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

General: Based on interview and review of documentation, two (2) staff members (DOH: 06/24/2024 and 09/09/2024) did not have evidence of educational qualifications in their personnel file.

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 review of documentation ECE-TRIS, two staff members (DOH: 05/29/2024 and 04/26/2024) had not completed the required cabinet approved training in first aid and cardiopulmonary resuscitation (CPR). 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 interview and review of documentation, two (2) staff members (DOH: 08/16/2022 and 01/28/2019) failed to maintain fifteen (15) hours of cabinet-approved annual education training completed between July 1 and the following June 30. A review of the ECE TRIS report supported these findings. 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: In the Toddlers 2 classroom, multiple cleaning products were stored in an unlocked cabinet under the sink, allowing the items to be accessible to children.

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 toilet seat was loose in the Early Learners 1 bathroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1. Two wooden sides of the slides in the Toddlers 2 classroom were heavily soiled with a gray substance of unknown origin. 2. The surface of the brown soft chair in the Toddlers 2 classroom was cracked, exposing the inner fabric. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the lower door shelf of the small refrigerator win the Infant 1 classroom was soiled with an unidentifiable, dry white substance. The aforementioned refrigerator was used to store the children's milk. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, first documented fire drill in the current licensure year was conducted and documented on 06/13/2024. Fire drills were not documented for January through May of 2024. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and observation, background checks were not initiated for three (3) staff members (DOH: 03/26/23, 04/30/24, and 05/01/24) prior to the staff members working with children. Supervision In Compliance Staffing Requirements In Compliance General Administration 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 interviews with multiple sources the child care center does not have adequate, qualified staff to be able to maintain staff-to-child ratios when staff take a break. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interviews, there are not a sufficient number of cribs within the infant 1 classroom to meet the individual needs of each infant enrolled when all are present. During interviews it was revealed that some infants have slept on a mattress that was not in a crib. Meal Planning/Center Provides Meals Discussed

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, there was no documented communication or certificate from the Fire Marshal in 2023 at the time of review. Director Requirements In Compliance Employee Records 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 11. Staff Requirements.

General: Based on review of documentation, a staff member (DOH: 10/17/18) did not have high school diploma, GED or qualifying documentation from a comparable educational entity, or commonwealth childcare credentials on file at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a current written statement from a health professional or a negative tuberculin test result was not presented for review for six (6) staff members (DOH: 10/17/18, 1/28/19, 8/3/22, 9/26/22, 12/4/23, and 1/2/24).

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 review of documentation, a staff member (2/27/23) did not have first aid or cardiopulmonary resuscitation (CPR) training on file. Review of the Early Childhood Education Training Report Information System dated 3/12/24 confirmed the lack of training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1. A staff member (DOH: 2/27/23) did not have fifteen (15) hours of cabinet- approved early care and education training completed between July 1, 2022, and the following June 30, 2023, at the time of review. 2. A staff member (DOH: 2/27/23) did not have six (6) hours of cabinet-approved orientation on file at the time of review. Review of the Early Childhood Education Training Report Information System dated 3/12/24, confirmed the lack of training. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the sink faucet outside of the restrooms in the Early Learners 3 classroom was in disrepair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the Infant 1 and Infant 2 classrooms, there was one crib mattress in each room that had loose fitting sheets. 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 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 review of documentation, a child's file (DOE: 11/21/23) had an Immunization certificate that expired 1/28/24. Furthermore, a child file (DOE: 11/7/22) did not contain an Immunization certificate on file at the time of review. 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 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 07/19/2023 AND AS OF 08/16/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 08/31/2023 AND AS OF 09/14/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center staff failed to comply with regulatory requirements with regard to discipline, failing to assure that no child should was subjected to loud, profane, threatening, frightening, humiliating, or abusive language. It was substantiated that two (2) staff members were engaged in a verbal altercation with each other in the presence of the children. 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, a child's safety and comfort were compromised when he/she fell from a high chair onto his/her bottom.

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 interview and review of documentation, not all toddlers and preschool children were provided with bedding during naptime.

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 interviews, a staff member has been observed by other staff members to yell at children and to say derogatory things to the children in his/her care.

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, staff members hired on 08/08/2022, 12/21/21, 07/05/2022, 02/23/2021, 07/05/2022, and 07/20/2022, did not have proof of educational qualifications in their personnel file.

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.

Based on review of documentation, the following was found: 1.) Staff member hired 8/1/2022, did not have fingerprints collected for a KARES based background check until 8/12/2022. This individual was deemed eligible for employment on 8/13/2022. It is unknown whether this individual had worked alone with the children in care between the date of hire and date of eligibility. 2.) Staff member hired 9/27/2021, did not complete a KARES based background check until 10/14/21. This staff member was deemed eligible for employment on 10/14/2021. It is unknown whether this individual had worked alone with the children in care between the date of hire and date of eligibility.

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 review of documentation, several individuals who are no longer employed at the facility were listed as currently employed in the KARES background check portal. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report 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, several blankets and clothing items were stored on a cubby shelf within the Preschool 1 classroom and Early Learners 1 classroom. The staff person in charge stated that the blankets belonged to the children in care. This method of storage promotes the spread of germs and bacteria. Additionally, cloth items stored on hooks within the Toddler 2 classroom overlapped.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a procedure informing staff members on the laws pertaining to reporting child abuse and neglect was not presented for review. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members hired 8/26/2019, 11/07/11, and 11/03/14, did not have an evaluation in their personnel file. 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, staff members hired on 08/08/2022, two on 07/05/2022, and 07/01/22, did not have proof of a negative tuberculin skin result, nor a physician’s statement clearing them of active tuberculosis in their personnel file. Additionally, a staff member hired 09/07/2021, had a negative tuberculin skin record on file that exceeded two years, and therefore was no longer current. 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

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.) Staff member hired 06/22/2022, has not yet completed cabinet-approved Orientation training; this training is required within the first 90 days of employment. 2.) Staff member hired 01/28/19, had ten out of 15 hours of early care and education training recorded in ECE-TRIS for the July 1, 2021–June 30, 2022, year of employment. 3.) Staff member hired 11/07/11, had seven out of 15 hours of early care and education training recorded in ECE-TRIS for the July 1, 2021–June 30, 2022, year of employment. 4.) Staff member hired 11/3/2014, had 11 out of 15 hours of early care and education training recorded in ECE-TRIS for the July 1, 2021–June 30, 2022, year of employment. 5.) Staff member hired 11/07/11, had 13 out of 15 hours of early care and education training recorded in ECE-TRIS for the July 1, 2021–June 30, 2022, year of employment. A review of ECE-TRIS supports these findings.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the staff person in charge identified four individuals as facility drivers, all four individuals had a driver history check last completed in 2020. A 2021 or 2022 driver history check was not available 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 3. General Requirements.

General: Based on observation, two bags containing staff members personal items were stored in an unlocked closet in the Toddler 2 classroom. Additionally, a staff member’s bag was stored in an unlocked closet within the Pre-Kindergarten 1 classroom. These items were 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: Based on observation, the following was found: 1.) The bathroom vents inside the Preschool 1 classroom, Pre-Kindergarten, and School-Age classroom contained an excessive amount of dust build-up. 2.) A portion of the baseboard in the Preschool 2 classroom was disconnected from the wall. 3.) There were several areas of missing and chipping paint on the walls within the Preschool 1 classroom, Toddler 2 classroom, and Toddler 1 classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a plastic boarder used to contain mulch was broken and protruding upward from the mulch by the playground fence.

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, there was not sufficient protective surfacing underneath a large blue slide on the playground. The concrete anchor supporting this structure was exposed. 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 13. Toys and Furnishings.

General: Based on observation, the following was found: 1.) A toy crib within the Preschool 1 classroom had remnants of dirt and debris within a crevice. 2.) Crumbs and debris had accumulated in the corner of the carpeted steps of the climbing structure within the Toddler 2 classroom. 3.) The corner of a rug used within the Pre-Kindergarten 1 classroom was curling upward in the corner and presented a tripping hazard. 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 of documentation, there was not a vehicle inspection report on file for the 2005 Chevrolet Bus. Additionally, the 2011 Chevrolet bus had an inspection report from 11/20/2020. There was no evidence that an inspection had been completed for 2021 or 2022. Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 08/26/2019, did not have a professional development plan in their personnel file. 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, there was no evidence to document that an earthquake drill was practiced in the first quarter of 2022.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, an orientation procedure indicating that staff members would implement what was taught within Orientation training was not presented for review. 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: Based on observation and review of documentation, the following was found: 1.) The statement of deficiency and corresponding plan of correction from the 2021 licensure year was not posted for public inspection. 2.) A lesson plan was not posted within the Early Learners 1 classroom, or Pre-Kindergarten classroom. Additionally, the lesson plans posted within the Preschool 1 classroom, Toddler 1 classroom, and Early Leaners 3 were not dated; the surveyor was unable to determine whether the posted plans were current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the emergency route diagram posted did not include written instructions detailing the proper actions to take in the event of an emergency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a daily schedule was not posted within the Preschool 1 classroom.

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 found: 1.) The proper methods of diapering were not posted at or near the diaper changing station in the Early Learners 1 classroom, Infant 2 classroom, or Infant 1 classroom. 2.) The proper methods of handwashing were not posted at or near the handwashing area of the Toddler 2 classroom or Infant 1 classroom. Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the pre-k room at 8:46 a.m. revealed twenty-six (26) children in care with two (2) staff members. Interview with a staff member revealed the age of the youngest child in the room was three years. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Observation of the clubhouse room revealed twenty (20) children in care with two (2) staff members. When the surveyor asked how many children were being cared for in the room, the response from both staff members individually was sixteen (16). After counting the children a second time, the surveyor asked a staff member if she was aware that there were more than sixteen (16) to which she responded "no". The surveyor informed the staff member that there were twenty (20) children in the room. In the event of an emergency, the safety of the children is threatened when staff are not aware of the number of children for whom they are responsible.

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 review of documentation, the surveyor was not presented with staff’s (DOH: 09/30/21) file; therefore, the surveyor was not able to verify documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check; therefore, the staff person was hired prior to clearance for employment. During interview, staff in-charge was not sure if a background check was submitted. Staff in-charge this staff person had not worked alone with children. The surveyor did not observe the staff person working alone with children. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report 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 review of documentation, the surveyor found the following: 1. Staff member’s (DOH: 02/23/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check; therefore, the staff person was hired prior to clearance for employment. The staff person (DOH: 02/23/2021) did not have a submitted or completed Criminal Records Background Check (CRC). The person had a completed Child Abuse/Neglect Check (CAN) dated 04/15/2021. The surveyor observed, during the survey, the staff person worked alone with three (3) children in the Toddler 1 Classroom. Staff in- charge reported she did not realize this staff did not have a CRC submitted/completed. Staff in-charge reported the staff mentioned above had worked alone with children. 2. Staff member’s (DOH: 04/05/21) file did not have a completed Child Abuse/Neglect Check (CAN). The surveyor observed during the survey the staff person worked in the Infant Classroom with five (5) children and two (2) other staff members. Staff in-charge reported she did not realize this staff did not have a CAN check completed when she was hired. Staff in-charge reported the staff had not worked alone with children. 3. Staff member’s (DOH: 01/04/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check; therefore, the staff person was hired prior to clearance for employment. The staff member’s (DOH: 01/04/2021) file did not have a name-based criminal records check (CRC). The staff did not work with children during the survey. Staff in- charge reported she did not realize this staff did not have a CRC submitted/completed or a Kentucky National Background Check Service. Staff in-charge reported the staff had not worked alone with children. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. There were two (2) staff member’s (DOH: 11/07/2011) file did not contain an evaluation. 2. The staff member’s (DOH: 01/14/2014) file did not contain an evaluation. 3. The staff member’s (DOH: 11/03/2014) file did not contain an evaluation. 4. The staff member’s (DOH: 06/22/2016) file did not contain an evaluation. 5. The staff member’s (DOH: 09/01/2016) file did not contain an evaluation. 6. The staff member’s (DOH: 11/13/2017) file did not contain an evaluation. 7. The staff member’s (DOH: 10/17/2018) file did not contain an evaluation. 8. The staff member’s (DOH: 01/07/2019) file did not contain an evaluation. 9. The staff member’s (DOH: 01/28/2019) file did not contain an evaluation 10. The staff member’s (DOH: 08/26/2019) file did not contain an evaluation. 11. The staff member’s (DOH: 08/17/2020) file did not contain an evaluation. Interview with staff in-charge revealed that staff evaluations were completed; however, staff evaluations were on the director’s computer at home and the director was in quarantine at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a staff member (DOH: 02/23/21) worked alone with three (3) children in the Toddler 1 Classroom. Review of documentation determined the staff member (DOH: 02/23/2021) had a completed child abuse/neglect (CAN) check dated 04/15/2021 but did not have a completed criminal background check; therefore, the staff person was hired prior to clearance for employment and should not be left alone to supervise children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1.The surveyor was not presented with a staff file for one (1) staff member (DOH: 09/30/2021). The surveyor was not presented with education documentation for the staff; therefore, the surveyor was unable to verify the staff member’s education. 2. Staff member's (DOH: 02/23/2021) file did not contain documentation of education. During interview, staff reported that she would request the education documentation for the staff members mentioned above. 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

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. Staff member’s (DOH: 09/07/2021) file did not contain documentation of a statement from a health professional that the individual was free of active tuberculosis or a copy of a negative tuberculin results for the staff person; therefore, the surveyor was unable to verify if the staff member was free from active tuberculosis. 2. Staff member’s (DOH: 11/03/2014) file contained negative tuberculosis verification dated 11/01/18 which was no longer current; therefore, the surveyor was unable to verify if the staff member was free from active tuberculosis. 3. The surveyor was not presented with a staff file for one (1) staff member (DOH: 09/30/2021). The surveyor was not presented with documentation of a statement from a health professional that the individual was free of active tuberculosis or a copy of a negative tuberculin results for the staff person; therefore, the surveyor was unable to verify if the staff person was free from active tuberculosis.

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 ECE-TRIS, the surveyor found the following: 1. Staff member (DOH: 01/28/2019) had completed eleven (11) of the fifteen (15) required hours of cabinet-approved early care and education training for the review period of 07/01/20 through 06/30/21. 2. Staff member (DOH: 09/01/2016) had completed thirteen (13) of the fifteen (15) required hours of cabinet-approved early care and education training for the review period of 07/01/20 through 06/30/21. 3. Staff member (DOH: 11/07/2011) had completed thirteen (13) of the fifteen (15) required hours of cabinet-approved early care and education training for the review period of 07/01/20 through 06/30/21. 4. Staff member (DOH: 11/03/2014) completed the one and one-half (1 ½) hours of pediatric abusive head trauma training on 10/04/2013; therefore, the staff needed to retake the pediatric abusive head trauma training, as it had not been taken within the last five (5) years. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. In the Infants 2 Classroom, the posted planned program was dated for September 21-25 2020; therefore, the lesson plan was not current. 2. In the Preschool 1 Classroom, the planned program was dated for September 20-25, 2021; therefore, the lesson plan was not current. 3. In the Early Learners 2 Classroom, the posted planned program was dated for Week 4 of September; therefore, the lesson plan was not current. 4. In the Toddler 1 Classroom, the posted planned program was dated for September 27- October 1, 2021; therefore, the lesson plan was not current. During interview, the director stated she would update lesson plans weekly and ensure the lesson plans are posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1.In the Early Learners classroom 1, the cabinet door located under the changing pad appeared to be off the top hinge which created an approximate two (2) inch gap at the bottom of the cabinet. Staff in-charge stated she was told about the cabinet door on Friday 10/1/2021. 2. In the Early Learner's classroom 3, there was a wall with grey peeling paint and the drywall was exposed. This was located on the right side of the classroom near the windows. Staff in-charge stated the center was being painted on the weekends. 3. In the kitchen, the oven door handle was broken off on the white oven. Staff reported this oven door handle had been broken for a few weeks. Staff in-charge stated a maintenance order had been requested.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found a wet substance covering the floor in the restroom located off from the Pre-K classroom; therefore, the restroom was not kept in clean condition. Staff in-charge stated a little boy must have been in the restroom.

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 surveyor found the following: 1. The toilet, located in the restroom off from the Pre-K classroom, had toilet paper and what appeared to be urine in the toilet. Staff in-charge stated she would speak with staff about making sure the toilets are flushed. 2. The light bulbs were inoperable in the restroom restroom located by the window area in building #2. Staff in-charge stated that she was not sure why the lights would not turn on in this restroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the Little Scholars fire department structure, located on the preschool playground, had peeling and chipped paint that were on the protective ground surface accessible to the children. During interview, the staff member in-charge stated she would have the structure replaced. 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 of documentation, verification of full coverage insurance for the child care center's van, a 2005 Chevrolet fifteen (15) passenger van, VIN # 1GBHG3151206574 and for a 2011 Chevrolet fifteen (15) passenger bus, VIN # 1GBOG2BA4131154886, expired on 05/15/2021. Staff in-charge stated that the 2005 Chevrolet fifteen (15) passenger van, VIN # 1GBHG3151206574 and for a 2011 Chevrolet fifteen (15) passenger bus, VIN # 1GBOG2BA4131154886 are both insured; however, did not know where the insurance was located. 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

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, the child care center's 2005 Chevrolet fifteen (15) passenger van did not have a current inspection report for review. The staff member in-charge stated the 2005 Chevrolet fifteen (15) passenger van had a current inspection because it was taken with 2011 Chevrolet (15) passenger bus in November 2020. Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was not a thermometer in the refrigerator located in the Infant 2 Classroom; therefore, the surveyor was not able to determine if the temperature was forty (40) degrees Fahrenheit or below. 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, the surveyor was presented with a child's (DOE:07/08/2021) file that did not list a preferred hospital or a contact number for the preferred hospital. 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, the surveyor found the following: 1. The staff member’s (DOH: 02/23/2021) file contained a Professional Development Plan; however, the Professional Development Plan was not dated. 2. The staff member’s (DOH: 11/07/2011) file did not contain a Professional Development Plan. 3. The staff member’s (DOH: 11/03/2014) file did not contain a Professional Development Plan. 4. The staff member’s (DOH: 01/28/2019) file did not contain a Professional Development Plan. Interview with staff in-charge revealed each had a Professional Development Plan but did not know where the Professional Development Plans were located. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the surveyor was not presented with monthly documentation for February 2021 and May 2021 fire drills. Staff in-charge stated the fire drills were conducted; however, documentation was not completed.

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 review of documentation, the surveyor was not presented with monthly documentation for February 2021 and May 2021 fire drills; therefore, the surveyor was not able to determine if the fire drills were conducted during hours of operation at least monthly. Staff in-charge stated that the fire drills were conducted; however, documentation was not completed showing the date, time, and children who participated. 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 9. Food and Meal Requirements.

General: Review of posted documents in building two (2) revealed there was not a menu posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 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: Upon request, an immunization certificate for a child with the enrollment date 08/12/2019 was not presented for review. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Upon request, a current fire marshal report was not presented for review. The document presented was dated 08/27/2018. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the restroom located off the kitchen area in building two (2) revealed the light bulbs were not working, keeping the room from being well lit. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, written documentation from the local authority showing compliance with the local zoning requirements was not presented for review.

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: Upon request, a staff evaluation was not presented for review for eighteen (18) staff members with the hire dates; 06/03/2014, 03/19/2018, 07/28/2013, 10/22/2018, 01/ 28/2019, 11/07/2011, 01/14/2014, 06/29/2018, 09/01/2016, 05/17/2018, 10/21/2013, 09/11/2017, 11/03/2014, 07/28/2013, 03/02/2015, 11/07/2011, 10/18/2016 and 11/07/2011. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of classroom group-C located in building two (2) revealed there was not an electrical outlet face plate covering the exposed electrical outlet. Observation of classroom group-A revealed one (1) broken electrical outlet face plate with a hole that was large enough for a child to insert their fingers. Observation of the restroom located off of the main hallway in building two (2) revealed a toilet bowl brush sitting beside the toilet. Observation of the counter top behind the handwashing sink located in the infant two (2) room revealed, an electrical strip with five (5) cords plugged into the electrical strip that were hanging behind the water faucet. Employee Records 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. Transportation.

General: Review of staff members' files revealed the Kentucky Driver History Record was not presented at the time of the survey for the staff members with the hire dates: 11/07/2011, 11/07/2011, 07/28/2013, 10/21/2013 and 06/22/2016. Interview with the staff in-charge revealed the corporate company that owns the child care center conducts the driver history records for the child care centers. 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 4. Premises Requirements.

General: Observation of the restroom located off the kitchen in building two (2) revealed the toilet paper holder was missing the mounting on the left side and the round cylinder that holds the toilet paper roll. Observation of the classroom group-C revealed a four (4) inch piece of black rubber baseboard was missing under an electrical outlet. Observation of the kitchen located in building two (2) revealed two (2) air vents that had a build-up of dust and debris. Observation of the kitchen area located in building one (1) revealed five (5) air vents that had a build-up of dust and debris. Observation of the toddler two (2) classroom revealed an orange wall that was peeling paint and the drywall was exposed in multiple places. Further observation of the toddler two (2) room ceiling, revealed four (4) air vents that had a build-up of dust and debris. Continued observation of the classroom was a brown door that was peeling brown paint in multiple areas. Observation of the early learner's three (3) room revealed a wall with grey paint peeling and the drywall was exposed. Continued observation of the classroom revealed five (5) air vents that had a build-up of dust and debris. Observation of the hallway ceiling in front of the office window revealed an air vent that had a build-up of dust and debris. Observation of the white window blinds located in the early learner's two (2) room revealed a build-up of dust and debris. Observation of the ceiling in the early learner's two (2) room revealed four (4) air vents that had a build-up of dust and debris. Observation of the ceiling in the early learner's one (1) room revealed four (4) air vents that had a build-up of dust and debris.

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: Observation of the wall behind the door located in the toddler room two (2) revealed a hole in the wall. Observation of the tile floor located to the right when entering the classroom hallway revealed a broken floor tile that was missing a piece of tile, leaving a hole in the floor.

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: Observation of the restroom located off the main hallway in building two (2) revealed there was no toilet paper. 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

Open / not marked corrected.

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

General: Observation of the restroom located off the kitchen in building two (2) revealed there was not a working hand-drying blower and there were no single use disposable hand drying materials.

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: Observation of the changing area located in the early learning two (2) room revealed a build-up of dust and debris on the changing pad and also in the seams of the changing pad. 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: Observation of the large climbing apparatus on the preschool playground located adjacent to the building revealed there was no protective surfacing under the blue slide.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the infant / toddler and the preschool playground fences revealed green paint chipping in multiple areas and falling onto the protective surfacing. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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 4. Premises Requirements.

General: Observation of the infant / toddler playground revealed two (2) water/sand tables that were not covered with lids.

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: Observation of the Little Scholars Fire Department structure located on the preschool playground revealed the structure was peeling paint, the paint chips were lying on the protective surfacing accessible to the children. Continued observation of the preschool playground revealed a red and blue sand and water table; the four (4) legs attached to the table had been filled with concrete. The legs were missing the caps, leaving the top edges of the poles sharp and jagged. 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 12. Transportation.

General: Upon request, the child care center did not present verification that the child care center maintained policies and procedures to ensure staff duties relating to transportation.

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: Review of documentation revealed verification of full coverage insurance for the child care center's van, a 2005 Chevrolet fifteen (15) passenger van, VIN# 1GBHG3151206574 and for a 2011 Chevrolet fifteen (15) passenger bus, VIN # 1GBOG2BA4131154886 was not presented at the time of the survey. The staff member in-charge presented a document showing liability auto coverage; therfore, the document does not state full coverage.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Review of documentation of the child care center's 2005 Chevrolet fifteen (15) passenger van revealed the inspection report was no longer current as it was dated 08/28/2018 and the 2011 Chevrolet fifteen (15) passenger bus did not have a current inspection report for review. In interview, the staff member in-charge acknowledged that the vehicles needed to be inspected. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, the child care center did not provide a written annual plan for child care staff professional development for nine (9) staff members with the following hire dates: 01/14/2014; 07/10/2018; 09/01/2016; 05/07/2018; 10/21/2013; 06/03/2014; 07/28/2013; 03/15/2015; and 11/07/2011.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The personal information concerning the children in the toddler one (1) and infant two (2) rooms were not kept confidential as the documents were posted on the side of each classroom's cabinet for public view. The information consisted of medical issues and dietary information. 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: Review of posted documents in building two (2) revealed there was not a daily schedule posted for review. Animals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of ten (10) children's files revealed the child care center did not provide verification of a written consent form from a parent or guardian for their child to be in the presence of the child care center's pet for six (6) of the children's files reviewed. Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the block center in the toddler two (2) room revealed foam blacks that were available for the children's use. Observation on the house area located in the early learner's three (3) room revealed stuffed animals, a cloth doctor bag, cloth baby dolls and blankets stored in a wooden baby cradle. Observation of the house center located in the early learner's two (2) room revealed there were three (3) cloth dolls accessible for children to use. In accordance with 922 KAR 2:405E section 6 (3) Machine washable toys shall not be used. Based on observation of the early learner's one (1) room, when the surveyor entered the classroom and had conversation with the staff member he/she did not have a mask covering his/her mouth and nose. The staff member had a mask under his/her chin, after our conversation the staff member pulled the mask up over their mouth and nose. Per 922 KAR 2:405 E Section 8 (1), each adult, including parents and guardians at drop-off and pick-up, shall wear a face mask while inside a child care center or family child care home. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6

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 failed to comply with regulatory programming requirements. Upon request, the child care director did not present verification that the daily activity of programming was posted in writing that had been updated to reflect the entire day including the activities that are individualized and developmentally appropriate for eight (8) of the ten (10) classrooms. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee's records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record for the employees with the hire dates of 11/03/2014,09/01/2016 and 01/08/2018 had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirement. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The toddler playground area contained numerous overgrown weeds. Therefore, the playground was not maintained in good condition. 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. Upon entry into the infant classroom, it was revealed that there were four (4) infants sleeping in separate cribs that were placed edge to edge; therefore, the cribs were not spaced twelve (12) inches apart to allow free and safe movement by a person.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The 2005 Chevrolet Van with the VIN # 1GBHG31V35120657 revealed seven (7) passenger seats were torn, with exposed material around the seat belt enclosure. 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 12. Transportation.

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, the child care center director presented the transportation log for the field trip conducted on 04/17/2019. The document did not record the times the children arrived at the destination and the time the children departed from the destination to return to the child care center. 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

Category: transportation. 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. Upon request, the child care director did not present verification that the record for the child with the enrollment date of 06/22/2015 contained information listing the name of a preferred hospital. 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 10. Director Requirements and Responsibilities.

General: Based on observation, interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements regarding the health, safety and comfort of a child. Based on interviews, observation, and review of documentation, a cleaning chemical used for sanitizing diaper changing pads, failed to be diluted according to manufacturer's directions which resulted in numerous children sustaining chemical burns to their heads, ears, backs and buttocks, requiring medical attention.

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 review of documentation and interview, the child care center failed to assure compliance with regulatory requirements regarding background checks. Review of employee records revealed staff members' files with hire dates 3/19/18, 3/28/18, 5/7/18, 6/5/18, and 5/22/18 that did contain background checks. Upon request, the assistant director did not present background checks for the aforementioned staff members at the time of the survey. The assistant director stated that none of the aforementioned staff members have worked alone. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented documentation revealed that documented staff meetings were not presented for review. Upon request, the assistant director did not present the documentation at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed staff members' files with hire dates 11/14/17, 11/7/11, 10/18/16, 5/9/16, 6/30/14, 7/28/13, 12/29/15, 2/17/14, 11/7/11, 3/7/16, 6/22/16, 1/14/14, 9/1/16, 11/7/11, 3/31/14, 10/21/13, 11/3/14, 4/5/17, 4/11/16 and 11/7/11 that did not contain an annual evaluation. Upon request, the assistant director did not present the annual evaluations 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 10. Director Requirements and Responsibilities.

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. There was an electrical cube located on the table next to the bathroom with several exposed electrical outlets in the Preschool 1 Room. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed staff members' files with hire dates 11/13/17 and 6/5/18 that did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity. Upon request, the assistant director 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: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed staff members' files with hire dates 12/29/15, 6/22/16, 9/1/16 and 3/7/16 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. Continued review of the presented employee records revealed staff members' files with hire dates 3/19/18 and 1/8/18 did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation. Review of the presented employee records revealed staff members' files with hire dates 3/2/15 and 1/14/14 that did not contain documentation to verify completion of the one and one-half (1 ½) hours of pediatric abusive head trauma. Upon request, the assistant director did not present the 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 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented driver records documentation revealed a Kentucky driver history report that stated that the staff member with hire date 11/7/11 had a driver’s license that expired on 6/22/17. Upon request, the assistant director did not present a current driver’s license for the aforementioned staff member at the time of the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The fluorescent light cover located above the puzzle/block area and the fluorescent light cover located above the days of the week board were cracked exposing the fluorescent light bulbs in the Early Preschool Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was chipped yellow paint in the following locations in the Preschool 1 Room: 1)by the dramatic play area; 2)under the birthday board; 3) in the blocks area; 4) above the books in the reading area; and 5) on the wall as you exit the room into the hallway. The vent located next to the door leading to the outside play area was not secured to the ceiling. The drywall was peeling/missing next to the vent located above the dramatic play area in the Toddler 1 Room. There was a hole in the wall exposing the drywall located in the 1st bathroom in the Preschool 2 Room. There was peeling blue paint located in the reading area in the Early Preschool Room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The sink located in the Early Learners 1 Room was not equipped with liquid soap. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The door handle was not secured to the girl’s bathroom door in the School-Age building. The red pillows located in the reading area in the Preschool 1 Room were dirty and soiled. The brown “pedal” pillow located in the Infant Room was dirty/soiled. There was a torn green seat cushion exposing the absorbent material located in the seat at the computer table in the Pre-K Room. The yellow, green, red and purple pillows located in the reading area in the Pre-K Room were dirty and soiled. The sink located in the 1st bathroom in the Pre-K Room was not secured to the wall. The sink located in the 1st bathroom in the Early Preschool Room was not secured to the wall. 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. There was a metal trike located on the outside play area with cracked foot pedals exposing sharp plastic pieces. The black and white soccer ball located on the outside play area was torn. The yellow and blue dump truck located on the Infant/Toddler outside play area was missing the front tire. The purple ball located on the Infant/Toddler outside play area was deflated. The white “chicco” ride on/push toy located on the Infant/Toddler outside play area was missing the seat. 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 12. Transportation.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed that written transportation policies and procedures for ensuring staff perform transportation duties properly were not presented for review. Upon request, the assistant director did not present the documentation at the time of the survey.

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 review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed that written transportation procedures to assure safety procedures for transporting, loading, unloading and supervision of children were not presented for review. Upon request, the assistant director did not present the transportation documentation at the time of the survey.

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 review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed that a current inspection report from the Transportation Department for the vehicle was not presented for review. The inspection report presented for review was dated 9/13/16. Upon request, the assistant director did not present a current inspection report for the vehicle at the time of the survey. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The white refrigerator located in the School-Age building was not equipped with an indicating thermometer. The white mini-fridge located in the Infant 2 Room had an indicating thermometer reading of fifty (50) degrees Fahrenheit. The white mini-fridge located in the Infant 1 Room had an indicating thermometer reading of forty-six (46) degrees Fahrenheit. 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 8. Kitchen Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The black microwave located on the counter in the School-Age building was soiled with food debris. The freezer portion of the white refrigerator located in the School-Age building was soiled with food debris.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. There was a clear bottle located in the mini-fridge in the Infant 2 Room that was not covered. 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 9/14/16, 9/20/15, 2/17/16, 3/15/13, 11/3/17 and 5/2/13 that did not contain a current immunization certificate. Upon request, the assistant director did not present a current immunization certificate for the aforementioned children at the time of the survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation 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 4/23/13, 6/22/15, 9/14/16, 1/14/15, 3/15/13, and 5/2/13 that did not contain the name of the family’s preferred hospital. Continued review of the children’s records revealed a child’s file with enrollment date 1/14/15 that did not contain the contact information for the family physician. Upon request, the assistant director did not present the documentation for the aforementioned children at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation revealed that the evacuation plan was not presented for review. Upon request, the assistant director did not present the evacuation plan at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed staff members' files with hire dates 11/7/11, 7/28/13, 12/29/15, 2/17/14, 11/7/11, 3/7/16, 11/7/11, 3/31/14 and 4/5/17 that did not contain an annual professional development plan. Upon request, the assistant director did not present annual professional development plans 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 2. Child Care Services.

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 a written policy specifying that the procedures that were taught at the orientation training shall be implemented in the classroom was not presented for review. Upon request, the assistant 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

Open / not marked corrected.

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

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. The daily schedule was not posted in the Early Learners 2 Room at the time of the survey. The description of services and rates of the child care center was not posted 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 10. Director Requirements and Responsibilities.

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. The daily schedule of activities was not posted in the Early Learners 2 Room at the time of the survey. The daily schedule of activities was not posted in the Early Learners 1 Room at the time of the survey. The daily schedule of activities posted in the Pre-K Room at the time of the survey was not dated; it only stated '2nd week'. Animals Not Applicable

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 failed to maintain employee's records in accordance with regulatory requirements. Upon request, the child care director did not present verification of the evaluation assessing the staff person's interaction with children in care and classroom performance for sixteen (16) of the twenty- two (22) employees. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. 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 director did not present verification that the two (2) employees with the hire date of 03/13/2017 had met the requirement of completing new orientation training within the first ninety (90) days of employment. Review of documentation in the ECE-TRIS training system revealed the employees listed above had not met the requirements. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Documentation review and interview, the child care center failed to comply with regulatory programming requirements. Upon request, the child care director did not present verification that the daily activity of programming that was posted in writing had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for each child in five (5) of ten (10) classrooms.

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 programming requirements. It was observed at 11:00 a.m. in the infant classroom that a seven-month-old infant was asleep in the crib with their pacifier attached to a clip that contained a small stuff animal. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory requirements regarding first aid and or medication. Located on the counter near the changing table was a 14-ounce jar of “Aquaphor” diaper cream and a jar of Aveeno eczema balm. The items were labeled for individual use; however, the items were not locked and secured. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The small wooden refrigerator located in the three- year-old classroom had a freezer door that was hanging loosely by one hinge. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 12. Transportation.

General: Based on Documentation Review and interview, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, the child care director did not present verification that the center had conducted pre-trip inspections of the vehicle for the months of October and November of 2016. Continued review revealed no pre-trip inspections for the months from January through May of 2017.

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 Review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, the child care center director did not present for review the transportation logs for the children transported on a daily basis to and from the center, which recorded each time the child got on the vehicle and each time the child got off the vehicle for the second week of April 2017. Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request, the child care director did not provide verification of a menu that had been posted in advance in a conspicuous space and made available to the parents. 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, the child care director did not present verification that the records for the children with the enrollment dates of 05/18/2011, 05/19/2013, 05/18/2015 and 07/30/2010 had a current immunization record. 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

Category: health medication. 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, the child care director did not present verification that the records for the children with the enrollment dates of 11/17/2016, 05/18/2015, and 07/30/2010 contained information listing a preferred hospital or emergency authorization. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 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 in regards to the health, safety and comfort of children. Review of video documentation revealed a staff member picked up a child by one (1) arm lifting the child off the floor with their feet dangling, carrying the child halfway across the room, and then putting the child by the cubbies. Continued review of the video documentation revealed a staff member picked up two (2) children by their arms to move them from one area to another. Interview with multiple sources revealed a staff member did pick children up by one (1) arm. 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 and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of a file for a staff member with the hire date 3/1/17 revealed the staff member did not complete six (6) hours of cabinet-approved orientation within ninety (90) days of employment. Interview with the staff member confirmed they had not completed cabinet-approved orientation training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. Review of employee records revealed no documented evidence of an annual employee evaluation completed within the last twelve (12) months for all employees reviewed with at least 12 months of employment. Exit interview with the child care center director revealed she had not conducted any of the annual evaluations for staff.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee files in accordance with regulatory requirements. Review of the child care center’s staff schedule revealed an employee listed without an employee file readily available for surveyor review. Interview with the child care center director revealed the employee’s date of hire is 06/03/14. However, the director was unable to provide written documentation of the employee’s personnel file.

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 for employee with a hire date of 06/16/16, revealed no documented evidence of completed high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 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 records for employees with hire dates 03/07/16, 04/12/16, and 04/11/16, revealed no documented evidence of six (6) hours of cabinet approved orientation within the first three (3) months of employment. In addition, record review revealed no documented evidence of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment for employees with hire dates 11/03/14, 07/28/13 and 06/02/15. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of transportation records for the child care center revealed no documented evidence of a written plan that detailed staff schedule, transportation schedule and transportation route as well as, written documentation of the emergency procedures practiced monthly by staff that transported children. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Review of posted documentation revealed the child care center failed to prepare, date and post a food service menu in advance in a conspicuous place in accordance with 922 KAR 2:120, Section 9. Further review revealed the menu was dated 07/18/16 to 07/22/16. Exit interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of records revealed no documented evidence that the child care center submitted an evacuation plan to local emergency management officials by 12/31/15. Exit interview with the child care center director revealed she had not completed the document for submission to local emergency management officials.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of records for employees with hire dates of 03/01/15, 11/07/11, 10/27/14, 06/03/14, 07/28/13, 02/17/14, 03/31/14, 10/21/13 and 11/07/11, revealed no documented evidence of a written, annual plan for child-care staff professional development for each employee. Interview with the child care center director revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, and review of documentation, it was determined the child care center director failed to comply with regulatory requirements regarding the health, safety and comfort of each child. Interview with the Director disclosed that on 1/26/2016 at approximately 11:40 a.m., a staff member (date of hire: 1/4/2016) picked up a one-year-old child by her arm, lifting the child completely off of the ground while transitioning the child from one cot to another cot. While the child was suspended in the air, the child's legs entangled with the staff's legs, causing the staff to stumble, lose her grip on the child's arm and the child fell to the floor, striking her head and suffering a bump on her head. The incident was captured on surveillance video which was reviewed by the Director and the staff involved, however the video was no longer available during the investigation. A review of documentation included the center's accident/injury form dated 1/26/2016; staff file and child's enrollment file. There were no discrepancies found in the documentation review. The staff involved resigned on 2/22/2016 and was not available for interview.

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, and a review of documentation, the child care director failed to assure the health, safety and comfort of a child. The health, safety and comfort of a pre- school age male child was compromised by a staff member in the pre-school aged room when the staff member grabbed the child by the shirt collar.

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, and a review of documentation, the child care center director failed to assure compliance with regulatory requirements. Based on multiple interviews, a staff member was observed in the Pre-K room supervising a child, during a table top activity, when the aforementioned staff member was observed physically disciplining a child on his buttocks because the child failed to follow the directive. Based on a review of documentation, previous discussions with the staff member revealed a history with the staff member regarding inappropriate discipline with children. Programming

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 Interview, and a review of documentation, the child care center failed to comply with the regulatory programming requirements. Based on interviews, a staff member used inappropriate discipline with a four year old male child who failed to follow the directive given by the supervising staff member. Further interview revealed that the staff member had been observed to redirect the child's behaviour by using her hand against his buttocks. Based on a review of documentation, the staff member had received discipline for prior inappropriate actions with a child. Written Documentation

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. Based on a review of documentation, the child care center failed to follow their discipline policy which states: We do not approve of physical discipline. Based on interviews, a staff member had been observed using inappropriate discipline with a child.

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 Interview and Observation, the childcare center failed to maintain maximum child to staff ratios. Interview of the staff member present in the Toddler Classroom revealed the children present were from 18 to 24 months-old. Observation of the Toddler Classroom with the 18 to 24 month-old children revealed there were ten (10) children present with one (1) staff member in the classroom, therefore exceeding child to staff ratios. Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center Director failed to supervise staff conduct to ensure implementation of program policies and procedures. Review of the Biting Policy in the Parent Handbook revealed the policy stated the following, "The child that has bitten will be asked to sit out for one minute per year of their age. It will be explained to them why biting is not acceptable." Review of incident reports in which a child bit another child, the primary punishment for biting was that the perpetrator was separated from the victim and the perpetrator was told not to bite again.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Interview, the child care center director failed to maintain the health, safety, and comfort of children. Based on interviews conducted on 9/2/15 and 9/9/15 revealed a child (ED: 11/4/13) was discovered with lice on 8/11/15 and the lice was observed by the three (3) employees. Continued interviews revealed the aforementioned child (11/4/13) was allowed to interact with other children after lice were discovered in her hair. Continued interviews conducted on 9/2/15 and 9/9/15 revealed that on 8/13/15 that three (3) children (ED: 10/22/12, 8/3/12, & 7/6/15) were discovered to have lice in their head and that two (2) of the aforementioned children (ED: 10/22/12 & 8/3/12) were allowed to interact with other children until their parents picked them up. Based on interviews, the aforementioned children were all in the same classroom upon discovering the lice in their hair. Based on interviews it has been determined the child care center director failed to prevent the spread of lice after it was initially discovered on 8/11/15, by allowing a child to interact with other children after the lice was discovered in her hair, which in turn additional children were found to be with lice on 8/13/15. Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of records failed to reveal a written evacuation plan to follow in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care. Interview with the director revealed that the documentation was not able to be located for review 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 12. Transportation.

General: Based on Review of Documentation and interview, the child care center failed to comply with regulatory requirements as it pertains to transportation. Review of records failed to reveal a current certification of inspection from the Transportation Cabinet. Interview with the director revealed that the documentation was unable to be located for review 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 2. Child Care Services.

General: Based on Review of Documentation, and interview with the director the child care center failed to comply with regulatory requirements. Based on review of documenation provided the child care center did not have in place a procedure to inform child care staff of the laws of the Commonwealth pertaining to child abuse or neglect set forth in KRS 620.030. Interview with the director revealed she was in the process of addressing.

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 with the director, the child care center director failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed no annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for ten (10) of the twenty-eight (28) employees. Interview with the director revealed she had completed the evaluations for said staff, however, the evaluations reviewed contained no dates or signatures. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed that the employee’s record did not contain a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250of educational qualifications for the staff with the hire date of 10/17/2013. Interview with the director revealed she was unable to locate the document.

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 with the director, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of documentation present in the personnel file revealed the following staff with the hire dates of 01/14/2014 and 02/07/2014, did not contain a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. Interview with the director revealed she was unable to locate the documents.

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 Review of Documentation, the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for three (3) of the employee's who were identified as the centers drivers for transportation, with the hire dates of 11/07/2011 did not contain an annual check of the Kentucky driver history record in accordance with KRS 186.018; or a driver’s history records through the state transportation agency that issued the driver’s license. Programming

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 with the director, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathrooms located in the ten (10) classrooms in the child care center revealed the ventilation system was not working in any of the bathrooms. Interview with the director revealed she was not aware the bathroom ventilation was not working. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview with the director, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation of the playground area, there was insufficient protective surface covering for the two (2) sliding apparatus. Interview with the director revealed she was in the process of addressing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview with the staff, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of infant room's labeled Room # 6 and Room # 7, revealed the furnishings(cribs) used for sleeping and napping were not spaced twelve (12) inches apart to allow free and safe movement by a person. Interview with the staff revealed they were not aware of the regulation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview with the director, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of various battery-operated toys in the infant and the wobbler room revealed several toys were not maintained to be used according to the manufacturer's safety specifications; the batteries were non-operational. The director stated she was unaware of the missing batteries in the toys.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview with the director, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor play equipment revealed that the "Blue Hippo" climbing apparatus had a build-up of dirt, mulch and debris located in the inside crawling space. Further observation revealed the "Savannah's Animal Playhouse" to have mud splattered on the interior walls, mulch clippings and debris on the kitchen and table structure located in the inside of the structure. Interview with the director revealed she was not aware the condition of play equipment.

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 Review of Documentation, and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of the children’s records for field trips to Derby Dinner Playhouse dated 06/03/2014 and 06/05/2014 did not record the time each child got on and the time each child got off of the van/bus. Interview with the director revealed she was unaware of the missing documentation.

Open Not marked corrected in the state record

Category: transportation. 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 in the kitchen revealed two (2) small fans that were secured under the cabinets, to have a build-up of dust residue on the guard plates. Interview with the kitchen staff revealed the fans were utilized to air-dry the dishes in the dish drainer.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, and interview with the director, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator located in the center revealed several gallons of 2% milk. The provider did not have available to serve pasteurized skim or low fat 1% milk. Interview with the kitchen staff revealed she had served the milk to the older children, further observation revealed the 2% milk being served in the two-three year classroom. Interview with the director revealed she was in the process of addressing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, the child care center failed to maintain children's records in accordance with regulatory requirements.During review of children’s records. Record review indicated the child care center failed to obtain the contact information to enable a person in charge to contact the child’s family physician or preferred hospital, for the child with the enrollment date of 10/03/2011. Interview with the director revealed she was not aware the documentation was not current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member and policies provided by the child care center revealed that ten (10) of the twenty-eight (28) employee’s files did not contain an annual plan for child-care staff professional development for the staff. Interview with the director revealed she did not have the documentation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the policies provided the child care center revealed the center did not have a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care child care center staff member. Interview with the director revealed she was unable to provide an orientation policy.

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 with the director the child care center failed to post documentation in accordance with regulatory requirements. Based on review of the postings within the center the requirement of KRS 199.898(3), that a child-care center shall post the following in a conspicuous place and make available for public inspection: each statement of deficiency and civil penalty notice issued by the cabinet during the current licensure year and each plan of correction submitted by the child-care center to the cabinet during the current licensure year was not present. Interview with the director revealed she was not aware of the regulation.

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 review of documentation the center failed to have a complete written report documenting the time each child got on and off the van for the field trip of 8/2/13.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, one child with an enrollment date of 4/2/2012 had an expired immunization certificate in his file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, there were no permission forms signed by the parents regarding the fish located in the three year old room.

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 record review the center failed to have a policy and procedure relating to an emergency plan for evacuating the vehicle.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, employees with the hire dates of 6/24/2013, 6/24/13,(2 employees with same hire date) and 1/10/13 had no verification of the educational document, i.e. High School Diploma, GED, CCC or other qualifying documentation on file as required.

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's purse was on a chair in the Three Year Old classroom and accessible to the children.

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, there were several toilet rooms that were being used to store supplies and cots, thereby not allowing proper cleaning and sanitizing of the room. Interview with staff revealed that these restrooms are being utilized by the children.

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 diaper changing pads were not free of rips and tears therefore, they were not nonabsorbent.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, there were no permission slips from parents regarding the application of a sun screen product.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, a sun screen product which was being applied to the children was not in its original container. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation the center failed to have a completed pre-trip check list on file for field trip on 8/2/13.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

General: Based on observation of surveillance video, two year old children in the "Two's Room" were handled in a rough and inappropriate manner by two staff members. The two staff members were observed forcefully grabbing the children and placing the children in time out for periods of time up to twenty minutes. Programming 180 - Waiting Period 922 KAR 2:120 - Section 2 (8) A child shall not be required to stand or sit for a prolonged period of time: (a) During an activity; (b) While waiting for an activity to start; or (c) As punishment. 3) Punishment Not In Compliance Findings: Two's Room: Based on observation of video surveillance of the Two's Room, a two year old child was observed to sit in time-out for twenty minutes and another two year old child was observed to have sat in time-out for twenty-one minutes.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 2

General: Based on observation, room #6 has identifying information of the children by first and last name and their classroom uncovered with a list of the children's allergies.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

General: Based on observation, classroom #2 had a toilet scrub brush, which is used to clean hazardous waste material, located in the toilet room where children have access to it.

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, staff with the hire date of 7/12/12 did not have an approved source of the education requirements.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 3

#7: Based on observation, an infant was observed sleeping in a swing from 8:38 to 9:00am. The American Academy of Pediatrics states to "always use a firm sleep surface. Car seats and other sitting devices are not recommended for routine sleep."

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

General: Based on interview, a four-year-old child after toileting was asked to use a paper towel and assist the staff member in cleaning urine from the toilet, floor and wall of the bathroom. It could not be absolutely determined that this child had urinated on the toilet, floor and wall of the bathroom. Programming

Open Not marked corrected in the state record

Open / not marked corrected.