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

General: Based on observation, a staff member within the Infant classroom failed to ensure that a child washed their hands after being diapered.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the proper method for diapering was not posted near the changing area within the Infant classroom. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: Infant classroom: 1) The interior of the ceiling-mounted vent contained a thick accumulation of dust. Preschool/School Age classroom: 1) The half-door contained multiple areas of peeling paint. Two year-old classroom: 1) The wall-mounted vent near the cots contained an accumulation of dust and dirt. Boy's and Girl's restrooms: 1) The ceiling-mounted vent covers contained an accumulation of dust.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: One year-old Room: 1) One ceiling tile contained multiple brown stains, indicative 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the following was found: 1) The water temperature of the handwashing sink within the One year-old room measured one-hundred, thirty-eight (138) degrees Fahrenheit. 2) The water temperature of the handwashing sink within the Infant room measured one-hundred, thirty (130) degrees Fahrenheit. 3) The water temperature of the handwashing sink within the Preschool/School Age classroom measured one-hundred, forty (140) degrees Fahrenheit. 4) The water temperature of the handwashing sink within the Two year-old classroom measured one-hundred, forty (140) degrees Fahrenheit. 5) The water temperature of the sink within the Girls' restroom measured one-hundred, thirty-nine (139) degrees Fahrenheit. The water temperature of the aforementioned sinks exceeded the maximum allowable temperature of one-hundred, twenty (120) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the blue changing pad within the Two year-old classroom contained a tear which exposed the absorbent material within.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the playground surface was strewn with several large branches and sticks, creating a tripping hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, two (2) infants slept in bouncy seats within the Infant classroom for more than thirty (30) minutes. The staff in the room reported that the infants were three (3) months old.

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 upper shelf of the small refrigerator within the Infant room was soiled with a dried liquid which entrapped hair and other debris.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, three (3) infant bottles, stored atop the refrigerator in the Infant classroom, were not covered. Food Service 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, written professional development plans for two (2) staff members (DOH 02/28/23 and DOH 08/29/23) were not presented for review upon request.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, information on the Kentucky Consumer Product Safety Program was not posted in a conspicuous place or made available for public inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, verification of compliance with the fire marshal was not available as the most current fire marshal visit was dated 12/15/2020. Interview with the staff in charge revealed the documentation was not available at the time of the survey. 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, verification of fifteen (15) hours of cabinet-approved early care and education training, completed between July 1 and the following June 30 of each subsequent year of employment, was not presented for review for one (1) staff member (DOH: 03/14/2022). Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the thermometer inside the kitchen’s freezer displayed a temperature of twenty (20) degrees Fahrenheit. 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: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, one (1) child (DOE: 01/03/2022) did not have information on file to enable the person in charge to contact the child’s preferred hospital and physician to seek emergency medical care for each child in the parents' absence. 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, two (2) staff members (DOH: 02/28/2023 and 03/14/2022) did not have a written professional development plan on file for review. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff with hire date of 1/16/2006, did not have evidence of completing 15 hours of annual early care and education training on file. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, child enrolled 11/21/22, did not have a physician’s name and contact information on file at the facility. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on interview and review of documentation, the staff in charge did not provide verification that the National Background Check had been completed for the employee with the hire date of 01/21/2022. The staff was not observed working alone.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge could not provide verification that the child care center maintained the employment status for each child care staff by reporting the status of employment using the National Background Check Portal (NBCP). Review of the KARES system revealed the report did not accurately list current employees or the employees who were no longer employed. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were several missing outlet covers throughout the center. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the record of the employee with the hire date of 01/21/2022 contained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential.

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 staff in charge did not present verification that the records for the employees with the hire dates of 01/13/2006, 07/22/2021,11/23/2021 and 01/21/2022 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin result. 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: Based on interview and review of documentation, the staff in charge did not present verification that the daily activity of programming was posted in writing that had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for five (5) of the five (5) classrooms. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the baseboard in the three/four-year-old classroom and in the front classroom had a section of the rubber trim that was not securely fastened to the wall. The return vent in the three/four-year-old classroom had a heavy build-up of dust. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements 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 refrigerator located in the kitchen had a heavy buildup of dried milk on the top shelve located in the refrigerator. The inside of the oven had a buildup of charred food.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation in the infant classroom, there were several bottles that were not properly labeled for individual use. 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 interview and review of documentation, the staff in charge did not present verification of a current immunization certificate for children with the enrollment dates of 08/24/2021, 10/27/2021 and 11/10/2021. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

The staff in charge did not present verification that the child care center had maintained enrollment records to include a current listing of a preferred hospital for six (6) of the ten (10) files reviewed. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification of a posting of the information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897. Animals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 15. Animals.

General: Based on interview and review of documentation, the staff in charge did not provide verification that written consent for permission had been obtained for eight (8) of the ten (10) children present, allowing a small animal (hamster) in the presence of the 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, there were multiple areas of chipping paint on the walls throughout the center.

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 observation and review of documentation, twenty-seven (27) children were in attendance; however, only twenty-six (26) children were signed in with a time of arrival on the daily attendance records.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on observation, interview and review of documentation, no Child Abuse and Neglect (CAN) Check results, or verification for submission of request, were presented for review for four (4) staff members who were hired during the COVID 19 pandemic, during which time the KARES fingerprint checks were not available. Three (3) of the aforementioned staff members were present at the time of the inspection; however, they were not working alone. The hire dates for those staff members are 11/2/2020, 11/2/2020 and 9/24/2020. The fourth staff member was not present. The hire date for that staff member is 11/9/2020. Additionally, no evidence of a requested Criminal Records Check (CRC)was presented for review for one of the aforementioned staff members with the hire date of 11/2/2020. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 9 Inspection Report 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, one (1) staff member was the sole supervising staff member for ten (10) children who ranged in age from one-year-old to three-years- old, for less than one minute, while the second supervising staff member walked out of the room and down the hallway. Therefore, the minimum staff to child ratio was exceeded by four (4) children. Additionally, one (1) staff member was the sole supervising staff member for a group of thirteen (13) preschool and school-age children, ranging in age from three- years-old to eleven-years-old, for at least 1 1/2 hours, until the number of children was questioned by the surveyor. Therefore, the minimum staff to child ratio was exceeded by one (1) child. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, current compliance with the State Fire Marshal could not be verified. The Fire Marshal inspection documentation that was submitted for review was dated 10/12/18. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a copy of 922 KAR 2:280 was not provided for verification of accessibility.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, upon request, no staff schedule was presented for review. Posted Documentation 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 10. Director Requirements and Responsibilities.

General: Based on observation, the health, safety and comfort of children in care were jeopardized based on the following observations: 1) A school age child was observed sleeping while sitting up at table in preschool room. The child was not provided with any age appropriate accommodations for his comfort. Additionally, during nap time, school age children, up to the age of eleven-years-old slept on cots that failed to be sufficiently sized for school-age children; 2) A seven-month-old infant was observed to sleep face down on the floor, with a bib around her neck. The same infant was later observed sleeping in a crib with a bib around her neck; 3) Multiple electrical outlets throughout the center failed to be covered; 4) A phone charger was plugged into wall in the Super Star room. The cord was stretched from the wall and laying on floor, not in use; 5)A bottle warmer was sitting on top of a small refrigerator, while plugged in and in use, in the infant room. One (1) mobile infant was present; 6) An electric radio tha was in use and plugged into an electical socket while sitting on the narrow surface of the frame of the sink in the toddler room; 7) The kitchen door remained open for the duration of the inspection, leaving the stove and cleaning supplies accessible to children; and 8) A Bumbo infant seat was observed in the infant room. The Bumbo seat failed to be equipped with straps that are required per the manufacturer's recall of the equipment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 9 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 9. Records.

General: Based on interview and review of documentation, although all required documentation was presented for a staff member who was hired on 11/2/2020, the file was not available upon the surveyor's arrival and was faxed to the center during the inspection. Therefore, the file failed to be maintained at the center. Additionally, no personnel file was maintained at the center for the approved director.

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 file was presented for the approved director, therefore, the negative results of a tuberculin test, nor a statement from a health professional verifying the individual is free from active tuberculosis, was provided for review.

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, although verification of First Aid certification and Cardiopulmonary Resuscitation (CPR) certification was presented for review for some staff members, the documentation failed to verify if the certification was specific to Pediatric or Adult CPR. Additionally, a staff schedule was not presented for review; therefore, adequate First Aid and CPR coverage could not be verified.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Review of staff files, as well as review of ECE-TRIS documentation, failed to confirm the completion of the required six (6) hours of early childhood education orientation for a staff member with the hire date of 02/02/2020. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 9 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, the staff members supervising the preschool and school-age children failed to monitor the use of elelctronic equipment by an eleven-year-old child to assure the content observed on the electronic device was age appropriate. An eleven-year-old child was not provided with age appropriate activities, and was observed scrolling through videos on the TikTok social media app on a cell phone.

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, a current plan of activity was not posted in the toddler room. The posted plan of activity was dated for July. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 8 of 9 Inspection Report Emergency Regulation 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 interview, a three-year-old child started the day in the preschool room and was moved to the toddler room with one-year-old children prior to the surveyors' arrival at 10:30. Interview with staff members in the toddler room revealed the three-year old child was moved due to the child's behaviors in the preschool room. Interview with the director revealed the three-year-old was moved due staffing and ratios concerns. The staff member in the preschool room stated that the child was moved due to staffing and ratio concerns, as well as conflicts between the three-year-old and his older brother, who was present in the Preschool room. Nonetheless, the child was not afforded continuity in care, regularity with routine, and familiarity with the daily schedule due to being moved from one room to another.

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, no age appropriate activities and materials were presented to the four (4) school-age children who were present in the preschool room. One (1) school-age child was asleep at the table upon surveyor's arrival at 10:30. In interview, the staff member acknowledged that the child sleeps because there is not much for him/her to do in the preschool room. Two (2) other school-age children sat at table without activity, while the fourth school-age child entertained preschool children with preschool toys and equipment. Therefore, the school age children had to sit and wait for a prolonged amount of time while waiting for age appropriate activity to be presented. No age appropriate activity was presented to the school-age children for the duration of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a separate room or area was not provided for school-age children in care. Four (4) school-age children, ranging in age from nine to eleven-years-old, were cared for in the preschool classroom. There were no age appropriate materials or activities noticeably visible in the preschool room for the school-age children. The children were observed sleeping at the table, sitting on floor with no activity, playing on a phone or engaging in play with preschool materials. The room identified as the school age room by multiple staff members failed to contain any school-age appropriate materials. The room was equipped with toddler toys and toddler furniture. Upon being asked if the center has any materials that are age appropriate for school-age children, the staff in charge identified approximately four (4) books and five (5) games. The games were not available, as they were inside a shelf that was turned so the opened side of the shelf was against another shelf, rendering the games inaccessible. Further interview revealed the games are not always made available to the older children due to the presence of preschool children. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a bottle of bleach was stored in an unlocked cabinet under the sink in the preschool room; therefore, the bleach was accessible to children in care. Additionally, a staff member's purse was stored in an unlocked cabinet under the sink in Super Stars room. Also in the Super Stars room, a bottle of bleach solution was stored on a toy shelf. Therefore, the bleach and purse were accessible to children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 9 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the metal front facing of the exterior door in the Preschool room was pulling away from the door at the lower corner on the interior side, leaving a sharp corner protruding from the door near the floor where children play.

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, ten (10) children were observed in the toddler room. The room measured to allow thirty-five (35) square feet of space for only seven (7) children.

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 hot water in the preschool room measured to be one-hundred-thirty-five (135) degrees Farhenhiet, exceeding the maximum approved temperature by fifteen (15) degrees. The hot water in the Shining Stars room measured to be one-hundred-thirty-eight (138) degrees Farhenhiet, exceeding the maximum approved temperature by eighteen (18) degrees. Additionally, the paper towel dispensor in the Shining Stars room was not operational as the towels were jammed; therefore, disposible hand drying materials were not available.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the ventilation in both bathrooms failed to be operational at the time of the inspection. 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 children in the toddler room were not assisted in washing their hands after eating lunch. The children transitioned to their cots immediately after eating. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 9 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the condition of the diaper changing mat could not be observed due multiple items being stored on the mat, to include a plate of food, a clip board, and food serving supplies.

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 toy sanitation procedure described by the staff in charge failed to include the step to scrub mouthed toys with a brush in soapy water. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the playground failed to be free of foreseeable hazards. A piece of the vinyl siding on the building was loose, causing it to protrude away from the building at a height that made it accessible to children. Additionally, the wooden handrail near the steps leading into the building was missing support poles, causing the hand rail to be extremely unstable.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a plastic climbing structure failed to have sufficient protective ground covering under and around it to create a safe fall zone. The equipment was partially on mulch and partially on grass and dirt. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, developmentally appropriate materials, toys, activities and equipment were not provided to the four (4) school-age children who were present. The age-appropriate materials for school-agers that were presented in the whole center were four (4) books and five (5) games. However, the games were not always accessible as they were stored in a shelf that was turned so that the contents of the shelf were inaccessible. Interview with with the staff revealed the games are not always accessible due to the presence of preschool children in the room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 9 Inspection Report

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, an infant was not provided with a crib for sleeping. The infant slept in a swing for at least fifty (50) minutes. The staff in the room stated the child must sleep upright; however, no documentation from a physican was provided for the necessary accomodations.

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, nine (9) of ten (10) cots that were in use in the toddler room failed to be placed at least twelve (12) inches apart; some cots were so close that they were touching.

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, a small toddler plastic slide that was on the playground failed to be in good repair. It was missing a side handle and was not stable. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the thermometer in the upright freezer located in the kitchen measured the temperature of the freezer at fifteen (15) degrees Farhenheit, exceeding the maximum approved temperature by fifteen (15) degrees.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, food serving supplies were stored on the changing table in the toddler room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 9 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 review of documentation, the surveyor reviewed ten (10)children files. Four (4) children's files did not have current immunization certificates; the certificates that were in the files were expired.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based review of ten (10) children's enrollment forms, an enrollment form for one (1) child was not signed by the parent. Written Documentation 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 child care center staff members failed to assure compliance with the regulatory requirements specific to the current pandemic as established in 922 KAR 2:405E. Upon arrival, and throughout the inspection, staff members were observed caring for children while they were improperly wearing their face masks. Some staff members wore their mask under their nose, while others wore their mask under their chin. Additionally, zero (0) of the four (4) school-age children who were present wore a face mask. Additionally, a three-year-old child started the day with one group of children, but was later moved to another group in a different classroom. Therefore, the center failed to comply with the requirement to assure that no child in one group interacts with children in a different group.

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 interview, the child care center failed to comply with staffing requirements in regards to ratios. Interviews with multiple sources revealed that due to lack of staffing on Monday 8/19/19, the child care center was over-ratio in some of the classrooms. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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 review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 6/20/95 and 9/8/11 whose file did not contain a current annual evaluation. Upon request, the director did not present a current evaluation for the aforementioned staff members at the time of the survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 3/11/19 whose file did not contain a high school diploma, GED or other documentation from a qualifying educational entity. Upon request, the director did not present educational documentation for the aforementioned staff members at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 9/7/18 whose file did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation. Review of the presented employee records revealed two (2) staff members with hire dates 6/20/95 and 9/8/11 whose file did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present training documentation for the aforementioned staff members at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The ceiling tile located above the parent board in the Shining Stars Room was hanging from the frame. There were water stains in ceiling tile located above the parent board in the Shining Stars Room. There were water stains in three (3) of the ceiling tiles located in the Big Dippers Room. There was a hole and crack in one of the ceiling tiles located above the cozy corner in the Big Dippers Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was chipped paint located below the birthday board and below the cubbies in the Little Dippers Room. There was chipped paint located by the cots in the Big Dippers Room. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The changing pad located in the Shining Stars Room was torn, exposing the absorbent material. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The alphabet rug located in the Super Stars Room was stained/dirty at the time of the survey. The white sheet over the pillow located in the cozy corner in the Big Dippers Room was stained/dirty. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. There was a clear bottle located inside the black mini-fridge that was not individually labeled in the Little Dippers Room. There was a clear mickey bottle located inside the black mini-fridge in the Little Dippers Room that was not individually labeled or covered at the time of the survey. 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 8. General.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented documentation revealed that a current chain of command was not presented for review. Upon request, the director did not present the documentation at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 9/8/11 whose file did not contain a current annual professional development form. Upon request, the director did not present a current professional development for the aforementioned staff member at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented documentation revealed that a written record of the quarterly practiced earthquake drills and tornado drills detailing the date, time and children who participated in accordance with 922 KAR 2:120 was not presented for review. Continued review of the presented documentation revealed that a written record of practiced fire drills conducted monthly detailing the date, time and children who participated in accordance with 922 KAR 2:120 was not presented for review. Upon request, the director did not present the documentation at the time of the survey. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. The proper methods of diapering was not posted at or near the diaper changing area in the Shining Stars Room. The proper methods of diapering was not posted at or near the diaper changing area in the Big Dippers Room at the time of the survey. 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, the child care center failed to comply with regulations regarding children’s records. Interview with the director revealed on the date of incident the designated person with authorized consent to pick up the four-year-old child was denied access. Further interview revealed a person who is not designated in writing on the authorized pick up list to pick-up the aforementioned child gained access into the child care center, and the director allowed the aforementioned child to be released into their care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulations regarding children’s records. Review of documentation revealed the child's records with the enrollment date of 05/16/2019 has a designated person named to pick up the child. Interview with the director, revealed on the date of incident the designated person was denied access to pick up the aforementioned child from the child care center. Further interview revealed a person who is not designated in writing on the authorized pick up list to pick-up the child gained access into the child care center, and the director allowed the aforementioned child to be released into their care.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on review of documentation, interview, and observation, the child care center failed to assure compliance with background checks. Upon request, the child care director did not provide verification that the employee with the hire date of 06/18/2018 had completed background checks. Review of DRCC records revealed the fingerprint scan was in process. The above-mentioned staff member was observed working alone from 09:45 a.m. to 11:35 a.m. with fourteen (14) children. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Upon request, the child care director did not provide verification that written documentation had been maintained to show evidence that the center had been approved by the Office of the State Fire Marshal or designee. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee's records in accordance with regulatory requirements. Upon request, the child care director did not present verification of the evaluations assessing the employees' interaction with children in care and classroom performance for the employees with the hire dates of 06/20/1995 and 05/02/2016. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, 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 employee with the hire date of 06/20/1995 contained a current 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 2:090 · 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 child care director did not present verification that employees with the hire dates of 06/20/1995 and 05/02/2016 had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Continued review revealed that the employee with the hire date of 06/20/1995 had not met the requirement of completing one and one-half (1 ½) hours of pediatric abusive head trauma training. Review of the TRIS training system indicated the above-mentioned employees had not met the requirement. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements. The sink located in the Shining Stars classroom was slow draining. In addition, the overhead fluorescent light near the back of the classroom was non-operational. Observation in the Pre-K classroom revealed the walls contained dark smudge marks, along with chipped paint on the edges of the baseboards and on the white book cases. The front entry door was smudged with black marks, along with the bottom of the door that had a large area that had rusted.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the restroom located off the hallway, revealed that one (1) of the four (4) toilets did not flush properly. The handle was broken. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Various toys located throughout the classrooms revealed a number of battery-operated toys that were not maintained and used according to the manufacturer's specifications; the batteries were non-operational. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. The daily attendance record for the week of 08/09/2018 was verified in advance as evidenced by the signature of the parent or designated person for twelve (12) of the children identified on the DCC -94E form. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation and request to view the device used to determine the temperature of the kitchen refrigerator revealed no evidence of a temperature measuring device.

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 Infant classroom revealed seven (7) children in care with one staff member. Interview with staff revealed the youngest child in the classroom was nine (9) weeks old and the oldest child was one-year-old. Additional interview with staff revealed the additional staff person was on break and would not return for ten (10) or more minutes. General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, review of written documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation of the child care center and review of the child care staff schedule revealed current and present staff. Review of the child care center license revealed the child-care is licensed for the care of school-age children. Upon request, the child care center director failed to provide at least one (1) person employed, on duty and present with the children, certified in adult cardiopulmonary resuscitation (CPR) and adult first aid.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documentation of at least fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment for staff with hire dates of 06/20/95, 09/08/11 and 05/02/16. Review of Early Care and Education-Training Records Information System (ECE-TRIS) revealed no documented evidence of completed training as well. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Shooting Stars (identified on the floor plan as Shining Stars) and Superstars classroom revealed chipping and peeling paint on the walls and window seals. In addition, chipping and peeling paint was observed in the hallway along the baseboards. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed rusted chains on the swing. In addition, broken branches were observed throughout the play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed the child care center failed to maintain a protective surface around the swing and equipment intended for climbing, as surface dirt was exposed. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of a white mattress used in the Big Dipper classroom by one (1) year old children in care for rest, revealed a torn and ripped surface with exposed foam, determined to be without good repair.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor play equipment revealed a swing set with rusted chains. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. Review of the freezer temperature measuring device in the child care center’s kitchen revealed a temperature of five (5) degrees Fahrenheit. Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of written documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care center failed to provide written documentation of Earthquake/Tornado drills conducted with regard to the date, time and children who participated in the drills.

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 interview and review of written documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request the child care center director failed to provide written documentation that earthquake/tornado drills were conducted at least quarterly. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the while linoleum located in the hallway, bathroom and kitchen along with the baseboards contained a build-up of grime and dirt. Observation in the three-year-old classroom near the front door revealed the blue walls to be scuffed and paint beginning to peel in some areas. Continue observation revealed the return vent in the two-year classroom to have a visible build-up of dust. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation of the playground area there were was not sufficient protective surface covering the areas under the swings and slide. Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director the child care center failed to maintain children’s records in accordance with regulatory requirements. The childcare director was unable to present for review an enrollment record containing identifying information, contact information, family physician, preferred hospital, the child's general health status and medical history, the name of a person designated to pick up child and authorization for medical emergency for the three year-old child who was being cared for in the two to three-year-old classroom. Interview with the director revealed that the parent of the child was a current employee.Continued review of the childrens records revealed the childcare director was unable to present for review that ten (10) of the ten (10) children’s enrollment forms reviewed contained a name of a preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the child care center failed to maintain written documentation in accordance with regulatory requirements. The childcare center director was unable to present for review at the time of the survey that the daily attendance record for 10/27/2016 reflected the correct number of children in attendance. Observation revealed twenty (20) children with only seventeen (17) children had been signed in to the center. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Based on observation, the changing table in the Infant room contained a clipboard, papers, and pens laying on the changing mat.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on a review of documentation, the child care center director failed to assure compliance with regulatory requirements. Based on a review of staff files, a staff member with a hire date of 09/04/14 failed to have documentation verifying an annual evaluation had been conducted assessing the staff person's interaction with children in care and classroom performance.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. Based on documentation review, zoning compliance from the local authority showing compliance with zoning requirements was not available for review at the time of the 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 Observation and Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Observation revealed that a volunteer with a start date of 9.9.15, was assisting the qualified staff with the children in her care. Based on documentation review, the center was unable to produce evidence that a criminal records check had been submitted for the volunteer with a start date of 09/09/15.

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 employee records in accordance with regulatory requirements. Based on a review of documentation, there was no personnel file available for a volunteer observed working with another staff member, in the Infant room at the time of the survey. Based on interview with the volunteer, today (09/09/15), was the first day volunteering at this location. Based on further interview, the volunteer had previously been a director at Southside Christian #1,

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. Based on a review of all staff files, staff members with hire dates of: 08/22/05, 08/15/12, failed to show documentation of 15 cabinet approved training hours contained in the file. Staff member with a hire date of: 09/04/14 failed to have documentation verifying an additional nine hours of cabinet approved training hours within the first year of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory programming requirements. Based on observation in the Infant, Shining Stars, and Pre-school classrooms, children were not observed in planned programming including art, music, dramatic play, stories and books science, block building, tactile activity and culture, but continued to participate in free play during each intermittent observation of the classrooms from approximately 9:10 A.M. to 11:30 A.M. Based on continued observation, toddlers in the Infant room were observed walking aimlessly about the room with no scheduled programming directions or engaging activities provided by staff upon the surveyors arrival into the center and departure from the center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, a section of the outside wall in the Pre-school classroom, had a large piece of paint and drywall that had been torn from the wall, exposing the chalky interior of the drywall.

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 the hygienic practices in accordance with regulatory requirements. Based on observation, children were observed entering into the Infant room, the Shining Stars room, and the Pre-school room without washing their hands. Based on continued observation in the Infant room, a child's hands were not washed with liquid soap and warm running water following a diaper change. Also based on observation, two (2) children observed in the Infant room failed to wash their hands upon completing the breakfast meal.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, the Infant room was observed to have three (3) children aged one (1) year. Based on interview with the staff, as a result of low enrollment and attendance, the one year old children had been moved to the Infant room, however, an insufficient amount of toys, and age appropriate toys had not been brought into the Infant room for the one year old children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, three (3) plastic covered mats observed in the Pre-school class, contained tears exposing the inner padding rendering the mat as no longer waterproof.

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 documentation review, the child care center failed to maintain children's records in accordance with regulatory requirements. Based on a review of documentation, children enrolled on 09/21/09 and 06/01/15 failed to have contact information enabling a person in charge to contact the child's family physician.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of documents, there was no written evacuation plan available for review in the event of a fire, natural disaster or other life threatening situation that may pose a health or safety hazard for a child in care in accordance with KRS 199.895

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 09/04/14 failed to have documentation contained in the file verifying a written annual plan for child care staff professional development.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of documentation, there was no documentation available for review verifying monthly fire drills which had been onducted including the dates, times, and names of the participating children for July, and August 2015.

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 provide written documentation in accordance with regulatory requirements. Based on a review of documentation, there was no written documentation of monthly fire drills conducted for the months of July, and August 2015.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and record review, the child care center failed to comply with regulatory requirements regarding animals. Observation revealed a fish tank containing goldfish in the entry hall where all parents and children enter the building. Review of ten (10) children's files determined that none of the files contained written parental consent for goldfish.

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’s records in accordance with regulatory requirements. Review of employee’s records revealed that a staff member with the hire date 8/15/12 failed to complete all fifteen (15) hours of cabinet approved training during their last full year of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

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, the child care center failed to comply with regulatory requirements. Observation in the Big Dipper Room at 10:28 a.m. revealed five (5) children age ranging one-year-old to two-year-old with one (1) staff member. Continued observation revealed that the toddlers were combined with older children during the entire survey that ended at 1:30 p.m.

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 in the Little Dippers Room refrigerator revealed that three (3) bottles failed to be individually labeled.

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 child care center failed to maintain food service in accordance with regulatory requirements. Observation in the freezer in the kitchen revealed that the package of frozen biscuits was torn and was no longer sealed and protected from contamination.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, Interview and Review of Documentation the child care center failed to maintain food service in accordance with regulatory requirements. Observation during lunch revealed that the center served two (2) to three (3) chicken nuggets, mashed potatoes, corn and milk for lunch. Interview with staff revealed that the breading on the chicken nuggets was the bread component. Record review revealed that there failed to be documentation that the chicken nugget breading consisted of whole or enriched grain.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview the child care center failed to maintain food service in accordance with regulatory requirements. Observation during lunch revealed that the center served two (2) to three (3) chicken nuggets, mashed potatoes, corn and milk for lunch. Interview with staff revealed that the breading on the chicken nuggets was supposed to serve as the bread component. Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Review of Documentation the center failed to maintain written documentation in accordance with regulatory requirements. Observation revealed at 10:48 a.m. thirty-eight (38) children were present at the center. Record review of daily attendance records revealed twenty-six (26) children’s arrival times were recorded for the day, therefore the center failed to record the arrival times of each child in care.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed that the child care center failed to post in a conspicuous place the Plan of Correction issued by the cabinet during the current certification period regarding the surveys. Continued observation in the Shining Stars Room revealed that there failed to be a 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 Observation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation in the Super Stars Room revealed that there failed to have a daily activities that included dates and times of activities to be conducted with the children in the classroom.

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 post documentation in accordance with regulatory requirements. Review of posted documentation in the Shining Stars Room revealed that the center failed to post the proper methods of diapering near the diaper changing area. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview, it was determined that toddlers were combined with two year old children for full day programming and care at the center from April 2013 through November 2013. Therefore the center has failed to follow regulation that went into effect April 5, 2013 that toddlers shall participate in an activity with an older child for no more than one hour per day.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the director stated that a nineteen month old child was combined with older children in the two year room for full day programming as a routine practice up until November 2013. Record review revealed the absence of a written transition plan for said child and based on regulatory standards, the child was too young to begin transitioning in with two year olds as the child was not yet twenty one months old.

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, a staff member with a hire date of 8/22/2005 and a staff member with a hire date of 3/7/2009 failed to complete the required number of hours of cabinet-approved early care and education training for the subsequent year of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, pre-school age children arrived at center and did not wash hands. Further observation revealed that children ate breakfast without washing hands before or after eating; 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, a staff member in the infant room and a staff member in the preschool room did not their wash hands prior to serving food to children. The staff member in the infant used gloves in lieu of handwashing. Further observation revealed that a staff member in preschool room cleaned spilled food from the floor and put her hands in trash can and then served a child breakfast without washing her hands.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the playground area was not in good condition or well maintained, i.e.; there were excess leaves/debris; broken toys, toys/equip dirty with bird feces; a piece of plywood on building side has exposed nails.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the protective surface at swingset area was insufficient as bare ground is 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, numerous sleeping mats are torn and/or frayed.

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, multiple cribs that were being utilized still had the manufactor's plastic covering over the mattresses. Written Documentation 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival Not In Compliance Findings: General: Based on review of documentation, review of the daily attendance records revealed that a child who was identified has having been present during the previous week was not signed in with a time of arrival denoted on two days. 2) Departure Not In Compliance Findings: General: Based on review of documentation, review of the daily attendance records revealed that a child who was identified has having been present during the previous week was not signed out with a time of departure denoted on two days.

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, a drawer in the girls' restroom contained toothpaste, baby powder, aeresol room freshner spray and a box of latex gloves. All items were marked keep out of reach of children.

Open Not marked corrected in the state record

Open / not marked corrected.