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

General: Based on interview and review of documentation, one (1) staff member (DOH: 02/13/2023) had not updated their Pediatric Abuse and Head Trauma Training (PAHT). The PAHT was dated 09/20/2016.

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, one (1) large wall vent in the Oh Toodles classroom was heavily covered with dust.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1. Two (2) 11-month-old children were seated in high chairs, but they were not secured with the straps in the the high chairs. 2. One (1) cord, not plugged into electrical outlet, was on the floor and was accessible to children, creating fall hazard in the Clubhouse classroom. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the ceiling vent was heavily covered with dust in the Whoville bathroom. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, stairs leading from the basement to the first floor were not protected in the Whoville classroom.

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 were gaps between ceiling tiles in the Whoville classroom. 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 following was found: 1. Landscape fabric stuck out of the protective surface in multiple places, creating a tripping hazard. 2. The wood on the bench was cracked, exposing a nail.

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 not a fall zone around the red slide that was equal to the height of the equipment. Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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, one (1) bottle was stored on the shelf in the refrigerator without a lid in the Ohana Classroom. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: During the observation in the Pooh's Play House classroom, it was noticed that a six-month-old infant was lying in a bouncy seat while a staff member fed him a bottle. Further observation revealed that the staff member left the bottle in the child's hands for self-feeding and walked away. However, the infant could not hold the bottle and dropped it on his belly as he tried to self-feed. The infant was not being held during bottle feeding.

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 review of documentation, there was no written evidence of a completed fire drill for the month of December 2022. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, the daily planned program of activities (lesson plan) posted in the Three's room was blank. Animals 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, there was no written evidence of completed tornado, earthquake, and lockdown drills since 8/4/2022.

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, the diaper changing pads were dirty with stains within the Older One's and Younger One's rooms. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) The blinds were broken in the Two's room. 2.) The front of the sink cabinet contained peeled wood within the Two’s and Younger One’s rooms. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, this regulatory requirement was not met. A review of staff files during the inspection found that one staff person that staff in charge hired on 1/9/2023, the day of the inspection, had initiated the process for obtaining a background check in the Kentucky National Background Check Service (KARES) and completed fingerprints on 1/5/2023. However, the application was still in process and not completed with a determination date and eligibility. The staff member whose background check was not completed was working with children and another staff member during the walkthrough of the facility. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) Children’s coats were touching as they were hanged on the hooks close together in the Older One's, Two's, and Four/Five's rooms. 2.) Uncovered electrical outlets were found in the Older One's and Two's rooms. 3.) A cord was plugged into an electrical outlet in the Two's room and part of it was laying on the floor creating a tripping hazard for the children in care. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) A staff member hired on 10/17/2022, did not obtain a TB test or statement from a health professional until 10/19/2022. 2.) A staff member hired on 8/1/2022, did not obtain a TB test or statement from a health professional until 8/12/2022.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) A staff member hired 4/12/2021, did not have evidence of completing 15 hours of annual early care and education training on file. 2.) A staff member hired on 4/12/2021, did not complete the required Pediatric Abusive Head Trauma training within the first year of employment. The course was taken 9/8/2022. 3.) A staff member hired 8/1/2022, did not take Orientation training within three months of employment. The course was taken 12/28/2022. A review of ECE-TRIS records supports the information found during the 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 following was found: 1.) The walls contained peeling paint and holes within the Older One's, Two's, and Younger One's rooms. 2.) The carpet in the Four/Five's room was ripped in several places and peeling paint was found on the baseboard in Older One's room. 3.) In the Older One's room there was a water stain on the ceiling, as well as a small gap in the ceiling next to the ceiling fan. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the toilet was not flushed after being used in the Two'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 trash can that is used to dispose of diapers in the Two's room did not have a lid on it.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request, verification that the staff member with the hire date 11/21/2022 had completed the required first aid and cardiopulmonary resuscitation training was not presented for review on the day of 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 8. General.

General: Observation of the child care center revealed the following: 1. The changing table in the one-year-old room contained a loose screw and a nylon safety restraint under the changing pad. 2. There were three (3) electrical outlets that did not contain a protective covering in the preschool room. 3. There were two (2) electrical outlets that did not contain a protective covering in the one-year-old #2 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: Upon request, a current written statement from a health care professional stating that the staff member with the hire date 04/26/2021 was free of active tuberculosis or a copy of a tuberculin result was not presented for review on the day of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of presented staff files revealed the following: 1. There were two (2) staff members with the hire dates 07/13/2020 and 04/12/2021 whose files presented for review on the day of the inspection did not contain verification that the aforementioned staff members had completed fifteen (15) hours of cabinet-approved early care and educational training. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the fifteen (15) hours of cabinet-approved training had been completed by the staff members. 2. There was one (1) staff member with the hire date 11/21/2022 whose file did not contain verification that the six (6) hour cabinet-approved orientation training had been completed by the staff member within ninety (90) days of employment. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the six (6) hours orientation training had been completed by the staff member. 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: Upon request, a current daily activity plan was not presented for review for the following classrooms: 1. Preschool; 2. Two-year-old room; 3.One-year-old #2 room; and 4. Infant room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the two-year-old room revealed the children were watching a cartoon called P.J. Mask on an electronic device. Review of a daily activity plan dated 3/14-3/18 did not verify that the program the children were viewing on the day of the inspection was part of the children’s daily planned programming. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 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: Observation of the child care center revealed the following: 1. There was a purse located on a counter, accessible to children in the three-year-old room. Interview with the staff member revealed the purse belonged to him/her. 2. There was a purse located on a counter, accessible to children in the two-year-old room. Interview with the staff member revealed the purse belonged to him/her.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. The toilet tank lid did not fit properly in the two-year-old bathroom. 2. The latch on the wooden one (1) half door in the two-year-old room was broken. The latch was secured with a rubber band. 3. The floors throughout the two-year-old room and the bathroom were soiled and sticky. 4. The floor in the child care center's entrance foyer was heavily soiled with a sticky black substance in multiple areas. 5. There was a floor air vent that was chipping paint in the one-year-old room. 6. The handwashing sink vanity cabinet was peeling paint and the wood was exposed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. The bathroom wall within the two-year-old room contained an area of drywall putty. Therefore, the wall was not smooth and easily cleaned. 2. The upstairs stairwell wall was chipping paint. 3. There was a hole in the wall in the one-year-old room, exposing a wire. 4. There was a corner of a wall in the stairwell that was chipping drywall and paint. The metal flashing was exposed. 5. In the two-year-old room there was a hole in a wall. 6. The wall adjacent to the exit door leading to the outside play area was chipping paint and drywall. 7. The exit door frame leading to the outside play area was chipping paint. 8. The windowsill in the two-year-old room was chipping paint. 9. In the two-year-old room there was a wooden one (1) half door that was chipping paint. Also, the wooden door frame was chipping paint.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the two-year-old room revealed the light inside the bathroom was in disrepair, leaving the room very dim. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. A staff member did not wash a child’s hands after completing a diapering procedure in the one-year-old-room #2. 2. A staff member in the infant room did not wash an infant’s hands before he/she placed the infant in a high chair to feed the infant.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. A staff member in the one-year-old-room #2 did not wash his/her hands after completing a diapering procedure. 2. A staff member in the infant room did not wash his/her hands before feeding an infant.

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: Observation of the child care center revealed the following: 1. The changing tables in the infant room, the older infant room, and the one-year-old room contained a build-up of dust and debris under and around the changing pad. 2. The changing pad in the one-year-old-room #2 contained multiple cracks and tears, leaving the inside absorbent material exposed. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 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: Observation of the outside play area revealed there was a climbing structure that contained an attached blue slide that did not contain sufficient protective surfacing at the foot of the slide; the black landscape material was visible. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There was a nine (9) month old infant sleeping in a swing within the infant room. 2. There was a crib that contained a crib sheet that was heavily soiled and wet. Therefore, the sheet was not immediately changed.

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: Observation of the one-year-old room revealed the changing table was chipping paint and the wood was exposed.

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: Observation of the child care center revealed the following: 1. There was a blue rug in the child care center's entrance that was curled on several of the corners, creating a potential tripping hazard. 2. There was a red metal truck within the outside playground that was chipping paint and rusted. 3. There was an exersaucer within the older infant room that contained dried food particles on the activity tray. 4. There was a set of mini blinds that was broken in the older infant room, leaving a sharp pointed piece of a plastic slat pointing down inside a crib where an infant sleeps. 5. There was a set of plastic mini blinds that was bent and broken within the one-year-old #2 room. 6. There was a large wooden yellow playhouse within the outside play area that was chipping rotted wood and paint in several areas. 7. There was a vinyl mat located on the floor in the two-year-old room; the mat contained multiple tears and the inside absorbent material was exposed. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report 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: Observation of the child care center revealed the following: 1. The Hotpoint refrigerator in the kitchen contained spilled milk on the bottom shelf. 2. The small refrigerator in the infant room contained a build-up of dust, debris, and dried food particles.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Observation of the older infant room revealed there were six (6) bottles inside the refrigerator that were not individually labeled for whom the bottles were intended. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current immunization certificate was not presented for review for a child with the enrollment date 03/18/2022. The document presented for review was an immunization record that did not contain an expiration date.

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 a child’s file with the enrollment date 02/14/2022 revealed there was not a family physician listed for the child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current written evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care that was submitted to the local emergency management by December 31st of each year was not presented for review on the day of the inspection. 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 4. Premises Requirements.

General: Observation of the hallway ceiling, located off of the infant room, revealed three (3) ceiling tiles that were sagging. Therefore, the ceiling tiles were not flush to the ceiling. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the outside play area located in the rear of the child care center revealed a white play structure that was broken; the yellow table was not attached to the structure, causing the structure to lean and not be stable. Observation of the infant room revealed a wooden gate that was separating the infant classroom and hallway. The gate did not close properly. The plastic latch that locks the gate was broken. The staff member placed the bottom plastic piece attached to the gate into a hole located on a piece of wood attached to the wall; however, the gate was still not latched on the top of the gate. Therefore, the gate was not secure. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the white refrigerator, located in the kitchen, revealed the thermometer was broken. Therefore, the temperature could not be verified. 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: Review of ten (10) children's files revealed one (1) file that did not contain a current Commonwealth of Kentucky immunization certificate for a child with the enrollment date 07/27/2020. The document presented was an immunization record.

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 ten children's files revealed one (1) child's file with the enrollment date 08/13/2020 that did not have the family's complete address listed for the parent and child contact information. Review of a child's file with the enrollment date 10/19/2020 revealed the file did not contain a parent or guardian's signature to provide emergency authorization to seek medical help in the absence of the parent. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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: Review of documentation, personal information concerning children the infant room was not kept confidential as it was posted on a bulletin board upon entering the classroom for public view. The information consisted of medical/dietary information. Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.