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

General: Based on record review and interview, it was found that the facility did not provide for the health, safety and comfort of a child when his finger was smashed in a closing door. A one-year-old's finger was caught in the closing door as a staff member was leaving the classroom. The child received medical attention and glue was applied to the wound. Director Requirements 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.

Based on interview and review of documentation, a one-year-old child was given pancake bites that contained a known allergen for the child; eggs. The staff members did read the label prior to giving them to the child. This resulted in the child having to be taken to the hospital via an ambulance and administered epinephrine. Director Requirements 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, observation, and review of documentation, a two-year-old child was left unsupervised on the playground on 03/14/25. The child was out of sight and out of range of voice for approximately one minute before being discovered alone on the playground. The playground where the child was left unsupervised is accessed from the center by crossing a parking lot. Staffing Requirements In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, a two-year-old child's safety was compromised when he was left alone outside on the playground for one (1) minute. The playground where the child was left unsupervised is accessed from the center by crossing a parking lot. Premises 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, during the inspection, the following was found: Foyer 1) One electrical outlet that was not covered. Bike 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, a current written staff evaluation was not presented for twelve (12) staff members. (DOH: 09/09/20, 07/05/10, 05/20/19, 12/04/18, 01/07/16, 04/20/22, 10/20/86, 12/02/19, 08/22/01, 08/02/04, 10/09/23, and 08/16/98)

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, during the inspection, the following was found: 1) A staff member (DOH: 02/04/24) had not completed the one and one-half hour (1.5) of pediatric abusive head trauma training within one (1) year of employment. 2) The Pediatric Abusive Head Trauma training for a staff member (DOH: 07/05/10) was dated 07/12/19. Therefore, the staff member’s training was no longer current. A review of ECE-TRIS 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 4. Premises Requirements.

General: Based on observation, during the inspection, the following was found: Foyer 1) The face plate was not attached to the electrical outlet. It was lying on the floor in front of the electrical outlet. Upstairs Hallway 1) Two (2) return air vents contained an accumulation of dust and debris. Explorer Room 1) The wall behind the trash can was soiled with dried food, dust, and debris.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Preschool Outdoor Play Area 1) A wooden bench contained a broken piece of wood on the left side of the seat. The bench seat contained splintered, pointed, and jagged edges. 2) A small aqua and orange riding toy was missing the seat and the handlebars, causing the riding toy to have sharp pointed, and jagged edges

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the trash can and lid contained dried food, paint, dust, and debris in the Explorer Room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 21 of 31 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 bottom of the refrigerator in the Cruiser Room contained a dried white substance.

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 review of documentation, current written professional development plans were not presented for twelve staff members. (DOH: 09/09/20, 07/05/10, 05/20/19, 12/04/18, 01/07/16, 04/20/22, 10/20/86, 12/02/19, 08/22/01, 08/02/04, 10/09/23, and 08/16/98)

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 in the Jellybean classroom, there was a purse sitting on the table. The staff in charge confirmed that the purse was a staff member's personal belongings. Therefore, the personal belonging was not inaccessible to the two-year-old children in the classroom.

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 two (2) return vents in the hallway outside of the Inquisitor's classroom were heavily covered with dust. Additionally, in the Pre-K classroom the top side of the ventilation pipe was covered with dust. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, there were four (4) swings hung from the ceiling on the front porch of the child care center. The four (4) toddler swings did not have state regulated approved protective surface material at the time of review. Equipment In Compliance Kitchen Requirements 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: The following observations were made at the child care center: 1) Bike room- The door protecting the washer and dryer was open, exposing a splintered section of flooring. Toddlers utilized the Bike room for play time during this observation. 2) Second floor restroom- The ledges behind the toilets contained an accumulation of dust. 3) Hall between Busy Bees and Inquisitor classrooms- The wall-mounted vents contained a substantial accumulation of dust. 4) Second floor hall- The upper portion of the exposed duct work was soiled with an accumulation of darkly-colored 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 4. Premises Requirements.

General: Based on observation, one window sill within the Jelly Bean Room contained chipping white paint. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the seat of one toilet in the first floor children's restroom was partially detached from the commode and moved significantly when opened and closed. 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, a staff member in the Cruisers classroom failed to ensure that a toddler washed their hands after being diapered.

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 pad in the Early Discovers classroom was torn at the seams, exposing the absorbent material within. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the kitchen's window-mounted air conditioning unit and surrounding window sill were soiled with accumulated dust and other debris. 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 In Compliance Written Documentation In Compliance Posted 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 8. General.

General: Based on observation, information on the Kentucky Consumer Product Safety Program was not posted or made available for public inspection. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain state regulations. A current report from the State Fire Marshal was not presented for review at the time of survey. A subsequent interview with staff-in-charge found the previous visit was dated 9/20/21. 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 failed to maintain state regulations. An annual, written performance evaluation was not presented for review at the time of survey for three (3) staff members hired 3/15/2021, 6/07/2001, and 12/02/2019. A subsequent interview with the center director found she could not locate this documentation at the time of survey. Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. Multiple small, black dead insects were found on the window sill of the far back window in the Jelly Beans 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain state regulations. During the survey, the following was found: 1. A black substance was coating the edge of the baseboard in the stairwell used by children and staff to access the upstairs classrooms. 2. Multiple colored spots were located on the adjacent wall to the classroom sink in the Busy Bee's room. 3. A section of peeling paint was located on the wall adjacent to the toilet in the Bike Room's (Gross Motor Skills) bathroom. Hygienic Practices In Compliance 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 state regulations. During the survey of the playground, the following was found: 1. A decaying, dead squirrel was located on a sidewalk near the far left upper corner of the playground that is used by children in care. 2. Multiple food wrappers in various locations on the ground. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. Multiple white, sticky spots were found on the surface of a circular classroom table located in the Inquisitors room. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals 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: Review of documentation and multiple interviews revealed a one-year-old child excited through a door within the Rainbow room. The child was found unsupervised outside, in the child care center’s parking lot, by an individual that was not employed at the child care center. The time that the child was left unattended was undetermined. Staffing Requirements In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the mantle in the Bike Room had a build up of dust and debris, including a metal screw and a discarded piece of rubber trim. The overhead vent in the restroom off of the Bike Room had a heavy buildup of dust particles.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a section of the rubber base trim in the Explorers classroom was separated from the wall, exposing the dried glue underneath. The wall near the garbage can in the Pre-K classroom had a buildup of dried, splattered food stains. The two (2) staircase walls leading to the upstairs contained dark stains and streaks on the yellow walls, along with the white baseboard which had a buildup of dark stains. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation in the infant classroom, there were two (2) infants sleeping in cribs next to each other. The cribs were not spaced twelve (12) inches apart to allow movement around the crib.

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, one (1) of the cabinet doors in the kitchen was broken at the hinge, therefore, not allowing the door to fit securely to the cabinet. 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 8. Kitchen Requirements.

General: Based on observation, the window blind in the kitchen had a heavy build up of dust. 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

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the ventilation exhaust system running the length of the classroom had a heavy buildup of dust in the Preschool and Explorer classrooms. The return vent in the upstairs hallway was rusted with a buildup of dust. Additionally, there were four (4) nails/screws protruding from the wall and were accessible to children, in the upstairs restroom.

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 toilet in the upstairs restroom did not flush and had a sign that stated 'do not use". Continued observation revealed the overhead vent was not connected and hanging loosely from the ceiling. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the overhead ventilation system connected to the stove and to the outside wall had a substance buildup that was indicative of black soot.

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 bottles in the Cruiser Infant room were not labeled for individual use. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification of the evaluations assessing the employee’s interaction with children in care and classroom performance for the employees with the hire dates of 07/05/2010,08/02/2004,09/03/2012 and 12/15/2017. 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 records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record of the employee with the hire date of 01/23/2017 contained a current copy of a statement with a date that was verifiable from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. 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 maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record for the employee with the hire date of 06/06/2016 had met the requirement of updating pediatric abusive head trauma training. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirement. 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 the premises in accordance with regulatory requirements. 1) The window air conditioning unit located in the kitchen had a visible build-up of dust. The A/C unit was in operation. The windowsill beneath the unit contained dust and debris, along with a large cobweb located in the upper corner of the window. 2) Continued review revealed that in the explorer classroom, a partial part of the baseboard trim was unattached from the wall, exposing the dried glue. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

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, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record for the child with the enrollment date of 08/03/2019 contained information listing the name of a preferred hospital. 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 9. Records.

General: Based on interview and review of documentation, 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 an annual plan for staff development had been completed for the employees with the hire dates of 07/05/2010, 08/02/2004,09/03/2012 and 12/15/2017. 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 9. Records.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed three (3) staff members with hire dates 3/20/17, 5/30/17, and 5/22/17 whose file did not contain an annual written professional development plan. Upon request, the director did not present a current professional development plan for the aforementioned staff members 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 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation and interview, the child care center failed to comply with background checks in accordance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 11/7/17 and 3/20/17 who both listed previous Indiana addresses on their child abuse and neglect check (CAN) and whose file did not contain an Indiana background check. Upon request, the director did not present Indiana background checks for the aforementioned staff members at the time of the survey. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed three (3) staff members with hire dates 3/20/17, 5/30/17 and 5/22/17 whose file did not contain an annual written evaluation. Upon request, the director did not present a current evaluation for the aforementioned staff members at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. There was a toilet bowl brush located between the toilets in the upstairs Bathroom. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 7/19/18 whose file did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed three (3) staff members with hire dates 8/28/18, 9/4/18 and 7/19/18 whose file did not contain a current statement from a health professional that they are free from active tuberculosis. Upon request, the director did not present current statements for the aforementioned staff members at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 8/3/16 whose file did not contain documentation to verify completion of the required fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff member did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present training documentation for the aforementioned staff member at the time of the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was a cracked fluorescent light cover located in the Cruises Room. There was a cracked fluorescent light cover located by the door leading to the Rainbow Room from the Early Discovery Room. There was a cracked fluorescent light cover located in the Bike Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was missing paint and exposed drywall located in the Rainbow Room. The black baseboard was no longer attached to the wall in the dramatic play area in the Pre-K Room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The toilet located in the first bathroom in the Bike Room was not secured to the floor. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The blue changing pad located in the Rainbow Room was torn exposing the absorbent material. The blue changing pad located in the Busy Bee Room was torn exposing the absorbent material. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. There was a purple vinyl sit-on toy located in the Bike Room that was torn, exposing the absorbent material. The oven door was taped shut on the toy kitchen located in the Explorer Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The Infant/Toddler wooden swing located in the outside play area was wobbly and not securely anchored to the ground. There was a wooden Infant swing set with two (2) red plastic swings located in the outside play area that was wobbly and not securely anchored to the ground. There was a wooden slide located in the outside play area with yellow caution tape wrapped around it. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The blue mini-fridge located in the Infant Room was not equipped with an indicating thermometer. 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 10. Director Requirements and Responsibilities.

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. The schedule of daily activities posted in the Pre-K Room was not dated at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. The proper methods of hand washing was not posted near or at the sink located in Early Discovery Room. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

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 observation and interview, the child care center failed to comply with regulations regarding staffing requirements. At the time of survey, from 9:40am to 11:35am, it was observed that the Bike room had sixteen (16) toddlers in the care of three (3) staff members with the hire dates of 08/03/2016, 08/02/2014, and 06/08/2016. Interview with a staff member revealed the toddlers were in age from one-year-old to two-year-old. Therefore, the minimum staff to child ratio was exceeded by one child and the maximum group size was exceed by six (6) children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview, the child care center failed to comply with regulations regarding general administration. Interview with the staff in charge revealed the child care center has been under renovation in the Discoveres (Toddler I) room and the Pre-K room since the beginning of the week of April 23, 2018 and plans to have the project completed by April 28, 2018. The staff in charge went on to report that the Pre-K room and the joining wall next to the director’s office was knocked down to make the Pre-K room bigger in space for the children. The staff in charge also reported that the Discoveries (Toddler I) room has only received new flooring and paint. The staff in charge confirmed that a notification of construction/renovation was not submitted to DRCC. Director Requirements 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. Three infants were observed sleeping with a blanket covering their mouth in the infant room. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory programming requirements. Upon request, a posted program of daily activities was not presented in the Busy Bees classroom. 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. In the Cruiser's classroom a panel window open to the outside was not effectively protected against the entrance of vermin as there was not a screen in place.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The bathroom used for preschool children upstairs does not allow privacy for each gender as the male and female children stand at the door of the bathroom and all children can observe the female children use the toilet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The bathroom vents did not appear to be working as their was not any noise indicating that they were working. The toilet in the yellow downstairs bathroom was continuously running indicating that it was not working properly. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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.

Based on observation, the child care center failed to comply with the regulatory requirements regarding medication. In the Infant room there were seven (7) diaper creams in an unlocked location as the drawer lock was no longer functioning. 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, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The climber/slide, climbing plank, blue slide, two Little Climber slides and six swings had insuffient protective surface as the dirt was exposed. In the Tot Lot there was insufficient protective surface under two swings and a climber with two slides. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. In the Rainbow toddler classroom a mirror attached to the wall had a foam border encased in plastic with the plastic material pulled apart exposing the absorbent foam material inside.

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. On the large wooden climbing structure, there were five planks of wood that contained screws that were not completely attached to the structure. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The kitchen microwave was observed to have dried food splattered on the inside. Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 Review of Documentation, and interview, the child care center director failed to comply with regulatory requirements as it related to staff evaluations. Review of employee records for staff with hire dates 07/05/10, 04/09/12, 07/20/15 and 10/20/86, revealed the director failed to assess each staff person's interaction with children in care and classroom performance through an annual written performance evaluation. Interview with the child care center director revealed she had not completed the evaluations for the staff.

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, and interview, the child care center director failed to assure compliance with regulatory requirements. Observation of the Jelly Bean classroom revealed unprotected wall sockets by the classroom window and wooden steps. Exit interview with the child care center director revealed acknowledgement of the deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and review of documentation revealed the child care center director failed to assure that a person acting as a caregiver of a child in care was not left alone with a child without criminal background checks in accordance with regulatory requirements. Observation of the Explorer's classroom revealed a staff with a hire date of 02/04/16, who was the sole care giver for eight (8) preschool children. Review of employee records for staff with a hire date of 02/04/16 revealed there was no documented evidence that a criminal records background check had been completed by the Kentucky Justice Cabinet or the Administrative Office of the Courts. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and review of documentation revealed the child care center director failed to assure that a person acting as a caregiver of a child in care was not left alone with a child without criminal background checks in accordance with regulatory requirements. Observation of the Explorer's classroom revealed a staff with a hire date of 02/04/16, who was the sole care giver for eight (8) preschool children. Review of employee records for staff with a hire date of 02/04/16 revealed there was no documented evidence that a criminal records background check had been completed by the Kentucky Justice Cabinet or the Administrative Office of the Courts. Further review of employee records for staff with a hire date of 11/07/16 revealed no documented evidence that a criminal records check from the state of California was requested as the staff indicated that he/she resided in California within the last five (5) years. Exit interview with the child care center director revealed acknowledgement of the deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee records for staff with a hire date of 09/30/98 revealed no documented evidence that staff completed fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Exit interview with the child care center director revealed the staff completed college hours which had not been converted to training hours. 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, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Busy Bee classroom revealed a purple backpack in accessible reach of children on a classroom shelf. Additional observation revealed an inhaler in the side pocket of the backpack. Interview revealed the purple backpack and inhaler belonged to a staff in the classroom. Exit interview with the child care center director revealed acknowledgement of the deficient practice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Review of a temperature measuring device used to test the hot water temperature in each Jelly Bean and Busy Bee classroom revealed a temperature of one hundred twenty-four(124) degrees Fahrenheit which exceeded the maximum acceptable range of one hundred-twenty (120) degrees Fahrenheit as stated per 922 KAR 2:120 Section 10, Toilet, Diapering and Toiletry Requirements. Exit interview with the director revealed acknowledgement of the deficient practice. 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

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 Jelly Bean classroom revealed the staff used baby wipes to clean the hands of the preschoolers after snack and failed to wash the hands of each child with liquid soap and warm running water. During the exit interview the center director acknowledged the deficient practice. 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, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant Room revealed four (4) cribs that were less than twelve (12) inches apart while children were at rest. Exit interview with the child care center assistant director revealed acknowledgement of the deficient practice. Transportation Not Applicable Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of record for a child with an enrollment date of 02/12/15 revealed the Emergency Authorization, Contacts, Hospital Preference and Pick Up List, did not include the signature of the authorizing parent or legal guardian. Exit interview with the child care center director revealed acknowledgement of the deficient practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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 Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Record review revealed the child care center failed to have a written annual plan or individualized plan for staff with hire dates 07/05/10, 04/09/12, 07/20/15 and 10/20/86, for child care professional development. Exit interview with the child care center director revealed the professional development plan had not been completed. Posted Documentation In Compliance Animals 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 director failed to assure compliance with regulatory requirements regarding health, safety and comfort. Interview with staff revealed a two-year-child was allowed to stand barefooted on the hot concrete sidewalk for approximately four to five minutes, and then walk across an asphalt parking lot. Interview with the parent disclosed the child received medical care for second degree burns to the bottom of his feet. Based on additional interviews, it was determined that two (2) additional children (two-years-old) received blisters to the bottom of their feet; however, this did not result in medical care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. Review of staff files failed to reveal an annual evaluation for staff members hired 10/20/86, 8/16/01, 3/12/08, 11/29/10, 3/21/11 and 4/25/14 at the time of the survey. Exit interview with the director revealed an acknowledgment of the deficiency.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal Fifteen (15) hours of cabinet-approved early care and education training for two (2) staff members hired 7/16/07 and 11/29/12 at the time of the survey. Interview with the director revealed unawareness that the staff did not have the fifteen (15) training hours that are required. 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: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (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 4. Premises Requirements.

General: Based on Observation and Interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Discover Classroom revealed one (1) light to not be in working order at the time of the survey. Observation of the Busy Bees Classroom revealed a light with no bulbs causing the room to be dim at the time of the survey. Interview with a staff revealed an awareness of the deficiency.

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 regulatory requirements. Observation of the bathroom off the Bike Room revealed a sink with the water temperature to register one hundred-thirty (130) degrees Fahrenheit. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Cruisers Classroom revealed a changing pad to be torn exposing the absorbent materials inside. Observation of the Rainbows Classroom revealed a changing pad to be torn exposing the absorbent materials inside. Interview with the director revealed the deficiency is in the process of being addressed.

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 regulatory requirements. Observation of the playground revealed a red infant swing. Continued observation revealed the straps to secure the infant in the red infant swing were missing at the time of the survey. Further observation revealed a yellow Tonka truck with a metal piece not secured to the lift. Ongoing observation revealed the metal piece to be protruding from the truck at the time of the survey. Exit interview with the director revealed an acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and Interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the upstairs bathroom revealed a faucet not secured at the time of the survey. Interview with a staff member revealed an unawareness of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of ten (10) children’s files failed to reveal the parents preferred hospital for the ten (10) children’s files. Interview with staff revealed an inability to locate the information 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 5. Evacuation Plan.

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of written documentation revealed an Evacuation Plan dated 12/23/13 at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of earthquake and tornado drills failed to reveal written documentation of the time the earthquake and tornado drills were conducted. Interview with the director revealed an inability to find documentation of the time the earthquake and tornado drills were conducted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of fire drills failed to reveal written documentation of the time the fire drills were conducted. Interview with the director revealed an inability to find documentation of the time the fire drills were conducted.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the health, safety and comfort of all children in care. Observation of the Early Bird classroom revealed that there was a plug that did not have a guard to protect the infants from accessing the electricity. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to ensure that orientation was completed within the first 90 days of hire. Review of Documentation revealed that the employee with the hire date of 05/15/2014 did not complete state orientation until 08/22/2014. 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: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (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 5. Infant and Toddler Play Requirements.

General: Based on Observation, Interview and Review of Documentation, the childcare center failed to meet all requirements when combining a toddler with preschool aged children. Observation of the Inquisitor classroom revealed that there were six (6) children in the classroom. Interview with staff revealed that five (5) of the six (6) children present in the classroom were toddlers and the other child was two-years-old. Review of the children's files revealed that the ages were confirmed as what was told by the staff. Continued review of the children's files revealed the lack of a transition plan that included a procedure for listing a transitioning toddler on attendance records, including a specific day and time the toddler is with either age group and a signature and approval of the toddler’s parent on the toddler’s transition plan.

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 childcare center failed to maintain premises requirements. Observation of the double air vent outside of the Inquisitor classroom under the double blue doors were caked with dust and grime. Observation of the vent on the floor of the bike room was covered in dust. Observation of the blue floor vent in the Discovers classroom was dirty and covered in dirt that was accessible to the Toddlers in care. Observation of the bathroom off the bike room and the Rainbow classroom revealed that the baseboards were off the bottom of the wall and sitting on the floor. Observation of the bathroom off the Busy Bees classroom revealed that there was a baseboard missing and there was paint peeling, exposing drywall, behind both sinks and next to a toilet.

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 childcare center failed to maintain toilet requirements. Observation of the toilets in the bathroom off of the Busy Bees Classroom and of the toilets in the bathroom off of the Rainbow Classroom revealed that the vents were not working to allow for outside air to enter the bathrooms. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare staff failed to maintain a clean diapering surface. Observation of the Early Birds Classroom revealed that an infant was changed on the changing pad and before it was sanitized, a different infant was changed on the same pad.

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 childcare center failed to maintain playground conditions. Observation of the red infant swing in the shape of a car was missing the strap that is meant to keep the infant from falling out of the swing.

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 childcare center failed to maintain play equipment. Observation of the outdoor play area revealed two large sandboxes. Continued observation of the sandboxes revealed that they were not currently in use (no children were present on the playground) and they were not covered to protect from vermin.

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 childcare center failed to maintain toys in good repair. Observation of the Discovers classroom revealed that there were several battery operated toys that were not operational.

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 childcare center failed to maintain kitchen requirements. Observation of the kitchen revealed that the floor was sticky to the touch as the shoes of the DRCC surveyor were sticking to the floor.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain all tornado and earthquake drill requirements. Review of documentation revealed that the child care center failed to document the time that the earthquake and tornado drills were practiced in June.

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 child care center failed to maintain all fire drill requirements. Review of documentation revealed that the child care center failed to document the time that the fire drills were practiced in February, April, May and July.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, the child care center director failed to assure the health, safety, and comfort of a child at the facility. Based on interviews a child was swinging in a swing and a child next to him was pushing an empty swing side-to-side, in the direction of the child who was swinging. It has been determined through an interview, the child pushing the empty swing side-to-side was instructed to quit pushing the swing approximately four (4) to (5) times but he did not, which resulted in the swing hitting another child. The child who was hit with the swing was taken to the emergency room and received two (2) stitches near his left eye area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on interviews with staff members, a paring knife was left on the floor in the middle of the bike room and was 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, a small, pink and turquoise slide was sitting precariously on unstable ground and was not secured to the ground.

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, a railroad tie was protruding from the area where two infant swings were hanging. A small, black infant swing had a broken hook that is used to secure a strap to hold an infant into the seat. Also, a park bench sitting in front of the brick wall had a broken bolt on the top slat and the bolt was protruding from the slat.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on review of documentation, a staff member hired on 2-4-13 did not have T.B. verification at the center. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

Infant: Based on observation, a two-year-old child was observed in a toddler class and was scheduled to be in the toddler class all day and every day of her attendance since she turned two on 3-10-11. Based on review of DRCC records, this was previously cited on 10-8-12. Equipment - Classroom 237 - Crib Mattress/Standards 922 KAR 2:120 - Section 6 (2) A crib shall: (a) Be equipped with a firm, comfortable waterproof mattress; and (b) Meet the standards set forth in 16 C.F.R. 1508 and 1509. 2) Meets Standards In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

Based on review of documentation, a staff member hired on 8-1-98, did not have T.B. verification. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 39 Web site: http://chfs.ky.gov/ Inspection Report 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation Not In Compliance Findings: Based on review of documentation, staff members hired on 5-21-12 and 4-19-12 did not have documentation of completion of orientation training. A staff member hired on 11-29-10 did not complete orientation training within the required first 90 days of employment as she completed orientation training on 3-5-11. 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (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; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

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, the shed on the playground was unlocked and contents accessible to children. The shed contained two lawn mowers and gas cans. In the downstairs bathroom a plunger 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 (1)

Cruisers: Based on observation, one outlet cover was missing. A bouncer had been moved into the sleeping room with an infant sleeping on it as opposed to the infant being placed in a bed to sleep. Infants: Based on observation, an infant was allowed to sleep in a swing as opposed to being placed in a bed to sleep. 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 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 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. 4) Plastic bags Not In Compliance Findings: Pre-K: Based on observation, plastic bags were under the sink, accessible to children. Jellybeans: Based on observation, plastic bags were under the sink, accessible to children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 39 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

Not marked corrected in the state record

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

General: Based on Interview, it was revealed that a staff person in the infant room has been observed by several individuals on occassion with her eyes closed while sitting in a rocker and holding an infant. One staff person stated that she had to nudge the staff person to bring her attention back to the infant.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on Review of Documentation, staff hired 8/8/11 did not have a high school diploma, GED, Commonwealth Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on Observation, a child was sleeping on a cot that was stacked on top of six other cots in the PreK classroom. The staff in charge acknowledged the findings during the exit interview. 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 39 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 6

Based on Observation, the cots were placed less than twelve inches apart in the following classrooms: Discovers, Earlybirds, Rainbows, and Explorers.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on Review of Documentation, there was an expired immunization on file for a child with the enrollment date of June 8, 2008. The director acknowledged the findings upon review and indicated that the current immunization had been misplaced.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.