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

General: Based on review of documentation, it could not be verified that one (1) staff member (DOH:02/01/19) was free from active tuberculosis. The presented documentation showed a read date of 03/13/23.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the Crawlers classroom and the Younger 3's classroom did not have a current daily planned program.

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, there was a hole in the wall in the women's restroom upstairs, on the side closest to the stairs.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the toilet paper dispenser was missing the front covering, leaving sharp pointed edges within the men’s bathroom located upstairs. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was dust and debris under and around the changing pads within rooms E209, E106, and E101 C on the day of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there were multiple child size vinyl seats that contained tears and cracks, exposing the inside absorbent material within the following rooms: E101 E, E101 C, and E211 on the day of the inspection. Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were dried food particles, dust, and debris within the small refrigerator located in room E106 on the day of the inspection. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a bottle warmer within the Crawler's classroom was stored on top of a low mini refrigerator where it was placed on top of a towel. A mobile twelve (12) month-old child was able to reach up and pull the towel, causing the bottle warmer to fall and strike the child on the head, causing a burn due to the device's hot surface temperature. It was reported that a burn mark was left on the child's forehead and face which blistered, prompting the child's parents to seek medical attention.

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, a crib in the Crawler's room contained an infant swaddled with a receiving blanket at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, in the Youngest 3's class the hot water in the sink measured 82 degrees, therefore, it was not a minimum temperature of ninety (90) degrees Fahrenheit. The upstairs east girl's bathroom sinks 1 and 2 measured 82 degrees. The boys sink 1 and 2 measured 82 degrees, therefore, were not a minimum temperature of ninety (90) degrees Fahrenheit. 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, black landscape fabric was raised two (2) inches above the mulch and created a tripping hazard throughout the outdoor playground. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation 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 9. Records.

General: Based on review of documentation, a staff member with hire date of 10/25/2021 did not have a written annual plan for child-care staff professional development completed for 2022, at the time of review. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation in the Youngest 3's room, the proper methods for diapering and hand-washing was not posted at the diaper changing area. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, four (4) staff members hired on 10/27/20, completed fourteen (14) hours of annual training from 07/2020 to 06/2021. In addition, a staff member hired 10/27/20, completed thirteen and one-half (13 ½) hours of annual training from 07/2020 to 06/2021. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the hot water temperature registered eighty-five (85) degrees Fahrenheit at two (2) sinks in the boys’ restroom and at two (2) sinks in the girls’ restroom located upstairs in the hall adjacent to room 210. The hot water temperature registered eighty (80) degrees Fahrenheit at the sink in room 210. 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 and interview, black fabric weed block was raised two (2) inches above the mulch and created a tripping hazard throughout the outdoor playground. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, a child enrolled 04/15/22, had an immunization certificate on file that was valid until 09/01/22. In addition, a child enrolled 07/05/22, had an immunization certificate on file that was valid until 09/13/22. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, a child enrolled on 07/05/22, did not have the phone number on file to enable staff to contact the child's physician. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, fifty-five (55) children were present on 10/18/22 and only forty-nine (49) children had an arrival time documented. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the handwashing sinks located in rooms E106, E104, E101 A, B and C revealed, the hot water temperature measured sixty-five (65) degrees Fahrenheit. Observation of the handwashing sink located in room E102 revealed the hot water temperature measured seventy (70) degrees Fahrenheit; Therefore the aforementioned handwashing sinks were not equipped with hot water that was between minimum ninety (90) degrees Fahrenheit to a maximum one-hundred-twenty (120) degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to assure compliance with the requirements specific to the current pandemic as established in 922 KAR 2:410e. Section 8 (6) states staff shall wear gloves when preparing meals and serving bottles. Gloves shall be changed between each bottle feeding. While observing in room E205 the staff member was preparing and serving morning snack and was not wearing gloves. The standards established in 922 KAR 2:410e Section 6(3) prohibits the use of machine washable toys. Observation of room E205 revealed there was one (1) red cloth hat in the kitchen area and there were two (2) cloth pot holders in a plastic bin located in the kitchen area. Section 6 (b) states bedding shall be seperated and stored in individual labeled bins without touching another child’s bedding. Observation of the children's cots that were stacked on top of one another located in rooms E209, E211, E212 and E210 revealed there were children's sheets attached to the cots and the children's blankets were lying on top of each individual sheet. Some of the children's blankets were touching other children's bedding. Therefore, the children's items were not individually labeled, and stored in a bin to prevent the items from touching.

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: The wooden swing set located in the outdoor play area was not securely anchored to the ground at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the files for three staff members with a hire date of 10/27/2020 did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential. Interview with the staff member in charge revealed that the documentation was not on file at the time of the inspection. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a brown spot, indicitive of water damage, was present on a ceiling tile in Room 101 A. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the stove in the kitchen was not adequately ventilated to outside air. Children's Records Discussed Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.