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

General: Based on review of documentation and interview, a current fire marshal report was not presented. The document presented was dated 05/29/20.

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, the following was found: 1) The personnel file for a staff member (DOH: 06/13/22) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 2) The personnel file for a staff member (DOH: 06/01/15) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 3) The personnel file for a staff member (DOH: 01/20/21) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 4) The personnel file for a staff member (DOH: 10/02/23) contained a TB test that was dated 04/14/223. The TB test was not current on the day of the inspection. 5) The personnel file for a staff member (DOH: 12/04/17) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 6) The personnel file for a staff member (DOH: 08/10/09) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 7) The personnel file for a staff member (DOH: 01/21/20) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 8) The personnel file for a staff member (DOH: 05/31/19) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 9) The personnel file for a staff member (DOH: 06/4/24) contained a TB test that was dated 04/10/23. The TB test was not current on the day of the inspection. 10) The personnel file for a staff member (DOH: 011/28/05) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 11) The personnel file for a staff member (DOH: 08/04/21) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 12) The personnel file for a staff member (DOH: 07/17/17) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 13) The personnel file for a staff member (DOH: 10/23/11) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 14) The personnel file for a staff member (DOH: 05/18/15) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 15) The personnel file for a staff member (DOH: 08/03/22) contained a TB test that was dated 02/09/23. The TB test was not current on the day of the inspection. 16) The personnel file for a staff member (DOH: 03/20/18) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 17) The personnel file for a staff member (DOH: 08/18/08) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection. 18) The personnel file for a staff member (DOH: 01/21/14) contained a TB test that was dated 02/20/23. The TB test was not current on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a wall contained a deep hole in The Wolves Room, exposing drywall. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 16 of 33 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, a child's parents verbally requested for a child to receive prescription medication while attending the child care center, but did not provide written permission for staff to administer the medication. A staff member stated the medication was administered to the child prior to receiving written permission. Additionally, the administration of the medication was not recorded by staff members. Outdoor Play Area In Compliance 780 - Fence and Supervision Requirement Discussed 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall have constant and active supervision and shall be: (a) Except for an after-school child-care program, located on the premises of a public or state-accredited nonpublic school, fenced for the safety of the children;

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. Toys and Furnishings.

General: Based on observation, the material on a climbing structure in Gym #2 was in disrepair, as the inside absorbent material of the foam pads was exposed.

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, one (1) child’s enrollment record (DOE: 08/07/24) contained an immunization certificate that expired 11/22/24. 1250 - Enrollment Information Discussed 922 KAR 2:090. Section 9. Records. (1) A child-care center shall maintain: (b) A written record for each child: 1. Completed and signed by the child’s parent; 2. Retained on file on the first day the child attends the child-care center; and 3. To contain: a. Identifying information about the child, which includes, at a minimum, the child’s name, address, and date of birth; b. Contact information to enable a person in charge to contact the child’s: (i) Parent at the parent’s home or place of employment; (ii) Family physician; and (iii) Preferred hospital; c. The name of each person who is designated in writing to pick-up the child; d. The child’s general health status and medical history including, if applicable: (i) Allergies; (ii) Restriction on the child’s participation in activities with specific instructions from the child’s parent or health professional; and (iii) Permission from the parent for third-party professional services in the child-care center; e. The name and phone number of each person to be contacted in an emergency involving or impacting the child; f. Authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence;

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a toddler child did not wash his hands with liquid soap and warm running water before he ate morning snack in the Lady Bug room. This child sat on the floor and immediately picked up his food and took a bite. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a caregiver did not wash her hands with liquid soap and warm running water after she wiped a child's nose in the Inchworm room. The caregiver immediately assisted another child with his food. A caregiver did not wash her hands with soap and warm running water before she assisted a child with his food in the Inchworm room. The caregiver touched the top of the waist receptacle. A caregiver did not wash her hands with liquid soap and warm running water after she wiped a child's nose in the Lady Bug room. The caregiver touched another child after she did not wash her hands. A caregiver did not wash her hands with liquid soap and warm running water before she diapered a child in the Lady Bug room. The caregiver assisted another child prior to the diaper change.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a caregiver did not disinfect the diaper changing mat after she diapered a toddler child in the Lady Bug room. The caregiver immediately placed another child on the diaper mat to be diapered. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a large bench swing was placed on a deck and did not have a protective surface material underneath in the outdoor play area. Children were observed on the swing. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 8. General.

General: Based on interview and review of documentation, the center had a student volunteer present, but did not have a written policy pertaining to student volunteers.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a child's food allergy information was posted on the outside of the cabinet in plain view in the Busy Bee room. This document was not kept confidential. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, interview and observation, the staff in charge did not present verification that the out of state background check had not been completed for the employee with the hire date of 06/17/2019. Review of the employee’s Child and Abuse Neglect check revealed the employee had listed a previous address located in the state of Florida. Interview with the staff revealed that they had resided in Florida from 2018 to 2019. The employee was not observed working alone. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 observation and review of documentation, a staff member was sitting with the children while on a cell phone. Interview with the staff revealed that they were on their personal cell phone. The center's policy states “Cell phones are NOT allowed in the classrooms, other than in a cabinet/closets or purses". Therefore, the director did not assure the implementation of written policies. Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the area rug in the Butterfly classroom was soiled with numerous dark stains. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center did not provide adequate cots or twelve-inch mats for five (5) of the seven (7) classrooms. Interview with staff revealed the center only maintained fourteen (14) cots. The capacity for the center is listed for ninety (90) children. Interview with staff revealed, the children have a rest period which consists of sitting at the table or on the floor. Transportation Not Applicable Food Service/Food Program Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed a child was eating a bag of Ruffles potato chips with water and another child was eating crackers and water. Interview with the staff revealed the children were not offered or served additional components to include one of the following: milk, protein, fruit, vegetable, or 100 percent juice. Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the daily schedule for five (5) of the seven (7) classrooms did not include rest or nap time in the daily activities. Animals Not Applicable Emergency Regulation Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge failed to present evidence of a current state fire marshal report for review. The document presented was dated 04/12/2018. 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 4. Premises Requirements.

General: Based on observation of the Busy Bee room, there was a ceiling tile that revealed a brown stain that was indicative of water damage.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the restroom, located off the Endevor hallway, there was a plunger that was located next to the toilet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the presented staff files failed to verify that staff members with hire dates 08/10/2011, 03/08/2017 and 05/01/2017 did complete fifteen (15) hours of cabinet-approved early care and education training. Review of the ECE-TRIS report did not verify that the training hours had been completed. Interview with the staff in charge revealed she was not able to verify the training hours were completed. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

Upon the entrance of the caterpillar room, the surveyor observed a staff member's brown purse sitting on the writing table in the library center.

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 of the restroom located off the main hallway, there was a stall wall adjacent to a sink that revealed rust and flaking paint. Observation of the restroom located off the Endevor hallway revealed a stall wall that was rusted and flaking paint. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of both of the child care center's restrooms, there was dust and debris build up on the seams of both changing pads and both changing tables. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the sensory gym room, there were soft vinyl blocks that were cracked, exposing the inside material; therefore the blocks were not in good repair.

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 of the two (2) drinking fountains located off the main hallway, there was a brown substance indicative of mold located around the mouth piece where the water exits. Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on interview and review of documentation, a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each staff member was not presented for review. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory background check requirements. Upon request, the child care center director failed to provide documented evidence of completed background checks for staff with a hire date of 08/30/18. Review of written documentation revealed the staff resided in the states of Arizona and Washington within five (5) years of the inspection. There was no documented evidence that the child care center requested or submitted a request of the state’s sex offender registry and/or child abuse and neglect registry. Review of the KARES system also indicated the request had not been made. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory background check requirements. Upon request, the child care center director failed to provide documented evidence of completed background checks for staff with a hire date of 08/30/18. Review of written documentation revealed the staff resided in the states of Arizona and Washington within five (5) years of hire. Further review revealed staff with a hire date of 01/07/19 resided in the state of Indiana within the last five (5) years. There was no documented evidence that the child care center requested or submitted a request of the each state’s sex offender registry and/or child abuse and neglect registry. Review of the KARES system also indicated the request had not been made.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory background check requirements. Review of the child care center’s staff schedule revealed four (4) staff identified on the KARES System Surveyor report as “Current Employees” were no longer employed with the child care center. The status of each employee was discussed with the director who agreed that the status should indicate “Separated Employees.” Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence of a high school diploma, GED or qualifying comparable educational entity for staff with hire dates 08/08/18 and 08/30/18.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director failed to provide documented evidence that staff with a hire date of 10/12/18 completed six (6) hours of cabinet-approved orientation within the first three (3) months of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 observation and interview, the child care center failed to comply with regulatory programming requirements. Observation of the Butterflies classroom revealed two (2) teachers in the classroom with children. Interview with the director revealed the children in the classroom ranged in age from four (4) to five (5) years old. In passing the classroom, the surveyor observed staff to yell at the children as he/she requested for them to “Go get a book or you are not going outside today!” Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Observation revealed two (2) individuals, who were stated to be employed by a third party agency called Associates in Pediatric Therapy (APT), alone with a child, whose date of enrollment is 08/17/18. Upon request, the director failed to provide documented evidence of permission from the parent of the child, for third party professional services in the child care center. In addition, there was no documented evidence of a preferred hospital for the child. 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 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Upon request, zoning documentation specific for the child care center was not presented at the time of survey. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, documentation of cabinet approved orientation training obtained within the first three months of employment for a staff member hired on 11-27-17 was not provided at the time of survey. Upon request, documentation of fifteen (15) hours of annual cabinet approved early childhood education training for a staff member hired on 5-18-15 failed to be provided at the time of survey. Upon review of ECE-TRIS documentation, staff member hired on 5-15-15 had documentation of attending three (3) hours of annual training and staff member hired on 11-27-17 did not have evidence of attending orientation training since hire date of 11-27-17. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was a water stained ceiling tile in the Busy Bee classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation 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 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 daily attendance records in the Ladybug classroom and interview with staff member revealed that nine (9) children were present in the classroom and only eight (8) children were signed in on daily attendance records. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of record for an employee with a hire date of 03/08/17 revealed no documented evidence that the employee graduated from high school. The high school transcript did not provide a status of graduate or a date of graduation. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interviews, the child care center failed to comply with regulatory requirements regarding out-of state background checks. Record review revealed a staff member with a hire date of 08/01/2015 listed residences in North Carolina and Virginia on her Kentucky Child Abuse and Neglect (CAN) application. Said staff member's records included a criminal record check for North Carolina, but none for Virginia. Interview with the staff member confirmed she resided with her parents in Virginia during the summer months from 2012-2015. Record review for a second staff member with a hire date of 06/01/2015 revealed an Alabama Driver's license issued in 2014. The same staff member's records also included her high school diploma issued from an Alabama High School. Record review revealed a criminal record check run in South Carolina, but none was run for Alabama. The Site Director agreed in interview that the additionally required out-of state criminal record checks had not been run. In both instances, staff members were NOT observed working alone with 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 and interview, the child care center failed to comply with regulatory requirements. Observation revealed a cracked toilet tank lid in the bathroom next to the Monarch's class room. The Site Director stated in interview that she was in the process of addressing the issue. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Observation in the Endeavor I classroom revealed a power strip which had electrical outlets not covered at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Three-Year-Old classroom and Four-Year-Old classroom revealed bugs in the light fixtures 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the bathroom revealed a blue changing mat to be torn exposing the absorbent materials inside.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with the regulatory requirements regarding medication. Observation in the Therapeutic classroom, Three-Year- Old classroom, Four-Year-Old classroom, Endeavor II classroom, and Endeavor III classroom revealed a Rubbermaid container in each room on top of the cabinets with an EPI-Pen inside. Observation in the Three-Year-Old classroom revealed a bottle of Wal-Dryl not labeled with a child’s name in a Rubbermaid container on top of the cabinet. 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 child care center failed to maintain children’s records in accordance with regulatory requirements. Review of ten (10) children’s files failed to reveal the documentation of the parent’s preferred hospital at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview the director failed to maintain the health, safety, and comfort of children at the facility. Observation of the two year old classroom revealed two uncovered electrical outlets accessible to children. Interview with staff in charge revealed the outlets are safety outlets and that they are never covered. Follow up correspondence revealed that the outlets are not safety outlets. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 25 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain employee records as it relates to educational requirements. An employee with the hire date of 4/7/14 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain employee records in regards to TB verification. An employee with the hire date of 4/7/14 did not have documentation from a health professional to verify that the individual was free from active Tuberculosis.

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, of 18 personnel files, it was determined the facility failed to provide a completed criminal background check for the state of Kentucky for one staff member hired 8/27/12. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 6 of 25 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, of 18 personnel files, it was determined the facility failed to provide written documentation verifying a High School Diploma, GED or CCC for one staff member hired 10/8/12.

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, revealed the bathroom in the Two's Room, contained a toilet brush sitting on the floor which was accessible to children. Additionally in the Endeavor 1 Room, a container of "Lysol Wipes" marked "Keep Out of Reach of Children" was observed sitting on a shelf assessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, it was determined a staff member in the Toddler Room routinely uses gloves instead of washing hands with liquid soap and running water before a diaper change.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.