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

General: Interview with multiple sources revealed that fire and tornado drills were not conducted at the center. The director presented documentation stating that drills had been conducted, indicating that the documentation had been falsified. Further interview with the director's supervisor revealed that the director admitted to falsifying the drill documentation. Written Documentation 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: Interview with multiple sources revealed that fire and tornado drills had not been conducted at the center for several months/quarters.

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, there were two (2) infants in the younger infant classroom who were asleep in individual cribs, each in a swaddle. 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 and interview, there was one (1) infant, in the middle infants' room, who was asleep in a bouncer. Interview with a staff member revealed the infant had been asleep for about twenty (20) minutes.

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 the documentation review, a child (DOE: 01/13/25) did not have a family physician or contact information in their enrollment record.

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 a review of the documentation, A current negative tuberculin (TB) test result or a statement from a healthcare professional verifying that a staff member (DOH: 03/24/25) was free from active TB was not presented for review during the inspection.

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 deep freezer in the kitchen did not contain a temperature-measuring device; therefore, verification that the freezer maintained a temperature of zero (0) degrees Fahrenheit or less could not be determined.

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, education credentials for a staff member (DOH 05/28/24) were not presented for review upon request. 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, the following was found: 1) A staff member (DOH 04/01/19) last completed Pediatric Abusive Head Trauma (PAHT) training on 10/18/18, which had passed its five (5) year renewal date as of 10/18/23. 2) A staff member (DOH 04/01/19) last completed Pediatric Abusive Head Trauma (PAHT) training on 09/10/18, which has passed its five (5) year renewal date as of 09/10/23. A review of ECE TRIS confirmed these findings. 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, a staff member's purse was stored atop a picnic table in the large outdoor play area, where it was accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the window-mounted air conditioning unit in the Older Two's classroom contained a buildup of dust and other darkly-colored debris.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: The following observations were made at the child care center: Younger Three's Room: 1) One door frame in the rear portion of the classroom contained multiple areas of chipping paint. 2) The yellow wall near the cots contained large sections of peeling paint. School Age Boys restroom: 1) The lower portion of the wall trim behind the commode was missing, exposing a hole in the wall. 2) A section of the border surrounding the mirror installed on the interior of the door was missing, leaving the lower edge of the glass exposed. Hygienic Practices In Compliance 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, a tube of Aquaphor diaper cream was stored atop a table in the Younger Three's room, where it was accessible to the children in care. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) Multiple large, thick weeds protruded through the pebbles on the large outdoor play area, creating a tripping hazard. 2) Landscaping fabric protruded through the mulch in several sections of the toddler playground, creating a tripping hazard. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the toddler playground revealed that the Little Tikes climbing structure, equipped with a pink slide, moved and wobbled easily when pressed upon, indicating that it was not secure.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the Middle One's and Younger Two's classrooms during nap time revealed that pairs of children slept (separately) on cots that nearly touched, indicating that the cots were not placed at least twelve (12) inches apart. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The following observations were made at the child care center: 1) The edges of the toy shelves within the Younger Three's and Middle Two's classrooms contained multiple areas of chipping paint. 2) The right edge of the cabinet containing the exterior sink in the School Age classroom was rough and splintering. 3) The small picnic table on the toddler playground leaned significantly to one side and swayed easily when pressed upon, indicating that it was not stable. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, one (1) staff person acted as caregiver to ten (10) children in the Older Two's classroom. The staff member reported that the children in the room ranged in age from two (2) to three (3) years and would remain in combined care for the entirety of the day; in excess of one hour. Interview with the staff in charge revealed that the toddlers in the Older Two's room did not have signed transition plans on file at the time of the inspection. Hygienic Practices In Compliance Food Service 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, a staff member whose date of hire is 01/26/2022 has not submitted background checks in accordance with 922 KAR 2:280 since his/her eighteenth (18th) birthday. Therefore, a determination of eligibility has not been obtained for the referenced staff member. Interview with the staff in charge confirmed that the staff member has worked alone with children despite the lack of the eligibility determination.

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 interview and review of documentation, a staff member whose date of hire is 10/31/2022 graduated from a high school in Miami in 2019. Therefore, the staff member lived out of the state of Kentucky in the past five (5) years. Review of documentation revealed the staff member's file failed to contain the results of a Child Abuse and Neglect Check and a check of the state's Sex Offender Registry for Florida. 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

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 licensee failed to maintain an accurate employment status of each employee who has submitted fingerprints for background checks. Interview with the staff in charge revealed eight (8) previous employees were still listed on the center's roster in the Kentucky Applicant Registry and Employment Screening (KARES) report. Therefore, the employment status was not maintained to reflect the accurate status for the aforementioned individuals. 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 8. General.

General: Based on observation in the School Age room, a collection of blankets was stored on top of the stack of cots. Interview with the staff in the room confirmed that the blankets were used by children throughout the week and will be sent home at the end of the week. The used blankets were not stored in a manner to prevent the spread of germs. In the Younger Twos C room (downstairs), a wooden dry erase easel was precariously sitting on top of a wooden shelf. The easel did not fit securely on the shelf, creating a risk of it falling. An electrical outlet behind an open toy shelf in the Younger Twos C room was uncovered. Also in the Younger Twos C room, there was a casing for a sanitizer dispenser on the wall directly above the child-sized couch. The casing contained two (2) protruding plastic pieces that were at child level. Observation in the Threes classroom revealed one (1) electrical outlet that was uncovered and a window blind with a dangling cord. Observation of the Older Ones classroom revealed an electrical outlet that was uncovered. Observation of the Fours and Fives Classroom revealed an electrical outlet on the end of a strand of decorative lights that was uncovered. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a copy of 922 KAR 2:280 was not available for review at the time of the inspection.

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: Review of the center's handbook revealed the following policy: " Stony Brook Child Care does not administer any type of medication, including prescription, over the counter, topical, or oral medications". Interview with staff members revealed diaper rash ointments are administered to children. Therefore, the center's own policy is not implemented.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of records, documentation of only one (1) staff meeting within the last year was presented for review. Therefore, reoccurring staff meetings could not be verified.

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 interview and review of documentation, a staff member whose date of hire is 01/26/2022 has not submitted background checks in accordance with 922 KAR 2:280 since his/her eighteenth (18th) birthday. Therefore, a determination of eligibility has not been obtained for the referenced staff member. Interview with the staff in charge confirmed that the staff member has worked alone with children despite the lack of the eligibility determination. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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, a staff member whose date of hire is 12/15/2022 only completed seven and one half (7 1/2) hours of training during the last review period and a staff member whose date of hire is 04/07/2018 only completed fourteen (14) hours of training during the review period. Therefore, neither of the aforementioned staff members completed fifteen (15) hours of training. Review of Early Care and Education Training Records Information System (ECETRIS) confirmed the lack of completed training. 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 nine-month-old infant was observed sleeping in a crib with an elevated mattress. The mattress was elevated with a wedge pillow beneath the mattress. Interview with the staff in the room revealed the infant's doctor suspects the infant has a medical condition that requires the child to sleep elevated. Review of the child's file and interview with the director confirmed that a statement from the child's health professional was not obtained prior to altering the infant's mattress.

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, multiple phones and electronic tablets were observed in the school age room. Interview with the staff confirmed that the devices belonged to enrolled children and the children use the devices for less than thirty (30) minutes per day. The devices are not used as part of the planned daily programming. 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 can of Febreeze air freshener was stored on the sink in the school age room. The can was accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a door to a toilet room within the School Age room was not secured to the hinges. Only two (2) of the three (3) hinges were secured, leaving the door uneven and dragging the floor, with the upper portion of the door pulling away from the door frame. Observation in the Threes room revealed an air return vent next to the restroom that was covered with dust and contained bent grates. Two (2) return vents in the Younger Twos (downstairs) were heavily soiled with dust. 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: physical safety. Open / not marked corrected.

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

General: Based on interview with the staff in charge, emergency numbers were not posted or programmed into the center's phone.

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 wall near the baseboards in the toilet room located within the School Age room was chipping with exposed drywall. Observation in the Fours and Fives classroom revealed chipping paint around the door frame and the window. Also in the Fours and Fives room, there was an accumulation of dust around the floor and baseboards in the bathroom and classroom.

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, neither of the two (2) toilet rooms in the School Age classroom were equipped with toilet paper.

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, there were no single use, disposable hand drying materials or hand drying blowers in either of the bathrooms in the School Age room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one (1) of the two (2) white, wooden shelves in the Three's room (downstairs) was not stable. The shelf moved freely from side to side when barely touched. Observation in the Younger Ones C (downstairs) classroom revealed a cloth covered ride-on airplane that was heavily soiled. Also in the Younger Ones C classroom, an area of the white cube shelf contained chipping paint. A free-standing toy shelf in the Fours and Fives classroom was not sturdy; it rocked when slightly touched. Children were lying on cots on both sides of the shelf. Observation of the cribs in the Younger Ones A classroom (upstairs) had chipped and the bare wood was exposed. 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 13. Toys and Furnishings.

General: Based on observation, there were multiple window blinds in the School Age room that contained dangling cords and broken or missing slats. The oscillating fan in the Younger Ones A classroom was heavily soiled with dust. The fan was in use at the time of observation. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the Food Service Permit presented for review expired on 12/31/2021. A current Food Service Permit was not available for review at the time of the inspection.

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, one the many refrigerators in the kitchen did not contain 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 8. Kitchen Requirements.

General: Based on observation, a GE deep freezer located in the play area outside of the kitchen did not contain a thermometer, therefore, the temperature could not be verified. 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 review of documentation, no immunization documentation was presented for review for children with the following enrollment dates: 08/05/2022; 08/22/2022; 07/01/2019; and 11/17/2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation in the Older Ones classroom, information regarding the administration of diaper rash cream as well as information about children's allergies were posted for public inspection. Therefore, the information was not maintained in a confidential manner. 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 observation, there was no plan of daily activities that was dated and posted in the School Age room. Interview with the staff member confirmed the daily plan of activities was not available. There was no current daily plan of activities posted in the Threes classroom. The posted plan was dated for March. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The light bulbs in the bathroom within the three-year-old-room where not shielded. Interview with the staff in-charge revealed the light bulbs were not shatter proof.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the fence revealed there was a bag of litter/trash hanging from the gate that was accessible to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the school age room revealed a staff member with the hire date 05/25/2021 was the sole caregiver for sixteen (16) children. Review of the file for the staff member with the hire date 05/25/2021 revealed there was not a completed background check with an eligibility date from The Nation Background Check Program (NBCP). Review of the Kentucky Applicant Registry and Employment Screening (KARES) report did not reveal the staff member as an employee at the child care center. Continued review of the staff member’s file revealed there was a completed child abuse and neglect (CAN) check and a completed criminal records check (CRC). Interview with the staff in-charge revealed the staff member had not gotten a live fingerprint scan because he/she just turned eighteen (18) years-old in February 2022. The staff in-charge immediately replaced the staff member with a qualified staff member when the background check was not presented for review. 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 8. General.

General: Observation of the child care center revealed the following: 1. There was a nine (9) month old Infant and a one-year-old-child sitting in plastic bucket seats. The infant and the child were not secured in the seats with a safety restraint. 2. There was a three (3) month old Infant sleeping in a crib with a pacifier attached to a clip in the Infant room. 3. There was a long electrical cord attached to an air conditioner that was dangling adjacent to the changing table and was accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current annual written staff evaluation was not presented for review on the day of the inspection for the staff member with the hire date 04/07/2018. 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: Upon request, a High school diploma, GED or qualifying documentation from a comparable educational entity, or Commonwealth Child Care Credential was not presented for review on the day of the inspection for two (2) staff members with the hire dates 09/07/2021 and 07/30/2021.

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: Upon request, documentation verifying that the staff members with the hire dates 10/18/2021, 06/17/2019, 11/08/2021, 11/28/2021, 06/15/2020 and 11/12/2021 had completed the required cardiopulmonary resuscitation and first aid training was not presented for review on the day of the inspection. There was no documentation presented to verify that the aforementioned staff members were certified in cardiopulmonary resuscitation and first aid. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the staff members with the hire dates 10/18/2021, 06/17/2019, 11/08/2021, 09/23/2021, 11/28/2021, 06/15/2020 and 11/12/2021 had completed the required training.

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: Review of the staff records revealed the following: 1. Verification that the staff member with the hire dates 06/17/2019 had completed fifteen (15) hours of cabinet-approved early care and educational training was not presented for review on the day of the inspection. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the fifteen (15) hours of cabinet-approved training had been completed by the staff member. 2. Verification that three (3) staff members with the hire dates 10/18/2021, 11/08/2021 and 11/12/2021 had completed six (6) hours of cabinet-approved orientation training within the first three (3) months of employment was not presented for review on the day of the inspection. Review of the Early Care and Education Training Records Information System (ECE- TRIS) report did not verify that the six (6) hour of cabinet-approved orientation training had been completed by the staff members. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. A current daily activity plan was not presented for review on the day of the inspection for the School-Age room. The document presented was dated 11/15/2019. Interview with the staff member stated that he/she makes the lesson plan daily, but he/she had not make a daily activity plan for the day of the inspection. 2. A current daily activity plan was not presented for review on the day of the inspection for the three-year-old-room. The document presented for review was dated 11/15 to 11/19.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the Infant room revealed a six (6) month old infant was sleeping in a crib with a blanket. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There was an aerosol can of Off Cutter Insect Repellant that contained Deet sitting on a bottom shelf of a wooden cubby that was accessible to the children within the four-and- five-year-old-room. The Inspect Repellants' warning labeled stated, “Keep Out of Reach of Children”. 2. On the Preschool/School-Age outside play area there was a broken metal snow shovel that was lying on the ground with two (2) sharp pointed metal edges facing upward that was accessible to 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: Observation of the child care center revealed the following: 1. In the younger two-year-old room, there was a wall that was unfinished with exposed drywall that contained a black and brown substance, indicative of water damage. 2. The air vent in the Girl’s bathroom located within the cafeteria was dangling from the ceiling, leaving a hole in the ceiling. 3. The plastic light switch in the Girl’s bathroom within the cafeteria was broken in multiple areas. 4. The large white return air vent that was attached to the lower wall contained a heavy build-up of dust and debris and the louvres were bent leaving sharp edges located within the younger three-year-old room. 5. The large white return air vent was partially attached to the wall and the louvres were bent leaving sharp edges located within the four-and-five-year-old room. 6. The door frame within the four-and-five-year-old room was chipping paint. 7. The baseboard in the bathroom within the four-and-five-year-old-room was partially missing, leaving a brown sticky substance to the wall. 8. The Boy’s and Girl’s bathroom doors did not close properly within the school-age room, both doors were dragging onto the floor. 9. The air vent located in the Boy’s bathroom within the school-age room did not have a cover over the air vent and the fan was exposed. 10. The toilet paper dispenser was broken, leaving a sharp piece of metal that was exposed to the children in the bathroom of the younger two-year-old-room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 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: Observation of the child care center revealed the following: 1. There was a hole in the ceiling adjacent to the air vent in the Boy’s Bathroom located within the cafeteria. 2. The bathroom wall located within the older two-year-old room was peeling yellow paint adjacent to the toilet. 3. In the older two-year-old room there was an area of the wooden baseboard that was broken, causing sharp pointed edges that was accessible to the children. 4. The air vent in the Girl’s bathroom located within the cafeteria was dangling from the ceiling, leaving a hole in the ceiling. 5. The ceiling contained a brown stain, indicative of water damage, located in the Girl’s bathroom within the cafeteria. 6. The ceiling in the bathroom within the three-year-old-room contained a brown stain, indicative of water damage. 7. The wall in the bathroom within the younger two-year-old-room was chipping paint above the light switch. 8. The tile floor was cracked and missing pieces of tile adjacent to the toilet in the Boy's bathroom within the cafeteria.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. There was no toilet paper in the Boy’s bathroom within the school-age room. 2. The toilet located in the bathroom within the three-year-old-room contained a yellow substance and the bathroom had a pungent odor of urine.

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: The air vent in the bathroom within the younger three-year-old-room was not working properly. There was not a window inside the bathroom. Therefore, there was not ventilation to outside air. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the older one-year-old-room revealed the children did not wash their hands before they were seated and served lunch.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the Infant room revealed two (2) staff members working in the Infant room. One (1) of the staff members was feeding a four (4) month old infant while the second (2nd) staff member cared for the other infants in the room. The staff member that was feeding the Infant passed the Infant to the second (2nd) staff member to finish feeding the Infant. Therefore, the second (2nd) staff member did not wash his/her hands before feeding the infant.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: The changing tables located in the younger two-year-old room, older one-year old room, older two-year-old room, and the younger one-year-old room contained a build-up of dust and debris under and around the changing pad. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 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: Observation of the four-and-five-year-old room revealed there was a tube of Burn Gel sitting on a bottom shelf of a wooden cubby that was accessible to the children. The Burn Gel’s warning labeled stated, “Keep Out of Reach of Children”. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Observation of the Toddler outside play area revealed there was not sufficient protective surfacing under and around the blue plastic slide. The ground was visible. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the school-age room revealed there were two (2) blankets stacked on top of one another. Interview with the staff member revealed the blankets belonged to individual children. Therefore, the bedding was not stored in a sanitary manner.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. The plastic play kitchen set located within the three-year-old room contained a broken faucet. 2. The plastic play kitchen set located within the younger three-year-old-room was heavily soiled with dust and debris. 3. There was a blue shelf located within the older two-year-old room that was chipping blue paint. 4. There were two (2) cloth dolls that were heavily soiled within the one-year-old-room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. A wooden step was chipping wood, leaving the top surface of the step with sharp splintered edges, within the three-year-old-room. 2. The red metal truck that was stationary into the ground was chipping red paint. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the refrigerator located within the younger one-year-old-room revealed there was not an indicating thermometer. Therefore, the temperature could not be measured to ensure the inside temperature of the refrigerator was forty (40) degrees Fahrenheit or below.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the Frigidaire freezer located within the kitchen revealed the child care center could not ensure the freezer’s temperature was zero (0) degree Fahrenheit or below on the day of the inspection.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. The refrigerator located within the Infant room revealed it was heavily soiled with dried food and a black sticky substance. 2. The refrigerator located within the School-Age room revealed it was heavily soiled with a blue and black sticky substance on the bottom shelf. 3. The oven located within the kitchen revealed the bottom floor inside the oven was heavily soiled with a black, thick, burnt substance.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Observation of the refrigerator located within the younger one-year-old-room revealed there was a bottle inside the refrigerator that was not labeled for the individual whom the bottle was intended. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 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: Observation of the older one-year-old-room revealed there was a child eating lunch. The child dropped his/her eating utensil on the floor and the staff member did not give the child another utensil. The child had to eat lunch with his/her hands. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable 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: Upon request, a current written professional development plan was not presented for review on the day of the inspection for three (3) staff members with the following hire dates: 06/17/2019, 03/15/2016 and 02/01/2013. 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: Upon request, a current schedule of daily activities to include the date, time of activities to be conducted with the children in the School-Age room was not presented for review on the day of the inspection. On the day of the inspection public schools were not in session and the children were at the child care center for a full day. There was not a schedule of daily planned activities posted for a full day of programming. Animals 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 regulatory supervisory requirements. Interview with staff in the preschool room revealed the staff member had 7 children in her care; however, observation revealed 9 children. Two of the children were working a puzzle around the corner, out of the sight of the staff member. Interview revealed the staff member was unaware the children were there and stated she had not seen them enter into the classroom. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not 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 10. Director Requirements and Responsibilities.

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. Observation in the Transitioning room revealed five (5) infants in attendance and five (5) cribs. Interview with the staff member revealed all of the infants slept in the cribs. One of the cribs was immediately against a wall containing a "Shapes" poster whose tape was no longer adhering it to the wall. The dangling poster and tape were accessible to an infant. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files and staff schedule revealed a staff member certified in CPR and First Aid training failed to be on duty and present between 5:00 A.M. to 6:00 A.M. and between 2:00 P.M. and 6:00 P.M. Programming 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 9. Food and Meal Requirements.

General: Based on observation, the child care center failed to comply with regulatory programming requirements. Observation in the Three Year Old room revealed a staff member using cheese balls as a reward when children answered appropriately to the lesson being taught. Premises Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Preschool room revealed a staff member's personal belongings hanging on the back of a chair. The staff member then removed some items from the bag and hung it on a wall hook, however the bag remained accessible to the nine (9) children in her care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the exterior of the building revealed two (2) corners of the building to have large sections of rotted wood in the overhang, between the roof and the brick. The rotted wood areas would allow for vermin to enter into the facility. 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

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 in the modular school age classroom revealed a temperature reading on the window heating unit as 64 degrees. Continued observation revealed several of the children wearing coats or jackets. Interview with the staff member revealed she was unaware of how to increase the temperature. 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 regulatory hygienic practices. Observation revealed children in the Three Year Old room failing to wash their hands before and after eating cheese balls. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, a heating vent in the Three and Four Year Old classroom revealed a large amount of dirty residue adhered to the wall vent. The vent was immediately next to a cubby of blocks. Additionally, the ceiling vent in the School Age room failed to be covered, exposing the fan. 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 and interview, the child care center failed to comply with food service requirements. Observation in the One Year Old room and in the Transitioning room revealed multiple sippee cups and lids drying on a counter next to the sink. Interview with staff revealed the cups are washed in soapy water, rinsed and sat on the counter to air dry. The cups were not sanitized prior to being used again. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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 in the Toddler room revealed two (2) dangling electrical cords plugged into an electrical outlet, immediately next to a toddler sitting on the floor while playing. The toddler had accessibility to the hanging cords. Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of two (2) windows revealed rotted, decayed wood surrounding the outside framing of the windows in the play area. The windows also revealed large amounts of peeling paint and were in disrepair. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. 1) Observation of the steps leading to the lower level of the facility revealed plastic covering of the steps to be in disrepair, with torn and broken pieces of plastic on the edges of (3) steps, creating a tripping hazard. 2) Additionally, the ceiling in the Two Year old room revealed a large area containing a hole and apparent mold in a water stained area. 3) The ceiling in the school age rooom also revealed water stained areas on the ceiling. 4) Observation in the boys' and girls' bathrooms located on the lower level found vent covers which did not properly cover the entire hole in the ceiling, revealing an uncovered hole in the ceiling.

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 in the blue boys' bathroom revealed multiple yellow spots, indicative of urine, splattered across the entire toilet seat. The toilet seat was not clean. Hygienic Practices In Compliance 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 outdoor play area failed to be maintained in accordance with regulatory requirements. Observation on the playground revealed two (2) black, rubber drainage tubes approximately ten (10) feet long, located on top of the ground, unburied in the large play area.

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 outdoor play area failed to be maintained in accordance with regulatory requirements. Observation found an insufficient amount of ground covering allowing areas of dirt to be revealed in the areas of the climbing structures and swings. 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 the equipment in accordance with regulatory requirements. Observation in the Infant room revealed a sleeping infant lying directly onto the plastic covering of a mattress. The sheet/covering was not tight fitting allowing the sheet/covering to slip away from the mattress. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 3. General Requirements.

General: Based on observation, the child care center failed to maintain the food service in accordance with the regulatory requirements. Based on observation in the infant room, an infant was observed sitting in a high chair eating from a bottle, without being held.

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 the food service in accordance with regulatory requirements. Observation of the cream colored refrigerator in the kitchen area revealed a tray at the bottom of the refrigerator containing discolored gel-type residue buildup of liquid. The refrigerator was not clean and well maintained. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. Review of the presented staff file for a staff member with the hire date 4/23/19 revealed she had lived in Michigan in the last five (5) years as documented on a background check. Upon request the sex offender registry information and the child abuse and neglect check from Michigan was not presented for review for the staff member with the hire date 4/23/19. Supervision 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, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Interviews with multiple sources revealed a three-year-old child was left in the basement alone unsupervised for at the least five (5) minutes. Continued interviews revealed the child’s parent is the person who discovered the crying child alone in the dark basement. Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements Not 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, the child care center director failed to assure compliance with regulatory requirements. Review of documentation revealed the director was presented as a staff member at another child care center that is under different ownership on 6/3/19.

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, the child care center director failed to assure compliance with regulatory requirements. Interviews with multiple sources revealed a three-year-old child was left in the basement alone unsupervised. Continued interviews revealed the child’s parent is the person who discovered the crying child alone in the dark basement. Further interview revealed when the child was found in the basement by the parent the child’s face was red from crying.

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 Two Year Old Room on 3/27/19 revealed one staff member was the sole caregiver of fourteen children. Interview with the staff member revealed the children were two (2) and three (3) years old. 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: ratio. Open / not marked corrected.

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

General: Based on observation and interview, the child care center director failed to assure compliance with regulatory requirements. Observation of video surveillance footage of the Infant Room taken on 3/22/19 revealed two infants were restrained in bouncer seats for at least five (5) hours, and were taken out only to have their diapers changed. Once their diapers were changed, the infants were returned to the bouncer seats. Further review revealed three (3) one (1) year old children were placed in cribs and an Excersaucer for extended periods of time several times throughout the duration of the video. Interview with the staff member present in the Infant Room on 3/22/19 revealed the children were playing too roughly and not listening; therefore, the aforementioned staff member placed the children in the cribs and Excersaucer to contain them. 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 four (4) hours of video surveillance footage taken of the Infant Room on 3/22/19 revealed none of the children's hands were washed with soap and warm running water after diaper changes.

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 four (4) hours of video surveillance footage taken of the Infant Room on 3/22/19 revealed a staff member did not wash her hands with soap and warm running water after changing children's diapers.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of four (4) hours of video surveillance footage taken of the Infant Room on 3/22/19 revealed a staff member did not disinfect the diaper changing surface after changing children's diapers at any point during the footage. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of video surveillance footage taken of the Infant Room on 3/22/19 revealed infants slept in swings and bouncer seats on multiple occasions throughout the footage. Observation of the Infant Room on 3/27/19 revealed three (3) infants slept in bouncer seats and swings throughout the duration of the survey. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of video surveillance footage taken of the Infant Room on 3/22/19 revealed two (2) staff members held bottles and fed them to two (2) different infants while they sat in bouncer seats on multiple occassions; therfore, the infants were not held while being fed a bottle

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 and interview, the child care center director failed to assure compliance with regulatory requirements regarding the health, safety and comfort of children. Review of the video documentation revealed, on nine(9)separate occasions, an employee used aggressive physical contact on the group of four-year-old children she was supervising. The director reviewed the video documentation and witnessed the actions of the staff member.

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 of the Toddler classroom revealed a wooden and metal mousetrap located in the bottom of an unlocked cabinet accessible to children in care. 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 regulations. Review of staff files on 10/5/18 revealed the statement of negative tuberculin result on file for two (2) staff members hired 4/30/18 and 3/14/16 are no longer current; they were dated 8/18/16 and 5/11/16. Interview with the director revealed current documentation was not on file at the time of survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Three’s classroom and observation of the Four’s classroom revealed staff purses were sitting open on tables accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Four’s classroom revealed a hole in the wall of the classroom bathroom and a large build up of dust on the classroom wall vents. Continued observation revealed in the Two’s classroom several brown stains on the ceiling tiles. 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 hygienic practices in accordance with regulations. Observation of the Infant Room revealed an infant’s hands were not washed after a diaper change. 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 and interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed litter was scattered around the inside perimeter of the play area. This included several plastic cups, trash and empty cans. During interview, the director acknowledged the litter in the outdoor play area. 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 regulations. Observation of the School Age classroom revealed a red bookcase that had a large hole on the bottom shelf with splintered wood. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Infant classroom revealed an infant lying in a bouncy seat with a bottle propped in the infant’s mouth. 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 and interview, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed the written records for two (2) children enrolled 7/5/18 and 10/28/15 failed to contain contact information to enable a person in charge to contact the child’s preferred hospital. Interview with director revealed this documentation was not on file at the time of survey. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center director failed to assure compliance with regulatory requirements. Observation of a surveillance video from 07/26/18 revealed a staff member pulled a child by the arm from her chair and onto her feet. Continued observation revealed the aforementioned staff member grabbed a child who was running by the ear, and then lead the child to the table by the ear. Interview with staff members in charge revealed that members of management viewed the surveillance video, observed the behavior, and terminated the staff member’s employment immediately.

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 regulations. Observation of the kitchen revealed the white refrigerator was soiled with a sticky substance and food crumbs. Children's Records In Compliance 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 5. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the statement of negative tuberculin result on file for staff members hired 1/31/17 and 7/11/14 are no longer current as the results are dated 10/26/15 and 6/9/15. Continued review of staff files revealed one (1) staff member hired 10/19/17 failed to have records of negative tuberculin result or a statement from a health professional on file. Interview with director revealed this documentation was not on file at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for two (2) staff members hired 6/3/15 and 7/11/14. Interview with director revealed this documentation was not on file at the time of survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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. Observation of the Two’s classroom revealed bathroom cleaner, a bottle labeled bleach and a can of Glade all labeled keep out of reach of children were stored in an unlocked cabinet underneath the counter, accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the kitchen revealed what appeared to be numerous small flies/gnats flying around the sink, shelves and counter tops throughout the kitchen.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the downstairs bathroom revealed the small white toilet was clogged and water was overflowing from the toilet onto the floor. Hygienic Practices In Compliance 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 and interview, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed very visible, circular spots of dirt at the bottom of the slide and below the swings attached to the large wooden climber; therefore, the protective surface at the bottom of the slide and swings failed to sufficiently cover the ground. During interview, the director acknowledged the protective surface at the bottom of these areas failed to sufficiently cover the ground. Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 8. Kitchen Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation of the kitchen revealed the yellow refrigerator used to store food for children in care was not equipped with an indicating thermometer. Continued observation of the kitchen revealed the white refrigerator temperature measured fifty (50) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the evacuation plan presented for review revealed the plan was no longer current as it was dated 10/18/16. Interview with director revealed the plan had not been updated. 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 the premises in accordance with regulatory requirements. Approximately midway down the stairs leading to the basement classrooms, the rubber stairstep covering on one step was observed to be ripped approximately six inches along the edge of the step 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 2. Child Care Services.

General: Based on Observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the Infant classroom revealed one (1) staff, one (1) infant and four (4) toddlers. The staff was observed to enter the classroom bathroom to wash the hands of toddlers after two (2) diaper changes for less than two (2) minutes on each occurrence, leaving the remaining children in the classroom unattended and out of the scope of vision during each occurrence. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. 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. Review of employee records for staff with a hire date of 02/18/15 revealed no documented evidence of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Interview with the child care center director revealed she was not aware that the staff had not completed fifteen (15) hours of training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. 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 premises in accordance with regulatory requirements. Observation of the School-age classroom revealed three (3) inoperable ceiling light fixtures. Additional observation of the school-age bathroom revealed a ceiling light fixture that flickered nonstop for approximately fifteen (15) minutes before the light was turned off. Interview with the child care center director revealed she was not aware of the inoperable lights in the classroom, however, she had addressed the light in the bathroom with maintenance and was aware that the light flickered.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the school-age bathroom revealed a ceiling light fixture that flickered nonstop for approximately fifteen (15) minutes before the light was turned off. Interview with the child care center director revealed she addressed the light in the bathroom with maintenance and was aware that the light flickered. 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 child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Toddler and Twos classroom revealed items on the diaper changing pad that were not used for diaper changing. In the Toddler room observation revealed paint art projects and paint spills on the diaper changing pad. Additional observation of the Twos classroom revealed a clipboard, papers and pencils on the diaper changing pad. Further observation of the Infant classroom revealed two (2) toddler diaper changes in which staff failed to clean and disinfect the diaper changing pad between diaper changes.

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. Observation of the Infant classroom revealed two (2) toddler diaper changes in which staff failed to clean and disinfect the diaper changing pad between diaper changes. 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 11. Toys and Furnishings.

General: Based on Interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements with regard to toy sanitation procedures. Interview with staff revealed step-by-step procedures used for toy sanitation were to soak the toys in bleach and water solution, remove and allow to air dry. The staff did not mention that she scrubbed the toys with a brush to reach into crevices or rinsed the items in clean water. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview, the child care center failed to comply with regulatory requirements with regard to medication. Observation of the Toddler classroom revealed three (3) tubes of Desitin Diaper Cream in a drawer, unlocked and in accessible reach of the children in the classroom. Additional observation of the Infant classroom revealed Desitin, A & D Ointment and a prescription medication “Nystatin” in an unlocked drawer and in accessible reach of the children in the classroom. Interview with staff revealed four (4) of the children were toddlers. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the School-age playground revealed insufficient protective surface coverage with regard to the swing. Further observation revealed exposed surface dirt in this area. 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. Observation of the Preschool playground revealed a yellow and red car with missing parts and in disrepair.

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 and was found to be used without accordance to the manufacturer’s safety specifications. Observation of the Preschool playground revealed a yellow and red car with missing parts and in disrepair. Further observation of the School- age classroom revealed several inoperable battery-operated toys. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the Toddler room refrigerator revealed no evidence of a temperature measuring device. Further observation revealed milk and juice stored in the refrigerator.

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 and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the Infant classroom revealed unlabeled bottles stored in the refrigerator. Interview with staff revealed the bottles were prepared by the parents. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. Record review of employee records revealed no documented evidence of completed professional development plans for staff at the child care center. Exit interview with the child care center director revealed professional development plans had not been completed and further acknowledged acceptance of the deficiency.

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 child care center director failed to assure compliance with regulatory requirements. Review of employee records revealed no documented evidence of completed Annual Evaluations for all staff reviewed. Record review of Division of Regulated Child Care (DRCC) records revealed this same deficiency was cited at the survey completed on 12/16/14. Exit interview with the child care center director revealed the evaluations had not been completed. Further interview with the child care center director revealed acknowledgement of the deficiency. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 28 Web site: http://chfs.ky.gov/ 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 Observation, record review and interview, the child care center director failed to assure the health, safety and comfort of a child in compliance with regulatory requirements. Observation of the Infants room revealed a wall socket in accessible reach of a child when diapering. An intercom and refrigerator were observed plugged into the wall socket. The intercom plug had tape wrapped around the plug area going into the socket. The concern was for a child as the outlet was in accessible reach when a child was diapered on the changing table. Further observation revealed toilet brushes and containers stored in the Two year old and School Age bathrooms. Record review of Division of Regulated Child Care (DRCC) records revealed concerns with toilet brush storage was cited at the survey completed on 12/16/14. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, record review and interview, the child care center director failed to assure compliance with regulatory requirements. During a tour of the child care center on 11/13/15, it was observed that children participated in Computer Wiz Kids classes. This activity required the presence of an individual who, upon review of child care center records, was not documented to have completed a criminal records background or Child Abuse and Neglect Check or to have received sufficiently documented parental consent. Further record review revealed these same individuals werenot authorized by the parents to check the children in or out of the facility. Interview with the administrator of the Computer Wiz Kids program revealed every Friday she takes the participating children from their classrooms to an area alone without child care center staff involvement. She stated the parents paid her for the computer instruction given to the children at the child care center. Interview with the child care center director revealed these individuals were left alone with the children who participated. The director further stated no child care center staff was present when the children participated. The child care center director also stated that the children did not leave the facility. Therefore, he/she did not require that the children sign out or sign in upon return from the activity. The director concluded that he/she considered the child care center responsible for the children when the children participated in the computer class. Upon review of the signed parental consent form for the Computer Wiz Kids activity, the director agreed that the consent forms were not sufficient as to allow child participation without child care center staff present. Further review of the consent document revealed the only authorization granted by the parents for those children who participated was permission to be photographed for advertising or promotional purposes only. Exit interview with the child care center director and the child care center Executive Director revealed acknowledgement of the deficiency.

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, observation and interview, the child care center director failed to assure compliance with regulatory requirements. Based on record review of educational records for an employee with a hire date of 01/13/14, the surveyor could not determine validity of the High School Equivalency Diploma. Review of the document with the child care center director and child care Executive Director revealed the document appeared altered via cut and pasted name of an employee. Exit interview with the child care center director revealed the document had been altered/falsified by the employee. Further interview with the child care center director revealed acknowledgement of the deficiency.

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 Observation, record review and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. During a tour of the child care center on 11/13/15, it was observed that children participated in Computer Wiz Kids classes. This activity required the presence of an individual who, upon review of child care center records, was not documented to have completed a criminal records background or Child Abuse and Neglect Check or to have received sufficiently documented parental consent. Further record review revealed this same individuals was not authorized by the parents to check the children in or out of the facility. Interview with the administrator of the Computer Wiz Kids program revealed every Friday she took the participating children from their classrooms to an area alone without child care center staff involvement. She stated the parents paid her for the computer instruction given to the children at the child care center. Interview with the child care center director revealed these individuals were left alone with the children who participated. The director further stated no child care center staff was present when the children participated. The child care center director also stated that the children did not leave the facility. Therefore, he/she did not require that the children sign out or sign in upon return from the activity. The director concluded that he/she considered the child care center responsible for the children when the children participated in the computer class. Upon review of the signed parental consent form for the Computer Wiz Kids activity, the director agreed that the consent forms were not sufficient as to allow child participation without child care center staff present. Further review of the consent document revealed the only authorization granted by the parents for those children who participated was permission to be photographed for advertising or promotional purposes only. Additionally, record review of employee records revealed no documented evidence of verified or applied for Criminal Abuse and Neglect Check (CAN) for employee with a hire date of 11/9/15. Exit interview with the child care center director and the child care center Executive Director revealed acknowledgement of the deficiency.

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, observation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on record review of educational records for an employee with a hire date of 01/13/14, the surveyor could not determine validity of the High School Equivalency Diploma. Observation of the document with the child care center director and child care Executive Director revealed the document appeared altered by cut and pasted name of the employee. Exit interview with the child care center director revealed the document had been altered/falsified by the employee. Further interview with the child care center director revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee records for an employee with a hire date of 01/13/14 and three (3) employees with the same hire date of 02/01/13 revealed incomplete annual training. In addition, employee with the hire date of 06/15/15 failed to complete orientation within the first three (3) months of employment. Exit interview with the child care center director revealed acknowledgement of the deficiency. 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. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 28 Web site: http://chfs.ky.gov/ Inspection Report Programming

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, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Two’s classroom revealed a plastic bag stored in the cubby in the classroom, in accessible reach of children. Further observation revealed no contents in the plastic bag. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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 premises in accordance with regulatory requirements. Observation of the infant’s room revealed a bathroom used for storage. The items stored in the bathroom were several colored child sides chairs and an access gate. Further observation of the bathroom revealed the toilet cover was missing from the back of the toilet and an inoperable ceiling light. Observation of the Two’s classroom revealed cracked tile in the center of the floor of the bathroom. Observation of the downstairs area revealed a vent, outside the door of the child care center kitchen area, heavily soiled with dust and dirt. The ceiling area, also located outside the door of the kitchen revealed two circular lights inoperable. In addition, observation of the bathrooms located in the center of the building down stairs, revealed inoperable vents. The bathroom to the right of the entrance downstairs revealed dark spots in the ceiling indicative of water leaks and the bathroom on the left of the entrance revealed a missing vent cover which also exposed dust and rust as well as dark spots on the ceiling indicative of water leaks. Exit interview with the child care center director revealed acknowledgement of the deficiencies.

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, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the infant’s room revealed an inoperable ceiling light. In addition, observation of the downstairs area next to the kitchen revealed two (2) of three (3) inoperable circular lights in the ceiling. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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 premises in accordance with regulatory requirements. Observation of the Two’s classroom bathroom revealed cracked tile in the center of the floor. In addition, observation of the bathrooms located in the center of the building down stairs revealed dark spots in the ceiling indicative of water leaks. Exit interview with the child care center director revealed acknowledgement of the deficiencies.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the Infant’s room revealed the toilet cover was missing from the back of the toilet and an inoperable ceiling light. Observation of the Two’s classroom revealed cracked tile in the center of the floor of the bathroom. In addition, observation of the bathrooms located in the center of the building down stairs, revealed inoperable vents. The bathroom to the right of the entrance downstairs revealed dark spots in the ceiling indicative of water leaks and the bathroom on the left of the entrance revealed a missing vent cover which also exposed dust and rust as well as dark spots on the ceiling indicative of water leaks. Exit interview with the child care center director revealed acknowledgement of the deficiencies. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the One (1) year old Toddlers room revealed a plug for an air conditioner unit laying on the diaper changing mat. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, and interview, it was determined the center failed to comply with regulatory requirements regarding first aid/medication, specifically supplies. Observation revealed the center failed to provide first aid supplies for review at time of survey to include liquid soap and medical tape. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, and interview, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation of the three (3) and up playground revealed foreseeable hazards such as a wooden square block embedded in the ground identified as a tripping hazard and hanging tree limbs of the playground area. In addition, sticks of wood were protruding through the fencing toward the playground area of the Toddler side playground. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, and interview, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation of the Toddler side playground area revealed insufficient amounts of protective surface in fall zones around the climbing apparatus. Surface dirt and mud was observed in this area. Exit interview with the child care center director revealed acknowledgement of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Infant’s room revealed several cribs with chipped and peeling paint. In addition, observation of the Toddler side playground area revealed a blue rocking horse with a broken-missing left side handle. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, record review and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation revealed battery operated Leap Frog toys were not maintained in the Infants room in accordance to manufacturer’s instructions. The batteries were inoperable. Record review of Division of Regulated Child Care (DRCC) records revealed this same deficiency was cited at the survey completed on 12/16/14. In addition, a Fisher Price children’s bench, on the Toddler side playground, was revealed to have cracked areas on the seat which posed the possibility of cutting or pinching the skin of those who sat on the bench. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, record review and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the Kitchen refrigerator/freezer located on the far right of the kitchen area revealed thick layers of ice indicative from a lack of defrosting. The surveyor was unable to determine the correct temperature of the freezer as there was no evidence of an appropriate temperature measuring device. Record review of Division of Regulated Child Care (DRCC) records revealed this same deficiency was cited at the survey completed on 12/16/14. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, record review and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen oven revealed baked, dried foods on the interior of the stove and the stove top cooking areas, such as the burners. Record review of Division of Regulated Child Care (DRCC) records revealed this same deficiency was cited at the survey completed on 12/16/14. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Record review of a child’s record with enrollment date of 08/03/15 revealed the child care center failed to obtain immunization certification from an approved source pursuant to 922 KAR 2:110. Review of the document provided revealed signed statement by a physician of physical examination completed and dates of immunization, however there was no documented evidence or certification that the child was current for immunizations until a specified time, which would include a statement of validity within a specified date for the immunization certification. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Record review of children’s records with dates of enrollment 11/09/15, 12/28/14, 08/03/15, 11/01/13, and 09/18/14 revealed the child care center failed to obtain written record of parental hospital preference for each child reviewed. Exit interview with the child care center director revealed acknowledgement of the deficiency.

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, record review and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. While on tour of the child care center on 11/13/15 from 9:50 AM to 10:48 AM, it was observed that forty-five (45) children were present at the child care center. Record review of the daily attendance record revealed forty-eight (48) children were present. In addition, further review of the attendance record revealed children signed out of the child care center before the date and/or time had occurred, as well as children signed out of the facility without documented evidence of the time of arrival into the child care center. Exit interview with the child care center director revealed the daily attendance records were not completed in accordance with 922 KAR 2:160, Section 13. The child care center director further stated acknowledgement of the deficiency.

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, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of employee records revealed no documented evidence for a current or updated professional development plans for child care center staff. Exit interview with the child care center director revealed professional development plans had not been completed and further acknowledged acceptance of the deficiency.

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 maintain adequate supervision in accordance with regulatory requirements. Interview with staff members revealed a child left a classroom without staff knowledge and was found crying in a stairwell. Continued interview revealed a staff member returned the child back to the supervising staff member. Further interview revealed the staff acknowledged the child was in the stairwell for at least a five (5) minute period; however the entirety of the time the child was in the stairwell was undetermined. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, the child care center director failed to assure compliance with regulatory requirements. Review of the child care centers postings and policies it was revealed that the child-care child care center was unable to provide a current copy of the administrative regulation, 922 KAR 2:090, and 922 KAR 2:120. Interview with the director revealed she had not updated the regulations.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, the child care center failed to post documentation in accordance with regulatory requirements. Observation of the postings within the child care center revealed no information on the Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897. Interview with the Director revealed she was not aware the information was not 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, and interview with the director, 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 no annual staff evaluation assessing the staff person's interaction with children in care and classroom performance for staff with the hire dates of 09/19/2013 & 02/01/2013. Interview with the director revealed she was unaware of the missing evaluations. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ 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 Observation, and interview with the director, the child care center director failed to assure compliance with regulatory requirements of health, safety and comfort. Observation of the restroom located outside of the three-four-year-old classroom revealed a toilet brush and container that was accessible to the children. Interview with the director revealed she was not aware of the issue.

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 director failed to assure compliance with regulatory requirements. The child care center was unable to provide any documenation indicating at least one (1) annual activity involving parental or family participation. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview with the director, 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 record 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 for the staff with the hire date of 01/13/2014. Interview with the director revealed she was unable to locate the document.

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 child care center failed to post documentation in accordance with regulatory requirements. Observation of seven (7) 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. Interview with the staff in the after school room revealed the schedule of daily activities had not been completed.

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. Observation of the three to four-year-old classroom and the toddler classroom located downstairs revealed the blinds on the windows to have broken slats and not in good repair.

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 premises in accordance with regulatory requirements. Observation of the restroom located outside of the three-four-year-old classroom revealed the baseboards to have a visible buildup of dirt residue. Continued observation revealed the vent located outside of the restroom to have a visible build-up of dust covering the vents. Observation of the stairwell leading to the downstairs revealed the top step to have a broken piece a tile on the step's edge 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 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 in the older one- year-old classroom it was revealed the changing table had a variety of items that were located at the end of the changing pad. The items included a pair of scissors, masking tape, pens, papers and a packaged food item.

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 equipment in accordance with regulatory requirements. Observation of a slide located on the playground had been turned upside down revealed the crevices to have dirty water standing inside with a build–up of debris.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview with the director, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of various battery-operated toys in the infant and two -year old rooms revealed several toys were not maintained to be used according to the manufacturer's safety specifications; the batteries were non-operational. The director stated she was unaware of the missing batteries in the toys. 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 8. Kitchen Requirements.

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the upright freezer located in the kitchen revealed no thermometer or other appropriate temperature measuring device in the freezer. Interview with the director revealed she was unaware the thermometer was not present.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation of the refrigerator located downstairs, the bottom shelf contained a build-up of sticky spills. Continued observation revealed the oven to have a build up of grease and food particles covering the bottom shelf.

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 Review of Documentation, and interview with the director, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed the menu that was posted within the center was not dated. Interview with the director revealed the menu had not been dated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview with the director revealed the child care center failed to post documentation in accordance with regulatory requirements. Observation of the toddler room located downstairs revealed there was no posting of the proper methods of diapering and hand-washing at the diaper changing area. Interview with the director revealed she was not aware the posting was not present. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the infant room revealed an infant lying on the floor while taking a bottle; the bottle was propped on the” boppy” cushion by the staff present. 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 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 file for a child with the enrollment date of 03/20/2014 did not contain a current immunization certificate, authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence, and the child’s general health status and medical history. Interview with the director revealed she was unaware the documentation was not current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the ceiling in the downstairs restroom contained brown stains and, therefore, failed to be in good repair.

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 Observation in the School Age Room, children's coats and backpacks were stacked on the floor on top of each other.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, a staff member with the hire date 7/12/13 was left alone in the Infant Room from 8:25 a.m. to 12:00 p.m. without having the results of the Criminal Records Check on file for review.

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 center failed to have First Aid and CPR coverage from 5:30 p.m. to 8:00 p.m. Monday through Friday.

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 hanging mobile was attached to a crib currently being used by an infant.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview with two staff members in the Infant Room and Toddler room, mouth toys are sanitized by soaking in bleach water and then putting the toys in a bucket or laid on a towel to dry, therefore the center failed to follow the proper sanitation procedures. First Aid/Medication

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 in the Three's Room, a shelf next to the brick wall was broken and splintered. Based on Observation in the Three's Room, the wooden kitchen set door was broken off the hindges.

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, of the daily attendance records collected, the center failed to record multiple departure times during the week of September 2, 2013.

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 center failed to include a diagram to the relocation site with the Emergency Preparedness Plan.

Open Not marked corrected in the state record

Open / not marked corrected.