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

General: Based on observation, one (1) crib in the Infant classroom and one (1) crib in the Older Toddlers classroom were equipped with sheets that contained multiple holes, creating an environment in which children's fingers or toes could become entrapped. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General:Documentation verifying that a staff member (DOH 09/06/22) had received training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 5. Infant and Toddler Play Requirements.

General: Based on observation and interview, children ranging in age from two (2) to three (3) were in combined care in both the Older two's and Younger two's classrooms. The staff in the rooms reported that the children would remain in combined care for the remainder of the day; in excess of one (1) hour. Interview with the staff in charge revealed that the toddlers did not have signed transition plans on file at the time of the inspection. 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: The following observations were made at the child care center: 1) A large section of the wall behind the toilet within the Younger 3's restroom was peeling white paint. 2) Multiple ceiling tiles within the Infant classroom were stained with dark spots, indicative of water damage. 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, thechanging pad within the Infant classroom was soiled with a buildup of lightly-colored crumbs and other debris. 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 4. Premises Requirements.

General: Based on observation, several children's backpacks were stored along the floor of the hallway outside of the Three year-old and PreK classrooms, indicating that the children were not provided with an appropriate storage space/device for their personal belongings. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the freezer, located between the Infant and Creepers classroom, did not contain a temperature-measuring device, therefore, verification that the freezer maintained a temperature of zero (0) degrees Fahrenheit or below could not be determined. A storage bag containing breast milk was observed within this freezer. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, a ceiling tile within the Infant classroom appeared to be water stained. Hygienic Practices 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 6. License Issuance.

General: Based on review of documentation, there was no evidence to indicate that the State Fire Marshal had completed an inspection within the past two years. The documentation on file from the State Fire Marshal was dated 4/30/2015. The facility was inspected by Louisville Fire Department on 8/22/2022. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises 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 3. General Requirements.

General: Based on observation, the following was found: 1.) An unlocked cabinet drawer within the Older Three’s classroom housed a staff member’s purse. A cartridge of pepper spray was attached to the purse. 2.) A staff member’s purse was on the floor by a desk within the Pre-K classroom. Additionally, an unlocked drawer in the desk contained a bottle of Midol medication. These items were accessible to the children in care. 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 3. General Requirements.

General: Based on observation, the surveyor observed a diaper change within the Infant classroom at 11:00AM. A child with head control had their diaper changed, however, the child’s hands were not washed after the diaper change. The child was immediately placed into a feeding chair and presented with food. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one child enrolled 9/6/2022, did not have a preferred hospital listed in their enrollment information. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 9/12/14, did not have a professional development plan in their personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no written documentation indicating that a tornado or lockdown drill had been practiced in the second quarter of 2022. Additionally, there was no evidence to indicate that a tornado, lockdown, or earthquake drill had been practiced in the fourth quarter of 2022. Posted Documentation 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 proper methods of handwashing were not posted at or near the hand washing area of the Infant classroom. Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request, no written documentation from the local authority showing compliance with local zoning requirements was submitted for review.

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 review of documentation, no current documentation was presented for review to verify compliance with the State Fire Marshal. The State Fire Marshal document submitted for review was dated 4/30/2015. Director Requirements In Compliance Employee 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 11. Staff Requirements.

General: Based on interview and review of documentation, no verification of education was presented for review for a staff member with the date of hire of 9/06/2019. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, no verification of completed Pediatrice Abusive Head Trauma training was submitted for review for a staff member who was hired on 9/03/2019, 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, there was an electrical box on the wall, approximately eight (8) inches above ground, in Room 102 that was not secured to the wall. The contents of the box was exposed. Also, in Room 102 (A2), there was a small stain on a ceiling tile, located in the left corner of room, that was indicitive of water damage.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the toilet rooms located in Rooms 109N and 110N were not ventilated to outside air; the vents were not functioning. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program 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 Meal Requirements.

General: Based on observation, the food and drink served to children during lunch consisted of foods and drinks that the children brought from home. Based on interview, the center requires parents to supply lunches that satify the regulatory requirements specific to the meal components. However, many children were observed drinking beverages that were not milk. Interview with a staff member confirmed that most children drink water or juice for lunch and no milk is provided as a supplement to satisfy the milk requirement. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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, a one-year-old child was consuming a liquid from a bottle, while lying in a crib. Therefore, the child was not held while being fed the bottle. 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, review of ten (10) children's files revealed five (5) of the ten (10) files failed to include contact information for the child's physician. Two (2) of the files also failed to include information regarding the parents' 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 5. Evacuation Plan.

General: Based on interview and review of documentation, an emergency evacuation plan was presented for review; however, there was no evidence that the document was submitted to the local emergency official in the last year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, no professional development plan was presented for review for a staff member who was hired on 09/03/2019. Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the center failed to assure compliance with the emergency regulations specific to the current pandemic. Two (2) staff members were observed in the presence of children while failing to wear a facial mask; one (1) staff member was in Room 107N and one (1) staff member was in Room 110N. Although the emergency regulations prohibits the use of machine washable toys, there were three (3) large pillows and several pieces of doll clothing observed in Room 103N. Additionally, in Room 107N, there were cloth shapes on an interactive felt board. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record for the employees with the hire dates of 09/10/1997 and 09/08/2010 had met the requirement of updating pediatric abusive head trauma training. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirement. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that no staff members on duty and present with the children were certified in infant and child cardiopulmonary resuscitation and infant and child first aid. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: health medication. 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 sinks in all nine (9) classrooms revealed the warm water temperature was lower than ninety (90) degress Farenheit. 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 Younger Twos Room revealed a staff member did not wash her hands with soap and warm running water after wiping a child's nose. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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

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 failed to comply with regulations regarding director requirements. Observation of the computer lab revealed two (2) electrical outlets were missing covers. 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 equipment. The carpet in the entry way of the gym was torn and frayed, exposing fabric at the seams, causing a trip hazard. In the following rooms the base board was torn and cracked and separating from the walls, young three’s, younger two’s, computer lab, and gym. In the infant room there was a broken floor tile near the closet door. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator located in the nursery area revealed no thermometer or other appropriate temperature measuring device was present.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the freezer area located in the nursery revealed no thermometer or other appropriate temperature measuring device was present. Children's Records Not In Compliance

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 child care center failed to maintain children’s records in accordance with regulatory requirements. The file for a child with the enrollment date of 09/05/2017 did not contain a preferred hospital. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulations regarding Posted Documentation. Review of posted documentation revealed the Statement of Deficiencies and Plan of Corrections for the current licensure year were not posted in a conspicuous place. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulations. The infant room and toddler room had no daily activities posted. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to comply with regulatory programming requirements. Observation in the Creepers Room revealed a crib with loose bedding at the time of the inspection. 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 childcare center failed to maintain the premises in accordance with regulatory requirements. Observation of the Infant Room revealed plastic bags under the changing table that were accessible to the children in care at the time of the inspection. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to comply with the regulatory requirements regarding medication. Observation in the Infant Room revealed diapering ointment with a label that read, “Keep out of reach of children” that was stored unlocked at the time of the inspection. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation of the fence surrounding the outdoor play area revealed a section of support bar that was broken off, exposing a sharp edge approximately three and a half (3 ½) feet off of the ground at the time of the inspection. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain equipment in accordance with regulatory requirements. Observation in the Creepers Room revealed sheets that failed to be tight fitted at the time of the inspection in one (1) of the cribs. Transportation 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation in the Infant room, and in both of the Toddler rooms, the sink is not immediately adjacent to the changing area used for infants and toddlers. Based on further observation, staff members must leave the room to access a sink. In the Infant room, the changing table is on the farthest, outside wall across the room from the laundry room where the sink is. Based on interview with the staff member, she stated the sink in the laundry room or the sink in the kitchen area are used. Based on observation in the Toddler room, the sink is in a connecting bathroom to the other Toddler room. Based on observation, staff can not maintain sight and sound supervision while using the sink. Based on an interview with the staff in charge while exiting, there is a floater staff person to assist with the needs of staff regarding handwashing after diapering. Based on continued observation, the sink in the laundry room containing the sink used by the infant staff member, failed to have liquid soap accessible.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation the large climbing structure was in disrepair with peeling blue paint. Based on interview with staff in charge, she was unaware of the peeling paint until observed with the surveyor.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview the director failed to maintain the health, safety, and comfort of children. Observation of the classroom 110N consisting of ages four- years-old to five-years-old revealed a fan that was plugged into the wall, sitting on the floor near the tables used for children. The director acknowledged the finding during exit interview. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 25 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to maintain employee records. Review of employee records revealed an employee with the hire date of 9/2/14 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection. Exit interview with director revealed the aforementioned document has not been received but has been requested.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to maintain written documentation. Review of documentation revealed the facility did not have a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member. Exit interview with the director revealed that the facility does not have a written orientation procedure.

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 failed to maintain their posted documentation requirement. Review of documentation revealed that the school age classroom did not have the following information posted: schedule of daily activities, to include dates and times of activities to be conducted with the children in the classroom. Exit interview with the director revealed that the school age classroom does not have the aforementioned documentation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, information concerning a child or a child's parent was not kept confidential as the emergency contact telephone numbers for each child were posted near the door of multiple classrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there was no complete copy of the current regulations presented for review.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, there was no out of state background check for a staff member with the hire date of 04/08/13 who has lived New York within the last five years.

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, one of the nine cribs stored in an extra room of the nursey suite had a manufactured date of June 2000, which is prior to the federal recall of cribs that took place in June 2011. No documentation was available for review to verify that the referenced crib met current Consumer Product Safety Commission standards established in 16 C.F.R. 1219 and 1220.

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 Interview, the times of loading and unloading the vehicles were not documented when children were transported.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, a bottle that was labeled and stored in the refrigerator in the nursery was not covered.

Open Not marked corrected in the state record

Open / not marked corrected.