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

General: Based on observation during the inspection, the following was found: Bathroom #1 1) A toilet plunger was stored on the floor adjacent to the toilet, and was accessible to children. Infant Room 1) An electrical outlet adjacent to a crib was not covered. Preschool Room 1) One electrical outlet that was not covered.

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, an annual written performance evaluation for the year of 2024 was not presented for seven (7) staff members. (DOH: 09/21/16, 09/21/16, 08/16/18, 04/23/18, 04/21/18, 05/05/22, and 10/12/15) The staff in charge stated the evaluations for the aforementioned staff members were not completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the following was found: 1) The TB test presented for a staff member (DOH: 08/16/18) was dated 03/15/23, and; therefore, not current. 2) The TB test presented for a staff member (DOH: 04/21/18) was dated 03/15/23, and; therefore, not current. The staff in charge stated current TB tests for the aforementioned staff members were not available at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member’s personnel file (DOH: 04/23/18) did not contain verification that the required first aid and cardiopulmonary resuscitation (CPR) training had been completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, eight (8) staff members (DOH: 09/21/16, 09/21/16, 09/21/16, 08/16/18, 04/23/18, 04/21/18, 10/12/15, and 05/05/22) completed zero (0) hours of the required fifteen (15) cabinet approved early care and education training for the training year of 07/01/23 through 06/30/24. Review of the ECE-TRIS data verified this information.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the following was found. Four-and-Five-Year-Old Room 1) A purse was stored on chair, where it was accessible to children. The staff member in the classroom stated that the purse belonged to him/her. Toddler Room 1) A purse was stored on chair, where it was accessible to children. The staff member in the classroom stated that the purse belonged to him/her. 2) A purse was stored on a low shelf, where it was accessible to children. Interview with a staff member revealed the purse belonged to him/her.

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 during the inspection, the following was found. Playground #1 1) The protective surfacing under and around four swings was insufficient. Playground #2 1) The protective surfacing under and around three swings was insufficient.

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 documents and interview, the immunization certificate for a child (DOE: 03/11/25) contained an expired 03/10/25.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a current written annual professional development plan was not presented for (7) staff members. (DOH: 09/21/16, 09/21/16, 08/16/18, 04/23/18, 04/21/18, 05/05/22, and 10/12/15)

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, a staff member (DOH: 01/10/17) did not have a current background check. The presented documentation listed the eligibility date as 03/20/19 which was no longer current at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, there were staff listed on the Kentucky Applicant Registry and Employment Screening (KARES) database that were not currently employed at the center. The staff in charge was unsure of the termination dates of the aforementioned employees. There was also two (2) staff members (DOH: 05/05/22 and 05/01/24) that were not listed as current employees on the KARES roster. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 10/21/2024 AND AS OF 10/23/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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, an electrical outlet in the 4's and 5's classroom was missing a face plate, thus allowing the inside wires to be exposed to children. Additionally, the following rooms were missing plug covers: 1) The yellow hallway 2) 1's and 2's classroom 3) 2's and 3's classroom 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, it could not be verified that four (4) staff members (DOH: 01/10/17, 09/21/16, 03/02/22 and 05/05/22) were free from active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of ECE-TRIS: 1) It could not be verified that any of the staff completed annual training hours. 2) It could not be verified that two (2) staff members (DOH: 03/02/22 and 05/01/24) completed six (6) hours of orientation. 3) It could not be verified that two (2) staff members (DOH: 03/02/22 and 10/12/15) completed one and a half (1.5) hours of Pediatric Abusive Head Trauma (PAHT) training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) A bait trap was in the corner in the yellow hallway, at an entrance, and was accessible to children. 2) A bait trap was located adjacent to the sink in the 2's and 3's classroom. 3) A bait trap was behind a toilet in the school-age bathroom. 4) Body mist was on the counter in the school-age bathroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) The wall, near the sink, in the 1's and 2's classroom had paint peeling. The peeling paint revealed a rough patch on the wall. 2) The pink wall in the 1's and 2's classroom, had peeling paint around a pipe near the step. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the changing pad in the infant classroom had multiple tears, exposing the inside absorbent material thus indicating that it was no longer in good repair. 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, there was not sufficient protective covering under the swings on the playground. This was evident by the exposed dirt beneath the swing set. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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, three (3) children's files (DOE: 06/01/23, 10/27/23 and 06/01/23) had a non existant hospital listed as their preferrd hospital. One (1) child's file (DOE: 03/23/22) had no prefered hospital or physician listed in his/her file. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 06/26/2023 AND AS OF 07/14/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, several electrical outlets located in the Baby Room, School Age Room, and in the hall's general area next to the front door did not contain safety plugs.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, current compliance with the State Fire Marshal laws could not be verified. The Fire Marshal inspection report presented for review was dated 11/27/17. Director Requirements In Compliance Employee Records In Compliance 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: 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 phone requirement in accordance with regulatory requirements. Observation revealed the emergency telephone numbers for the police department, fire department, emergency medical care and rescue squad, and poison control center were not posted or maintained in the telephone's contact. 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 and interview, the child care center failed to assure that when a child is diapered, the child shall be placed on a surface that is nonabsorbent and easily cleaned. The observed diaper changing table was covered with absorbent, white fabric. 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 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, four (4) children, enrolled on 07/11/2022, 02/18/2016 and 03/09/2023, did not have information on file to enable the person in charge to contact the child’s preferred hospital and physician. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the staff in charged failed to provide, upon request, a copy of regulations: 922 KAR 2:120; 922 KAR 2:090; and 922 KAR 2:280. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the facility failed to post the proper methods of diapering and hand-washing near each diaper changing area. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation on 09/13/2022, a staff member hired 09/01/22, did not complete background checks but was present at the center on 09/13/22. In addition, this same staff member supervised eight (8) children alone, in the three-year-old and four-year-old's classroom from 08:55 am to 9:15 am on 09/13/22.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a staff member hired 09/01/22, did not submit documents to complete background checks prior to employment. This staff member was present on 09/13/22 and supervised eight (8) three-year-old and four-year-old children, from 08:55 am to 9:15 am, on 09/13/22. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, two (2) bottles were not covered and labeled in the infants' room refrigerator. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a staff member hired 10/18/19, was "eligible" for employment but was listed as separated from the center in the Kentucky national background check program (KARES). This staff member was present on 09/13/22. 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 01/04/2023 AND AS OF 01/27/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, two (2) cords, plugged into an electrical outlet, hung down the wall and were accessible to children in the toddlers' classroom. In addition, two (2) electrical outlets did not contain safety plugs.

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, interview and review of documentation, the fire marshal inspection was conducted by a local fire marshal on 11/27/17. 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, two (2) staff members hired 08/16/18 and 01/10/17, did not have an annual written performance evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a staff member hired 09/01/22, did not submit background checks prior to employment but was left alone, to supervise eight (8) three-year-old and four-year-old children from 08:55 am to 9:15 am on 09/13/22. 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, a staff member hired 08/16/18, had a TB skin test dated 10/10/19. In Addition, a staff member hired 09/21/16, had a TB skin test dated 09/07/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 09/21/16, completed the Pediatric Abusive Head Trauma training on 11/12/14, but failed to complete the training again every five (5) years. Staff member hired 08/16/18, had not completed pediatric head trauma training (PAHT). Staff member hired 05/27/22, had no proof six (6) hours of orientation training was completed within the first three (3) months of employment. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, two (2) infants, who slept in individual cribs, wore a bib around their neck in the infants’ nap room. In the same room, four (4) infants slept in individual cribs with loose bedding. Four (4) infants slept in individual cribs with a loose blanket in the infants' nap room. 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, interview and review of documentation, seven (7) children were present in the infants’ A room. The square footage of infants' A room was 175 square feet which allowed for a capacity of five (5) children. In addition, four (4) infants slept in cribs in the infants' nap room. The square footage of infant’s nap room was 136 square feet which allowed for a capacity of three (3).

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 and interview, the ventilation fan was inoperable in the school-age children's restroom; therefore, there was no ventilation to outside air. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, plastic weed block was raised three (3) inches above the mulch, underneath the red and blue four-seated teeter-totter on the outdoor playground. The raised week block presented a tripping hazard. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, a swing set and a wooden climber apparatus with slide were directly on grass and did not have protective surface material. These items were located on the outdoor playground. 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 and interview, seven (7) infants were present but there were only four (4) cribs available for rest time in the infants’ nap room on 09/13/22. Surveyor observed two (2) infants slept in an infant bouncer seat and were not provided an individual 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 and interview, four (4) infants slept in individual cribs that were seven (7) inches apart in the infants’ nap room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the climber apparatus had chipped paint on the wooden frame. The equipment was located on the outdoor playground. Transportation Not Applicable 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 3. General Requirements.

General: Based on observation and interview, an infant drank from a bottle while lying on his back during nap time in the infants’ nap room. The infant was not held while bottle feeding. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a child enrolled 07/11/22, had an immunization certificate that was valid until 08/14/22.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, three (3) children present on 09/13/22, did not have enrollment information on file. Three (3) children, enrolled 09/11//22, 07/11/22 and 08/30/22, did not have information on file to enable the person in charge to contact an emergency contact, the child’s preferred hospital and physician and did not have authorization by the parent for the provider to seek emergency medical care for each child in the parents' absence. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, twenty-five (25) children were present on 09/13/22, and twenty-five (25) children did not have a documented arrival time.

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 interview and review of documentation, five (5) staff members hired 08/16/18, 01/10/17, 04/21/18 and two (2) staff members hired 09/21/16, did not have a professional development plan on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a shelter-in-place or lockdown drill was not conducted during the fourth quarter 2021, and the first and second quarters of 2022. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. 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 05/10/2021 AND AS OF 05/17/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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 and interview, the child care center failed to maintain regulatory staffing requirements. Observation upon entering into the center revealed 15 children. Interview with the staff in charge revealed the youngest child was one (1) year old. The center failed to maintain maximum group size requirements specific to the age of the youngest child in the group, exceeding the requirement by 3 children. Continued observation revealed 3 staff members with the 15 children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. 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 child care center failed to assure compliance with regulatory requirements. A review of documentation failed to reveal a current liability insurance policy. The policy submitted for review was dated 8/26/2019-8/26/2020. Interview with the staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory requirements. Verification of compliance with the fire marshal was not available as the most current fire marshal visit was dated 11/27/17. Interview with the staff in charge revealed the documentation was not available at the time of the survey. 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. A review of all staff files failed to reveal evaluations conducted on staff members for the year of 2020. The evaluations submitted for review were dated 10/10/19. Interview with staff in charge revealed the evaluations had not been conducted at the time of the survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee files in accordance with regulatory requirements. A review of staff files failed to reveal a high school diploma, GED or qualifying documentation from a comparable educational entity or a Commonwealth Child Care Credential for a staff member with a hire date of 6/10/19. Interview with the staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files and an ECE-TRIS report failed to reveal that staff member's with hire dates of: 9/21/16, 9/21/16, 5/5/18, 6/10/19, and 9/21/16 had verification of PAHT training. Interview with staff in charge revealed the documentation was not available at the time of the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. 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 hallway revealed a cell phone cord which was plugged into an electrical outlet. The other end of the cord which plugs into a phone was dangling from the outlet, and was not connected to a phone which allowed a live electrical wire to be accessible to all of the children as they passed through the hallway on the route to the restrooms. Therefore, the personal belongings of a staff member was accessible to 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 3. General Requirements.

General: Based on observation, the child care center failed to comply with regulatory hygienic requirements. Observation revealed 12 children failed to wash their hands after eating lunch prior to returning to programming. 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 comply with regulatory programming requirements. Observation in the Infant room revealed a crib with a large, ill-fitted sheet covering the mattress. The sheet was not tight-fitted.

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 the equipment in accordance with regulatory requirements. Observation in the Infant room revealed six (6) cribs failed to be spaced 12 inches apart to allow for free and safe movement for an individual.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in the Infant room revealed 5 infants ranging in age from 6 months to 1 year seated at a bucket seat table. The table failed to be in good repair as all of the seats failed to have safety belts attached through the slits in the buckets. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Food Service/Food Program Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation revealed 2% milk was served at breakfast as the gallon jug was still sitting on the table. Interview with staff revealed whole and 1% milk had been unavailable for purchase at several stores. Observation revealed children ranging in age from 2 years through 5 years were served 2% milk for lunch. 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, the child care center failed to comply with regulatory food service requirements. Observation in the Infant room revealed an infant sitting in a bucket seat table. The infant was initially fed by a staff member holding a bottle as the infant sat in the seat. Further observation revealed the staff member folding a blanket and then allowed the infant to eat from a propped bottle.

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 interview and review of documentation, the child care center failed to comply with regulatory food service requirements. A review of documentation failed to reveal a current food service permit. The permit submitted for review expired on 12/31/2020. Interview with the staff in charge revealed the documentation was not available at the time of the survey.

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 the food service in accordance with regulatory requirements. Based on observation, a small refrigerator in the Infant room, and a small refrigerator in the kitchen failed to have a temperature measuring device. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. A review of children's files revealed children enrolled on 2/19/16 and 8/28/19 failed to have contact information to enable a person in charge to contact the family physician. Interview with staff in charge revealed the documentation was not available at the time of the survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation revealed a written evacuation plan that was dated 1/2/2020. The plan had not been updated and submitted to the local emergency management on an annual basis. Interview with the staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation. A review of documentation failed to reveal a written annual plan for child care staff professional development. Interview with staff in charge revealed the documentation was not available at the time of the survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain regulatory posting requirements. A review of postings failed to reveal a Plan of Corrections issued by the provider to the cabinet for the most current licensure year. Interview with the staff in charge revealed the POC was not available at the time of the survey. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on observation, the child care center failed to comply with regulatory emergency regulations. Observation revealed the surveyor's temperature failed to be taken prior to entering into the programming space as required by 922 KAR 2:410e stating: Children and adults shall be screened for fever and contagious symptoms upon entry into the child care center. Also as stated in KAR 2:410e, Machine washable toys shall not be used. Observation in the One/Two year old room revealed three (3) cloth bodied baby dolls. Also as stated in KAR 2:410 e: Each adult shall wear a face mask while inside a child care center. Observation revealed a staff member failing to wear a face mask properly covering her nose and mouth. Additionally, three (3) children between 3 years of age and first grade were observed wearing facial coverings. Interview with the staff in charge revealed documentation from the parent approving the child to wear a mask was not available at the time of the survey and as stated in 922 KAR 2:410e. The Emergency Regulation 922 KAR 2:410e also states the maximum group sized shall be fifteen (15) children per group for children age twenty-four (24) months and older. Observation revealed 15 children. Interview with staff revealed the youngest child in the group was one (1) year old. 922 KAR 2:410e also states "Each child shall remain in the same group throughout the day without interacting with another group. Observation revealed children failed to remain in the same group throughout the day as observed at breakfast and lunch times. An infant was also removed from a group and placed in the Infant room after having participated in the mixed aged group.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, nine (9) current staff members were not listed as employees in the child care center's KARES database. Review of staff files and the KARES database revealed that background checks were conducted on the aforementioned staff members while they were employed at another center that the staff member in charge used to own. Interview with the staff member in charge revealed that the aforementioned child care center has been closed since May 2019. The staff members' employment status was not moved from one center to the other in the KARES database upon its closure. 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 6. License Issuance.

General: Based on interview and review of documentation, the Fire Marshal Report on file at the center was no longer current, as it was dated 11/27/17. Interview with the staff member in charge revealed the Fire Marshal had not inspected the premises since 2017. Director Requirements In Compliance 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: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, a majority of the staff members employed by the child care center have not received required training. 1) Upon request, the staff member in charge did not present verification that staff members with hire dates of 9/27/16, 1/20/17, 9/11/17, 4/21/18, 5/5/18, 8/16/18, and four staff members with a hire date of 9/21/16 had completed fifteen (15) annual hours of cabinet approved early care and education training. 2) Additionally, the staff member in charge failed to present verification that staff members with hire dates of 9/11/17, 5/5/18, 8/16/18, and three staff members with a hire date of 9/21/16 had completed one and one half (1 1/2) hours of pediatric abusive head trauma training within the last five (5) years. 3) Further review revealed the files for staff members with hire dates of 9/11/17 and 6/10/19 did not contain verification that the staff members received six (6) hours of cabinet- approved orientation within the first three (3) months of employment. Review of ECE-TRIS also failed to verify completion of the aforementioned trainings. 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 was peeling paint on an area of the wall near the sink in the Two Year Old 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, two out of the three toilets in the only restroom used by children were not functioning. A sign that said "out of order" was taped to one of the toilets. Another toilet had a very loose flush handle and would not flush. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 of the the playground, the protective surface did not sufficiently cover the ground under six (6) swings and one (1) slide. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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, one bottle in the mini refrigerator located in the Infant Room was not individually labeled. 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 4. Procedures and Payments.

General: Based on review of documentation and interview, the child care center failed to maintain background checks in accordance with regulatory requirements. Upon request, the child care director did not present verification that the fingerprint scan had been conducted for four (4) employees with the hire date of 09/21/2016 and for the employees with the hire dates of 09/27/2016 and 01/20/2017. Observation revealed the employees were not currently working alone. 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 6. License Issuance.

General: Based on review of documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care director did not present verification that the child care center maintained a current copy of liability insurance coverage. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, the child care center director did not present verification a current copy of the administrative regulations.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, the child care director did not present verification that more than one (1) staff meeting had been conducted and documented in writing within the last year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, the child care director did not present verification of the evaluations assessing the staff person’s interaction with children in care and classroom performance for thirteen (13) of the fifteen (15) employees eligible. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the records for the employee with the hire date of 05/15/2018 contained a copy of a High school diploma, a GED or qualifying documentation from a comparable educational entity, or a Commonwealth Child Care Credential.

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, with the director, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that thirteen (13) of the sixteen (16) employees had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Review of documentation in the ECE-TRIS revealed the above mentioned staff members had not completed the training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The baseboards throughout the center had a visible build-up of a dark, grimy substance. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The changing pad, located in the infant classroom, contained small tears on the surface. Therefore, the changing pad was not kept in a hygienic manner. 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 regulatory requirements. The swing set and slide located on the playground did not contain sufficient protective surface underneath the equipment. The area underneath had exposed dirt on the ground covering. Equipment In Compliance Transportation Not Applicable Food Service/Food Program Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The lunch meal that was served consisted of Ravioli, applesauce, bread and milk. An additional vegetable or fruit was not offered or served. Therefore, the child care center did not meet all the required food components for lunch. 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 9. Food and Meal Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the lunch meal revealed that a pre- school child requested a second serving of applesauce. The staff responded with yes; however, the staff then preceded to take away the child’s plate. The child then requested another serving and the staff ignored the request. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Upon request, the child care director did not present verification of a professional development plan for thirteen (13) of the fifteen (15) employees eligible. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 6. Reports.

General: Based on observation, review of documentation and interview, the child care center failed to comply with regulatory requirements. Observation of the center on 1/8/18 and again on 1/18/18 revealed the center was closed. Review of DRCC records revealed the center failed to notify DRCC of its closing on 1/8/18 and 1/18/18. Interview with the owner revealed the center was closed on those days due to broken pipes. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the child care center bathroom revealed a toilet bowl brush next to the toilets, accessible to children in care. Continued observation of the bathroom revealed a electric outlet that was broken with exposed wires accessible to children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 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 regulations. Review of staff files and ECE- TRIS report revealed three (3) staff members hired 9/27/16, 9/21/16 and 9/21/16 had not received Pediatric Abusive Head Trauma training PAHT. Interview with director revealed this documentation was not on file at the time of survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed litter was scattered around the inside perimeter of the play area. This included several plastic cups, bags of trash and empty cans. During interview, director acknowledged the litter in the outdoor play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed very visible, circular spots of dirt and rock at the bottom of the yellow slide and swings; therefore, the protective surface at the bottom of these areas failed to sufficiently cover the ground. During interview, the director acknowledged the protective surface at the bottom of these areas failed to sufficiently cover the ground. 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 Infant Room revealed an infant bouncy seat that was stained and soiled with a brown and yellow substance. 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 review of documentation and interview, the child care center failed to maintain food service in accordance with regulations. Review of documentation revealed the food service permit presented for review at the time of survey expired 12/31/17. Interview with owner revealed a current food service permit was not available for review at the time of survey. 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

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 regulations. Observation of the kitchen revealed what appeared to be a brown sticky substance built up on the inside of the kitchen microwave.

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 regulations. Observation of the Infant Room revealed one (1) bottle in the mini-refrigerator that was not individually labeled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulations. Observation of breakfast on 1/23/18 revealed the breakfast served to children failed to include a fruit, vegetable, or 100% juice component. Interview revealed that apples were scheduled to be served but they were not offered to the children. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation and interview, the child care center failed to maintain adequate supervision in accordance with regulations. Observation of the Infant Room at 1:08pm on 11/30/17 revealed the director and two (2) children were in the room with the lights turned off, as it was rest time. It appeared that there were only two (2) children in the room, but as surveyor confirmed the number of children in the room, the director revealed there was a third child in the room, but this child was sleeping in a crib in the adjacent sleeping room/area. This sleeping room/area was entirely dark, and surveyor could not see anything or anyone, including the child, in the room. The director turned on a light, and then surveyor was able to see the child sleeping in a crib. Staffing Requirements In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, review of documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. The director of Gwennie Pooh’s 2 L383577 was observed working at Gwennie Pooh’s Childcare L381822 for a minimum time period from 10:30am-3:00pm, during the latter center’s renewal survey on 11/20/17. Review of the staff schedule for Gwennie Pooh’s Childcare L381822 that was presented for review at the time of the renewal survey revealed the aforementioned director was listed on the schedule from 4:30-12:00 midnight. Review of staff files for Gwennie Pooh’s Childcare L381822 revealed a personnel file was presented for review at the time of survey for the aforementioned director. Review of DRCC records revealed the operating hours for Gwennie Pooh’s 2 L383577 is Monday-Friday 6:00am-12:00am. Review of DRCC records and interview with the aforementioned director revealed she is still the director of Gwennie Pooh’s 2 L383577. Review of DRCC records revealed Gwennie Pooh’s Childcare L381822 and Gwennie Pooh’s 2 L383577 are owned by two (2) different licensees; consequently, the aforementioned director was determined to be employed in a position other than an on-site child care director, or director of multiple facilities under one ownership, during the hours Gwennie Pooh’s 2 L383577 is in operation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain adequate supervision in accordance with regulations. Observation of the Twos and Threes Room at 10:52am revealed one (1) preschool child was sitting on the floor, alone in the room and unsupervised for a few seconds while the other children went to the bathroom with a staff member. During interview, the owner acknowledged the child had been left unsupervised. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with staffing requirements. Observation of the Infant Room revealed one (1) staff member was the sole caregiver of six (6) infants ages four months old to eleven months old for the duration of the survey from 9:53am-2:00pm. During interview, the owner acknowledged staff-to- child ratios were not maintained in that classroom during the survey. General Administration In Compliance Director Requirements Not In Compliance

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 and Interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the Infant Room revealed a plastic sheet was covering a door in the room and the plastic sheet hung loosely on the floor, accessible to children in care; thereby, creating a potential suffocation hazard. During interview, the owner acknowledged the plastic sheet was covering the door. Observation of the bathroom revealed a plunger and a large, black uncovered outlet near a toilet, accessible to children in care. During interview, the owner acknowledged the plunger in the bathroom and the uncovered outlet. 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 child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a Criminal Records Check (CRC) and a Child Abuse & Neglect Check (CAN) were not presented for review at the time of survey for a staff member hired 9/21/16. Interview with owner and staff-in-charge revealed they could not locate this documentation at the time of survey. Continued interview with owner revealed the staff member hired 9/21/16 has not worked alone with children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Interview, and Review of Documentation, the child care center failed to maintain employee records in accordance with regulations. Observation revealed the owner works with children in care. Review of staff files revealed a high school transcript was presented for review at the time of survey for the owner hired 9/21/16. Continued review revealed the high school transcript was illegible. Interview with owner revealed this was the only documentation available for review at the time of survey for herself.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed two (2) staff members hired 9/21/16 and 9/27/16 failed to complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment. During interview, the owner acknowledged the orientation was not completed within regulatory timeframes. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory programming requirements. Review of the daily schedule in the Ones and Twos Room and Twos and Threes Room revealed rest time was scheduled from 12:00pm-2:45pm. Therefore, according to the daily schedule, rest time exceeded two (2) hours for the preschool children. 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 and Interview, the child care center failed to maintain the premises in accordance with regulations. Observation of the Twos and Threes Room revealed the following items were placed on a half-wall near the entrance to the center, accessible to children in care: a pair of adult scissors, a can of disinfectant, and a staff member’ purse/personal bag. Observation of the hallway leading to the bathroom revealed a bag filled with plastic bags hanging on a coat hook, accessible to children in care. During interview, the owner acknowledged the bags were hanging on the hook.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and Observation, the child care center failed to maintain the premises in accordance with regulations. Interview with owner revealed measures had been utilized to control the presence of rodents; however, observation of the After-School Room revealed what appeared to be numerous black, mouse droppings in the cabinet underneath the sink. Observation of the bathroom revealed soiled papers and/or a soiled washcloth in the cabinet underneath one (1) of the sinks. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulations. Observation of the Infant Room revealed a space heater was placed on the floor and plugged into the wall, accessible to children in care. During interview, the owner acknowledged the space heater was on the floor in the room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulations. Observation of the Infant Room, Ones and Twos Room, After-School Room, and the bathroom revealed all of the sinks’ hot water temperatures exceeded (one-hundred-twenty) 120 degrees Fahrenheit. During interview, the owner acknowledged the water was too hot. Continued observation of the bathroom revealed two (2) of the sinks were not equipped with a hand-drying blower or single use disposable hand drying material and one (1) of the sinks was not equipped with liquid soap. During interview, the owner acknowledged the bathroom was not equipped with these items. 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 and Interview, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the Infant Room revealed the diaper changing pad was torn, exposing the inner padding. Interview with a staff member revealed the diapering surface was used for diapering children. During interview, the owner acknowledged the diaper changing pad was torn. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Food Service 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 9. Food and Meal Requirements.

General: Based on Observation and Interview, the child care center failed to maintain food service in accordance with regulations. Observation of the Twos and Threes Room revealed four (4) preschool children were served 2% milk for lunch. During interview, the owner acknowledged the children were served 2% milk.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain food service in accordance with regulations. Observation at lunch time revealed the toddler and preschool children were not served two (2) vegetables or two (2) fruits or one (1) fruit and one (1) vegetable. During interview, the owner acknowledged this lunch requirement was not met. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed a current immunization certificate was not presented for review at the time of survey for two (2) children. Interview with owner and staff-in-charge revealed this documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed: (1) The written records for six (6) children failed to contain authorization by the parent for the center to seek emergency medical care for the child in the parent’s absence; (2) The written records for five (5) children failed to contain contact information to enable a person in charge to contact the child’s preferred hospital; and (3) The written records for three (3) children failed to contain contact information to enable a person in charge to contact the child’s family physician. Interview with owner and staff-in-charge revealed this documentation was not on file at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, the child care center failed to maintain written documentation in accordance with regulations. Upon arrival to the center on 2/10/17, observation revealed twelve (12) children were present; however, review of attendance records for 2/10/17 revealed only seven (7) children were signed in. Continued review of attendance records revealed three (3) children had not been signed out on 2/9/17.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a Child Abuse & Neglect Check (CAN) and a Criminal Records Check (CRC) were not presented for review at the time of survey for a staff member hired 9/21/16. Interview with owner and staff-in-charge revealed they could not locate this documentation at the time of survey. Review of DRCC records revealed this documentation was presented for review during a previous survey; therefore, the center failed to maintain this documentation on file at the center. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulations. Review of documentation and interview with owner revealed the center failed to post in a conspicuous place and make available for public inspection each statement of deficiency and plan of correction issued by the cabinet during the current licensure year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to post documentation in accordance with regulations. Review of documentation and interview with owner revealed the center failed to post a written plan outlining the course of action in the event of a natural or manmade disaster to accompany the posted diagrams. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements related to liability insurance. Review of the child care center’s written documentation revealed no documented evidence of written proof of liability insurance coverage of at least $100,000 per occurrence. Exit interview with the child care center owner and director revealed acknowledgement of deficient practice. 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 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 six (6) of twelve (12) employee records revealed criminal record background checks from a child care center which was not under the ownership of the surveyed child care center. Interview with the owner of the surveyed child care center revealed background checks were received from the employee’s previous employment location. In addition, review of employee record for staff with an enrollment date 09/21/16 revealed a CA/N check dated 07/14/16 in which the staff stated he/she resided outside the State of Kentucky within the last five (5) years. Further review of the staff’s records revealed no documented evidence of a completed out-of-state criminal records check. The owner contacted the staff with the surveyor present and the staff indicated that he/she moved to Kentucky from Washington, DC four (4) years ago. Exit interview with the child care center director and owner revealed acknowledgement of deficient practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Two to Three-year- old classroom revealed sharp edges, broken brick and fragments, on the step leading to the backdoor hallway. Exit interview with the child care center owner and director revealed acknowledgement of deficient practice.

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 premises in accordance with regulatory requirements. Observation of the school-age classroom revealed broken floor tile. In addition, observation of the Infant classroom revealed a long crack in the wall, closest to the ceiling. Exit interview with the child care center owner and director revealed acknowledgement of deficient practice. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service 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 8. Kitchen Requirements.

General: Based on Observation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen area of the child care center revealed no evidence of adequate ventilation to outside air. In addition, microwave ovens were observed in the kitchen area. Interview with the child care center owner revealed meals would be preserved, stored, prepared and food service provided to children in care at the center. Children's Records Discussed 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 5. Evacuation Plan.

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care center’s written documentation revealed no documented evidence of a written evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care in accordance with KRS 199.895. Further review revealed no documented evidence that a written evacuation plan had been submitted to the local emergency preparedness agency. Exit interview with the child care center owner and director revealed acknowledgement of deficient practice. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.