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

General: Based on observation and interview, cockroaches are present in the center, specifically in the kitchen and Toddle Waddle Classroom. Despite monthly extermination visits, cockroaches continue to be found during hours of operation, and in the presence of children. 625 - Floors, Walls, Ceilings Discussed 922 KAR 2:120. Section 4. Premises Requirements. (9) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned.

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, on 05/15/25, a three-year-old child received a cut to her chin after falling on the floor. According to video footage and interview, the victim and another friend were playing on the glass door that leads outside. The victim had her hands up hanging off of the push bar handle of the door, while another friend pulled her legs up in the air to imitate "flying". The 2 children did this twice, switching off who held whose legs, and the last time they attempted this, the victim lost her grip and let go of the bar, causing her to fall directly onto her chin on the floor. The victim had a previous injury to her chin where she had to get stitches, so this fall opened that same wound back up. Administration was immediately notified, parents were called and the victim was taken to the hospital where she received more stitches. There were 2 staff in the classroom when the incident occurred. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Based on interview, the new director stated that she started at the center on 01/27/25. After review of documentation it was determined that there was not a request sent to the Cabinet to change the director. Director Requirements 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, a CPR/First Aid Card was requested by the Cabinet in regards to a child's incident report. The CPR/First Aid Card that was received had an expiration date of 03/25. A request for an updated card was sent and the staff person in charge stated that yes the card had expired and that the center had their renewal class scheduled for staff.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, Based on record review and interview, it was confirmed that not one person on duty and present with Child on 4/18/25 was certified by a cabinet approved training agency in First Aid/CPR.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, a staff member's personnel file (DOH: 09/04/24) did not contain evidence that the required first aid and cardiopulmonary resuscitation training had been completed within ninety (90) days of employment. A review of ECE-TRIS verified this information.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, a staff member (DOH: 09/22/22) completed only fourteen and one half (14.5) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. A review of ECE-TRIS verified this information. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the Waddler Room's handwashing sink vanity door was not locked. The following items were made accessible to the children within the classroom. 1) There were two (2) bottles of Fabulsos cleaner, the Fabuloso cleaner’s warning label stated, “Keep Out of Reach of Children”. 2) There was one (1) clear spray bottle, labeled "window cleaner", that was made accessible to the children within the classroom. 3) There were two (2) cans of Lysol Disinfectant spray. The warning label on the cans stated, “Keep Out of Reach of Children”. 4) There were two (2) cans of Freshen disinfectant spray. The warning label on the cans stated, “Keep Out of Reach of Children 5) There was one (1) can of Cure disinfectant spray. The warning label on the can stated, “Keep Out of Reach of Children”.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the wooden frame and entry door leading into the Preschool Room was soiled with a gray substance. The staff in charge acknowledged the deficiency.

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 during the inspection the following was found: Waddler Room 1) There was a crib that a child sleeps in that was adjacent to a wall that was peeling paint and drywall. Waddler/Toddler Room 1) There were several walls that contained peeling paint, and the drywall was exposed. 2) There was a wall that contained a small hole. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a staff member within the Waddler Room was changing the children's diapers. The staff member changed three (3) children’s diapers and after each of the diaper changes, the staff member did not wash the children’s hands. When the staff member had completed each diaper change, he/she would place the child on the floor and retrieve a different child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, a staff member within the Waddler Room was changing the children's diapers. The staff member changed three (3) children’s diapers and after each of the diaper changes, the staff member did not wash his/her hands. When the staff member had completed each diaper change, he/she would place the child on the floor and retrieve a different child.

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, a staff member was changing the children’s diapers within the Waddler Room. The staff member changed three (3) different children’s diapers and did not remove and dispose his/her gloves after each of the three (3) diaper changes. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Early Preschool Room 1) There was a child size wooden kitchen set that was missing a door, leaving a sharp metal bracket that detached away from the door frame and was protruding outward. The sharp metal bracket was made accessible to the children. Waddler/Toddler Room 1) A child had regurgitated on a child size stool. The surveyor had to mention the observation to a staff member. Older Twos Room 1) There was a low shelf that was missing Formica and contained sharp splintered edges. Preschool Room 1) There were dolls that were soiled with green marks and a grey substance. 2) There was a wooden child size sink that was missing a faucet, and a large screw was protruding upwards that was made available to the children. Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation in the Infant Room, the refrigerator's indicating thermometer read fifty-five (55) degrees Fahrenheit. The children’s bottles and the interior of the refrigerator felt warm to the touch. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was not an indicating measuring instrument within the refrigerator freezer within the Infant Room. It was not able to verify that the interior temperature of the freezer was zero (0) degrees or below.

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, there was dust, debris, dried food particles, and water on the refrigerator freezer floor within the Infant Room. 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: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, a child’s record (DOE: 07/15/24) did not contain the child’s general health status and medical history. 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 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 10/14/2024 AND AS OF 10/22/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Premises In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a staff member failed to wash a child's hands with liquid soap and warm, running water after a diaper change in the waddle toddle classroom. During continued observation a staff member failed to wash a child’s hands with liquid soap and warm, running water after a diaper change in the waddle classroom. 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

Open / not marked corrected.

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

General: Based on observation, there were eight (8) cribs that did not have a sheet on the mattress. A staff member placed two (2) children in separate cribs, neither of the two cribs had a sheet on the mattress. The two (2) children were placed directly on the plastic mattress protector.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and observation on 07/03/2024 the health, safety, and comfort of the children in care was jeopardized based on the following: 1. An excessive number of puzzles and puzzle pieces were strewn across the floor within the Younger Two’s classroom, creating a tripping hazard. The puzzles covered the floor to such an extent that children had to walk on top of them to move throughout the front portion of the classroom. The staff in the room did not react to this situation or assist the children. 2. A child within the Younger Two’s classroom placed their body, lengthwise, into the upper shelf of a toy storage unit, causing the unit to shake and wobble. This was observed from the hallway via the classroom’s interior window. The staff in the room were not observed providing any assistance or reacting to this incident. 3. Two (2) electrical outlets within the Older Two’s classroom were not covered or protected. 4. A can of Airwick Pure air freshener, whose label contained the phrase, “Keep out of reach of children,” was stored on a low shelf within the Older Two’s room, where it was accessible to the children in care. 5. Review of a live-stream of the center’s surveillance system over the course of approximately thirty (30) minutes revealed that a staff member in the Waddle Toddle classroom sat atop a child-sized table for the duration of the observation and did not rise to attempt to redirect or interact with the toddlers in the room. During this time, seven (7) one (1) year-old toddlers were observed walking throughout the classroom, unengaged, grabbing and touching each other, and laying on the floor while crying. An additional staff person in the classroom held one (1) child throughout the observation, but was seen looking at her smartphone frequently, and for multiple minutes at a time. 6. Continued review of the live-stream of the Waddle Toddle room revealed that one (1) child stood near the receptacle used to store soiled diapers and touched the lid and bag within the receptacle for several seconds before a staff member moved to the child to redirect them. The staff failed to ensure that the child washed their hands after touching the receptacle. Approximately three (3) minutes later, the same child was again observed touching the aforementioned trash receptacle. The staff did not react to this or attempt to redirect the child. 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 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Observation of the Older Two's Room revealed a toddler carried a lengthy, sharp pair of adult scissors around the classroom, striking the scissors against windows and other objects in the room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, there was no written schedule of staff working hours at the time of review. Staff in charge stated that she did not have a staff schedule to present to surveyor.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview, the comfort of infants and toddlers in care at the center was jeopardized when the heating system in the Infant/Waddler classroom was not functioning properly, causing the temperature of the classroom to be excessively cool. Multiple sources reported that infants had to be bundled in blankets and coats for warmth. Additional sources reported observing that several infants had runny noses and feet that were cold to the touch as a result of the cold temperature of the classroom. 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 and interview with multiple individuals, the Infant/Waddler classroom was used for care of infants and toddlers on the morning of 01/16/24, even though it was known the day prior that the heating system was not working properly in that room. Although space heaters were used, it was stated that the thermostat in the Infant/Waddler classroom did not read above sixty-three (63) degrees Fahrenheit at any point during that morning. Additionally, during a walkthrough of the center, conducted on the afternoon of 01/16/24, the temperature in the Four year-old classroom felt excessively cool and when a thermometer was observed in the classroom for two (2) to three (3) minutes, it did not read more than sixty-two (62) degrees during the observation. One (1) staff member cared for eight (8) school-age children in the aforementioned classroom at the time of the observation.

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, staff members (DOH: 10/03/2023 and 12/04/2023), did not have a copy of educational qualifications in their personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on 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: 11/27/2023). An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, verification of completed First Aid and Cardiopulmonary Resuscitation (CPR) training was not presented for review for one (1) staff member (DOH: 08/16/2023). A review of ECE-TRIS records supports the information found during the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. Staff members (DOH: 08/16/2023 and 04/10/2023) did not complete Orientation training. 2. Staff member’s (DOH: 05/06/2021) Pediatric Head Trauma training (PAHT) was dated 10/15/2018, and therefore, expired. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, there was a water damage stain on a ceiling tile next to the light fixture in the School Age classroom. 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 and interview, debris was on the diaper changing table underneath the diaper changing pad in the Waddle Toddle Classroom; therefore, the diaper changing surface was not kept clean. 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 and interview, it was revealed that cribs in the Waddle classroom were not spaced twelve (12) inches apart to allow free and safe movement by a person. Interview with the person in charge supported this evidence. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the soft play furniture covers in the School Age classroom were ripped, exposing the foam inside the furniture. Further observation revealed a block caterpillar toy was ripped and the fabric was sticking out in the Waddle classroom. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance 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 following was found: 1. One child’s (DOE: 04/10/2023) enrollment information did not contain the child’s preferred family physician. 2. One child’s (03/02/2023) file did not contain a preferred hospital information. 3. One child’s (12/28/2022) file did not contain the child’s preferred physician contact number. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. A fire drill was not practiced in June and July of 2023. 2. There was no evidence to indicate that an earthquake, lockdown, or tornado drill had been practiced in the second quarter of 2023. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, an adult purse was stored on a low table within the Waddle Toddle room where it was accessible to 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:Observation of the Young Two's room revealed the following: 1) The casing surrounding the handwashing sink's water lines was detached from the wall, creating a gap and exposing the inner portion of the drywall. 2) A large section of the black, plastic border, installed on the lower portion of the wall, was separated, leaving several areas of peeling paint and damaged drywall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, one (1) electrical outlet did not contain safety plug and small flying insects were observed in the Toddlers One Room. Further observation reveal the gray waste basket in the School Age Room overflowed with leftover food from lunch. 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 floor under the rubber matt in the School Age Room had yellow and black discoloration of unknown origin, with particles of unknown origin on it; the baseboard in the School Age Room, next to the sink, had white strikes of unknown origin, suggesting infrequent cleaning; the baseboard in the corner between the window and the wall, behind two (2) shelf bookcase, was coming off the wall in the Younger Twos' room; there were spots of unknown origin on the carpet in the Five-Year-Old Room; and one large ceiling vent in the Five-Year-Old Room contained a thick accumulation of dust. Additionally, there was a powerful urine smell in the boys' bathroom in the School Age Room and Five-Year-Old Room. Further observation revealed a significant gap between the toilet base and the floor in the bathroom in the School Age Room; An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

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 and interview, the toilets in the School Age Room's girls' and boys' restrooms had yellow and black buildup of unknown origin, suggesting infrequent cleaning. Further observation showed similar buildup in the restroom near the Waddler Toddler Room in the hallway, indicating possible irregular cleaning in that area. 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 diaper changing pad in the Toddlers One Room was heavily discolored and had multiple black stains on the surface. 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 childcare center failed to comply with Twelve Inch Spacing requirements. It was observed that cribs failed to be spaced twelve (12) inches apart in the Waddle Toddler room to allow for free and safe movement for an individual.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the sink in the hallway next to the One-Year-Old room, the Toddlers' One Room, and the School Age Room had a buildup of black substance of unknown origin, suggesting that the sink was not cleaned. Further observation revealed the sink drain in the Toddlers One Room did not have a stopper and had an accumulation of yellow and brown substances of unknown origin inside the drain. Also, the shield plate to the water line was hanging loose, exposing the toilet pipe and creating a big opening in the wall behind the toilet bowl in the girls' bathroom in the School Age Room.

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, staff meetings were conducted but not documented. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, caregiver hired 8/31/22, TB documentation was not available for review.

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, seven (7) caregivers, hired 5/24/22, 5/26/22, 7/1/22, 7/4/22, 6/20/22, 4/18/22, and 2/24/22, did not have proof of CPR/First Aid training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, three (3) caregivers hired 6/20/22, 5/24/22 and 2/24/22, did not complete six (6) hours of orientation training within the first three months of employment. Two (2) caregivers hired 2/24/22 and 9/26/21, completed six (6) hours of training between July 1 and the following June 30. A caregiver hired 6/20/22, completed one and a half (1 1/2) hours of training between July 1 and the following June 30. Two (2) caregivers hired 8/23/21 and 4/18/22, did not complete any training. Two (2) caregivers hired 11/22/21 and 9/12/22, completed one and a half (1 1/2) hours of Pediatric Abusive Head Trauma (PHAT) on 7/12/17 and 10/10/16 but did not retake the training within five (5) years. A caregiver hired 9/26//21, did not complete one and a half (1 1/2) hours of Pediatric Abusive Head Trauma (PHAT). Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, a tree root was raised above the mulch in the outdoor play area which presented a tripping hazard. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, six (6) crib mattresses were torn and had foam exposed in the waddler's room.

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 and interview, the toilet seat was cracked in the boys' restroom located in the school age room. Also, the 2005 Chevrolet fifteen (15) passenger bus had a back left seat that was partially taped and had foam exposed. The metal frame protruded through the seat. The leather stripping around the back and side of one (1) seat hung down into the floor which caused a tripping hazard on the 2005 Chevrolet fifteen (15) passenger bus. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a child enrolled 6/8/22, had an immunization certificate that was valid until 9/8/22. 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 2. Child Care Services.

General: Based on interview and review of documentation, the child care center failed to comply with programming procedures regarding discipline. Interview with staff revealed that an employee had taken a child into the restroom and smacked the child on their leg for not following directions. Therefore, the child was subjected to inappropriate discipline.

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 observation, interview and review of documentation, a fingerprint background check was not conducted for a staff member with a hire date of 9/17/2021. Per interview with the staff member in charge, the aforementioned staff member worked at the child care center prior to turning eighteen-years-old; therefore, a fingerprint background check was not conducted for him/her upon hire. The licensee failed to complete a background check once the staff member became eighteen-years-old. The staff member was observed working alone with children. Supervision In Compliance Staffing Requirements In Compliance Employee Records In Compliance Premises In Compliance Outdoor Play Area In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented employee records revealed a staff member under the age of eighteen (18) with hire date 9/17/2021 whose file did not contain a complete background check. The presented employee record did not contain documentation to verify that a child abuse and neglect check (CAN) was initiated for the aforementioned staff member. Upon request, the staff member in charge did not present documentation to verify that the aforementioned staff member had a completed CAN or that a CAN check was initiated for the staff member at the time of the survey.

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: Review of the Kentucky Applicant and Registry Screening (KARES) report while at the center on 10/27/2021 revealed six (6) individuals listed under the current employees section of the report with eligibility determination dates of 7/9/18, 7/10/18, 8/29/18, 7/29/21, 9/29/21 and 10/7/21. Interview with the staff member in charge revealed that none of the aforementioned individuals are currently employed at the child care center. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented employee records revealed a staff member with hire date 6/21/21 whose file did not contain a high school diploma, GED or other documentation from a comparable educational entity. Continued review of the presented employee records revealed that neither, a personnel file nor verification of education, was presented for a staff member with hire date 10/21/21. Upon request, the staff member in charge did not present educational documentation for the aforementioned staff members at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented employee records revealed two (2) staff members with the same hire date of 5/6/21 whose file did not contain a current statement from a health professional stating that they are free of active tuberculosis. Continued review of the presented employee records revealed that a personnel file nor statement from a health professional stating that a staff member with hire date 10/21/22 was free of active tuberculosis was presented. Upon request, the staff member in charge did not present a current statement for the aforementioned staff members 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 7. First Aid and Medicine.

General: Review of the presented employee records revealed staff members with hire dates 6/28/21, 6/21/21 and six (6) staff members with the same hire date of 5/6/21 whose files did not contain documentation to verify that they completed training on First Aid and CPR. Upon request, the staff member in charge did not present documentation to verify that the aforementioned staff members completed the training on First Aid and CPR at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Review of the presented employee records revealed four (4) staff members with the same hire date of 5/6/21 whose files did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation training. Review of ECE-TRIS verified that the staff members did not complete the six (6) hours of cabinet approved training. Upon request, the staff member in charge did not present training documentation for the aforementioned staff members at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 12. Contract Substitute Staff Member Requirements.

General: Observation of the center on 10/27/21 revealed an individual in the center retrieving food from the kitchen. Interview with the aforementioned individual and staff member in charge revealed that the individual was an employee of The Babysitters Circle and was contracted to work at the child care center. Continue interview with the staff member in charge and individual revealed that the individual has been working at the center since 10/21/2021. Upon request, the staff member in charge did not present the required documentation to verify the contractual agreement between the child care center and The Babysitter’s Circle nor a hard copy file containing all the required staff records for the aforementioned staff member at the time of the survey. Phone interview conducted on 10/28/21 with the owner of The Babysitter’s Circle revealed that the agency has not been entered into the Kentucky Applicant Registry and Employment Screening (KARES) system and has not initiated a background check for their employee in KARES. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report 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: There were two (2) clear spray bottles labeled “sanitizer” and “hard surface” hanging from a rail above the changing table and within reach of children in care in the Waddlers Room. There were two (2) clear spray bottles labeled “scappy water” and “sanitizer” hanging from the rail above the changing table and within reach of children in care in the Nursery.

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 was not a protective surface material at the bottom of any of the slides located in the Outdoor Play Area. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The electrical outlet cover in the blocks area located in the School Age Room was not secured to the wall. The light cover inside the boy’s bathroom located in the School Age Room was not secured to the wall. The vent inside the bathroom located in the Preschool 1 Room contained excessive dust that was spreading onto the ceiling tile that contained the vent. The light cover inside the bathroom located in the Toddler Room was not secured to the wall. The electrical outlet located under the white board in the Older Two’s Room was not secured to the wall. The vent was partially hanging from the ceiling tile inside the bathroom located in the Older Two’s Room. There was significant amount of erosion/mildew between the sink and the wall inside the second bathroom from the Younger Two’s Room located inside the Infant/Toddler Indoor Gross Motor Room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: There were water stains in six (6) ceiling tiles located in the Preschool 2 Room. There were water stains in ten (10) ceiling tiles located in the Fives Room. There were water stains in five (5) ceiling tiles located in the School Age Room. There were water stains in three (3) ceiling tiles in the boy’s bathroom located in the School Age Room. There were water stains in six (6) ceiling tiles located in the Preschool 1 Room. There were water stains in two (2) ceiling tiles located in the hallway outside of the Toddler Room. There were water stains in three (3) ceiling tiles located in the Toddler Room. There were water stains in ten (10) ceiling tiles located in the Older Two’s Room. There were water stains in five (5) ceiling tiles inside the bathroom located in the Older Two’s Room. There were water stains in nine (9) ceiling tiles located in the Younger Two’s Room. There were water stains in two (2) ceiling tiles located in the Nursery. There were water stains in six (6) ceiling tiles located in the Infant/Toddler Indoor Gross Motor Room. There were water stains in thirteen (13) ceiling tiles located in the Early Three’s Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: There was a cracked ceiling tile located at the entrance to the Fives Room from the hallway. There was a cracked ceiling tile located above the blocks area in the Fives Room. There were two (2) ceiling tiles inside the girl’s bathroom located in the School Age Room that were hanging from ceiling frame. The paint was missing, exposing the drywall, by the toilet paper dispenser inside the bathroom located in the Older Two’s Room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: The toilet in the bathroom inside the Fives Room was not securely anchored to the floor. The toilet on the right side inside the girl’s bathroom located in the School Age Room was not securely anchored to the floor. 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: The changing pad located in the Older Two’s Room was severely torn, exposing the absorbent material. The changing pad located in the Waddler’s Room was torn, exposing the absorbent material. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: There were several tree branches hanging low into the Outdoor Play Area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: A portion of the bottom of the “fresh mart” scanner toy located in the Preschool 2 Room was peeling away from the toy. The handle was broken off one (1) of the doors on the toy wooden refrigerator located in the Fives Room. The red vinyl seat located in the Fives Room was torn, exposing the absorbent material. The orange vinyl cube and the green vinyl cube located in the School Age Room was torn, exposing the absorbent material. The green vinyl beanbag chair located in the School Age Room was torn in several places, exposing the absorbent material. Several of the red and blue vinyl mats located in the Preschool 1 Room were torn, exposing the absorbent material. Four (4) out of the five (5) knobs were missing on the toy wooden stove located in the Toddler Room. The freezer door on the green and white wooden toy refrigerator located in the Younger Two’s Room would not open. The blue vinyl cushion in the wooden chair located in the Early Three’s Room was torn, exposing the absorbent material. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: One (1) of the wooden planks on the rail attached to the wooden bridge in the Outdoor Play Area was missing/broken off. One (1) of the nails in one (1) of the grey seats attached to the red riding apparatus was missing causing the seat to be loose. Both sides of the front metal bumper on the vehicle used to transport children in care were severely rusted and cracked. There was large hole in the back of the fourth vinyl seat located on the driver’s side inside the vehicle used to transport children in care.

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: Several of the attachments for the infants and toddlers to play with on the exersaucer located in the Waddlers Room were missing or broken off the toy. 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: Review of the presented transportation documentation revealed that the staff schedule presented contained the name of a staff member who no longer works at the child care center. Upon request, the staff member in charge did not present a current staff schedule for transportation at the time of the survey.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Review of the presented transportation documentation revealed that a written policy and procedure for ensuring staff duties relating to transportation was not presented. Upon request, the staff member did not present the policy and procedure at the time of the survey. Kitchen Requirements 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 8. Kitchen Requirements.

General: The stainless steel refrigerator located in the kitchen had an indicating thermometer reading of forty-four (44) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: There was a clear Dr. Browns bottle in the mini-fridge located in the Nursery that was not individually labeled. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented children’s records revealed four (4) records for children with enrollment dates 9/25/14, 11/14/19, 3/1/20 and 10/5/20 whose files did not contain documentation on the child’s general health status and medical history. Upon request, the staff member in charge did not present the documentation for the aforementioned children at the time of the survey. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The daily planned program was not posted in the Preschool 2 Room. The staff member working in the room acknowledged that the daily planned program was not posted at the time of the survey. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The slide located on the playground did not contain sufficient protective surfacing underneath the slide. The area located underneath the slide showed dirt through the protective surfacing. Equipment In Compliance Transportation In Compliance Food Service/Food Program Discussed An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the kitchen revealed there was not ventilation to outside air. Children's Records Discussed Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.