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

General: Based on observation, a plunger was stored on the floor in the plastic bag beside the toilet in the children’s bathroom within the Younger Threes’ classroom. This storage method is not a proper method of storage as it is accessible to the children. 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, staff member hired 10/16/2023 did not have evidence of educational qualifications in their personnel file. 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 interview and review of documentation, the child-care center failed to present verification of current records of Pediatric Abuse and Head Trauma (PAHT) training for a staff person hired on 09/10/2018. The old PAHT training was dated 09/13/2018. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there were stains on the ceiling tiles that were indicative of water damage in the Older Threes classroom.

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, toilet seats in the bathroom's second stall in the Fours' classroom, and stalls #1, 2, and 3 in the hallway restroom were not securely attached and, therefore, were loose. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a soiled diaper was left on the diaper changing area/surface in the Toddlers classroom. It was not disposed in the container with a lid. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals 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: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, nine (9) children, enrolled on 06/29/2023, 06/21/2023, 06/06/2023, 04/25/2023, 06/15/2023, 09/10/2020, 09/08/2019, 07/25/2023, and 02/19/2018 did not have information on file to enable the person in charge to contact the preferred hospital in parents’ absence. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the large couch in the Toddler room was dirty with stains.

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 following was found: 1.) A plunger was stored on the floor, beside the toilet in the children’s bathroom within the Two's room. This is not a proper method of storage as it promotes the spread of germs and bacteria. 2.) All child sized chairs were stacked up in the Toddler room creating a tipping hazard for the children in care. 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, a staff member (hire date: 9/10/2020) did not have a current TB test or statement from a health professional on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member (hire date: 7/12/2021) did not have evidence of completing the required CPR/First Aid training on file at the facility. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) In the Older Three's room, the classroom and bathroom walls contained peeled paint. 2.) In the Four's room, the walls contained peeled paint. 3.) In the Five's room, there were several holes in the wall; one ceiling tile had a crack in it and one ceiling tile had a water stain on it. 4.) In the Toddler room, the carpet was dirty with stains. 5.) In the Explorers room, the walls had holes and chipped paint; one ceiling tile had a water stain on it. 6.) In the Younger Three's room, the classroom and bathroom walls contained chipped paint; one ceiling tile had a water stain on it.

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, a toilet was not flushed after the use in the Four's room. 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, a door was dirty with stains in the Five's room. 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, in the Infant A room, there was an uncovered bottle found in the refrigerator. 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 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 interview and review of documentation, the staff in charge did not provide verification of current compliance with the fire marshal. The documentation submitted for review was dated 2017.

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 in the Three-Year-Old classroom, there was a cord hanging down from the Christmas lights that were hung and they were plugged into the electric outlet. There were several cushions near the cord, which are used by the children for lounging. Director Requirements In Compliance Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the daily activity of programming was posted in writing that had been updated to reflect the current week and that included the activities that are individualized and developmentally appropriate for the Infant A, Explorer and Toddler classrooms. 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, there was a staff purse located on the floor next to the lounging area, making the purse accessible to the children. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the changing pads located in the Explorer, Toddler and Two-year-old classroom had duct tape on the bottom of the pads and the vinyl covering did not completely cover the area underneath. Therefore, the changing pads were not kept in a hygienic manner. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a small red vinyl couch located in the Three-Year-Old classroom was worn on the arms and there was a small hole on the back of the couch, exposing the foam material inside. The blue vinyl balance beam was worn on the edges, exposing the material inside. The brown chair in the Two-Year-old classroom was worn on the seat; the vinyl was worn off. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the area carpets in the Three-year-old and Toddler classrooms were soiled with dark spots. In the Infant A classroom the area rug had edges that were curled up, therefore, creating a tripping hazard. The dog bed utilized for the toddlers to lounge on was soiled on the surface. 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 Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. A review of ten (10) children’s files revealed there is no Hospital listed for a child with the enrollment date of 8/2/16. Interview with the staff in charge revealed that the hospital was not listed in the file. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the hall bathroom revealed a 1.5 pint container of Clorox Toilet Bowl Cleaner and a 1 quart container of The Works Toilet Bowl Cleaner in the Older 3's room. Observation also revealed two (2) cans of Glade Air Freshener in the hall bathroom. All aforementioned products contained the warning: Keep out of the reach of children. Additionally, a gold MK staff purse was located on a low shelf and accessible to the children in the Older 3's room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Younger 3's room revealed two (2) ceiling tiles containing brown water stains. Water stained ceiling tiles were also observed in the bathroom located in the Older 3's room. Additionally, in the Fours room, lavender paint was peeling from the wall, located in a space accessible to the children. 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 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 in the Older 3's room revealed a scattering of toilet paper pieces on the floor. 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 in the Infant B room revealed cribs failing to be placed 12 inches apart. Observation also revealed a staff member trying to remove an infant from a crib, but had to pull the crib out and away in order to reach the infant.

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 the equipment in accordance with regulatory requirements. Observation revealed ceiling air vents containing a large accumulation of gray dust particles in the bathrooms. Transportation In Compliance 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 the food service in accordance with regulatory requirements. Observation failed to reveal ventilation to outside air in the kitchen. 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 observation and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation revealed a child's confidential allergy information posted on the front of the refrigerator located in the Older 3's room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Older 3s Room revealed brown circular spots on a ceiling tile above the area where cots were stored.

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 the premises in accordance with regulatory requirements. Observation of the Playroom revealed paint peeling on a red wall in the back left side of the room. Observation of the Explorers Room revealed two (2) holes in a purple wall on the right side of the room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Older 3s Room revealed a child did not wash his hands after using the restroom. Interview with staff members revealed the child was four (4) years old. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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. Observation of the kitchen revealed a build up of food particle splatter on the walls next to the counter. Further observation revealed there was no ventilation to the outside air in the kitchen.

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. Observation of the freezer thermometer in the kitchen revealed the temperature was 16 degrees. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: nutrition. 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 presented staff files revealed the staff member with the hire date of 02/22/2011 lived in the state of Ohio according to written documentation obtained from the Child Abuse, and Neglect check; however, the file did not contain an out of state criminal records check for the aforementioned staff member. Upon request, no out of state background was submitted for review. Additionally, interview with the staff member indicated that she was the sole caregiver of a child when she brought him inside from the playground after he became injured. 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 6. License Issuance.

General: Based on review of documentation and interview, the presented staff files revealed the staff member with the hire date of 02/22/2011 lived in the state of Ohio according to written documentation obtained from the Child Abuse, and Neglect check: however the file did not contain an out of state criminal records check for the aforementioned staff member. Upon request, no out of state background check was submitted for review. 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 2:110 · 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 provide for the health, safety, and comfort of a child in care. Review of documentation and video footage on 6/14/17 revealed that a child with enrollment date 10/5/15 was grabbed by a staff on his right arm and forcibly walked across the classroom and placed in a chair located in the corner on 6/6/17. Interview with staff revealed the child had several red marks and scratches on his right arm as a result of the incident.

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 younger 3’s bathroom revealed four (4) holes in the wall located under the toilet tissue dispenser. Observation of the toddler room revealed a ceiling tile not secured at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. 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 maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed a criminal records check was not submitted by the end of the first day of employment for two (2) staff members with the hire dates; 12/5/16 and 5/9/17. Interview with the director revealed the staff did not work alone with children. 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

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 kitchen ceiling tile revealed an area discolored with a brown and green substance.

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. Observation of the sink in the two’s bathroom revealed there was no water. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the five’s room revealed a child coughing, covering their mouth with their hand coughing into it, then a staff member guiding the child over and hand sanitizer was applied to the child’s hands. Continued observation revealed a child working with classroom materials, then a staff member directed the child to go apply hand sanitizer to their hands; therefore the two (2) children’s hands were not washed with liquid soap and warm running water before eating lunch. 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 medication. Observation of the infant B room revealed Desitin and diaper rash ointment in a green container sitting on the changing table not locked. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Outdoor Play Area 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 4. Premises Requirements.

General: Based on Observation and interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground fence revealed sections were missing at the time of the survey. Interview with the director revealed she is aware of the condition of the fence and is in the process of addressing it. Equipment In Compliance Transportation 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. Observation of the kitchen revealed there was not ventilation to outside air.

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. Observation of the toddler refrigerator revealed the thermometer registered fifty (50) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the infant A room freezer revealed the thermometer registered ten (10) degrees Fahrenheit and there was breastmilk and food stored in it. Observation of the two’s room freezer revealed the thermometer registered thirty-two (32) degrees Fahrenheit and there was food stored in it. Observation of the infant B room freezer revealed the thermometer registered five (5) degrees Fahrenheit and there was breastmilk stored in it. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals 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 4. Director Requirements and Responsibilities.

General: Based on Observation, and a review of documentation, the child care center director failed to assure compliance with regulatory requirements. Based on observation, a classroom of two-year old children was preparing to go outside. A staff member was applying sun screen to the children with gloved hands. The staff member failed to change gloves after applying the lotion to each child, thereby failing to assure the health of the children. Based on a review of documentation, sun screen permission slips were submitted and signed by the parents,and reviewed in the child's file.

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, observation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 09/01/15 failed to have results from a Child Abuse and Neglect Check, and failed to have results from a Criminal Record check contained in the file. Based on observation, the staff member was accompanied by two other staff members on the initial walk-through of the center. Based on continued review of documentation, the schedule listed the staff member in the classroom with additional staff members. Based on interview, the staff member does not work alone.

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 the equipment in accordance with regulatory requirements. Based on observation, the changing table shelf in the Two Year Old classroom contained an accumulation of crumbs and dirt surrounding the plastic changing mat. Based on continued observation, a small area next to the hand washing sink in the Younger 3's room, showed an accumulation of dirt and grime along the wall and base of the counter. Based on observation of the playground equipment, a blue and white police pedal car had a large bolt sticking up from the fender and failed to have a protective covering. Continued observation revealed the side of a pedal school bus, contained a plastic side with the words SCHOOL BUS, which had pieces of plastic broken off, leaving sharp plastic edges. The school bus also failed to have pedals on the metal pedaling mechanism. A turquoise pedal car had no steering wheel in which to guide the car while riding.

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. Based on observation, the refrigerators and freezer in the kitchen contained dirt and debris on shelving contained inside of the refrigerator and freezer. Continued observation revealed the front of the freezer door was stained with rust marks and was unclean. The shelf on the outside of the freezer door, was also unclean and stained. The walls, and floor showed evidence of dirt build-up, spilled food and was unclean.

Open Not marked corrected in the state record

Category: nutrition. 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 the assistant director could not verify that an annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for thirty (30) of the thirty (30) employees. Interview with the assistant director revealed she did not have access to the evaluations.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the assistant director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of the documentation present in the personnel file for the staff members revealed the staff with the hire dates of 10/28/2011 and 01/26/2015, did not contain an updated criminal records check (CRC) upon re-hire. Continued review revealed the employees with the hire dates of 01/26/2015 and 03/16/2015 could not verify that the criminal records check (CRC) had been conducted. Further review revealed the employee with the hire date of 01/26/2015 did not have an updated child abuse and neglect (CAN) check upon re-hire. The employee with the hire date of 05/13/2013 contained a child abuse and neglect (CAN) with a date of 11/26/2013, which was past the ninety- (90) day requirement. Interview with the assistant director revealed she was unable to locate the documents.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed that the employee with the hire date of 03/23/15 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 2:250 of educational qualifications.

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 he 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 date of 03/23/2015, did not contain a copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed the following staff member with the hire date of 10/01/2010 failed to verify that the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment was met. Continued review of documentation revealed that the staff member with the hire date of 08/07/2014 had not completed their orientation training within the ninety days as required. The staff member had completed the orientation training on 03/27/2015.

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 Review of Documentation and interview with staff, the child care center failed to post documentation in accordance with regulatory requirements. Review of the documentation revealed that the two-year-old classroom did not provide a daily planned program that was posted in writing in a conspicuous location with a schedule of activities that are individualized and developmentally appropriate for each child served. Interview with the staff in the after school room revealed the schedule of daily activities was not yet posted.

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 Toddler and Four year-old classrooms revealed the vents to have a visible buildup of dust.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Upon observation of the three-year old classroom at 9:16 a.m., it was observed that the children were not assisted or prompted in hand washing procedures after completing their breakfast.

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. Observation of the beanbags located in the Older Three’s, Explorers and Toddler classroom revealed the beanbags to have ripped seams with the foam exposed. Therefore, the beanbags did not appear not to have been kept in good repair.

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 assistant director, the child care center failed to comply with regulatory requirements regarding transportation. Review of the documentation provide there was no written transportation log for the field trips dated 08/05/2014 to Mary “T” bubble pool did not record the first and last name of the child transported and the time each child got on and the time each child got off the vehicle. Interview with the assistant 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 2:110 · 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 the documentation presented revealed that ten (10) of the ten (10) children’s enrollment form did not list a name of a preferred hospital. Continued review of documentation revealed the child with the enrollment date of 04/23/2015 did not contain a written record for the child that was completed and signed by the child’s parent and retained on file on the first day the child attended the child-care center. Continued review revealed there was no identifying information about the child, which included the child’s name, address, and date of birth; contact information to enable the person in charge to contact the child’s parent at the parent’s home or place of employment; no family physician; and preferred hospital. There was no name listed to identify a person designated to pick-up the child or the child’s general health status and medical history including, if applicable: allergies; restriction on the child’s participation in activities with specific instructions from the child’s parent or health professional. There was no name or a phone number of each person listed to be contacted in an emergency involving or impacting the child or 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

Open / not marked corrected.

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

General: Based on Observation, in the Infant A classroom, the cribs were not spaced twelve inches apart.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center did not have a copy available of zoning approval at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to provide written notification of the additon of transportation of services for approval prior to implementation. Based on review of documentation the center arranged transportation for six field trips via TARC and shuttle in the Summer of 2013 for enrolled children during operating hours.

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, the center does not have a written child abuse reporting proceedure available for employees. 195 - Requirements for Nontraditional Care Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 4 of 27 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 2. Child Care Services. (11) If nontraditional hours of care are provided: (a) Including time spent in school, a child shall not be permitted to spend more than sixteen (16) hours in the child-care center during one (1) twenty-four (24) hour period; (b) At least one (1) staff member shall be assigned responsibility for each sleeping room; (c) A child present for an extended period of time during waking hours shall receive a program of well-balanced and constructive activity that are developmentally appropriate for the child; (d) A child sleeping three (3) hours or more shall sleep in: 1. Pajamas; or 2. A nightgown; (e) If a child attends school from the child-care center, the child shall be offered breakfast;

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center did not have a current copy of the child care regulations.

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, 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 staff with the hire date of 105/06/2011. Interview with the director revealed she could not locate a current copy of the evaluation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, in the Early Two's bathroom, a toilet brush was next to the toilet, accessible to the children.

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 observation, the center failed to maintain employee's records in accordance with regulatory requirements and an employee was observed working alone without completed background checks. Review of documentation present in the personnel file for staff member with the hire date of 10/12/2012 revealed that the requirement of a criminal records check required by KRS 199.896(19) or a child abuse or neglect check using the central registry in accordance with 922 KAR 1:470; was not met. Interview with the director revealed she was unable to locate the documents. Based on observation, staff member hired 10-12-12 was observed alone in the classroom with three two year old children.

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 observation, the center failed to maintain employee's records in accordance with regulatory requirements and an employee was observed working alone without completed background checks. Review of documentation present in the personnel file for staff member with the hire date of 10/12/2012 revealed that the requirement of a criminal records check required by KRS 199.896(19) or a child abuse or neglect check using the central registry in accordance with 922 KAR 1:470; was not met. Interview with the director revealed she was unable to locate the documents. Based on observation, staff member hired 10-12-12 was observed alone in the classroom with three two year old children.

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’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed no proof of educational qualifications for the staff with the hire dates of 10/12/2012, 05/19/2014,10/28/2013 and 01/02/2007. 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 5. Infant and Toddler Play Requirements.

General: Based on Observation, and interview with classroom staff, four two year old children are combined in a toddler classroom for the entire day on a daily basis.

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, in the Infant A classroom, there were two infants sleeping in a swing and a bouncer from at least 9:25 a.m. until 9:50 a.m. as opposed to being placed on their back to sleep in a crib.

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, in the infant A classroom a child was observed in a crib with a pacifier attacher. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the three's classroom there were three staff purses accessible to the children, two were hanging on the wall that were accessible to the children and one was on a window sill that was also 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 4. Premises Requirements.

General: Based on Observation, in the Two's classroom, the floor near the sink and the floor along the line of the carpet and the floor tile was dirty with dirt, hair and glitter. Based on observation in the Four's bathroom, the bathroom ceiling fan vent was dusty and dirty.

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, in the three's classroom there were two lights that were not working.

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, in the Early Two's bathroom, there was not a vent to outside air. Based on observation in the Women's bathroom with the pink tile flooring, there was not a fan to outside air. Based on observation in the Three's classroom, the fan to outside air 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 3. General Requirements.

General: Based on Observation, an infant's diaper was changed and the infant's hands were not washed afterwards. Based on observation an infant's nose was wiped and the child's hands were not wiped after. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, an infant's diaper was changed and the staff member failed to wash her hands after the diaper change. Based on observation, an infant's nose was wiped and the staff member did not wash her hands after wiping the child's nose.

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, in the Infant A classroom the diaper changing surface was not clean as there was oatmeal on the diaper changing surface.

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, a staff member changed a diaper and failed to sanitized the diaper changing surface after the diaper change.

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 Interview, with staff in the infant and toddler classrooms, the mouthed toys are not being properly sanitized as staff are spraying the mouthed toys with sanitizer daily and wiping them down as opposed to using the regulatory method of sanitizing mouthed toddler and infant toys. 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 Review of Documentation, in the Infant A classroom, several children had diaper creams that they did not have a parent signed release for the center to apply the cream. Based on observation in the Five's classroom, a child has an epi-pen and does not have a parent signed release for the center to administer the epi-pen. Based on review of documentation in the Explorer's classroom, a toddler had a signed permission from a parent for Generic Tylenol, however the instructions stated that for children under age two to seek permission from a medical professional, further review of documentation revealed that a note from a medical professional had not been provided for this toddler.

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, in the Infant A classroom, a container of Aquaphor diaper ointment was not name labeled. Based on observation in the Infant B classroom medications including Infant Tylenol were not locked. 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 6. Sleeping and Napping Requirements.

General: Based on Observation, in the Infant B classroom there was one sheet that was not tight fitting.

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, an infant bouncer that is used on the floor is later stored in a crib on a child's sheet to prevent the older infants from crawling on the bouncer. This does not maintain a sanitary sheet for the crib that the bouncer is stored in.

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, in the playroom, the floor mats have holes and are thread bare in places with exposed strings.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the Infant B classroom the refrigerator was 45 degrees Fahrenheit. Based on observation in the two's classroom, the refrigerator was 43 degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the freezer temperature was nine degrees Fahrenheit in the Infant A classroom.

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, in the Two's classroom a child was observed eating a biscuit off of the table, a plate, napkin or bowl for the biscuit was not availble at the time of the observation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the names of the children that participated in all drills were not included.

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, the center did not have a written orientation policy that stated all employees are required to attend orientation ttraining within 90 days of hire date and implement what was taught at orientation training into the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center did not have the previous plan of correction or statement of deficiency posted.

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, in the Infant A classroom there was not a posted list of daily activities.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the early two's classroom did not have signed permission slips from all of the parents for the children to have access to the classroom pet turtle.

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, in the Infant A classroom, a staff purse was on the diaper station within reach of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in the 2-3 year old room there were three staff members with 22 children which exceeds the maximum group size for two year old children which is 20.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, center does not have the current regulations available for staff to review.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation in the four year old classroom, a plunger and a toilet scrub brush were accessible to the children next to the toilet.

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 focumentation, employees with the hire dates of 03/28/2012 (Oregon) and 05/14/2012 (Indiana) did not have background checks run from the previous state of residence.

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, employees with the following hire dates did not have a valid negative tuberculosis test on file for review: 06/04/2004, 06/04/2004, 05/01/2006, 09/13/2006, 01/02/2007, 06/18/2008, 08/07/2008, 09/13/2010, 10/13/2010, 11/08/2010 and 02/22/2011.

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, employees with the hire dates of 10/13/2010 (9 of 15 hours), 09/13/2006 (14 of 15 hours), 01/02/2007 (12 of 15 hours) and 04/22/2007 (12 of 15 hours) did not complete the annual required state approved training. Also, employees with the hire dates of 08/05/2011 and 05/02/2012 did not have proof of completion of orientation training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

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, in Infant A classroom there were two infants allowed to continue sleeping in swings over 10 minutes when staff was available to place them into beds. Based on observation in Infant B classroom an infant was allowed to sleep in a swing, based on interview with staff, staff allow children to continue to sleep in the swing.

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 in the Infant A classroom, there were toys hanging inside of eight cribs. Based on observation in the Infant B classroom there was a child asleep in a crib with a half teddy bear half blanket toy in the crib with him.

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 in the Infant A classroom, the observation window was dirty. Based on observation in the indoor playroom, the floors were dirty with debris. Based on observation in the four year old room, there were two pieces of plastic floor moulding that had fallen off of the wall and had been taped back on unsucessfully. Based on observation in the four year old bathroom, a celing tile was missing exposing the attic.

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 interview, the bathroom in the four year old room has two stalls without doors and children of both sexes use the bathroom at the same time, offering no privacy for children or plan for children of opposite gender to use the restroom at separate times.

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, in Infant B classroom an infant's nose was wiped and the child's hands were not wiped with a baby wipe.

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, in the Infant B classroom, a staff member wiped an infant's nose and did not wash her own hands. Based on observation in the Infant A classroom a staff member changed a diaper and did not wash her hands afterward.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview with staff in Infant B classroom, toys are sanitized daily with a spray as opposed to scrubbed in soapy water, placed in a sanitizing solution for two minutes, rinsed and then air dried. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 27 Web site: http://chfs.ky.gov/ Inspection Report 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, there was not any medical tape in the first aid supplies.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child with an epi-pen stored at the center in case of severe allergic reaction, does not have written parental consent for administration of the epi-pen.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, a crib in Infant A contained a pink loose fitting crib sheet.

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 refrigerator temperature in the Toddler classroom was 45 degrees Fahrenheit and the refrigerator temperature in the Explorer classroom was 44 degrees Fahrenheit. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 21 of 27 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 8. Kitchen Requirements.

General: Based on observation, the freezer temperature in the Infant A room was 10 degrees Fahrenheit, the freezer temperature in the Explorer room was 4 degrees Fahrenheit, the freezer temperature in the Infant B room was 5 degrees Fahrenheit and the freezer temperature in the kitchen storage room was 8 degrees Fahrenheit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, whole wheat or whole grain was not served with lunch.

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, children with the enrollment dates of 08/15/2012, 09/06/2012, 12/20/2012 and 01/09/2013 did not have updated immunization certificates on file for review.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, no written emergency evacuation plan was given for review that included 1) method of transportation 2) plans to notify parents of relocation 3) plans of procedures for meeting the needs of the children during relocation 4) verification to show the plans were shared with parents and the local emergency official.

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, the center does not have a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, center did not have Statement of Deficiency or Plan of Correction from 2012 inspection posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, center has a turtle and fish and does not have written parenal consent.

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, of the Girls' Bathroom, located in the hall, revealed a small, open baggy of screws and plastic dry wall holders in the cabinet below the sink and accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Fours' Room: Based on observation, pushpins were being used to hold up a stoplight cut out and were accessible to children. School-Age Room: Based on Observation, there was a blunger and toilet bowl brush next to the toilet and accessible to children. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 40 Web site: http://chfs.ky.gov/ Inspection Report 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 10

Twos' Room: Based on observation, a hand-washing procedure was not posted in the diaper changing area. Infant Room B: Based on observation, a hand washing procedure was not posted in the diaper changing area. Animals 319 - Animal Requirements Not Applicable 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised Not Applicable 2) Vaccinated Not Applicable 321 - Prohibited Animals Not Applicable 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated Not Applicable 2) Wild Not Applicable 3) Exotic Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 39 of 40 Web site: http://chfs.ky.gov/ Inspection Report C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected 2) Partnership statement Not Inspected

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.