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

General: Based on observation, one (1) electrical outlet did not contain a safety plug in the Ones classroom.

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 interview and review of documentation, the child care center failed to maintain the employment status of each staff member who has submitted a fingerprint-based criminal background check by reporting the status in the Kentucky Applicant Registry and Employment Screening (KARES) report. The staff in charge confirmed that eight (8) individuals who were listed as current employees on the KARES report were no longer employed by the center. Therefore, the employment status for the eight (8) referenced individuals was not accurately maintained on the report. Supervision 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.

Based on interview and review of documentation, verification of compliance with the fire marshal was not available, as the most current fire marshal visit was dated 08/28/2019. Interview with the staff in charge revealed the documentation was not available at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child-care center failed to have at least one (1) staff person on duty and present with children at the childcare center with a cabinet-approved certification in Infant and Child Cardiopulmonary Resuscitation (CPR), Infant & Child First Aid, Adult Cardiopulmonary Resuscitation (CPR) and Adult First Aid. All presented certifications expired on 01/2025.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, two (2) staff members (DOH: 12/15/2019 and 01/25/2021) did not complete fifteen (15) hours of cabinet-approved annual education training completed between July 1 and the following June 30. A review of the ECE-TRIS report confirmed these findings.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and an interview, a pink tote bag was hanging on the doorknob outside the bathroom in the One's classroom, and was accessible to the children in care. An interview confirmed the toe bag belonged to a staff member.

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, ten (10) children were present in the School-Age classroom at the time of the inspection. A review of DRCC records verified the room's capacity allowed for six (6) children per thirty-five (35)square feet. As a result, the capacity of the room was exceeded by four (4) children. This was noted during an inspection in 2024, where thirteen (13) children were in the School-Age classroom, exceeding the room capacity by seven (7) 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 of the Three/Fours classroom, two (2) blue child-sized sofas had tears in their seats, armrests, and backs, exposing the inner fabric.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, there was no documentation to support that the emergency preparedness plan had been submitted to the proper emergency management authority for the 2024 school year.

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 following was found: 1. Five toddlers were seated at the table in the bucket seats after breakfast but were not secured with the safety straps. 2. One electrical outlet in the Toddlers classroom did not have a safety plug. 3. A mop and a bucket containing dirty water were stored in the corner of the Threes/Fours classroom, where they were accessible to the children. 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 interview and review of documentation, the following was found: 1. One staff member (DOH:02/15/2024) failed to complete six (6) hours of orientation training was completed within the first three (3) months of employment. 2. One staff member (DOH:11/20/2020) completed the Pediatric Abusive Head Trauma training on 10/29/2018, but failed to complete the training again every five (5) years. Review of ECE-TRIS report supported these findings. 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, five toddlers, ranging in age from one to two years old, were seated in bucket seats at a table in the Toddlers' classroom. They had just finished breakfast and were watching TV at approximately 9:20 am. At 10:58 am, the TV was still on. 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 of the School Age classroom, thirteen (13) children were present at the time of the inspection. A review of DRCC records revealed the capacity of the room allowed for six (6) children per thirty-five square feet; therefore, the room capacity was exceeded by seven (7) 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, three (3) ceiling tiles next to the window and in the left corner of the Threes/Fours classroom contained stains, indicative of water damage.

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 toilet seat in the Toddlers' bathroom was lose. 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 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 raised wooden border around the playground equipment for older children was chipped, exposing sharp edge. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon observation, individual bedding was stored on top of each other without any covering in the Toddlers' bathroom. Per the staff member in charge, the blankets were used for sleeping.

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: Upon observation, the changing tables in the Toddlers, Infants, and Twos classrooms had unknown debris under the changing pads, indicating that the tables were not kept clean.

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 following was found: 1. A smoke detector was hanging from the ceiling, exposing wires in the School-Age classroom. 2. The white horizontal plastic blinds on the window of the School-Age classroom were broken. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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, one child's (DOE: 04/08/2024) file did not contain the child's preferred hospital and contact telephone number for the hospital. 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 observation and interview, the statement of deficiency and corresponding plan of correction for the 2023 year was not posted for public view.

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 facility failed to comply with a regulation that the proper methods of diapering were posted in the Toddlers' and Infants'classrooms at the diaper changing areas. 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 2. Child Care Services.

General:Based on interview, a three (3) year-old child exited their classroom and entered the center's office where the child was not within the scope of vision of a qualified staff person for approximately one (1) to two (2) minutes. Staffing Requirements In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, staff members with hire dates of 9/19/2019, and 1/25/2021 had zero (0) annual training hours for the review period, which did not meet the required fifteen (15) hours as per 922 KAR 2:090. Section 11. Based on review of documentation, a staff member with the ire date of 4/1/2021 had a total of six (6) training hours for the review period, which did not meet the required fifteen (15) hours as per 922 KAR 2:090. Section 11. Also, based on review of documentation and interview, verification of the required one and one-half hours of pediatric abusive head trauma (PAHT) training was not presented for review for three (3) staff members with hire dates of 4/1/2021, 3/1/2019 and 1/25/2021. Review of Early Care and Education Training Records Information System (ECETRIS) confirmed the lack of completed training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 03/10/22 had not initiated the process for the National Background Check Program (NBCP). The staff member did not have a name-based criminal records check and child abuse/neglect check on file. A staff member hired 01/25/21 had not initiated the process for the National Background Check Program (NBCP). The staff member had a name-based criminal records check and child abuse/neglect check on file. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report 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 11. Staff Requirements.

General: Based on observation, interview, and review of documentation, a staff member supervised sixteen (16) children alone on 05/03/22, from 8:40 am until 9:25 am, and the youngest child was three years old. A staff member supervised six (6) children alone on 05/03/22, from 09:27 am until 09:40 am, and the youngest child was three months old.

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, a staff member cared for sixteen (16) children alone, and the youngest child was three years old. In addition, a staff member cared for six (6) infants alone, and the youngest child was three months old. Therefore, minimum staff-to-child ratios and group sizes were not maintained. 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 and review of documentation, two (2) staff members hired 03/10/22 and 04/01/21 did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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, a staff member hired 01/25/21 did not have a TB skin test or a physician statement on file. A staff member hired 09/10/19, had a TB skin test dated 04/26/18, which does not meet the requirement.

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, six (6) staff members hired 04/22/19, 12/06/21, 04/01/21, 11/20/20, 11/02/20, and 01/25/21 did not have first aid and (CPR) training.

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, two (2) staff members hired 09/19/19 and six (6) staff members hired 03/20/22, 04/22/19, 03/01/19, 11/20/20, 11/02/20, and 09/10/19 lacked fifteen (15) of annual training from 07/2020 to 06/2021. Five (5) staff members hired 01/25/21, 09/10/19, 11/20/20, 04/01/21, and 12/06/21 had no proof they completed six (6) hours of orientation training within the first three (3) months of their employment. A staff member hired 04/22/19 completed the Pediatric Abusive Head Trauma training on 08/01/13, but failed to complete the training again every five (5) years. Four (4) staff members hired 01/25/21, 09/10/19, 04/01/21, and 03/01/19 lacked one and one half (1 ½) hours of cabinet-approved Pediatric Abusive Head Trauma Training within the first year 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 3. General Requirements.

General: Based on observation and interview, the two-year-old children watched a cartoon video approximately thirty (30) minutes prior to breakfast and the video continued to play while the children ate their breakfast on 05/03/22. In addition, a cartoon video played from 9:20 am until 11:20 am in the Nursery. Each of these videos was not part of their planned programming of activities. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the hot water temperature registered seventy (70) degrees Fahrenheit at the sink in the Nursery. In addition, the hot water temperature registered seventy (70) degrees Fahrenheit at the sink in the Two-Year-Old’s classroom. The hot water temperature registered seventy (80) degrees Fahrenheit at the sink in the Preschool classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, ten (10) children did not wash their hands after breakfast in the two-year-olds class. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, six (6) infants were present and only four (4) cribs were available for rest time in the nursery. 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 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, a child enrolled on 08/11/20 had an immunization certificate on file that was valid until 05/10/21. A child enrolled on 10/13/19 had an immunization certificate on file that was valid until 02/22/21. Three (3) children enrolled 02/24/22, 01/03/22, 02/06/22 and two (2) children enrolled 01/05/20 did not have an immunization certificate on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

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 interview and review of documentation, two (2) children enrolled 01/03/22 and 04/01/22 did not have enrollment information on file. In addition, enrollment information for four (4) children enrolled 12/07/21, 01/05/20, 10/30/19, and 02/06/22 did not include the health status on Allergies. 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 observation, interview, and review of documentation, thirty-two (32) children were present on 05/03/22, but only two (2) children had a documented arrival time. Approximately thirty-two (32) children were present on 5/02/22, but only one had a documented arrival time.

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 observation, interview, and review of documentation, there was no written staff schedule available for review.

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, two (2) staff members hired 09/19/19 and seven (7) staff members hired 01/25/21, 09/10/19, 04/01/21, 04/22/19, 03/01/19, 11/20/20, and 11/02/20 did not have a professional development plan on file

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, there was no fire drill conducted in April 2022. 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: physical safety. Open / not marked corrected.

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

General: Based on observation, interview, and review of documentation, a shelter-in-place or lockdown drill was not conducted during the fourth quarter 2021 or first quarter 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 observation, interview, and review of documentation, each statement of deficiency issued by the cabinet and each plan of correction submitted by the child-care center to the cabinet during the current licensure year was not posted. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with programming requirements. Interview with multiple sources revealed the school-age children, ages ranging from five (5) years- old through nine (9) years-old, were viewing a movie named "Nobrit" that was rated PG13. Therefore, the material was not age appropriate for the children to view. Additionally, children were permitted to access apps on their personal electronic devices while at the center.

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: Upon request, a staff evaluation was not presented for review for five (5) staff members with the hire dates; 09/19/2019, 09/19/2019, 09/19/2019, 03/18/2019, and 03/01/2019.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation of classroom 2, there was a bucket of water with a mop sitting on the floor in front of a shelf accessible to the children. Continued observation of classroom 2 revealed one (1) electrical outlet that was not covered.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation revealed a staff member with the hire date of 11/23/2020 was the sole caregiver for eight (8) children from 9:55am to 1:12pm. Review of staff files revealed there was not a Child Abuse and Neglect (CAN) or Criminal Records Check (CRC) for the aformentioned staff member. Upon request, the child care center did not present verification that a completed Child Abuse and Neglect (CAN) check and Criminal Records Check (CRC) had been completed. The staff member in charge immediately put a qualified staff member in the classroom with the aforementioned staff member when the verification of documents could not be presented for review. 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 11. Staff Requirements.

General: Review of the presented staff files and a current staff schedule revealed there was not one (1) staff member employed at the child care center that was certified in a cabinet- approved adult and pediatric cardiopulmonary resuscitation and first aid.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Review of presented staff files revealed two (2) staff members with the hire dates; 09/19/2019 and 03/01/2019 had not completed Pediatric Abusive Head Trauma training. Review of the ECE-TRIS report did not verify that the training had been completed. Review of presented staff files revealed one (1) staff member with the hire date 03/1/2019 did not complete six (6) hours of cabinet-approved Orientation training within ninety (90) days of employment. Review of the ECE-TRIS report did not verify that the training hours were completed. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of classroom 5 revealed a five (5) month old infant sleeping with a pacifier in his/her mouth that was attached to the child's clothing with a clip. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of classroom 4 revealed one (1) can of Lysol spray and a bottle of Dawn dishwashing liquid that was sitting on the counter of the sink used for washing the children's hands. The labels on the back of both containers stated, Keep out of reach of children. Further observation of the children's handwashing sink revealed a clear plastic spray bottle with a yellow liquid substance inside it which was also accessible to the children. Interview with a staff member revealed Pine-Sol was inside the clear plastic bottle that was not labeled.

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: Observation of classroom 2 revealed an accordion wall that had a two (2) inch piece of sharp metal protruding from the bottom of the wall. The metal piece was accessible to the children. Observation of classroom 5 revealed a sink used for handwashing that was chipping large pieces of material. The bowl of the sink revealed a large rust spot from where the material had chipped off. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation of the three (3) handwashing sinks located in classrooms 1, 4 and 5, the hot water temperature measured seventy (70) degrees Fahrenheit. 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: Observation of the changing table located in classroom 1 revealed dust and debris under the changing pad. Observation of the changing table located in classroom 4 revealed a buildup of dust and debris. Further observation of the changing table revealed a changing pad that had a dried brown substance smeared on the bottom of the changing pad. 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: Observation of classroom 5 revealed a tube of Aquaphor that was sitting on the window and was not individually labeled and a tube of Vitamin A&D ointment that was lying on the changing table that was not individually labeled. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Observation of the infant and toddler outside play area located in the rear of the child care center revealed three (3) small climbing structures and two (2) slides that did not have any protective surfacing under or around them. The climbing apparatuses were sitting on grass. 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: Observation of one (1) crib used for sleeping children located in classroom 4 revealed the wooden platform that supports the mattress was broken, causing the mattress to lean and not be flat. Therefore, the crib was not in good condition. Further observation of one (1) crib used for sleeping children located in classroom 4 revealed there was one (1) caster wheel missing off of one (1) of the crib legs, causing the crib to lean to one (1) side causing the crib to not be stable. Observation of classroom 5 revealed there were five (5) children present in the classroom, the children's ages ranged from five (5) months to one (1) year old. Continued observation of the classroom revealed there were only four (4) cribs in the classroom that were used for sleeping children. Interview with the staff member revealed the young children sleep in the cribs and the one (1) year old sleeps in a padded child size seat that rocks. Therefore, not all of the children had an individual crib or a mat to sleep on.

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: Observation of classroom 2 revealed a shelf on a toy workbench that was broken and hanging. The toy was not in good working condition. Observation of the main hallway revealed three (3) large rugs that were severly wrinkled, creating a tripping hazard. Continued observation of the main hallway revealed a blue wooden bench used for sitting that contained a two (2) inch metal bracket protruding from the bottom left front leg and a two (2) inch metal bracket protruding from the right front leg of the bench. Additionally, a red plush material infant seat shaped as a car, located in classroom 4, was soiled. Interview with staff member revealed the toy was used just for one (1) individual child and is washed as needed.

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 of the preschool playground, six wooden timbers that were used as a barrier to hold the mulch inside the play area were rotted and splintered. 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: Observation of the refrigerator freezer located in the kitchen revealed there was no device to verify that the temperature in the freezer was maintained at zero (0) degrees Fahrenheit or below. 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

Category: nutrition. Open / not marked corrected.

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

General: Observation of the refrigerator in classroom 5 revealed a dried yellow substance on the shelf and on the floor of the refrigerator. Observation of the refrigerator located in the kitchen revealed the door gaskets that were attached to both of the refrigerator doors had a mass of black spots, indicative of mold.

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: Observation of the refrigerator in classroom 4 revealed two (2) bottles filled with a white liquid substance that were not properly labeled to identify for which child the bottles were to be fed. 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: Upon request, the child care center did not provide a written annual plan for child care staff professional development for five (5) staff members with the following hire dates: 09/19/2019, 09/19/2019, 09/19/2019, 03/18/2019 and 03/01/2019, Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: 922 KAR 2:410e requires name based background checks, to include a Criminal Records Check (CRC) and a Child Abuse and Neglect (CAN) check to be requested for all staff members who have been hired since the onset of the current pandemic. Additionally, the results of the required checks must be obtained prior to a new staff member working alone with children, without the direct oversight of an employee who has the required background checks on file. Observation of presented staff files revealed there was not a Child Abuse and Neglect (CAN) check and a Criminal Records Check (CRC) for a staff member with the hire date 11/23/2020. Observation of classroom 1 revealed the staff member was the sole caregiver for eight (8) children from 9:55am to 1:12pm. Upon request, the child care center did not present verification that a Child Abuse and Neglect (CAN) check and Criminal Records Check (CRC) had been completed for the aforementioned staff member. The staff member in-charge immediately put a qualified staff member in classroom 1 with the aforementioned staff member when the child care center could not present verification of the requested documentation. Additionally, the standards established in 922 KAR 2:410e prohibits the use of machine washable toys. Observation of classroom 5 revealed a cloth doll lying on the floor accessible to the children. The child care center also failed to assure compliance with the requirements specific to the current pandemics established in 922 KAR 2:410e regarding the storage of children's bedding. Observation of classroom 2 revealed numerous blankets used by the children were stacked on top on one another. The blankets were not stored in an individual container.

Open Not marked corrected in the state record

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. Observation of the four-and- five-year-old classroom revealed a staff member with the hire date 03/18/2019 was the sole care giver for eleven (11) children from the timeframe 10:37 am to 11:01 am. Review of the staff file for the staff member with the hire date 03/18/2019 revealed it did not contain a determination of clearance from the National Background Check Program, (NBCP). Review of the KARES surveyor report revealed the staff member with the hire date 03/18/2019 was not listed on the report for the child care center. Observation of the infant II classroom revealed a staff member with the hire date 01/07/2020 was the sole care giver for eight (8) children on several different occasions throughout the survey when another staff member would exit the room from the timeframe of 10:37am to 1:49 pm. Review of the staff file for the staff member with the hire date 01/07/2020 revealed it did not contain a determination of clearance from the National Background Check Program, (NBCP). Review of the KARES surveyor report revealed the staff member with the hire date 01/07/2020 was not listed on the report for the child care center. Upon review of presented staff files and the KARES surveyor report revealed that three (3) additional staff members with the hire dates; 09/19/2019, 01/07/2020 and 09/19/2019 did not contain a determination of clearance from the National Background Check Program, (NBCP). Interview with the staff in charge revealed she had not yet initiated the request for the Kentucky National Background Check Program (NBCP) for five (5) staff members with the hire dates: 03/18/2019, 9/19/2019 and 1/07/2020 for the child care center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 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. Observation of the four-and- five-year-old classroom revealed a staff member with the hire date 03/18/2019 caring for children. Upon request documentation was not presented to verify that the child care center had initiated the process for obtaining the National Background Check Program (NBCP) for a staff member with the hire date 03/18/2019. Observation of the infant II classroom revealed a staff member with the hire date 01/07/2020 was caring for children. Upon request documentation was not presented to verify that the child care center had initiated the process for obtaining the National Background Check Program (NBCP) for a staff member with the hire date 01/07/2020. Upon request documentation was not presented to verify that the child care center had initiated the process for obtaining the National Background Check Program (NBCP) for three (3) staff members with the hire dates: 9/19/2019 and 1/07/2020.

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 interview and review of documentation, the child care center failed to comply with regulations for background checks. Review of the KARES surveyor report revealed there was no child care center listed for Main Street Kids Academy Southwest L384001. Interview with the staff in charge revealed the child care center has not initiated a request for the child care center to be listed for the National Background Check Program (NBCP). Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain supervision in accordance with regulatory requirements. Observation in the infant I room revealed three (3) children asleep in cribs. Further observation revealed there was no staff member present in the room to care for the three (3) aforementioned children. The surveyor then walked into the ajoining bathroom that allowed entry into the Infant II classroom where three (3) staff members were present. Two (2) of the staff members were observed standing by the diaper changing table positioned close to the front doorway of the Infant II classroom engaging in conversation. Interview with one (1) of the staff members revealed she was supposed to be caring for the three (3) children in the Infant’s I classroom and walked away for a minute into the Infant’s II classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with staffing requirements. Observation in the two-and-three-year-old room revealed two (2) staff members were caring for fourteen (14) children. Interview with a staff member revealed the youngest child in the room was one-years-old. Therefore, the room was out of ratio and exceeded the maximum group size of the age of the youngest child who was one-years-old. Upon entry into the infant II classroom a staff member was observed to walk out of the classroom and into the hallway leaving the second staff member in the classroom to be the sole caregiver for eight (8) children for the timeframe of 10:43am until 10:46am. Interview with a staff member revealed the youngest age child was three (3) months old. Continued observation of the infant II classroom revealed the following: At 11:01am the same aforementioned staff member walked out of the Infant II classroom again across the hallway to retrieve a diaper bag off a coat hook. At 11:16 am the same aforementioned staff member walked out of the Infant II classroom again and into the school age room to place a broom against a pantry shelf. At 11:20 am the same aforementioned staff member walked out of the Infant II classroom again down the hallway into the women’s restroom. The aforementioned staff member was occupying the women’s restroom for an undetermined amount of time. All of the above mentioned instances caused the infant II room to be over ratio General Administration In Compliance 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, the child care center director failed to comply with regulatory requirements. Observation in the following rooms revealed there was an electrical wall outlet with no protective covering; two-and-three-year-old, infant II, four-and-five-year-old, hallway and the school age room. Observation in the women’s bathroom revealed a toilet brush sitting next to a toilet. Further observation revealed a utility closet open and accessible to children. Inside the utility closet revealed two (2) plungers, three (3) toilet brushes, a bottle of “Ajax” cleaner and “Scrubbing Bubbles” bathroom cleaner that indicated on the label “keep out of reach of children”. In the school age room there was a bottle of “Tide” laundry detergent sitting on an open shelf accessible to children that indicated on the label “keep out of reach of children”. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report

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, interview and review of documentation, the child care center director failed to comply with regulatory requirements. Observation of the four-and-five- year-old classroom revealed a staff member with the hire date 03/18/2019 was the sole care giver for eleven (11) children from the timeframe 10:37 am to 11:01 am. Review of the staff file for the staff member with the hire date 03/18/2019 revealed it did not contain a determination of clearance from the National Background Check Program, (NBCP). Review of the KARES surveyor report revealed the staff member with the hire date 03/18/2019 was not listed on the report for the child care center. Observation of the infant II classroom revealed a staff member with the hire date 01/07/2020 was the sole care giver for eight (8) children on several different occasions throughout the survey when another staff member would exit the room from the timeframe of 10:37am to 1:49 pm. Review of the staff file for the staff member with the hire date 01/07/2020 revealed it did not contain a determination of clearance from the National Background Check Program, (NBCP). Review of the KARES surveyor report revealed the staff member with the hire date 01/07/2020 was not listed on the report for the child care center. Upon review of presented staff files and the KARES surveyor report revealed that three (3) additional staff members with the hire dates; 09/19/2019, 01/07/2020 and 09/19/2019 did not contain a determination of clearance from the National Background Check Program (NBCP). Interview with the staff in charge revealed she had not yet initiated the request for the Kentucky National Background Check Program (NBCP) for five (5) staff members with the hire dates: 03/18/2019, 9/19/2019 and 1/07/2020 for the child care center. 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 9. Records.

General: Based on interview and review of documentation, the child care center failed to comply with regulations regarding employee records. Review of presented documentation and interview with the staff in charge revealed there was no personnel file that contained the name, address, date of birth, date of employment, proof of educational qualification, documentation of tuberculosis screening, and results of the background checks for two (2) staff members with the hire date 1/07/2020.

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 three (3) staff members with the hire dates 03/18/2019 and 01/07/2020 did not have proof of education documentation (high school diploma, GED, or Commonwealth Child Care Credential) contained in the file. Interview with the staff in charge revealed this information was not available at the time of 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 in accordance with regulations. Review of staff files revealed two (2) staff members with the hire date 01/07/2020, failed to have record of tuberculin results or a statement from a health professional that the individual is free of active tuberculosis on file. Interview with the staff in charge revealed this information was unavailable at the time of 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 in accordance with regulations. Review of staff files revealed three (3) staff members with the hire dates 03/01/2019, 03/18/2019 and 09/19/2019 had not completed state approved orientation training. Review of an ECE-TRIS report did not verify that the training had been completed. Interview with the staff in charge revealed documentation of training was not available at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 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 3. General Requirements.

General: Based on observation and interview, the child care center failed to comply with regulations for programming. Observation in the two-and-three-year-old room revealed fourteen (14) children seated at a table watching “Mickey Mouse” cartoon show on the television. Interview with the staff in charge revealed the only electronic viewing the children should be watching should be educational and related to the lesson plan and it should not be a “Mickey Mouse” cartoon show. 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 comply with regulations for premises. Observation in the four-and-five-year-old room revealed a staff members open purse sitting on the child size couch accessible to children.

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 regulations for premises. Observation in the two-and-three-year-old and infant I bathroom revealed there was no toilet paper near the toilet seat.

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 regulations for premises. Observation of the sink in the infant I room revealed there was no available liquid soap. 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 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, interview and review of documentation, the child care center failed to maintain food service in accordance with regulations. Review of documentation revealed there was not a food service permit presented for review at the time of survey. Interview with staff in charge revealed a current food service permit was not available for review at the time of survey. Observation in the kitchen revealed the lunch meal prepared for the children was fish sticks, mashed potatoes, mix vegetables, fruit, and bread. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 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, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the freezer in the kitchen revealed there was no thermometer or other appropriate temperature-measuring device to verify that the temperature in the freezer was maintained at zero (0) degrees Fahrenheit or below. 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 child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the files for four (4) children with the enrollment dates 07/22/2019, 06/10/2019, 01/17/2019, and 10/17/2019 revealed it did not contain a current immunization certificate. Interview with the staff in charge revealed the requested documentation was unavailable at the time or 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 interview and review of documentation, child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children's files revealed four (4) children with the enrollment dates 01/17/2019, 07/22/2019, 06/10/2019 and 01/17/2019 records did not contain a named physician or preferred hospital. Interview with the staff in charge revealed the requested documentation was unavailable at the time or survey. Written 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 2. Child Care Services.

General: Based on interview and review of documentation, the child care center failed to comply with regulations regarding written documentation. Review of documentation revealed there was no written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child care center staff member. Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7

Open Not marked corrected in the state record

Open / not marked corrected.