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

General: Based on observation and interview, three (3) two-year-old children were being cared for in the Threes' classroom with five (5) three-year-old children. The sole supervising staff member in the classroom verbally confirmed that the two-year-old children were scheduled to be in that classroom for the duration of the day to assure ratio requirements were satisfied. Per interview with the staff in charge, the center did not obtain the signatures and approval of the toddlers' (two-year-old children) parents on the toddlers' transition plans. Continued interview with the staff in charge revealed an acknowledgement that the center has not ever used transition plans when younger children are combined with older children for more than an hour a day. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation in the Toddler classroom, three (3) toddlers continued to consume food from the served snack while walking around the classroom and without being seated. One (1) one-year-old toddler was seated at the table and was eating Veggie Straws for snack. Per interview with the sole supervising staff member in the room, the remaining children had already finished their snack. However, three (3) toddlers were observed retrieving Veggie Straws from the table and consuming the snack component while walking around the classroom.

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 licensee failed to assure the health, safety, and comfort of children in the center's care. Interviews revealed a staff member who worked in the role of a caregiver for one-year-old children has displayed reoccurring, aggressive interactions with the children in his/her care, to include, forcefully pushing toddlers' heads onto cots, repositioning toddlers aggressively, and speaking to children in a threatening manner. In the one-year-old room during nap time on 9/13/23, the surveyor observed the aforementioned staff member continuously push a child’s head down on the cot and tell him/her to “Stop”. The staff member then took the child by both of his/her upper arms and aggressively jerked him/her from his/her left side onto his/her stomach. The staff member then started to push the child’s head down onto the cot again.

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 interview and review of documentation, two (2) staff members (DOH: 05/04/21 and 07/06/15) did not have an annual written performance evaluation on file for review. 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 interview and review of documentation, a staff member (DOH: 06/22/23) did not have a copy of the last report card or a letter from a school official verifying the staff member's current enrollment on file. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on interview and review of documentation, a staff member (DOH: 06/07/23) did not have a TB documentation on file. Programming In Compliance Premises In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, blue duct-tape covered a 2-inch tear on the top of the diaper changing pad located in the Nursery. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, four (4) children enrolled on 07/18/22, 04/17/23, 08/21/23, and 07/20/23, each did not have information on file to enable the person in charge to contact the child’s physician. 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 8. General.

General: Based on observation, interview and review of documentation, a volunteer (start date: 06/07/23) was present at the center and frequently volunteered. Interview determined the center did not have a written policy pertaining to volunteers.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, twenty-nine (29) children were present on 08/22/23, and only twenty-two (22) had an arrival time documented. Therefore, seven (7) children did not have an arrival time documented.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, nine (9) staff members (DOH: 10/28/19, 07/06/15, 03/02/22, 05/04/21, 06/14/21, 08/17/22, 09/13/18, 01/14/20 and 03/28/2) did not have a professional development plan on file. 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: Based on observation, interview and review of documentation, the center's statement of deficiency and plan of correction for the current licensure year were not posted. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was an uncovered outlet found in the Four's classroom. 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: Based on review of documentation, a staff member (hire date: 6/14/2021) did not have evidence of completing the required CPR/First Aid training on file. A review of ECE- TRIS records supports the information found during the survey. 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 2. Child Care Services.

General: Based on observation, a television was turned on during the survey. A review of the posted daily schedule found this information was not documented, nor was it on the daily planned program of activities (lesson plan), as it was dated for the previous week.

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 sheets in the Infant classroom cribs were loose and not tight-fitted. 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, chipped paint and stains were found on the walls in the Two's classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on interview and review of documentation, it was found that facility is not serving all required components during meal times. For example, on the day of the survey the facility did not serve bread/grain for lunch and only had one component for snack. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and review of documentation, the daily planned program of activities (lesson plan) posted in the Four's classroom was no longer current. The posted daily planned program of activities was dated for previous week. 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: Interview with multiple sources revealed that on a day in March of 2022 there were three (3) children, ages three-and-four-years old, left unsupervised in the gym for an unknown amount of time. Staffing Requirements In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Interviews with multiple individuals revealed there were parents who were denied access into the child care center during the hours of operation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Interviews with multiple individuals revealed there were staff members working at the child care center that yell and use very demeaning words and loud tones toward the children on a regular basis as a form of discipline when the children are not listening. Additionally, interviews with multiple individuals revealed the children were made to sit for prolong periods of time as disciple due to having a bathroom accident on themselves without being provided with activities. Programming Not In Compliance

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: Interviews with multiple individuals revealed the children were made to sit for prolong periods of time as disciple, due to having a bathroom accident on themselves, without being provided with activities. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

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: Interviews with multiple individuals revealed there were staff members working at the child care center that yell and use very demeaning words and loud tones toward the children on a regular basis as a form of discipline when the children are not listening. Additionally, interviews with multiple individuals revealed the children were made to sit for prolong periods of time as disciple due to having a bathroom accident on themselves without being provided with activities.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on interview and review of documentation, the staff in charge did not provide verification of a menu that had been updated to reflect the current week. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 interview and review of documentation, the staff in charge did not present verification that the record for a child with the enrollment date of 05/04/2021 contained information listing the name of the child's physician. 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 9. Records.

General: Based on interview and review of documentation, the staff in charge did not present verification that a written plan outlining the course of action in the event of a natural or manmade disaster was posted in a prominent place. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, electrical outlets were uncovered in the Tiny Twos and Threes Rooms. Employee Records In Compliance Programming 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 of the Nursery, two infants slept on Boppy Pillows, which were located inside of their crib. Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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: Based on observation, the changing pad in the Tiny Twos Room was torn in two places. 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 of the playground, the protective surface did not sufficiently cover the ground under six swings, one slide, and a set of monkey bars. 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 of the toddler playground, a chair was cracked in two places. Additionally, the border of a black rug in the Toddler Room was separated from the rug, creating a potential tripping hazard. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the stainless steel refrigerator in the kitchen, a thermometer was not present; therefore, the temperature of the refrigerator could not be determined.

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 of the stainless steel freezer in the kitchen, a thermometer was not present; therefore, the temperature of the freezer could not be determined. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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, the files for children with enrollment dates of 7/17/17, 4/10/18, 11/13/18, 6/3/19, 7/1/20, and 7/20/20 did not contain the name and phone number of each person to be contacted in an emergency situation involving or impacting the child. The enrollment information for children with enrollment dates of 6/3/19 and 7/1/10 did not contain authorization by the parent for the child care center to seek emergency medical care for the child in the parent’s absence, the child’s general health status and medical history, and was not signed by the child's parent. The enrollment information for a child with an enrollment date of 8/20/20 did not contain a preferred hospital. There was no written record completed and signed by the child’s parent and retained on the first day, containing: identifying information about the child, including the child’s name, address, and date of birth; contact information to enable the child care center to contact the child’s parent at the parent’s home or place of employment; family physician and preferred hospital; the name of each person who is designated in writing to pick-up the child; the child’s general health status and medical history, restriction on the child’s participation in activities with specific instructions from the child’s parent or health professional; permission from the parent for third-party professional services in the child care center; the name and phone number of each person to be contacted in an emergency situation involving or impacting the child, and authorization by the parent for the provider to seek emergency medical care for the child in the parent’s absence for a child with an enrollment date of 09/12/16. The staff member in charge stated that this information was not available at the time of the inspection. 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 interview and review of documentation, there was no documentation that earthquake and tornado drills were conducted in 2019 or 2020. The staff member in charge stated that documentation of the drills was not availible at the time of the inspection.

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 in the Nursery, a child's private information was posted on a cabinet and was visible to the public. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation in the Nursery and Threes Rooms, the daily schedule of activities, which included the dates and times of activities to be conducted, was not posted. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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, a staff member in the Big Twos Room wore a face mask with his/her nose exposed. CDC guidelines state that a face mask should cover the nose and mouth and be secured under the chin.

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 director failed to assure compliance with regulatory requirements. Observation revealed a crib containing a sleeping infant. The crib was against the wall which contained an uncovered electrical outlet, approximately three (3) inches away from the infant. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. 1) A review of staff files and an ECE-TRIS report failed to reveal current pediatric head trauma training for staff members with hire dates of: 09/30/93, 06/27/17, and 12/12/16. 2) Additionally, a staff member with a hire date of 06/27/17 failed to have verification of orientation training in the file or on the ECE-TRIS report. 3) An employee with a hire date of 06/01/16 failed to have verification in the file or on a ECE-TRIS report verifying 15 hours of training for each subsequest year of employment. Interview with the staff in charge revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Three's Classroom revealed an 8 ounce bottle of White Board Brite, and 32 ounces of Purell Surface Sanitizer, both with the direction of Keep Out of the Reach of Children, located on a shelf acccessible to the eleven (11) children ranging in age from three (3) years to four (4) years.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed multiple knives, in a kitchen drawer, in the kitchen area adjacent to the gym. The two sets of entry doors to the kitchen area were not closed. 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 maintain hygienic practices in accordance with regulatory requirements. Observation in the Infant room revealed a child's hands failed to be washed with running water and soap after diapering.

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 hygienic practices in accordance with regulatory requirements. Observation revealed crumbs and debris under the changing pad on the changing table. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

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 maintain first aid medication in accordance with regulatory requirements. Observation revealed hydro cortisone and hydrogen peroxide contained in the first aid kit. The medications failed to be locked and inaccessible to children. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in the storage room adjacent to the gym, revealed an aqua soccer ball which was in disrepair with torn leather covering. Transportation In Compliance Food Service/Food Program In Compliance Food Service 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, the child care center failed to maintain children's files in accordance with regulatory requirements. A review of ten (10) children's files revealed one (1) child's file failed to contain a physician's information to enable a person in charge to contact if necessary. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of attendance records revealed the weekly attendance had been signed by the parent verifying the child's attendance prior to the completion of the week. The aforementioned children had not been signed out for the day on the day of the survey. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements in regard to background checks. Upon request, the staff member in charge did not present verification that a CAN check was completed for staff members with hire dates of 09/06/17 and 12/05/17. Further review revealed that CAN and criminal record background checks were not completed for staff member with a hire date of 04/23/18, who is under the age of 18 and not eligible to obtain a fingerprint background check. None of the staff members mentioned were observed working alone with children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding background checks. Upon request, the staff member in charge did not present verification that fingerprint background checks had been initiated for staff members with hire dates of 04/24/18 and 06/05/18. The staff members were not observed working alone with children 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 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements in regard to background checks. Upon request, the staff member in charge did not present an out of state background check for a staff member with a hire date of 02/20/17. Review of the employee's file revealed the original CAN check listed that the employee previously lived in Indiana, Maryland and South Carolina within five (5) years of the check being submitted. The staff member was observed working alone with children. Supervision In Compliance Staffing 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 2. Child Care Services.

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation of the School Age room, located in the gym, revealed 32 children were present. Interview with staff members revealed that the children ranged in age from four (4) to eleven (11) years old. This exceeds the maximum group size of 28 children, based on the age of the youngest children present. General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the bathroom on the first floor and both bathrooms near the gym revealed a plunger was located in each bathroom next to the toilet and acessible to the children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that the files for staff members with hire dates of 06/03/02, 08/12/14, 02/20/17 and 06/05/18 contained a current statement from a health professional that the individuals are free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that staff members with hire dates of 03/15/96, 05/31/16, 06/01/16, 07/22/16, 12/12/16, 02/20/17, 05/10/17, 05/24/17, 06/06/17 and 06/13/17 had completed one and one half (1 1/2) hours of pediatric abusive head trauma training within the past five (5) years. Further review revealed that the files for staff members with hire dates of 02/20/17 and 06/13/17 did not contain verification of the completion of 15 hours of cabinet approved early care and education training annually. 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Observation of the Infant Room revealed an infant asleep in a swing from 10:10 to at least 10:45. Interview with the staff member in charge revealed that the child did not have a waiver from a health professional requiring an alternate sleep position on file. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathroom on the first floor revealed a basket of plastic bags not used for children's belongings was located on the sink and accessible to the children in care. 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 Toddler Room revealed a child's hands were not washed with soap and warm running water after a diaper change. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

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 in the Two Year Old classroom revealed the temperature was 50 degrees. Observation of the refrigerator in the Little Two's classroom revealed that a thermometer was not present. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of documents in the Toddler Room and Four Year Old Room revealed allergy lists were posted and availible for public view. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Review of documentation in the Two's and Little Two's classrooms revealed that a daily schedule of activities, to include dates and times of the activities to be conducted, was not posted. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to comply with regulations regarding general administration. Observation of the four year old room revealed a staff member with a hire date of 06/01/2016 was asleep in the classroom with her head on the desk with five children present. Director Requirements Not In Compliance

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 and review of documentation, the child care center failed to comply with regulations regarding director requirements. Observation of the Toddler and Two's rooms revealed two (2) staff members with hire dates 06/03/2002 and 07/22/2016 was using their cell phones during programming. Upon review of documentation the Staff policy booklet stated, "No cell phones should be in use unless during approved break times".

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the childcare center failed to comply with regulatory requirements. The documented staff meeting was not available for review. When asked, the director indicated she does not keep record of staff meetings held. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to comply with regulations for director requirements. Review of staff files revealed an annual written performance evaluation was not presented for a staff member with hire date 06/12/2015.

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. In the restroom 1, girl’s bathroom, and boy’s bathroom there was a plunger in the stall next to the toilet seat. Further observation in the School age gymnasiums revealed a bottle of Purell hand sanitizer, Member’s Mark hand sanitizer and Germ-x hand sanitizer all indicating “keep out of reach of children” on the label sitting on a table accessible to children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to comply with regulations for employee records. A staff member with the hire date of 03/20/2009 lived in the state of Missouri according to written documentation obtained from the Child Abuse and Neglect check; however, the file did not contain an out of state criminal records check for the aforementioned staff member. Upon further review of presented staff files, a staff member with the hire date of 02/20/2017 lived in the states of Indiana, Maryland, and South Carolina according to written documentation obtained from the Child Abuse and Neglect check; however, the file did not contain out of state criminal records checks for the aforementioned staff member.

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 childcare center failed to comply with regulations for employee records. Review of presented staff files revealed the files for two (2) staff members with the hire dates of 06/06/2016 and 06/12/2015 failed to contain proof education.

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 child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE-TRIS report revealed the fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for two (2) staff members with hire dates 08/12/2014 and 06/12/2015. Further review of staff files revealed the file for the director with date of hire 03/15/1996 failed to contain proof that he/she had received Pediatric Abusive Head Trauma training PAHT. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. In restroom 1 there was a bottle of disinfectant spray and disinfectant wipes sitting on the counter top of the sink adjacent to the changing pad, accessible to children. The labels on the containers included the following statement, "keep out of reach of children". Further observation revealed in the same aforementioned room, a wicker basket full of plastic bags sitting on the sink counter top adjacent to the changing pad, also accessible to children. In the School age gymnasium there was a spritz bottle of bleach water and a bottle of disinfectant spray indicating “keep out of reach of children” sitting on the table, 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 child care center failed to comply with regulations regarding premises. In the two’s room were several areas of paint chipping from the wall beneath the hanging rack. 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 3. General Requirements.

General: Based on Observation, the child care center failed to comply with regulations regarding hygiene practices. In the infant room a staff member with a hire date of 05/24/2017 did not wash the child’s hands after changing their diaper

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 hygiene practices. In the infant room a staff member with the hire date of 05/24/2017 did not wash his/her hands after changing a child’s diaper An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Category: 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 there was debris underneath the changing pad on top of the diaper changing table. 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, the child care center failed to comply with regulations regarding medication. Observation in the Infant Room revealed a bottle of diaper ointment labeled with a child’s name on it, sitting in a cubby on the top shelf of the changing table, that was not in a locked place. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding equipment. There was a stained mattress sheet on a nap cot in the dramatic play area.

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. The multi colored throw rug in the infant room was torn and frayed around the edges, exposing fabric at the seams. Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding food service. The refrigerator thermometer in the infant room registered fifty (50) degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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 unit located in the kitchen and the infant room revealed no thermometer or other appropriate temperature measuring device 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 written record for ten (10) children failed to contain authorization by the parent for the center to seek emergency medical care for the child in the parent’s absence. The files for three (3) children with enrollment dates 08/10/2016, 08/15/2016, and 08/11/2014 did not include a preferred hospital. The files for three (3) children with enrollment dates 11/10/2015, 08/15/2016, and 08/11/2014 did not contain information for an identified physician. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to comply with regulations regarding written documentation. Review of posted documentation revealed the Parent and Children Rights and procedures, ensuring implementation of such rights, were not posted in a conspicuous place. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

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 comply with regulations regarding written documentation. Review of the attendance records and interview with the director revealed not all fifty-five (55) children present during time of survey were signed into the daily attendance records. Only fifty-three (53) were signed into the daily attendance record for that day.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a professional development plan was not presented for review at the time of survey for the staff member with a hire date of 06/12/2015.

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. The center failed to present the names of the children in attendance when the earthquake and tornado drill logs were conducted within the year for review at the time of survey. Interview with the director revealed the drill was conducted; however, she could not locate the last year’s documentation.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. The center failed to present the names of the children in attendance when the fire drills were conducted within the year for review at the time of survey. Interview with the director revealed the drills were conducted; however, she could not locate last year’s documentation. Posted Documentation Not In Compliance

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 post documentation in accordance with regulations. The two’s and three’s rooms had no daily schedule posted.

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 two’s toddler, three’s, and fours rooms had no daily activities posted. Animals Not Applicable

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 comply with liability insurance regulatory requirements. Record review and subsequent interview with the Director revealed no written proof of liability insurance coverage of at least $100,000 per occurrence was available at time of survey.

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, the child care center failed to comply with regulatory requirements regarding background checks. Document review revealed no Child Abuse and Neglect (CAN) background check was presented for a staff member with a hire date of 10/01/15. The staff member was on maternity leave at time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to comply with educational regulatory requirements. Record review revealed no high school diploma or other regulatorily accepted credential for a staff member with a hire date of 07/06/15.

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 child care center failed to comply with regulatory requirements regarding employee TB verification. Record review revealed no statement from a health professional or negative TB test results that a staff member with a hire date of 6/1/15 is free of TB.

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 first aid supplies regulatory requirements. Examination of available first aid supplies presented at survey revealed no cardiopulmonary resuscitation (CPR) mouthpiece protector.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to comply with regulatory requirements regarding maintaining transporation records. Record review revealed that insurance for third party carrier DC Tours expired in March 2015 and proof of current liability insurance for the third party carrier was not available at survey.

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 child care center failed to comply with transportation regulatory requirements regarding third party providers. Document review revealed no third party contract was available at survey for review for the current year.

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 review of documentation, the child care center failed to comply with Food Service regulatory requirements. Record review revealed the only available food permit posted expired on 12/31/15.

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 comply with children's records regulatory requirements. Record review of ten (10) children's files revealed no physician information or preferred hospital information in two (2) children's files; no emergency authorization for all ten (10) children's files; and no enrollment date information for nine (9) of ten (10) children's files.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Interview, the child care center failed to comply with regulatory requirements. Interview with a staff member revealed she observed a staff member hired 12/22/14 hold down a one-year-old child on his cot by putting her hand on the back of his head and neck and putting her legs across his body. Continued interview with this staff member revealed she informed the director and assistant director of this incident. Interview with director and assistant director revealed the staff member informed them that she observed the staff member hired 12/22/14 hold a child down on a cot; however, continued interview with director and assistant director revealed they failed to notify the cabinet of this incident of alleged child abuse or neglect. Director Requirements

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 Interview, the child care center director failed to assure compliance with regulatory requirements. Interview with multiple staff members revealed they observed a staff member hired 12/22/14 use physical discipline with children in care. Interview with staff members revealed they considered the aforementioned staff member’s interaction with children either “aggressive” or “too rough”. Interview with staff members revealed they observed the staff member hired 12/22/14 spank her one-year-old daughter on the buttocks while the child was in attendance at the child care center and while the staff member hired 12/22/14 was on duty at the child care center. Interview with a staff member revealed she observed the staff member hired 12/22/14 sit toddlers down “too hard” in timeout causing the toddlers to “land on their foot the wrong way” or “hit their head against the wall” and she also observed the staff member hired 12/22/14 forcefully sit toddlers down on the edge of their chairs causing them to fall out of the chair. Interview with a staff member revealed she observed the staff member hired 12/22/14: 1) hold down a one-year-old child on his cot by putting her hand on the back of his head and neck and putting her legs across his body 2) slam children down when putting them in timeout and 3) knock children down when they stood up in their high chairs. Continued interview with this staff member revealed she informed the director and assistant director that she observed the staff member hired 12/22/14 holding a child down on a cot; however, she revealed no action was taken by the director or assistant director to ensure the safety of this child or other children in care. Interview with director and assistant director revealed a staff member informed them that she observed the staff member hired 12/22/14 hold a child down on a cot; however, continued interview with director and assistant director revealed no action was taken by either of them to ensure the safety of this child or other 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 Observation and review of documentation, the childcare center failed to comply with staffing requirements. Observation at 8:05 a.m. revealed the staff with the hire date of 06/08/2015 was solely working alone with sixteen (16) children ranging in age from three-to four –years-old. Review of documentation of the personnel file for the staff with the hire date of 06/08/2015 revealed that the staff was under the age of eighteen (18) and therefore should not be counted as a qualified staff.

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 Review of Documentation, and interview with the child care center director failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed the director could not verify that an annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for eleven (11) of the nineteen (19) employees. Interview with the director revealed she was in the process of addressing.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed that the employee’s with the hire dates of 08/12/2014 and 06/08/2015 did not contain a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250 of educational qualifications.

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 child care center failed to maintain employee records in accordance with regulatory requirements. Review of documentation present in the personnel file revealed the following staff member with the hire date of 06/08/2015 could not verify there was a copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

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 Documentation the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed the following staff members with the hire dates of 006/08/2009, 10/25/2006, 03/20/2009, and 08/29/2013 failed to verify that the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment was met.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to post documentation in accordance with regulatory requirements. Review of documentation in six (6) of the classrooms revealed the child-care child care center did not provide a daily planned program that was posted in writing in a conspicuous location with a schedule of activities that are individualized and developmentally appropriate for each child served.

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 with the assistant director, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation of the playground area, there was insufficient protective surface covering for the three (3) sliding apparatus. Interview with the assistant director revealed the center was in the process of addressing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center ailed to maintain equipment in accordance with regulatory requirements. Based on observation in the "Big Two's" classroom it was revealed that the bedding was stacked on top of a bookshelf. Continued observation revealed a brown dishpan with items contained inside was sitting on top of the bedding. Therefore, the individual bedding was not stored in a sanitary manner.

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 the children’s record revealed the following child with the enrollment date of 08/18/2008 did not contain a copy of a current immunization certificate. The immunization certificate contained in the file revealed it had expired on 05/27/2014. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the documentation presented revealed the following child with the enrollment date of 08/18/2008 did not indicate a listing for a physician. Continued review of the documentation revealed the children with the enrollment dates of 08/18/2008,10/21/2012 and 12/09/2014, did not contain a listing for a preferred hospital.

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 with the assistant director, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation provided there was no written record of practiced fire drills conducted the months of July, August, September, November of 2014 and the months of January and February 2015 were not maintained detailing the date, time, and children who participated. The assistant director was unable to locate the documents.

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 Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on review of documentation provided there was no written record of practiced fire drills conducted the months of July, August, September, November of 2014 and the months of January and February 2015 were not maintained.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Interview, the child care center failed to ensure that a communicable disease was reported to the Cabinet and the local health department within twenty four (24) hours of discovery. Interview with the Assistant director related that the center experienced an outbreak of Scabies the week of 6-16-2014 and that it was not reported to the Cabinet as required.

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 child care center failed to ensure that center staff hired after January 1, 2009 who have supervisory power over a minor and are not enrolled in secondary education, shall have a high school diploma, GED, Commonwealth Child Care Credential or other qualifying document on file. Review of documentation disclosed that a staff hired on 10/10/2011 does not have a qualifying educational document on file.

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 child care center failed to ensure that center staff shall provide, prior to employment and every two (02) years thereafter, a statement from a health professional that the person is free of active tuberculosis or a copy of a negative tuberculin results. Review of documentation disclosed that staff persons hired on 5/6/2009, 3/12/2012, 12/02/2013, 10/10/2011 and 10/17/2011 have expired TB verification.

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 ensure that electronic viewing and listening devices shall only be used in the center as a part of the child's planned program of activity. Observation revealed children in the "Toddlers" room were watching a video on TV while lunch was being prepared. Review of the toddlers lesson plan did not disclose watching videos as a planned activity.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that an infant had no loose bedding and no toys or other items other than the infant's pacificer in the crib. Observation revealed an infant was sleeping in a crib while wearing a bib.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that each toilet shall be kept in good repair. Observation revealed that the basement bathroom has a toilet with a missing tank lid. Hygienic Practices

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 regulatory requirements regarding child personal care/handwashing. Observation revealed the following discrepancies: (1) several children arrived at the center and did not have their hands washed upon arrival. (2) A school age child arrived and did not have their hands washed within thirty (30) minutes of arrival. (3) An infant was diapered and did not have their hands washed after a diaper change. (4) A two-year-old was diapered and did not have their hands washed after the procedure. 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, the child care center failed to comply with regulatory requirements regarding staff hygiene/handwashing. Observation revealed a staff did not wash their hands before a diaper change.

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 ensure that when a child is diapered they are placed on a surface that is free of rips, tears, holes or other damage. Observation revealed that the diaper changing pads located in the "Toddlers" room and basement restroom are torn.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, the child care center failed to ensure that the center follows the proper toy sanitation procedures. Interview with teachers in the "Toddlers" room disclosed the procedures being used by the center did not meet regulatory requirements. The teachers stated that toys were sanitized daily by putting them in a sink with soapy water, rinsing them and putting them on a towel on a table where they are sprayed with bleach water and allowed to air dry before being put back into use. First Aid/Medication

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 ensure that a protective surface be provided for play equipment used to climb, swing and slide. Observation revealed the protective surface was insufficient in several areas around the large climbing apparatus as bare ground was visible.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to ensure that individual bedding is stored in a sanitary manner. Observation revealed individual bedding in the "Three's" room was not stored in a sanitary manner as bedding was touching each other.

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 ensure that all equipment and furniture contacted by a child shall be kept clean and in good repair. Observation revealed that alphabet carpeting in "Tiny Two's" room is dirty and has frayed edges. Floor in "Three's" room is dirty and has an excess buildup of wax/dirty where a bookcase was removed. Alphabet carpeting in the "Four's" room is dirty and has frayed edges. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 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 11. Toys and Furnishings.

General: Based on Observation, the child care center failed to ensure that indoor and outdoor equipment shall be clean, safe and in good repair. Observation of the outdoor play area revealed the following: (1) a swing was missing on the large swingset, leaving hanging chains. (2) Swingset tower has a torn roof canopy. (3) The swingset tower is leaning excessively posing a possible safety hazard. (4) Ride-on toys on the toddler playground werre dirty and several were broken.

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 ensure that a cold storage facility used for storage of perishable food in a non-frozen state shall have an indicating thermometer or other appropriate temperature measureing device. Observation revealed that the refrigerator in the "Toddlers" room does not have a thermometer.

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 ensure that they maintain a current immunization certificate for each child in care. Review of documentation disclosed that a child enrolled on 6-1-2009 has an expired immunization certificate.

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, there was no storage space for the children's belongings in the school age classroom.

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, the fire marshal inspection that was presented for review dated 04/23/2013 revealed that "the facility was found to have deficiencies at the time of the inspection."

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 center does not have the new regulations available for staff review.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, staff evaluations had not been completed within the past year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, an employee with a rehire date of 05/14/2013 did not have an updated Criminal Record Check (CRC) or Child Abuse and Neglect Check (CAN) on file for review. The employee had originally been hired on 11/27/2012, but severed employment.

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, employees with the following hiring dates do not have a current negative TB test on file for review: 09/20/1995, 10/25/2006, 03/20/2009, 06/08/2009, 05/23/2011, 12/22/2011 and 05/24/2012.

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, an employee with the hire date of 12/22/2011 had only 3 of 9 state required training hours. Also, an employee with the hire date of 10/08/2012 did not complete orientation until 02/02/2013, which is past the 90 day time limit to complete the training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, in the tiny 2's classroom, there are no dramatic play supplies, a lack of art supplies and no music toys for the children to play.

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 review of documentation, in the tiny 2's and big 2's classroom, according to the schedule, nap time is from 12:30 pm to 3:00 pm, which exceeds the two hour limit.

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, both of the main wooden swingsets are leaning.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there is a lack of adequate protective surface around the main equipment which includes the slides, swings and climbing toys. Also, around the monkey bars, there is not an adequate fall zone.

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, cribs are not spaced 12 inches apart.

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, children are not being signed out of the center when leaving for school and they are not being signed back into the center when returning from school.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, in the four year old classroom, the allergies of the children are posted on the board and not covered.

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, the center does not have a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each staff member.

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, there were no daily activites posted and available for review in the toddler, tiny 2's and school age classrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

three-year-old classroom: Based on oObservation, there were two outlets without covers. Four-Year-Old Classroom: Based on observation, there was a cork board on the back of the classroom door with thumb tacks pressed into the board. As the children were lined up, a child was playing with the push pins, pushing them in and out. School Age/Gym: Based on observation, there were 52 outlets missing covers. This gym is also used as indoor play area for the younger children when weather does not permit outdoor play. 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 3) Good repair In Compliance 4) Land-line phone accessible 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. 2) Clean Not In Compliance Findings: School Age/Gym: Based on observation, the water fountain was dirty. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 42 Web site: http://chfs.ky.gov/ Inspection Report 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 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 2:110 · 922 KAR 2:110 - Section 4 (1)

General: Based on observation, the wall outlet in the hallway near the bathroom was missing an outlet cover. The children sit next to this outlet while waiting their turn to go to the bathroom. Based on observation in the bathroom, stall #4, there was a plunger next to the toilet, 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

General: Based on observation, the fence in the toddler play area has a gap where the fence ends, next to the house, wide enough for a child to get through. This is in an area that is not visible from the main playground.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4

General: Based on observation, the dome shaped climbing structure is not anchored down.

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, a child enrolled on 1-24-12 had an expired immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.