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

General: Observation of the Three B classroom revealed a staff member's purse and keys hung from the corner of the changing table, where they were accessible to the children in care.

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: Infant 2 classroom: 1) The wall-mounted vent cover contained an accumulation of dust. Toddler A classroom: 1) The wall-mounted vent cover contained an accumulation of dust. 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, both the Boy's and Girl's restrooms, adjacent to the PreK A classroom, smelled strongly of urine, indicating that they were not kept in a clean condition. 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 Infant 1 classroom failed to wash their hands before spoon-feeding an infant. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, bare dirt was visible beneath the large, yellow slide on the Preschool playground, indicating that the protective surface covering was not sufficient in that area. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the lower portion of the cabinet in the Toddler A classroom was damaged, leaving a jagged edge, which exposed the splintered wood beneath. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the freezer in the Infant 1 classroom contained a thermometer which read ten (10) degrees Fahrenheit, indicating that the internal temperature of the freezer exceeded zero (0) degrees Fahrenheit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the lower portion of the refrigerator in the Infant 2 classroom was soiled with crumbs, dried food particles, and an unidentifiable brownish substance. 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: nutrition. Open / not marked corrected.

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

General: Based on observation, child sized chairs were stacked up in the Twos' classroom creating a tipping hazard for the children in care. Director Requirements In Compliance Employee Records In Compliance 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 6. Sleeping and Napping Requirements.

General: Inspection of cribs in the Infant room revealed that play equipment was stored in cribs B and C. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 and interview, the refrigerator in the Infant 2 classroom did not have a thermometer. 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, there were five (5) of six (6) toddlers seated at the table in bucket seats eating lunch. The toddlers were not securely attached with the straps in the bucket seats. Director Requirements In Compliance 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 door knob handle on the doorway dividing the two (2) three-year-old classrooms was missing. There was a large gap.

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 toilet paper holder attached to the wall had an area surrounding the holder where the drywall was chipping away. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 changing tables located in the Two A and Three B classrooms had unknown debris under the changing pad. Therefore, the changing pads were not kept in a hygienic manner. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation 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 14. Transportation.

General: Based on interview and review of documentation, the staff in charge did not provide verification that the child care center maintained a policy for ensuring staff duties during transportation. Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation of the stove located in the kitchen, the inside of the oven contained a build-up of charred food debris on the bottom surface. Food Service 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 3. General Requirements.

General: Observation in the infant classroom revealed an infant laying in the bouncy seat holding a bottle, self-feeding. On a second observation of the classroom there were two (2) infants in bouncy seats while the staff held the bottle upright to feed the infants. Therefore, the infants were not being held during bottle feeding. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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: Upon request a current fire marshal report was not presented for review at the time of the survey. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A file for a staff member hired on 05/17/2021 did not contain a high school diploma, GED, Commonwealth Child Care Credential or qualifying documentation from a comparable entity. The staff member in-charge did not present the aforementioned documentation at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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, a current written tuberculosis screen or a health professional statement that verifies the staff member is free of active tuberculosis was not presented for a staff member whose hire date is 05/17/2021. 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 maintain the premises in accordance with regulatory requirements. Observation of the exterior door leading into the building from the outside playground revealed the door handle was broken and the door did not close properly. Observation of the exterior metal door that leads to the inside of the building from the playground revealed the bottom area of the door contained a metal plate that was broken and bent. The metal plate contained sharp pointed edges and was accessible to the children. Observation of the white air vents located in room 3A, the recreational room and the school age room revealed a build-up of dust and debris. Observation of the light switch plate located in the Pre-K A room revealed it was broken and contained sharp pointed edges. Observation of the wooden entry door in the Pre-K C room revealed the door did not close properly, the latch did not lock onto the latch plate. Observation of the Pre-K B and 3A rooms revealed the baseboards contained a heavy build-up of dust and debris. Observation of the sink in the boy's bathroom located within the Pre-K A room revealed there was a build-up of a green and black substance between the faucet handles.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the ceilings located in the infant #1 and infant #2 classrooms revealed there were brown stains on the ceiling, indicative of water damage. Observation of the walls located in the infant #2 room, Pre-K A room and the girl's bathroom within the Pre-K A room, Pre-K B room, toddler B room and 3A room, revealed the paint was chipping and the dry wall was exposed. Observation of a wall located in the Pre-K A room revealed there were five (5) holes adjacent to the thermostat and the dry wall was exposed. Observation of the wall located in the boy's bathroom within the Pre-K A room revealed there was a hole in the wall and the drywall was exposed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the girl's bathroom located within the Pre-K A room revealed the restroom did not contain toilet paper.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the two (2) sinks located within the infant 1 room revealed the hot water temperature measured eighty (80) degrees Fahrenheit. Assessment of the sinks within the infant 1 room, two (2) sinks in the 3B room, the sinks within the girl's and boy's bathroom located inside the recreational room and the school age room boy's and girl's bathroom revealed the hot water measured seventy-five (75) degrees Fahrenheit. The hot water in the sinks within the toddler A, toddler B and infant 2 rooms measured seventy (70) degrees Fahrenheit. The sink located within the Pre-K A room and the toddler C room had hot water that measured sixty-five (65) degrees Fahrenheit and the sink located within the 3A room revealed the hot water measured sixty (60) degrees Fahrenheit. Therefore, the aforementioned sinks were not equipped with hot water at a minimum of ninety (90) degrees Fahrenheit and a maximum of one hundred twenty (120) degrees Fahrenheit. Observation of the girl's bathroom located within the Pre-K A room and classroom 3, bathroom revealed they were not equipped with a hand-drying blower or single use disposable hand drying material. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

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 light in the girl's bathroom located within the recreational room was not working properly. The bathroom was dark. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the two (2) slides located on the infant / toddler play area revealed there was not sufficient protective surfacing under the foot of each slide, the ground was visible. There were two (2) swings that did not contain sufficient protective surfacing under them on the large playground; the ground was visible. 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the two (2) metal swingset frames revealed they were not anchored into 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, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the vinyl climbing ring located in the infant 2 room revealed it contained cracks and small tears, the inside absorbent material was exposed. Observation of the changing table located in the toddler A room revealed a door was missing and there were two (2) sharp door hinges that were 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of a large yellow slide attached to a climbing apparatus located on the large playground revealed there was a two (2) feet crack in the middle of the slide. The crack in the plastic slide contained sharp edges and was accessible to the children. Observation of the air vent over the changing table located in the infant 2 room revealed it was not secured to the ceiling. The vent was hanging, leaving a gap between the ceiling and the air vent. Observation of the carpet located in the toddler A and toddler B rooms revealed there were pieces of black edging missing and the carpet was frayed in several areas. Observation of the vanity cabinet located in the boy's bathroom within the Pre-K room revealed the doors on the vanity was peeling laminate. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. Upon request a current vehicle inspection report from the Transportation Cabinet was not presented for review on the day of the survey for the child care center's fifteen (15) passenger van. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation of the inside of the microwave located in the kitchen revealed there was dried morsels of food on the bottom of the microwave floor. Observation of the refrigerator freezer located in the infant 2 room revealed throughout the freezer there was a build-up of dust and food particles. 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to comply with regulatory programming requirements. Observation of two (2) Infant Rooms revealed several infants slept in cribs with loose blankets. One (1) infant in Infant Room 2 was observed to sleep in a crib with a pacifier clip. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Toddler C and Twos Rooms revealed a thick accumulation of dust was present on a vent located on the wall in each room. Hygienic Practices In Compliance First Aid/Medication 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, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the large playground revealed the protective surface did not sufficiently cover the ground under three (3) swings and two (2) slides. Observation of the Toddler Playground revealed the protective surface did not sufficiently cover the ground under six (6) swings and two (2) 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of Infant Room 2 revealed three (3) of the five (5) cribs had loose-fitting sheets. Observation of the second Infant Room revealed all five (5) cribs had loose-fitting sheets. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed each statement of deficiency issued by the cabinet during the current licensure year and each plan of correction submitted by the child-care center to the cabinet during the current licensure year was not posted in a conspicuous place. Interview with the staff member in charge revealed the documentation was kept in her office. Animals Not Applicable

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 staff members with hire dates of 03/29/16 and 07/04/17 failed to have documentation verifying a high school diploma, GED, or qualifying documentation from a comparable entity, or a Commonwealth Child Care Credential. Interview with the staff in charge revealed the documents were not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on 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 a staff member with a hire date of 08/19/02 failed to have negative results from a tuberculin test, or a written statement from a health care professional stating the individual is free of tuberculosis, contained in the file. Interview with staff in charge revealed the document was not available at the time of the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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 bathroom located in the school age room revealed the ceiling light fixture failed to be in working order. 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. In the Infant Room, a staff member failed to wash her hands with soap and water after being observed wiping a child's nose and then returning to care for other children. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation revealed a basketball goal failing to stand completely upright due to the pole being broken at the base, creating a safety hazard. The pole was easily swayed and failed to be secured at the base. 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 in the Infant room revealed a table with yellow, plastic bucket seats which failed to contain the safety belts for which there were manufacturer slits in four (4) of the seats. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation in the 3A classroom revealed an area rug that was unclean and spattered with debris and pieces of paper. Also revealed through observation, a classroom with blinds containing a large amount of spider webs at the top of the window. Outside in the playground area, a large, double wide sliding board contained an excessive amount of black and red peeling paint. Also in the playground area, were numerous paper products and a plastic glove lying in the mulch. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed the lower cabinets on the right side of the stove had dirt and debris lying on the shelves. The handwashing sink in the kitchen was very dirty and marked with brown stains.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation in the Toddler A room revealed a staff member with her back to the five (5) children, while assembling drinking cups. While the staff member had her back turned, the children contaminated and shared each other's lunches, cups, and utensils, by eating off of each other's plates, drinking from each other's cups, and by using other chilren's eating utensils. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of documentation and interview, the child care center failed to maintain children's records in accordance with regulatory requirements. A reveiw of children's files revealed one (1) child failed to have a current immunization certificate on file at the time of the survey. The staff in charge was unable to submit the documentation when requested. 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

Category: health medication. 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 in the Toddler A room, revealed a child's restricted diet details posted on a cabinet door; failing to maintain the child's confidential information. 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 2. Child Care Services.

General: Based on Observation and interview, the child care center failed to comply with staffing requirements. Observation of toddler A room revealed seven (7) children present with one (1) staff member. Interview with the staff member revealed the age of the children in care was one-year-old. General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the pre-k B boys’ bathroom revealed a plunger next to the toilet within reach of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, review of documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. Observation of pre-k B room revealed a staff member with the hire date 3/15/17 was alone with eleven (11) children. Review of the child abuse and neglect check presented for the staff member with the hire date 3/15/17 revealed she had lived in Mississippi in the last five years; however, the file did not contain an out of state record check for the staff member. Interview with the staff in charge revealed she was not able to locate the document at the time of the survey. Observation of the infant 2 B room revealed a staff member with the hire date 6/15/17 was alone with three (3) children. Observation of the pre-k B room at 1:49 pm revealed a staff member with the hire date of 6/15/17 alone with eleven (11) children. Review of presented staff files revealed files for the two (2) aforementioned staff members with the hire date of 6/15/17 did not contain a criminal record check or a child abuse and neglect check (CAN) for the child care center. Interview with the staff in charge revealed there were not background checks on file for the two (2) aforementioned staff members. 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, review of documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of pre-k B room revealed a staff member with the hire date 3/15/17 was alone with eleven (11) children. Review of the child abuse and neglect check presented for the staff member with the hire date 3/15/17 revealed she had lived in Mississippi in the last five years; however, the file did not contain an out of state record check for the staff member. Interview with the staff in charge revealed she was not able to locate the document at the time of the survey. Observation of the infant 2B room revealed a staff member with the hire date 6/15/17 was alone with three (3) children. Observation of the pre-k B room at 1:49 pm revealed a staff member with the hire date 6/15/17 alone with eleven (11) children. Review of presented staff files revealed the files for two (2) aforementioned staff members with the hire date 6/15/17 did not contain a criminal record check or a child abuse and neglect check (CAN) for the child care center. Interview with the staff in charge revealed there were not background checks on file for the two (2) aforementioned staff members.

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 presented staff files revealed a staff member with the hire date 3/29/16 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the survey. Interview with the staff in charge revealed she was not able to locate the document 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 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 presented staff files revealed a staff member with the hire date 10/16/06 did not have written documentation from a health care professional to verify that the individual was free from active TB. Interview with the staff in charge revealed she was not able to locate the document. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed six (6) staff members with the hire dates; 9/6/12, 11/19/13, 3/16/16, 10/1/94, 5/10/15 and 3/29/16 did not complete Fifteen (15) hours of cabinet- approved early care and education training. Review of the ECE TRIS report verified the training hours were not completed. Interview with the staff in charge revealed she was not able to verify the training hours were completed. Review of presented staff files revealed a staff member with the hire date 3/15/17 did not complete six (6) hours of cabinet-approved orientation within ninety (90) days of employment. 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. Observation of the toddler C and two A room revealed chipped and peeling blue paint. Observation of the exercise room revealed a six (6) inch section of baseboard missing exposing the subflooring and joists.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed the hand-drying blower was not working and there were no single use disposable hand drying materials in the pre-k B boys bathroom and the after school girls bathroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the pre-k B girls bathroom revealed the light was not working. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the infant IA room revealed a staff member did not wash an infant’s hands after a diaper change. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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. Observation in toddler C, infant 2B and two C room revealed a torn diaper changing pad exposing the inside absorbent material. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground wooden fence revealed protruding rusty nails. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in the three B room revealed the rest mats were six (6) to eight (8) inches apart.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in pre-k B room revealed a blue couch with holes in it exposing the inside materials. Transportation In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 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 presented revealed one (1) of the files did not contain information for the family physician. Interview with the staff in charge revealed she was not able to locate the documentation at the time of the survey. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, and review of documentation, it was determined the child care center failed to assure three (3) children were provided with adequate supervision at all times by a qualified staff person who ensures the children are within scope of vision and range of voice. Interviews and review of written statements revealed the following information: On 6/1/16 at approximately 10:15 a.m., a group of twenty (20) three-year-old children were playing on the outdoor playground for at least fifteen (15) minutes, while two (2) staff members were engaged in conversation. When a third staff member returned from a fifteen (15) minute break, the staff members gathered the children to return to the building and realized three (3) children were missing from the group for an undetermined amount of time. The staff member returning from break checked the perimeter of the playground, noticed an opening in the back gate of the playground, due to the gate failing to be secured properly, seen the three (3) children in an adjacent field, which was not located on the childcare premises, and brought the children back to the group. Once the children were located, the amount of time took to retrieve the children was no more than one (1) minute; however, the children had already been discovered by two (2) community members. Interview with one (1) of the community members revealed he seen an unidentified female with three (3) children in a field and stopped to see if she needed assistance. He stated she informed him that she had discovered the children unattended and was in the process of notifying local law enforcement officials. He stated that after approximately seven (7) minutes, a staff member from the center came to get the children. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, and observation, the child care center failed to maintain employee records. Based on a review of documentation, a staff member with a hire date of 10/21/14 failed to have a completed out of state Criminal Record Check for the state of Kansas, contained in the file. Based on observation, the employee was working alone with five (5) infants when the surveyor began a walk-through at approximately 11:20 A.M. The aforementioned staff member was not working in the infant room when the surveyor left the center at approximately 5:15 P.M.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of staff files, a staff member with a hire date of 10/21/14 failed to have a completed Kansas out of state criminal record check contained in her file. Based on a review of documentation from survey conducted in 2015, the center was not cited for non-compliance on this employee. Based on observation the employee was working alone in the infant room as the surveyor began a walk-through of the facility. The time the employee left the infant room was unknown.

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. Based on observation, a dime size hole located approximately one (1) to two (2) inches up from the top of the baseboards was observed in the Toddler A classroom where six (6) toddlers ranging in age from fifteen (15) months to eighteen (18) months were observed. Additionally observed, a bathroom in the School Age classroom contained cobwebs on the ceiling and corner. A spider in a web was also observed active in the hand washing sink. In the Pre-K B classroom, cobwebs were also observed on the emergency lighting fixture.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the outdoor play area. Based on observation, a chain link ladder on the large climbing structure was broken, failing to provide a secure step to climb on.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Based on observation, the playground revealed numerous large areas where there was no ground covering in areas of climbing structures, and swings. Also observed was an area entering into the playground where the mulch did not meet the asphalt. The asphalt was broken, and contained rough, sharp edges.

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 children's records in accordance with regulatory requirements. Based on a review of ten (10) children's file, a child enrolled on 08/07/15 failed to have a current immunization certificate contained in the file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, and observation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of sign in sheets, there were fifty-four (54) signed in. Based on children observed, there were 89 children in attendance. Based on further review, school age children were not signed out when leaving the center, nor were the children signed back in when returning to the center.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all posting requirements. Review of documentation revealed that the statement of deficiency (SOD) and plan of correction (POC) were posted inside the Director's office instead of in a conspicuous place.

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, the childcare center failed to ensure that all children were within the scope of vision and range of voice of a qualified staff member at all times. Observation of the 3A Classroom revealed that from 9:56 a.m. to 10:02 a.m. the staff member responsible for the children was changing a diaper on a changing table that was pushed directly against the wall. Continued observation revealed that as the staff member was changing the diaper and assisting with hand washing, there were nine (9) children aged from two to three-years-old that were not in the scope of vision of the staff member as her back was to the children. The DRCC surveyor intervened with the children as several children were squeezing behind a play kitchen and attempting to knock it over onto other children in the classroom.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare Director failed to maintain a current copy of the regulations for review by staff. Review of documentation revealed that the regulations available for staff review were from 2008.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the health, safety and comfort of all children in care. Observation of the kitchen revealed that there was a fan sitting on a shelf pointed toward the preparation area in the kitchen. Continued observation of the fan revealed that there was a thick layer of dust and dirt on the blades of the fan that was pointed toward the food prep area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Observation, the director failed to obtain all required background checks prior to allowing staff to work alone with children. Review of personnel files revealed that the staff members with the hire dates of 10/17/2014, 12/18/2014 and 01/19/2015 required out of state background checks, however, the required checks were not presented for review. Observation of the childcare center on 03/10/2015 revealed that the three (3) staff members without the required background checks were working alone in classrooms prior to the Director receiving the results of the required background checks.

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, Interview and Observation, the childcare center failed to maintain all background requirements. Review of documentation revealed that the staff members with the following hire dates did not have an out of state background check presented for review: 10/17/2014, 12/18/2014 and 01/19/2015. Review of the personnel file for the staff member with the hire date of 10/17/2014, it was determined that an out of state background check from Indiana was required as the Child Abuse and Neglect Check (CAN) listed four Indiana addresses and an Indiana license was also presented with an issue date of 2009. Interview with the staff member with the hire date of 10/17/2014 confirmed that she lived in Indiana within the past five years as she moved to Kentucky in July of 2014. Review of the personnel file for the staff member with the hire date of 12/18/2014, it was determined that an out of state background check from Illinois was required as the Child Abuse and Neglect Check (CAN) listed an Illinois address. Interview with the staff member with the hire date of 12/18/2014 confirmed that she lived in Illinois within the past five years as she moved to Kentucky in 2013. Review of the personnel file for the staff member with the hire date of 01/19/2015, it was determined that an out of state background check from Georgia was required as a High School Diploma from Fulton County, Georgia was presented for review. Interview with the staff member with the hire date of 01/19/2015 confirmed that she lived in Georgia within the past five years as she moved to Kentucky in May of 2014. Observation of the childcare center on 03/10/2015 revealed that the staff members with the hire dates of 10/17/2014, 12/18/2014 and 01/19/2015 were working alone in classrooms prior to the Director receiving all required background checks.

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 director failed to ensure all staff completed the required annual state approved training hours. Review of documentation revealed that the staff members with the following hire dates did not complete the required training: 01/10/2000 (14 of 15 hrs.), 08/26/2002 (12 of 15 hrs.), 02/03/2012 (6 of 15 hrs.) and 04/15/2006 (1.5 of 15 hrs.), 05/16/2012 (6 of 15 hrs.) and 01/28/1994 (14 of 15 hrs.).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all infant sleep requirements. Observation of a sleeping infant in a bouncer revealed that the infant was sleeping with a bib around her neck.

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 all premises requirements. Observation of the window sill on both sides of the classroom in Pre-K A revealed a black sludge buildup close to the window. Continued observation revealed three (3) dead bugs on the windowsill. Observation of the Infant 2 Classroom revealed that the return air vent had a layer of built up dust and was accessible to the children in the classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all sink requirements. Observation of the girl’s bathroom in the TV Room revealed the lack of hand drying material as the hand dryer was not functioning. Observation of the sink in the girl’s bathroom in the Pre-K B classroom revealed the lack of liquid soap.

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 center failed to maintain all toilet requirements. Observation of the bathrooms in the following classrooms failed to have ventilation to outside air: 3A, 3B, Pre-K B, TC-2A, Afterschoolers and the TV Room. Continued observation of the toilets throughout the center revealed that there was a brown substance in the bowl or around the rim of the toilets in the bathrooms of the following classrooms: 3A, 3B and Pre-K B. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all children hand washing requirements. Observation of the 3B Classroom revealed that a child did not wash her hands after wiping her nose.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the childcare staff failed to maintain a proper toy sanitation procedure. Interview with the Infant 1 staff revealed that the toys are soaked in bleach and water instead of scrubbing in warm, soapy water using a brush to reach into crevices, rinsing in clean water, submerging in a sanitizing solution for at least two (2) minutes and air- dried. First Aid/Medication

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 childcare center failed to maintain crib and sheet requirements. Observation of the Infant 1 Classroom revealed that an infant was sleeping in a bouncer instead of a crib. Continued observation of the Infant 1 Classroom revealed that numerous cribs contained sheets that were not tight fitting.

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 all toys and furniture in clean and working condition. Observation of a Little Tikes play kitchen in the 3A classroom revealed that the play kitchen was stained and dark in color. Observation of the 3B classroom revealed that several battery-operated toys were not operational. Observation of the Pre-K A classroom revealed a blue leather child sized couch with fraying at the edges.

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 refrigerated food was not being kept at a temperature of forty degrees Fahrenheit or below. Observation of the thermometer in the refrigerator in the Toddler A Classroom revealed that the refrigerated food is being stored in a refrigerator that registered at 47 degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the frozen food was not being kept at a temperature of zero degrees Fahrenheit or below. Observation of the thermometers in the white Frigidaire stand up freezer and the Estate freezer revealed that the frozen food is being stored in a freezer that registered at 5 and 11 degrees Fahrenheit, respectively.

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 Observation and Review of Documentation, the child care center failed to maintain accurate attendance records. Observation of the center on 03/10/2015 revealed that eighty-three (83) children were in attendance. Review of attendance sheets revealed that only fifty-eight (58) children were signed into the center. Continued review of the attendance records revealed that several children were not signed out on 03/09/2015 but were signed into the center on 03/10/2015.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, children's medical information was not maintained in a confidential manner. Based on review of posted documentation in the classrooms, the names of children requiring updated immunizations were posted in plain sight for public viewing.

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, in the Infant 2 Classroom, a mini-blind cord was within reach of child in a crib.

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 review of documentation, the Pre-K B classroom did not follow the daily schedule. Based on observation in the classroom between 10:00 a.m. and 11:00 a.m. the children were sitting at the tables playing with small manipulatives as the staff member put the children's naptime mats out. Based on review of the classroom's daily schedule, from 10-11 a.m.the classroom was scheduled to be outside or in the multi-purpose room. The staff member did not follow the schedule and give the children any gross motor play time. Based on interview with the staff member, she stated that she didn't take the children outside as the playground was damp and she didn't have a reason for not taking the children to the multi-purpose room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the pre-school classroom, a Just Dance 3, video game was observed and is rated Everyone age 10+. Based on interview, pre-school age children are being allowed to use this game.

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, toddlers were combined with older children for over an hour in one day. Based on observation in the toddler classroom, there were two twenty one month old children in a classroom with a two year old child for the day. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 9 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and review of documenatation, two toddlers were combined with older children for over an hour without a transition plan. Based on observation in the toddler classroom, there were two twenty-one month old children combined in a classroom with one two year old for the day, over an hour. Based on review of documentation, the two twenty-one month old children did not have a transisiton plan available to approve for them to be combined in a class with a two year old child for over an hour per day.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the Toddler A classroom there was paint peeling off of the wall near the floor within reach of the toddlers.

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, in several of the center bathrooms used by the children, there was not any hot water in the bathroom sinks. Observation in the Pre-K A Boy's bathroom, there was not a waste can.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the Pre-K boys and girls bathrooms, 3B bathroom, Pre-K C boys and girls bathrooms and 2B bathrooms there is not working ventilation to outside air. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in Toddler A/C a staff member did not wash two toddler's hands after diaper changes.

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 did not wash her own hands after changing two toddler's diapers in the Toddler A/C classroom.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, a staff member in the Toddler A/C classroom did not disinfect the diaper changing area after two diaper changes.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview with the infant and toddler room staff, the toys mouthed by the infants and toddlers are not being properly santized as the mouthed toys are not being scrubbed in warm, soapy water using a brush, rinsed in clean water, submerged in a sanitizing solution for at least two minutes and air dried. First Aid/Medication

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there are two tubes of Butt Paste diaper cream that did not have a parent signed release for administration.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, two tubes of Butt Paste diaper cream were not name labeled. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation of the toddler playground, there were poisonous mushrooms growing out of the mulch.

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, on the playground, there was insufficient protective surface under two swings as the weed barrier was visible. The weed barrier was also visible at the end of three slides.

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, on the playground the chain climber had four chains that had broken loose.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in Toddler A a bottle was warmed in a microwave and given to a toddler to drink. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in Toddler A the refrigerator temperature was 45 degrees fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the freezer in infant room two registered a temperature of nine degrees fahrenheit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Interview, sippee cups are a single service item and are not being handled in a sanitary manner. Interview with staff revealed that the sippee cups are being washed in a single compartment sink between uses as opposed to in the kitchen in a three compartment sink process.

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, a child enrolled on 11-4-13 did not have a current immunization presented at the time of survey.

Open Not marked corrected in the state record

Category: health medication. 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, in Toddler A/C there is not a posted handwash proceedure at the sink used after diaper changing. 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.

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 in Infant Room One at 3:12 p.m. the mouths and noses of four awake infants were covered by blankets in the infant room. Observation revealed that the infants were tightly swaddled in individual blankets while resting in swings and propped on boppy pillows and the blankets had been adjusted to partially cover their faces. Premises

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation in Infant Room One, mold was visible around the plastic frame around the window and is evident when the windows are open.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the center failed to report to DRCC within 24 hours from the time of discovery on 7-11-13 when Child Protective Services notified the center that a report of child abuse had been accepted by the cabinet that named an employee of the center as an alleged perpetrator.

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, center procedure regarding child abuse and neglect reporting states that "In the event of a non-crisis situation involving suspected abuse/neglect, on-going in nature:1. The staff person detecting the suspected abuse/neglect shall talk with the director about her concerns. 2. A plan of action involving the director and the staff person will be written it shall include ongoing relevant documentation regarding suspected abuse/neglect. 3. The director shall call the Child Abuse Hotline and report the supected case." Said policy is contrary to this administrative regulation and KRS 620.030 which requires that a staff person supecting abuse or neglect, that person shall cause an immediate report to be made with the Cabinet. Director Requirements

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 of video surveillance recorded on 7/8/13, a staff member was observed pulling a two year old child by one arm as child was on her knees, staff member pulled child several feet across the tiled floor in this manner causing child to cry. Programming

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, boys' bathroom in PreK failed to have an operating hand dryer and paper towels were not provided.

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 caregiver in the Infant #2 side A room failed to immediately wash her hands after changing a diaper. The caregiver then proceded to assist a child to the floor and handed a pacifier to another child.

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 play ground failed to be free of litter.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the first and last names of six enrolled children were posted on the door of the infant room, identifing the children as having expired immunizations.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center's written procedure of reporting abuse and neglect failed to meet the requirements for KRS 620.030. 195 - Requirements for Nontraditional Care Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 4 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 2. Child Care Services. (11) If nontraditional hours of care are provided: (a) Including time spent in school, a child shall not be permitted to spend more than sixteen (16) hours in the child-care center during one (1) twenty-four (24) hour period; (b) At least one (1) staff member shall be assigned responsibility for each sleeping room; (c) A child present for an extended period of time during waking hours shall receive a program of well-balanced and constructive activity that are developmentally appropriate for the child; (d) A child sleeping three (3) hours or more shall sleep in: 1. Pajamas; or 2. A nightgown; (e) If a child attends school from the child-care center, the child shall be offered breakfast;

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, for all staff members present in the personnel binder, it could not be determined if the criminal records check (CRC) had been completed on the first day of hire for the following ten staff members: a staff member with hire date of 09/24/2012; a staff member with a hire date of 08/08/2012; two staff members with a hire date of 01/08/2013; a staff member with a hire date of 12/18/2012; a staff member with a hire date of 05/10/2012; a staff member with a hire date of 04/01/2013; a staff member with a hire date of 10/29/2012; and two staff members with a hire date of 08/24/2012. Further review revealed the child abuse and neglect (CAN) check had not been submitted within five business days for two staff members with a hire date of 08/24/2012 and a staff member with hire date of 10/29/2012.

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, crib matresses were altered in an angled position without physician approval.

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, one bolt connecting the black surround of the toddler playground was not flush and was sticking out from the surround, approximately 3 inches.

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, the sheets failed to be tight fitting in the cribs in Infant Room B and Infant Room A.

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, rips and tears were present on multiple mats throughout the center.

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, bumbo seats present in Infant Room A and Infant Room B are recalled items and failed to meet manufacturing guidelines for the product.

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, a written policy for ensuring staff duties for transporation was not availble.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the center did not have a written safety procedure for maintaining adequate supervision when transporting children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, a pre inpsection of the center's van was not completed prior to a field trip taken 08/15/2012.

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, present in ten children's files, a child with an enrollment date of 08/01/2012 did not have emergency contact information listed.

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, orientation procedure failed to specify that child care staff will implement what they have learned during orientation training.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the center did not post information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897.

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, hand washing techniques failed to be posted in the school age girls and boys sinks, room 3B, and 2B. Diapering procedures failed to be posted in 2B, Toddler A, and 3B. 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 7

General: Based on observation, the medication box located in Toddler A room revealed a small bottle of infant/child nasal drops that had an expiration date of 3/12. Outdoor Play Area - Staffing Requirements 117 - Cooking/Cleaning Staffing 922 KAR 2:110 - Section 4 (1) (k) Assure that additional staff are available during cooking and cleaning hours, if necessary, to maintain staff-to-child ratios pursuant to 922 KAR 2:120; 1) Cooking In Compliance 2) Cleaning In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 22 of 40 Web site: http://chfs.ky.gov/ Inspection Report 135 - Adequate Adults/Qualified Staff 922 KAR 2:110 - Section 5 (10) The minimum number of adult workers in a child-care center shall be sufficient to ensure that: (a) Minimum staff-to-child ratios in accordance with 922 KAR 2:120 are followed; (b) Each staff person under eighteen (18) years of age and each student trainee are under the direct supervision of a qualified staff person who meets the requirements of this section; and (c) Unless providing care with a qualified staff person, a person under the age of eighteen (18) shall not be counted as staff for the staff-to-child ratio. 1) Ratio Compliance In Compliance 2) Under 18 directly supervised In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.