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

General: Based on observation, an eight (8) month old child slept in a crib while covered with a blanket.

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, two (2) staff member's (DOH: 05/15/25 and 04/25/25) employment files did not contain a high school diploma, 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 interview and review of documentation, the personnel records for four (4) staff members did not contain current negative Tuberculin (TB) test results. 1. Two (2) staff members (DOH: 07/27/16 and 03/04/24) had the most recent TB skin test, dated 02/09/23 and 01/19/23, which were no longer current. The staff in charge verified that she did not have current TB results for the two (2) staff members. 2. Two (2) staff members (DOH: 10/07/24 and 05/16/25) did not provide current TB test results before employment started. The staff in charge verified that she has not received a current TB result from the two (2) staff members.

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 current Emergency Preparedness Plan was not presented during the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 31 of 32 Inspection Report

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, a diaper changing procedure was not posted at the diaper changing table in Room C. 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 review of documentation, a staff member (DOH: 06/26/24) did not have a current background check. The documented background check surpassed a five year mark. The last documented check was 10/13/19. Supervision 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: The surveyor stood at the gate of classroom D attempting to enter the classroom. A child was standing at the gate and there was not a teacher present in the room at the time. The surveyor entered through the gate of the classroom and walked around the room looking for a staff member while four (4) of the five (5) children were watching a show on a tablet. The teacher then entered the classroom from the conjoining room with a cup stating she went to go get glue from the classroom next door. The children were observed alone in the classroom for about forty-five (45) seconds. Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report General Administration Not 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 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 12/10/2024 AND AS OF 01/02/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 a staff member (DOH:10/21/24) had proof of education via a high school diploma, GED, Commonwealth Child Care Credential. Programming In Compliance Premises In Compliance 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 Room F was seen diapering a toddler. At the end of the diaper change the staff member did not wash the child's hands before returning them to be with other children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a staff member in Room F was observed during a diaper change. The staff member wore gloves during the diaper change but did not wash her hands after diapering the child and returning to engage with the other children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the file for a staff member (DOH: 6/1/21) contained documentation that the Pediatric Abusive Head Trauma training (PAHT) expired 6/11/23. Review of the Early Childhood Education Training Report Information System confirmed the training was expired. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the hot water in the front and back restroom sinks used for handwashing for the children registered eighty-six (86) degrees Fahrenheit, at the time of review. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in the crawlers room there was no temperature measuring device in the freezer where an infant's breast milk was stored; therefore, there was no way to verify that the temperature was maintained at zero degrees Fahrenheit. 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 Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the was no posting of the proper methods of diapering at the baby changing table in the Crawlers classroom at the time of review. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, two (2) siblings were dismissed from the child care center as a result of the parent's correspondence with the cabinet. The licensee was issued a deficiency, stemming from an investigation involving one (1) of the aforementioned siblings and both siblings were dismissed from the center the same day.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Based on interview and review of documentation, the facility failed to report to DRCC that an incident had occurred at the center. The incident required medical attention to a child where a fractured skull was diagnosed. Director Requirements In Compliance Employee Records 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, cribs used by children in the Nursery room had mobiles attached to them. 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 following was found: 1.) In the bathroom of Room B, the paint was peeled of the wall. 2.) In the women's bathroom a ceiling vent was dusty, the ceiling tile had a water stain on it, and there were holes in the wall. 3.) In the men's bathroom part of wall and part of the floor was in disrepair and floor tiles were missing. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the diaper changing area in the Nursery room was not clean. The area had batteries, small binder clips, a washer, hand sanitizer, a staff members water bottle and glasses, as well as hard candy (chewy lemonhead) on it. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, in the men's bathroom the paper towel holder was very rusty. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The surveyor observed the roll of paper towels that the children use in the womens' restroom was stored in an unsanitary manner, positioned on the side of the sink. This method of storage promotes germs due to each child handling the roll to obtain a paper towel. 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, one staff person eligible for an annual performance review did not have documentation of a review on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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, one staff person (hire date: 12/1/19) did not have education documentation on file. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. Two stained ceiling tiles were found in the laundry room. 2. A section of the wall (approximately two to three feet long) in the indoor gross motor room had been repaired; however, the repaired area had not been sanded and painted.

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, this regulatory requirement was not met. During a tour of the facility, the surveyor found that there were no paper towels at the sink the children used in the men's restroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance 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, one staff person eligible for a staff professional development plan did not have documentation of a plan on file. 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, the staff in charge did not present verification of the evaluation assessing the staff person's interaction with children in care and classroom performance for the employee with a hire date of 11/01/2004. 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 staff in charge did not present verification that the record of the employees with the hire dates of 12/01/2019 and 10/08/2019 contained a copy of a High school diploma or GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the green wall in the pre-school classroom had a large area were the paint was peeled away, in additon the walls were scuffed with black marks. Hygienic Practices In Compliance First Aid/Medication 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 7. First Aid and Medicine.

General: Based on observation of the changing tables in the infant and two-year-old classroom, there were several tubes of diaper cream on the tables. The items were not labeled for individual use. Outdoor Play Area In Compliance Equipment 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 11. Toys and Furnishings.

General: Based on observation of the lunch meal, there were four (4) toddlers seated at the bucket table for lunch. The bucket seats did not contain straps to secure the children while in use. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the files for the children with the enrollment dates of 07/31/2019, 05/29/2019, 08/10/2020 and 10/01/2020 contained information listing the preferred hospital. Continued review revealed the record for the child with the enrollment date of 07/31/2019 did not contain verification of a person that was designated to pick up the child, emergency contact or the name of a physician listed on the enrollment form. The file for a child with the enrollment date of 10/01/2020 did not list a physician. 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 staff in charge did not present verification that an annual plan for staff development had been completed for the employees with the hire dates of 01/07/2013 and 11/01/2004. Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: Based on observation, the center failed to comply with the regulatory requirements specific to the current pandemic as established in 922 KAR 2:405e. An employee in the two-year-old room was observed not wearing their mask properly. The nose region was exposed. Another employee was observed with five (5) children not wearing their mask properly, the nose and mouth region was exposed.

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 supervision in accordance with regulatory requirements. Observation of the child care center’s parking lot revealed in the grassy area eight (8) two-year-old children running about playing on a large inflatable jump house attached with a water slide and there was another larger inflatable bouncy house. Further observation revealed three (3) children were running through the sprinklers of the large inflatable jump house attached with a water slide. One (1) of the children was sitting down in the wading pool at the far end, the water was chest high to the two-year-old child. The staff member was out of scope of vision, as she was standing on the opposite side of the grassy area next to the larger inflatable bouncy house that was located next to a busy road, supervising four (4) other children. Interview with the aforementioned staff member revealed, “I did not know he was sitting down in the water, I am running back in forth between both bounce houses trying to watch them”. Another staff member then walked up from across the parking lot with two (2) more children in the age range of four-months-old to seven-months-old. This aforementioned staff member then stood in front of the larger inflatable bouncy house while the other staff member stood in front of the large inflatable jump house with the water slide. Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements Not 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 10. Director Requirements and Responsibilities.

General: Based on observation and interview, the child care center failed to maintain director requirements. Observation of the child care center’s parking lot revealed in the grassy area eight (8) two-year-old children running about playing on a large inflatable jump house attached with a water slide and there was another larger inflatable bouncy house. Further observation revealed three (3) children were running through the sprinklers of large inflatable jump house attached with a water slide. One (1) of the children was sitting down in the wading pool at the far end, the water was chest high to the two-year-old child. The staff member was out of scope of vision, as she was standing on the opposite side of the grassy area next to the larger inflatable bouncy house that was located next to a busy road, supervising four (4) other children. Employee Records In Compliance 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, the child care center failed to comply with regulations regarding premises. Observation in Room A revealed the baseboard was separating away from the wall.

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 regulatory compliance specific to premises. Observation of the child care center’s parking lot revealed an inflatable bounce house with unfiltered water pooled at the bottom of a slide. The water was chest high to a two-year-old child who was observed in the water. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. The child care center director was unable to present for review a current 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 that had been submitted to the local emergency management team. Interview with the director revealed she was unable to determine the last time the plan was submitted 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 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. A review of staff files revealed Pediatric Head Trauma training documentation was not available for staff members with hire dates of: 01/28/99, 11/01/04, 01/07/13, 12/26/01, 04/08/10, 06/17/13, 03/03/00, and 09/13/04. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Additionally, a staff member with a hire date of 06/01/15 failed to have documentation in ECE-TRIS or in the employee file verifying that the staff member had completed 15 hours of early care training for the subsequent year of employment. Per interview with staff in charge, the documentation was not available at the time of the survey. 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, the child care center failed to maintain regulatory programming requirements. Observation revealed a sleeping infant with a pacifier clip attached to his clothing. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the boys' and the girls' bathrooms revealed ventilation which was not in working order at the time of the survey. 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 maintain hygienic practices in accordance with regulatory requirements. Observation in Room E revealed two ( 2) children did not wash their hands with running water and soap after diapering. Also observed, children from Room C failed to have their hands washed with running water and soap after eating lunch. The children were observed having their hands wiped with washcloths after eating, and prior to returning to play.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain hygienic practices in accordance with regulatory requirements. Observation in the infant room revealed a portable phone lying on the changing mat in the Infant room. 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 be maintained in accordance with regulatory requirements. Observation revealed several discarded tissues and an empty Tylenol pill package lying on the ground near the play equipment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation on the playground revealed one side of a swing was disconnected from the chain to hold it securely. A Little Tikes multi-colored slide was found to be not secured to the ground. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 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. A review of documentation failed to reveal an emergency plan in the case of a natural disaster, fire or other threatening situations that may pose a health or safety hazard to a child in care. Interview with the director 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 review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation revealed a child's confidential information posted on a cork board in Room E. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed insufficient protective surface underneath five (5) swings, as there was ground exposed under them. Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of classroom f refrigerator revealed there was not an indicating thermometer or other appropriate temperature-measuring device at the time of the survey. 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Observation, it was determined that the child care center director failed to comply with regulatory requirements, specifically assuring the health, safety and comfort of each child. Observation revealed a plunger located in the children's bathroom in the between the Toddler and Two's Classrooms. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 25 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically background checks. Review of all staff files presented revealed the center failed to provide, at time of survey, documentation verifying the submission of a child abuse or neglect check (CAN) using the central registry in accordance with 922 KAR 1:470 and the submission of a criminal records check (CRC) required by KRS 199.896(19) in a timely manner for one (1) staff member re-hired 1/17/13. The staff member's personnel file only contained a completed CAN and CRC before the staff member's break of employment.

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, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically daily attendance records. At 8:45 a.m., observation revealed twenty-five (25) children present in attendance on 7/5/16; however, review of the center's daily attendance records presented for review, at time of survey, revealed only eighteen (18) children had documented arrival times.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding posted documentation, specifically diapering. Review of documentation in the diaper changing area for the Toddler Classroom revealed the center failed to post the proper methods of diapering and hand washing at the diaper changing area. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

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 the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the infant classroom at 11:40 a.m. revealed there were three (3) infants present, who ranged in age from six to eleven months old. Continued observation revealed when the surveyor and the director entered the infant room there was no staff present. Within a minute of arrival into the room, the staff entered the room and revealed she was retrieving a bottle. Interview with the director revealed she was aware of the regulation that infants must be within sight and sound at all times.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed that the employee with the hire date of 09/09/2013 did not contain a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250 of educational qualifications.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed the employee with the hire date of 06/06/14 had only completed six (6) hours of training . The center was unable to verify that the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment had been met.

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 Review of Documentation, and interview with the Director, the Child Care Center Director failed to assure compliance with regulatory requirements. Based on review the Director did not document in writing staff meetings that were conducted. Interview with the Director revealed she was aware she had not documented the meetings.

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 with staff, the Child Care Center Director failed to comply with regulatory requirements. Observation of the nursery revealed an infant asleep in the crib, further observation revealed the infant to be wearing a bib, which was covering his mouth and nose. Interview with the staff in the nursery was not aware that infants could not sleep with their bibs attached.

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 with the Director, the Child Care Center failed to maintain the premises in accordance with regulatory requirements. Observation of the School-Age room revealed the two fluorescent light bulbs in light fixture in the back of the classroom were not working. Interview with the Director revealed she was in the process of addressing.

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 with the Director, the Child Care Center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation of the playground area it was revealed the playground area to have numerous weeds growing up from the mulch provided for the protective surface. Interview with the Director revealed she was not aware the playground needed attention.

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. Observation of the climbing apparatus revealed two warped wooden slats on the landing portion of the structure. Interview with the Director revealed she was not aware of the issue.

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 regulatory requirements. Observation of the postings within the center revealed no information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897. Interview with the Director revealed she was not aware the information was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a child injured on 11-6-12 at the center received medical treatment for his injury at a dentist on 11-6-12 and the center failed to report this incident to the Cabinet. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a one year old child enrolled on 6-3-13 has been in the two year old classroom since his enrollment date and does not have a transition plan in place.

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, there was no document presented for review verifying that a staff member with the hire date of 06/06/11 was free of active tuberculosis.

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, there was no document available for review verifying compliance with the Fire Marshal. Interview with the staff in charge revealed that the center had not been inspected by the fire marshal in the last year. The staff in charge was not able to identify the date of the last inspection.

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, there were no written evaluations presented for review for five staff members who had been emloyed at the center for more than one year.

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, a plunger was stored in the restroom that was shared between Classroom B and Classroom A. Further observation revealed that children used the restroom independently and that the plunger was accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, review of all staff files revealed that one staff member with the hire date of 04/23/13 failed to complete six hours of cabinet approved orientation training. Interview with the staff in charge revealed that the staff member did not participate in the required orientation training because the staff member's employment with the center would be terminated after the summer. Also, two staff members with the hire dates of 06/06/11 and 04/08/13 failed to complete fifteen hours of cabinet approved training during the their last full year of employment; and a staff member with the hire date of 06/24/12 failed to complete nine hours of cabinet approved training during her first year of employment.

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, two of the seven cribs in the nursery had toys attached to the inside of the crib. Also, three of the cribs had mobiles on the cribs. Interview with the classroom staff member revealed that the children who sleep in the cribs with mobiles are seven and ten-months-old.

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 canister of disinfectant wipes and a can of Febreeze air freshener was left on the teacher's desk in Classroom B and were accessible to children. Review of the label on the wipes revealed the warning 'Hazardous to humans' and the label of the air freshener contained the statement 'keep out of reach of 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 section of the baseboard in the Day Camp classroom was no longer secured to the wall. The referenced section was approximately three feet long. Also, there was a broken electrical face plate in the Day Camp 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, there was a small area of the wall in Classroom B where the paint was chipping. The referenced area of wall was located immediately above the baseboard in the back corner of the 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 3. General Requirements.

General: Based on observation, two ten-month-old infants were placed on the floor among toys immediately after eating, without having their hands washed with soap and running water first.

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 diaper changing surface in Classroom C was not free of holes, rips, or tears.

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, all five cribs in the Creepy Crawlers classroom were positioned side by side with no spacing between the cribs.

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 individual bedding was not stored in a sanitary manner as multiple sleep mats were stacked on top of each other with the sheets touching one another in Classrooms C,B,and A.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on review of documentation, the transportation records that were presented for review failed to consistently include times of loading and unloading of the vehicles. Also, the last names of children were not consistently documented. Further review of the documentation revealed that there was no documentation presented for review for multiple trips that were recently taken. Interview with the staff in charge revealed that the classroom staff members who attended the trips discarded the documentation.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation, the thermometer located inside the refrigerator in the Creepy Crawlers classroom measured the temperature of the refrigerator as being 49 degrees Fahrenheit.

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 center failed to acquire a signed permission form for each trip taken off of the premises. Review of the field trip permission forms revealed that multiple trips were listed on one form. Written Documentation

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, there was no documentation presented for review confirming that a fire drill was conducted and documented in March of 2013.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, none of the staff had a written plan for staff development. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Nursery: Based on observation, there was not a hand-washing procedure posted in the diaper changing area. Room E: Based on observation, there was not a diaper changing procedure or hand-washing procedure posted in the diaper changing area. Animals 319 - Animal Requirements 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised In Compliance 2) Vaccinated In Compliance 321 - Prohibited Animals 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated In Compliance 2) Wild In Compliance 3) Exotic In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 38 of 39 Web site: http://chfs.ky.gov/ Inspection Report C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected 2) Partnership statement Not Inspected

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.