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

General: The surface of the diaper-changing pad in the Infant classroom was cracked, preventing proper cleaning.

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, debris of unknown origin was located under the diaper changing pad in the Toddler 1 and Infant classrooms, indicating infrequent cleaning.

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 paint on the corner of the wall next to the front door in the Preschool classroom was peeling, exposing the drywall and metal.

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: The hot water faucet in one of the sinks in the Preschool classroom was not functioning.

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: The toilet seats in the Preschool and Toddler 1 restrooms were loose. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a staff member in the Toddler One's classroom failed to ensure that a toddler washed their hands after being diapered.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the restroom between the Toddler One's and One/Two year-old transition room was not equipped with toilet paper. 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 8. General.

General: Based on observation, a toilet plunger was stored on the floor next to the commode in the restroom between the Toddler One's and One's/Two's Transition room, where it was accessible to the children in care. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the written performance evaluation presented for a staff member (DOH 10/03/19) was dated for 2022, indicating that an evaluation for the staff member had not been completed annually. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a staff member in the Two and Three year-old room was heard telling the children in their care, "Stop it!" and "Sit down!" in a harsh, elevated tone, multiple times throughout the survey. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a lengthy crack, surrounded by chipping drywall and peeling paint was present beneath the window in the School Age classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the Two and Three year-old room revealed that a soiled diaper was stored in a receptacle that was not covered. 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

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, a staff member in the Toddler One's classroom failed to sanitize the changing surface after diapering one child and before placing another child on the changing surface. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, bare dirt was visible beneath the yellow Little Tikes slide, indicating that the protective surface covering was not sufficient in that area.

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 chain link fence near the parking lot was bent and misshapen along the bottom edge, causing sharp and pointed pieces of the metal to protrude into the play area. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the yellow Little Tikes slide wobbled and moved easily when pressed upon, indicating that it was not securely fastened to the ground.

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 cloth bodies of multiple dolls in the Toddler classrooms were soiled throughout with greyish-brown smudges. 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, two (2) Medela infant bottles, stored in the Infant room refrigerator were not individually labeled. 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 review of documentation, the written professional development plans presented for two (2) staff members (DOH 10/03/19 and DOH 01/26/18) were both dated 2022, indicating that the plans had not been completed annually. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the proper method for diapering was not posted near the changing area within the Infant classroom. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, there was an insufficient amount of staff at the center, upon the DRCC representative's arrival at 8:55a.m., to allow for cooking and cleaning while maintaining minimum staff to child ratios. The sole staff member in the Preschool classroom was responsible for supervising the eleven (11) children in the room, while also answering the door when additional children arrived and preparing breakfast plates for all children in the center. General Administration 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 8. General.

General: Based on observation and interview, the staff members in two (2) classrooms failed to express awareness of the number of children in their care. When the staff member in the Preschool classroom was asked how many children was in her care, she had to count the children before she provided an answer. When the staff member in the Ones' classroom was asked how many children was in her care, she stated that six (6) children were present; however, only five (5) children were observed in the room. When presented with the number of children observed, the staff member then confirmed that only five (5) children were in her care. She further stated that one (1) child was moved. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the breakfast food was not protected against contamination. The sole staff member in the preschool classroom was preparing breakfast plates for all children in the center in the presence of the children in the preschool children. Multiple paper plates were placed on a classroom table and the staff member distributed the food onto the plates. The staff member often had to leave the table area to answer the door or to address the children in the room. The food was not maintained in a protected manner, as it would be in a kitchen or designated food prep area.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, during the visit on 12/5/2023, the minimum staff-to-child ratio was not maintained at the childcare center. In the Infant room at 10:22 A.M., one staff member supervised six (6) children with the youngest child being eight (8) months old; in the Three and Four-year-old class at 10:26 A.M., another staff member supervised fifteen (15) children with the youngest child being 3 years old. As a result, both classes were over ratio. In the Infant room it was over ratio by one (1) child and in the Three and Four-year- old class by three (3) children. 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 8. General.

General: Based on interview and review of documentation, the child-care center failed to meet the health, safety and comfort of a child. It was confirmed that a staff handled a child forcefully. In review of a seven-second video it was seen that a staff knocked a child out of her chair, causing her to fall entirely out of the chair, and hit her head on the floor. The staff then picked the child up by her pants, pulled her back toward her, and then grabbed and picked the child up by one arm and forcefully sat her in a chair. 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 observation, children were restricted for a prolonged time without activity while sitting in bucket seats. During the initial walkthrough at 10:23 A.M. in the Two- and Three-Year-Old room there were three (3) children sitting in bucket seats at the table. It was asked if they had just eaten and it was confirmed that breakfast was over in the 8 A.M. hour. While addressing the ratio issue, another walkthrough of the Two- and Three-Year-Old room was completed at 10:53 A.M., and the staff was asked if there was an activity that was done or about to be initiated. The staff confirmed that no activity was about to be started and then pointed out that one child who was 2 years old was in time out. While still addressing the ratio issue and the primary reason for the visit, the owner of the center arrived. While speaking with her about the ratio, she was led to the Two- and Three-Year-Old room at 11:17 A.M. to observe if the children were still sitting at the table, and only the two-year-old was still at the table. The owner instructed the staff to give him a break.

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, there were three (3) children that were not in the scope of vision of the teacher that was within the classroom bathroom. The surveyor positioned himself/herself by the classroom bathroom and could not see the children behind the shelving units due to the placement of two (2) tall wooden shelving units that were separating the room. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was one (1) electrical outlet that was not covered within the infant room. There were six (6) two-year-old children that were not secured with a safety restraint while sitting in individual plastic bucket seats within the toddler 2 room. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review, of the personnel records for four (4) staff members (DOH: 10/03/19, 06/16/22, 06/17/22, and 08/11/21) did not contain a current written annual staff evaluation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of personnel records, a file for a staff member (DOH: 09/02/23) did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential, on the day of the inspection.

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 presented for a staff member (DOH: 08/11/21), the most recent tuberculosis skin test was dated 08/06/21; therefore, it was no longer current.

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 the Early Care and Educational Training Record Information System (ECE-TRIS) documentation, the following was found: 1) Three (3) staff members (DOH: 10/03/19, 01/30/19, and 08/11/21) completed zero (0) hours of the required fifteen (15) hours of early care and educational training during the training year, 07/01/22 to 06/30/23. 2) A staff member (DOH: 01/26/18) completed six and one-half (6.5) hours of the required fifteen (15) hours of early care and educational training during the training year, 07/01/22 to 06/30/23. 3) A staff member (DOH: 06/17/22) completed thirteen (13) hours of the required fifteen (15) hours of early care and educational training during the training year, 07/01/22 to 06/30/23. 4) A staff member (DOH: 01/30/19) has not completed one and one-half (1.5) hours of pediatric abusive head trauma training that was due on or before 08/09/23. Review of ECE-TRIS verified this information. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report 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, a staff member was playing music on a tablet that contained adult content and was not age appropriate for the children in care within the preschool 4 room. The music that was heard playing was a song by Rod Stewart “To Night Is the Night” and a song by Def Leopard “Pour Some Sugar on Me”. 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, there was one (1) gallon of Pot and Pan detergent that was sitting on the bathroom floor within the toddler 1 room. The warning label stated, “Keep Away from Children”. The children were observed using the bathroom. There was a brown purse, a black bag and a brown lunch bag that was sitting on a low shelf within the preschool 4 room on the day of the inspection. Interview with the staff member revealed that the three (3) bags were his/hers.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Bathroom Toddler 3 Room 1) The round, silver sink trim overflow covering insert at the bottom of the handwashing sink bowl was broken; leaving sharp, jagged edges that were accessible to the children on the day of the inspection. 2) There were pieces of toilet paper, dust, and debris scattered throughout the floor within the bathroom. Preschool 4 Room 1) The air vent contained an accumulation of dust on the day of the inspection. 2) There was dried food, dust, and debris throughout the classroom floor. It was visible that the floor had not been cleaned. Toddler 1 Room 1)The bathroom door was soiled with brown and yellow substances. Toddler 2 Room 1)There were pretzels, paper, dust, and debris scattered throughout the floor. Hallway, Leading to Outdoor Play Area 1)There was an area of the baseboard that was missing, and the drywall was exposed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there were walls that were chipping paint, and the drywall was exposed in the preschool 4 room, preschool 3 room, and toddler 3 room bathroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was no liquid hand soap within the bathroom of the preschool 4 room.

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 lid of the toilet tank was not covering the tank as intended. The tank lid was sitting on top of the toilet bowl lid within the bathroom of the preschool 4 room. Interview with the staff in charge revealed that the toilet was broken. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, during the inspection, the following was found: Infant Room 1) The vinyl changing pad was cracked; the inside absorbent material was exposed. 2) The changing table was soiled with an accumulation of dust and debris under and around the changing pad. Toddler 2 Room 1)The changing table and the changing pad were soiled with an accumulation of dust and debris. Toddler 3 Room 1)The changing table and the changing pad were soiled with an accumulation of dust and debris. Preschool 4 Room 1) There was a vinyl changing pad that was cracked and the inside absorbent material was exposed. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Toddler 2 Room 1) The child size plastic, pink and blue doctors’ office was soiled with an accumulation of dust and debris. 2) There were multiple cloth and plastic dolls that were soiled with debris and a gray substance. Preschool 4 Room 1) The red, plastic and metal child size chair was cracked on the seat; the chair was observed as being a foreseeable hazard for the children within the classroom. 2) There were pink and green wooden cubbies used by the children that were soiled with an accumulation of dust and debris on the day of the inspection. Infant Room 1)There was a wooden shelving unit that contained a laminate stripping around the shelving. The laminate stripping contained multiple sharp, jagged edges that were accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the trash cans were soiled with debris and dried food within the infant room, toddler 2 room, preschool 3 room, and preschool 4 room. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the refrigerator’s temperature measured forty-nine (49) degrees Fahrenheit within the kitchen on the day of the inspection.

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 following was found: Kitchen 1) The interior of the microwave contained splattered food and food crumbs on the day of the inspection. 2) The can opener attached to counter was soiled with an accumulation of a black, gooey substance. 3) The interior of the refrigerator freezer contained dried food particles and a multi-colored sticky substance. 4) The interior of the refrigerator contained dried food particles, dust, and debris. Also, there was a black sticky substance under a drawer on the day of the inspection. Toddler 1 Room 1)The interior and the exterior of a refrigerator was soiled with dried substances. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, there was one (1) bottle in the refrigerator that was not covered within the infant room. Food Service In Compliance Meal Planning/Center Provides Meals 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. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation and interview, a child was not served milk with his/her lunch within the preschool 3 room. Interview with the staff member revealed that the child did not want milk to drink. Therefore, the child was not served the required five (5) food components on the day of the inspection. Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of the personnel records for four (4) staff members (DOH: 10/03/19, 06/16/22, 06/17/22, and 08/11/21), the records did not contain a current professional development plan.

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 the tornado, fire, lockdown, and earthquake drill logs, the drills were conducted. However, the names of the children that participated in the drills were not documented. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the entrance door, located beside the toddlers' room and kitchen, was propped open to the outside. This door was not screened to prevent the entrance vermin into the center. 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 2. Child Care Services.

General: Based on observation, interview and review of documentation, a caregiver supervised sixteen (16) children alone, from 9:20 a.m. to 9:34 a.m., in the preschool room on 08/31/22. The age of the youngest child was a three (3) year old. A caregiver supervised fifteen (15) children alone, from 8:55 a.m. to 9:20 a.m., in the preschool room on 08/31/22. The age of the youngest child was a three (3) year old A caregiver supervised six (6) children for approximately fifteen (15) minutes each morning, five (5) days a week in the opening classroom. General Administration In Compliance Director Requirements In Compliance Employee Records 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 11. Staff Requirements.

General: Based on interview, a caregiver hired on 01/30/19, had TB documentation dated 07/02/2020. A caregiver hired on 01/26/18, had TB documentation dated 06/29/2020.

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 interview and review of documentation, a caregiver hired 05/18/22, and a caregiver hired 05/09/22, did not have proof of first aid and CPR training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

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, a caregiver hired 05/09/22, and a caregiver hired 02/28/22, did not complete orientation training; therefore, they did not complete six (6) hours of cabinet approved orientation training within the first three (3) months 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, a caregiver’s purse was in a chair and a caregiver's backpack was on the floor, accessible to children in the toddlers' room. A caregiver's drink bottle was on an activity table, accessible to children in the preschool room.

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, four (4) children did not wash their hands with liquid soap and warm running water after they were diapered in the three-year-old room. These four (4) children returned to play with toys after they were diapered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a caregiver did not wash her hands with liquid soap and warm running water after she diapered four (4) children in the three-year-old room. This caregiver touched chairs, children and toys after she diapered the children.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a caregiver did not disinfect the diaper changing mat after she each diapered four (4) children in the three-year-old room. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a bottle of Amoxicillin was not in a locked place. This medication was stored on a shelf located on door, inside the toddlers' room refrigerator. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a crib mattress was completely torn on the bottom in the infants' room. Transportation Not Applicable Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report 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

Open / not marked corrected.

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

General: Based on review of documentation, a child, first date of attendance was 07/25/22, did not have an immunization certificate on file. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, seven (7) children did not have a documented departure time on 08/29/22, and four (4) children did not have a documented departure time on 08/30/22. Also, four (4) children did not have a documented arrival time on 08/29/22, and a child did not have a documented arrival time on 08/30/22. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

Liability Insurance

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. Upon request, documentation verifying the child care center maintained current commercial liability insurance was not presented for review on the day of the survey. The document presented expired on 01/2021.

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 10/11/2021 AND AS OF 10/12/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

Licensee Responsibility

General: Observation of the preschool room revealed there was one (1) electrical outlet that was not covered. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

Staff Evaluation

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Upon request, a written annual staff evaluation was not presented for a staff member with the hire date of 01/04/2018 on the day 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.

Training

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of files for staff members with hire dates of 01/30/2019, 10/03/2019, 01/26/2018 and 01/04/2018 failed to reveal verification that the aforementioned staff members had completed fifteen (15) hours of cabinet-approved early care and education training. Also, one (1) staff member with the hire date 12/28/2020 did not complete six (6) hours of cabinet-approved orientation training within ninety (90) days of employment. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the training hours had been completed. Interview with the staff in-charge revealed she could not verify that the training had been completed. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

Bedding/Toys in Crib

General: Based on observation, the child care center failed to comply with programming in accordance with regulatory requirements. Observation of the infant room revealed an eight (8) month old infant lying in a crib with a blanket. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

Premises Requirements

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the grey hallway revealed one (1) electrical outlet that was not flush to the wall. There was a one-fourth (1/4) inch gap between the outlet and the wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

Floors, Walls, Ceilings

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the teal walls located in the preschool room revealed the walls were chipping paint and the dry wall was exposed and the corner of the wall was missing drywall, exposing the metal mesh flashing. Observation of the exit door within the older two-year-old room revealed there were pieces of paint peeling off the door frame. Also, there were brown stains on the ceiling tiles, indicative of water damage. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

Child Personal Care/Handwashing

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the infant room revealed a staff member was changing a child's diaper and when the procedure was completed the staff member removed the child from the changing area and sat the child down on the floor. After the staff member washed her hands, she removed a child from a crib and began to change the child's diaper. After the procedure was completed the staff member removed the child from the changing table and moved the child to the floor, then the staff member washed her hands. Therefore, the staff member did not wash the two (2) children's hands after the diaper changing procedure was completed.

Open Not marked corrected in the state record

Open / not marked corrected.

Diaper Changing Area/Surface

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the infant room revealed a staff member was changing a child's diaper and when the procedure was completed the staff member removed the child from the changing area and sat the child down on the floor. After the staff member washed her hands she removed a child from a crib and began to change the child's diaper. After the procedure was completed the staff member removed the child from the changing table and moved the child to the floor, then the staff member washed her hands. Therefore, the staff member did not sanitize the changing pad after each diaper change. Observation of the preschool room revealed a vinyl changing pad was leaning against a wall that contained several tears and the inside absorbent material was exposed. Observation of the changing table located within the infant room revealed it contained a build-up of dust and debris and a build-up of dust and debris on and under the changing pad. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

Medication

General: Based on observation, the child care center failed to comply with regulatory requirements regarding medication. Observation of the cubbies located in the toddler #2 room revealed there was a container of Boudreaux’s Butt Paste that was not individually labeled with the individual’s name for whom medication was intended. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

Protective Surface

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the small playground revealed there was not sufficient protective surfacing around and under the foot of two (2) slides, the concrete was visible. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

Crib/Mattress/Sheet

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the cribs located in the infant room revealed an eight (8) month old infant was lying in a crib that contained loose fitting sheets. The material was gathered and loose on the top and the side of the mattress. Therefore, the sheet was not tight fitting.

Open Not marked corrected in the state record

Open / not marked corrected.

Indoor/Outdoor Equipment

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the large playground revealed a red climbing structure that contained a wooden platform for the children to sit or stand on that was rotted. The wooden platform contained pointed splintered pieces of wood. Observation of a child size chair located on the outside playground revealed the plastic seat was broken, leaving sharp edges. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

Refrigerator

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the black refrigerator located within the infant room revealed the temperature of the refrigerator measured forty-five (45) degrees Fahrenheit. The black refrigerator located within the kitchen revealed the temperature measured forty-three (43) degrees Fahrenheit. Therefore the aforementioned refrigerators were not maintained at forty (40) degrees Fahrenheit or below.

Open Not marked corrected in the state record

Open / not marked corrected.

Frozen Food

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the deep freeze and the white refrigerator freezer located within the laundry room revealed there was not a thermometer or a temperature-measuring device in them to verify that the temperature was maintained at zero (0) degrees Fahrenheit or below.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

Kitchen Equipment Clean and Sanitary

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the white refrigerator located within the laundry room revealed it was heavily soiled with dried food and a sticky substance on the shelves inside the refrigerator door. Also, on the bottom floor of the refrigerator, under the clear drawers, there was a build-up of a brown substance. Observation of the black refrigerator freezer located within the kitchen revealed it contained a heavy build-up of dried food particles. The white refrigerator located within the one-year-old room contained a white flakey substance and dried food particles throughout the refrigerator. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

Policies and Procedures

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, a current organization chart was not presented for review on the day of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

Daily Attendance Records

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in-charge did not provide verification that the daily attendance record for 07/16/2021 had been maintained to accurately report the arrival times for two (2) children. Review of the documentation at 10:23a.m. revealed there were eighteen (18) children signed into care but observation of the child care center revealed there were twenty (20) children present. Therefore, two (2) children were not signed into care on 07/16/2021.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

Professional Development

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, a current written annual professional development plan was not present for review for staff members with the hire dates: 01/30/2019, 10/03/2019, 01/26/2018 and 01/04/2018. 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.

Orientation Procedure

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, a written orientation procedure that specifies that the procedures that were taught at the orientation training shall be implemented by each staff member was not presented for review on the day of the survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, one staff member did not have a current, annual evaluation in his/her file. Employee Records In Compliance 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 classroom known as the Toddler room had numerous, large chips in the walls. In addition, the staff-in-charge disclosed that the child care center was in the process of renovating the Toddler room when the doors were ordered closed due to COVID-19. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulations for background checks. Based on review of the center's KARES report, there was no evidence of the completion of the required background checks, to include the submission of the individual's fingerprints, for a staff with the hire date of 06/14/2019. Interview with the director revealed the aforementioned staff member is currently employed and working at the child care center, but has not yet initiated the request from the National Background Check Program (NBCP). Interview with the director revealed the requested documentation was unavailable at the time of survey. It was observed that the aforementioned staff member was working alone in the infant’s classroom caring for two (2) three-month-old children, for the timeframe of 10:15am until 10:45 am. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulations for background checks. Based on review of the center's KARES report, there was no evidence of the completion of the required background checks for a staff with the hire date of 06/20/2019. Upon request, the aforementioned staff member's records did contain a determination from an employment authorization form for the National Background Check Program (NBCP), with Childcare Employment Solutions, LLC. Interview with the director revealed the aforementioned staff member is currently employed and working at the child care center, but she has not yet initiated the request of the National Background Check Program (NBCP). The director acknowledged the requested documentation was unavailable at the time of survey, and that she has no knowledge of how to maneuver through the KARES background check database.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulations for background checks. Upon review of the KARES surveyor report revealed a staff member with the hire date of 06/10/2019 was listed as “Current Employees”. Interview with the director revealed the aforementioned staff member is no longer employed with the child care center. The staff member with the hire date 06/21/2019 is listed on the KARES surveyor report as “Eligible Not Employed”. Interview with the director revealed the aforementioned staff member is employed with the child care center. Supervision In Compliance Staffing 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, the child care center failed to comply with regulations regarding staffing requirements. Interview with the director revealed she did not have enough coverage in the child care center on the day of the survey. Further interview revealed the director reported she has been having trouble providing adequate staff to cover the daily operations for the child care center. 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

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 regulations regarding staffing requirements. Upon arrival in the child care center on 06/20/2019, observation in the Preschool room revealed a staff member was the sole caregiver for thirteen (13) children in the age range from three-years-old to four-years-old; exceeding the minimum staff to child ratio for the age of the youngest child. Upon arrival into the child care center on 06/25/2019, observation revealed a staff member walking down the hallway, turned and looked at the surveyor and then proceeded to walk back down the hallway and entered the Toddler room. Observation in the Toddler room revealed eight (8) children in the age range of one-year-old to two-years-old in the care of the aforementioned staff member and another staff member. Interview with the aforementioned staff member revealed she was in the classroom working alongside the other staff member. The aforementioned staff member acknowledged that she did walk away from the classroom for an undetermined amount of time, and the other staff member was the sole caregiver of the eight (8) one and two-year-old children; exceeding the minimum staff to child ratio for the age of the youngest child. Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulations for director requirements. Review of the center's KARES report, revealed there was no evidence of the completion of the required background checks, to include the submission of the individual's fingerprints, for a staff with the hire date of 06/14/2019. Interview with the director revealed the aforementioned staff member is currently employed and working at the child care center, but has not yet initiated the request from the National Background Check Program (NBCP). Interview with the director revealed the requested documentation was unavailable at the time of survey. It was observed that the aforementioned staff member was working alone in the infant’s classroom caring for two (2) three-month-old children. For the timeframe of 10:15am until 10:45 am. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a file for a staff member with the hire dates of 06/14/2019 did not have proof of education documentation (high school diploma, GED, or Commonwealth Child Care Credential). Interview with the director revealed this information was not available at the time of survey. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding programming. Observation in the infant room revealed a three-month-old infant asleep in a bouncy seat, which had been placed inside of a crib. Hygienic Practices In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding equipment. Observation in the infant room revealed a three-month-old infant asleep in a bouncy seat, a four-month-old infant asleep in a swing, and another three-month-old infant asleep in a bouncy seat, which had been placed inside of the crib. Food Service In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the restroom located in the pre- school classroom revealed there was a build-up of dried urine on the base of the toilet .

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Upon request, the child care center director did not present verification of a current copy of the administrative regulations. Employee Records 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 11. Staff Requirements.

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record for the employee with the hire date of 02/25/2019 contained a copy of a High school diploma, or a GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record for the employee with the hire date of 02/25/2019 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin results. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements. Based on observation in four (4) of the eight (8) classrooms, the walls contained scuff markings and several areas with chipped paint. The corner edge of the wall located in the two-year-old room was chipped, exposing the metal and drywall underneath. Continued observation revealed blinds in the one and two-year-old classrooms to have a build- up of dust and black markings.

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 in the one-year-old classroom revealed four (4) overhead fluorescent lights that were non-operational, making the classroom dimly lit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, child care center failed to maintain premises in accordance with regulatory requirements. The sink located in the school age restroom revealed the drywall behind the sink was cracking, exposing a gap between the sink and the wall. Continued observation in the pre-school restroom revealed the paint behind the sink was bubbling and the paint was cracking and peeling away from the wall. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The staff member in the two-year-old classroom was observed completing diaper changes for two (2) individual children. Upon completion of each diaper change, the staff member did not maintain personal cleanliness by washing her hands with liquid soap and water after diapering each child.

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 practices in accordance with regulatory requirements. The changing pad, located in the infant classroom contained a small tear in the vinyl pad. Therefore, the changing pad was not kept in a hygienic manner.

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. Upon completion of a diaper change in the infant classroom, the staff did not disinfect the diapering surface after the infant was changed. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. 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 requirements. The bottles located in the infant classroom revealed the bottles were not properly labeled to identify for which infants the bottles were to be used for during feedings. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record of the children with the enrollment dates of 01/31/2018 and 08/14/2018 contained information listing a name of a preferred hospital. Continued review revealed the record for the child with the enrollment date of 08/15/2018 did not list a name of a physician. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care director did not present verification of a current written schedule of staff working hours, to include the names of the current employees.

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 in accordance with regulatory requirements. Upon request, the child care director did not present verification that the documentation for the fire drill conducted for the month of November 2018 included the names of the children that participated.

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 interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care director did not present verification of a written policy that specifies that each child-care center staff member will receive orientation training with the first ninety (90) days of hire and the employee shall implement the procedures that were taught at the orientation training. 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 9. Records.

General: Based on interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Upon request, the child care director did not present verification that the center had a written diagram outlining the course of action in the event of a natural or manmade disaster that was posted in the child care center. Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

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 assure compliance with regulatory background check requirements. Upon request, the child care center director failed to provide documented evidence that staff members with hire dates 01/04/18 and 01/26/18 completed background checks in accordance with regulatory requirements as defined in 922 KAR 2:280. Review of KARES revealed the staff were not entered into the National Background Check Program (NBCP). Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements related to the health, safety and comfort of a child in care. Observation of the Two Year classroom revealed staff who spoke with a very threatening and aggressive tone to the children in the classroom. The staff was heard shouting “sit down”, “go to time-out” and “get in time-out.” The staff was also observed to aggressively place a child in time-out. The children in the classroom were also observed to cry excessively for an extended period of time. The behavior of the staff was also witnessed by the child care center director. 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 and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250 for staff members with hire dates 05/03/18 and 05/22/18.

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. Upon request, the child care center failed to provide documented evidence of a current statement from a health professional that staff members with hire dates 05/03/18, 05/22/18 and 05/24/18 are free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements with regard to training. Upon request, the child care center failed to provide documented evidence that two (2) employees with a hire date of 01/26/18 and an employee with a hire date of 01/04/18 completed six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of written documentation, the child care center failed to comply with regulatory programming requirements. Observation of the Two Year classroom revealed children who cried excessively, who climbed atop shelving and tables, as the staff in the classroom spoke in an aggressive-threatening tone, due to lack of control of the children. There did not appear to be adequate programming in the classroom. There was no evidence of a written daily planned program for the children posted for review, nor evidence that any plan was followed. 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 2. Child Care Services.

General: Based on observation and review of written documentation, the child care center failed to comply with regulatory programming requirements. Observation of the Two Year classroom revealed children who cried excessively, as several of the children climbed atop shelving and tables. The staff in the classroom spoke in an aggressive threatening tone to the children due to lack of control of the classroom. The staff was not observed to attempt to lead the children in a structured activity. Review of the classroom schedule of activities revealed the children were scheduled to have their hands washed, diapers changed and lunch prepared between 10:45 AM to 11:00 AM; lunch time was to occur at 11:00 AM to 11:30 AM; clean up, washed hands, cot placement and quiet time between 11:30 AM to 12:00 PM; and rest time between 12:00 PM to 2:00 PM. However, the children were observed from approximately 10:45 AM to approximately 12:00 PM without regularity of routine.

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 programming requirements. Observation of the Two Year classroom revealed staff who spoke with a very threatening and aggressive tone to the children in the classroom. The staff was heard shouting “sit down”, “go to time-out” and “get in time-out.” The staff was also observed to aggressively place a child in time-out. The children in the classroom were also observed to cry excessively for an extended period of time of approximately 11:00 AM to 11:35 AM. The behavior of the staff was also witnessed by the child care center director. 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 premises in accordance with regulatory requirements. Observation of the School-age and Infant classrooms revealed “bleach” spray bottles, in accessible reach of children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Preschool, School-age and One Year classrooms revealed chipping and peeling wall paint. In addition, the Preschool classroom was observed with broken drywall which left holes in the wall. Further observation revealed large dark brown spots on the ceiling tiles of the Two Year and School-age classrooms. The spots were indicative of water stains. 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 child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the One Year classroom revealed lunch service in which the children were not allowed to wash their hands with soap and water after they each completed their meal. After the children completed their meals, they immediately moved to their cots for naptime. 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 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the One Year classroom revealed a heavily soiled trash “lid” which was placed atop the diaper changing area. The staff failed to keep the diaper changing area free of items not used for diaper changing, as well as, maintain a clean surface. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed loosely placed protective surfacing over “blacktop” in fall zones for equipment used to slide and climb. The blacktop could be observed under the protective surface. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. Review of the temperature measuring device in the Kitchen refrigerator revealed a temperature of forty-six (46) degrees Fahrenheit. The temperature exceeded the regulatory requirement of forty (40) degrees Fahrenheit. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. A Proposal of Insurance was presented for review at the time of survey; however, proof of liability insurance coverage of at least $100,000 per occurrence was not presented for review at the time of survey. The co-owner revealed the center is in the process of finalizing the insurance policy. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. In the Busy Bees bathroom, Butterfly bathroom, and Snail bathroom, there were two (2) uncovered outlets near the sink, and there was a stepstool under the sink in at least two (2) of these bathrooms. In the Busy Bees Room, there was one (1) uncovered outlet near the children’s book shelf. In the Butterfly Room, there were two (2) uncovered outlets behind the toy bassinet. In the Grasshopper Room, there were four (4) uncovered outlets on the power strip located behind the television. In the Ladybug Room, there were two (2) uncovered outlets near the television. In the Dragonfly Room, there was a power strip with three (3) uncovered outlets positioned on the floor next to the mini-refrigerator. In the Caterpillar Room, there was a power strip with four (4) uncovered outlets positioned on the floor next to the mini-refrigerator. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of the staff schedule which was presented for review at the time of survey by the director revealed the director and nine (9) staff members were listed on the staff schedule. Review of staff files revealed the Criminal Records Checks (CRCs) and the Child Abuse & Neglect Checks (CANs) presented for review at the time of survey for five (5) staff members hired 1/26/18 were submitted by Fern Creek Child Care Center L358425, not Kidz Korner Learning Academy L383769. Continued review of staff files revealed a CRC and a CAN were not presented for review at the time of survey for the remaining four (4) staff members hired 1/29/18. Summarily, CRCs and CANs which had been submitted by Kidz Korner Learning Academy L383769 were not presented for review at the time of survey for all nine (9) staff members listed on the staff schedule. Both of the owners and the director revealed CRCs and CANs for all nine (9) staff members had not been completed yet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Verification of a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for two (2) staff members hired 1/26/18. The co-owner and director revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. A current statement from a health professional that the individual is free of active tuberculosis or a current copy of negative tuberculin results was not presented for review at the time of survey for three (3) staff members hired 1/26/18. The co-owner and director revealed this documentation was not available for review at the time of survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. In the Butterfly Room, the tile floor was lightly soiled with dust. In the Butterfly bathroom, Honey Bee bathroom, and Snail bathroom, there was a dust buildup in the ceiling vents. In the Snail bathroom, there was what appeared to be a brown water stain on one (1) small ceiling tile. In the Honey Bee Room, there was what appeared to be a brown water stain on two (2) ceiling tiles. In the Ladybug Room, there was what appeared to be a brown water stain on two (2) ceiling tiles, and there was a light accumulation of dust and cobwebs, along with a few dead insects, on the floor in the corner of the room near the cots. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

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 regulations. In the Grasshopper Room, there was a small, cracked piece of panel missing from one (1) of the ceiling light panels.

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 regulations. In the Grasshopper Room, the bottom, right side of the wooden door casing on the bathroom door was slightly protruding outward, slightly exposing the nails on the inside of the casing.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. In the Butterfly bathroom, there was a faint ring around the toilet bowl, along with a few dried spots of a brown and yellow substance inside the toilet bowl and underneath the toilet seat. 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 regulations. In the Caterpillar Room, there was one (1) crib with a double mattress. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulations. In the Butterfly Room: (1) A blue oval rug was lightly soiled with spots of white and dark substances; (2) There was a visible crack in the play tool workshop, along with light dust and a dead insect in the yellow sink attached to this piece of equipment; (3) There was a dried, sticky substance on the tabletop of a round wooden table; and (4) The bottom exterior of the black garbage can was lightly soiled with splatter spots of a brown substance. In the Grasshopper Room, there were visible cracks in the seats of nine (9) blue, plastic children’s chairs, and there was a very small piece of splintered wood at the bottom of the children’s pink toy cabinet. In the Ladybug Room, one of the door handles on the children’s play cabinet was dangling. In the Snail Room and Dragonfly Room, the eight (8) bucket seats in the feeding tables had slots for seat straps; however, all of the seat straps were missing.

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 center failed to maintain equipment in accordance with regulations. In the Grasshopper Room, there was a large, visible tear in the black office chair, exposing the inner cushion. In the Ladybug Room, there was a small lamp positioned on the children’s toy shelf and the lamp shade was stained/soiled with a dried, brown substance. Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. In the kitchen, there were spots of what appeared to be dried, food splatter on the walls and on the wooden cabinets near the stove.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain food service in accordance with regulations. A co-owner revealed food would be cooked and prepared at the center. A food service permit for Kidz Korner Learning Academy was not presented for review at the time of survey. Both of the owners and the director revealed a food service permit had not been obtained yet.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. In the Caterpillar Room, the mini-refrigerator temperature measured fifty (50) degrees Fahrenheit. 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 regulations. In the kitchen: (1) The interior of the oven was soiled with a build- up of what appeared to be a burnt substance, along with light dust and what appeared to be dried, food splatter on the oven exterior; and (2) The serving cart was soiled with dust and a brownish substance. Children's Records Discussed Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.