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

General: Based on interview and review of documentation, the facility did not provide for the health, safety and comfort of a 5 month old child when a staff member tripped while wearing paper shoe covers. The staff member stated that the shoe covers "tripped her up", causing her to fall and drop the child to the floor. The child was taken for medical attention and given all clear. Director Requirements 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 staff in the Toddler 2 classroom failed to ensure that a child washed their hands after being diapered.

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, including the review of the Early Care and Education- Training Records Information System (ECE-TRIS), the following information was revealed at the time of review. A staff member (DOH: 02/14/22) failed to complete fifteen (15) hours of cabinet-approved training during the last review period. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, there was sufficient evidence to confirm that a four-year-old child was left unsupervised on the large outside playground for twelve (12) minutes. The two (2) staff members that were caring for the child failed to notice that the child was missing until another staff member brought the child into his/her assigned classroom. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, the health, safety, and comfort of a four-year-old child was jeopardized when the child was left, unattended, in the outdoor play area for twelve (12) minutes while the two (2) responsible staff members took the remaining children back inside to the classroom. The absence of the unattended child remained unnoticed until a man notified a staff member of the child being alone in the playground area.

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 video footage from 04/19/24, reviewed on 05/10/24 and 06/07/24, staff members allowed three (3) children to run out of the Infant classroom, down the hallway, turn the corner continuing to run down the second hall unattended, out of scope of vision and range of voice. The Children ran into the Preschool 1 classroom and started to play without a staff member, or lights turned on. Children were in the dark classroom for approximately twenty-nine (29) seconds unattended. Staffing Requirements Discussed General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of video footage from 04/19/24 during the opening shift, two (2) staff members picked up a two-year-old child from the floor by grabbing her arms just above her elbow then sliding down to her forearm and proceeded to drag her down the hallway. While roughly bringing the child down the hall, the child was kicking and crying, and her feet and knees were dragging on the floor. Video footage from the Preschool 1 classroom showed one (1) staff member walking in first and turning the lights on, then the other two (2) entering, dragging the two-year-old child and dropping her down on the floor. The child attempted to crawl to the door multiple times, and staff members picked her up each time and roughly placed her away from the door or on the back rug. A staff member was observed snatching and pulling the child's arm when trying to keep her from crawling towards the door. A staff member was also observed pushing the child down by her back and then pushing her head back roughly after she tried biting a staff member on the leg. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on record review and interview, the child care center reported an 11-month-old child had a fractured tibia. While at the center the child began to show symptoms of the injury by not putting weight on the injured leg. The injury is believed to have occurred while the child was on the buggy and the buggy went through a narrow doorway and the child's leg was caught or hit the wall. Director Requirements In Compliance Employee Records 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.

Based on interviews with multiple sources, there was an incident where a two (2) year old child was left unsupervised for about two (2) to five (5) minutes in the classroom while other children went outside to the playground. Review of documentation and interview with multiple sources confirmed there was an incident where a four-year-old child, went to the restroom and was left inside unsupervised for approximately ten (10) minutes when the staff and other children went out to the playground. Staffing Requirements In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, there was a rusty ceiling vent in the bathroom located within the Toddler Two classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) In the Toddler One classroom, there were areas on the wall that contained scuff marks and chipped paint. These areas were located by the diaper changing areas and where the cots were being stored. 2.) In the Pre-K classroom bathroom, there were scuff marks on the wall. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, it was found that the stepstool used by the children within the Intermediate Two classroom bathroom was not in good repair. The black tape was peeling off the steps and there was a sticky residue that was accumulating dirt/grime. 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 In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, while checking the temperature of the water in the Pre-K restroom, the surveyor found that the water was very slow to drain and that it took approximately two (2) minutes for the water to drain out of the sink. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found debris underneath the diaper changing pad located on the diapering table in the Preschool 1 Classroom. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance 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 In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: There were two (2) plungers next to the toilet inside the bathroom located in the Preschool 1 Room. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented employee records revealed a staff member with hire date 8/3/2020 whose file did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: There were water stains in three (3) of the ceiling tiles located in the New Arrival Room.

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: The toilet seat on the toilet inside the bathroom located in the New Arrival Room was partially broken off. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center director failed to assure the health, safety and comfort of a child, i.e., a one (1) year old child with a known allergy to eggs was served a cookie containing eggs, resulting in an allergic reaction to the consumed food.

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, the child care center failed to provide adequate supervision to children in care in accordance with regulatory requirements. Observation of the Intermediate classroom revealed two (2) staff and thirteen (13) children upon initial inspection of the room. Interview with staff in the classroom revealed there were fourteen (14) children and the children ranged in age from three (3) to four (4) years old. When the staff recounted the children, who rested on cots, it was then discovered that a child was missing. The staff were not aware of a child in the bathroom. The child was out of the scope of vision of the teachers in the classroom for an undetermined amount of time. Observation of the Pre-K classroom revealed sixteen (16) children and two (2) staff. Interview with staff revealed the children ranged in age from four (4) to five (5) years old. Observation of the classroom revealed a teacher in the middle of the classroom and one (1) at the entrance. The teacher in the middle of the classroom moved to the back area of the room. The surveyor stood in all positions of staff and determined that children rested in areas behind shelves, which depending on the placement of staff, could not be seen resting. The children were out of the scope of vision of staff in the center of the room and the back corner of the room. Staffing Requirements In Compliance Director Requirements In Compliance Written Documentation Discussed

Open Not marked corrected in the state record

Category: supervision. 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's records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record of the employees with the hire dates of 11/17/2014,12/15/2014 and 09/14/2015 had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Review of the TRIS training system indicated the above-mentioned employees had not met the requirement. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: 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. There was chipped and peeling paint throughout the rooms and accessible for children to pull off the wall in the Twos, Primary and Preschool rooms. Located in the Primary room, near the back window and wooden table, was a quarter sized dent in the wall missing paint. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 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. Located in the Toddler 2 room, a toy block climbing structure had rough and frayed edges on the orange and yellow, as well as the purple and green, blocks. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and Interview, the child care center failed to comply with regulatory programming requirements. Observation of the new arrival room revealed an infant sleeping in a crib to have a pacifier with a clip attached to the blanket swaddled around the infant. Interview with a staff member revealed the sleeping infant was three (3) months of age.

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 the premises in accordance with regulatory requirements. Observation of the toddler 1 bathroom revealed a light bulb not shielded or shatter proof. Interview with a staff member revealed the bulb was not shielded.

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 playground revealed grass growing through the surfacing. Interview with the director revealed an acknowledgement that grass was growing through the surfacing 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 Interview the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation in the Pre-K/SA Room revealed that walls of the two (2) restrooms located inside the classroom creates a visual block for staff members to be able to adequately supervise children on the opposite end of the classroom. Observation in said classroom at 9:36 a.m. revealed one (1) staff member located on one end of the room near the bathroom assisting a child. Continued observation revealed there were seven (7) children age ranging four to five-year-olds on the opposite end of the classroom out of scope of vision of the staff member for two (2) minutes. Interview with staff revealed that the second teacher was in the restroom at that time.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Pre-K/SA Room revealed that the one (1) restroom failed to have working ventilation to the outside air. 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 Observation and Interview the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed a large plastic slide lying on the ground on its side. Continued observation revealed that the large plastic slide failed to have protective surfacing under the slide. Interview with staff revealed that the specific area is used for water play and other gross motor activities.

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 posted food service permit revealed that it expired on 12/31/14. Therefore the child care center failed to have an updated food service permit on file at the time of the survey.

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, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of ten (10) children’s files revealed that none had a preferred hospital listed on their enrollment forms. Record review of the center’s handbook revealed that enrolled children will be taken to Baptist East Hospital if the child’s parents cannot be reached in an emergency. Therefore, the child care center failed to include a written record for each child’s preferred hospital. Continued review revealed that a child with the enrollment date 3/9/15 failed to have contact information to enable a person in charge to contact the child’s family physician.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to post documentation in accordance with regulatory requirements. Observation in Toddler I Room revealed that the center failed to post diaper changing procedures near the changing table. Animals

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 Interview, and review of documentation, it was determined the center failed to comply with regulatory requirements regarding programming, specifically infant sleep position. Interview revealed that at times when infants arrive to the center asleep in the mornings, that either the child is left in their car seat to sleep or picked up and held by a staff member to continue sleeping. In either circumstance, the center failed to place the sleeping infant in a safe sleeping position in a crib. Review of an infant's enrollment file revealed no documentation from a health professional stating an alternate sleeping position is required.

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.

Based on interview, the child care center ailed to maintain adequate supervision in accordance with regulatory requirements. Based on interview with the director, a toddler had been left behind in the classroom alone for approximately five (5) minutes on 03/28/2013. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interviews the child care center director failed to assure compliance with regulatory requirements. Interviews with the director and staff revealed that a toddler had been forcefully placed on a cot on 10/07/2014, causing his mouth to bleed.

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 Observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of documentation revealed an employee with a hire date of 5/19/14 did not have a high school diploma, GED or Commonwealth Child Care Credential on file 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Review of Documentation, and interview the child care center failed to post documentation in accordance with regulatory requirements. Review of documentation revealed that there is not a diapering method posted in the Toddler II Classroom. Interview with director revealed that the Toddler II Classroom was thoroughly cleaned in December 2013 and that the diapering method must not have been re-posted when the classroom was finished being cleaned. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

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's purse was found within a child's reach in the Summer Camp classroom's bathroom.

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, all children's information was not kept confidential in the Primary room.

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, an operating box fan was found on the floor in the Toddler II room.

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 rooms could not be cleaned and sanitized daily due to an excess of items (classroom decor', brooms, dustpans, tubs of clothing) being stored in the rooms.

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, first aid supplies were not being maintained in a sanitary manner. In addition, not all supplies were found in the first aid kits.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, in the Primary room not all children's records were kept confidential.

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, there was no written policy that specified that the procedures that were taught at the orientation training shall be implemented by each child care center staff member.

Open Not marked corrected in the state record

Open / not marked corrected.