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

General: Based on observation, the ceiling-mounted vents in the blue and pink restrooms contained an accumulation of dust.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the outdoor play area revealed that an uncovered sand/water table contained an accumulation of unfiltered, murky rain water. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 16 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, the water temperature of the handwashing sink in the Infant classroom measured only eighty (80) degrees Fahrenheit.

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 staff in the Preschool classroom failed to ensure that a child washed their hands after eating an apple.

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, two (2) cribs in the Infant classroom were equipped with mattresses which bent and folded easily when lifted, indicating that they were not firm.

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, an accumulation of a flaky, darkly-colored substance was present beneath the glass shelf in the kitchen hallway refrigerator.

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 Drink Requirements for All Child-Care Centers.

General: Based on observation, a preschool-aged child walked throughout the Preschool classroom while eating an apple.

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 results of a negative tuberculin (TB) test or a statement from a healthcare professional verifying that a staff member (DOH 03/16/23) was free from active TB were not presented for review upon request.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 10/16/2024 AND AS OF 10/29/2024, 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 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Documentation verifying that a staff member (DOH 11/20/23) had completed training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request. 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: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) It could not be determined if a staff member (DOH 09/01/10) completed fifteen hours of cabinet-approved annual training during the 2023-2024 review period. 2) It could not be determined if a staff member (DOH 04/28/23) completed fifteen hours of cabinet-approved annual training during the 2023-2024 review period. 3) It could not be determined if a staff member (DOH 12/16/19) completed fifteen hours of cabinet-approved annual training during the 2023-2024 review period. These findings were based on a review of ECE-TRIS. 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: Observation of the Infant classroom revealed that cobwebs and dust accumulations were present around the electrical box.

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 following was found: School-Age Room: 1) The red wall contained several small areas of damaged drywall and peeling paint. Blue Restroom: 1) The wall near the commode contained a large area of peeling paint. 2) Sections of the wall near the baseboards contained areas of damage, which created holes behind the commode and beneath the sink.

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 water temperature of the handwashing sink in the Infant classroom measured seventy-eight (78) degrees Fahrenheit, failing to reach minimum required temperature of ninety (90) degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 faucet system, installed in the Infant room's handwashing sink, was partially detached, creating difficulty when turning the knobs to engage the water. 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 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 10/31/2023 AND AS OF 11/08/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 and interview, the thermometer inside the kitchen’s freezer displayed a temperature of sixty-two (62) F. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. The children's files with enrollment dates of 05/26/2023, 03/30/2023, 09/19/2023 did not contain the contact telephone number for the child's preferred hospital. 2. Files of the children with enrollment days of 03/30/2023 and 03/05/2018 did not contain the child's preferred family physician and the contact telephone number for the child's preferred family physician. 3. The child's file with enrollment day of 03/05/2018 listed Kosair Children's Hospital as the child's preferred hospital; Kosair Children's Hospital is no longer in existence. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 07/26/2023 AND AS OF 07/27/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Interview with a staff member revealed on cold and rainy days the children are put into a staff member’s personal vehicle and taken to the end of the parking lot adjacent to the road where the children board a school bus. Review of DRCC documentation revealed that the child care center did not have approved transportation services on the day of the inspection. Therefore, the children were being transported before a change of notification was approved by the cabinet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance

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: Observation of the toddler room revealed two (2) one-year-olds, eight (8) two-year-olds and two (2) three-year-olds in the classroom. Interview with a staff member verified the children were combined for more than an hour. Premises In Compliance Transportation In Compliance Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the hot water temperature registered seventy (70) degrees Fahrenheit at a handwashing sink in infant room, and at the handwashing sink in the preschool room. The hot water did not register at the handwashing sink in the school age room. Interview revealed the hot water was turned down because the hot water was too hot. Hygienic Practices 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 a review of documentation, the center’s liability insurance on file was effective until 06/01/22.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 09/06/2022 AND AS OF 09/15/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A caregiver hired 01/12/22 did not complete six (6) hours of cabinet approved orientation training within the first three (3) months of employment. 2) A caregiver hired 09/01/2020 and a caregiver hired 12/16/19 each completed twelve (12) hours of annual training between July 1 and the following June 30 of a subsequent year 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 3. General Requirements.

General: Based on observation, the following was found: 1) Six (6) children did not wash their hands with liquid soap and warm running water after they ate breakfast in the school age room. 2) A toddler child did not wash her hands with liquid soap and warm running water after she ate breakfast in the infant room. 3) Six (6) preschool children did not wash their hands with liquid soap and warm running water after they painted in the preschool room. 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 3. General Requirements.

General: Based on observation, a caregiver did not wash her hands with liquid soap and warm running water before she diapered an infant child in the infant room. 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, an accumulation of weeds and grass had grown through the mulch in the area where the large dome climber was located on the playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) Rust was on the metal bars of a four (4) seat teeter-totter on the outdoor playground. 2) Several pieces of splintered wood and broken pieces of wood were on the floor of an iron school bus on the outdoor playground. 3) Two (2) smoke detectors continuously chirped in the hallway and in the school age room. Interview revealed the batteries did not work properly and needed to be replaced. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a bottle was not individually labeled in a refrigerator in the infant room. Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 interview and review of documentation, the center did not use the daily attendance records that are required in accordance with 922 KAR 2:160, Section 13 for children who received child care assistance. Interview revealed the center used an APP on the cell phone to document each time the child arrived and departed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview, the center did not conduct a shelter-in-place or lockdown drill in the third and fourth quarters of 2021 and the first quarter of 2022. Posted Documentation 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 8. General.

General: Based on review of documentation and interview, the statement of deficiencies and plan of correction for the current licensure year were not posted. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 05/13/2021 AND AS OF 05/28/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory requirements. Observation in the Infant room revealed a wooden cubby unit with the bottom shelf on the floor. One of the cubbies contained a plastic bag which was accessible to the crawling infants in the room. Additionally, an insufficient amount of mulch in the outdoor play area resulted in multiple areas where the ground covering was exposed and curled creating a tripping hazard. 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 interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. A review of staff files failed to reveal an assessment of each staff person's interaction with children in care and classroom performance though an annual written performance evaluation for staff members with hire dates of: 12/16/19, 10/16/19, 1/6/2020,1/9/19 and 3/15/19. Interview with the staff in charge revealed the evaluations were not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee files. A review of documentation failed to reveal educational requirements for a staff member with a hire date of 3/15/19. Interview with staff in charge revealed the document was not available at the time of the survey

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records. A review of staff files and an ECE-TRIS report failed to reveal verification of a completed PAHT training for staff members with hire dates of: 1/6/2020, 1/9/19 and 12/16/19. Interview with staff in charge revealed the documentation was not available at the time of the survey. Additionally, staff members with hire dates of: 10/16/19, 1/9/19 and 1/6/20 failed to have documentation revealing completion of orientation training. 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 5. Infant and Toddler Play Requirements.

General: Based on interview and review of documentation, the child care center failed to maintain regulatory programming requirements. Interview with staff revealed children in the Preschool room ranged in age from 2 years to 5 years. Observation revealed the 2 year old child remained with the older children for more than one (1) hour. A review of documentation failed to reveal a transition plan for the two year old child. Interview with the staff in charge revealed a transition plan had not been arranged and signed by the parent.

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 regulatory programming requirements. Observation in the Infant room revealed four (4) cribs with loose fitting sheets. The sheets did not fit the mattresses. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed a shelving unit containing 3 cans of Lysol Disinfectant, Febreeze Air Freshener, Bissel Odor Eliminator, and Odor Ban, all containing the warning to Keep Out of the Reach of Children. The unit sits in the room where the Girls and Boys bathrooms are located, making the chemicals accessible to all children using the bathrooms. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation in the Toddler room, a red and blue plastic covered mat was torn in multiple areas revealing the foam padding. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory food service requirements. Observation in the Infant room revealed a small refrigerator with a thermometer which read 80 degrees. The refrigerator displayed frost on the interior, therefore the measuring device was not recording the temperature accurately. 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 interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation failed to reveal a written evacuation plan in the event of a fire, natural disaster or other threatening situation which may pose a health or safety hazard for a child in care in accordance with KRS 199.895 and 42 U.S.C. 9858c(c)(2)(U). The plan submitted for review was dated 1/8/2020. Interview with the provider revealed an annual written plan had not been submitted for 2021.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain written documentation. Observation revealed 15 children in attendance at the time of the survey. Staff in charge stated after looking at her phone that only 2 children had been signed into the center on the Bright Wheel app. The daily attendance retrieved from the Bright Wheel app was not consistent with the number of children observed. Also there were no arrival times listed for the children who had not been signed in on the app.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation. A review of staff records failed to reveal a written plan for child care staff professional development. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.

General: Based on observation, the child care center failed to comply with emergency regulations as stated in 922 KAR 2:415e. The emergency regulation states that all adults entering into the facility must be screened for fever. Observation failed to reveal the surveyor's temperature was taken prior to entering the facility. Additionally the regulation states that machine washable toys shall not be used. Observation in the Toddler room revealed doll bedding, and miscellaneous machine washable items. The regulation also states that each adult shall wear a facial covering while in the center. Observation revealed staff members wearing facial masks under the nose or chin, repeatedly.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the school age room revealed a smoke alarm that was chirping, indicating the device needed repair. Interview with the staff in charge confirmed the item was in need of repair or replacement. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the kitchen revealed light bulbs not shielded or shatterproof and there were light bulbs not shielded or shatterproof in the back of the preschool room as well. Interview with the staff in charge confirmed the bulbs were not shielded or shatterproof.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the vent cover located in the ceiling of the pink bathroom (closest to the school age room); the vents in the pre-school room and the vent in the back of the two (2) year-old room next to the blue wall, revealed that they were dirty and covered in thick dust. Also there was a piece of paint about two (2) inch by (2) inch in size, coming off of the wall in the school age room (next to the door) that was in need of repair. Outdoor Play Area In Compliance Equipment In Compliance Food Service In Compliance Written Documentation In Compliance Posted Documentation In Compliance Emergency Regulation 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: Observation of the Preschool Room on 8/5/2020 from 9:30am-9:50am revealed a staff member with hire date 7/20/2020 working alone caring for four (4) children ranging in age from three years old through five years old. Review of the presented employee records revealed that the staff member did not have a completed abuse and neglect check (CAN). Upon request, the staff member in charge did not present a completed abuse and neglect (CAN) for the aforementioned staff member at the time of the survey. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the Preschool Room on 8/5/2020 from 9:30am-9:50am revealed a staff member with hire date 7/13/2020 working alone caring for four (4) children ranging in age from three years old through five years old. Review of the presented employee records revealed that the staff member did not have a completed abuse and neglect check (CAN). Upon request, the staff member in charge did not present a completed abuse and neglect (CAN) for the aforementioned staff member at the time of the survey. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: There was a hole in a ceiling tile located in the Infant Room at the time of the survey. The pink paint located in the School Age Room was chipped in several areas at the time of the survey.

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: The toilet inside the Bathroom located by the kitchen was not secured to the floor at the time of the survey. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented children’s records revealed two (2) children with enrollment dates 11/6/19 and 1/9/19 whose file did not contain a current immunization certificate. Upon request, the staff member in charge did not present a current certificate for the aforementioned children at the time of the survey.

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: Review of the presented children’s records revealed a child with enrollment date 1/24/2020 whose file did not contain the name of the child’s physician. Review of the presented children’s records revealed a child with enrollment date 11/6/19 whose file did not contain general health status and medical history including allergies if applicable. Upon request, the staff member in charge did not present the documentation for the aforementioned child at the time of the survey. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Upon the surveyor's arrival at the center on 9/13/19, all thirteen (13) children present were observsed to be in the Infant Room, supervised by two (2) staff members. Interview with staff members revealed the children ranged in age from two (2) months to four (4) years old. This exceeds both the staff-to-child ratio requirement of five (5) children to one (1) staff member, as well as the group size requirement of ten children, based upon the age of the youngest child present. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 11/14/2019 AND AS OF 12/28/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Programming In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 09/02/2019 AND AS OF 11/21/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 12/06/2019 AND AS OF 01/11/2020, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of faxed documentation revealed that a written agreement/contract with Miller Transportation was not included. Upon request, the owner did not present a written agreement/contract with Miller Transportation at the time of the survey. Although the owner indicated that the documentation would be submitted for review electronically, as of the issuance of this report no such documentation was received.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain background checks in accordance with regulatory requirements. A review of staff files and a KARES report revealed staff with hire dates of 02/05/19 and 12/04/15 failed to submit the background checks required in accordance with this administrative regulation. Interview with the staff in charge revealed the documentation was not available at the time of the survey. The staff member with a hire date of 12/04/15 was observed working alone in the infants' room for an undeterminable amount of time. The staff member with a hire date of 02/05/19 was observed working with the aforementioned staff member in the infants' room for an undetermined amount of time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain background checks in accordance with regulatory requirements. A review of staff files and a KARES report revealed the process for obtaining background checks had not been initiated on staff members with hire dates of 12/04/15 and 02/05/19. Interview with staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, interview, and observation, the child care center failed to maintain background checks in accordance with regulatory requirements. A KARES report and a review of staff files revealed fingerprint submissions for staff members with hire dates of 12/04/15 and 02/05/19 had not been submitted. Interview with staff in charge revealed the documentation was not available at the time of the survey. Observation revealed the aforementioned staff members worked with children at the time of the survey. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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 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 02/05/19, 12/04/15, and 02/04/19, did not educational documentation available for review. Interview with staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files and an ECE-TRIS report revealed employees with hire dates of: 4/17/16, 6/11/14, and 6/22/10, did not complete 15 hours of cabinet approved training. Additionally staff members with hire dates of 06/11/14, and 06/22/10 failed to have documentation verifying pediatric abusive head trauma training completed every five (5) years. Interview with staff in charge revealed the documentation was not available at the time of the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Infants' room revealed an accumulation of cobwebs in the corner of the ceiling beside the exterior door. Additionally, all of the rooms observed displayed multiple areas on the walls where paint had been removed and were in disrepair.

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 revealed numerous light fixtures with non-working bulbs resulted in the center being poorly lit. 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 the outdoor play area in accordance with regulatory requirements. Observation revealed several rusty metal rods, approximately 12 inches long, were on the ground by the play equipment. Also a long, tubular metal bar, approximately 8 feet long, used at the top of a chain link fence, was on the ground in the outdoor play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation revealed the lack of ground covering underneath the slide and climbing structure. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation revealed five cribs did not have a firm mattress. Observation revealed foam mats, approximately 1/2 inch thick were used in the cribs. The sheets on the mats failed to fit properly causing the corners of the mats to curl inward and upward which prevented the mat from lying flat. Additionally, a crib was observed to contain a large mat over the top of a mattress which contained tears and rips in the plastic covering.

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 Infants' room revealed an extremely soiled pink, stuffed chair, and a beige swing.

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 of the playground revealed a broken, plastic pink slide. A Little Tykes red, white, and blue basketball goal was not assembled. A child's plastic kitchen sink was in disrepair. A large, basketball goal failed to have a basket with a net. Additionally, a five (5) seat merry-go-round was observed to be in disrepair and was totally inoperable. Transportation Not Applicable Food Service/Food Program Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation revealed all children in the preschool room were served 1% milk with the lunch meal. Interview with the staff in charge revealed one (1) child in the room was less than two (2) years old. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the Infants' room revealed two (2) infants drank from a bottle while sitting in individual bouncy seats. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 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 8. Kitchen Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed two (2) bottles, in the refrigerator in the Infants' room, were not labeled with a child's name. 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 review of documentation and interview, the child care center failed to post documentation in accordance with regulatory requirements. A review of postings revealed the most current statement of deficiencies issued by the cabinet to the provider, and the plan of correction submitted to the cabinet by the provider were not posted or available for review. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to assure compliance with regulatory requirements. A review of documentation failed to reveal verification of current liabilitiy insurance. Interview with the staff in charge revealed the document was not available at the time of the survey. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. A review of documentation failed to reveal a copy of the most recent regulations for staff review. Further review revealed the regulations available for review were dated 2010. Interview with the staff in charge revealed the regulations were not available at the time of the survey. Also, the staff handbook contained information which was no longer pertinent or effective. Interview with staff in charge revealed the handbook needed to be revised. 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

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. A review of staff files revealed that staff members with hire dates of 06/11/14 and 09/06/16, failed to have documentation verifying a staff evaluation showing each staff member's assessment of their interaction with children and classroom performance had been conducted. Interview with staff in charge revealed the documents were not available for review at the time of the survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of documentation revealed that staff members with hire dates of 06/11/14, 03/12/14, and 12/04/15 failed to have verifying documentation revealing fifteen (15) hours of cabinet approved training had been received. An ECE-TRIS report also failed to verify the training had been completed and documented. An interview with the staff in charge revealed she was unable to present the documentation at the time of the survey. Additionally, the staff member with a hire date of 06/11/14 failed to have documentation verifying that pediatric head trauma had been received within the first year 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 in the Infant room revealed three (3) tiles which were broken and missing pieces in the area in which the infants/toddlers played. Also in the same area, approximately fifteen (15) multi-colored, rubber, puzzle mats were observed to be heavily soiled and unclean. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

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. Based on observation in the Infant room, nine (9) high chairs were observed. Five (5) of the chairs failed to contain the safety belt in the chair as designed by the manufacturer, as evidenced by the slits/holes in the chairs. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation in the kitchen failed to reveal any type of ventilation to outside air. Interview with the staff in charge revealed she was unaware of the ventilation requirement. 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 the children's records in accordance with regulatory requirements. A review of documentation failed to reveal verification of a current immunization certificate for a child. Interview with the staff in charge revealed the document was not available at the time of the survey.

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, and interview revealed the child care center failed to maintain the children's files in accordance with regulatory requirements. A review of documentation failed to reveal written permission from a child's parent for designated individuals to allow pick up or emergency contacts. An interview with the staff in charge revealed the documentation was not available at the time of the survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on 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 a current emergency preparedness plan. The plan reviewed was dated 04/02/2014. An interview with the staff in charge revealed the document was not available at the time of the review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 9. Records.

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

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulatory requirements. A review of postings failed to reveal the most current statement of deficiencies issued by the cabinet and the most recent plan of corrections submitted to the cabinet by the center, for the current licensure year, posted in a conspicuous place and made available for public inspection. An interview with the staff in charge revealed the documents were not available at the time of the survey. 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, the child care center failed to comply with regulatory requirements in regards to minimum staff to child ratios and maximum group sizes. Observation of the big classroom revealed thirteen (13) children, with the youngest child being one-year-old, in the care of two (2) staff members. At the time of observation the minimum number of staff workers was not sufficient to ensure minimum standards for staff-to-child ratios. Additionally, the center exceeded the maximum group size for groups of children that include a child as young as one-year-old. 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: ratio. Open / not marked corrected.

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

General: Based on interviews, it was determined that a child was placed in time out by a staff member as a form of discipline for not eating breakfast. Further interview revealed that the same child was not provided with a change of clean clothing after the child had soiled their clothing at an outside field trip event. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the child care center failed to comply with regulatory requirements regarding discipline. A child was made to stand in 'time out' for crumbling and refusing to eat the pop tart that was served to him. Therefore, the child received discipline that was associated with food. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the child care center failed to comply with regulatory hygienic practices. A child was not provided with clean clothing after soiling his/her pants while at an off-site field trip. The child’s shorts that were soiled with urine and feces were washed out with water, dried by a hand blow dryer, and returned to the child to wear for the remainder of the day

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 center failed to comply with staffing requirements. In the infant room there were six infant and toddler children with one staff member, exceeding the minimum staff-to-child ratio by one child. In the preschool classroom there were eleven children ages two and three-years-old with one staff member, exceeding the minimum staff-to-child ratio by one child. In the preschool classroom there were twenty-five children ages toddler to four-years-old exceeding the maximum group size for toddlers by thirteen children. General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 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 Review of Documentation, and interview the director failed to assure compliance with regulatory requirements. Upon request documentation of only one staff meeting in the previous year was presented by the director.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, interview and review of documentation, the center failed to comply with regulatory programming requirements. Staff members and staff schedule stated that lunch was to be served at 11:00 a.m.; however, lunch was not served until approximately 11:25 a.m.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview the director failed to assure the health, safety and comfort of all children in care. In the kitchen there was a metal bracket protruding from the wall approximately three feet from the floor, accessible to the children in care. There was one outlet cover missing in the playroom and two were missing in the infant room under a table, accessible to chldren. Two infant room cribs contained mattresses with the original protective plastic covering still on the the mattress, interview with the infant room staff member revealed that the two cribs with these mattresses are used by children for resttime. The plastic covering used during shipping on the mattress contained the following statement "WARNING! to avoid danger of suffocation, keep this plastic bag away from babies and children. Do not use in cribs, bed, carriages or play pens." In the infant room a fan was observed on a high shelf with the electrical cord hanging in the corner of the infant room, accessible to the infants next to a toy basket. The fan failed to be secured to assure that it could not fall if an infant or toddler had pulled upon the electrical cord. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the center failed to assure background checks were completed on all staff members. Upon request, a criminal records check and child abuse and neglect check nor proof of checks being requested was not presented for a staff member identified as a center cleaner hired 10-15-16 who is present at the center during hours of operation.

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 center failed to maintain a personnel file on all staff members. Upon request, a personnel file for a staff member hired 10-15-16 identified as a cleaner that is present during center operating hours, was not presented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 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 center failed to assure all staff members had current TB verification. Upon request TB verification for a staff member hired on 10-15-17 and presented as a cleaner was not provided.

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 center failed to maintain employee records in accordance with regulatory requirements. Upon request, documentation for CPR coverage was presented; however, there was not any documentation for First Aid covererage. There are no staff members currently employed at the center that have current First Aid Certification. The center offers transportation and utilizes two drivers and neither driver is certified in First Aid. Interview with American Heart Association, the provider of the CPR certification class for the center staff, confirmed that the documentation presented for review at the time of survey did not include First Aid Certification.

Open Not marked corrected in the state record

Category: health medication. 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 center failed to maintain employee records in accordannce with regulatory requirements. Upon request, verification of 15 hours of cabinet approved early childhood education training hours was not presented for three staff members. Upon request verification of compliance with Pediatric Abusive Head Trauma training was not provided for a staff member hired on 6-11-14. 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 2. Child Care Services.

General: Based on Observation and interview, the child care center failed to comply with regulatory programming requirements. At 10:50 a.m. infants and toddlers were observed sitting at the table and in highchairs waiting to be fed. Per interview with the classroom staff, the staff member stated that the children would be eating lunch at 11:00 a.m.. At 11:15 a.m. the children were observed to be crying, upset, not eating and continuing to be seated at the table or in their high chairs. Children were not provided with any programing or other activity. Infants and toddlers waited in excess of twenty minutes with no programing or activity as they waited at the table for lunch. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 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 3. General Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements regarding inaccessible items. Hand sanitizer was accessible to children on the director's desk and Sesame Street Baby Lotion was on a shelf in the Preschool classroom. Both items were accessible to children and indicate on the label "Keep out of reach of children." In the infant room, there are plastic grocery bags in a drawer of the changing table accessible to the toddlers in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatatory requirements. There were three smoke detectors chirping indicating that they were not properly functioning to detect smoke. The school age room was also being used to store non-programming items that was interfering with the space the school age children could be using for activities, thus making part of the school age classroom a storage 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 4. Premises Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance tih regulatory requirements. One florescent light bulb in the dining area failed to be shielded or covered.

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 review of documentation, the center failed to maintain the premises in accordance with regulation. Ten children were in the classroom identified as the preschool classroom. Review of Division of Regulated Child Care records revealed that this classroom has the measured capacity for seven children to be present in the classroom and maintain 35 square feet per child. Twenty-five children were in the room identified as the play area, review of Division of Regulated Child Care records revealed that this classroom has the measured capacity for twenty children to be present in the classroom and maintain 35 square feet per child.

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 center failed to maintain the premises in accordance with regulatory requirements. In the kitchen/children's dining area entryway the threshhold was uneven and a tripping hazard. The walls were buckled in the children's eating area off of the kitchen causing the walls to not be smooth. The kitchen drop ceiling was drooping/bowed and failed to be smooth and easily cleaned. The tile floors in the infant room were not smooth and easily cleaned. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the center failed to comply with hygienic practices in accordance with regulatory requirements. A staff member in the infant room failed to wash her hands after a diaper change. She went and prepared an infant's bottle immediately following the diaper change.

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, the child care center failed to comply with hygienic prectices in accordance with regulatory requirements. The lid for the diaper garbage can was not on the garbage can, it was in the garbage can.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. A staff member failed to sanitize the diaper changing mat after a diaper change.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, the center failed to comply with hygienic practices in accordancew with regulatory requirements. Infant room staff teacher stated that the toys in the infant and toddler class that have been mouthed are washed almost daily by staff members spraying the toys with a bleach solution sprayer and using a rag to wipe them down. 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. Protective surface was not an approved protective surface under a climbing and sliding structure. There was not any approved protective surface under and around a climbing and sliding structure. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview the center failed to maintain compliance with regulatory requirements regarding infant bedding. Five cribs in the infant room failed to have tight fitting sheets. The director stated an awareness of the sheets not being tight fitting. A crib contained a mattres that was not firm as the sheet caused the mattress to curl up and not fit the entire crib, leaving gaps at the edges and corners of the crib.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The right rear turn signal and break light were not functioning at the time of the survey, this was determined with assistance from the director. A fan on a high shelf in the infant room was dirty and covered with dust buildup.

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 outdoor equipment in accordance with regulatory requirements. A plastic toddler basketball goal was broken exposing sharp plastic edges. An adult sized basketball goal failed to have a hoop, net or ball and was completely unusable as it was intended as a basketball hoop. A partially deflated ball was observed in the grass. Five tri-cycles were in a circular piece of equipment and one bike was missing one pedal. Numerous dismantled toys were strewed about the yard and leaning against a building inside the playground. 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 Review of Documentation, observation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Documentation of daily inspections for the vehicle presented by the director on April 13, 2017 indicated that the daily inspections had been pre-filled for the week of April 17, 2017 to April 20, 2017 as opposed to the daily inspections being conducted on a daily basis per regulation. Daily inspection sheets indicated compliance with all operating equipment; however, upon examination of the vehicle the rear right turn signal and break light failed to be in working condition and this failed to be indicated on the daily inspection logs. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Canned food was stored on the floor. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the center failed to comply with food service posting requirements. Center menu was posted and was not dated. Director stated that they use a rotating menu with weeks one thru four for the month; however, the menu was posted as week one and it was the second week of the month and did not contain any dates. 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. Upon request emergency authorization for one child, preferred hospital for two children and medical information for three children was not provided upon request.

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 center failed to maintain children's records in accordance with regulatory requirements. Upon request written permission signed by the child's parent for transportation provided by the center was not provided for three children that had been transported in the center van the week of the survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the center failed to maintain written documentation in accordance with regulatory requirements. Review of daily sign in and sign out attendance records revealed that on April 12, 2017 three children failed to be signed in to care at the center and on April 11, 2017 three children failed to have been signed out of the center. Several parents had signed the attendance logs for the week prior to the completion of the week as they were signed on or before Wednesday, April 13, 2017, prior to the end of the day and prior to the children being signed out for the day.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and interview, the center failed to maintain written documentation in accordance with regulatory requirements. Upon request, annual professional development plans were not presented for three staff members hired on 9-6-16, 3-24-16 and 12-4-15. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report

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 center failed to assure regulatory compliance with required drills. Earthquake and tornado drills for the entire year were not presented upon request.

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 center failed to assure regulatory compliance with required drills. Fire drills for the entire year were not presented upon request.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the center failed to assure compliance with a written orientation procedure. Upon request, the director did not present a complete orientation procedure that indicated that the procedures taught at the cabinet approved orientation training would be implemented in the classroom by center staff. 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 12. Transportation.

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request the childcare center director did not present for review verification that the staff members with the hire dates of 06/14/2016 and 09/06/2016 had an updated annual check of the Kentucky driver history record in accordance with KRS 186.018; or a driver’s history records through the state transportation agency that issued the driver’s license. The documentation presented revealed the last check was conducted 03/17/2014. 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 regarding transportation. Based on interview and written documentation it was revealed inconsistent information was provided regarding the number of children transported on 10/14/2016. Interview with the director revealed ten (10) children were on the vehicle identified as van # 1. Additional interviews and documentation revealed there were nine (9) children transported on van # 1. The ages of the children were confirmed by reviewing enrollment records to be four years old or younger. Interview revealed two (2) of the children were identified as being placed in car seats; therefore, at least seven (7) children under the age of four years old were not transported in the appropriate car safety seats that meet the federal and state motor vehicle safety standards. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

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 regarding transportation. Based on interviews it was revealed that one (1) staff member with the date of hire of 09/06/2016 transported ten (10) children in one (1) van with no additional staff. Review of enrollment records for all ten (10) children who were transported together in one van revealed that all ten (10) children were between the ages of two and four years old. Therefore the driver transported more than four (4)children under the age of five to the field trip. Interview revealed seven (7) additional children were transported in a second vehicle; however, the ages of those children were not confirmed.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director the child care center failed to maintain children’s records in accordance with regulatory requirements. The childcare director was unable to present for review an enrollment record for the child identified on the daily attendance record for the child who had been signed in at 08:03 a.m. and then signed out at 06:00 p.m. on 06/01/2016, containing identifying information, contact information, family physician, preferred hospital, the child's general health status and medical history, the name of a person designated to pick up child and authorization for medical emergency. Based on interview with the director the child had attended on 06/01/2016; however an enrollment packet had not been completed.

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 comply with regulatory staffing requirements. Observation in the Preschool Room revealed fifteen (15) children ages two (2) through four-years-old supervised by one (1) staff member as the second staff member was observed stepping out of the room at 2:40 p.m., in addition to several other times throughout the inspection. Continued observation in the Preschool Room revealed one (1) staff member supervising children ages two (2) through four-years-old (4) while the second staff member took several children to change diapers and use the restroom, leaving the remainder of the children out of her scope of vision. The children were observed returning to the room one at a time at 2:44 p.m., adding to the number of children being supervised by one (1) staff member in the classroom. The returning children created changing ratios of up to one (1) staff member to fourteen (14) children at one (1) point during the observation.

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, review of records and interview, the child care center director failed to assure compliance with regulatory requirements. Observation revealed two (2) staff members with the hire dates of 12/4/15 and 3/14/16 working in the Infant and Toddler Room with eight (8) infants and toddlers throughout the duration of the inspection. Review of employee records revealed that the employees with the hire dates of 12/4/15 and 3/4/16 failed to have documentation of a criminal records check that had been completed upon rehire. Interview with the director revealed that she had been unaware that the criminal record check had to be re-submitted upon rehire and that a current criminal record check was not available for review for either of the identified employees. Based on observation, review of records and interview, the child care center director failed to assure the individuals acting as caregivers of children in care were not left alone without an adequate qualified staff member until the results of the criminal record checks were received.

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 records and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation revealed two (2) employees working together supervising eight (8) children in the Infant and Toddler Room throughout the duration of the inspection. Review of records revealed that the employees identified in the Infant and Toddler Room were hired on 12/4/15 and 3/14/16. Continued review of the employee records revealed that both identified employees failed to have a criminal record check presented for review. Interview with the director revealed that she was unaware that a new criminal record check had to be submitted upon rehire; therefore current criminal record checks for both individuals were not available for review at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed that the individual identified as the van driver had a criminal record check returned with a conviction for a drug felony on May 10, 2011. Interview with the director revealed that the individual was hired on 11/2/15 and had not been discharged from employment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee files revealed that an employee with the hire date of 3/12/14 failed to have documentation presented to verify that the individual had completed a high school diploma, a GED or a Commonwealth Child Care Credential. Continued review of records revealed that the only documentation available for review was a letter stating that the individual was a student was in good standing in 2014. Interview with the director revealed that the documentation was unable to be located for review at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee files revealed that the employee identified as the van driver had a criminal record history including a felony drug charge within the previous five (5) years. Interview with the director revealed that the documentation had not been reviewed and she was unaware of the requirement regarding felony drug convictions. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with regulatory requirements relating to first aid. Observation of the first aid supplies revealed that the cardiopulmonary resuscitation (CPR) mouthpiece protector was not present. Interview with the director revealed that the CPR mouthpiece protector had gotten wet during a flood and had not yet been replaced.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator located in the Infant and Toddler Room revealed a gallon of whole milk dated 3/12/16. Olfactory observation of the milk revealed a spoiled, sour aroma. Interview with the staff revealed that the milk, failing to be free from spoilage, had been served on the day of the inspection to the toddlers in care.

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 records, the child care center failed to maintain written records in accordance with regulatory requirements. Observation of the child care center revealed twenty-five (25) children in attendance during the walk through inspection. Review of attendance documentation revealed twenty-four (24) children signed into care with one (1) child signed out later in the day than the time the record was reviewed. Based on observation and review of records, one (1) child failed to have their attendance, with time of arrival documented on the day of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of 2016 fire drills revealed zero (0) children were documented as participating with one (1) adult during the January and February drills. Interview with the director revealed that the regulations did not specify how many children had to participate so she was not aware that children had to participate. Review of the definition of drill according to Merriam Webster revealed, “an activity in which people practice leaving a place quickly so that they will know what to do if there is an emergency”.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, the childcare center failed to comply with regulatory programming requirements. Interview with a staff member and a parent revealed a two-year-old child was placed in the Infant Room with infants and toddlers for more than one (1) hour per day on a regular basis.

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 child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the Cafeteria bathroom revealed two children (a boy and girl) out of the scope of vision of the two (2) staff. The surveyor started a stopwatch, which revealed two (2) minutes thirteen (13) seconds children were in bathroom alone. The children were washing their hands the little girl had finished washing hands, stepped down off step stool, then ran her hands around the rim of the toilet (the toilet seat was up), she proceeded to her chair to sit down to eat lunch at which time the surveyor intervened to have child rewash her hands.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to comply with staffing requirements. Observation in the Community room revealed the toddler and three- and-four year old classrooms to have combined fourteen (14) children with two (2) staff members. One (1) staff member left the room taking three (3) children with her at 11:01 to the bathroom. At that time one (1) staff was caring for eleven (11) children. At 11:02 one (1) of the children returned to the Community room then at 11:03 another child returned to the Community room revealing one (1) staff member caring for thirteen (13) children alone. 11:04 the second staff member returned to the Community room with the other child. Interview with staff member revealed that the youngest age child was two (2) years old.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. Review of documentation failed to reveal documentation from the local authority showing compliance with local zoning requirements 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 6. License Issuance.

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. Review of documentation failed to reveal a Fire Marshal report at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the Community room revealed an electrical plug by the book shelf to not be covered. Observation in the Infant classroom revealed three (3) cribs that had mattresses with plastic still on them from the manufacturer. Observation in the Cafeteria, bathroom revealed that a child whom had washed her hands to then run her hands around the rim of the toilet (the seat of the toilet was up)then proceed to her chair to sit down to eat lunch. The surveyor intervened and told staff the child needed to wash her hands prior to eating

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed an employee hired 3/6/15 failed to have verification that a child abuse and neglect check had been submitted. In interview director revealed she was aware there was not a child abuse and neglect check in the employees file. Director stated the first child abuse and neglect check submitted was returned and has been resubmitted at this time. She also stated that the employee is never alone with 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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed an employee hired 1/15/15 did not have a high school diploma, GED, or Commonwealth Child Care Credential on file 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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that an employee hired 6/11/14 failed to have documentation to verify the completion of the six (6) hours of cabinet-approved orientation within the first three (3) months 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 12. Transportation.

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed an employee hired 8/12/13 listed as a van driver failed to have documentation of current driver’s license and annual driver’s history report on file at the time of the survey. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Community room revealed a box with Lysol cleaning wipes to be in a box sitting on the floor beside the blue table, causing the item to be accessible to children. Observation in the Infant classroom revealed hand sanitizer to be on the sink within reach of the children. Observation in the Cafeteria revealed a shelving unit with hand sanitizer on a low shelf within reach of children. Observation in the School Age classroom revealed hand sanitizer to be on a shelf within reach of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Community room revealed one light to be out. Continued observation revealed one light to be dimly lit. Further observation revealed a light fixture on the right side of the room, close to the door to not be secured to the ceiling. Observation in the Infant classroom revealed a light, on the right side in the back of the room, started making a noise then went out during the survey, then came back on. This light went out and came back on three (3) times.

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 Community room revealed carpeting to be fraying exposing carpet fibers. Observation in the Infant classroom revealed carpet to be fraying with fibers exposed, causing the surveyor to trip in this area. Continued observation revealed a portion of carpet by the tile to not be secured to the floor, causing the surveyor to trip. Further observation revealed foam padding from under the carpet to be exposed under the electrical outlet by the baby swings. Observation of the ceiling revealed an intake vent not secured to the ceiling on the left side. Observation in the kitchen revealed two (2) ceiling tiles with brown stains. Continued observation revealed the teal wall to have some paint peeling. Observation in the Cafeteria revealed a wall panel in the area of the posted activity chart to not be secured. During lunch time one child pulled on the piece of the wall panel, which came out approximately three (3) inches from the wall. The child put their hand behind the wall panel. Continued observation revealed the baseboard to be missing on the back wall. Further observation revealed some small pieces of vinyl flooring to be missing. Observation of the bathroom off the Community room revealed the vinyl flooring to be ripped by the toilet. Observation of the bathroom off the Cafeteria revealed vinyl flooring to be pulled away from the wall on the left side by the toilet. Continued observation revealed vinyl flooring to have a rip in it.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Toddler classroom revealed children to have paint on their hands; staff member gave them a diaper wipe to clean the paint off. Continued observation revealed two (2) children to continue to have white paint on their hands.

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 in the Cafeteria at lunch time revealed a staff member helping children with hand washing to take the paper towels from two (2) children and dispose of them. In disposing of the paper towels the staff members hands were in contact with the garbage can. The staff member then put on gloves and served food to the children, failing to reveal the staff member washing hands before serving food.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and review of documentation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in the Infant classroom revealed five (5) cribs with two (2) mattresses in each bed. Continued observation revealed two (2) cribs that had a mattress that was ripped and torn exposing the interior materials.

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 the Infant classroom and Community room revealed rest mats with bedding on them stored in plastic bags to be spilling out of the bag and touching the bedding of other children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in the Infant classroom revealed cloth toys including blue toy elephant, brown dog, and teal dog to be soiled having brown spots on them. Observation in the Community room revealed dolls that have cloth bodies to be soiled with blue marker, and brown stains. Continued observation revealed two (2) high chairs in disrepair. One of the high chairs presented with a ripped vinyl seat exposing the absorbent inside material. The second chair had gray duct tape on the seat, which was worn and not secured exposing the back side of the tape causing it to be sticky to the touch. Observation in the Toddler classroom revealed a chalk board that was not in good repair. A child fell into the chalkboard causing it to fall over; the chalkboard did not have adequate number of screws to hold it together. Teacher set the chalkboard back up, another child just touched it and it fell down hitting the child. Interview with the director revealed she was aware that the screws to hold the chalkboard together were missing. Director stated the child care center had glued the chalkboards onto the legs due to the fact she thought screws were not allowed.

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 2011 E350 Ford van revealed the turning signals from the rear to not be in working order at the time of the survey. Continued observation revealed rear brake-lights to not be in working order at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the Infant classroom refrigerator thermometer registered fifty-one (51) degrees Fahrenheit at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the Cafeteria revealed six (6) cans of food (green beans and fruit) to be stored on the floor.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Observation of the child care center revealed twenty (20) children to be present. Review of daily attendance records revealed thirty one (31) children signed in.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interviews the child care center failed to maintain adequate supervision of preschool age children. Based on interviews it has been determined a two-year-old (ED: 9/8/14) was left unsupervised in the toddler classroom on 1/6/15 from 9:00am-9:15am. Based on interview it has been determined the aforementioned child (ED: 9/8/14) was walking behind a staff member and was not within scope of vision, causing the child to wander into the toddler classroom by himself. Upon arrival to the facility on 1/22/15 at 1:30pm a staff member (DOH: 11/10/14) let the surveyor into the facility. Observation of the community classroom at approximately 1:31pm revealed the staff member who answered the door was supervising thirteen (13) children ages two-years-old to three-years-old by herself. There was only two (2) staff present from 1:30pm-1:40pm; the other staff member was in the infant classroom. Interview with the director revealed the aforementioned staff member (11/10/14) should not have left the thirteen (13) children unsupervised to answer the door and stated that there is a door in the community classroom that staff have been instructed to use so that children will not be left unsupervised. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, and interview the child care center failed to comply with staffing requirements. Observation of the infant classroom on 1/22/15 at 1:30pm revealed one (1) staff member (DOH: 10/7/13) supervising six (6) children ages six-months-old to eighteen-months-old. Observation of the community classroom revealed one (1) staff member supervising thirteen (13) children ages two-years-old to three-years-old. The director arrived at the facility at 1:40pm and stated she was working in the community classroom prior to surveyor's arrival. Upon the surveyor leaving the facility at 2:25pm the infant classroom and community classroom remained out of ratio and the director was observed standing in the lobby and stated she is waiting on school buses to arrive.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, an Earthquake Drill was not completed during the fourth quarter of 2013. Posted Documentation

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, information on the Kentucky Consumer Product Safety Program and the program's website was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, toddlers and children ages two, three and four were served two percent milk for lunch.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the infant room at nap time, the preschool children were not spaced twelve inches apart on their mats.

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 posted documentation in the school age classroom, there were no activities planned for for music, dramatic play or blocks.

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 center failed to maintain minimum staff-to-child ratios. Based on observation from 8:04 a.m. to 8:12 a.m. there were 21 children ages one thru school age in the dining area of the center. Further observation revealed that there were three staff members present with the 21 children from 8:04 a.m. until 8:12a.m. when the school age children were transported to school. During this time period the center was over ratio by three children. At one point there was one staff member left alone with the 21 children for approximately one minute during this time frame. Further observation of the infant classroom revealed that from 8:22 a.m. to 8:25 two staff were with 17 children ages one thru age four, exceeding minimum ratios by five children. On two separate incidents for approximately one minute two staff members were left with 17 children ages one thru age four. On two separate occasions from 8:31 a.m. to 8:32 a.m. and 8:37 a.m. to 8:38 a.m. two staff members were alone with 18 children ages one thru age four. From 8:48 a.m. to 8:50 a.m. two staff members were alone with 19 children ages one thru four, exceeding miminum ratios by six. During the incidents of the third staff member leaving the classroom, the staff member would be taking or retrieving items from the kitchen or elsewhere in the center or taking children to the restroom. Based on observation in the infant room as the children were seated and waiting for lunch to be served, there were fifteen children ages infant thru age four with two staff members from 11:15 a.m. to 11:26 a.m. At nap time twenty one children were sleeping in the infant room. Based on observation there were two staff members in the infant room with twenty one children ages infant thru age four for two minutes. Based on review of DRCC records, this was previously cited on 5-18-12.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to notify the cabinet of a change in hours of operation prior to implementation. Based on review of daily attendance records, children are being signed into the center as early as 5:10 a.m. Review of staff schedule reveals that a staff member is regularly scheduled to arrive at the center at 5:15 a.m. Review of DRCC records reveals that the centers approved operating hours are 6:00 a.m. to 12:00 a.m.

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, staff members hired on 11-29-11 and 6-1-12 did not have a completed evaluation for the previous year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, at 11:15 a.m. the preschool class was seated in the infant room waiting for lunch to be served at 11:30, these children were not provided programing as they waited. The infants and toddlers were observed in the high chairs from 11:15 a.m. until 11:30 a.m. waiting for lunch to be served and were not provided with any age appropriate programming. Two toddlers became fussy and were crying and one infant fell asleep in her high chair from 11:26 a.m. until 11:30 a.m. when she had to be awakened by staff to eat.

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: 1.)Based on observation in the infant room, there were several children's coats piled on top of each other in a non-sanitary method. 2.)Based on observation in the school age classroom, there was a container of automobile oil and lighter fluid on a top shelf and a hammer and sharp wallpaper scrapper on the next shelf down. The hammer and wallpaper scrapper were easily accessible to the school age children. 3.)Based on observation in the multi-purpose room, the smoke detector had been detached from the ceiling where it had been wired in resulting in the loose wires hanging from the ceiling and the detached smoke detector was placed on a shelf unable to detect the presence of smoke or fire. 4.) To get to the outdoor playground, the children must walk next to an outdoor bar seating area. Observation of the ground where the children would be walking revealed numerous beer bottle tops, cigarette butts and broken beer bottle glass on the ground causing potential hazards for the children should they fall on the glass or bottle tops or put any of these items in their mouth. 5.) Four toddlers were observed to be sitting in their highchairs from 8:04 a.m. until 10:16 a.m. other than when they had their diapers changed. The children ate breakfast in the high chairs, waited for their peers to have their diapers changed and were provided some programming in the high chairs, however this was an excessive amount of time for toddlers to be confined to a highchair. 6.) Based on observation in the main hallway of the center, a candle was burning all day on a popcorn machine next to where the school age children put their belongings into crates attached to the wall. The candle could have been knocked over if the popcorn machine which is on wheels was bumped and burned a child with the fire or the hot wax.

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, a staff member hired on 12-5-13 did not have a high school diploma, GED or commonwealth child care credential available for review. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 29 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff member hired on 9-30-13 did not have a doument from a health professional indicating that the individual is free from active TB.

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 interview and review of documentation, the center failed to provide CPR and First Aid coverage while transporting children. Based on interview with director, a staff member hired on 6-27-13, transported children alone on the van on 3-10-14. Based on review of documentation, the staff member hired on 6-27-13 was not certified in CPR and First Aid. Based on interview and review of documentation, the center van does not have CPR/First Aid Coverage on days when the normal van driver hired on 8-12-13, has a weekly day off as staff members that do the van driving and monitoring on that day, hired on 6-27-13 and 9-1-09, do not have CPR or First Aid Certification. Based on review of documentation the center does not have CPR/First Aid coverage from 3:00 p.m. until 6:00 p.m. daily as one staff certified staff member leaves at 2:30 p.m. and the other certified staff member is doing van runs from 3:00 p.m. until 6:00 p.m. There are currently only two First Aid/CPR Certified staff members working at the center as the third staff member is on maternity leave. Also, based on review of documentation and interview, the director did not ensure that CPR and First Aid Certification cards were not altered or falsified. Based on review of CPR and First Aid Certification cards, the documents appeared to be altered as the dates were hand written in a blue ink different than the ink of the Authorized Instructor on a black and white copy of the CPR and First Aid Certification cards. Based on interview with the Training Coordinator from American Safety and Health Institute, the issuer of the CPR and First Aid Certification cards, three individuals with CPR and First Aid Certification cards presented to surveyor at the time of annual survey were found to be altered as there was not a CPR/First Aid class taught on the dates on the CPR/First Aid cards(5-13-13, 7-15-13 and 2-3-12) and the Training Coordinator stated that the cards were altered as the writing and the ink on the CPR/First Aid cards presented did not match the writing nor ink of the trainer. Further interview with the Training Coordinator revealed that one of the cards did have a CPR/First Aid class held on the date on the card(2-3-12), however, the person listed on the card was not in attendance and did not sign the attendance roster at the training. The four individuals with falsified CPR/First Aid Certification cards were hired on 9-1-09, 6-1-12, 11-29-11 and 12-5-13.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, a staff member hired on 6-1-12 completed only 14 of the required 15 hours of annual child development training. Based on review of documentation, staff member hired on 9-1-09 completed only 4 of the required 15 hours of annual child development training. Based on review of documentation, staff member hired on 11-29-11 completed only 8 hours of the required 15 hours of annual child development training. Based on review of documentation, staff member hired on 9-12-13 did not complete orientation training within the first 90 days of employment as orientation training was completed on 3-7-14. A staff member hired on 12-5-13 did not complete orientation training. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 29 Web site: http://chfs.ky.gov/ Inspection Report

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, drivers hired on 6-27-13, 6-1-12, 8-12-13, 9-1-09 and 9-30-13 did not have a Kentucky driver's history record check completed. Based on interview with director and another staff member, a staff member hired on 7-30-13 drives the van. Based on review of documentation staff member hired 7-30-13 is not 21 years old. 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, toddlers under the age of twenty one months were mixed with preschool age children for over an hour of the day. The preschool children take their two hour nap in the infant room with the infants and toddlers. Additionally, the preschool children were observed in the infant room conducting preschool programming from approximately 8:30 a.m. until approximately 10:00 a.m. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 29 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, a toddler, age twenty one months, was combined with a two year old class and did not have a transition plan with a signature and approval from the toddler's parent. The center did not have a proceedure for listing the transitioning toddler on attendance records, including a specific day and time the toddler is with either age group.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, an infant was placed to sleep in a swing at nap time as the five cribs in the infant room were occupied and there was not a crib available for the infant to sleep in.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the entryway of the center is a Renuzit air freshener on the sign in desk accessible to the children which states on the container "Keep out of Reach of Children". Observation in the back bathroom revealed a Renuzit air freshener on the back of the toilet accessible to the children. Based on review of DRCC records, this was previously cited 3-12-13, specifically related to an air freshener accessible to the children. Observation in the infant room revealed a garbage bag filled with numerous other empty garbage bags on the infant room floor 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 3. General Requirements.

General: Based on Observation, in the toddler and infant classrooms there was a pair of sharp adult scissors on a low shelf and in a low drawer accessible to the children that were not in use.

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 multi-purpose room the carpet was coming unraveled and the backing was visible. Based on observation of the carpet at the entry way to the infant room, the carpet was coming unraveled, frayed and coming up.

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 center glass lights are not all shielded or have shatter resistent bulbs installed. There are lights that are not working in the multi-purpose room and the infant room. Based on observation in the bathroom off of the multi-purpose room the glass lights are not shielded or covered.

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 preschool classroom, there were nine children in a space that measured for a capacity for seven resulting in the children not all having 35 square feet in the preschool classroom. 510 - Pest Control Discussed 922 KAR 2:120. Section 4. Premises Requirements. (7) Measures shall be utilized to control the presence of: (a) Rodents; (b) Flies; (c) Roaches; and (d) Other vermin.

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 multi-purpose room there were eight water stains on the drop ceiling tiles potentially indicating the presence of a roof leak.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, in the entryway of the center the temperature was observed to be 60 degrees as measured with a calibrated thermometer. Based on observation in the playroom, the temperature was 56 degrees as measured with a calibrated thermometer. Interview with the director revealed that the children had utilized the play room on date of survey.

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, the infant/toddler classroom is not separate from an area used by older children, it is being used as an exit and entrance and is not away from the general traffic patterns of the center. Based on observation in the infant room, the center dining area for all of the children ages infant thru school age is located in the infant room. Further observation revealed that the dining area was used for breakfast and lunch. Continued observation revealed that the preschool class used the dining area for part of their morning programming. Children and staff are using the infant room entrance as an exit and entrance to the dining area for breakfast and lunch. Further observation revealed that all children present in the center at nap time, nap in the infant room. The traffic in and out of the infant room throughout the day for meals, programming for the preschool children in the morning and nap time is not keeping the infants away from the general traffic patterns of the center.

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, three toddlers diapers were changed and their hands were not washed after diaper changes. Based on review of DRCC records, this was previously cited on 3-12-13.

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 changed three toddler diapers without using gloves and failed to wash her hands after the diaper changes and was observed touching the face of one child. A staff member was observed blowing her nose and not washing her hands afterwards.

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, after three toddler diaper changes, the staff member failed to sanitize the diaper changing surface.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, with staff and director, staff are not using regulatory sanitizing methods daily. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 16 of 29 Web site: http://chfs.ky.gov/ Inspection Report First Aid/Medication

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, of the center's First Aid kit, there was not a thermometer. Based on observation of the center vehicle First Aid kit, there was no liquid soap, a thermometer or gloves.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, a two pack of Immodium AD medication was in the vehicle first aid kit and was not in a locked container. The vehicle first aid kit was under the rear seat and accessible to the children. Based on observation of the center first aid kit a container of Hylands DeFend cold and Cough medication was unlocked in the first fid kit. Further observation of the center's first aid kit revealed that two containers of Hydrogen Peroxide containing drug facts and stating "Keep Out of Reach of Children" were in the unlocked first aid kit that could be reached by school aged children. 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 in the back corner of the playground there is a large hole under the fence large enough for a child to crawl through. There is also a gap between the fence and a fence pole that leads from the play area to another play area that does not have a gate. There is no fencing in a part of the playground that leads into a non-programming outdoor area. The second play area does not have a gate.

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 playgrounds contained numerous pieces of garbage.

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 were several large tree limbs and tree logs on the playground and accessible to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, there was not any protective surface under the four swings, the monkey bars, at the end of the slide, around the slide or around the ladder of the slide.

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 center has numerous mats that are not in good repair. The seams of the mats have come apart and the foam is exposed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the school age room a table was missing a leg. Further observation revealed a chair that was missing a leg. The chair leg was observed on the floor. Based on observation and interview the center is currently using two car seats in violaton of the manufacturer guidelines for safe use. Observation on the center vehicle revealed two car seats that have a five point harness system as evidenced by the seat buckle on each seat base. Further observation revealed that there were not any straps to snap into the seat buckle as they were tied into knots behind both car seats. Based on interview with a staff member driver, the driver demonstrated that the car seats are used by pulling a shoulder belt over the car seat and buckled into the vehicle with the straps of the vehicle shoulder belt going over the top of the car seat and no other buckling system used to buckle the child in. Observation of the carseats revealed that the car seats are manufactured to have the vehicle seat belt threaded through the back of the carseat and snapped into the vehicle seat buckle and the child is to be snapped into the carseat using the five point seat belt provided by the manufactuer that was absent from both of the carseats. This lack of proper use of the car seats placed the young children using these seats at great risk of harm as they were not properly secured in the vehicle. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 29 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 11. Toys and Furnishings.

General: Based on Observation, several toys on the playground were broken.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation in the infant room, revealed a Bumbo infant seat prsent in the room. The Bumbo Seat has been recalled for the implementation of a seat belt. The Bumbo seat observed in the infant room does not have the seat belt installed. Further observation of the toys in the infant room revealed that several of the battery operated toys were not working according to manufactuers standards, presumably as the toys could not operate properly without batteries.

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 Observation, the first aid kit maintained on the center vehicle did not contain liquid soap, a thermometer or gloves.

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, there was not a current vehicle inspection certificate.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the center has transported more than ten children and two adults in a twelve passenger van, thereby not providing an individual seat and seat belt or harness for each child on the van. Based on review of transportation log dated 1-9-14, twelve children were transported on the center van from 7:38 a.m. until the children were dropped off at the center. Based on review of transportation log dated 12-11-13, eleven children were transported on the center van from 7:49 until the children were dropped off at the center. Based on review of transportation log dated 12-12-13, fifteen children were transported on the center van, causing the van to be over capacity from 7:35 until the children were dropped off at the center. Based on review of transportation log dated 12-13-13, fourteen children were transported on the center van, causing the van to be over capacity from 7:35 until the children were dropped off at the center. Based on interview with van driver, there is a van run in the morning picking up the children and the first drop off time at the center is between 7:30 and 8:00 a.m. and a second run is not made until about 9:30 a.m. returning to the center at about 10:00 a.m. with a total of two morning runs in the van and a total of two van drop offs of children at the center in the morning. Based on further interview with van driver, the driver stated that rarely, but at times when all of the children are riding the van, there are as many as twelve children on the center van at one time and all of the children will be dropped off at the center at the same time.

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 children's transportation records did not consistently include the time each child got on and off of the vehicle.

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 Review of Documentation, the center does not have a current food service permit and has been preparing and serving food without a permit since 12-31-13.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, a child enrolled on 12-3-13 had an immunization record on file that did not contain the date the next immunization was due. Based on review of DRCC records, this was previously cited on 3-12-13, specifically an immunization record that did not have an indicated expiration date. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 29 Web site: http://chfs.ky.gov/ Inspection Report

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, of ten random children's files, all ten files did not contain a signed authorization by the parent for the center to seek emergency medical care for the child in the parent's absence or a parent prefered hospital for the children. Further review of the children's records revealed that a child enrolled on 11-14-12 did not have enrollment paperwork signed by a parent on the first day the child attended child care as the enrollment form still was not signed.

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 transports children to and from home and school and does not have any form of signed parent permission for the center to transport any of the children. 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, children are not signed in and out consistently on the daily attendance records.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, staff members hired 6-1-12, 9-1-09 and 11-29-11 did not have an annual professional development plan.

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, an Earthquake drill and Tornado drill was conducted in January 2014, the children's names who participated were not documented for these drills.

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 fire drill was conducted in January 2014 and the children's names that participated were not documented. Continued record reveiw indicated that drills conducted March, April, May, August and December 2013 did not document the names of the children that participated in the drills.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the orientation policy does not indicate that staff members must implement the proceedures that were taught at orientation training.

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, the center's posted disaster course of action does not give a written course of action in the case of tornado and earthquake. The diagram does not indicate which exit each classroom is to use in the case of fire.

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, a list of daily activities in the school age classroom was dated July 2013.

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 carpet in the Community Room was not secured to the ground and, as a result, a significant amount of carpet was gathered and bunched. Based on observation in the Infant/Toddler Room, a portion of the dry wall near the exit door was damaged with a portion of the drywall crumbled and flaking. Transportation

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. Transportation.

General: Based on Review of Documentation, of the transportation records documentating the arrival and departure time of each child traveling on the vehicle, the time was pre- recorded on a typed document. Based on interview and observation, the center does not record in writing the specific time of arrival and departure on the transportation record. Written Documentation

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation on 10/23/13, at the time of the surveyor's arrival, thirteen children were present at the center. Based on review of documentation of the center's attendance form, eleven children were documented as signed in at the center, leaving two children not signed in on the center's attendance form.

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, a staff member with the hire date 10/18/11 had a CAN Check that failed to have the appropriate stamps on the document. Further review with CHFS Central Registry revealed that the staff member with the hire date 10/18/11 with a CAN Check marked “Check Conducted on 6/13/12”, was not completed through their office, therefore the document was falsified

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, child with enrollment date of 6-25-12 had an out of state Immunization Certificate on file. In addition, this certificate did not specify the expiration date for the immunizations noted.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation upon arrival at approximately 11:15 AM a staff member was standing in front of the refrigerator located in the food prep area. Continued observation revealed the staff member left the area and exited the center through a rear door. Further observation revealed at approximately 11:18 AM the same staff member and a second staff member with seven children between the ages of one (1) year and a half (1/2) year old to three (3) years old outside on a paved area behind the center with a motorized bubble blowing toy. Outdoor Play Area

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4

General: Based on observation it was revealed two (2) toddlers were each on a ridding toy located on a paved area located outside of the fenced play area behind the center.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 6

General: Based on observation revealed upon arrival at approximately 2:27 pm on 11/23/2011 the facility was closed. Continued observation revealed the door and the lights were not on. Further observation revealed no children or staff members were present. Record review of the facility's file at the local Division of Regulated Child Care (DRCC) office revealed no written notification of closure. The staff in charge stated during interview on 12/14/2011 the facility was closed for the Thanksgiving holiday weekend. The staff in charge further stated she was unaware she was to have contacted the local DRCC office concerning the closure. Director Requirements

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 on 11/29/2011 revealed the absence of a high school diploma, GED, or Commonwealth Childcare Credential for a staff member with an unknown hire date that was providing instruction for an eight (8) school age children. The staff in charge stated the staff member in question was not an employee with the facility. The staff in charge stated the staff member was her daughter and should not have been in a supervisory role.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation on 11/29/2011 revealed the absence of a copy of the results of a negative TB Skin test for a staff member with an unknown hire date that was providing instruction for an eight (8) school age children. The staff in charge stated the staff member in question was not an employee with the facility. The staff in charge stated the staff member was her daughter and should not have been in a supervisory role. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 5 Web site: http://chfs.ky.gov/ Inspection Report Programming 176 - Electronic Viewing/Listening Devices 922 KAR 2:120 - Section 2 (4) (d) 12. Use of electronic viewing and listening devices if the: a. Material is appropriate to the child using the equipment; b. Material does not include any violence, adult content viewing, or inappropriate language; c. Viewing or listening is limited to two (2) hours per day; d. Viewing or listening is discussed with parents prior to viewing or listening; and e. Viewing or listening is designed as an educational tool. 3) 2 hours Not In Compliance Findings: Room #1: Based on observation of the posted daily list of activities revealed that no activites were listed for Friday other than "Movie Day". The staff in charge stated that other activites were provided for the children General Premises 279 - Toilet Room 922 KAR 2:120 - Section 10 (2) A toilet room shall: (a) 1. Be provided for each gender; or 2. A plan shall be implemented to use the same toilet room at separate times; (b) Have a supply of toilet paper; and (c) Be cleaned and sanitized daily. 2) Toilet Paper In Compliance 280 - Sink 922 KAR 2:120 - Section 10 (3) A sink shall be; (a) Located in or immediately adjacent to toilet rooms; (b) Equipped with hot and cold running water that allows for hand washing; (c) Equipped with hot water no more than 110 degrees Fahrenheit; (d) Equipped with liquid soap and single use disposable hand drying material; (e) Equipped with an easily cleanable, covered waste receptacle; and (f) Immediately adjacent to a changing area used for infants and toddlers. 5) Equipped with liquid soap and single use disposable hand drying material Not In Compliance Findings: General: Based on observation of Restroom #1 on 11/29/2011 and 12/06/2011 revealed no liquid soap or paper towels were present. The staff in charge stated during interview she was aware Restroom #1 did not have liquid soap and paper towels because the children would fill the toilet up with the paper towels and then flush causing the toilet to back-up. The staff in charge further stated she would address the issue. Food Service 258 - Food Contact Items 922 KAR 2:120 - Section 8 (7) Equipment, utensils, and surfaces contacting food shall be: (a) Smooth; (b) Free of breaks, open seams, cracks, and chips; (c) Accessible for cleaning; and (d) Nontoxic. 2) Utensils smooth, free from breaks, open seams, cracks and chips, accessible for cleaning, and Not In Compliance nontoxic Findings: General: Based on observation on 11/29/2011 revealed the rims on five (5) white plastic cups that were rough and jagged. Interviews with staff members revealed the cups had been given to children to drink from. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 4 of 5 Web site: http://chfs.ky.gov/ Inspection Report 269 - Food Requirements 922 KAR 2:120 - Section 9 (8) Food shall be: (a) Clean; (b) Free from: 1. Spoilage; 2. Adulteration; and 3. Misbranding; (c) Safe for human consumption; (d) Withheld from service or discarded if the food is hermetically sealed, nonacidic, or low-acidic food that has been processed in a place other than a commercial food-processing establishment; (e) Obtained from a source that is in compliance with the Department of Public Health's food safety standards and permits, established in KRS Chapter 217; (f) Acceptable if from an established commercial food store; (g) Served in a quantity reflecting the developmental stage of the child with additional portions provided upon request of the child; and (h) Protected against contamination from: 1. Dust; 2. Flies; 3. Rodents and other vermin; 4. Unclean utensils and work surfaces; 5. Unnecessary handling; 6. Coughs and sneezes; 7. Flooding; 8. Drainage; and 9. Overhead leakage. 6) No homemade food In Compliance 7) Source approved by Public Health In Compliance Written Documentation 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival Not In Compliance Findings: General: Based on review of documentation of the sign in and sign out sheet for 12/01/2011 revealed sixteen (16) children signed in but only two (2) children had a signed out time. Further record review of the sign in and sign out sheet for 12/02/2011 revealed twenty-two (22) children’s names with eleven (11) children’s names with no sign in time or sign out time. Interviews with staff members revealed that when a child returned from school to the facility that the child’s arrival time was not being documented. The staff in charge stated during interview she was aware children were not being signed in and was in the process of addressing the issue. However, the staff in charge stated she was unaware children that returned from school to the facility needed to be signed in. The staff in charge stated she thought the school age children only needed to be signed in once when being dropped off by their parents. 2) Departure Not In Compliance Findings: General: Based on observation of the sign in/sign out sheet during the visit on 12/14/2011 revealed thirteen (13) children were signed in as present. Continued observation revealed only ten (10) children were present. Further observation revealed that three (3) of the children had not been signed out for the day. During the visit of 12/06/2011 observation of the sign in and out sheet for that date revealed fourteen (14) children had been signed in with only nine (9) present. Interviews with staff members present on 12/06/2011 revealed the five (5) children not present attended school and had been signed in by their parents. Further interviews with staff members revealed if a child attended school that the time the child left the facility was not being documented. Continued record review of sign in and out sheet for the facility along with staff members’ interviews revealed the date and the number of children not signed were as follows: on 12/01/2011 twelve (12) children were not signed out; on 12/02/2011 twenty-one (21) children with no sign out times; and on 12/05/2011 nineteen (19) children had not been signed out. The staff in charge stated during interview she was aware children were not being signed out and was in the process of addressing the issue. However, the staff in charge stated she was unaware those children the facility transported to school needed to be signed out. The staff in charge stated she thought the school age children only needed to be signed out when they were picked up by their parents. Posted Documentation 114 - Daily Activities 922 KAR 2:110 - Section 4 (1) (h) Post a schedule of daily activities, to include lists and dates of activities to be conducted with the children in each classroom; 2) List of Activities In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.