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

General: Based on review of documentation, it could not be verified who worked at the center. The Kentucky Applicant Registry and Employee Screening (KARES) roster was not current. There were six (6) people on the roster who were not currently employed at the center. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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, it could not be verified that a staff member (DOH: 09/15/23) had an annual evaluation completed. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, it could not be verified that two (2) staff members (DOH: 08/12/09 and 07/11/18) were free from active tuberculosis (TB). The two staff members had TB test that were read over two (2) years ago thus surpassing the two (2) years allowed by the cabinet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 following was found: Threes' 1) A portion of the baseboard was missing by the restroom door. 2) There was a hole in the wall by the tan table. 3) There was paint peeling on the wall where the tan table was. Nursery 1) There was paint peeling by the air return vent. Hall Restroom 1) The tile next to the soap dispenser was not smooth. An interview with the owner revealed that it is some remaining residual from a previous soap dispenser installment. Ones' (Back room) 1) The wall was splintered near the swinging 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, a sink was not adjacent to a diaper changing station within the Twos' classroom. Interview with the staff member revealed it is used to change the children. Hygienic Practices In Compliance 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 13. Toys and Furnishings.

General: Based on observation and interview, the following was found: Threes' 1) There were cracked sleeping mats on the shelf. The cracked mats exposed the inside absorbent material thus making it hard to sanitize. Nursery 1) Paint was peeling on the diaper changer rails. Ones' 1) Soft blocks that children were playing with had cracks that exposed the inside absorbent material indicating they were not in good repair. Toddler Playground 1) There were cracks on the Little Tikes climber. 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 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, a child's enrollment file (DOE: 10/30/24) was missing a physician's contact information. 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 6. Sleeping and Napping Requirements.

General: Multiple sleep mats that were utilized in the Threes' Classroom, Twos' Classroom, and the Younger Ones' Classroom were observed to have rips and tears on the exterior surface, rendering the mats in disrepair.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The following were observed, during the inspection: Threes' Classroom: 1. A toilet brush and plunger were stored in the restroom within the Threes' classroom. The items were accessible to children. Older Ones' Classroom: 1. The corners of a rectangular area rug were curled upwards, creating a tripping hazard. 2. An electrical outlet adapter with multiple outlets contained one (1) unprotected outlet and two (2) unprotected USB ports. Preschool Classroom: 1. A metal, elongated electrical panel located on the wall above the baseboard was secured with duct tape. The duct tape failed to adequately close the box, resulting in a capped wire protruding from the panel and a sharp corner of the metal protruding outward. 2. A plunger was stored next to the toilet in the restroom within the Preschool classroom. The plunger was accessible to children. Younger Ones': 1. One of the two (2) cribs was positioned immediately adjacent to the wall containing an air vent. The air vent was soiled with dust. Additionally, the close proximity to the crib caused the vent to create a hazard for an infant or toddler in the crib to get fingers entrapped. The portion of the vent was parallel to the mattress, therefore accessible from the crib. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 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 4. Premises Requirements.

General: Based on observation in the Preschool Classroom, the gold, hanging light fixture and the ceiling fan were heavily soiled with a collection of dust.

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: The following were observed, during the inspection: Threes' Classroom: 1. There was a gap between the end of the wall and the baseboard, leaving an exposed area large enough for children's fingers. The opening also contained chipping drywall. Preschool Classroom: 1. There was a gap between the end of the wall and the baseboard, exposing chipping paint. 2. The textured ceiling was heavily soiled with dust, causing a portion of the ceiling to be blackened. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the diaper changing pads in the Older Ones' Classroom and Twos' Classroom contained rips and tears, exposing the inner absorbent material. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation in the Threes' Classroom, a tube of Butt Paste and a tube of Aquaphor was stored in a vinyl storage pouch on the wall. The contents of the pouch were accessible to the preschool age children in the classroom. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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, the mattress in one (1) of the two (2) cribs in the Younger Ones's classroom was not in good repair. A large portion of vinyl on the underside of the mattress was missing, resulting in frayed vinyl and exposed foam. The mattress in one (1) of the four (4) cribs in the Infant Classroom was torn on the underside, resulting in frayed vinyl. The three (3) remaining cribs were occupied by sleeping children; therefore, the condition of those mattresses is unknown.

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: The following were observed, during the inspection: Older Ones' Classroom: 1. A Graco highchair failed to contain the seat cover and the safety restraint straps as intended by the manufacturer. 2. Multiple pieces of vinyl equipment, to include a chair, mat, and cube blocks, were soiled and torn, resulting in the inner foam material being exposed and accessible. Infant Classroom: 1. A chair top, highchair failed to contain the protective covering and safety restraint straps. Observation and interview confirmed the seat was utilized moments before observation. Transportation Not Applicable Kitchen Requirements 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation and interview, in the Twos' Classroom, two (2) children who have not yet had their second birthday were served Low Fat 1% milk, as opposed to whole milk. 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 Drink Requirements for All Child-Care Centers.

Based on observation, a collection of canned goods was not stored in a sanitary manner. The canned goods were stored on a piece of plywood that was covering a bathtub in the restroom. There was no barrier between the stored cans of food and the toilet. Therefore, the cans of food were exposed to airborne particles emitting from the toilet as it was flushed. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, a current immunization certificate for a child (DOE: 03/19/2022) was not available for review. The certificate reviewed expired on 09/21/2023. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, an electrical outlet in the one-year-olds' classroom and an electrical outlet in the three-year-olds' classroom did not have safety plugs. 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, a caregiver hired on 8/13/09, had TB documentation on file that was dated 2/19/20. A caregiver hired on 7/11/18, had TB documentation on file that was dated 8/1/20. A caregiver hired on 10/15/18, had TB documentation on file that was dated 7/31/20. A caregiver hired on 8/10/18, had TB documentation on file that was dated 7/27/20. A caregiver hired on 12/5/18, had TB documentation on file that was dated 7/11/20. A caregiver hired on 7/1/20, had TB documentation on file that was dated 6/22/20. 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 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on review of documentation and interview, caregivers hired on 1/29/20 and 8/20/20, was not first aid/CPR trained.

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 and interview, caregivers hired on 8/13/09 and 10/15/18, completed ten and one half (10 ½) hours of cabinet-approved early care and education training between July 1 and the following June 30 of each subsequent year of employment. A caregiver hired on 8/10/18, completed eleven (11) hours of cabinet-approved early care and education training between July 1 and the following June 30 of each subsequent year of employment. A caregiver hired on 7/1/20, completed ten (10) hours of cabinet- approved early care and education training between July 1 and the following June 30 of each subsequent year of employment. A caregiver hired on 8/20/20, completed twelve and one half (12 ½) hours of cabinet-approved early care and education training between July 1 and the following June 30 of each subsequent year of employment. A caregiver hired on 1/29/20, completed twelve (12) hours of cabinet-approved early care and education training between July 1 and the following June 30 of each subsequent year of employment. A caregiver hired on 7/1/20, did not complete one and one half (1 ½) hours of Pediatric Abusive Head Trauma training within the first year of employment. A caregiver hired on 12/5/18, completed one and one half (1 1/2) hours of Pediatric Abusive Head Trauma training on 8/24/17, but did not complete the training again within five (5) years. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the hot water temperature registered eighty (80) degrees Fahrenheit at the sink located in the three year-olds' classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, there was no ventilation to outside air in the restroom located in the hallway. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, black fabric weed block was raised above the mulch throughout the preschool outdoor play area. 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 Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, a child enrolled on 3/10/21, had an immunization certificate on file that was valid until 8/13/22. A child enrolled on 8/1/22, had an immunization certification on file that was valid until 8/15/22.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, two (2) children enrolled on 7/14/22, and 11/15/22, each did not have information on file to enable staff to contact the child's physician. A child enrolled on 9/16/19, did not have information on file to enable staff to contact the child's preferred hospital. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, this regulatory requirement was not met. The toilet had a dark ring inside the toilet bowl located in the three year old's restroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices 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, this regulatory requirement was not met. The following was found: 1. The roll of toilet paper that the children use in the bathroom across from the two year old classroom was stored in an unsanitary manner; positioned on the back of the toilet. 2. A bucket with several inches of soapy water and a wash cloth were observed on the floor in the bathroom used by the two year old children. 3. A large square classroom table was observed leaning up against a stack of chairs in the one year old classroom. The table was accessible to the children present in the classroom. 4. One uncovered electrical outlet was observed beside a climbing structure in the one year old classroom. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and the Training Records Information System (TRIS), the following was found: 1. One staff person (hire date: 1/29/20) did not complete the required 15 hours of cabinet-approved training hours between 7/1/2020 and 6/30/21. 2. A staff person hired on 8/12/09, completed PAHT training on 3/24/14; however, did not renew the training due 3/24/19. 3. Three staff (hire dates 12/5/18, 7/1/20, and 8/20/20) did not complete the required PAHT training. These staff have been employed for more than one year. 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 and interview, this regulatory requirement was not met. The following was found: 1. Excessive chipped paint and embedded dirt/grime was observed on the window sill in the preschool/school age classroom. 2. An accumulation of dust was observed on the exhaust fans in the children's bathroom across from the two year old classroom and the bathroom in the three year old classroom. 3. Baseboard was missing along one wall in the children's bathroom in the three year old classroom. 4. Excessive areas of chipped paint were observed on the window sills on the infant/toddler playground area. 5. One of the windows on the infant/toddler playground area was found in disrepair. The plexiglass was broken in half and clear tape was being used to secure it. The staff person in charge stated during interview that someone broke the window during a recent break-in.

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, this regulatory requirement was not met. The following was found: 1. The wooden paneling on one wall in the preschool/school age classroom was in disrepair. The surveyor observed a hole (approximately one inch in diameter) and a long crack in the same area. 2. A triangle shape support wall in the one year old classroom was in disrepair. A piece of particle board near the floor was missing which exposed two nail heads and the drywall was crumbling onto the 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 3. General Requirements.

General: Based on observation and interview, this regulatory requirement was not met. During a tour of the one year old classroom, the surveyor observed a portable sink positioned beside the diaper changing table; however, it was evident that the portable sink was not currently being used. Several layers of various items (binders, paper towels, books, soft drinks, a package of crackers, paper worksheets, spray bottles, clear tape, art supplies, stuffed teddy bear, and a stack of plastic storage bins) were being stored on top of the portable sink. A staff person working in the area stated during interview that staff and children use hand sanitizer throughout the day instead of handwashing at the sink. Therefore, none of the children washed their hands with liquid soap and running water.

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, this regulatory requirement was not met. During a tour of the one year old classroom, the surveyor observed a portable sink positioned beside the diaper changing table; however, it was evident that the portable sink was not currently being used. Several layers of various items (binders, paper towels, books, soft drinks, a package of crackers, paper worksheets, spray bottles, clear tape, art supplies, stuffed teddy bear, and a stack of plastic storage bins) were being stored on top of the portable sink. A staff person working in the area stated during interview that staff and children use hand sanitizer throughout the day instead of handwashing at the sink. Therefore, staff do not wash their hands with liquid soap and running water. First Aid/Medication In Compliance Outdoor Play Area 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, this regulatory requirement was not met. A majority of the ground surface on the infant/toddler playground is covered with interlocking foam squares that contain a green indoor/outdoor type carpet on top. The carpet is peeling away from the foam and curling up in numerous areas throughout the play area. 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

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, this regulatory requirement was not met. During a tour of the facility, the surveyor observed numerous blue nap mats in each classroom that contained cracks in the vinyl surface and small tears.

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, this regulatory requirement was not met. Numerous areas of chipped paint were observed on the top rail around the diaper changing table in the infants' classroom. 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 review of documentation, this regulatory requirement was not met. One child (enrollment date: 8/16/21) did not have an immunization certificate on file. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Three classrooms (two year old classroom and both one year old classrooms) had a schedule of daily activities posted; however, no dates were listed. 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, a young school age child was observed walking from the front entrance area of the center past the restroom, through the hallway, around the corner and into the school age classroom without being in the scope of vision or range of voice of a staff member. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation and interview, upon the surveyor's arrival at 6:00a.m. three (3) children were observed sleeping in the toddler classroom. A seven-year-old child was asleep on a mat on the floor; a two-year-old child was asleep with half of his/her body on a thin mat and the other half on the floor; and a second two-year-old child was sleeping directly on the floor without an individual bed, mat or cot. Therefore, that child was not provided with an appropriate bed, mat, or cot to utilize while sleeping. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation, interview and review of documentation, the child care center failed to assure compliance with regulatory requirements specific to the current pandemic as established in 922 KAR 2:405e. In accordance with Section 4 (1) (b) of the referenced regulation, the maximum group size shall be fifteen (15) children per group for children age twenty-four (24) months and older. Obervation revealed sixteen (16) children in the school age room, exceeding the maximum group size by one (1) child. Additionally, twelve (12) school age children were present. Interview with the staff in charge revealed eight (8) or nine (9) more school age children were expected to arrive. Interview with staff members revealed some school age childen will pariticipate in non-traditional instruction, NTI, school work for part of the day; however, there are times that all school age children may be together in one room. Additionally, in accordance with 922 KAR 2:405e Section 4 (3), each child shall remain in the same group throughout the day without interacting with another group. Review of the staff schedule and daily attendance records, interview with staff present, and observation of children and staff present confirmed that all children who arrive between 5:00a.m. and 6:00a.m. were gathered together in the toddler room with the sole staff member present. At 6:00a.m., a second staff member arrived and took the older children to the school age classroom. All children who arrived between 6:00a.m. and 7:00a.m were cared for in one (1) of the two (2) open classrooms by one (1) of the two (2) staff members who were present. Additional staff members arrived at 7:00a.m., at which time, children were dispersed to their assigned classrooms. Therefore, children from varying groups were permitted to interact with each other. In accordance with 922 KAR 2:405e Section 4 (7), a provider shall reduce the number of staff each classroom of children interacts with each day and create a schedule in which the same staff work with the same children each day as able. Review of the staff schedule and observation revealed that the teacher for the two-year-old children arrives at 6:00a.m. and retrieves the older children, four-years-old and older, from the sole staff member present prior to her arrival and takes the children to the school age room while the younger children, to include the two-year-old children, remained with the other staff member. Upon the arrival of additional staff members at 7:00a.m., the two-year-old teacher then retrieved the two-year-old children and took them to the two-year-old classroom for the remainder of the day. Therefore, as the schedule was written and implemented, the two-year-old children were in the care of multiple teachers as opposed to the assigned teacher staying with the younger children upon her arrival.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

Based on observation, review of documentation and interview, the center failed to comply with the regulatory requirements specific to the current pandemic as established in 922 KAR 2:405e. Based on observation a staff in the infant classroom was not wearing his/her mask properly. The nose region was exposed. Review of video documentation revealed that a staff member had walked into another classroom with a child in late afternoon; therefore, combining the child with another group of children. Interview with the staff revealed this is a daily occurrence to combine children in the late afternoon.

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: Observation, interview and review of documentation of staff files revealed two (2) staff members with the hire dates 08/12/2009 and 03/02/2006 who have not completed the one and half (1-1/2) hours of cabinet-approved early care and education training Pediatric Abusive Head Trauma in the last five years. Review of an ECE-TRIS report could not verify that the training had been completed. 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: recordkeeping. Open / not marked corrected.

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

General: Observation of the two (2) and three (3) year old classrooms revealed there was not a current weekly lesson plan 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 4. Premises Requirements.

General: Observation of the ceiling throughout the center revealed there were air vents that had an accumulation of dust and debris built up on them. Further observation of the foyer revealed there were two (2) metal mini blinds that had an accumulation of debris and dust. Observation of the Pre-K / School Age classroom revealed a smoke detector that was making a beeping noise, a sign that it was not working properly.

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 three (3) year old classroom revealed a yellow wall that was peeling paint and the dry wall was visible. Observation of the four (4) year old classroom was a wall that was covered with dry plaster and the wall was not smooth.

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: Observation of the two (2) year old classroom revealed a portable sink, in which the water temperature measured seventy (70) degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Observation of the Infant classroom revealed a changing table that contained an accumulation of debris and dust under and around the changing pad. 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 6. Sleeping and Napping Requirements.

General: Based on observation of the Infant classroom, there were four (4) cribs that did not have a manufacturer's date documented. Interview with the staff member in-charge failed to provide the documentation to verify the cribs comply with the federal safety 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: Observation of the two (2), three (3), four (4) and Preschool-K / School Age classrooms revealed there were multiple two (2) inch blue vinyl mats that were cracked and the inside material was exposed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the Pre-K / School Age playground area revealed a Little Tike cream house with a blue roof that had three (3) windows sills that were cracked and the material was sharp and had spiked edges. Observation of the Toddler playground area revealed a cream slide that was cracked and sharp at the top of the slide where the children would sit to go down the slide. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, upon entering the Infant classroom at 11:20 a.m. the surveyor witnessed a child sitting in a bouncy seat feeding him/herself a bottle. The child was not being held. 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 a child's file, with the enrollment date 06/16/2020, revealed the file did not contain a parent's preferred hospital, parent's perfered physican and authorization by the parent for the child care center to seek emergency medical care for the child in the parent's absence. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the posted documentation presented for review revealed there was no information on the Kentucky Consumer Product Safety Program, to include the program's website. Additionally, the Plan of Correction from the year in review was not posted for review. Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: Based on observation of the two (2) year old classroom, a plastic container of dolls was sitting on the floor and was available to the children. The dolls were made of soft materials. Therefore, the center failed to comply with the requirement in 922 KAR 2:400e, which prohibits the use of machine washable toys.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center failed to present proof of education for staff member with hire date 4/11/19.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present a negative TB assessment or physician statement for staff member with hire date 4/22/19. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. 1) Observation in the preschool room and three-year-old classroom revealed large red and blue triangle play mats. The blue mat in the preschool room had a large hole about the size of an adult hand in the corner, exposing the foam inside. A child was observed pulling at the foam. 2) In the three-year-old room, the red triangle had three(3) finger sized rips on the top, exposing the foam on the inside. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding hygienic practices. In the preschool room, a staff member did not assist a child to wash his/her hands after helping the child out of soiled clothing into a clean change of clothes.

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 child care center failed to comply with regulations regarding director requirements. Observation of the hallway II bathroom revealed there was a toilet brush in the bathroom next to the toilet. Observation in the infant room and hallway revealed an outlet was missing a protective covering. 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 child care center failed to comply with regulations regarding premises. In the following rooms there were several areas of paint chipping from the wall: younger ones; hallway; preschool; and two-year-old room. In the preschool room there was a hole in the wall under the window seal exposing drywall and insulation. In the white room there was a small hole in the wall behind the play kitchen exposing drywall and insulation. In the white room II the door adjoining the white room was broken and torn exposing drywall and insulation. 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

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 comply with regulations regarding premises. Observation in the hallway bathroom revealed there was no hand-drying blower or single use disposable hand drying material available.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding premises. Observation in the hallway II bathroom revealed the light was not working over the toilet, not providing enough light for visibility. Observation of the preschool bathroom revealed there was a toilet that was not flushed with toilet paper and a yellow substance inside of the toilet indicative of urine. Further observant revealed the top for the tank was not secured and flush with the toilet tank. 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 regulations regarding hygienic practices. In the preschool room a staff member did not wash his/her hands after helping a child out of his/her soiled clothing into a clean change of clothing. Further observation revealed the same aforementioned staff member was observed to then return back to the art table to finish an activity with a group of four (4) children. 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: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding hygienic practices. In the infant room, younger ones' room and the white room, there was debris underneath and around the changing pad on top of the diaper changing table. Observation in the younger one’s room revealed the diaper changing pad which was torn and tattered exposing fabric at the seams. The diaper changing pad in the white room was stained and dirty. 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 comply with regulations regarding the outdoor play area. Observation of the small playground revealed there were some discarded toys and a trash can above the air conditioning unit. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding equipment. Observation in the following rooms revealed the nap cots were torn and tattered at the edges exposing fabric at the seams: preschool room; white room; and white room II.

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 comply with regulations regarding equipment. In infant room there were several areas of paint chipping away from the diaper changing table. In preschool room there were several areas of paint chipping away from the gray bookshelf. In two-year-old room there were several areas of paint chipping away from the red and yellow bookshelf. In the younger ones' room and white room there were several multi-colored, soft cushion stacking blocks that were torn and tattered at the edges exposing fabric at the seams. In the preschool room there was a large alphabet rug that was stained and dirty. In the white room there was a green triangle shaped seat cushion near the reading area that was torn and tattered at the edges exposing fabric at the seams. 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 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 child care center failed to maintain children’s records in accordance with regulatory requirements. The records for a child with the enrollment date of 01/27/2011 did not contain a file with a physician or 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 review of documentation and interview, the child care center failed to comply with regulations regarding written documentation. The observation and interview with the director revealed thirty-one (31) children present during time of survey; only twenty (20)children were signed into the daily attendance record for that day. Further review of documentation revealed that one (1) child was signed in and out for the remainder of the week of the date of survey 06/13/2018. Posted Documentation In Compliance Animals 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 13. Animals.

General: Based on observation and interview, the child care center failed to comply with regulations regarding animals. Observation in the preschool room revealed a tadpole in an aquarium. Interview with the director revealed there was no written parental consent for the animal in the child care center.

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 comply with regulatory programming requirements. A female child in the school age room had a personal electronic device that was carried on her person while engaging with the class. The Director and Teacher revealed that this device was a Kindall and was not allowed. 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. Various cleaners were located on window sills in the following classrooms: 1's (ones) and 2's (twos') and the School-Age Room, within reach of children. Additionally, in the 2 (two) year old room, observation revealed personal drinks for staff from Arbys, McDonalds and a can of Mountain Dew, placed on the 4' divider wall. 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 2:120 · 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. There were no paper towels in the Preschool bathroom and there was a profound smell of urine. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the one-year-old classroom revealed a teacher wiping three (3) children's hands and faces with a wet wipe by using the same wipe on each child after snack time.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the three-year-old room revealed food, snacks, papers, juice and wipes on the changing table. 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The changing table in the one-year-old classroom had chipped paint and the supportive board under the mat was warped and in ill repair. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Transportation 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. Transportation.

General: Based on observation, the child care center failed to comply with regulatory requirements regarding transportation. There was no fire extinguisher in the child care center's vehicle. Upon request, the director did not present a fire extinguisher for the van prior to the end of the survey. Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of the child care center van sign on/off log revealed there were no children signed onto or off the van for the morning of 3/13/17. Interview with the van driver verified the children transported the morning of 3/13/17 had not been signed onto or off the van.

Open Not marked corrected in the state record

Category: transportation. 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 Twos Room revealed one (1) staff member was the sole caregiver of ten (10) children ages twenty-three-months-old to two-years-old from 10:31am-1:02pm.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. Review of documentation in the Infant Room revealed a list of children’s allergies posted on the wall, open to public view. 130 - Volunteer/Board Member Compliance Not Applicable 922 KAR 2:110. Section 2. General. (4) A volunteer or board member shall comply with the policies and procedures of the child-care center. 135 - Resident Interference Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 27 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:110. Section 2. General. (6) An activity of a person living in a child-care center that is a dwelling unit shall not interfere with the child-care center program.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center director failed to assure compliance with regulatory requirements. Review of staff files revealed the staff member hired 4/6/16 listed an Oklahoma address on her Child Abuse & Neglect Check (CAN) signed 4/5/16. Continued review of staff files revealed an Oklahoma Criminal Records Check (CRC) was not presented for review at the time of survey for the staff member hired 4/6/16. Interview with owner/director revealed the center failed to complete an Oklahoma CRC for the staff member hired 4/6/16. Continued interview with owner/director revealed the staff member hired 4/6/16 had worked alone with 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 Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the staff member hired 4/6/16 listed an Oklahoma address on her Child Abuse & Neglect Check (CAN) signed 4/5/16. Continued review of staff files revealed an Oklahoma Criminal Records Check (CRC) was not presented for review at the time of survey for the staff member hired 4/6/16. Interview with owner/director revealed the center failed to complete an Oklahoma CRC for the staff member hired 4/6/16. Continued interview with owner/director revealed the staff member hired 4/6/16 has worked alone with children in care.

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 valid proof of a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for a staff member hired 5/19/16. Interview with owner/director revealed the awards certificate presented for review at the time of survey was the only educational documentation on file.

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 boys hallway bathroom revealed a can of Scrubbing Bubbles cleaner placed on top of the urinal, accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Twos bathroom, girls hallway bathroom, and boys hallway bathroom revealed the vents were covered with dust. Continued observation of the Twos bathroom revealed a white powdery substance inside the cabinet underneath the sink.

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 and Interview, the child care center failed to maintain the premises in accordance with regulations. Observation of the Ones/Twos Room and interview with a staff member revealed the portable sink was not dispensing hot water.

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 maintain the premises in accordance with regulations. Observation of the Older Twos/Threes bathroom and interview with a staff member revealed the light was not operational. Observation of the girls hallway bathroom revealed both lights in the toileting area were not operational. Observation of the Twos bathroom revealed a visible ring around the toilet bowl. 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 and Interview, the child care center failed to maintain hygienic practices in accordance with regulations. Observation of the Toddler Room revealed a staff member changed a child’s diaper on the diaper changing table. Continued observation revealed the diaper changing pad was torn, exposing the inner padding. Observation of the Infant Room and Twos Room revealed the diaper changing pads were torn, exposing the inner padding. Interview with staff members revealed these diapering surfaces were used for diapering 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 7. First Aid and Medicine.

General: Based on Observation, the child care center failed to comply with regulations regarding first aid and/or medication. Observation of the Toddler Room revealed three (3) diaper rash creams, one (1) bottle of infant gas relief drops, a tube of ointment, and orajel stored on the top shelf near the diaper changing table, as well as a jar of petroleum jelly stored in a container which was placed on a shelf on the diaper changing table and all of these items were not properly labeled and were not stored in a locked place. Observation of the Older Twos/Threes Room revealed two (2) tubes of sunscreen and one (1) diaper rash cream stored on the diaper changing table, and all of these items were not properly labeled and were not stored in a locked place. Observation of the kitchen revealed an Epipen stored in an unlocked cabinet. 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 child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the small playground revealed a visible crack in the sliding portion of the white and blue slides. Observation of the large playground revealed large sections of black landscape plastic protruding through the mulch creating a tripping hazard for children in care.

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 Infant Room revealed six (6) bottles in the mini- refrigerator that were not individually labeled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the small playground revealed the small blue slide failed to have a protective surface surrounding the equipment and the protective surface at the bottom of the white slide failed to sufficiently cover the ground. Observation of the Ones and Twos playground revealed interlocking foam squares were utilized as the protective surface for three (3) small slides on the playground; however, the interlocking foam squares failed to meet regulatory standards for approved protective surfaces. Interview with owner/director revealed she was aware that the foam squares were the only protective surface used for these slides.

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 child care center failed to maintain equipment in accordance with regulations. Interview with owner/director revealed the child care center van, a 1998 Dodge Ram Wagon B2500 VIN# 2B5WB25Y7WK146295, was not operational at the time of survey and had not been operational since 5/26/16; therefore, the van was not inspected at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed the following documentation was not presented for review at the time of survey: (1) A written policy that documents the emergency procedures practiced monthly by staff that transport children and (2) documentation proving that the emergency procedures had been practiced monthly by staff that transport children. Interview with owner/director revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation and Interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed verification of full insurance coverage for the child care center van, a 1998 Dodge Ram Wagon B2500 VIN# 2B5WB25Y7WK146295, was not presented for review at the time of survey. Interview with owner/director revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Category: transportation. 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 Toddlers Room revealed an eight-month-old infant lying in a crib drinking 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 revealed the food service permit presented for review at the time of survey expired 12/31/15. Interview with owner/director revealed a health department inspection was conducted on 5/25/16; however, a current food service permit was not available for review at the time of survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Infant Room revealed the mini-refrigerator temperature measured forty-five (45) degrees Fahrenheit.

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 Review of Documentation and Interview, the child care center failed to maintain food service in accordance with regulations. Review of documentation on 6/16/16 revealed the posted menu was no longer current as it was dated 6/6/16-6/10/16. During interview, the owner/director acknowledged the current menu was not posted.

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 regulations. Review of children’s files revealed the written record for a child enrolled 9/14/15 failed to contain: (1) Authorization by the parent for the center to seek emergency medical care for the child in the parent’s absence (2) Contact information to enable a person in charge to contact the child’s family physician and preferred hospital and (3) The child’s general health status and medical history including, if applicable: (i) Allergies; (ii) Restriction on the child’s participation in activities with specific instructions from the child’s parent or health professional; and (iii) Permission from the parent for third-party professional services in the child-care center. Interview with owner/director revealed this documentation was not on file 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 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 the evacuation plan presented for review at the time of survey revealed the plan was no longer current as it was dated 7/10/14. During interview, the owner/director acknowledged the evacuation plan was dated 7/10/14.

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 written documentation in accordance with regulations. Review of the earthquake/tornado drill logs revealed the names of the children who participated in the quarterly drills was not presented for review at the time of survey. Interview with owner/director revealed this documentation was not available for review at the time of survey.

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 written documentation in accordance with regulations. Review of the fire drill logs revealed the names of the children who participated in the monthly drills from June 2015-March 2016 was not presented for review at the time of survey. Interview with owner/director revealed this documentation was not available for review at the time of survey.

Open Not marked corrected in the state record

Category: physical safety. 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 failed to maintain posted documentation in accordance with regulations. Review of documentation and interview with owner/director revealed the center failed to post each plan of correction issued by the cabinet during the current licensure year. Review of documentation in the Older Twos/Threes Room and the School Room and interview with staff members revealed a daily schedule was not posted in these rooms.

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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. Review of attendance records revealed two (2) separately labeled attendance records. One (1) set of attendance sheets was labeled “3 C’s” and the other set was labeled “Non 3 C’s”, failing to maintain the confidentiality of information related to a child and the child’s parent.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the staff files failed to reveal a current assessment of each staff person’s interaction with children in care and classroom performance through an annual written performance evaluation. Interview with the staff person in charge revealed that they had not been completed for the previous year of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal an out of state background check for an employee with the hire date of 2/25/15. Review of staff files revealed that the employee with the hire date of 2/25/15 listed a Tennessee address within the previous five (5) years on her CAN check. Interview with the staff person in charge revealed that she was unaware of the need for an out of state back ground check. The individual was not observed working alone 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 3. General Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathroom used by children revealed a bottle of bleach sitting on the sink, within reach of children when using the restroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathroom used by the children revealed the lid to the toilet tank was sitting on the floor. Continued observation revealed the water in the tank was not covered or protected from the children. Interview with staff revealed she was unaware that the lid had been removed, but after finding packaging for a replacement part, presumed it was under repair at the time of the inspection and the lid had not been returned to its proper place. Hygienic Practices

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, the child care center failed to comply with the regulatory requirements regarding medication. Observation of the Toddler Room revealed diaper ointment located in tubs which failed to be locked at the time of the inspection. 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 child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area failed to reveal a protective surface under the slides in the play area used by the preschool and school age 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 child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the fence surrounding the outdoor play area used by the preschool and school age children revealed a fence that failed to be stable and in good condition. Ongoing observation of the fence revealed that the fencing material failed to be attached to the posts creating a bowed and buckled fence 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 11. Toys and Furnishings.

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor play area used by the three-year-old children revealed a blue slide and a white slide with cracks which exposed sharp edges on the surface of the slide. Observation of the outdoor play area used by the preschool and school age children revealed a picnic table with splintered wood bench seats. Continued observation revealed exposed rusty nails where the splintered bench seat was broken off.

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. Review of ten (10) children’s files revealed six (6) of the children's files failed to have a hospital of preference named on the enrollment form.

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 observation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the attendance records revealed twenty-six (26) children were signed into care on the day of the inspection. Observation of the child care center revealed forty-two (42) children in attendance. Sixteen (16) children failed to have the time of arrival or attendance documented at the time of the inspection.

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, the child care center Director failed to comply with requirements regarding the Health, Safety and Comfort of a child. Observation revealed that a toilet located in a restroom used by children was missing the lid that covered the tank of the toilet. Further observation revealed that a mop was sitting next to the sink in the bathroom used by children. Additional observation of the restroom in the hallway revealed there to be a can of aresol spray on the sink as well as a container of shaving cream and hair conditioner located in the cabinet under the sink. All items were accessible to children. Observation of the playground used by the toddlers and two year olds revealed a water hose spread across the playground in the path where children play as well as wires hanging from the roof that were accessible to children. Further observation revealed that a smoke detector located near the kitchen was "chirping" indicating that the detector is not functioning properly.

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, the facility failed to comply with Employee Records requirements. Review of documentation revealed that staff person with hire date 9- 9-08 failed to have documentation on file verifying that 15 hours of Cabinet approved training had been completed the previous year of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the facility failed to comply with Employee Records requirements. Documentation review revealed that staff person with hire date 10- 25-10 and staff person with hire date 3-10-14 who were identified as van drivers failed to have documentation of an annual check of the driver history records for each staff from the state of Kentucky on file at the time of the survey. Programming

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 facility failed to comply with Premises requirements. Observation revealed a container of Swiffer Wet Wipes was located under the sink in the bathroom used by children and was accessible to 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 facility failed to comply with Premises requirements. Observation revealed that the wall in the two year old classroom near the book center had a large patch of peeling 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the facility failed to comply with Premises Requirements. Observation revealed that two toilets located in the restrooms used by children were not flushed immediately after use. Hygienic Practices

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, the child care center failed to comply with medication requirements. Observation in the bathroom used by children revealed a container of Triple Paste Medicated Cream was located in the cabinet under the sink and was accessible to children. Additional observation in the first aid cabinet located in the kitchen revealed two prescription containers of Magic Barrier Cream that were not locked as well as a spray bottle of Ivy Dry that was not locked. 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 facility failed to comply with Outdoor Play Area Requirements. Observation at the time fo the survey revealed that the grass had become overgrown beneath a truck shaped play structure as well as within the playhouse located on the playground. Additional observation revealed there to be standing water in the bed of the truck shaped 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, the facility failed to comply with Outdoor Play Area Requirements, observation at the time of the survey revealed there to be no protective surfacing under the slides located on the playground.

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 Review of Documentation, the child care center failed to comply with food service requirements that meals be served every two to three hours. Review of documentation revealed that the schedule in the one-year-old classroom noted Lunch to be served at 11:15 am. Further record reveiw revealed that there is no additional snack or meal noted on the schedule for the duration of the day which ends at 6:00 pm.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the children's file of a child with the enrollment date of 04/29/13 had an immunization certificate that expired as of 02/25/13.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on observation, a live fish in a fish tank in the Two's Classroom was present and written parental consent was not given to permit the fish on the premises of the center.

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 refrigerator in the Infant Room failed to have a thermometer indicating that the temperature is 40 degrees Fahrenheit or below.

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, during rest time in the Preschool Room, one child, that was laying on a mat, had a blanket covering his head and body which did not allow for adequate supervision of the child.

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, current T.B. verification failed to be presented in the staff files for the following staff with the hire dates of 08/12/09 and 05/23/11.

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, the fifteen hours of Cabinet-approved child development training failed to be presented for staff with the following hire dates: 08/13/09, 10/25/10, 03/03/08, 06/02/11, and 10/13/11.

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, in the One Year Room, a group of six children in a combined group of one-year-old and two-year-old children were being cared for together for more than one hour.

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 square footage in the Infant Room, that included five full size cribs, an adult size chair, two swings, a bouncer, a changing table and a mini fridge, did not allow for a capacity of five infants, to have adequate crawling space.

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 One Year Room, a child did not was his hands after a diaper change. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in the One's Room, a caregiver, wearing gloves, changed a child's diaper then with the gloves still on, picked up the child, placed him on the floor, and put his shoe on his foot. The caregiver took the steps to sanitize the changing table and then removed her gloves to wash her hands.

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 of the Preschool Playground and based on interview with a caregiver, 14 children played in the fenced Preschool Playground and the square footage does not allow for the capacity of 14 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 of the Two's Playground, the lattice surrounding the air conditioner was broken. Observation of the Preschool Playground, a large puddle of water, approximately two feet in diameter, was located under play equipment.

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, the majority of the mats used by the children in the center for sleeping and napping had worn and ripped edges allowing the foam to be exposed.

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 Infant Room the cribs, equipment, and furnishing used for sleeping and napping failed to be spaced 12 inches apart to allow for free and safe movement by a person.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on observation, of the van used for transporting children, the following First Aid items were not present: a flashlight, a CPR mask, scissors. A device to cut the restraint system was not located on the van. 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 2

General: Based on observation, upon the arrival of the surveyor, at approximately 8:00a.m., one staff member was caring for a total of nine children ranging from one to two-years- old. Therefore, the minimum staff to child ratio for one-year-olds of 1:5 was not met. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Programming

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

classrooms: Based on observation, upon the surveyor's arrival, at approximately 8:00 a.m., one staff member was providing care for a total of nine children ranging in age from one to two-years-old. Interview with the classroom staff member and review of daily sign in forms revealed that toddlers had been cared for with older children for more than one hour of activity. Premises - Classroom

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

classrooms: Based on observation, a swaddled infant was observed sleeping in a bouncer seat as opposed to a crib. 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 4) Well Lit Not In Compliance Findings: classrooms: Based on observation, the classrooms located on the right hand side of the building were not well lit as they were extremely dim. Review of the center's Statement of Deficiency from their relicensure survey that was conducted on September 10, 2012 revealed that the center had been cited for poor lighting in the same rooms. Review of the center's Plan of Correction for the previous deficiency revealed the following: "Track lighting will be added to the classroom" "10-08-12". Therefore, the director failed to comply with the center's own plan of correction regarding this issue. 233 - Infant/Toddler indoor space 922 KAR 2:120 - Section 5 Infant and Toddler Play Requirements. (1) Infant and toddler inside areas shall: (a) Be separate from an area used by an older child; (b) Not be an exit or entrance; and (c) Have adequate crawling space for an infant or toddler away from general traffic patterns of the center. 4) Traffic Pattern Not In Compliance Findings: classrooms: Based on observation, the one-year-old classroom was not away from the general traffic pattern of the center as multiple staff and children were observed walking through the classroom to get to the school age/preschool classroom. Food Service - Classroom 261 - Bottles 922 KAR 2:120 - Section 8 (10) Bottles shall be: (a) Individually labeled; (b) Promptly refrigerated; and (c) Covered when not in use. 1) Individually labeled Not In Compliance Findings: classrooms: Based on observation, an unlabeled bottle was observed sitting on the ledge in the One-year-old classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on review of documentation, review of all staff files revealed that the professional development plans presented for review for multiple staff members were not completed within the last year. Therefore, professional development plans were not completed annually. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

Older Ones: Based on observation, a staff member was observed dragging a child off of the changing table while holding onto the child's hands. The staff member then held the child suspended in the air by her hands until the child's feet reached the ground. Fours/fives/school age: Based on observation, there were multiple outlets that were not covered. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 40 Web site: http://chfs.ky.gov/ Inspection Report 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 4) Well Lit Not In Compliance Findings: Fours: Based on observation, the light in the classroom was very dim. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 40 Web site: http://chfs.ky.gov/ Inspection Report 7) Shielded/shatter proof bulbs Not In Compliance Findings: Fours/fives/school age: Based on observation, the chandeliers used for lighting contained multiple bulbs that were not shielded or shatterproof. 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Twos: Based on observation, multiple mats were not in good repair as they contained holes, rips, and tears. Older Ones: Based on observation, multiple mats were not in good repair as they contained holes, rips, and tears. Threes: Based on observation, muliple mats were not in good repair as they contained holes, rips, and tears. Fours: Based on observation, multiple sleep mats were not in good repair as they contained holes,rips, and tears. Fours/fives/school age: Based on observation, multiple sleep mats contained rips, holes, and tears. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 3) Free from peeling, flaking, chalking paint In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 27 of 40 Web site: http://chfs.ky.gov/ Inspection Report 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 2) Good repair Not In Compliance Findings: Fours/fives/school age: Based on observation, multiple plastic bins used to store books and toys were broken and consisted of sharp, jagged edges. 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 12

Based on interview, three and four-year-old children have regularly been transported with out being secured in a booster seat. 307 - Pre-trip Inspection 922 KAR 2:120 - Section 12 (8) A daily inspection of the vehicle shall be performed and documented for the following: (a) Tires; (b) Lights, signals, mirrors, gauges, and wiper blades; (c) Safety restraints; (d) Fuel; and (e) Free of debris. 1) Tires In Compliance 2) Lights In Compliance 3) Signals In Compliance 4) Mirrors In Compliance 5) Gauges In Compliance 6) Wiper blades In Compliance 7) Safety restraints In Compliance 8) Fuel In Compliance 9) Free of debris In Compliance 308 - Ratios 922 KAR 2:120 - Section 12 (9) (a) The staff-to-child ratios set forth in Section 2(2) of this administrative regulation shall apply to vehicle transport, if not inconsistent with special requirements or exceptions in this section. (b) An individual who is driving with a child in the vehicle shall supervise no more than four (4) children under the age of five (5). 1) Ratios In Compliance 2) Lone driver In Compliance 309 - Seating 922 KAR 2:120 - Section 12 (10) Each child shall: (a) Have a seat; (b) Be individually belted or harnessed in the seat; and (c) Remain seated while the vehicle is in motion. 1) Each child has a seat In Compliance 2) Belted In Compliance 3) Remain seated In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 30 of 40 Web site: http://chfs.ky.gov/ Inspection Report 310 - Child Unattended 922 KAR 2:120 - Section 12 (11) A child shall not be left: (a) Unattended at the site of aftercare delivery; and (b) Unattended in a vehicle. 1) At site In Compliance 2) On vehicle In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 9 Food Requirements.

Fours/fives/school age: Based on review of the daily schedule revealed that lunch was scheduled to be served between 11:00am and 12:00pm. Further review revealed that no additional meals were scheduled to be served from 12:00pm to 6:00pm.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.