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

General: Based on interview and review of documentation, the personnel file for a staff member (DOH: 09/28/17) did not contain documentation verifying the completion of the required fifteen (15) hours of annual training. Review of a KY-TRIS report verified the finding.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the personnel file for a staff member (DOH: 06/10/2024) did not contain a current written annual professional development plan.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, a staff member held an infant's bottle during feeding while the infant laid on the floor on a pillow. Therefore, the infant was not held while being bottle- fed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the diaper changing surface had a small rip, exposing the inside absorbent material.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, current documentation from a health professional stating that the individual is free from active tuberculosis, or negative results from a tuberculin skin test, was not presented for review for one (1) staff member (DOH: 04/26/2004).

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, two (2) ceiling tiles in Toddler #1 room have circular yellow markings 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the sink in the Four's #1 bathroom was not equipped with a hand-drying blower or single-use disposable hand-drying material. 695 - Toilet Discussed 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements. (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. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the following was revealed in the ladies and men's hallway restrooms: 1) The toilet in the ladies restroom was clogged with toilet paper and urine. A staff member was aware of the clog and placed an out of order sign on the restroom stall door. 2) The toilet seat in the men's restroom was not tightly secured to the toilet. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a determination of eligibility document was presented for review for an identified owner (DOH: 04/26/04); however, the individual was not included in the center's roster of current employees in the Kentucky Applicant Registry and Employment Screening (KARES) database. Further review of the KARES database revealed a current determination of eligibility listed under a different center whose corporation was also owned by the individual. Nonetheless, there was not a determination of eligibility connected to the corporation that owns Bluegrass Academy Childcare Center Jeffersontown, L357695. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 following was found: 1. Documentation verifying a current enrollment status in secondary education for a staff member who is under the age of eighteen (18) (DOH: 07/11/23) was not presented for review. The only document contained in the personnel file referencing the individual's enrollment status was a School Compliance Verification form, which is required for an application for a Kentucky learner's permit. The form was dated 07.06.23. 2. Education documentation presented for review for another staff member (DOH: 08/25/23) consisted of a transcript generated on 08/21/23 that identified the staff member as being enrolled in twelfth (12th) grade at that time. No additional documentation was made available for review to verify the individual's completion of high school.

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, to include review of ECE-TRIS, two (2) staff members (DOH: 05/16/22 and 10/17/22) failed to complete fifteen (15) hours of cabinet approved training during the last review period. One (1) staff member completed five (5) hours, and the other staff member completed nine (9) hours. 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 13. Toys and Furnishings.

General: Based on observation of the playground, a red and yellow Cozy Coupe riding toy contained a broken wheel. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 interview and review of documentation, no professional development plan was presented for review for a staff member (DOH: 07/11/23). Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, four (4) two-year-old children in the Twos #1 room was not provided with adequate supervision. Upon entry into the room, four (4) two-year-old children were observed actively playing throughout the room while the supervising staff member was sitting on the floor, against the back wall of the room. The staff member was looking down at her cell phone. The staff member was not positioned to have all children within her scope of vision, nor was she attentive to the children as she did not look up from her phone for a prolonged time. Both DRCC representatives entered the room, closed the door, and stood in the room for approximately thirty (30) seconds before the staff member even acknowledged their presence. Additionally, at a different time, while the DRCC representatives were standing near the office, one (1) of the representatives observed a two- year-old child running down a hallway and around the corner of their room, followed by a second two-year-old child. Both children were out of sight when the supervising staff member exited the classroom while stating, "where did they go". Two (2) children were in close proximity of the staff member when she exited the room and entered the hallway, but they also soon ran off. A DRCC representative located the first two (2) children who ran off in one of the Fours classrooms. They were in the classroom with other children and a staff member, with the door closed. The teacher from the Twos #1 classroom retrieved the children and returned to the Twos #1 classroom with all four (4) of her children. However, some of the children ran from her again and turned a corner, resulting in the children not being within her scope of vision. The DRCC representative alerted the staff in charge of the situation and explained that it appeared as if the staff member needed assistance. 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, there were several aggressive incidents involving the same four-year-old child in the Three’s #1 and #2 classrooms from 08/06/24 to 08/23/24. The incidents involved biting, kicking, and hitting other three-year-old children in the classrooms. Therefore, the children’s health, safety, and comfort were not protected from the aggressive behavior. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation on the day of the inspection revealed that the child care center did not have (2) qualified substitutes in case of need.

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 of the Twos 1 Room, a staff member was changing a child’s diaper. The staff member did not wash the child’s hands after the diapering procedure was completed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, of the two’s 1 room revealed a staff member was changing a child’s diaper. The staff member did not wash his/her hands after the diapering procedure was completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, of the Threes 1 Room, there was a three-year-old child walking around the classroom without a shirt. Interview with a staff member revealed the child’s shirt was in the dryer and the child care center did not have extra clean clothing for the child.

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, of the Twos 3 Room and Toddler 1 Room, the changing surface under the changing pad was soiled with hair, dried food, dust, and debris. 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 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Based on review of three (3) staff members' personnel records with the (DOH: 10/17/22), (DOH: 09/18/23), and (DOH: 07/11/23) revealed that the aforementioned staff members' files contained a completed background check from the National Background Check Program (NBCP). Review of the Kentucky Applicant Registry and Employment Screening (KARES) data system did not list the aforementioned employees being employed at the child care center. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the bathroom within the Threes 1 Room, there was a toilet bowl brush and a toilet plunger sitting on the floor adjacent to the toilet. Observation of the bathroom within the Fours 1 Room revealed there was a soiled mop sitting in the handwashing sink that the children use. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation the following was found: 1. A staff member with the (DOH: 10/03/22) completed only seven and one-half (7.5) hours of the required fifteen (15) hours of early care and education training during the year 07/01/22 to 06/30/23. 2. There were four (4) staff members with the (DOH: 02/04/08), (DOH: 08/16/07), (DOH: 01/04/20), and (DOH: 05/07/13) that has not completed one and one-half (1.5) hours of pediatric abusive head trauma training. A review of ECE-TRIS verified this information. 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 of the bathroom within the Twos 1 Room revealed there was a purse sitting on the floor. Interview with the staff member revealed that the children use the restroom. Also, the staff member stated that the purse was his/hers. Observation of the two’s 2 room revealed there was a purse sitting on top of a toddler size shelf. Interview with the staff member revealed the purse was his/hers. Observation of the of the three’s 1 room revealed there was a purse sitting on a shelf accessible to the children. Interview with the staff member revealed the purse was his/hers. Observation of the four’s 1 room revealed there was a purse sitting on a low shelf. Interview with the staff member revealed the purse was his/hers. Also, there was a second purse, a set of keys, and a cup filled with a liquid sitting on a shelf that was made accessible to the children. Interview with a separate staff member revealed the aforementioned items were his/hers. Observation of the two’s 3 room revealed there was a backpack/purse that was sitting on a low table that was made accessible to the children. Interview with the staff member revealed that the backpack/purse was his/hers.

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 floors within the Twos 2 Room, bathroom within Twos 1 Room, Infant 2 Room, Explorers 1 Room, and Fours 1 Room were soiled with dust, debris, and dried food. Bathroom within the Twos 2 Room 1) The bathroom walls were soiled with an accumulation of dirt, paint, and a brown substance. 2) The handwashing sink was soiled with an accumulation of hair, dust, debris, and a brown substance. Threes 1 Room 1) An electrical outlet was partially attached to the wall. The inside of the electrical outlet was observed. 2) The floors were soiled with dust, debris, and dried food. Threes 1 Room 1) The sink was soiled with an accumulation of dust, debris, and dried substances. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a door leading to the outside play area was propped open six (6) inches with a green cone. There was not a protective screen or covering to protect the opening of the door.

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: Observation of the Twos 3 Room revealed there were two (2) screws protruding from a wall adjacent to the handwashing sink, which were accessible to the children. Observation of the Explorers 1 Room revealed there was a brown stain on a ceiling tile, indicative of water damage. Observation of the Fours 1 Room revealed a wall within the room contained chipping paint and drywall.

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 of the bathroom within the Fours 1 Room, there was a ring of green and black spots inside of the toilet bowl, indicating that the toilet had not been cleaned on a daily basis. 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 4. Premises Requirements.

General: Based on observation of the large shade structure, there was a large pole that contained an accumulation of a green substance, indicative of mold. Observation of Playground 1 revealed the exterior metal door leading into the child care center contained a piece of metal stripping at the bottom of the door that was bent and protruding outwards, causing the stripping to have sharp pointed edges. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, of the Toddler 1 Room, there were numerous dolls that were soiled with a grey substance. Also, the trucks and blocks contained an accumulation of dust and debris. Observation of the Threes 1 Room revealed there were four (4) cloth dolls that contained a collection of brown and black substances. Observation of the Twos 1 Room revealed there were two (2) vinyl child size seats that were cracked and missing pieces of vinyl. Therefore, the inside absorbent material was exposed. Observation of the Twos 2 Room revealed the child size wooden kitchen sink was soiled with a grey substance.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the Infant 2 Room, Fours 1 Room, Twos 3 Room, Toddler 1 Room, and Explorers 1 Room, dried food was present on the exterior of each of the trash can lids. Observation of the Toddler 1 Room revealed there were five (5) cloth pillows that were soiled with dried slobber and mucus. Observation of the Explorers 1 Room revealed a wooden climber was soiled with an accumulation of dust and debris. Observation of the Twos 2 Room revealed a large blue pillow contained evidence of an accumulation of dried slobber and mucus. The pillow was accessible to the children. Observation of the Infant 2 Room revealed sheets in three (3) separate cribs were soiled with dried red, green, and black substances, and slobber marks. Observation of the 2018 Ford Transit 350 XLT van revealed the passenger side rear view mirror was cracked in several areas. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review and interview of transportation documentation presented, there was a vehicle inspection from the Cabinet of Transportation of a 2018 Ford Transit 350 XLT that was dated 04/04/22, which was no longer current. 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 of the Infant 2 Room, the thermometer within the refrigerator measured forty-two (42) degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the Infant 2 Room, the thermometer within the refrigerator freezer measured two (2) degrees Fahrenheit.

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, during the inspection, the following was found: Infant 1 Room 1. The refrigerator freezer contained dust, debris, and dried food particles. 2. The refrigerator shelves contained a dried white substance. Infant 2 Room 1. The exterior of the refrigerator contained dried food and a splattered dried white substance. 2. The shelves within the refrigerator contained a dried white substance. 3. The drawer within the refrigerator contained a thick dried tan substance. Kitchen 1. The exterior of the microwave contained an accumulation of grease and dried food. 2. The exterior of the refrigerator contained splatter dried food. 3. The throughout the inside of the refrigerator contained dust, debris, and dried food. Food Service 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation of the kitchen, there were six (6) large cans of green beans sitting on the floor. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written 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 9. Records.

General: Upon request, a current written professional development plan was not presented for review on the day of the inspection for a staff member with the (DOH: 05/07/13). 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 11. Staff Requirements.

General: Based on review of documentation and interview, a caregiver hired 8/16/14, had a TB skin test on file with no read date documented.

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, a caregiver hired 9/16/22, completed one and one half (1 ½) hours of Pediatric Abusive Head Trauma Training on 12/15/14, but did not complete the training again within five (5) years. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, children enrolled on 5/21/18, 8/15/22 and 2/25/19, did not have health information pertaining to allergies on file. 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 9. Records.

General: Based on interview, the child care center failed to maintain a personnel file at the center for two (2) staff members with unidentified hire dates. The staff in charge reported that the staff members were from another center under the same ownership and their files were maintained at the other center. Documentation verifying the required components of the personnel file was emailed to the DRCC representative for verification of completion following the onsite inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 03/18/2022 AND AS OF 03/28/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: There were eleven (11) children in the Threes 1 classroom. One (1) child was fourteen (14) years old and the remaining children were preschool age. Observation of the room revealed all toys and furnishings were sized and developmentally appropriate for preschool age children. No materials or activities that were developmentally appropriate for a fourteen (14) year old child were presented for review. Interview with the staff in charge revealed the fourteen (14) year old child remains with the preschool children for the duration of the day, each day that he/she is present.

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: Interiew and review of the Early Childhood Education Training Information System (ECE-TRIS) report revealed a staff member hired on 9/15/2021 has not completed the required Early Childhood and Education orientation within ninety (90) days of employment. As of 1/20/2022, the training was not completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a staff member with the date of hire, 9/15/2021, was the sole supervising staff member with four (4) infants on 1/14/2022. Review of the Kentucky National Background Check Services database confirmed that the individual submitted her fingerprints for processing on 1/17/2022, which was the same date that her eligibility for employment was determined. Therefore, the staff member worked alone with children prior to her eligibility determination date. 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 2:280 · 922 KAR 2:280. Section 4. Procedures and Payments.

General: Based on observation, interview and review of documentation, two (2) staff members began their employment with the center prior to submitting their fingerpints for processing. A staff member with the hire date of 12/20/2021 was observed working in the presence of another staff member in the Toddler room on 1/14/2022. There were twelve (12) children present in the classroom. Interview and review of the Kentucky National Background Check Sevice database verified the staff member had not submitted his/her fingerprints for processing. Additionally, a staff member with the hire date of 9/15/2021 was observed as the sole supervising staff member in the Infant 1 room on 1/14/2022. There were four (4) infants present in the room. Review of the Kentucky National Background Check Service database on 1/19/2022 confirmed the referenced staff member submitted his/her fingerprints for processing on 1/17/2022 and a determination of eligiblity did not occur until 1/17/2022. Therefore, that individual also began employment with the center prior to the submission of his/her fingerprints.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the employment status of four (4) previous staff members was not updated in the Kentucky National Background Check Services database to reflect their separation from the center. Supervision Discussed Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the health, safety and comfort of children in care were jeopardized due the following occurrences. Supervising staff members failed to have awareness of the number of children for whom they were responsible. On 1/14/2022, there were two (2) staff members in the Toddler room with twelve (12) one-year-old and two-year-old children. When asked how many children were in their care, both staff members asked each other and expressed an unawareness of the number of children in the room without counting them. Additionally on 1/14/2022 there was one (1) staff member in the Fours 1 room with eleven (11) children, ranging from four (4) to five (5) years old. When asked how many children were in his/her care, the staff member verbalized that there were ten (10) children present. Once the children were counted, the staff member acknowledged that he/she 'missed' one. Additionally, a significant, new, large abnormality was detected on the side of an nine-month-old infant's scalp by a staff member early in the day on a day in December 2021. Three (3) staff members assessed the abnormality and determined that it did not warrant an immediate call to the child's parents/guardians. The abnormality was also not reported to the parents/guardians when they arrived to pick the child up from care. Medical assessment was sought for the child on the following morning after the abnormality was detected by the parents/guardians, resulting in the determination that the child's skull was fractured. The lack of notification of the detected abnormality to the child's parents/guardians delayed medical assessment/treatment. Interviews and review of documented incident reports for the same infant revealed that the infant fell twice in the previous month, hitting his/her head. The incidents were not reported to the infant's parents/guardians until they arrived to pick the infant up for the day. Interview with staff members revealed the center does not notify parents when a child hits his/her head unless the child hits the front of his/her head or if the incident results in a noticeable injury. 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 requested and presented employee records revealed the records for two (2) staff members (DOH: 9/3/2021 and 12/20/2021) failed to include documentation verifying that each staff member obtained a high school diploma, GED, or other comparible educational documentation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request no documentation was submitted for review verifying that three (3) staff members are free of active tuberculosis. The hire dates for the aformentioned staff members are: 12/20/2021, 5/7/2013, and 9/3/2021.

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 staff member in the Explorers 1 Room was not wearing a face mask upon the surveyor's arrival. The current directive of the Division of Child Care is for all staff members in a child care facility to wear a face mask. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the employee file for a staff member with the hire date 2/8/2021, did not contain verification of educational documentation. Interview with the staff member in charge revealed that 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 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 interview and review of documentation, the employee file for a staff member with a hire date of 3/34/21 did not contain a current statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. The staff member in charge acknowledged that 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 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on observation, six out of eight cribs in the Infant 1 Room contained loose-fitting sheets. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the enrollment file for the child with an enrollment date of 5/5/2021 did not contain a preferred hospital. The staff member in charge acknowledged this deficiency. 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 allergy was written on the white board in the Explorers 1 Room; therefore, the confidentiality of the child's record was not maintained. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a current daily schedule of activities, to include that date and times of activities to be conducted, was not posted in the Toddler 1 Room, Explorers 1 Room, Fours 1 Room, Fours 2 Room and Twos 2 Room. Animals 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, the employee file for a staff member with hire date of 2/8/2021 did not contain verification that the staff member received six (6) hours of cabinet- approved orientation within the first three (3) months of employment. The staff member in charge acknowledged that the training had not been completed. Review of ECE-TRIS also failed to verify completion of the aforementioned training. 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, a staff member used an excessively loud voice with a hash tone when disciplining children in the Fours 1 Room. The surveyor could hear the aforementioned staff member use the excessively loud voice down a hallway and around two corners. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the doorframe outside of the bathroom in the Fours 1 Room contained an accumulation of an unknown substance, indicating that it has not been cleaned on a regular basis.

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 was a gap between the ceiling tile and its frame in the Threes 2 Room and Fours 1 Room. The ceiling vent in The Twos 2 Room contained a thick accumulation of dust. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the hot water faucet in the Threes 1 Room bathroom was not functioning; therefore, hot water could not be accessed from that sink.

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 seats located in the bathroom of the Twos 3 Room and the Threes 2 Room were not securely bolted to the toilets. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a child's hands were not washed with soap and warm running water after his/her diaper was changed in the Infant 1 Room. 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 of Playground 1, there was a hole in the protective surface under a slide. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory requirements regarding emergency regulation 922 KAR 2: 415E regarding mandatory facial covering. Observation in the Infant 1 room revealed a staff member failing to wear a facial covering. 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.

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory requirements. Based on interviews and written documentation, the health, safety and comfort of children was compromised when a staff member used harsh tones and inappropriate behavior during transitioning to nap time when the children failed to follow directives. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Interview and written documentation revealed a staff member was observed using a cell phone while supervising children, which was against center policy. Emergency Regulation 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.

The licensee did not provide for the health, safety and comfort of a child in care. A child sustained an injury to his nose while napping sometime during a two hour nap time and none of the three staff were aware that the injury had occurred until near the end of nap time. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

The director did not assure the requirements regarding altered records. A staff member added information to an incident report that was already signed by another staff member; therefore, the signed report was altered from its original form.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for two (2) staff members hired 1/14/2020 and 3/9/2020. Interview with the staff in charge revealed the documents were not there for review. Programming In Compliance 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Interview with the director and an observation of the toilet in the two’s room #3 bathroom revealed the toilet did not flush. Interview with the staff in charge revealed that the toilet was not flushing. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. A review of ten (10) children’s files revealed there is no Hospital listed for one child. Interview with the staff in charge revealed that the hospital was not listed in the file. 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain eqipment in accordance with regulatory requirements. Based on observation in the Toddler room #1, several soft climbing blocks had worn edges and exposed foam. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, the child care center failed to maintain children records in accordance with regulatory requirements. Upon request, the director did not present current immunization for children with the enrollment dates of 3/23/15 and 2/1/16. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation in the Explorers #2 room, three (3) children were sleeping on the floor with no individual cot to lie on. The children simply had their heads propped up with small throw pillows.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present proof of education for the staff members with the following hire dates: 7/31/18, 1/23/19, 6/11/18, 5/30/18, and 11/5/18.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present TB assessments or doctor statement determining negative TB for the staff members with the following hire dates: 7/31/18, 1/23/19,2/19/19, and 1/8/19. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented employee records revealed staff members' files with hire dates 2/21/17 and 9/27/16 that did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present documentation to verify that the staff members completed the fifteen (15) hours of cabinet approved training 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. There was a water stain in the ceiling tile located above the blue carpet in Infant Room #3. There was a hole in the lower wall located by the cots exposing drywall in Explorer #1 Room. There was a water stained and cracked ceiling tile located above the wooden cabinets and “colors” walls in Explorer #1 Room. There were two (2) ceiling tiles with water stains located at the entrance to the Fours Room #2. The ceiling tile containing the vent located in the bathroom in the Fours Room #2 was loose and not secure. There were two (2) loose ceiling tiles located in the bathroom in Three’s Room #2. There was a cracked ceiling tile located above the reading area in Three’s Room #1. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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. The changing pad located in Explorer #2 Room was torn exposing the absorbent material. The changing pad located in Two’s Room #2 was torn exposing the absorbent material. The changing pad located in Infant Room #1 was torn exposing the absorbent material. The changing pad located in Two’s Room #3 was torn exposing the absorbent material. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. There was a grey crib sheet located in a crib in Infant Room #3 that was soiled and stained.

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. There was a brown pillow located in Infant Room #3 that was soiled and stained. The multi-colored vinyl mats shaped into a flower located in Toddler Room #1 were torn exposing the absorbent material. The blue and green pillows located in Toddler Room #1 were soiled and stained. There was a blue vinyl block located in Explorer #2 Room that was torn exposing the absorbent material. The large brown pillow located in Two’s Room #1 was soiled and stained. The red vinyl bench cushion located in Fours Room #1 was torn exposing the absorbent material. There were two (2) knobs broken off the red and brown wooden stove located in Fours #1 Room. The multi-colored vinyl mats located in Three’s Room #2 were torn exposing the absorbent material. The green pillow located in Three’s Room #1 was soiled and stained. The light switch located in the bathroom in Three’s Room #1 was not secured to the wall. 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 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed children’s files with enrollment dates 9/9/14 and 1/12/15 that did not contain the names of the family’s preferred hospital. Upon request, the director did not present the documentation for the children at the time of the survey. 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 and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation revealed that the earthquake/tornado drills presented for review did not contain the names of the children who participated in the drills. Upon request, the director did not present the documentation at the time of the survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. The schedule of daily activities posted in Three’s Room #2 on 2/27/18 was no longer current as it was dated for September. Animals In Compliance

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. Upon request, the child care center failed to provide documented evidence of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250 for staff with a hire date of 05/22/17. On 06/28/17, the child care center presented documentation that the staff enrolled into an online educational program, Penn Foster High School effective 06/28/17. Based on documentation received, the staff was hired and allowed to work without proof of education. Programming In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Safety procedures for loading and unloading a child were not presented for review upon request.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory requirements regarding transportation in accordance with regulatory requirements. The first aid kit observed in the 2006 Ford van failed to contain liquid soap and a flashlight. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. A bread component failed to be served with the lunch meal. A staff member acknowledged that the bread was not served. 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 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Review of Documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. An organizational chart was not presented for review upon request. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Children and Parent's rights as listed in KRS 199:898 failed to be posted in a conspicuous place and made available for public inspection. Further review revealed that the most current Plan of Corrections was not posted in a conspicuous place and made available 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There were no paper towels for hand drying available in the 3's II bathroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. The Explorer I room failed to have sufficient lighting to maintain sight and sound of the four (4) children ranging in age from one-year to two-years-old, observed on 04/05/17. On 04/06/17, children were not within sight and sound in both the Explorer I room with four (4) children, and Explorer II room with seven (7) children ranging in age from one-year to two-years-old, due to lack of lighting provided during nap time. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. 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. Upon request, a high school diploma, GED, or other qualifying documentation from a comparable educational entity or a Commonwealth Child Care Credential was not presented for review for two (2) staff members with the hire dates of: 09/27/16 and 8/24/16. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, verification of fifteen (15) hours of cabinet approved training for the last full year of employment for two (2) staff members with hire dates of 03/30/15 and 08/23/10 was not presented for review. Upon request, verification of six (6) hours of cabinet approved orientation training for two (2)staff members with hire dates of 08/24/16 and 12/09/16 was not submitted for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, staff members identified as van drivers, with hire dates of 02/04/08 and 03/31/15, failed to have current driver's licenses and Kentucky Driver History Records available in the file, and were not presented for review upon request. Programming In Compliance 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. Staff purses were observed to be accessible to the children in the Explorer II room, and in the 3's II room. A storage room door was standing open on 04/05/17 and on 04/06/17, revealing two (2) five-gallon buckets of paint and a bucket of joint compound, which was accessible to the children. A toilet brush and a toilet plunger was accessible to children in the rear of the 3's II 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. Two (2) dime size holes were observed in the wall adjacent to the toilet in the 3's II bathroom. Also in the 3's II room was a torn seam approximately 4 inches long in the carpeting, revealing strayed pieces of yarn in a pathway of traffic within the room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to comply with regulatory requirements in regards to the child abuse and neglect policy. Review of the child care center’s child abuse procedures revealed that staff are responsible for making a report of child abuse/neglect; however, during interviews it was determined that staff did not make reports so they would not be labeled a troublemaker. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the child care center director failed to assure compliance with regulatory requirements in regards to the health, safety and comfort of children in care. Interviews with multiple sources revealed a staff member inappropriately handled a child in care in the following ways: 1. Picked up a child by the back of his shirt collar causing his face to turn red and threw him into the soft area of the room; and 2. Picked up the aforementioned child by his ankles on the playground and held him upside down. The two (2) aforementioned incidents were reported to an owner who did not act on them. The aforementioned staff member confirmed that while on the playground, she grabbed a child by his shirt picking him up and putting him in time out for pushing a child down. Interviews with other sources revealed the aforementioned staff member would yank or grab children by their arms and slam them down in a chair or on the floor. 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 2:110 · 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. Upon request a current immunization certificate was not presented for a child with the enrollment date of 4/6/16.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Interview and review of documentation, the child care center failed to comply with regulatory requirements with regard to a change in director. Interview with the child care center owner revealed the approved director resigned as director of the child care center on 07/21/16. Review of DRCC records revealed no documented evidence that the child care center reported the change of director. Director 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 2. Child Care Services.

General: Based on Observation, interview and record review, the child care center failed to maintain adequate supervision to ensure a three-year-old was within scope of vision and range of voice. Observation of the child care center revealed a three-year-old child was allowed to enter an adjacent, vacant, classroom without an adult escort to use the restroom. The surveyor observed the child to return to his/her original classroom without supervision of staff. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Interview and review of documentation, the child care center failed to comply with regulatory requirements with regard to a designated director. Interview with the child care center owner revealed the approved director resigned as director on 07/21/16. Review of DRCC records revealed no documented evidence that the child care center reported the resignation or that an interim director, who met the same qualifications of a director, was designated. 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 6. Reports.

General: Based on Interview and review of documentation, the child care center failed to comply with regulatory requirements regarding reporting to the Cabinet. Interview with the child care center assistant director on 02/28/17 revealed she was made aware on 02/23/17 that another staff at the child care center grabbed a two-year-old child by the arm, slammed the child to his/her cot and caused the child to hit his/her head. Further interview with the child care center assistant director revealed the incident was not reported to the Cabinet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, 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. Review of incident reporting documentation revealed a child in care was smacked on the hand by staff. Interview of staff revealed a pattern of reported aggressive behavior by staff toward children in care, in which more than one (1) staff persons have aggressively grabbed and forcefully pulled on children at the child care center. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee records for staff with a hire date of 08/31/16 revealed no documented evidence of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250.

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 records revealed staff with an unknown hire date failed to provide a statement from a health professional that he/she is free of active tuberculosis. Interview with the child care center owner revealed the staff is a maintenance worker and dish washer for the child care center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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 comply with staffing requirements. Observation of the Three’s Room #2 on 03/23/16 from 8:42 AM and 12:00 PM revealed fifteen (15) three (3) years old and one (1) teacher and the Two’s Room #1 was observed from 8:44 AM to 12:00 PM which revealed eleven (11) two year olds and one (1) teacher. Each classroom failed to maintain the minimum staff/child ratio and maximum group size. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, and interview, the child care center director failed to comply with regulatory requirements related to staff in charge. Observation of the child care center on 03/23/16, from 8:35 AM to 8:45 AM, revealed no designated adult staff in charge in the absence of the Director. Interview with teachers in each classroom revealed they were unsure as to the individual in charge during the director's absence.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center director failed to comply with regulatory requirements related to the health, safety and comfort of a child. Observation of the Three’s Room #2 revealed stained pillows without pillow cases. Further observation revealed two (2) children resting on these pillows. Interview with the classroom teacher revealed the pillows were washed once a week.

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 Three’s Room #1 revealed a purse that hung on the wall behind the door accessible in reach to the children in the classroom. Interview the teacher revealed the purse belonged to her.

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 Three’s Room #2 on 03/23/16 from 8:42 AM and 12:00 PM revealed fifteen (15) three (3) years old and one (1) teacher and the Two’s Room #1 was observed from 8:44 AM to 12:00 PM which revealed eleven (11) two year olds and one (1) teacher. Interview with the child care center director revealed the classrooms exceeded the maximum capacity of children per thirty-five (35) square feet per child, by one (1) child.

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, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Review of documentation revealed the three (3) of five (5) cribs in the Infant #3 room failed to meet regulatory requirements in accordance with 16 CFR 1219-1220. Interview with the child care center director revealed she did not have documentation on the crib or a certificate of compliance to show that the cribs met the federal requirement.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the child center’s transportation first aid supplies revealed items for vehicle with VIN # 2B5WB35Z6RK186158, were not available for inspection such as: liquid soap, first aid handbook, and a cardiopulmonary resuscitation (CPR) mouthpiece protector. Interview with the child care center director revealed the items were not available for 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 Review of Documentation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Record review of the temperature measuring device in the Infant Room’s #1 and #2 revealed a refrigerator temperature of forty-four (44) degrees Fahrenheit, which exceeded the recommended temperature of forty (40) degrees Fahrenheit per regulatory requirement 922 KAR 2:120.

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 children’s records in accordance with regulatory requirements. Record review of ten (10) of ten (10) children’s records revealed no documented evidence of a preferred hospital as shall be identified by the child’s parent or legal guardian. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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 records in accordance with regulatory requirements. Review of staff files revealed employees with the hire dates of 1/8/15 and 1/6/15 failed to have documentation from a health care professional to verify that they were free from active TB 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, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s records revealed that children with the enrollment dates of 7/22/13 and 10/21/13 failed to have a parent signature providing authorization for the child care center to seek emergency medical care for the child in the parent’s absence.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. Review of posted documentation in Two’s Room 1 and Infant 2 Room revealed information relating to the allergies of children in care which failed to be kept in strict confidence as required by law.

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 records in accordance with regulatory requirements. Review of staff files revealed that an employee with the hire date of 10/13/14 failed to have documentation to verify that the individual had completed high school, a GED or a Commonwealth Child Care Credential.

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 of the Infant 2 Room revealed a small container of hand sanitizer, with a label that read “keep out of reach of children”, attached to a diaper bag which was on a low shelf, accessible to the children in care. Observation of the Toddler Room 2 revealed a bottle of bleach water and a roll of plastic bags located in a low, unlocked cabinet which was accessible and within reach of the children in care. Observation of the School Age Room in building two (2) revealed a coat and purse belonging to the staff lying on low shelves accessible and within reach of the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Three’s Room 2 revealed a stained ceiling tile indicative of a water leak.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Infant 1 Room revealed that the staff failed to wash the hands of a child with liquid soap and warm running water after a diaper change. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 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 3. General Requirements.

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Infant 1 Room revealed that staff failed to wash hands with liquid soap and running water after diapering a child at the time of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. 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 Infant 1 Room, Infant 2 Room, Two’s Room 1, Two’s Room 2, Infant Room, Toddler Room 2, Explorers 1 Room and Explorers 2 Room revealed diaper ointment that failed to be stored in a separate and locked place at the time of the inspection. 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 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 1 Room failed to have an indicating thermometer or measuring device to verify that the bottles stored within were preserved at forty (40) degrees Fahrenheit or below at the time of the inspection. Observation of the refrigerator located in Explorers 1 revealed a thermometer indicating a temperature of twenty-eight (28) degrees Fahrenheit. Ongoing observation revealed that the soy milk and other liquid items were not frozen, indicating that the thermometer was not in working order to verify that the items were stored at forty (40) degrees Fahrenheit or lower 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 inside the refrigerator located in the Infant 2 Room revealed four (4) bottles that failed to be individually labeled and one (1) bottle that failed to be covered 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 6. Sleeping and Napping Requirements.

General: Based on Observation, the child care center failed to comply with regulatory programming. Observation in Infant Room #2 revealed an infant in a crib playing with a toy. Continued observation revealed that said child’s crib had another toy attached to the inside of the crib. Further observation revealed that another crib had a mobile attached to the inside of the crib.

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 center failed to maintain premises. Observation in the Older Twos Room revealed that a staff member’s purse was sitting on a child size table.

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 center failed to maintain premises according to regulatory requirements. Observation revealed that the water temperature in the Older Twos Room restroom measured 125°F, which exceeded the maximum temperature of 120°F.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with the regulatory requirements. Observation in the Older Twos Room revealed that the center failed to keep information concerning a child confidential by posting food allergies in the classroom.

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 director failed to maintain the safety and health of the children. Observation in the Older Twos Room revealed an open cloth tote hanging on the low door knob of the classroom door. Further observation revealed that the cloth tote was labeled “First Aid” and contained Copertone Sunscreen labeled “Keep out of reach of children”. Further observation in the Older Twos Room revealed that children's backpacks, coats and a blanket were stacked on child size table in the class. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain employee records. Review of employee records revealed a staff member with the hire date 10/21/13 failed to have an out of state Criminal Records Check from Maryland on file for review. Review of the referenced staff member's Child Abuse and Neglect check revealed evidence that the staff member resided in Maryland in the last five years.

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 center failed to maintain employee records. Review of employee records revealed that staff members with the hire dates 9/11/13, 2/7/14, 8/6/13 and 12/30/13 had a copy of their school identification cards on file as proof of education and failed to have a high school diploma, GED certificate or other qualifying document that verified current enrollment in secondary educaton on file 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, the center failed to maintain employee records. Review of employee records revealed that a staff member with the hire date 2/14/12 failed to have a current statement from a health professional that she is free of active tuberculosis.

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 center failed to comply with hygienic practices. Observation revealed that the children in Four’s Room #1 went to their cots after coming in from outside. Continued observation revealed that the staff member asked each child if they needed to use the restroom and those who went were able to wash hands and those who did not go to the restroom did not wash their hands after coming in from outside.

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 center failed to maintain equipment. Observation in Explorer Room #1 revealed that the edges and corners of the flower shaped climber and mat in the book area were unraveling. Continued observation of Three’s Room #1 revealed that the mat on top of the puppet container was also unraveling.

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 center failed to maintain equipment. Observation in Infant Room #1 revealed two infants sitting in a Bumbo. Further observation revealed that the two infants failed to be buckled into the required restraint belts attached to the Bumbo after a manufacturer's recall.

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 center failed to maintain food services. Observation in Infant Room #2 revealed an infant on the floor propped against the soft flower climbing equipment drinking out of a bottle.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview the center failed to comply with regulatory requirements in regards to animals. Observation revealed in Four’s Room #1 and Four’s Room #2 each room had a fish bowl containing fish. Interview with staff in charge revealed that the children did not have written parental consent because they did not think that one was needed for fish due to no direct contact.

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 interview, it was determined that the health, safety and comfort of a child was not assured in that on October 10, 2013 at approximately 3:18 pm a two year old child was standing on a small sofa that was 35 ½ inches long and 16 inches high along with two other children in the two year old classroom. The sofa was placed vertically from the wall and sitting on a tile floor. The supervising staff person observed the children to be jumping on the couch and failed to physically intervene to instruct the children to sit down before the child fell over the back of the sofa and hit her head on the tile floor. Examination by a medical professional determined that the child suffered a skull fracture as a result of the fall. 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 observation and review of documentation it was determined that a staff person with the hire date of 9/11/13 was observed to be working alone on October 31, 2013 supervising nine two year old children. Record review revealed the absence of a completed CAN check on file for said staff person.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interviews, a caregiver tested positive for tuberculosis as a result of a tuberculosis screening, but the child care center failed to report the diagnosis to the cabinet within 24 hours of discovery. Director Requirements

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 present for all staff members in the personnel binder, a high school diploma, GED or CCC was not file for a staff member with a hire date of 08/06/2012.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

Toddlers #2: Based on observation and interview with staff members, a one year child was grouped with six two year olds for all day care. 282 - Toilet Training Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 42 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120 - Section 10 (5) Toilet training shall be coordinated with the child's parent. Premises - Classroom

Open Not marked corrected in the state record

Open / not marked corrected.