observed to have their faces and hands cleaned with wipes. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with the regulatory requirements regarding medication. Observation of the first aid kit revealed Triple Antibiotic Ointment which failed to be kept in a separate and locked place out of the reach of a child. 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, the child care center failed to maintain the outdoor playground area in accordance with regulatory requirements. Observation of the playground revealed a heavy accumulation of leaves and paper debris scattered throughout the play area. The area was also observed to contain a piece of guttering, and a scalloped piece of broken concrete.

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 on the playground revealed a blue, sit and spin tub containing an accumulation of leaves and water, a metal, yellow race car containing an accumulation of leaves and water, a red plastic motorcycle without handles, a red riding car with a broken steering wheel, and a turquoise rocking horse without handles. Observation in the Three Year Old room revealed a yellow and white cabinet with the lower right corner broken, with the broken pieces lying on the floor. 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 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 playground area revealed multiple basketballs which were partially deflated, resulting in balls which failed to bounce. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation in the kitchen revealed a vertical freezer with a dried, red, sticky substance and food debris accumulated on the bottom shelf. Also on the door of the freezer was a dried brown substance. A Whirlpool refrigerator with a wooden laminate handle was observed to have an accumulation of dried food and debris in the crevice on the shelf.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on a review of documentation, multiple classrooms had menus posted from a variety of past dates, none of which were current. 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 observation, interview, and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation failed to reveal a written 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. Interview with the staff in charge revealed the documentation was not available at the time of the survey.

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. A review of documentation failed to reveal a written annual plan for child care staff professional development. Interview with the staff in charge revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documents failed to reveal a monthly fire drill for the month of February, and failed to include participants for the January 2019 drill. Interview with the staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of drills failed to reveal a fire drill conducted in February 2019. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to comply with regulatory requirements regarding supervision. Review of video documentation on 3/4/19 revealed that on 2/22/19 a staff member entered the classroom bathroom with the door shut leaving twenty-two (22) children unsupervised for several seconds. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with staffing requirements. Review of video documentation on 3/1/19 and 3/4/19 revealed on 2/22/19 one staff member had supervisory authority over twenty-three (23) children from 8:06am until 8:13am. Interviews revealed the age of the youngest child at the time was two-years-old. Therefore, the center failed to maintain minimum staff to child ratios and maximum group size during this time. Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of video documentation and interviews revealed on 2/22/19 staff forcibly grabbed the arms of a child and placed the child alone in the bathroom for seven minutes. Interviews revealed the child suffered bruising to the upper arms because of being forcibly grabbed on 2/22/19. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory programming requirements. The center failed to ensure that a child would not be required to stand or sit for a prolonged period as punishment. Review of video documentation and interviews revealed a child was forced to sit at a table and against the classroom wall for an extended period, without programming, as confirmed by the video time stamp, the classroom clock observed on the video as well as interviews.

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 and interviews, the child care center failed to comply with regulatory programming requirements. Review of video documentation and interviews revealed on 2/22/19 a child was placed in the classroom bathroom with the door shut for seven minutes for timeout. Therefore, the center staff used the bathroom as a form of discipline. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain the premises in accordance with regulations. Review of video documentation on 3/1/19 and 3/4/19 revealed that on 2/22/19 twenty-three (23) children were present in the Four/Fives’s classroom. Upon surveyor’s measurements on 3/1/19, it was revealed the area allowed for thirty-five (35) square feet of space for thirteen (13) children. Therefore, the child care center failed to provide a minimum of thirty-five (35) square feet of space per child. 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 review of documentation, the child care center failed to comply with hygienic practices in accordance with regulations. Review of video documentation on 3/4/19 revealed on 2/22/19 a staff member serving food in the Four/Five’s classroom. Continued review of video revealed the staff member touched several children, the classroom trashcan and other classroom items without washing her hands or changing gloves while continuing to serve food.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements with regard to the health, safety and comfort of a child in care. Observation of the wooden ramp area located outside the door of the School-age classroom revealed several areas in which rusted nails protruded on the floor of the walking space. In addition, rusted nails were observed to protrude from the fence located on the outdoor play area where the children would play. Further observation of the Four's (4) to Five's (5) classroom revealed a McDonald's coffee cup which read "Caution Hot Liquid" on a small table in the classroom in accessible reach of the children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence of a date of employment for staff with at least four (4) separate hire dates. The staff was documented to have four (4) different hire dates, three (3) in December 2016 and one (1) in November 2016. Interview with the director revealed she was unsure of the exact hire date for the staff. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence that staff with an unknown hire date completed one and one-half (1 ½) hours of pediatric abusive head trauma training within the first year of employment. The staff was documented to have four (4) different hire dates, three (3) in December 2016 and one (1) in November 2016. Interview with the director revealed she was unsure of the exact hire date for the staff. Further review revealed staff with hire dates 01/20/16, 09/30/14 and 03/10/14 failed to complete fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the school-aged classroom revealed a bag of opened "rock salt", on the floor, in the corner of the room, accessible to the children in the classroom. In addition, "Speed Stick" deodorant was observed on the sink in the boy's bathroom. Further observation of the Four's (4) to Five's (5) classroom revealed a cell phone, bleach bottle and a McDonald's coffee cup which read "Caution Hot Liquid" in accessible reach of the children in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Two's classroom revealed a heavily soiled "Paw Patrol" rug.

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 premises in accordance with regulatory requirements. Observation of the Three's and One’s classrooms revealed inoperable ceiling light fixtures.

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 regulatory requirements. Observation of the Three (3) to Four (4) classroom bathroom revealed the ceiling tile was cracked and buckling. The Three’s classroom was observed with discolored markings, indicative of water stains, on buckling ceiling tile. Observation of the One's classroom revealed discolored markings indicative of water stains on the ceiling tile. Observation of the Four’s (4) and Five’s (5) classroom and the School- aged classroom revealed chipping paint and broken drywall. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 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 of the Infant classroom revealed a diaper changing pad with a torn surface and exposed foam. 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 an outdoor play area in accordance with regulatory requirements. Observation of the playground condition of the outdoor play area revealed the play area was not well maintained. Broken tree limbs were scattered throughout the playground and weeds and vines were observed along the fencing line.

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 an outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed loosely placed protective surfacing with exposed “black top” in fall zones of equipment in which children were to climb, swing and slide.

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 an outdoor play area in accordance with regulatory requirements. Observation of the fencing surrounding the outdoor play area revealed areas of the fencing which leaned, was unstable, was not securely attached, contained broken planks and was without good repair. 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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor play area revealed the child care failed to maintain clean toys as the toys meant for play for toddler to preschool-aged children were covered in heavy amounts of soil and dirt. 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Four (4) to Five (5)’s classroom revealed children who rested on cots spaced less than twelve (12) inches apart to allow free and safe movement by a person.

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. Observation of the outdoor play area revealed the child care failed to maintain clean toys as the toys meant for play for toddler to preschool-aged children were covered in heavy amounts of soil and dirt. Further observation of the School-age classroom revealed a blue couch with torn surfaces and exposed foam.

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. Observation of the outdoor play area revealed the child care failed to maintain clean toys as the toys meant for play for toddler to preschool-aged children were covered in heavy amounts of soil and dirt. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. The temperature measuring device in the white and tan Kitchen refrigerators revealed a temperature of forty-six (46) 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 review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. Review of the temperature measuring device in a white Kitchen freezer revealed a temperature of six (6) degrees Fahrenheit. 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 2:120 · 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 the changing pad on a changing table in the One's (1's)classroom was ripped on the top and on the left side. Observation of the changing table revealed that items were present that were not used for diaper changing: kleenex, staff pepsi and food. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. 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. Review of all ten (10) children's records at the time of this survey revealed no preferred hospital named. 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, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of child attendance records revealed 2 (two) children from the same family were signed in and out for the entire week of 5/22 - 5/26/17. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to assure compliance with regulatory requirements. Review of documentation of staff records and observation of the Toddler room at approximately 10:32 A.M., revealed that staff member with a hire date of 3/29/17, was allowed to work alone with 5 (five) children in excess of 1 (one) hour, without a child abuse/neglect check on file. Upon request, the Director was not able to provide the documentation at the time of the survey. 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 6. License Issuance.

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on review of documentation and observation of staff member with the hire date of 3/29/17 at 10:31 A.M. on date of survey , staff member was left alone for an excess of 1 hour in the Toddler Room with five (5) children without having Child Abuse and Neglect check in file. Upon request, the Director was not able to provide the documentation at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care facility failed to maintain employee records in accordance with the regulatory requirements. Review of documentation of staff file with a hire date of 12/27/16,and interview, the personnel file had no educational documentation. Upon request, the Director was not able to provide the documentation at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and document review, the child care center failed to maintain employee records in accordance with regulatory requirements. Personnel files for staff members with the hire dates of 12/27/16 and 09/29/14 failed to have a written statement from a health care professional stating that the individual is free of tuberculosis or negative results from a tuberculin test. Upon request, the Director was not able to provide the documentation at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Personnel files for staff with the hire dates of 8/24/15 and 4/6/16, failed to contain documentation of required training for Pediatric Abusive Head Trauma. Additionally, a file for a staff member with the hire date of 12/27/16 failed to contain documentation of required orientation. Upon request, the Director was not able to provide the documentation at the time of 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 4. Premises Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Three's (3's) classroom revealed one ceiling tile stained brown and bulging down from the ceiling. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory requirements related to the health, safety and comfort of a child in care. Review of photographic and written documentation, as well as interviews with child care staff, revealed a child received a mark indicative of a "rug burn" to his/her back when he/she was pulled across the carpet by staff, to an outside area of the classroom. Exit interview with the child care center director revealed acknowledgement of deficient practice. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of record for staff with a hire dates 04/06/16 and 04/04/16 revealed no documented evidence of a completed criminal records check required by KRS 199.896. Exit interview with the child care center director revealed acknowledgement of deficient practice.

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, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the School-age class revealed the child care center failed to equip the sink area with a hand-drying blower or single use disposable hand drying material. Interview with the child care center director revealed acknowledgement of deficient practice.

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, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the three-year-old class bathroom revealed failed ventilation to outside air. The ventilation system was observed to be inoperable. Interview with the child care center director revealed acknowledgement of deficient practice. Hygienic Practices

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 Review of Documentation, and interview, the child care center failed to comply with regulatory requirements. Review of child care center records revealed no documented evidence of a report from the State Fire Marshal to determine compliance. Interview with the child care center director revealed the Fire Marshall inspected the child care center and discovered some discrepancies. She further stated the last completed report on file was dated 6/18/13.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory requirements as it related to staff evaluations. Review of records for employees with hire dates of 10/15/13, 05/06/13, 03/10/14, 10/06/14, 10/01/14 and 08/27/14 revealed no documented evidence of an annual evaluation conducted within the last twelve months on all staff who supervised children at the child care center. Interview with the child care center director revealed the documents were in an evaluation file. However, upon review of the documents, there was no evidence of a signature from the employees which indicated the evaluations were completed or discussed with each employee.

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, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of records for employees with hire dates of 10/21/15 and 01/15/16 revealed no documented evidence of completed criminal records checks required by KRS 199.896(19). Interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee record with a hire date of 03/25/16 revealed no documented evidence of a statement from a health professional that would indicate the employee was free of active tuberculosis. Interview with the child care center director revealed acknowledgement of deficient practice.

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 premises in accordance with regulatory requirements. Observation of the School-age room revealed an unlocked cabinet under the sink, which contained chemicals, located in the classroom area. Chemicals observed were as follows: All Purpose Cleaner with Bleach; Mold and Mildew Stain Remover and Acri Shield Acrylic Paint which were all labeled “Caution: Keep Out of Reach of Children”. In addition, a spray bottle, which contained a clear liquid, labeled “Bleach”, was also observed in an unlocked cabinet under the sink. Interview with the child care center director revealed acknowledgement of deficient practice.

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, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Pre-Kindergarten and three-year-old bathrooms revealed buckling ceiling tiles. Interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain hygienic practices in accordance with regulatory requirements. Observation of the Toddler class Room 102, revealed a teacher who wiped a child’s nose, failed to wash her hands with liquid soap and running water and proceeded to touch other children and the toys in the classroom. Interview with the child care center director revealed acknowledgement of deficient practice.

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, and interview, the child care center failed to maintain hygienic practices in accordance with regulatory requirements. Observation of the Infant class Room 106 and the Toddler class Room 107 revealed uncovered trash containers with soiled diapers. Interview with the child care center director revealed acknowledgement of deficient practice.

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 Interview, the child care center failed to maintain hygienic practices in accordance with regulatory requirements as it related to toy sanitation procedures. Interview with the child care center infant teacher revealed the steps taken by her, when toys were sanitized for her classroom, were as follows: she stated she sprayed the toys with a bleach/water solution, rinsed the toys and allowed them to air dry. The teacher did not know the entire process. Interview with the child care center director revealed acknowledgement of deficient practice. First Aid/Medication

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, review of documentation and interview, the child care center failed to comply with regulatory requirements with regard to medication. Observation of the School-age class revealed an unlocked refrigerator which contained prescribed medication. The medication observed was labeled Cephalexin dated 05/10/16 and Dextroamp- Amphet dated 05/02/16. Interview with the classroom teacher revealed the medication belonged to a child in the child care center. Outdoor Play Area

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, and interview, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed insufficient protective surfaces which failed to adequately cover the fall zone areas of the large climbing apparatus and the swing set as defined in regulation 922 KAR 2:120 Section 1 (12). In addition, the fall zone area of the large climbing slide apparatus revealed loose protective surface on exposed concrete pavement. Interview with the child care center director revealed the protective surfaces shift in those areas a lot.

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, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor play area, with the child care center director, revealed a red metal car with missing steering wheels, next to the large climbing apparatus. In addition, a multi-colored tricycle was observed to have a flattened front wheel and missing seat. Interview with the child care center director revealed acknowledgement of the deficient practice.

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, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor play area, with the child care center director, revealed a red metal car with missing steering wheels and a multi-colored tricycle with a missing seat and flattened front wheel did not appear to operate in accordance to the manufacturer’s safety specifications. Interview with the child care center director revealed acknowledgement of the deficient practice.

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 Review of Documentation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of the temperature measuring device located in the white kitchen refrigerator revealed a temperature of forty-eight (48) degrees Fahrenheit. In addition, review of the temperature measuring device in the Infant class refrigerator in Room 106 revealed forty-four (44) degrees Fahrenheit, which exceeded the maximum forty (40) degrees Fahrenheit as identified in regulation 922 KAR 2:120, Section 8, Kitchen Requirements. Further there was no evidence of a temperature measuring device in the beige kitchen refrigerator to determine adequate temperature for the milk stored. Interview with the child care center director revealed acknowledgement of the deficient practice.

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 Review of Documentation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of the temperature measuring device located in the beige kitchen freezer revealed a temperature of twelve (12) degrees Fahrenheit. Review revealed the child care center failed to maintain a freezer temperature of zero degrees Fahrenheit or below in accordance with regulation 922 KAR 2:120, Section 8, Kitchen Requirement. Interview with the child care center director revealed acknowledgement of the deficient practice.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of a child’s record with an enrollment date of 01/15/13 revealed the child care center failed to obtain written record for the child on the first day the child attended the child care center. Interview with the child care center director revealed the parents enrolled the child into the child care before the child was born. She further stated this was common practice for the child care in order to “save a spot” for the child to enroll when born. She stated she did not obtain further records upon the child’s actual attendance to the child care center after the child was born.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of child care center records revealed the director failed to revise and/or submit the local emergency preparedness plan for the year 2015. The last documented submission was on 12/30/14. Interview with the child care center director revealed she was unsure if the document had been completed for 2015.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and record review, the child care center failed to maintain written documentation in accordance with regulatory requirements. Observation of the child care center during tour on 05/11/16 revealed fifty-five (55) children present. However, review of the child care center attendance record revealed sixty-eight (68) children were signed in. In addition, signatures from parents were entered with arrival and departure times for dates which had not occurred and signatures were provided to state the weekly entries were correct. Interview with the child care center director revealed acknowledgement of deficient practice.

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, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of records for employees with hire dates of 06/13/14, 10/29/14, 05/01/13, 05/06/13, 10/06/14, 10/01/14 and 08/27/14 revealed no documented evidence of a written, annual plan for child-care staff professional development for each employee. Interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of records revealed no documented evidence of written record of quarterly practiced earthquake drills and tornado drills detailing children who participated in accordance with 922 KAR 2:120, Section 3, for the months of May 2015, August 2015 and December 2015. Interview with the child care center director revealed she was unsure as to why record of the children who participated for those months was not included with the drills.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of records revealed no documented evidence of written record of practiced fire drills conducted monthly detailing the children who participated in accordance with 922 KAR 2:120, Section 3, for the months of May 2015 and December 2015. Interview with the child care center director revealed she was unsure as to why record of the children who participated for those months was not included with the drills.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal documentation to verify that a staff member with the hire date of 9/30/14 had completed a GED, high school diploma or a Commonwealth Child Care Credential at the time of the inspection. Interview with the director revealed that the individual was currently a college student and the documentation was not able to be located for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal documentation to verify that staff with the hire dates of 5/1/13, 11/20/10, 2/6/12, 10/15/13, 6/13/11, 6/18/09, 6/4/11 and 10/29/12 had completed the required fifteen (15) hours of early care and education training. Continued review of staff files failed to reveal documentation to verify that staff with the hire dates of 9/29/14 and 9/30/14 had completed the required Cabinet approved orientation training within three (3) months of hire. Interview with the director revealed that the training for most of the individuals had been completed; however documentation was not presented for review at the time of the inspection. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, interview and review of records, the child care center failed to maintain programming in accordance with regulatory requirements. Observation of the Infant Room revealed an infant sleeping in a crib with an elevated mattress. Interview with staff revealed that the child was elevated due to a recent cold. Review of the child’s file failed to reveal documentation from a health care professional authorizing elevation of the crib mattress.

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 programming in accordance with regulatory requirements. Observation in the Infant Room revealed an infant sleeping in a crib with loose bedding gathered under the infant’s upper torso and head at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Young Two’s Room revealed a purse, belonging to the staff, in an unlocked cabinet under the change table, accessible and within reach of the children in care at the time of the inspection. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the child care center revealed the following: 1. Red Infant Room: Two (2) fluorescent light fixtures not working, two (2) water stained ceiling tiles 2. Yellow Infant Room: Fluorescent light fixture failed to have a shield 3. Blue Older One’s Room: Three (3) stained ceiling tiles 4. Yellow Four’s and Five’s Room: Ceiling tile stained and warped into a bulging state, fluorescent light fixture not working 5. School Age Room: Five (5) fluorescent light fixtures not working, ceiling bubbled out from water damage

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 hygienic practices in accordance with regulatory requirements. Observation in the Infant Room and the room for Young Two’s revealed diaper changing pads with rips, exposing the inner absorbent material at the time of the inspection.

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 child care center failed to comply with regulatory requirements as it pertains to medication. Observation in the Infant Room, Older One’s Room, Young Two’s Room and Toddler Room revealed diaper ointment that failed to be locked at the time of the inspection. Observation of the ointments and diapering balms revealed labels on each that read, “Keep out of the reach of children”. Outdoor Play Area

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, the child care center failed to maintain the outside play area in accordance with regulatory requirements. Observation of the outdoor play area revealed two (2) tire swings and a yellow slide that failed to have a sufficient amount of protective surface under and around the areas 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, the child care center failed to maintain the outside play area in accordance with regulatory requirements. Observation of the fence surrounding the outdoor play area revealed a wooden plank broken off at the bottom leaving a splintery edge, a wooden plank missing from the gate and a slat of wood pulled away from the bottom of the fence leaving a nail exposed. Continued observation revealed the section of fencing to the left of the gate was pulled away from the post creating an unstable section of fencing at the time of the inspection.

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 of the white colored refrigerator located in the kitchen failed to reveal a thermometer. Observation of the cream colored refrigerator located in the kitchen revealed a thermometer that indicated the temperature was fifty (50) degrees Fahrenheit. Observation of the refrigerator located in the Infant room revealed a thermometer that indicated that the milk and bottles were stored at a temperature of fifty (50) degrees Fahrenheit at the time of the inspection.

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 of the cream colored freezer and white colored freezer located in the kitchen revealed thermometers that each read ten (10) degrees Fahrenheit at the time of the inspection.

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 maintain food service in accordance with regulatory requirements. Observation of the refrigerator located in the Infant Room revealed two (2) bottles that failed to be covered at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and observation the child care center failed to maintain written records in accordance with regulatory requirements. Review of attendance records revealed fifty-seven (57) children signed in for attendance. Observation revealed sixty-six (66) children present at the time of the inspection. Nine (9) children failed to have documentation to reflect their attendance at the child care center.

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, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of drill records failed to reveal documentation for earthquake and tornado drills completed during the first quarter of 2015. Interview with the director revealed that the drills were conducted; however the documentation was not available for review at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of fire drill documentation failed to reveal documentation for monthly fire drills completed in 2015. Interview with the director revealed that the drills were conducted; however the documentation was not able to be located for review at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and Interview, the childcare center staff failed to maintain maximum child to staff ratio. Observation of the Young Toddler Classroom revealed that there were seven (7) one-year-old children being supervised by one (1) staff member. Observation of the two-year-old classroom revealed that there were eleven (11) two-year-old children being supervised by one (1) staff member. Observation revealed during walkthrough, the additional children from both the toddler and two-year-old classrooms were moved to other classrooms, however, it was unknown the length of time that the toddler and two-year-old were in the classrooms causing the classrooms to be over ratio. Interview with the Director revealed that the toddler and two-year-old were sisters and had just entered the building; however, observation revealed that the toddler was on a cot sleeping and the two- year-old had already eaten lunch with her classmates. 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 Observation, Interview and Record Review, the childcare center failed to maintain health, safety and comfort of all children in care. Observation of the nursery revealed that an infant with the enrollment date of 08/19/2014 was in a crib in which the mattress was up at an angle of approximately 70 Degrees. Continued observation of the infant revealed that he was smashed up against the slats at the bottom of the bed lying on his stomach. Interview with the Director revealed that the angle of the mattress is due to a recent surgery. Continued interview with the director revealed that the infant must stay on his back due to the surgery; he is at greater risk of choking if lying on his stomach. Review of the child's file revealed the absence of a physician's statement regarding sleep placement post surgery. Programming

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 and Review of Documentation, the childcare staff failed to maintain infant sleeping positions. Observation of the infant classroom revealed that an infant with the enrollment date of 08/19/2014 was sleeping on his stomach. Review of Documentation revealed that there was not a waiver signed by the infant’s health professional that states the infant requires an alternate sleeping position.

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 childcare center failed to maintain bedding requirements. Observation of the nursery revealed that a crib with a sleeping infant contained loose bedding. Continued observation of the crib revealed that there were three extra blankets at the foot of the sleeping infant. Premises

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 childcare center failed to maintain children's hand washing requirements. Observation of the three-year-old classroom revealed that the children had their hands wiped with wet wipes after lunch instead of having their hands washed with warm water and soap. Equipment

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 childcare center failed to maintain all furniture requirements. Observation of the nursery revealed a green chair with a seat that was split open, exposing the cushion material and accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the childcare center staff failed to cooperate during an investigation of an alleged complaint. Interview with the Director and a staff member revealed that an incident occurred involving an elastic cord and a two-year-old child with the enrollment date of 03/10/2014. Continued interview with the Director and the staff member revealed that notification of the incident was made to the parent of the two-year-old child. Interview with the parent of the two-year-old child revealed that she was not notified of any type of accident in which her son was involved. Continued interview with the parent of the two-year-old child revealed that her parents pick up her son from childcare periodically and she would have to check to see if they were notified. Follow up interview with the parent of the child with the enrollment date of 03/10/2014 revealed that her parents were not notified of the incident. Director Requirements

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 and Interview, the childcare director failed to maintain the health, safety and comfort of all children in care. Observation of the portable that contains the School Age Classroom revealed five (5)large holes in the walls that measured from approximately six (6) inches in diameter to approximately forty five (45) inches in diameter. Interview with staff revealed that at least three (3) of the holes were caused due to a child sitting on the floor and leaning against the wall. Observation of the holes in the walls revealed that one (1) of the holes contained a nest. Continued observation of the holes revealed that one (1) of the holes was patched with a compound and the compound was no longer holding the paneling and behind the paneling was a black substance as well as two (2)slugs, all of which were accessible to the children in care. Interview with the Director revealed that the staff members were directed to place bookshelves over the holes until maintenance could get around to fixing them. Interview with several staff revealed that a two-year-old child with the enrollment date of 03/10/2014 wrapped the elastic of a cot sheet around his neck causing strangulation. Continued interview revealed that the two-year-old child was told not to get under the cot sheet however, no measures were made to ensure the child's safety.

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 and Interview, the Director failed to assure each mandatory record specified in Section 3 of 922 KAR 2:110 had not been altered or falsified. Review of Documentation revealed that an orientation certificate presented for review for an employee with the hire date of 04/04/2013 stated that the employee had completed state orientation on 05/02/2013 through the Resources for Better Living, Inc. Interview with the employee with the hire date of 04/04/2013 stated that she had never taken the orientation course. In an interview conducted with the owner of the Resources for Better Living, Inc., it was determined that the staff member with the hire date of 04/04/2013 did not attend the Orientation class on 05/02/2013 as there was not a class held on 05/02/2013. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to meet premises requirements. Observation of the "portable" used for the School Age Classroom revealed that there were five (5) large holes in the walls of the trailer that were hidden behind large bookshelves. Continued observation of the School Age Classroom revealed that the hole on the right wall as you enter the classroom was not new as there was not any type of plaster left, only insulation and wood. Continued observation of the School Age classroom revealed that there was another hole that had been patched; however, the paneling that was used to patch the hole was falling. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ 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 childcare center failed to maintain appropriate measures to control the presence of rodents, flies, roaches and other vermin. Observation of the portable that contains the School Age Classroom revealed that there were numerous large holes in the walls that would allow vermin into the portable. Continued observation of the portable revealed that behind some paneling that was falling off the wall that was used to cover a hole revealed two (2) slugs. Continued observation of the portable revealed a nest in one (1) of the holes in the walls of the portable.

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 childcare center failed to maintain the walls and ceilings in good repair. Observation of the portable that contains the School Age Classroom revealed that there were large holes in the walls of the portable. Continued observation of the portable revealed that there was a spot on the ceiling above the entrance to the portable that was not in good repair as the patching was breaking and falling off the ceiling.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Interview, review of records, the child care center failed to comply with the regulatory requirements. Interview with staff revealed that transportation had been provided to children in care when a bus was missed and transportation was needed to deliver the child to school and when the bus was missed at drop off time and the child had to be retrieved off of the bus back at the school location. Review of license revealed that transportation was not an authorized service. Further interview revealed that written notification of an addition for transportation service was not made to the cabinet to allow for approval before implementation. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed a bottle in the infant room that failed to be individually labeled. Interview with staff revealed that the child’s bottles were not labeled because the child’s grandmother planned to resell the bottles after use and did not want them written on.

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, the child care center failed to maintain food service in accordance with regulatory requirements. Interview with staff revealed that ice water was substituted for milk during the dinner meal on occasion, failing to meet the milk component of the dinner requirement.

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 with staff, the child care center failed to comply with staffing requirements. At approximately 9:20 observation of room 102 revealed one staff member present with thirteen (13) children. Interview with the staff revealed the youngest child was age two, with the oldest being three years of age.

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 documenation and interview with the director, the center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed no annual staff evaluation for seventeen (17) employees assessing the staff person's interaction with children in care and classroom performance. Interview with the director revealed she could not locate a current copy of the evaluations.

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 and interview with the director, the center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member with the hire dates of 02/06/2012 and 05/06/2013 revealed that the requirement of a criminal records check required by KRS 199.896(19)was not met. Interview with the director revealed she was unable to locate the documents.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview the center failed to maintain a current copy of a TB test. The employee's hired on 02/06/2012 and 04/09/2010 did not contain 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. Interview with the Director revealed she was not aware that TB test was no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed a staff member with a hire date of 10/15/2013 had written evidence of having completed new employee orientation from a cabinet approved source. However, further review revealed a completion date which was past the ninety days. Further review of personnel file revealed a staff member with a hire date of 05/16/13 had not completed new employee orientation from a cabinet approved source.

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 and interview with staff, the day care center failed to keep plastic bags from being accessible to children. Based on observation in room 107 the diapering changing surface had several pink plastic bags located under the changing mat. Interview with the staff in charge revealed the plastic bags were utilized for dirty diapers.

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 and interview with the director, the center failed to maintain the premises in acccordance with regulatory requirements. Based on observation in the kitchen, the splash guard located between the two sinks was warped and peeling away from attached surface. Interview with the director revealed she was unaware of the needed repair.

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 center failed to maintain a diaper changing surface that is free of items that are not used for diapering. Observation revealed that a newspaper was located under the diapering surface under the mat located in room 106.

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 center failed to comply with hygienic practices in accordance with regulatory requirements. Upon observation in room 104, a staff member was changing a diaper of one child, then preceded to change a diaper of another child and did not change and dispose of the gloves after each child was diapered.

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 child center failed to comply with regulatory requirements regarding first aid and/or medication. Observation of the first aid kit provided revealed no evidence of a first aid book or a flashlight. Interview with the director revealed she was unaware the items were missing.

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, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation of the playground area there were several areas where dirt and grass were visible with no protective surface covering the areas.

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 an outdoor play area in compliance with regulatory requirements. Based on observation of the playground there were several broken or loose wooden slats on the fence.

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. Observation of various battery-operated toys in room 104, 106 and 107 revealed several toys were not maintained to be used according to the manufacturer's safety specifications; the batteries were non-operational and therefore the toy could not be used as intended.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to maintain children's records in accordance with regulatory requirements. During review of children’s records it was revealed the center failed to obtain the name or person for pick up authorization for the child with the enrollment date of 01/25/2013. Further review of the documentation revealed the center failed to obtain emergency authorization for child with the enrollment date of 09/02/2013. Interview with the director revealed she was unaware this had not been completed. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation present in the personnel file's for each staff member and the policies provided by the center revealed that 12 of 17 staff files did not have documenation of a annual plan for child-care staff professional development . Interview with the director revealed she could not locate the remaining missing documentation.

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 of video surveillance from May 1, 2013,a staff person forcefully removed a one year old child by the right arm from a changing table and then picked up the one year old child by the right arm and forcefully sat her on the floor. This child was left sitting in the floor for several minutes crying and holding her right arm without being acknowledged by the staff person. Interview revealed that as a result of being inappropriately handled by said staff person, the child suffered a dislocated right shoulder. Record review, interview and surveillance video established that said child remained with a dislocated shoulder and received no treatment from approximately 3:45 pm until the child's parent picked her up, noticed the child's discomfort and took her to the Emergency Room at approximately 6:00 pm. Continued observation of video Surveillance from May 1, 2013 revealed that the same staff person swatsed a different one year old child on the bottom with her hand in response to the child climbing on a chair. Programming 385 - Discipline Discussed 922 KAR 2:120. Section 2. Child Care Services. (10) A child shall not be subjected to: (a) Corporal physical discipline pursuant to KRS 199.896(18); (b) Loud, profane, threatening, frightening, or abusive language; or (c) Discipline that is associated with: 1. Rest; 2. Toileting; or 3. Food.

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 Room, mobiles and toys were located on the inside of the cribs.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation in the Toddler Room, the center failed to keep information concerning a child confidential by posting food allergies and/or dietary restrictions in the classroom without a coversheet.

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, the Two’s, Three’s and Four’s room failed to have enough lighting to maintain adequate supervision during nap.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no document available for review verifying that staff members with the hire dates 9/18/09 and 2/1/11 were free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member with the hire dates 6/14/10 failed to complete all fifteen hours of cabinet approved trainings during their last full year of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation in the Infant Room, an infant was observed sleeping in a infant swing from 8:42 a.m. to 9:30 a.m.

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 Monster Energy drink was located on a low shelf in the Four’s/Five’s Room. Based on observation, a bleach bottle and an air freshener container labeled “Keep out of Reach of Children” was located under an unlocked sink in the School Age room.

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, a ceiling tile was missing in the Three’s 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation in the Toddler Room, a bottle labled bleach and a container of Lysol was located on the changing table.

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 interview, a staff member failed to follow sanitation procedures for mouth toys. Based on interview, staff stated that she sanitizes mouth toys with bleach water. First Aid/Medication

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 review of documentation in the Infant Room, the crib guidelines stated that a 2” thick mattress is to be used in the crib. Based on observation, the crib’s mattress was less than 2” thick. Based on observation, the same crib was cracked in the middle of the mattress base. Based on observation, each crib in the Infant Room failed to have a tight fitted sheet on the mattress.

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 Four’s/Five's Room there failed to be a minimum of twelve inches of space between the mats to allow free and safe movement by a person.

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 Toddler Room, the cot sheets were stacked on top of each other in a cabinet. Based on documentation laundry for that classroom was four days before the survey.

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, two bags of cereal were left open in the pantry.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, multiple staff members failed to have an annual plan for child-care staff professional development plan on file for review.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4

Four Year Old Room: Based on observation, there was not thirty five (35) square feet available to for all children. There were eighteen (18) children present. All children were resting on cots and mats. With eighteen mats on the floor, there was no additional floor space for walking. School Age: Based on observation, the square footage in the room did not provide the seventeen (17) children present in the room with thirty-five (35) square feet of play space. 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 1) Floors smooth/good repair In Compliance 2) Walls smooth/good repair In Compliance 4) Floors easily cleaned In Compliance 5) Walls easily cleaned In Compliance 6) Ceilings easily cleaned In Compliance 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 3) Ceilings smooth/good repair Not In Compliance Findings: Younger twos: Based on observation, three (3) ceiling tiles were stained and showed evidence of water damage. 212 - Building Temperature 922 KAR 2:120 - Section 4 (15) The temperature of the inside area of the premises shall be: (a) Sixty-five (65) to seventy-five (75) degrees Fahrenheit during the winter; or (b) Sixty-eight (68) to eighty-two (82) degrees Fahrenheit during the summer months. 1) Winter Temperature sixty-five to seventy-five In Compliance 2) Summer Temperature sixty-eight to eighty-two In Compliance 233 - Infant/Toddler indoor space 922 KAR 2:120 - Section 5 Infant and Toddler Play Requirements. (1) Infant and toddler inside areas shall: (a) Be separate from an area used by an older child; (b) Not be an exit or entrance; and (c) Have adequate crawling space for an infant or toddler away from general traffic patterns of the center. 1) Separate from older children In Compliance 2) Not Exit/ Entrance In Compliance 3) Adequate crawling space In Compliance 4) Traffic Pattern In Compliance 239 - Cots/ Mats Location Restrictions 922 KAR 2:120 - Section 6 (4) If cots or mats are used, floors shall be free from: (a) Drafts; (b) Liquid substances; (c) Dirt; and (d) Dampness. 1) No drafts In Compliance 2) No liquid substances In Compliance 3) No dirt In Compliance 4) Not damp In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 40 Web site: http://chfs.ky.gov/ Inspection Report 279 - Toilet Room 922 KAR 2:120 - Section 10 (2) A toilet room shall: (a) 1. Be provided for each gender; or 2. A plan shall be implemented to use the same toilet room at separate times; (b) Have a supply of toilet paper; and (c) Be cleaned and sanitized daily. 1) Provided for each gender/plan to use separately In Compliance 2) Toilet Paper In Compliance 3) Clean/Sanitized In Compliance 280 - Sink 922 KAR 2:120 - Section 10 (3) A sink shall be; (a) Located in or immediately adjacent to toilet rooms; (b) Equipped with hot and cold running water that allows for hand washing; (c) Equipped with hot water no more than 110 degrees Fahrenheit; (d) Equipped with liquid soap and single use disposable hand drying material; (e) Equipped with an easily cleanable, covered waste receptacle; and (f) Immediately adjacent to a changing area used for infants and toddlers. 1) Located in or immediately adjacent to toilet rooms In Compliance 2) Equipped with hot running water that allows for hand washing In Compliance 3) Equipped with cold running water that allows for hand washing In Compliance 4) Equipped with hot water no more than 110 degrees Fahrenheit In Compliance 5) Equipped with liquid soap and single use disposable hand drying material In Compliance 7) Immediately adjacent to a changing area used for infants and toddlers In Compliance 280 - Sink 922 KAR 2:120 - Section 10 (3) A sink shall be; (a) Located in or immediately adjacent to toilet rooms; (b) Equipped with hot and cold running water that allows for hand washing; (c) Equipped with hot water no more than 110 degrees Fahrenheit; (d) Equipped with liquid soap and single use disposable hand drying material; (e) Equipped with an easily cleanable, covered waste receptacle; and (f) Immediately adjacent to a changing area used for infants and toddlers. 6) Equipped with an easily cleanable, covered waste receptacle Not In Compliance Findings: Three Year Old Class: Based on observation, there was no covered trashcan in the restroom. Twos: Based on observation, there was no covered trash can in the restroom. Older One: Based on observation, the waste can located in the restroom was not covered. 281 - Toilet 922 KAR 2:120 - Section 10 (4) Each toilet shall: (a) Be kept in clean condition; (b) Be kept in good repair; (c) Be in a lighted room; and (d) Have ventilation to outside air. 1) Clean In Compliance 2) Good repair In Compliance 3) Lighted Room In Compliance 4) Ventilated In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 40 Web site: http://chfs.ky.gov/ Inspection Report General Premises 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 192 - Guns/Ammunition storage 922 KAR 2:120 - Section 3 (8) Guns and ammunition shall be stored separately in a locked area outside of the designated child care area. 1) Separate storage In Compliance 2) Locked In Compliance 193 - Smoking Protocol 922 KAR 2:120 - Section 3 (9) Smoking shall: (a) Be permitted in accordance with local ordinances; (b) Be allowed only in outside designated areas; and (c) Not be permitted in the presence of a child. 1) Local Ordinance In Compliance 2) Outdoor Designated Area In Compliance 3) Not in the presence of children In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Three Year Old Class: Based on observation, all twelve(12) cots were placed on the carpeted area of the room and many of the cots were less than twelve(12) inches apart. Twos: Based on observation, several of the cots and mats were placed three (3) to six (6) inches apart. Four Year Old Room: Based on observation, there was a total of twenty (20) mats and cots in the room; most of which were placed less than six (6) inches apart.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Twos: Based on observation, one (1) child was observed resting on a cot that was not in good repair. There was an opening approximately ten (10) inches wide between the material portion of the cot and the metal frame that supported the material. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 27 of 40 Web site: http://chfs.ky.gov/ Inspection Report 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.