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

General: Based on observation, the playground had exposed landscaping material causing a potential tripping hazard. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the changing table in the infant room moved easily when touched. The room contained mobile infants who could pull up on the unsteady changing table. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members with hire dates of 3/27/2023 and 4/17/2023 failed to have an eligible employment status on the centers KARES report dated 8/31/2023. Therefore, verification that the center initiated the background check process and obtained a determination of eligibility that was specific to the center was not presented for review. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 10/26/2023 AND AS OF 10/30/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, five staff members did not have Final Registry forms which shows determination of eligibility for background checks in each personnel file. Review of KARES dated 8/31/2023 verified everyone has a determination of eligibility. Staff in charge stated, she was unable to provide the documentation at the time of the review; therefore, the child care center was not maintaining the documentation in the personnel file for each staff member.

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, staff member (DOH 04/17/23) did not receive training on first aid and cardiopulmonary resuscitation (CPR) 90 days from the time of hire. Review of the Early Childhood Education Training Report Information System dated 8/29/2023, 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 observation and review of documentation, staff member with hire date of 4/17/2023 did not have their six (6) hours of cabinet-approved orientation completed within the first three (3) months of employment in a child-care program at the time of review. Review of the Early Childhood Education Training Report Information System dated 8/29/2023, confirmed the lack of training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance 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: recordkeeping. Open / not marked corrected.

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

General: Based on documentation, staff members with hire dates of 1/20/2006 and 2/19/2018, did not have a written annual plan for child-care staff professional development at the time of review. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the last Fire Marshal inspection date recorded was 9/10/2019; there was no evidence to indicate that an inspection had been requested to ensure on-going compliance. Director Requirements 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 8. General.

General: Based on observation and review of documentation, regulation copies KAR 2:090 and KAR 2:120 were not current, the available copies were dated for 2013. 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

Category: ratio. 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 hired 8/2/2022, did not have a negative tuberculin skin result, nor a physician’s statement clearing this individual of active tuberculosis in their personnel file. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the lock located underneath the sink in the Four-to-Five-Year-Old classroom was not functioning properly and allowed access to the contents of the sink cabinet; which included Febreze and Lysol spray. 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, three baby dolls within the One-to-Two-Year-Old classroom were covered with visible dirt.

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 air conditioner filter within the Four-to-Five-Year-Old classroom had a significant amount of dust build-up. 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 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 8. General.

General: General: Based on observation, the posted lesson plan within the Four-to-Five-Year-Old classroom was not dated; the surveyor was unable to determine whether the posted plan was current. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation in the infant/toddler classroom revealed five (5) of the five (5) bucket seats did not contain straps to secure the children while in use. Interview with the staff revealed the toddlers had been seated with no straps during breakfast and an activity on the date of the survey,4/29/2021. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the three (3) bottles located in the refrigerator in the infant/toddler classroom were not individually labeled for use. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the child care center bathroom revealed a toilet bowl brush next to the toilet, accessible to children in care. 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 regulations. Review of staff files and ECE- TRIS report revealed documentation of nine (9) hours of cabinet approved training was not presented for review at the time of survey for one (1) staff member hired 8/28/17. Continued review of staff files revealed two (2) staff members hired 1/20/05 and 1/20/06 had not received Pediatric Abusive Head Trauma training PAHT. Interview with owner revealed this documentation was not on file at the time of survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the center bathroom revealed what appeared to be dried urine and a brown substance located around the toilet seat and the back of the toilet. 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, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the center bathroom and the Little Lambs Room revealed the diaper changing pads in these areas were torn, exposing the inner padding. 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, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the playground revealed the white plastic fence on the playground had two (2) plastic posts that were broken and hanging loose. 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 regulations. Observation of the Sun Room revealed a large area rug used by children was torn and frayed at the edges. Transportation Not Applicable 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 and interview, the child care center failed to maintain food service in accordance with regulations. Observation of the Little Lambs Room revealed the mini-refrigerator was used to store children’s milk. Continued observation and interview with a staff member revealed the mini-refrigerator was not equipped with an indicating thermometer. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed the written record for one (1) child enrolled 9/4/18 failed to contain contact information to enable a person in charge to contact the child’s preferred hospital. Continued review of children’s files revealed the written record for one (1) child enrolled 4/9/18 failed to contain a parent or guardian signature. Interview with owner revealed this documentation was not on file at the time of survey. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the sunshine room revealed a soiled wall under the bulletin board. 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: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the preschool room revealed three (3) light bulbs that were not shielded or shatter proof. Interview with the director revealed she was not able to verify the light bulbs were shatter proof.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathroom located off the preschool room revealed there was not ventilation to outside air. Observation of the bathroom located off the three-year-old room revealed there was not ventilation to outside air. 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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the toddler room revealed three (3) cribs that were not twelve (12) inches apart at the time of the survey. Transportation Not Applicable 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 3. General Requirements.

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the little lamb’s room revealed an infant in a swing consuming a bottle. Interview with a staff member revealed the infant was nine (9) months old. 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 and interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed throughout the child care center the daily activities plans were not dated. Interview with staff members revealed the daily activities plans were not dated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation presented revealed the toddler room did not have the proper methods of diapering posted at the diaper changing area. Interview with a staff member revealed the proper methods of diapering was not posted at the time of the survey. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. 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. A staff member's file with hire date 2/20/17 did not contain evidence of a high school diploma, GED or Commonwealth Child Care Credential. The Director stated that she was unable to locate educational documentation for the staff member at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child-care center failed to maintain the premises in accordance with regulatory requirements. The bathroom floor in the Preschool Room was dirty. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 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. A green jumper with an attached tray in the Infant Room was soiled with a sticky substance.

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. A silver and black see-saw apparatus on the outside play area was wobbly and not secure. Transportation Not Applicable 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. 1) The bottom shelf of a black mini-fridge in the Infant Room was soiled with food debris. 2) The white refrigerator in the Preschool Room contained dirty door shelves soiled and a bottom shelf that were all soiled with food debris. 3) The freezer compartment of the white refrigerator located in the Preschool Room was soiled with food debris. 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: nutrition. 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. The presented children’s files revealed a child’s file with enrollment date 12/6/16 that did not contain the information of the family physician or the name of the parent’s preferred hospital. The director stated she was unable to locate the documentation at the time of the survey. 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 assure compliance with regulatory requirements as it related to staff meetings. Record review revealed no documented evidence of staff meetings conducted for the year 2015. Further review revealed post-its with month and date, but no year to indicate when it was conducted. In addition, there was no documented evidence that staff were in attendance per a signed roster or other written verification. Interview with the child care center director revealed she was not with understanding that staff needed to sign with verified attendance or that she needed to have the year included on her staff meeting documents.

Open Not marked corrected in the state record

Category: recordkeeping. 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. Record review revealed no documented evidence of a completed Emergency Preparedness Plan submitted each year. Interview with the child care center director revealed she did not have a dated Emergency Preparedness Plan completed by year end 12/31/2015.

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 center failed to comply with regulatory requirements. Review of the Fire Marshal’s Report revealed the report was no longer current as it was dated 2/2/11. During interview, the director stated she had contacted the Fire Department to schedule a new inspection but no one ever came.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the center failed to comply with regulatory requirements. Review of Documentation in the Rainbow Room revealed the medication authorization forms were placed on a clipboard near the entrance of the center. Review of one of the forms revealed that confidential health information for a child was written on the form and open to public view. Review of Documentation in the Preschool Room revealed the medication authorization forms were placed on a clipboard near the attendance sheet. Continued review of documentation revealed two (2) children’s allergy information was posted on a wall near the sink. Review of children’s files revealed the center did not obtain written parental consent to post the children’s health information. During interview, the director revealed parental consent had not been obtained to post this information.

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, Review of Documentation, and Interview, the director failed to assure compliance with regulatory requirements. Observation of the Little Lambs Room on 2/3/15 revealed six (6) children, ages twenty-three-months-old to three-years-old, were left alone under the supervision of a staff member with the hire date of 1/26/15 for the duration of the survey from 10:12am to 2:38pm. Review of staff files revealed the staff member with a hire date of 1/26/15 did not have a Child Abuse & Neglect (CAN) Check on file. During interview, the director stated a CAN check had been submitted for this staff member on 1/26/15, but she had not received the results yet. Observation of the One-Year-Old-Room on 2/3/15 revealed six (6) children, ages eighteen to twenty-four months-old, were left alone under the supervision of a staff member with the hire date of 1/20/15 for the duration of the survey from 10:12am to 2:38pm. Review of staff files revealed the staff member with the hire date of 1/20/15 did not have a Child Abuse & Neglect (CAN) Check on file. During interview, the director stated a CAN check had been submitted for this staff member on 1/26/15, but she had not received the results yet. Review of staff files revealed a staff member with the hire date of 1/8/15 did not have a Child Abuse & Neglect (CAN) Check on file. During interview, the director stated a CAN check had been submitted for this staff member on 1/8/15, but she had not received the results yet. During continued interview, the director indicated the staff member with the hire date of 1/8/15 had worked alone with children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the center failed to maintain employee records in accordance with regulations. Observation of the Little Lambs Room on 2/3/15 revealed six (6) children, ages twenty- three-months-old to three-years-old, were left alone under the supervision of a staff member with the hire date of 1/26/15 for the duration of the survey from 10:12am to 2:38pm. Review of staff files revealed the staff member with a hire date of 1/26/15 did not have a Child Abuse & Neglect (CAN) Check on file. During interview, the director stated a CAN check had been submitted for this staff member on 1/26/15, but she had not received the results yet. Observation of the One-Year-Old-Room on 2/3/15 revealed six (6) children, ages eighteen to twenty-four months-old, were left alone under the supervision of a staff member with the hire date of 1/20/15 for the duration of the survey from 10:12am to 2:38pm. Review of staff files revealed the staff member with the hire date of 1/20/15 did not have a Child Abuse & Neglect (CAN) Check on file. During interview, the director stated a CAN check had been submitted for this staff member on 1/26/15, but she had not received the results yet. Review of staff files revealed a staff member with the hire date of 1/8/15 did not have a Child Abuse & Neglect (CAN) Check on file. During interview, the director stated a CAN check had been submitted for this staff member on 1/8/15, but she had not received the results yet. During continued interview, the director indicated the staff member with the hire date of 1/8/15 had worked alone with children in care.

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 center failed to maintain employee records in accordance with regulations. Review of a staff member’s file with the hire date of 10/25/10 revealed the statement of negative tuberculin results on file is no longer current as it is dated 7/12/12. Review of a staff member’s file with the hire date of 1/20/15 revealed no statement was on file indicating this individual was free of active tuberculosis. Interview with the director revealed the staff member with the hire date of 10/25/10 had a new tuberculin test completed, but the staff member lost the results. Continued interview with the director revealed the staff member with the hire date of 1/20/15 has not completed a tuberculin test yet.

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 accordance with regulations. Review of a staff member’s file with the hire date of 4/30/12 revealed the staff member did not complete all of the required annual training hours (14 of 15 hrs).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on Interview, Observation, and Review of Documentation, the center failed to comply with regulatory programming requirements. During interview, the staff member in the Little Lambs Room revealed the child with the enrollment date of 8/5/13 was under twenty-four-months old. Continued interview revealed the other five (5) children in the classroom were two-to three-years old. Observation of the Little Lambs Room revealed that the child with the enrollment date of 8/5/13 was present in the room with the five (5) older children for the duration of the survey from 10:12am to 2:38pm. Review of the child’s file with the enrollment date of 8/5/13 revealed the child was twenty-three-months-old. Interview with the director revealed the center did not have a written and signed transition plan for the toddler.

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 center failed to comply with regulatory programming requirements. Observation of the Infant room revealed a small stuffed animal in two (2) cribs. Observation of the Baby Room revealed a small stuffed animal in one (1) crib and a plastic cube in another crib.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the center failed to comply with hygienic practices in accordance with regulations. Observation of the Infant Room revealed that a staff member did not wash an infant’s hands after diapering.

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 Interview, the center failed to maintain hygienic practices in accordance with regulations. During interview, the staff member in the Infant Room revealed she sanitizes the toys every other day by wiping with a Lysol wipe and spraying with a sanitizing solution. During interview, the staff member in the Baby Room revealed she sanitizes the toys sometimes daily, but usually weekly by wiping with a Lysol wipe and spraying with a sanitizing solution. During interview, the director revealed the center sanitizes the toys daily by spraying with a sanitizing solution. First Aid/Medication

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 center failed to comply with regulations regarding first aid and/or medication. Observation of the bathroom near the Rainbow Room revealed at least five (5) tubes of diaper rash cream stored in the children’s cubbies and two (2) jars of petroleum jelly stored on the shelves. Observation of the kitchen revealed Children’s Benadryl, Children’s Tylenol, Infant Tylenol, Children’s Ibuprofen, and Benadryl Allergy & Sinus were stored on the window sill. Observation of the Baby Room revealed a tube of Desitin stored in a child’s cubby. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the center failed to maintain an outdoor play area in accordance with regulations. Observation of the smaller playground revealed the Big Climber was positioned too closely to the picket fence, failing to provide a fall zone that was equal to the height of the equipment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the center failed to maintain equipment in accordance with regulations. Observation of the larger playground revealed the yellow rollercoaster slide was cracked creating a large hole with pointy edges where the children sit and slide. Observation of the smaller playground revealed a large crack at the bottom of the green slide on the Big Climber creating a large hole with pointy edges accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.