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

General: Based on observation, Review of the center's KARES staff roster and interview with the staff in charge revealed that mulitple staff members, whom the staff in charge identified as being no longer employed at the center, were documented as "employed" on the staff roster. Supervision In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Current documentation verifying the approval of the center by the Office of the State Fire Marshal or its designee was not presented for review upon request. The presented documentation was dated 2020.

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: Documentation verifying that recurring staff meetings had been conducted was not presented for review upon request. The staff in charge reported that the documentation was not available.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, bare dirt was visible beneath one (1) swing, indicating that the protective surface covering was not sufficient in that area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the gate used to access the toddler playground was partially detached from the frame, causing it to hang at an angle.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: Large Outdoor Play Area: 1) Portions of the window frames in the wooden boat structure were broken, leaving sharp edges and exposed, rusted staples. 2) The yellow merry-go-round contained multiple areas of chipped and flaking paint.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the enrollment information presented for a child (DOE 06/21/24) failed to contain a statement authorizing the child care center to obtain emergency medical care for the child in the parent's absence.

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 presented chain of command contained the names of staff whom the staff in charge identified as no longer employed at the center. Therefore, the document was not accurate.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a written professional development plan for a staff member (DOH 05/02/02) was not presented for review upon request.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the Three's/Preschool Room revealed that an electrical outlet within the restroom and an electrical outlet near the rug were not covered. 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 interview and review of documentation, educational credentials for two (2) staff members (DOH 06/03/24 and DOH 01/23/23) were not presented for review upon request. 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 interview and review of documentation, the negative tuberculin (TB) test results presented for a staff member (DOH 04/27/18) contained a read date of "06/22/22" and were, therefore, no longer current at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Documentation verifying that two (2) staff members (DOH 04/15/24 and DOH 04/27/18) had received training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) It could not be confirmed if a staff member (DOH 04/15/24) completed six (6) hours of cabinet-approved orientation training. 2) A staff member (DOH 01/23/23) completed only seven (7) hours of cabinet-approved training during the 2023-2024 review period. A review of ECE-TRIS confirmed these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a staff member's backpack/purse was stored on a child-sized table within the Three's/Preschool classroom where it was accessible to the children in care. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a tube of toothpaste was stored on the vanity within the School Age classroom where it was accessible to the children in care. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, multiple mats within the School Age room were torn along the seams, exposing the absorbent material within. The staff in the room reported that the children in care utilize the mats during rest time.

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, one (1) wooden bench, located within the outdoor play space, contained separating planks which exposed nails and screws. Further observation of the outdoor play area revealed that the material covering the rear of the seat on the Gym Dandy seesaw was torn away, exposing metal staples beneath. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, two (2) infant bottles, stored in a cubby within the Baby classroom, were not covered. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) An immunization certificate for a child (DOE 06/21/24) was not presented for review upon request. 2) The immunization certificate presented for a child (DOE 02/14/23) contained an expiration date of "07/02/24" and was therefore, expired at the time of the inspection.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Review of presented children's enrollment information revealed the following: 1) The enrollment information presented for a child (DOE 10/01/23) failed to contain the name of the family's preferred hospital. 2) A statement authorizing the center to seek emergency medical care for a child (DOE 08/08/22) in the absence of the child's parents was not presented for review. 3) The enrollment information presented for a child (DOE 02/28/24) failed to contain the name of the family's 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on observation, the plan of activities posted within the Baby classroom was dated "06/01-06/30" and the plan of activities posted within the School Age room was dated "01/03-01/05," therefore, these plans were not current and did not reflect the activities that would be conducted with the children during the current week at the time 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 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 02/20/2023 AND AS OF 03/13/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the blue area rug in the middle of the preschool classroom was curling up in two corners, creating a tripping hazard Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, current copies of 922 KAR 2:120 and 922 KAR 2:280 were not available for review. The documents presented for review consisted of outdated regulations. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, four (4) children were in the Twos & Threes classroom with one (1) staff member. Two (2) of the children were two (2) years old and two (2) children were three (3) years old. Review of the files for the two-year-old children failed to reveal transition plans for those children. Interview with the staff in charge confirmed that no transition plans were available. 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 surface material of the wall in the bathroom of the Fours and Fives classroom was peeling near the corner where the wall meets the ceiling.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was no hand drying blower or single use disposable hand drying material for use in the bathroom within the infant’s room. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the training chair in the toddler’s bathroom was soiled with a yellowish substance indicating it was not properly disinfected after use.

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 changing pad on the changing table in the Twos and Threes playroom had cracks, exposing the inner absorbent material First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report 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, there was a broken picnic table piled on the ground around the tree in the toddler playground area

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a protective surface was not provided below and around the swings on the infant’s playground area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the entire wood fence was leaning backward and one of the planks was broken, exposing sharp edges on the top of the fence, in the toddler's play area. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation, one of the sleeping mats in the preschool room was no longer in good repair. The inside of the mat was exposed through a rip in the mat.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the cloth portion of a doll in the toddler’s room was heavily soiled. Additionally, the frames of the door and the windows of the playhouse located in the Fours and Fives classroom were discolored with an accumulation of dirt. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, 1.The Merry-Go-Round Circle Cycle on the toddler’s playground was imbedded in the ground, preventing the equipment from being operational; 2.The play/climbing structure on the school-age children’s playground had flaking paint and protruding nails; 3.The blue metal car and the red metal airplane on the infant’s playground had green substance covering the equipment that had the appearance of mold. 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 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, no current immunization certificate was presented for review for two (2) children whose dates of enrollment were 08/01/2022 and 08/08/2022. The document presented for the child enrolled on 08/01/2022 expired on 10/01/2022 and the document presented for the child enrolled on 08/08/2022 expired on 09/19/2022.

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, the enrollment files for two (2) children whose dates of enrollment were 08/01/2022 and 08/08/2022 failed to contain contact information for a 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on observation, a schedule of daily activities was not posted in the Twos and Threes playroom. The latest schedule of activities posted was from October. Interview with the staff confirmed the current activities schedule was not available. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report 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 kitchen door was propped open and there were two large pots found on top of the stove and one of the burners was turned on. The kitchen was accessible to the children. 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, there were no current staff evaluations on file. Employee Records In Compliance 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 3. General Requirements.

General: Based on observation, the kitchen and laundry room doors were propped open and the following was found: 1) There were several cleaning products found in unlocked cabinets. 2) There were several containers of cleaning products and laundry detergent sitting out on the washing machine which is attached to the kitchen. These items were accessible to the children in care.

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 kitchen and laundry room doors were propped open and the following was found: 1) There were several sharp knives found in an unlocked drawer. 2) There were dozens of empty plastic bags found in an unlocked cabinet. There items were accessible to the children in care. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was a bottle of Chiggerex pain reliever ointment found sitting in a cubby in the two's and three's classroom. The bottle was also not labeled with a child's name. 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, a plastic slide was found sitting on grass on the playground used by the younger children. There was no protective surfacing material under the slide. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment In Compliance 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 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, there were no current professional development plans on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was listed that a tornado drill was to be conducted between April-June 2022. However, the last tornado drill documented was dated for March 2022. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) There was no lesson plan posted in the two's and three's classroom. 2) The lesson plan posted in the infant classroom was dated June 1, 2022; therefore, the plan was no longer current. 3) The lesson plan posted in the four's and five's classroom was dated December 2nd-6th; therefore, the plan 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, it was found that there was no daily schedule posted in the two's and three's classroom. Animals Not Applicable

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 licensee failed to assure the health, safety and comfort of children in care based on the following observations: 1. An area rug in the school age room was raveled along the edges, resulting in a long looped strand of carpeting material that created a tripping hazard; 2. Multiple electical outlets in a power strip located in the school age classroom were uncovered. Preschool children were also in attendance in the referenced classroom; 3. In the two and three Year old classroom, there were three (3) cots standing upright on the narrow end of the cots, leaning against a wall in the area where children were playing; 4. A splintered slat of wood was laying in windowsill, accessible to children, in the four and five year old classroom; and 5. A toilet brush was stored next to the toilet in the in bathroom in the infant room. 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 interview and review of documentation, no documented verification of first aid certification was presented for review for any staff member. In interview, the staff in charge indicated that some staff members completed the training; however, certification cards were not available for review. 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

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, verification of completion of Pediatric Abusive Head Trauma (PHAT) training within the last five (5) years was not submitted for review for a staff member with the date of hire of 03/26/2018. Review of the staff member's training information in ECE-TRIS confirmed that the individual has not completed the PAHT training since 06/02/2015. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, there were seven (7) children in the two and three year old classroom. One of the children was two years old and the remaining six (6) children were three years old. Interview with the supervising staff member confirmed that the children remained grouped together for the duration of the day. Additionally, the staff member confirmed that no transition plan was available for review for the two-year-old toddler who was participating in activities with older, preschool children. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was a collection of cleaning chemicals and cans of room sanitizer on an open shelf in the bathroom located in the school age classroom. Based on the height of children in the room, the supplies were accessible and within reach of the children who were present.

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 collection of dust along the top border of the pressboard wall covering that covered the bottom half of the walls in all of the classrooms. Additionally, there was a collection of dust in each of the windowsills in all of the classrooms.

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, an opening to the outside in the two and three year old classroom was not protected from the entrance of vermin. The screen in the opened window was bent and bowing away from the window frame, leaving a large, unscreened opening. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the sink in the infant classroom was not equiped with liquid soap. The hand soap dispenser that was mounted on the wall near the sink contained soap; however, the dispenser was not functioning and did not dispense soap.

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 toilet in the restroom within the school age classroom was leaking, evidenced by an excessive amount of water on the floor around the toilet and flowing toward the classroom. Upon arrival into the school age classroom, the supervising staff member was observed cleaning water from the restroom floor with multiple towels. Then towels were left on the floor behind the toilet to capture leaking water. Although the towels were placed on the floor to capture the water, and a fan was positioned toward the floor to dry the water, water continued to accumulate on the floor. The staff in charge acknowledged an ongoing problem with leaking toilets after a heavy rain. 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, children in the school age classroom were served breakfast without washing their hands before eating. A child was also served additional food after completing her meal and engaging in play activities before returning to the table for additional food. The child did not wash her hands before consuming the additional served food, nor was she instructed to do so. Also, the children did not wash their hands after eating and before engaging in play activities, nor were they instructed to do so. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the outdoor play areas were not safe from forseeable hazards, well drained and maintained in good repair as evidenced by the following observations: 1. The large, wooden climbing, sliding, and swinging structure on the large playground consisted of splintered wood and chipping paint; 2. The four (4) beams on the wooden awning on the toddler playground consisted of splintered wood and chipping paint; 3. The gate to the unused portion of the outdoor play space was open, and there were trailers and an upright ladder stored in the area. Additionally there was a large amount of standing water in that area; 4. A large, two-wheel flatbed trailer was stored in the large playground. The trailer was propped upright on small blocks; and 5. The outdoor play areas were not well drained, evidenced by an excessive accumulation of ponding water in the large playground area and the preschool play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the large play area, the fall zone near the swings was insufficent due to a large, multi-rider, spinning structure sitting in close proximity to the swings. The fall zone by the large, wooden climbing structure was also insufficient due to a five-trike, circular riding toy sitting approximately one (1) foot away from the structure. The fall zone for the referenced climbing, sliding and swinging structures failed to allow for a safe zone that measured to an equal distance of the height of the equipment.

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 short, wooden fence on the large playground was not in good repair. One large section of the fence was loose and leaning against the two (2) adjacent panels. 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 sole crib in the toddler room contained two stacked mattresses enclosed in a loose fitting sheet. Also, no documention or label was presented to verify that the referenced Foundations, white, metal crib was in compliance with Consumer Product Safety Commission standards established in 16 C.F.R. 1219-1220.

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 wooden kitchen appliances located in the school age classroom were not maintained in a clean manner, evidenced by a collection of dust on the surface of each appliance.

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 indoor and outdoor equipment was not maintained in a clean manner, in good repair and free of safety hazards as evidenced by the following observations: 1. The screen on the middle window in the two and three year old classroom was bent, bowing away from the window; 2. The screen in a window in the toddler room was bent and bowing away from the window at the bottom of the window; 3. The foam floor covering puzzle pieces in the two and three year old classroom were heavily soiled, evidenced by discoloration; 4. The plastic tray of a highchair in the toddler clasroom was heavily soiled along the outer rim on the front of the tray, evidenced by a heavy build up of a sticky residue that collected dust; 5. The plastic base of two (2) ride-on bouncing zebra toys in the toddler classroom were soiled, evidenced by a collection of dust and discoloration; 6. Multiple area rugs throughout the center were stained and had debris atop of the rugs; 7. A floor fan in the school age classroom was heavily soiled with a collection of dust; 8. A ceiling fan in the four and five year old classroom contained a heavy build up of dust, and was missing a blade; 9. A curtain in the infant classroom was soiled with food splatter; 10. Multiple window screens were bent, bowing away from the windows; 11. The multi-trike riding toy in the preschool playground was not working, it no longer moved; 12. The F14 Tomcat riding toy in the preschool playground was chipping paint; 13. The cloth seat of an exosaucer in the infant room was torn, jeopardizing the integrity of the equipment; 14. High chairs and a booster seat in the infant classroom and toddler classroom contained food crumbs; 15. A chalk eraser on the easel in the four and five year old classroom was busted, resulting in multiple sharp pieces of plastic on the eraser; and 16. There was a wooden door from a toy appliance, with a bent hinge, stored on top of the art easel in the four and five year old classroom. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the top of the inner portion of the microwave located in the infant classroom was heavily soiled, evidenced by a yellow, sticky substance coating much of the surface.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, food failed to be protected from contamination. Uncovered plates of food and open cups of milk were left on tables in the two and three year old classroom and the four and five year old classroom while children engaged in group play and free play. Also the tray of breakfast food was left in the school age classroom while children moved about the room. The food on the tray was uncovered. A preschool child was observed sitting behind the tray at face level to open containers of food. 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, review of ten (10) childrens enrollment files revealed one (1) file failed to include contact information for the preferred physician as documented by the parent or guardian. Also, three (3) files failed to include medical information for children, as documented by the parents or guardians. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 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 9. Records.

General: Based on the review of the submitted documentation of previously conducted quarterly tornado and earthquake drills and monthly fire drills, the time that each tornado drill and each fire drill were conducted in 2020 was not documented. Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with the regulatory requirements specific to the current pandemic as established in 922 KAR 2:410e. In accordance with 922 KAR 2:410e, children shall be divided in groups and maintained in the same group througout the day, without interacting with children from other groups. Based on observation and interview, all children in attendance in the morning were cared for in the school age classroom or the two and three year old classroom until additional staff arrived and opened the toddler classroom and the four and five year old classroom; at which time, children were regrouped and cared for in the rooms specific to their ages. Therefore, the children were not prevented from engaging with children in different groups. Additionally, in accordance with 922 KAR 2:410e, machine washable toys shall not be accessible to children in care. Based on observation, machine washable toys were accessible to children in each of the occupied classrooms. Such toys consisted of dress up cloths, puppets, stuffed animals, dolls, doll clothes, pillows, aprons, and flannel board pieces. The standards establihed in 922 KAR 2:410e also requires individual children's bedding to be maintained separate and stored in individual bins. Observation revealed cots with bedding stored on them; failing to be stored in bins, in the following classrooms: two and three year old classroom; toddler classroom; and four and five year old classroom. Additionally, in accordance with 922 KAR 2:410e, all staff shall wear mask while in the center. Obsevation revealed staff members failing to wear their mask to properly cover the mouth and nose at all times.

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 employment status for seven (7) previous employees was listed as 'current employee' in the KARES report. Therefore, their employment was not update upon termination of employment. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on interview and review of documentation current compliance with the fire marshal could not be verified due to no current fire marshal report being presented for reveiw. The fire marshal report that was presented was from 2017. 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 8. General.

General: Based on interview and review of documentation, the regulations presented for review were dated prior to the most recent revisions to the regulations. Therefore, the current regulations were not presented for review or made available to staff members. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, in the baby room, there was a sharp staple protruding from the wall below a window, approximately eighteen (18) inches from the ground. Additionally, there were sharp shards of plastic in a window sill that was immediately adjacent to an infant crib in the baby room. Observation in the school age room revealed two broken coat hooks near the classroom entrance that contained sharp edges. There were also multiple outlets on a surge protector that were not covered in the school age room. The surge protector was plugged into an electrical source. Preschool age children were present in the school age room upon the arrival of the surveyors. In the two and three year old room, one of the two large area rug was frayed and torn on the edges, causing a tripping hazard. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, verification of education was not presented for review for a staff member with the hire date of 7/30/19.

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,five (5) staff members failed to complete fifteen (15) hours of cabinet approved training during their last full year of employment. The hire dates for the aforementioned staff members are 04/01/06, 10/24/16, 03/26/14, 04/30/18, and 11/05/18. Additionally verification of six (6) hours of cabinet approved orienation was not submitted for review for a staff member with the hire date of 07/30/19. Review of ECE-TRIS verified the incomplete training for the aforementioned staff members. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there was a bottle of Spic and Span and a bottle of multipurpose disinfectant cleaner stored on a shelf in the school age room that was within reach of the eleven-year-old child who was present. A bottle of Dawn dish liquid was stored on the sink in the two and three year old room. The label on the dish liquid contained a warning to keep the product out of the reach of children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the window sill in one of the windows located in the baby room was damaged, with exposed drywall and sharp edges. A wooden drawer located in an attached structure in the back of the school age room was damaged, with a large piece of wood missing from the corner. Additionally, there was an accumulation of dust on multiple ceiling fans throughout the center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the exposed side of the storage cabinet that was used to store the refrigerator and microwave in the baby room was not smooth and constructed to be easily cleaned. The wood was rough to touch and the cabinet edging was not secured to the fixture. The rough wood and loosely hanging edging was immediately adjacent to a high chair.

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, a large utility mop bucket that was filled with water was stored in the hallway near the toddler Classroom entrance.

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 bathrooms in the baby room and the toddler room were used as storage and contained an excessive amount of clutter, consisting of car seats, furniture, diapers, coats and the belongings of staff members. The referenced bathrooms were not accessible to children. Review of the center's floor plan and license revealed the two (2) aforementioned bathrooms were used to determine the center's capacity; therefore, they must be made accessible for use and kept clean and uncluttered. 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 11. Toys and Furnishings.

General: Based on interview, the mouthed toys in the toddler classroom are sprayed with sanitizer then washed with water. Therefore, the proper toy sanitation procedure has not been implemented. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the portion of the large outdoor play area that was next to the side of the building contained multiple discarded items, to include, broken play structures, disassembled spiral slide, furniture, and other large items that were leaning against the building. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, multiple sections of metal gutter pieces were on the ground in the small outdoor play area. The back playground was not well drained as it contained standing water; the entrance to that play area was locked. The staff in charge acknowledged the drainage issue and stated that the area is not currently being used. On the large playground, the wooden flooring of the wooden outbuilding was decaying and loose, causing a tripping hazard. Also, there were multiple limbs on the large outdoor play area that were lying on top of the play equipment and on the ground. Additionally a damaged fire pit and three (3) two-wheeled utility trailers were stored on the large play accessible to children. There was an excessive amount of chipping paint on the wooden play structure, as well as a busted support beam and two (2) completely busted planks on the upper level of the wooden play structure.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was insufficient ground covering under the wooden play structures used for climbing, swinging and sliding, evidenced by exposed ground and growing grass. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the fabric on the pink, electric infant swing located in the baby room was soiled and had a collection of debris on the velcro strip.

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 storage shelf located in the baby room bathroom was not in good repair. It wobbled when touched and contained unsecure dowel rods. Additionally, the curtains hanging near a high chair in the Baby Room were soiled with a dried substance. A foldable lounge chair located in the school age room was soiled with a dried substance. The wooden storage units in the two and three year old room were chipped, exposing unfinished, splintering wood. A fabric and plastic doll located in the two and three year old room was heavily soiled. Additionally, the foam floor mats in the two and three year old room were soiled and unclean. A rolling chair located in the four and five year old classroom was missing the fabric arm cover, exposing the metal arm without a protective barrier. The fabric on the high chairs located in the toddler classroom were soiled with a dried substance; also, the trays on multiple high chairs were unclean and stained. One high chair was damaged; the plastic bar in the back of the chair was broken and a large section of plastic was missing. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the enrollment form for a child with the enrollment date of 05/23/19 failed to include an identified preferred hospital. 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, the attendance records were not maintained to include the sign out time of an eleven year old child who was removed from the center during the inspection.

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, personal information concerning children in the toddler room was not kept confidential as it was posted on the refrigerator for public view. The information consisted of dietary information. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 02/27/2019 AND AS OF 03/22/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 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 a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for one (1) staff member hired 6/4/18. Interview with director revealed she needed to obtain proof of education for this staff member. 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 and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for a staff member hired 10/24/16. Additionally, nine (9) hours of cabinet approved training was not presented for review at the time of the survey for a staff member hired on 10/2/17. Continued review of staff files revealed one (1) staff member hired 8/22/17 had not received Pediatric Abusive Head Trauma training PAHT. Interview with director revealed this documentation was not on file at the time of survey. 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 review of documentation, the child care center failed to comply with regulatory programming requirements. Review of documentation on 1/2/19 in the School-Age classroom revealed no daily planned program of activities was posted. 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 regulations. Observation of the Preschool classroom revealed a staff member’s cell phone was located on a table, accessible to children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulations. Observation of the Two’s classroom and the School Age classroom revealed (1) full ceiling light was not operational in each classroom. During interview, director acknowledged the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of Preschool bathroom revealed paint peeling and chipping from the wall. Continued observation revealed in the School Age bathroom a hole in the wall behind the bathroom door. Observation of the center hallway revealed several circular brown stains on the ceiling. Interview with the director revealed the center air conditioner leaked over the summer, causing the stains on the ceiling. 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 center failed to maintain an outdoor play area in accordance with regulations. Observation of the Playground 2 area revealed several large areas of standing water several inches deep: therefore, the playground was not well drained.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of Playground 1 revealed a gray, plastic slide/climber set was installed directly over a dirt surface. Continued observation revealed the protective surface surrounding the slide/climber failed to provide coverage for an adequate fall zone for the height of the gray, plastic slide/climber. During interview, the director acknowledged the protective surface surrounding the aforementioned equipment failed to cover the ground to provide for an adequate fall zone. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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 regulations. Observation of the School Age classroom revealed a large area rug, used by children, was torn and frayed in several places along its edges. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Infant classroom revealed a one-year-old child lying on a cot while a staff member fed the child a bottle: therefore, the child was not held while being given a bottle.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain food service in accordance with regulations. Review of documentation on 1/2/19 revealed the food service permit presented for review at the time of survey expired 12/31/18. Interview with director revealed a current food service permit was not available for review at the time of survey. Children's Records In Compliance Written Documentation 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 5. Evacuation Plan.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of documentation revealed the center failed to present an evacuation plan for review at the time of survey. Interview with the director revealed she could not locate this documentation 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 maintain written documentation in accordance with regulations. Review of staff files revealed a written annual plan for child care staff professional development was not presented for review at the time of survey for five (5) staff members hired 4/1/06, 10/24/16, 10/2/17 8/22/17 and 1/30/17. Interview with director revealed a staff professional development plan had not been completed for these staff members. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with staffing requirements. Observation of the child care center on 9/21/18 at 7:15am revealed one (1) staff member in the School-Age/TV Room with nineteen (19) children ranging in age from two-years-old through ten-years-old. There were two (2) other staff members present in the child care center, one was standing in the hallway outside the kitchen door and the other staff member was in the kitchen preparing breakfast. Programming In Compliance 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

Category: ratio. 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 in regards to the toilet room. Observation of the child care center on 10/17/18 at 4:30pm revealed boys and girls located inside the bathroom in the Two-Year-Old. Several of the children had their pants pulled down which did not allow both genders to have privacy while using the bathroom.

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. Observation in the School Age classroom from 2:00pm to 2:30pm on 7/18/18 revealed two (2) staff members had supervisory authority over twelve (12) children, ages seven-months-old to ten-years-old, for thirty (30) minutes during nap time; therefore, the center exceeded maximum group size and minimum staff to child ratios during this time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview, the child care center failed to comply with regulatory programming requirements. Interviews revealed that the center restrooms are used as a place for time out; therefore, the discipline is associated with toileting. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the School Age classroom revealed eleven (11) children lying on cots which were placed immediately adjacent to one another, with no space in between the cots.

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 mainatain adequate supervision in accordance with regulatory requirements. Observation in the Two Year old room revealed a staff member entering into the restroom to assist a child with toileting, leaving nine (9) children out of the scope of vision, for approximately two (2) minutes. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

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 director failed to assure compliance with regulatory requirements. Observation revealed a toddler asleep in a high chair for approximately ten (10) minutes, following the lunch meal. Further observation revealed all of the other children in the highchairs were cleaned off and put on mats, leaving the sleeping child until last to be removed from the chair. Additionally, an observation in the infant room revealed a child continuing to cry distressfully while staff members attended to other non-crying children, ignoring the crying child and failing to address the child's need. Interview with staff in charge revealed the child cries all day, every day. Staff in charge stated there is nothing that can be done to stop the child from crying. In one instance, the child was heard to be crying in excess of 15 minutes, then cried priodically throughout the time the surveyor was there. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on a review of documentation and interview, the child care center failed to maintain employee files in accordance with regulatory requirements. A review of documentation revealed that a staff member with a re-hire date of 10/24/16 failed to have results from a CRC and CAN submitted when re-hired. Interview with staff in charge revealed the staff member was re-hired and requests for background checks were not submitted at that time.

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 a review of documentation and interview, the child care center failed to maintain employee files in accordance with regulatory requirements. A review of staff files failed to reveal a high school diploma, GED, or qualifying documentation from a comparable educational entity for two staff members with the hire dates of 08/29/17 and 10/02/17. Upon request, the staff in charge did not submit the documents at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on a review of documentation and interview, the child care center failed to maintain employee files in accordance with regulatory requirements. A review of staff files revealed that staff members with hire dates of 4/1/06 and 5/01/16 failed to have documentation of 15 hours of cabinet approved training. A review of TRIS records failed to reveal completion of 15 total training hours had been received. Interview with staff in charge revealed the documents were not available at the time of the survey. 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 review of documentation, the child care center failed to comply with regulatory programming requirements. A review of documentation in the Toddler, Preschool, and Two Year old room, failed to reveal a daily planned program posted in writing in a conspicuous place wiith each age group, consisting of activities that are individualized and developmentally appropriate for each child served including: art, block building, music, dramatic play, stories and books, science, tactile activiity culture and indoor and outdoor play. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed three (3) large, plastic jugs of Purple Power, a cleaner and degreaser, on the floor in front of the kitchen door. Continued observation revealed the door to be propped open during the entire time of the survey, allowing access to the chemicals by the children. Additionally, a staff member's purse was also on the floor next to the Purple Power jugs. 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 revealed eleven (11) children in the toddler room had their hands and faces wiped with individual cloths instead of running water and soap, after eating lunch. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation in the Two Year old room revealed a long horizontal tear, approximately 12 inches long, in a window curtain. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation in the Infant room revealed a bottle in the refrigerator which failed to be labeled. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation revealed a male child eating a pre-packaged meal, brought from home. Interview with staff revealed the child is normally offered a meal to supplement the missing components; however, the child failed to be offered the missing components during the lunch meal at the time of the survey. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. A review of a file for a child enrolled on 08/30/17 revealed the file failed to contain an emergency authorization signed by the parents to allow emergency services in the parents' absence. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center director failed to assure the compliance with regulatory requirements. Observation of the two-year-old room revealed a large metal paper cutter/press was sitting on a shelf that was accessible to children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 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 a staff member hired 1/30/17 contained a TB test from a non-identifiable provider, location and administer. Interview with director revealed the staff member had been employed since 1/30/17 and working with children. 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 2:110 · 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 and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for one (1) staff member hired 12/8/14. Interview with director revealed this documentation was not available for review at the time of survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the four-five-year-old bathroom used by children, revealed the bathroom ceiling had torn drywall and paint. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the two-year-old room revealed a staff member failed to sanitize the diapering surface after changing a child’s diaper. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed what appeared to be food splatter on the inside of the microwave. Further observation of the kitchen revealed the exterior of the stove was soiled with a buildup of a sticky substance and the inside of the stove door was soiled with a brownish buildup/stain.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain food service in accordance with regulations. Review of documentation on 2/7/17 revealed the posted menu was no longer current as it was dated January 2017. During interview, director acknowledged the deficient practice. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed the written record for two (2) children failed to contain the name of each person who is designated in writing to pick-up the child. Further review of children’s files revealed the written record for a child enrolled 10/24/16 failed to contain authorization by the parent for the center to seek emergency medical care for the child in the parent’s absence. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulations. Review of attendance records on 2/7/17 revealed the departure time for one (1) child had been documented in advance for 2/8, 2/9 and 2/10/17. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. Record review of the child care centers written documentation for administrative regulations revealed an outdated copy of the administrative regulation , 922 KAR 2:090, and 922 KAR 2:12 and 922 KAR 2:110. Interview with the child care center director revealed that a current copy was not made available to staff in the child care center. Exit interview with the child care center director revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. Record review of the child care centers written documentation for staff meetings revealed no documented evidence of a group staff meeting completed in 2015. Interview with the child care center director revealed she was unable to locate documented evidence of the meetings. Exit interview with the child care center director revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, record review and interview, the child care center director failed to assure compliance with regulatory requirements related to the health, safety and comfort of children at the child care center. Observation of the school age playground revealed a wooden ship with protruded staples around the windows, which were in an area for direct contact by children. Exit interview with the child care center director revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, record review and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the Toddler room revealed an employee with an unknown date of hire, who provided care as the second person to children in the classroom until a secondary employee returned. Interview with the child care center director revealed the individual was not an employee of the child care center. She stated the employee dropped off lunch to an employee in the class room and was not there to provide care to the children. Further interview with the child care center director revealed an employee file was not available for the employee as she did not consider the individual an employee to the child care center. Phone Interview was made to the child care center on 12/14/15 to discuss the deficiency with the Assistant Director. The child care center Assistant Director acknowledged the deficiency.

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, record review and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the Toddler room revealed an employee with an unknown date of hire, who provided care to children in the classroom. Interview with the child care center director revealed the individual was not an employee of the child care center. Further record review of employee records and interview with the child care center director revealed an employee file was not available for the employee as she did not consider the individual an employee to the child care center. Exit interview with the child care director revealed acknowledgement of the deficiency.

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 Observation, record review and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the Two (2) and Three (3) year old classroom revealed an employee with a hire date of 02/23/15 who cared for children in the classroom. Review of employee records revealed the employee failed to verify or provide qualifying documentation of met educational requirements from a comparable educational entity. Review of the employee’s educational records revealed he/she had not completed his/her GED education, but was in the process for completion. Exit interview with the child care center director revealed acknowledgement of the deficiency. Phone contact was made to the child care center on 12/14/15 to further discuss the deficiency and the child care center Assistant Director was notified that the employee with the hire date of 02/23/15 was not eligible to be employed without meeting the educational requirements as defined in 922 KAR 2:110 Section 5. Phone exit with the Assistant Director revealed acknowledgement of the deficiency. In addition, review of employee records for the employee with a hire date of 06/08/15 and an employee with an unknown hire date, revealed no documented evidence of educational achievement by high school diploma, General Education Development (GED) Certificate, Commonwealth Child Care Credential (CCCC) or other qualifying documentation. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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 Observation, record review and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the Toddler room revealed an employee with an unknown date of hire, who provided care to children in the classroom until a secondary employee returned. Interview with the child care center director revealed the individual was not an employee of the child care center. Further interview with the child care center director revealed an employee file was not available for the employee as she did not consider the individual an employee to the child care center. In addition the child care center director failed to verify tuberculin testing to include a statement from a health professional that an employee with an unknown hire date was free of active tuberculosis or a copy of a negative tuberculin result. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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 Baby room revealed no documented evidence of a lesson plan or daily activities posted. Exit interview with the child care center director revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the school age bathroom revealed Clorox clinging bleach gel labeled “Hazards to Humans and Domestic Animals”, Easy Off Bam, Multipurpose Deodorizer and Foam Lemon Odor Disinfectant which were labeled “Keep Out of Reach of Children.” Further observation of the bathroom revealed two stepping stools which could possibly allow access to a school age child. Observation of the two (2) and three (3) year olds room revealed a staff person’s personal cell phone on a diaper changing table in accessible reach of children. Additional observation of the four (4) and five (5) year old class room revealed multipurpose disinfectant cleaner, window cleaner, bathroom cleaner, and sanitizer labeled “Keep Out of Reach of Children accessible to children on a shelf in the bathroom. Accessibility of these items was of concern as a broom and dust pan were stored on the wall in the bathroom which could have been used to gain access to the items on the shelf. Exit interview with the child care center director revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the four (4) and five (5) year old bathroom revealed a hole in the wooden bathroom door. In addition, observation of the two (2) and three (3) year old classroom and the infant class room revealed broken trim around the wood paneling on the wall next to the classroom windows. The broken trim exposed splintered corners in accessible reach of the children in the classroom. Exit interview with the child care center director revealed acknowledgement of the deficiencies.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the four (4) and five (5) year old bathroom revealed a dark brown substance in the ceiling tile indicative of water stains. In addition, observation of the two (2) and three (3) year old classroom and the infant class room revealed broken trim around the wood paneling on the wall next to the classroom windows. The broken trim exposed splintered corners in accessible reach of the children in the classroom. Exit interview with the child care center director revealed acknowledgement of the deficiencies.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the two (2) and three (3) year old classroom’s hand washing practices revealed a child who washed his/her hands and touched the trash can lid to open for disposal of his/her paper towel. The teacher in the classroom also observed the child’s touch of the trash can lid, however did not allow for the child to rewash his/her hands. Exit interview with the child care center director revealed staff were to open the trash can so that the children did not have to touch the lid to dispose of their trash items. Further, the child care center director acknowledged the deficiency as stated.

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, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the two (2) and three (3) year old classroom revealed a staff person’s personal cell phone and jacket laying on the diaper changing table mat. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, record review and interview, the child care center failed to comply with the regulatory requirements with regard to medication administration. Observation of the Baby room revealed unlocked medication stored in a child’s cubby. Record review of the child’s records did not reveal a daily written request from the parent or a daily log of the administration time of dosage, date, amount and name of staff person giving the medication and/or the name of the medication. Interview with the child care center director revealed the mother was employed in the center and administered the medication to the child daily. As the child is enrolled in the child care center, receives care and the child’s mother is staff of the child care center, documentation was required for the administration of the saline eye drops for the child. Exit interview with the child care center director revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, record review and interview, the child care center failed to comply with the regulatory requirements with regard to medication administration. Observation of the Baby room revealed unlocked medication stored in a child’s cubby. Record review of the child’s records did not reveal a daily written request from the parent or a daily log of the administration time of dosage, date, amount and name of staff person giving the medication and/or the name of the medication. Interview with the child care center director revealed the mother was employed in the center and administered the medication to the child daily. As the child is enrolled in the child care center, receives care and the child’s mother is staff of the child care center, documentation was required for the administration of the saline eye drops for the child. Exit interview with the child care center director revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with the regulatory requirements with regard to medication. Observation of the Baby Room revealed unlocked medication, saline spray drops, stored in a child’s cubby. Exit interview with the child care center director revealed acknowledgement of the deficiency. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the school age playground revealed a large green climbing apparatus with raised nails in the wooded areas of the equipment. In addition, the windows on the wooden-ship equipment were observed with staples which extended outward in an area that had the possibility of contact with children. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, record review and interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outdoor play equipment of which the children were to climb, swing or slide was revealed to have an insufficient protective surface in each fall zone. Interview with the child care center director revealed that mulch was added to the playground in the spring of every year. However observation revealed no mulch at the end of the blue slide on the school age playground slide and limited to no mulch under the swing, no protective surface around the Little Tikes slide on the Infant and Toddlers playground and insufficient protective surface with under surface dirt exposed around the brown and red slide on the Two (2) year old playground. Record review of Division of Regulated Child Care (DRCC) records revealed this same deficiency was cited at the survey completed on 12/16/14. Exit interview with the child care center director revealed acknowledgement of the deficiencies.

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 equipment in accordance with regulatory requirements. Observation of playground equipment on the school age, Infant and Toddler and Two (2) year old playground revealed toys and equipment with excessive amounts of dirt, leaves and debris. The wooden ship on the school age playground; Race Car #6, Little Tikes Sit and Spin Toy, and orange and yellow car on the Infant and Toddler playground; a yellow spin toy and Race Car #2 on the Two (2) year old playground contained excessive amounts of dirt, leaves and debris. Exit interview with the child care center director revealed acknowledgement of the deficiency. 755-and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the two (2) year old playground equipment revealed an F-14 Tomcat toy with peeled paint by the back handle bars. Exit interview with the child care center director revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the two (2) year old playground equipment revealed a F-14 Tomcat toy with peeled paint by the handle bars. Exit interview with the child care director revealed acknowledgement of the deficiency.

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, record review and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the two (2) year old playground equipment revealed an F-14 Tomcat toy with peeled paint by the back handle bars. Observation of playground equipment on the school age, Infant and Toddler and Two (2) year old playground revealed toys and equipment with excessive amounts of dirt, leaves and debris. The wooden ship on the school age playground; Race Car #6, Little Tikes Sit and Spin Toy, and orange and yellow car on the Infant and Toddler playground; a yellow spin toy and Race Car #2 on the Two (2) year old playground contained excessive amounts of dirt, leaves and debris. Further observation of the school age playground revealed a large green climbing apparatus with raised nails in the wooded areas of the equipment. In addition, the windows on the wooden-ship equipment were observed with staples which extended outward in an area that had the possibility of contact with children. Exit interview with the child care center director revealed acknowledgement of the deficiencies.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the two (2) and three (3) year old class room revealed toys that were not used according to the manufacturer’s safety specifications. An inoperable Fisher Price toy baseball game was observed with dead batteries. Exit interview with the child care center director revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Record review of children’s records for children with enrollment dates 01/29/15, 05/12/08, 10/26/15 and 08/18/14 revealed no documented evidence of a preferred hospital as should have been indicated by the parent or guardian for the each child. Exit interview with the child care center director revealed acknowledgement of the deficiencies.

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, record review and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Observation of the child care center classrooms between 10:30 AM and 11:00 AM revealed attendance of eighteen (18) children. Record review of the child care center’s daily attendance record on 12/04/15 at 1:00 PM revealed nineteen (19) children had signed in and there was no record of any children who had signed out. Exit interview with the child care center director revealed two of the children should have been signed out by 1:00 PM and the correct total in attendance was seventeen (17). Further interview revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care center’s policies revealed no documented evidence of written professional development plan procedures. Exit interview with the child care center director revealed the child care did not have written policy for professional development procedures, it was more word by mouth. Further interview with the director revealed acknowledgement of the deficiency.

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, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the child care center’s policies revealed no documented evidence of written orientation implementation procedures. Exit interview with the child care center director revealed the child care did not have written policy for orientation implementation procedures, it was more word by mouth. Further interview with the director revealed acknowledgement of the deficiency.

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, record review and interview, the child care center failed to post documentation in accordance with regulatory requirements. Observation of the Baby room revealed no documented evidence of a posted lesson plan or daily activities. Observation and record review of the School Age, Twos and Threes, and Toddler rooms posted documentation revealed no documented evidence of a current daily schedule for the month of December 2015 or the week of the survey November 30 to December 4, 2015. Exit interview with the child care center director revealed acknowledgement of the deficiency

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 childcare center failed to maintain maximum child to staff ratios and group size. Observation of the Four and Five-Year-Old Classroom revealed that two (2) staff members were caring for fourteen (14) children aged from toddler to five-years-old numerous times throughout the survey for times ranging from three (3) minutes to thirty (30) minutes.

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 childcare center failed to maintain the health, safety and comfort of all children in care. Observation of the Dramatic Play Center in the Four and Five-Year-Old Classroom revealed a broken nail protruding from the top left corner on the front of the play center that was accessible to children. Continued observation of the Four and Five-Year-Old Classroom revealed a plunger in the bathroom that was accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Observation, the childcare center failed to maintain required background checks. Review of documentation revealed that the childcare center did not present for review a Criminal Record Check (CRC) for the staff members with the hire dates of 11/24/2014 and 12/15/2014. Continued review of documentation revealed that the staff member with the hire date of 11/24/2014 did not have a Child Abuse and Neglect Check (CAN) available for review. Observation of the childcare center revealed that the listed staff members without the completed CRC and CAN checks were not working alone with children.

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 review of documentation, the childcare center failed to ensure that toddlers would not be combined with older children for over an hour. Observation of the childcare center on 12/16/2014 revealed that a child with the enrollment date of 11/24/2014 was combined with older children for the duration of the survey, approximately three (3) hours. Review of children’s enrollment files revealed that the child with the enrollment date of 11/24/2014 was a toddler.

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 Review of Documentation, the childcare center failed to maintain a transition plan for a transitioning toddler. Observation of the Four and Five- Year-Old Classroom revealed that a twenty-two month old toddler was combined with older children for over an hour of play. Review of Documentation revealed the lack of a transition plan that has a procedure for listing a transitioning toddler on attendance records, including a specific day and time the toddler is with either age group and the signature and approval of the toddler’s parent on the toddler’s transition plan.

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 childcare center failed to maintain toys in crib requirements. Observation of a crib in the Baby Room revealed that there was a toy attached to the inside of a crib where an infant was sleeping.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the childcare center failed to maintain inaccessible items requirements. Observation of the Four and Five-Year-Old Classroom revealed that there was an open trashcan, a large plastic slipcover to a laminating machine, rubbing alcohol, shaving cream and plastic bags accessible to the children in care, which ranged in age from toddler to five-years-old. Observation of the Baby Room revealed that there were plastic bags on the changing table and accessible to the children in care. Observation of the Toddler Classroom revealed that there were plastic bags and garbage bags on the changing table and accessible to the children in care. Observation of the bathroom in the Two and Three-Year-Old Classroom revealed that staffs belongings, tampons and panty liners, were on the sink and accessible to the children in care. Observation of the School Age Classroom revealed that there was plastic bags hanging on hooks and rubbing alcohol on a low shelf and accessible to the children in care. Interview with staff revealed that the School Age Classroom is used as a gathering point in the mornings and used by children aged from toddler to school age.

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 childcare center failed to maintain premises requirements. Observation of the Two and Three-Year-Old Classroom revealed dark rust stains on several tiles in the rear right area of the Classroom. Observation of the School Age Classroom revealed a broken tile in the bathroom. Continued observation of the School Age Classroom revealed a hole in the bathroom door.

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 childcare center failed to maintain building requirements. Observation of the pantry in the kitchen revealed that the exit door was not properly shut and allowed outside air and possible vermin to enter the premises.

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 childcare center failed to maintain a clean toilet room. Observation of the bathroom in the School Age Classroom revealed several tiles behind the toilet that were dark, cracked and molded.

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 childcare center failed to maintain toilets in a clean condition. Observation of the Four and Five-Year-Old Classroom revealed that there was urine in the toilet bowl. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 27 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices

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 childcare center failed to maintain training chair requirements. Observation of a training urinal in the Four and Five-Year-Old Classroom revealed that there was urine in the removable receptacle. Observation of the training chair in the Two and Three-Year-Old Classroom revealed that there was a yellow substance in the bowl of the training chair.

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 childcare center failed to maintain soiled diaper requirements. Observation of the Two and Three-Year-Old Classroom revealed a soiled Pull-Up Diaper on the bathroom floor.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, the childcare staff failed to maintain adequate toy sanitation procedures. Interview with the staff member in the Baby Room revealed that toys are sprayed with a sanitizing solution once daily to sanitize mouthed toys instead of scrubbing in warm, soapy water using a brush to reach into crevices, rinsing in clean water, submerging in a sanitizing solution for at least two (2) minutes and air-drying. First Aid/Medication

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the childcare center failed to maintain medication administration requirements. Review of documentation revealed that the childcare center did not have written permission from parents prior to applying diaper rash ointment on the infants and toddlers in the Baby Room. Interview with the Baby Room staff revealed that the diaper rash ointment had been recently used on children in care. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interview and record review, the childcare center failed to maintain an accurate administration record. Interview with Baby Room staff revealed that diaper rash ointment is used on infants and toddlers. Review of documentation revealed that there was not a record of administration completed when the diaper rash ointment was used on the infants and toddlers.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain medication requirements. Observation of the Baby Room revealed Petroleum Jelly and Butt Aid Diaper Rash Ointment on a shelf. Continued observation of the medication revealed that the medication was not stored in a separate and locked place, out of the reach of a child or properly labeled. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain outdoor play area conditions. Observation of the outdoor play area revealed that there was a glass light bulb on the ground that was accessible to the children in care. Continued observation of the outdoor play area revealed that there was a dead bird in the bucket area of an infant swing. Observation of the smaller outdoor play area revealed that the plastic ground covering was showing through the mulch, resulting in a possible tripping hazard. Observation of the large outdoor play area revealed there were loose, upraised nails on the large green apparatus. Continued observation of the large green apparatus revealed that the suspension bridge was not stable and was loosening from the main cable anchor. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 16 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain protective covering requirements. Observation of the smaller outdoor play area revealed that a gray, blue, red and orange climbing/sliding apparatus that did not have any type of protective covering or a fall zone surrounding the apparatus.

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 childcare center failed to maintain crib requirements. Observation of the Baby Room revealed a crib that was used for storage (Hard Manufacturing Company, Manufacturing date 07/2002), manufactured prior to the federal recall and does not meet the standards established in 16 C.F.R. 1219-1220.

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 childcare center failed to maintain twelve inch spacing. Observation of the Baby Room revaled that the cribs were touching and less than twelve inches apart.

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 childcare center failed to maintain toys and furniture in working and clean conditions. Observation of the Baby Room reveled that several battery-operated toys/furniture were not in working condition. Observation of the Toddler Classroom revealed that there was a broken blue chair in the bathroom. Continued observation of the Toddler Classroom revealed that there was a purple rabbit hopper toy and an ABC rug that was stained and discolored. Observation of the Two and Three-Year-Old Classroom revealed a black leather chair that was torn on the front corner exposing foam to the children in care.

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 childcare center failed to maintain all outdoor equipment in good repair. Observation of the large outdoor play area revealed a "gym tandy" that was located under the large green apparatus that had torn seats in which the foam was exposed. Observation of the smaller outdoor play area revealed a racecar apparatus "Blue #2" that was covered in leaves and dirt. Observation of the infant and toddler outdoor play area revealed a race car apparatus "Purple #6" that was covered in leaves and dirt. Continued observation of the infant and toddler outdoor play area revealed that the ropes holding up the infant/toddler swings were fraying.

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 refrigerated food was not being kept at a temperature of forty degrees Fahrenheit or below. Observation of the thermometer in the refrigerator in the Baby Room revealed that the refrigerated food is being stored in a refrigerator that registered at 45 degrees Fahrenheit. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 21 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center did not maintain an completed emergency preparedness plan. Review of the emergency preparedness plan that was presented for review failed to include 1) method of transportation 2) plans to notify parents of relocation 3) plans of procedures for meeting the needs of the children during relocation 4) verification to show the plans were shared with parents and the local emergency official in accordance with KRS 199.185.

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 12/16/2014 revealed that twenty (20) children were in attendance. Review of attendance sheets revealed that only thirteen (13) children were signed into the center. Continued review of attendance sheets revealed that there were seven (7) children signed into the childcare center the previous day of care, 12/15/2014, that were not signed out of the childcare center when picked up on 12/15/2014.

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 2. General.

General: Based on Review of Documentation, the childcare center failed to maintain all posted requirements. Review of documentation revealed the lack of the information on the Kentucky Consumer Product Safety Program. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center director failed to maintain daily activities requirements. Review of Documentation in the School Age and Toddler Classrooms revealed that the posted daily activities were not dated. Review of Documentation in the Four and Five-Year-Old and the Two and Three-Year-Old Classrooms revealed that the posted daily activities were from previous weeks, 11/17- 11/21 and 12/8-12/12, respectively. Continued review of the posted daily activities in the Four and Five-Year Old Classroom revealed that Friday listed a "Free Day" and did not include any scheduled programming. Review of Documentation in the Baby Room revealed a lack of posted, dated, 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 childcare center failed to maintain diapering requirements. Review of Documentation revealed the lack of the proper methods of diapering at the changing areas in the Four and Five-Year Old Classroom (bathroom) and in the Toddler Classroom. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, an infant was sleeping in a crib while wearing a bib.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the four-five classroom there was a changing table with an unlocked cabinet underneath easily accessible to the children that contained three containers of diaper cream and a can of Air Wick that stated on the can, Keep Out of Reach of Children. Based on observation in the two and three year old classroom there was a large bag of rabbit food on the floor accessible to the children in the classroom. Based on observation in the toddler classroom, under the changing table in an unlocked cabinet was a bag of empty plastic bags that was accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, in the infant room there were two tubes of diaper cream that did not have a parent signed medication release.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, in the infant room unlocked refrigerator, there was a container of Glycerin Suppositories Laxitive that was not name labeled, that was not in a locked container and had expired in September 2011. Based on observation in the four and five year old classroom, toddler classroom and infant classroom there were numerous tubes of diaper cream that were not name labeled. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the playground contained numerous broken down and rusty toys and playground equipment that was located on one side of the playground, yet still accessible to the children. A large detached yellow tunnel slide had wooden boards with eight rusty nails protruding with the pointed end out of wood boards, low to the ground and easily accessible to the children. A lawn mower and a vehicle trailer were on the playground, accessible to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the toddler playground is not well drained as there is large amounts of standing water on the ground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, there was insufficient protective surface under the swings and monkey bars.

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 playground chain link fence has a large approximately four foot by three foot hole large enough for the children to pass through.

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, in the infant room, there were three empty bottles with no name label and two bottles containing formula with no name label.

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, two children enrolled on 6-26-13 did not have current immunization records on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, a child enrolled on 8-17-10 did not have a parent signed authorization for emergency medical treatment on file. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were nine children signed into the center on the daily sign in sheets, however fifteen children were present. Based on review of documentation, five school aged children that had already left the center for school, were not signed out on the daily sign in and out sheets. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, in the infant room there was not a posted lesson plan.

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, in the four and five year old classroom, there was not a diaper changing proceedure posted at the diaper changing station. Animals

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. Animals.

General: Based on Review of Documentation, center did not have written parental consent for children to have contact with a rabbit that was present in the center.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)

General: Based on observation, several broken tree limbs were scattered 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 5

Two Year Old Room: Based on observation, children ages one (1) year to three (3) years of age were grouped for care. Staff stated this was a typical grouping and the one (1) year olds had been blended with this classroom for the past couple of months due to an increase of enrollment in the Infant Room.

Open Not marked corrected in the state record

Open / not marked corrected.