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

General: Based on multiple interviews and documentation review, on 12/19/2023 a staff member was changing a two-year-old child's diaper in a bathroom. The staff member left the child unattended on the changing table briefly while being distracted by another child, resulting in the child falling from the table and being caught by a staff member. The incident was reported by staff as being the source of bruising to the child. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, the licensee failed to ensure a two-year-old child's health, safety, and comfort. The child was on a changing table for a diaper change when the staff member was briefly distracted by another child. During the brief distraction, the child began to fall from the changing table and was caught by the staff member. It was reported that the incident was the source of bruising on the child.

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, current liability insurance was not presented for review on the day of the inspection. 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, documentation presented for a staff member (DOH: 08/03/20) did not include an annual written performance evaluation on the day of the inspection. 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 of review, documentation presented for five (5) staff members (DOH: 08/28/23, 08/21/23, 08/28/23, 08/29/22, and 10/25/23) did not include a high school diploma, GED, or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential on the day of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation presented for a staff member (DOH: 10/25/23), it did not include a negative TB skin result or a physician’s statement indicating the staff member was free of TB. Continued review of documentation revealed documentation presented for a staff member (DOH: 10/26/23) included the most resent tuberculosis skin test dated 10/13/18, which 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) data system, the following was found: 1) There were three (3) staff members (DOH: (05/01/17, 09/07/21, and 06/16/05) who 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. 2) There was a staff member (DOH: 10/26/21) who completed nine (9) 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) There were two (2) staff members (DOH: (02/18/22 and 08/03/20) who completed seven (7) 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: 06/16/05) has not completed one and one-half (1.5) hours of pediatric abusive head trauma training that was due on or before 10/11/23. 5) A staff member (DOH: 09/07/21) has not completed one and one-half (1.5) hours of pediatric abusive head trauma training that was due on or before 10/11/23. Review of ECE-TRIS verified this information. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication 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 7. First Aid and Medicine.

General: Based on observation, there was an unlocked cabinet within the child care center’s office that was also unlocked that stored a bottle of children’s Zarbee’s Cough Syrup. The warning label on the back of the bottle stated, “Keep Out of Reach of Children.” Therefore, the medication was not locked. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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: Based on observation, the following was found: Pre-k and School Age Playground 1) There were multiple metal spikes protruding from the black plastic border that enclosed the monkey bars. 2) There was a black plastic border that was cracked, causing a hole in the border. 3) There was a large climbing structure with two (2) clear poly-carbonated windows that contained an accumulation of a green substance. 4) There was a second large climbing structure that contained a red tube used for crawling that contained an accumulation of white, grey, green, and black substances.

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 two (2) climbing and sliding structures that did not contain protective surfacing within the toddler outdoor playground. The two (2) climbing and sliding structures were sitting on artificial turf. The artificial turf is not adequate protective surfacing. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance 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 of lunch being served, the children were served rice, bread, meatballs, milk, and applesauce within the pre-k room classroom. The children were not served a vegetable and a fruit, or two (2) vegetables. Therefore, the required five (5) food components were not met on the day of the inspection. Meal Planning/Center Does Not Provide Meals Not Applicable 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’s record (DOE: 06/02/23) contained an immunization certificate that expired on 10/29/23. Therefore, the documentation was not current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review, documentation presented for two (2) staff members (DOH: 10/26/21 and 08/03/20) did not include a written annual plan for child care staff professional development on the day of the inspection. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, there was not a schedule of daily activities posted within the pre-toddler room and the pre-k room on the day of the inspection. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. The girl's bathroom contained a wooden-handled toilet plunger directly beside the toilet in the second stall, accessible to children. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care facility failed to maintain state regulations. Review of staff files found that 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 8/22/2022,and 4/27/2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain state regulations. Review of staff files found that a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results was not presented for review at the time of survey for one (1) staff member hired 8/22/2022. 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 3. General Requirements.

General: Based on observation, the child care center failed to maintain state regulations. The Lion's room contained one (1) spray bottle labeled "bleach water" located on top of a storage cubby along the left wall, accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. The main hallway contained one uncovered light fixture with an exposed non-shatterproof bulb.

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 state regulations. The Caterpillar's room contained chipping paint on the window seal of the last window on the back wall, furthest right. Hygienic Practices In Compliance 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 facility failed to maintain state regulations. The Toddler playground contained multiple cob webs filled with dead bugs on the facility back wall paneling, in close proximity to multiple pieces of playground equipment. In addition, the playground area had a broken board on the foot bridge used by children and staff to access the playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. The following was found: 1.) The Lions room contained a small plastic storage tote containing Legos with a large crack on the front side. 2.) The Toddlers playground area contained a Little Tykes picnic table that had multiple patches of duct tape residue and a large crack on the red bench seat. 3.) Within the Hedgehogs room, the safety straps from multiple bucket seats used for infant/toddler seating had been removed. At the time of the survey, one (1) infant was observed sitting in a bucket seat, eating a snack, unsecured. 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 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.

Upon request, a current written annual staff evaluation was not presented for staff member with the hire date 02/26/2004. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. The staff in-charge did not present verification that the file for staff member with the hire date 02/26/2004 contained a current document from a health care professional stating that the aforementioned staff member was free of active tuberculosis or a copy of a negative tuberculosis screening. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 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: Verification that a staff member with the hire date 02/26/2004 had completed fifteen (15) hours of cabinet-approved early care and education training was not submitted for review. Interview with the staff in-charge revealed she could not verify the training hours were completed. Review of the ECE-TRIS report could not verify that the training hours had been 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 2. Child Care Services.

General: Based on interview and review of documentation, the child care center failed to comply with programming regulatory requirements. Upon request, a current daily plan of activities was not presented for review for the four and five-year-old room 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to comply with regulatory programming requirements. Observation of the infant room revealed there was a six (6) 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.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the preschool/school age room revealed there was a staff member's purse that was sitting opened on a shelf adjacent to the entry door of the classroom. The purse was accessible to the children. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of a wall in the block area located in the preschool/school age room revealed there was a piece of plexiglass attached to the wall that was broken and missing a large piece, leaving the broken edge of the plexiglass with sharp edges. Observation of the ceiling in the hallway revealed there was a twelve (12) inch by four (4) inch rectangular hole in the ceiling. Observation of the wall located in the men’s restroom revealed there was a seven (7) inch by seven (7) inch hole in the concrete wall that contained sharp edges and was accessible to the children. Observation of the ceiling located in the overflow room revealed there were multiple brown stains on the ceiling tiles, 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 and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the infant room revealed there was not a handwashing sink in the room; therefore, there was not a sink immediately adjacent to the changing table. Interview with the staff member revealed that the staff use wipes and hand sanitizer to wash the children’s hands and their own hands. Observation of the toddler room revealed the changing table was not adjacent to the handwashing sink, the handwashing sink was located across the 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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of restroom at the end of the hallway revealed there was no ventilation to outside air. The restroom did contain a window but the window does not open. Observation of the women’s restroom off the main hallway revealed the restroom did not have ventilation to outside air. The aforementioned restroom had a window, however, a cabinet was built and placed on the window sill covering the window, and the window cannot be used. Observation of the men’s restroom located off the main hallway revealed the restroom did not have ventilation to outside air. The men’s restroom had a window that did not contain a screen and a there was a piece of wood covering the window from the outside. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of a diapering process in the toddler room revealed after the staff member completed changing the child’s diaper, the staff member removed the child from the changing table and relocated him/her to the floor. The staff member did not wash the child’s hands after the diapering procedure was completed. 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

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 a diapering process in the toddler room revealed after the staff member completed changing the child’s diaper, the staff member removed the child from the changing table and relocated him/her to the floor. The staff member did not wash his/her hands after the diapering procedure was completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the changing area located in the toddler room revealed there was a build-up of dust and debris under and around the changing pad. Continued observation of the changing area revealed the changing pad and the seams around the changing pad contained a build-up if dust and debris. 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 toddler outside play area revealed there was an overabundance of grass and weeds growing on the playground.

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 school age outdoor play area revealed a circular monkey bar that did not contain sufficient protective surfacing around and under the climbing apparatus. 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

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 fence located on the toddler outside play area revealed there was an area of the chain link fence that was stretched, leaving a hole in the fence. Also, the fence was rusted and was chipping silver paint. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the children’s cots located in the infant/pre-toddler room revealed there was a cot that contained a child’s bedding that was touching another child’s bedding; therefore, the bedding was not stored in a sanitary manner.

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 child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the house keeping area located within the preschool/school age classroom revealed there was a white wooden shelf and a white wooden doll cradle that was chipping paint.

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 child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the school age outside play area revealed a wooden picnic table that was peeling paint. Observation of the toddler outside play area revealed a plastic picnic table that was broken, leaving a hole with sharp pointed edges, and there was a yellow seat inside the train that was cracked, leaving sharp edges in the middle of the seat. Observation of the preschool outside play area revealed a black plastic border attached with metal spikes that was not secured into the ground and the metal spike that was not secured into the ground was lying on the plastic border pointing upward, this was a hazard. 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 child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator located in the kitchen revealed there was dried food particles and a dried yellow substance on the shelves inside of the refrigerator door. Continued observation of the refrigerator freezer revealed there was dried food particles on the bottom shelf inside the refrigerator freezer. Observation of the microwave located in the infant/pre-toddler classroom revealed there was dried food throughout the inside of the microwave. Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable 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 the children’s records in accordance with regulatory requirements. Upon request a current immunization certificate was not presented for review for a child with the enrollment date 09/16/2019. The document presented was dated 06/20/2021. 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 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 present a written annual plan for child care staff professional development for one (1) staff member with the hire date 02/26/2004. The staff in-charge acknowledged that the professional development plans needed to be completed for all staff members. 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 interview, the child care center failed to assure compliance with regulatory requirements. Observation of the two (2) & Three (3) year-old room revealed an outlet uncovered on the left wall. Interview with the child care staff in charge confirmed the outlet was uncovered. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain an outdoor playground in accordance to regulatory requirements. Observation of the back outdoor, two & three year old play area, revealed a white storage shed with mold on the side of it. Interview with the child care staff in charge confirmed the shed and playground needed cleaning. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. 1) Upon request, the staff-in-charge failed to provide documented evidence of the child care center’s written policy and procedures. 2) In addition, the staff-in-charge failed to provide a current copy of the licensed child care regulations. The documents provided were dated 08/22/16. The regulations were updated in 2018. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to assure compliance with regulatory background check requirements. 1) Upon request, the staff-in-charge failed to provide background check documentation for staff with hire dates 03/02/15 and 04/18/17. The staff were stated to be volunteers; however, they were also indicated to be present in the child care center when children received care. Review of the Staff Schedule revealed the staff were regularly scheduled in the child care center. 2) In addition, interview with the staff-in-charge revealed staff with a rehire date of 06/11/18 and hire date of 07/13/18 were allowed to work before each submitted Live Scan Fingerprints for background check requirements. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 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 assure compliance with regulatory background check requirements. 1) Upon request, the staff-in-charge failed to provide background check documentation for staff with hire dates 03/02/15 and 04/18/17. The staff were stated to be volunteers; however, they were also indicated to be present in the child care center when children received care. Review of the Staff Schedule revealed the staff were regularly scheduled in the child care center. 2) In addition, interview with the staff-in-charge revealed staff with a rehire date of 06/11/18 and hire date of 07/13/18 were allowed to work before each submitted Live Scan Fingerprints for background check requirements.

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 assure compliance with regulatory background check requirements. Interview with staff-in- charge revealed staff listed as Current Employees with Determination Dates of 08/14/18 and 10/14/18 in KARES, were no longer employed with the child care center. The child care center failed to change the employment status of these staff in the National Background Check Program (NBCP) web-based system. Supervision In Compliance 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 6. License Issuance.

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements with regard to the Fire Marshal report. Upon request, the director failed to provide documented evidence of the State Fire Marshal report or that the child care center requested inspection by the State Fire Marshal.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 07/08/2019 AND AS OF 08/08/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 08/23/2019 AND AS OF 09/07/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements with regard to the Fire Marshal report. Upon request, the director failed to provide documented evidence of the State Fire Marshal report or that the child care center requested inspection by the State Fire Marshal. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements with regard to the implementation and monitoring of child care center policies. Review of employee records revealed all staff actively employed for at least one (1) year were not evaluated during the review period. Interview with the staff-in-charge and director revealed the evaluations were not conducted. Review of the child care center’s Staff Policy revealed an “Annual Evaluation is conducted on each staff member, including the Director and Assistant Director. In addition to an annual evaluation, each staff are given an Annual Professional Development Plan to Fill out and turn into the office. Both the evaluation and development plan will be placed in the staff book.” Further review of DRCC records revealed a Statement of Deficiency (SOD) was submitted on 06/28/18 for the Renewal Survey, Inspection #244653, dated 05/07/18. The director responded in a Plan of Correction (POC) received by DRCC on 09/06/18, that he would review staff files monthly and complete performance evaluations on the anniversary of hire date and update staff record book. Review of employee records also revealed there were no evaluations conducted after 01/2018. In addition, the evaluations and professional Development forms appeared to have the date changed from 01/2017 to 01/2018. Telephone interview with the director on 05/01/19, revealed agreement the dates should have been 2017.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements with regard to annual staff evaluations. Review of employee records revealed all staff actively employed for at least one (1) year were not evaluated during the review period. Interview with the staff-in-charge and director revealed the evaluations were not conducted. Review of the child care center’s Staff Policy revealed an “Annual Evaluation is conducted on each staff member, including the Director and Assistant Director.” Further review of DRCC records revealed a Statement of Deficiency (SOD) was submitted on 06/28/18 for the Renewal Survey, Inspection #244653, dated 05/07/18. The director responded in a Plan of Correction (POC) received by DRCC on 09/06/18, that he would review staff files monthly and complete performance evaluations on the anniversary of hire date and update staff record book. Review of employee records also revealed there were no evaluations conducted after 01/2018. In addition, the evaluations appeared to have the date changed from 01/2017 to 01/2018. Telephone interview with the director on 05/01/19, revealed agreement the dates should have been 2017.

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, interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements with regard to the health, safety and comfort of a child in care. Observation of the Three to Four Year classroom revealed staff who spoke to children in a “very aggressive, demeaning and threatening” tone. The children were required to sit for an extended period of time as another child finished his/her lunch. The staff yelled at the children when she stated “Didn’t I tell you to be quiet!”, “Stop Coughing!”, “Don’t Cough!” and “Stop making those noises, it’s annoying!” Review of employee records revealed the staff was counseled in 01/2017 due to inappropriate tone used with the children. The staff was also stated to “sometimes” fail to demonstrate enthusiasm, warmth, affection, to use an appropriate tone of voice, avoid stereotyping and labeling, use a calm voice and/or manner, hug and touch the children appropriately, and maintain a positive attitude toward the children. Interview with the director revealed he recalled counseling the staff with regard to behavior with the children in the classroom. The staff also yelled at the children when they attempted to assist with a puzzle that was used as programming activity for the class. The staff was heard yelling at the children when he/she stated “Don’t pick them out!”, “Stop it!”, “Stop moving those around!” and “Get over there!”

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements with regard to altered/falsified records. The child care center was identified to have a regulatory violation with regard to staff evaluations. Upon request, the child care center staff-in-charge presented employee records for all staff. Review of staff evaluations revealed the Self-Evaluation & Staff Development documents for each staff person was altered to reflect that the evaluation and professional development were completed for the review period of 2018; however, they were in fact completed in 2017. Upon request, the child care center staff-in-charge was unable to present 2017 evaluations to ensure the documents were not altered. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff-in-charge failed to provide documented evidence that staff with hire dates 06/11/18, 01/08/18, 07/03/17 and 11/29/17, meet the educational requirement through a high school diploma, GED or qualifying documentation from a comparable educational entity. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 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 staff-in-charge failed to provide documented evidence from a health professional, that staff with a hire date of 09/01/99 and 04/18/17 are free of active tuberculosis. Further review of DRCC records revealed a Statement of Deficiency (SOD) was submitted on 06/28/18 for the Renewal Survey, Inspection #244653, dated 05/07/18. The director responded in a Plan of Correction (POC) received by DRCC on 09/06/18, that the director will “Review Employee Record book monthly and check for all required forms which may be outdated and check on TB Testing updates expiring. A master list was compiled for quick review of all employees TB verification status.”

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. 1) Upon request, the staff-in-charge failed to provide documented evidence of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year for staff with hire dates 08/17/15, 08/12/15, 10/30/03, 07/03/17, 06/14/17, 07/13/18, 11/29/17, 04/16/09 and 08/20/15. 2) Further review revealed staff with hire dates 01/26/16, 05/30/17, 05/01/17, 10/30/03, 02/26/04, 02/19/18, 06/14/17 and 09/15/88, failed to complete one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training. Further review of DRCC records revealed a Statement of Deficiency (SOD) was submitted on 06/28/18 for the Renewal Survey, Inspection #244653, dated 05/07/18. The director responded in a Plan of Correction (POC) received by DRCC on 09/06/18, that the director will “review employee record book monthly with a report of needed training hours as it relates to their hire dates and inform staff at staff meetings regularly from the TRIS monthly reports of training hours logged by them.” Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Observation of the Three (3) to Four (4) year classroom revealed one (1) staff and six (6) children. Interview with staff revealed the children ranged in age from three (3) to four (4) years old. The children were requested to put a “University of Kentucky” puzzle together that contained small pieces and did not appear to be age appropriate for the group. The staff did not allow the children to participate, when they each attempted to assist and failed. The staff was observed to yell at the children to “not touch” the puzzle and prevented participation in the activity. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 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 interview, the child care center failed to comply with regulatory programming requirements. Observation of the Three (3) to Four (4) Year classroom revealed one (1) staff and six (6) children. Interview with staff revealed the children ranged in age from three (3) to four (4) years old. The children were requested to put a “University of Kentucky” puzzle together that contained small pieces and did not appear to be age appropriate for the group. The staff did not allow the children to participate, when they each attempted to assist and failed. The staff was observed to yell at the children to “not touch” the puzzle and prevented participation in the activity. The children were not allowed to conduct the activity at their developmental rate.

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 Three (3) to Four (4) Year classroom revealed the children were required to sit at a table while one (1) child finished his/her food. The children were made to wait for an additional twenty (20) minutes or less. The staff was observed to yell at the children when they wanted to talk to each other or ask the staff questions. The staff stated, “Didn’t I tell you to be quiet!!”

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, the child care center failed to comply with regulatory programming requirements. Observation of the Three (3) to Four (4) Year classroom revealed one (1) staff and six (6) children. Interview with the staff revealed the children ranged in age from three (3) to four (4) years old. Throughout the inspection the staff could be heard yelling at the children and used loud, threatening and humiliating language when she interacted with the children. The staff told a child, “Don’t cough! That’s annoying!” “Didn’t I tell you to be quiet?” “Get over there!” When the children wanted to help with a puzzle activity the staff told the children, “Don’t pick them out! Stop it! Stop moving the pieces around!” Review of employee records revealed the staff was counseled in 01/2017 for inappropriate tone used with the children. The staff was also stated to “sometimes” fail to demonstrate enthusiasm, warmth, affection, to use an appropriate tone of voice, avoid stereotyping and labeling, use a calm voice and/or manner, hug and touch the children appropriately, and maintain a positive attitude toward the children. Interview with the director revealed he recalled counseling the staff with regard to behavior with the children in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Observation of the Three (3) Year classroom revealed one (1) staff and eight (8) children. Interview with staff revealed the children ranged in age from two (2) to three (3) years old. Further interview revealed the toddlers were in the classroom with the older children for more than an hour daily and that the younger children did not have transitional plans approved by their parents. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the Preschool classroom revealed a large wooden space heater. The space heater was in an area accessible to children in the classroom. Interview with staff revealed the space heater was used when children were in the classroom. 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, interview and review of documentation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. 1) Observation of the Toddler outdoor play area revealed loosely placed green fabric under the loosely placed surface protection. The fabric presented a foreseeable tripping hazard. 2) Further observation of the School-age outdoor play area revealed weeds and vines in the fence line, “sticker” bushes and a loosely placed large tree branch that hung over the fence toward the playground. 3) In addition, the Preschool outdoor play area was observed with loosely placed fabric beneath loosely placed surface protection. Further review of DRCC records revealed a Statement of Deficiency (SOD) was submitted on 06/28/18 for the Renewal Survey, Inspection #244653, dated 05/07/18. The director responded in a Plan of Correction (POC) received by DRCC on 09/06/18, that the director “informed the lawn care services that the small play yard will need to be trimmed weekly and all grass cut form the fence rows.”

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 Toddler, Preschool and School-age outdoor play areas revealed loosely placed protective surface which did not sufficiently cover the ground, especially in areas in which the children were to climb, slide and/or swing. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. 1) Observation of the Toddler and Preschool outdoor play area revealed toys which were heavily soiled and without good repair. 2) Observation of the School-age outdoor play area revealed rusted and chipped paint on the “see-saw” and two (2) picnic tables were observed with chipping paint and rotting, splinting wood. 3) Further observation of the Preschool outdoor play area revealed a wooden bench which contained chipped paint.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. 1) Observation of the School-age outdoor play area revealed rusted and chipped paint on the “see-saw” and two (2) picnic tables were observed with chipping paint and rotting, splinting wood. 2) In addition, the chains on the swing set had rusted. 3) Further observation of the Preschool outdoor play area revealed a wooden bench which contained chipped paint and heavily soiled toys on the Toddler and Preschool outdoor play areas. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 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 staff-in-charge failed to provide accurate documentation of daily attendance records for children in attendance on 04/29/19. Observation revealed thirty-nine (39) children were present; however, forty-nine (49) children were signed in to care. Further review of DRCC records revealed a Statement of Deficiency (SOD) was submitted on 06/28/18 for the Renewal Survey, Inspection #244653, dated 05/07/18. The director responded in a Plan of Correction (POC) received by DRCC on 09/06/18, that the director will “review the new record classification weekly to see if staff are maintaining the new attendance system.”

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 staff-in-charge failed to provide documented evidence that all staff reviewed completed a written annual plan for child care staff professional development. The staff reviewed have been employed for at least one (1) year. Review of the documents provided indicated they were altered and the date was changed from 2017 to 2018. The staff-in-charge was unable to provide the 2017 documents when the surveyor wanted to check for accuracy. Further review of DRCC records revealed a Statement of Deficiency (SOD) was submitted on 06/28/18 for the Renewal Survey, Inspection #244653, dated 05/07/18. The director responded in a Plan of Correction (POC) received by DRCC on 09/06/18 that the director will “continue to review Professional Development log and inform staff of the hours they need. Director has scheduled in house training with a TRIS certified instructor for a total of 18 hours for dates beginning 09/22/18 to 02/02/19.”

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 staff-in-charge was requested to provide documented evidence of 2017 staff evaluations and professional development plans. The documents presented appeared to have been altered to reflect the 2018 review period. There was no evidence of 2017 documents unless the documents presented for 2018 were in fact the 2017 documents. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Upon request, the staff-in- charge failed to provide evidence that the child care center posted each statement of deficiency (SOD) issued by the cabinet and each plan of correction (POC) submitted to the cabinet during the current licensure year. The documents inspected were dated 09/18/17. Animals Not Applicable

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 review of documentation and interview, the child care center failed to comply with regulations for background checks. Upon review of presented staff files, the records for the staff member with the hire date of 04/16/2009 did not contain a Child Abuse and Neglect check. Further review of presented staff files revealed the records for the staff member with the hire date of 07/01/2017 did not contain a Kentucky criminal record check. It was observed that on the day of survey the aforementioned staff member was alone in the hallway with a three-year-old child for an undetermined amount of time. Interview with the aforementioned staff member and director revealed the aforementioned staff member was a previous employee with the child care center back in 2013 and then rehired again on 07/01/2017. Interview with the director revealed the requested documentation of the state of Kentucky criminal record check for the most recent hire date was unavailable at the time of survey. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulations for director requirements. Review of staff files revealed an annual written performance evaluation was not presented for three (3) staff members with the hire dates of 09/17/2015, 08/12/2015, and 08/15/2016. Interview with the director revealed the requested documentation was unavailable at the time of survey.

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, the child care center failed to comply with regulations regarding director requirements. Observation of the following rooms revealed there was an electrical wall outlet that did not have a protective covering over it: hallway, two and three-year-old room, and toddler room. 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 regulations. Review of staff files revealed three (3) staff members with the hire dates of 11/16/2017, 02/27/2018, and 01/15/2018 did not have proof of education documentation (high school diploma, GED, or Commonwealth Child Care Credential)on file. Interview with the director revealed the three (3) aforementioned staff members are current high school students and do not have a diploma. Surveyor then requested to review the last report card or letter of school official verification of current enrollment. The director revealed the requested documentation 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 review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed five (5) staff members, with the following hire dates, failed to have records of tuberculin results or a statement from a health professional that the individual is free of active tuberculosis; 08/21/2017, 08/15/2016, 02/27/2018, 01/15/2018, and 04/16/2009. Interview with the director 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 review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed the fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for eight (8) staff members with the following hire dates: 10/26/2016, 09/17/2015, 08/12/2015, 10/30/2003, 06/16/2005, 09/15/1988, 08/20/2015, and 06/10/2013. Interview with the director revealed the requested documentation was unavailable at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to comply with regulations regarding programming. Observation in the Nursery I room revealed a seven-month old infant laying in a crib with a loose fleece blanket on top of him and a bib wrapped around his neck. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding premises. Observation of the following three (3) rooms revealed there was dust buildup in the floor intake vent: room # 40, toddler room, and nursery II room. Further observation revealed in the indoor gross motor area the screen room dividers were torn and had holes throughout it.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation in the women’s bathroom revealed the toilet was not in working order; the toilet did not flush when the handle was pressed. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding hygienic practices. Observation in the toddler room reavealed the staff member completed a diaper change with a one-year-old child and did not disinfect the diapering surface after the diaper change. Further observation revealed the same aforementioned staff member then started another diaper change with a different one-year-old child, laying the child down on the same diapering surface that had not been previously disinfected. 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 the outdoor play area in accordance with regulations. Observation of the playground revealed a large bush with prickling thorns had grown up from the ground under the metal slide and also next to the metal swing set. Further observation revealed the thorns were sharp to touch. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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 comply with regulations regarding food service. Observation in the kitchen revealed that the refrigerator thermometer registered forty-four (44) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulations regarding food service. Observation in the Nursery II room revealed food spillage and food debris in the microwave. Interview with a staff member revealed the microwave is used to heat up and prepare meals for the children in the classroom. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. The files for children with the enrollment dates of 02/07/2017 and 03/21/2017 did not contain a written record of a current copy of an immunization certificate. Interview with the director revealed the requested documentation was unavailable at the time of survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Ten (10) children’s record’s that were reviewed did not contain a preferred hospital. Interview with the director revealed the requested documentation was unavailable at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. The evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care that was submitted for review was last submitted to the local emergency management team on 04/14/2016. Interview with the director revealed more recent documentation 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 9. Records.

General: Based on review of documentation and interview, the child care center failed to comply with regulations regarding written documentation. The attendance records revealed forty-four (44) children present during time of survey and fifty-two (52) signed into the daily attendance record for that day. Interview with the director revealed the missing children on the attendance records had left for school from the child care center on the school bus.

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 review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a professional development plan was not presented for review at the time of survey for three (3) staff members with the hire dates of 09/17/2015, 08/12/2015, and 08/15/2016. Interview with the director revealed the requested documentation was unavailable at the time of survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to post documentation in accordance with regulations. Room #33 had no current daily activities posted, as the month indicated on the daily activities was April.

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 child care center failed to post documentation in accordance with regulations. Room #33 had no daily schedule of activities posted. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and review of documentation, the child care center failed to comply with regulations regarding Director Requirements. Observation of the Indoor Gross Motor Area revealed staff member with hire date 06/10/2013 was using her cell phone during programming with the Toddler class. Upon review of documentation the Staff policy booklet stated, "No cell phone should be in use unless during approved break times".

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain the Director Requirements in accordance with regulations. Observation of the Preschool Four (4) room revealed a bottle of Hand Sanitizer indicating "keep out of reach of children" on the label, sitting on the desk easily accessible to children. Further observation in the three (3) year old room revealed exposed wiring detaching from the wall. 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation and observation, the childcare center failed to comply with regulations for Employee Records. Based on review of presented staff files, the staff member with the hire date of 11/25/2016 lived in the state of Indiana according to written documentation obtained from the Child Abuse and Neglect check; however, the file did not contain an out of state criminal records check for the aforementioned staff member. It was observed that this aforementioned staff member was working alone with children on the date of survey. Further review of presented staff files revealed the staff member with the hire date of 06/20/2016 lived in the state of South Carolina according to written documentation obtained from the Child Abuse and Neglect check; however, the file did not contain an out of state criminal records check for the aforementioned staff member. It was observed that this aforementioned staff member was working alone with children on the date of survey. Continued review of presented staff files revealed the files for staff members with the hire dates of 10/02/1988, 09/01/1967 and 08/15/2016 did not contain a criminal records check for the aforementioned staff members. Continued review of presented staff files revealed the file for a staff member with the hire date of 05/30/2017 did not contain a criminal records check or child abuse neglect check for the aforementioned staff member. On the day of survey it was observed that the aforementioned staff member was working alongside another staff member with hire date 06/20/2016 who also did not have an out of state criminal records check on file. 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, the childcare center failed to comply with regulations for Employee Records. Based on review of presented staff files, a staff member with the hire date of 11/25/2016 lived in the state of Indiana according to written documentation obtained from the Child Abuse and Neglect check; however, the file did not contain an out of state criminal records check for the aforementioned staff member. It was observed that this aforementioned staff member was working alone with children on the date of survey. Further review of presented staff files revealed the staff member with the hire date of 06/20/2016 lived in the state of South Carolina according to written documentation obtained from the Child Abuse and Neglect check; however, the file did not contain an out of state criminal records check for the aforementioned staff member. It was observed that this aforementioned staff member was working alone with children on the date of survey. Continued review of presented staff files revealed the files for staff members with the hire dates of 10/02/1988, 09/01/1967 and 08/15/2016 did not contain a criminal records check for the aforementioned staff members. Continued review of presented staff files revealed the file for a staff member with the hire date of 05/30/2017 did not contain a criminal records check or child abuse neglect check for the aforementioned staff member. On the day of survey it was observed that the aforementioned staff member was working alongside another staff member with hire date 06/20/2016 who also did not have an out of state criminal records check on file.

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 childcare center failed to comply with regulations for Employee Records. Review of presented staff files revealed three (3) files for staff members with the hire dates of 11/25/2016, 05/01/2017 and 06/20/2016 failed to contain proof education.

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. Review of staff files revealed the file for a staff member with hire date 03/02/2014 failed to contain a record of negative tuberculin skin test result or a statement from a health professional verifying that the individual is free of active tuberculosis. Interview with the director revealed this documentation was not on file at the time of survey. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation and interview, the childcare center failed to comply with regulations for Employee Records. Review of presented staff files revealed a three (3) staff members with the hire dates of 08/07/2012, 10/30/2003 and 08/12/2015 did not complete the Fifteen (15) hours of cabinet approved early care and education training. Review of the ECE TRIS report verified the training hours were not completed. Interview with the director revealed he was not able to 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: Based on Observation, the child care center failed to comply with regulations regarding Programming. Observation of the Infant Room revealed an infant asleep in a swing seat from 10:00am to 10:30am. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding premises. Observation in the Infant room revealed there was dust buildup on the ceiling fan. Continued observation of the three (3) and four (4) year old room revealed several areas of paint chipping from the wall in the block area, and a broken floor tile in the same named room near the book shelf. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding medication. Observation in the Preschool Four (4) Room revealed twelve (12) bottles of sunscreen on a top shelf, not in a locked place. Further observation revealed in the Infant room a jar of "Aquaphor" on the top shelf of the changing table labeled with a child's name on it. 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: Based on Observation the child care center failed to comply with regulations regarding Outdoor Play Area. Observation of the Toddler Playground revealed there was some overgrown weeds near the infant maze and the multi colored square slide. Further observation of the School Age playground revealed over grown weeds near the swing set. Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 9. Food and Meal Requirements.

General: Based on Observation the child care center failed to comply with regulations regarding Food Service. Observation in the Infant Room A revealed there were three (3) baby bottles in the refrigerator what were not labeled with a child's name on it. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. The file for a child with the enrollment date of 08/15/2016 did not contain a physician or preferred hospital. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to post documentation in accordance with regulations. Review of Documentation in the Preschool Four (4) year old room revealed no list of daily activities was posted. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the child care center failed to comply with regulatory requirements. Interview and review of documentation revealed the center appointed a new acting director effective 8/16/16. On 9/15/16, interview and review of documentation revealed the center failed to submit all documentation that is required in accordance with 922 KAR 2:110 Section (4) for the approval of the new director, specifically regarding the verification of education or experience.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to store medication in a separate and locked place. Interview and observation with the staff member in the infant room during a diaper change revealed that diaper cream is labeled for each child and kept on a shelf above the diaper changing table. During interview the director stated that she was not aware of this regulatory requirement. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to comply with regulatory requirements. Document review of all posted documents revealed that no Child Care Emergency/Disaster Preparedness Plan addressing the specific information listed in KRS 199.895 was submitted to the local emergency preparedness agency in the past year as required by statute.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with staffing requirements. Based on observation there were eight (8) children in care with one (1) staff member. Based on interview with the staff member, she stated the youngest child in her group was one (1) year old. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Director Requirements

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Based on observation, the safety of a child was compromised by a mirror attached to a wall in the pre-school room which was in disrepair. The bottom of the mirror failed to have the surrounding frame piece covering the edge of the mirror and also contained a looped piece of wiring exposed from each vertical side of the frame. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, a vertical mirror, approximately five (5) feet long and two (2) feet wide was contained within one inch white wood framing surrounding three edges. On the bottom of the mirror, a horizontal piece of frame was missing exposing a wire loop at the bottom of each wooden frame piece. The bottom of the mirror was approximately one foot or less from the floor. Based on an interview with the staff member, she was unaware the piece was missing from the mirror. Food Service

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation, six (6) of the eight (8) children observed were not served bread with their lunch meal. Based on interview with the staff member, some of the children don't like or won't eat the bread so they weren't served bread at the lunch meal service.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined that the child care center director failed to comply with regulatory requirements, specifically staff meetings. Review of documentation revealed the center failed to provide documentation at time of survey to verify the director conducted, managed, and documented in writing staff meetings.

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, it was determined the center failed to comply with regulatory requirements regarding supervision. Observation revealed at 10:42 a.m., two (2) staff were observed supervising seventeen (17) children ages three (3) to five (5) during a bathroom transition. One (1) staff member left the area with three (3) children, while the remaining staff member supervised fourteen (14) children. The remaining supervising staff member tried to supervise the children in the bathroom, as well as, the children in the hallway waiting to use the bathroom. At times, the supervising staff member would have to go into the bathroom to assist a child, which left the children in the hallway out of scope of vision. During these times, the children were kicking, hitting and punching each other. The second staff member returned at 10:47 a.m. and both supervising staff members remained with the classroom for the duration of the survey.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, and interview, it was determined the center failed to comply with regulatory requirements regarding staffing, specifically ratios and group size. Observation revealed at 10:42 a.m., two (2) staff were observed supervising seventeen (17) children ages three (3) to five (5) during a bathroom transition. One (1) staff member left the area with three (3) children, while the remaining staff member supervised fourteen (14) children. Interview revealed the age of the youngest child was three (3) years. The second staff member returned at 10:47 a.m. and both supervising staff members remained with the classroom for the duration of the survey.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically training. Review of all staff files presented revealed the center failed to provide documentation at time of survey verifying the completion of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment for each staff member. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

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, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically child hand washing. Observation revealed the following: 1. At 9:25 a.m., a child arrived to the center and failed to wash hands with liquid soap and warm running water upon arrival. 2. The children in the preschool classroom failed to wash hands with liquid soap and warm running water after eating lunch.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding food service, specifically lunch requirements. Observation revealed the center failed to serve the children a protein component during lunch. Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically evacuation plan. Review of the center’s evacuation plan revealed the plan failed to be in accordance with KRS 199.895; the created date listed on the evacuation plan was April, 2008.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically confidentiality. Review of documentation revealed the center failed to maintain the confidentiality of a child's record by posting a list of children's allergies in the Toddler and Three's Classrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically orientation procedure. Review of the center's staff handbook revealed the center failed to provide documentation verifying a 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 revealed the center did not have an orientation procedure policy to review at time of survey.

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, it was determined the center failed to comply with regulatory requirements regarding supervision, specifically ensuring the children are within scope of vision and range of voice. Observation revealed at approximately 2:40 p.m. a staff member was observed walking back and forth in a hallway separating two (2) classrooms, trying to supervise both classrooms for approximately five (5) minutes until a second staff member returned at approximately 2:45 p.m. Observation revealed six (6) children in three-year old classroom and six (6) children in the four-year-old classroom. Inverview revealed that the staff member in the four-year-old classroom left her room to take a child to the bathroom while the staff member in the three-year-old classroom supervised both classrooms. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, the regulations available for staff review are not the current state regulations. Review of documentation revealed that the regulations presented for review are not the current regulations that were released November of 2013.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on documentation review, the child care center failed to ensure all staff would have the accurate amount of required state approved training hours. Review of documentation revealed that the staff member with the hire date of 10/30/2003 (14 of 15 hrs) failed to maintain training hours. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

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 Documentation, the child care center failed to follow the posted program of activities. Observation of the Pre-K classroom at 9:05 A.M., revealed children were playing in the classroom without any type of programming. Review of the posted daily schedule revealed that from 9:00 A.M. until 9:15 A.M., the children should have been using the restroom.

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, Interview and Review of Documentation, the child care center failed to maintain at least 35 square feet per child. Observation of the young toddlers classroom revealed that the room measured to allow for four children to maintain 35 square feet per child. Interview with the young toddler teacher revealed that the classroom has five children that regularly attend the child care center. Review of documentation revealed that on 05/01/2014, five children were in attendance in the young toddler classroom, exceeding the maximum capacity.

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 diapering requirements. Observation of the young toddler and older toddler classrooms revealed that there was not a sink immediately adjacent to a changing area used for the toddlers. Continued observation revealed that after diaper changes, the toddlers were taken to the restroom that was outside of the two classrooms to wash hands.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care staff did not maintain minimum hygiene standards. Observation of the older toddler classroom revealed that the two year old children were having their diapers changed and between diaper changes, the staff member did not wash her hands after removing her gloves prior to changing another child.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center did not maintain clean and/or working toys and furniture. Observation of the toys and furniture in the Pre-K classroom revealed that numerous toys used by children were soiled and dirty including the dollhouse furniture, fisher price toys, the dollhouse, the cars and the Little Tikes table and chairs. Continued observation of the child care center revealed that the fish rockers in the gross motor classroom were also soiled and dirty. Continued observation revealed that numerous battery operated toys in the Older Toddler classroom were not operational.

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 requirements. Observation of the refrigerator in the older toddler classroom revealed the lack of an indicating thermometer or other appropriate temperature measuring device.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, the child care center failed to maintain accurate attendance records. Observation of the center on 05/02/2014 at 9:01 A.M. revealed that 33 children were in attendance. Review of attendance sheets revealed that 39 children were signed into the center.

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 Review of Documentation, the child care center did not present for review a written orientation procedure. Review of documentation revealed that the child care center did not present a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post a list of daily activities in each room used for child care. Review of documentation revealed that the school age, preschool and three year old classrooms did not have a posted list of daily activities.

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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, ten children age ranging three years old to school age were left unsupervised when a staff member left the classroom to answer the door to the center and when locating the staff in charge for a total of four minutes. Interviews with staff found that teachers routinely leave their classrooms unsupervised to answer the door. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, children are rewarded for good behavior with a sucker in the three year old classroom.

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 interview with staff, in the toddler room, staff are leaving their classroom unsupervised as they go to the restroom, approximately 25 feet away from the entrance of the classroom, to wash their hands after they change all of the children's diapers. Staff members ask infant room staff to watch over the toddlers, resulting in one staff member supervising two separate classrooms divided by a safety gate. Toddler room staff stated that when the infant room staff go to wash their hands in the adjacent restroom, Toddler room staff will supervise the infant room children, and at times it is necessary to leave the Toddler room to go and soothe a crying infant. Based on observation in the Three year old room there was one staff member supervising two classrooms of seven three year old sleeping children throughout nap time as she sat in one classroom and ate her lunch. Staff member was unable to see all the children from her seated position. Based on observation in the Four year old room there was one staff member supervising two classrooms of nine children ages three to five throughout nap time. In one of the classrooms a child was not asleep and did not have adult supervision as he was on his cot. Staff member was unable to observe all the children at nap time from front of classroom where staff member was observed to be at.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, staff evaluations and proffesional development plans had not been completed in the previous year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a staff member hired on 10-30-03 did not have current T.B. verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an infant was in a crib with a sleep positioning device. Infant does not have a medical note stating that it is medically necessary for child to have a sleep positioning device. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 9 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, three cribs in the infant room contained toys affixed to the interior of the cribs.

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, staff belongings were accessible to children in the 3/4 classroom, the 4 year old classroom and in an unlocked cabinet accessible to children in the two year old classroom. In the four year old classroom garbage bags and rubber gloves were acessible to children in an unlocked cabinet.

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, a sink is not immediately adjacent to the diaper changing area used for toddlers as the sink is approximately 25 feet from the classroom down the hall.

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 interview, in the toddler children's hands are washed with a baby wipe as opposed with soap and water after diaper changes. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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 interview, staff members are not washing hands with soap and water between every diaper change in the infant and the toddler rooms.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview with infant room staff, infant toys are sanitized daily, however, staff member admitted that she cannot get to sanitizing the toys every day. First Aid/Medication

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, breakfast does not include all regulatory componets as breakfast consists of cereal provided by the parent and milk provided by the center. 100 % juice, vegetable or fruit is not provided to the children for breakfast.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, regulatory snack requirements were not met as pretzels and pink lemonade (which was not 100% juice) was served to the children for snack.

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 interview with staff and parents, infants are being left in their cribs, at times other than nap time, to cry excessively, to the point of being teary eyed, red faced, angry and heaving when they breathe. Staff member is not soothing infants that are screaming and crying when she is available to do so. Based on interview with staff, older infants are being placed in their cribs at times other than nap time as they climb over bouncy seats and other toys and make an unsafe environment for the younger infants. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, center programming for infants has not been followed as Nursery Schedule/daily planned program states that between 4:00 p.m. and 5:00 p.m. children will participate in floor play, peek-a-boo games, singing games, feeding as needed and diaper changes as needed. Based on observation a staff member was seated alone in a chair as a child was in a crib standing with no programming being provided to him or any other child at approximately 4:10 p.m. Based on interviews with staff and parents, infants are being maintained in their cribs during non-sleeping portions of the day and programming is not being provided to them.

Open Not marked corrected in the state record

Open / not marked corrected.