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

General: Upon the DRCC representative's arrival, one (1) staff member served as the sole caregiver for six (6) children in the Infant room. The youngest child in the room was six (6) months old. Therefore, the minimum staff-to-child ratio, per regulatory standards, was exceeded by one (1) child. A second staff member enter the room and assumed a caregiving role at 10:45am. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, no annual written performance evaluation was presented for review for two (2) staff members (DOH: 06/23/21 and 09/11/23). Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, no verification of education was presented for review for a staff member (DOH: 06.23.21).

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 TB documentation that was presented for review for a staff member (DOH: 04.22.24) failed to contain identifying information for the health care professional/entity that completed and read the TB skin test.

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 (DOH: 06.23.21) failed to complete fifteen (15) hours of cabinet-approved early care and education training between 07.01.23 and 06.30.24. The staff member only completed six (6) hours of training. Review of the Early Care and Education Training Records Information System (ECE-TRIS) confirmed this finding. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the vent located in the restroom was not secured into the ceiling tile. It was hanging from the tile with a gap, around the perimeter of the vent, between the ceiling and vent. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 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 and interview, no list of emergency numbers was posted near the telephone or maintained in the telephone's contact list.

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 portion of the "L" shaped preschool room was dimly lit. There was only one (1) light fixture in that portion of the room. The fixture was covered with a scenic screen, dimming the only light in the area, resulting in the area not have sufficient lighting.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: Preschool room: The ceiling tile containing the vent did not properly fit into frame, resulting in a gap between the frame and the tile. Additionally, an adjacent tile was not in good repair. It was cracked in the corner. School Age enclosed room: A ceiling tile was not properly fit into the frame, resulting in gaps between the tile and the frame. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a bottle of Elmers glue was on the diaper changing pad while a toddler was getting his/her diaper changed in the toddler room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the first aid kit was stored on a low shelf immediately inside the staff lounge, which does not have a door. The kit contained cough drops and antibiotic ointment. Those sources of medication were not stored in a locked container and were not inaccessible. 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, chicken wire was utilized to close a gap between the building and the chainlink fence. The wire contained sharp protruding pieces that were accessible to touch. 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 and interview, a crib failed to be equipped with a tight-fitting sheet. The staff member in the Infant room identified one (1) of the four (4) cribs in the room as the only crib currently being used. Observation revealed the crib contained a loose fitted sheet on the mattress. The staff confirmed that the crib and the sheet are used by the six-month-old infant that was present.

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 in the Infant room, a vinyl, child-size couch contained multiple areas of torn and peeling vinyl. Additionally, a vinyl climbing structure in the Infant room contained tears and rips. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 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, the cabinet door on the sink vanity within the Toddler classroom was not in good repair. It hung loosely from the hinges.

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 no seats in the school age programming areas. Although there were tables present, the tables were inaccessible due to the amount of items stored on the tables. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, there was no thermometer or other temperature measuring device in the refrigerator. Therefore, the internal temperature of the refrigerator could not be determined.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the thermometer located in the freezer within the kitchen revealed the internal temperature of the freezer was four (4) degrees Fahrenheit; exceeding the maximum temperature per regulatory standards by four (4) degrees. Food Service In Compliance Meal Planning/Center Provides Meals 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 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on interview and review of documentation, a current, weekly menu was not prepared, posted, or presented for review. The posted menu was from October. Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, no current immunization certificate was presented for review for a child (DOE: 09.11.24). The immunization certificate in the child's enrollment record expired on 11.10.24.

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, the files for two (2) enrolled children included the name of a non-existent hospital as the parents' identified preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, no written plan child-care staff professional development was presented for you review for three (3) staff members (DOH: 06.23.21, 09.11.23, and 03.14.14). Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the statement of deficiency and plan of correction for the renewal inspection conducted within the review period was not posted for review. The posted document was from an inspection conducted in 2022.

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 posted daily activities located in the School Age room was not dated to identify the week for which the plans were intended. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 11/20/2023 AND AS OF 11/22/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the files for children (DOE 6/29/2021 and 5/20/2022) contained no contact information for the preferred hospital. The file for a child (DOE 4/12/2023), did not contain the family physician, preferred hospital, or contact information for either at the time of review. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation the preschool room did not have a posted schedule of daily activities. In the infant and school age rooms, there were no dates on the posted schedule of daily activities, at the time of review. 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 of the Toddler Room, a child walked out of the room and down the hall to the 3's Room unsupervised. Staff stated that it was her three-year-old son and he does this frequently. Staffing Requirements In Compliance General Administration 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 6. License Issuance.

General: Based on review of documentation, the last Fire Marshal inspection was on 8/31/2016. Staff stated that an inspection has not been conducted since then. Director Requirements In Compliance Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation when this surveyor arrived at the facility, staff opened the front entrance door and immediately turned back around to walk down the hallway toward the back of the building. Another staff member was gathering the children in the Toddler Room and moving them to the 3's Room. During the initial walkthrough, there were only two (2) children in the infant room and ten (10) children in the 3's Room. When this surveyor walked back through the building, there were three (3) children in the Infant Room and nine (9) children in the 3's Room. Staff stated that she moved a twelve-month-old child from the 3's Room to the Infant Room and stated that there was no transition plan for the twelve- month-old child to be with the older children. Staff further stated that she did have another staff member scheduled and that staff member had to leave for an appointment. 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 in the Toddler Room, a cell phone charger was plugged into the wall and a cell phone was being charged. The cell phone was located on a toy box 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: Based on observation of the children's bathroom, there was a floor tile that was cracked and in need of repair by the toilet. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a copy of 922 KAR 2:280 was not presented for review at the time of survey. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Interviews revealed that a police officer representing the Louisville Metro Police Department made a visit to the child care center 09/30/2021 due to an incident that occurred at the child care center on that day. The child care center failed to notify the Division of Regulated Child Care (DRCC) within twenty-four (24) hours of the occurrence. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to ensure the health, safety and comfort of a child in care. Review of video documentation revealed that an adult volunteering at the child care center physically hit a child in the back of the head and then hit the child on the back. Interview with multiple sources confirmed that a child was hit by a child care center volunteer. Employee Records Discussed 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 revealed lunch being served to the school-age children; however, the children did not wash their hands before being served their food. 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 video documentation, the tables in the school-age room that were used for eating were not sanitized before food was served. Food Service 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on review of video documentation, the school age children were not served pasteurized low fat one (1) percent or fat free skim milk with their lunch until they were done eating. When each child had finished their meal, they would walked over to a table and retrieved a cup of milk. The children were observed taking a couple of drinks then throwing the milk away. Therefore, pasteurized low fat one (1) percent or fat free skim milk was not served with the children’s meal.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge could not provide verification that a fire marshal inspection had been conducted since 2016. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the child care center had employed at least two (2) qualified substitute staff persons. Review of documentation presented revealed only one (1) qualified substitute was employed. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the window sill in the infant classroom was broken and splintered at the edge. The black baseboard trim near the back exit door had a section that had chipped away. Review of documentation revealed that the center had been issued regulatory violations for the above -mentioned items during the survey conducted on 07/24/2021. Continued observation revealed the white doors and trim were smudged with a dark substance.

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: There was a ceiling tile located in the restroom and two (2) ceiling tiles in the school-age classroom that contained large areas of brown stains, indicative of a water leak. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that a recent fire marshal inspection had been conducted at the child care center. The most recent inspection was dated for 8/31/2016. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the child care center had employed at least two (2) qualified substitute staff persons. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the staff member with the hire date of 3/14/2014 had met the requirement of updating the pediatric abusive head trauma training. The training had expired on 7/06/2019. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirement. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the orange wall near the restroom had excessive crayon markings. The baseboard trim near the back door had a section that had chipped away. The green walls in the preschool classroom had an unknown substance running the length of the wall. Continued observation revealed the orange walls in the restroom located off the hallway had an unknown substance running down the length of the wall. The windowsill in the infant classroom was broken with splintered wood. 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

Category: physical safety. Open / not marked corrected.

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

General: Observation of three (3) cribs in the infant classroom revealed the sheets had excessive material. Therefore, the sheet was not tight-fitted to the mattress. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation In Compliance

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 child care center failed to assure compliance with regulatory background check requirements. Interview with staff-in- charge revealed staff with a hire date of 07/01/18, was no longer employed with the child care center. Review of the KARES Surveyor Report identified the staff as a Current Employee on 05/14/19. The child care center failed to change the employment status of the staff who was no longer employed. 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 observation and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the Two (2) to Three (3) Year classroom revealed five (5) children and one (1) staff in the classroom, while the children napped. Interview with staff revealed the children ranged in age from two (2) to three (3)-years-old. Further observation revealed three (3) of the children rested behind shelves, which was also in an area of the room, out of the scope of vision of the staff. Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 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 8. General.

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements with regard to operation instruction/regulation copy. Upon request, the child care center director failed to provide evidence that each staff person at the child care center was instructed on current child care regulations. The regulations provided by the director were dated 10/15/13. The administrative regulations were revised in 2018.

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 with regard to the health, safety and comfort of a child in care. 1) Observation of the Preschool classroom revealed uncovered wall sockets. 2) Additional observation of the Two (2) to Three (3) Year classroom revealed a loose metal bar that hung from the ceiling. 3) Further observation of the Infant classroom upon exit of the building revealed a child who sat in a high chair crying and the staff was not observed to comfort the child. The remaining children were resting. The staff sat in a chair with her arms folded as the child cried. The director was requested to address the behavior or the staff and to assist the child. The child was not served food, nor was the child participating in meal service. There was nothing on the high chair tray.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements with regard to parental/family involvement activities. Upon request, the child care center director failed to provide documented evidence that she coordinated at least one (1) annual activity involving parental or family participation. 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. Upon request, the child care center director failed to provide documented evidence that at least one (1) person on duty and present with the children during the inspection on 05/15/19 was currently certified by a cabinet-approved training agency in the Infant and child cardiopulmonary resuscitation (CPR) and Infant and child first aid. Further review of employee records revealed there was no documented evidence of at least one (1) person on duty and present with children currently certified by a cabinet-approved training agency in Adult CPR and First Aid. Interview with the director revealed none of the current staff were currently certified.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Interview with the child care center director revealed the child care center, which is a Type I child care center, did not have at least two (2) qualified substitute staff per administrative regulations. The director stated the child care center cared for children who ranged in age from Infant to School-age. She also stated the child care center had four (4) current staff which included herself. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence that staff with hire dates 03/31/14, 02/15/18 and 03/20/17 completed at least fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. 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 and interview, the child care center failed to comply with regulatory programming requirements. Observation of the Toddler classroom revealed a toddler who was placed in a high chair while the other children rested. The child cried and attempted to get out of the high chair. The child was not observed to be in receipt of food. The staff sat next to the child with his/her arms crossed and was not observed to provide comfort for the child. When the surveyor observed the child crying, the child had been crying for twenty (20) minutes or less. When the incident was brought to the attention of the director, she entered the classroom to intervene.

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 programming requirements. Observation of the Two (2) to Three (3) Year classroom revealed the staff in the classroom used loud threatening, frightening tones with the children when he/she tried to get the children to nap. The behavior became excessive and lasted for at least fifteen (15) minutes or less. The staff was heard yelling for the children to “LAY DOWN…NOW!” and “If you don’t lay down right now!” The behavior was reported to the director who entered the room to intervene.

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, interview and review of documentation, the child care center failed to comply with regulatory programming requirements. Observation of the Two (2) to Three (3) Year classroom revealed five (5) children and one (2) staff. Interview with the staff revealed the children cared for ranged in age from two (2) to three (3) years-old. Additional interview with the director revealed no documented evidence of a transition plan obtained and signed with approval of the toddler’s parent. The children were observed and stated to be combined for more than one (1) hour. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements. 1) Observation of the Two (2) to Three (3) Year classroom revealed gray metal which hung from the ceiling next to video surveillance equipment, broken ceiling tile and dark stains in the ceiling tile indicative of a water leak. 2) Observation of the Preschool classroom revealed loose ceiling tile and ceiling tile with dark stains indicative of a water leak. 3) The floor tile in the bathroom used by the Preschool classroom was broken in some areas and the toilet bolts were rusted and uncovered. 4) The drywall in the bathroom was broken in the corner seams and holes were observed in the wall surface. 5) Holes were also observed in the drywall surface of the School-age hallway bathroom.

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 premises in accordance with regulatory requirements. 1) Observation of the Two (2) to Three (3) Year classroom revealed gray metal which hung from the ceiling next to video surveillance equipment, broken ceiling tile and dark stains in the ceiling tile indicative of a water leak. 2) Observation of the Preschool classroom revealed loose ceiling tile and ceiling tile with dark stains indicative of a water leak. 3) The floor tile in the bathroom used by the Preschool classroom was broken in some areas and the toilet bolts were rusted and uncovered. 4) The drywall in the bathroom was broken in the corner seams and holes were observed in the wall surface. 5) Holes were also observed in the drywall surface of the School-age hallway bathroom.

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 premises in accordance with regulatory requirements. 1) Observation of the floor tile in the bathroom used by the Preschool classroom was broken in some areas and the toilet bolts were rusted and uncovered. 2) The drywall in the bathroom was broken in the corner seams and holes were observed in the wall surface. 3) Holes were also observed in the drywall surface of the School-age hallway bathroom. 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 classroom revealed a brown crusted substance on the diaper changing mat used for diaper changes. Interview with staff revealed the diaper changing surface was used to change diapers of children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The child care center failed to properly disinfect the diapering surface after each child was diapered. Observation of the Toddler classroom revealed a brown crusted substance on the diaper changing mat used for diaper changes. Interview with staff revealed the diaper changing surface was used to change diapers of children in care. 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 interview and review of documentation, the child care center failed to comply with regulatory requirements regarding first aid and/or medication. Upon request, the child care center director failed to provide evidence of the following first aid supplies: gauze; cold pack; flashlight; Band-Aids; and a thermometer. Interview with the director revealed the child care center did not have the supply items available. 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 outdoor play area revealed loosely placed mulch throughout the playground. Colored material was exposed from beneath the mulch and presented a foreseeable tripping hazard for children when at play on the playground.

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 an outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed mulch used to serve as a protective surface did not adequately cover the playground surface in areas meant for climbing. Surface dirt and colored material/fabric were exposed also presenting a tripping hazard for children when they played. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the Toddler classroom revealed children who rested in individual cribs. Interview with staff revealed the children ranged in age from one (1) to three (3) years-old. The toddlers were not provided a size appropriate individual bed, two (2) inch thick waterproof mat or cot.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the outdoor play area revealed a large wooden climbing apparatus with frayed-splintered wood.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. 1) Observation of the outdoor play area revealed a large wooden climbing apparatus with frayed-splintered wood. 2) In addition, the oven in the kitchen was observed to contain burnt food and crusted debris. 3) As well, the toaster used to prepare food, also contained burnt food and crusted debris. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Inspection of the freezer in the kitchen of the child care center revealed no evidence of a device to determine if food was preserved at a temperature of zero degrees Fahrenheit or below. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report

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. Inspection of the child care center kitchen revealed burnt food particles and debris in the oven and atop the toaster used for food service to children in care. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with staffing requirements. Observation revealed the center needed all three (3) staff members present supervising the children at all times in order to maintain minimum staff-to-child ratios; therefore, the center did not have enough staff members available during cooking hours to maintain staff-to-child ratios. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation of the playground at 9:50am revealed one (1) staff member was the sole caregiver of fifteen (15) children for approximately five (5) minutes between 11:00am and 11:10am, and then several times during a period of approximately 30 minutes while the staff member in charge cooked lunch, one (1) staff member was the sole caregiver of seventeen (17) children. Interview with the staff member in charge revealed the children ranged in age from two (2) years to eight (8) years old. General Administration 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 6. License Issuance.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that current commercial liability insurance had been obtained. Director Requirements Not 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 review of documentation, interview and observation, the child care center failed to comply with regulatory requirements regarding background checks. Upon request, the staff member in charge did not present verification that a staff member with a hire date of 07/01/18 had submitted fingerprints for a background check. The staff member was observed working alone with children for the duration of the survey. Supervision In Compliance Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care director failed to assure compliance with regulatory requirements. Observation of the infant room revealed children repeatedly climbed in and out of high chairs, stood on tables, threw large toys across the room, climbed from the window sill into cribs, wheeled cribs across the room, and climbed in and out of cribs. The staff member present addressed the behavior with each child individually, but was unable to keep the behaviors from repeating for over one (1) hour. Interview with the staff member revealed that the six (6) children in the classroom were one (1) and two (2) years old. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that the files for staff members with hire dates of 03/14/14, 03/21/17 and 4/18/17 contained verification of the completion of fifteen (15) annual hours of cabinet approved early care and education training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, observation and interview, the child care center failed to comply with regulatory programming requirements. Review of the daily planned activities posted in the infant room revealed that on the date of the survey, a "free day" was scheduled. Observation of the classroom revealed there were no activities initiated for the duration of the survey. Further observation revealed most of the materials available to the children were not age appropriate, as they were more suited for infants. Interview with the staff member present revealed that children were one (1) and two (2) years old.

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 programming requirements. Observation of the infant room revealed a staff member placed two (2) children in high chairs for five and one half (5 1/2) minutes when it was not a meal time. An activity was not offered to the children in the high chairs. Interview with the staff member revealed that the children were one (1) and (2) years old and she placed them in the highchairs to contain them while changing another child's diaper. Further observation of the infant room revealed five (5) one-year-old children waited for lunch to arrive at a table and in high chairs with no programming for approximately 15-20 minutes.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory programming requirements. Observation of the school age room revealed lunch was served while the children were watching television. 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 of the bathroom revealed a 32 fluid ounce spray bottle of Tilex Mold and Mildew remover, a 32 fluid ounce spray bottle of DG Home Cleaner with Bleach, and a 22 fluid ounce bottle of Comet Multi Surface Spray Cleaner were located in an unlocked cabinet under the sink and accessible to the children in care. Each bottle was labeled "Keep Out of Reach of Children." An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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 of the infant room revealed paint from the window sill was peeling and chipped onto the floor. Observation of the school age room revealed a rectangular alphabet rug was freyed on two (2) edges. 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 regulatory requirements. Observation of the toddler classroom revealed the children did not wash their hands before lunch. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the toddler room revealed the eight (8) bucket seats in the feeding table had slots for seat straps; however, all of the seat straps were missing. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children's records in accordance with regulatory requirements. Upon request, the staff member in charge did not present a current immunization certificate for a child with an enrollment date 03/21/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children's records in accordance with regulatory requirements. Review of children's files revealed that the files for children with enrollment dates of 04/19/14 and 06/04/14 did not list a preferred hospital. The file for a child with an enrollment date of 06/04/14 did not list a family physcian. The staff member in charge acknowleged that the documentation was not on file at the time of the 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 6. License Issuance.

General: Based on Review of Documentation and interview, the child care center failed to maintain the general administration in accordance with regulations. Interview with the owner revealed the previous director was no longer employed with the child care facility as of 03/03/2017. The owner identified herself as the new director of the childcare facility. However,upon request, the owner did not present verification that documentation had been submitted to DRCC for approval of a staff member who met qualifications of a director. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding Director Requirements/Health, Safety, and Comfort. Observation in the Bathroom 2 revealed there was a toilet bowl brush next to the toilet. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the childcare center failed to comply with regulations for Employee Records. Review of presented staff files revealed a file for a staff member with the hire date of 03/13/17 failed to contain proof education. Interview with the director revealed this documentation was not on file at the time of survey. 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 2:110 · 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 two (2) staff members hired 03/14/14 and 08/22/16 failed to have records of negative tuberculin result on file. Interview with the 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 revealed one (1) staff members with a hire date 08/22/16 had not completed state approved orientation training. Interview with the director revealed this documentation was not on file at the time of survey. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding Programming. Observation of the Infant Room revealed a five (5) month old infant sleeping in a swing seat from 10:30am to 12:00pm. 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 Toddler room revealed a bottle of Hand Sanitizer, a bottle of "Mr. Clean" cleaning solution, and a bottle of "Lysol" spray disinfectant all indicating "keep out of reach of children" on the label, located on the changing table accessible to children. Further observation revealed in the Preschool room a bottle of Hand Sanitizer indicating "keep out of reach of children" on the label.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding Premises. Observation of the Bathroom 2 revealed there was no ventilation to outside air. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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: Based on Observation, the child care center failed to comply with regulations regarding Hygienic Practices. Observation in the Infant room revealed a staff member with hire date 03/13/2017 did not wash the child’s hands after completing a diaper change. Futher observation revealed a staff member with hire date 03/20/2017 in the Toddler room did not wash the child’s hands after completing a diaper change.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation the child care center failed to comply with regulations regarding Hygienic Practices. Observation in the Toddler room revealed a staff member with hire date 03/20/2017 did not wash her hands after completing a diaper change.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding Hygienic Practices. Observation in the Infant room revealed a staff member with date of hire 03/13/2017 did not disinfect the diaper changing pad after completing a diaper change with a child. Futher observation revealed a staff member with the hire date 03/20/2017 in the Toddler room did not disinfect the diaper changing pad after completing a diaper change with a child. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding medication. Observation in the Infant Room revealed a bottle of "Desitin" ointment on the top shelf of the changing table, that was not in a locked place. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report 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 comply with regulations regarding Outdoor Play Area. Observation of the Playground revealed there was a baby mattress discarded on the playground, located at the bottom of the slide.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding Outdoor Play Area. Observation of the Playground revealed there was no protective surface under the swing, slide, or climbing apparatus. 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 comply with regulations regarding Equipment. Observation in the Infant room revealed there were 5 infants present during the time of survey and only 4 cribs availabe. Further observation revealed that one (1) crib was being used for storage of plastic shelves and two (2) other cribs were being used for storage of bouncy seats. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the Food Service in accordance with regulations. Observation of the Infant room revealed a staff member with hire date 03/13/2017 feeding two (2) babies at the same time, with a bottle in each of the babies' mouths while the babies were still seated in a bouncy seat. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulations regarding Food Service. Observation of the kitchen revealed there was no ventilation to outside air.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulations. The center failed to ensure all equipment surfaces contacting food were clean and sanitary. Observation of the kitchen revealed the stove had food debris on the bottom shelf, and grease buildup on the sides of the stove and on the stove door.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and interview the child care center failed to comply with regulations regarding Food Service. Observation in the Infant Room A revealed there were Five (5) baby bottles in the refrigerator that were not labled with a child's name. Further observation revealed a large jug of milk with no child's name on it, when asked staff member with hire date 03/13/2017 confirmed the jug of milk was for two (2) twin babies to share for the day. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to comply with regulations regarding Written Documentation. Based on review of the attendance records and interview with the director, not all children present during time of survey were signed into the daily attendance record for the day (05/23/2017).

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 regulations. The center failed to present earthquake and tornado drill logs within the year for review at the time of survey. Interview with the director revealed the drills were conducted; however, she could not locate this documentation at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. The center failed to present fire drill logs within the year for review at the time of survey. Interview with the director revealed the drills were conducted; however, she could not locate the documentation at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation and interview with the director, the child care center failed to comply with regulations regarding written documentation. There was no written Orientation policy that indicated staff will implement procedures that were taught during orientation training into the classroom. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to comply with regulations regarding Posted Documentation. The Statement of Deficiencies and Plan of Corrections were not posted in an conspicuous place.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulations. Review of Documentation in the School Age room revealed no list of daily activities or daily activity schedule was posted. Further review of documentation revealed a list of daily activities in the Preschool room that indicated Friday was a "Free Friday" with no plan activities for the day. 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, the child care center director failed to assure compliance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 05/18/15 failed to have documentation of an annual performance review contained in the file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 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, the child care center director failed to assure compliance with regulatory requirements. Based on observation, a staff member in the Infant room was heard stating, "I'm going to put you back in that bed if you don't stop!", That's BAD!". "I've had enough of you throwing things at people!", "SIT DOWN!", "That's ENOUGH!" in a loud, threatening voice, causing the same child to cry repeatedly. Further observation revealed the staff member putting the child in a crib for punishment twice. Based on continued observation, the staff member failed to re-direct the child creating an unfriendly and non-comforting atmosphere. The staff member ordered directives to the children rather than guidance and assistance with kind and encouraging words. Additionally, observation in the computer room revealed an electrical outlet failed to contain a covering.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 06/02/16 failed to have a high school diploma, GED, or other comparable educational entity contained in the file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, a staff member with a hire date of 06/02/16 failed to have a completed tuberculin test with negative results, or a statement from a health provider stating the individual is free of tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documenation a staff member with a hire date of 05/18/15 failed to have written documentation showing that 6 hours of orientation training was obtained within the first 90 days of employment. Further review revealed that staff members with hire dates of 05/18/15, 07/29/14, and 4/9/15 failed to have written documentation revealing 15 hours of cabinet approved training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory programming requirements. Based on a review of documentation, the child care center failed to provide a daily planned program posted in writing in a conspicous place, with each age group, activities which offer a variety of creative activities including, art, music, dramatic play, stories and books, science, block building, tactile activity, culture, indoor and outdoor play in which a child makes use of both small and large muscles, and a balance of active and quiet play, including group and individual activity, in each of the infant, two-year old, preschool, and school age rooms.

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, the child care center failed to comply with regulatory programming requirements. Based on observation, a staff member in the Infant room was heard stating, "I'm going to put you back in that bed if you don't stop", That's BAD!". "I've had enough of you throwing things at people!", "SIT DOWN!", "That's ENOUGH!" in a loud, harsh words in a threatening voice, while frightening a child, causing the same child to cry repeatedly . Further observation revealed the staff member putting the child in a crib for punishment twice within a one hour period. The length of time the child remained in the crib exceeded five minutes. Based on continued observation, the staff member failed to re- direct the child creating an unfriendly and non- comforting atmosphere. The staff member ordered directives to the children rather than guidance and assistance with kind and encouraging words.

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 comply with regulatory programming requirements. Based on observation an infant was observed sleeping in a crib with a paci attached to a paci clip. Based on further observation, three (3) infants were observed to be sleeping with loose blankets in the crib.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, a staff member in the Two Year old room had a purse on the table which was accessible to the children in the room. Continued observation revealed a closet in the computer room containing the hot water heater, and an electrical switching box, failed to be locked and was accessible to the school age children using the room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Based on observation, the gray carpeting covering the computer room floor, conveyed a water stain covering a large portion of the carpet. Based on interview with staff in charge, there had been a leak over the past week-end and the landlord had been notified. Continued interview revealed the carpet had not been cleaned since the occurrence. Further interview with staff revealed school age children have continued to use the computers in the room.

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 Interview, the child care center failed to maintain hygienic practices in accordance with regulatory requirements. Based on an interview with staff member in the infant room, the staff member replied that she "didn't mess with the water much" when asked about the temperature of the water in the infant room. Based on further interview, the staff member failed to explain her handwashing procedures while caring for children in the infant room.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Based on observation, less than an adequate amount of ground covering was around all play equipment used to climb, slide, and swing.

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, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Based on observation, the outdoor play area used for toddlers failed to contain any shading device to protect the children from the sun. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, the center failed to have enough toys, play apparatus and developmentally appropriate materials to provide each child with a variety of activities during the day in the school age room. Based on interview with staff, the only equipment available for school age children was two (2) computers. Based on observation, there were three (3) school age children in attendance. The staff member stated the children played outdoors for most of the day.

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 a review of documentation, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on observation, the kitchen failed to have ventilation to outside air. Based on a review of the previous plan of corrections, the ventilation hood had been purchased on 05/17/16 and the installation would take place on 05/19/16 with completion on 05/19/16.

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 freezer compartment of the refrigerator revealed food, dirt, liquid residue, and unclean surfaces, on which the food was laying.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on observation in the school age room, the Goldfish Crackers served for snack were served without being placed on a napkin or plate, but placed directly onto the table failing to be free from adulteration/contamination.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on observation, a portion size of pineapple, on an uncovered plate, was observed in the refrigerator in the Infant room. Based on interview with staff, the food was saved in the refrigerator for a child who had not eaten it at lunch and was saved for a later time in the day.

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. Based on a review of documentation, a child enrolled on 01/19/16 failed to have contact information for the child's physician. Further review revealed a child enrolled on 09/02/14 failed to have a preferred hospital designated in the file. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

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 maintain written documentation in accordance with regulatory requirements. Based on a review of documentation, the child care center failed to have a written policy that specifies that the procedures that were taught at the orientation training shall be implementedby each staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulatory requirements. Based on a review of postings, the most recent statement of deficiencies and plan of corrections failed to be posted in a conspicuous place and made available for public inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulatory requirements. Based on a review of postings in the school age classroom, the preschool classroom, and the infant classroom, failed to have posted a schedule of daily activities including dates and times of activities to be conducted with the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and Interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the school age room #2 revealed exposed wires running from the ceiling down approximately five (5) feet on the left wall. Interview with the director revealed awareness that the wires were exposed on the left wall. Observation of the sink in the two-year-old room revealed when water was running, it ran out onto the classroom floor. Continued observation of the sink revealed a overwhelming sewer smell permeating in the air. Interview with the director revealed the smell was permeating from the sink at the time of the survey. Observation of the preschool bathroom sink revealed a cracked area that was rough with some sharp areas to the touch.

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 preschool room revealed a light with a bulb out and a light not in working order causing the room to be dimly lit at the time of the survey.

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 kitchen revealed there was no ventilation to outside air at the time of the survey.

Open Not marked corrected in the state record

Category: nutrition. 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 regulations. Review of a written statement by the owner revealed the staff member hired 5/26/15 worked alone with children in care. Review of a Child Abuse & Neglect Check for the staff member hired 5/26/15 revealed this staff member’s name is listed on the central registry for child abuse. Employee Records

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulations. Review of a written statement by the owner revealed the staff member hired 5/26/15 worked alone with children in care. Review of a Child Abuse & Neglect Check for the staff member hired 5/26/15 revealed this staff member’s name is listed on the central registry for child abuse.

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 maintain adequate supervision in accordance with regulatory requirements. Observation upon arrival to the child care center at approximately 10:15 a.m. revealed a child later identified as a four-year-old, sitting in the hall outside of the Infant Room. Observation of the Infant Room revealed one (1) adult with five (5) infants and toddlers in care. Continued observation revealed the child dismissed to return to his classroom at approximately 10:17 a.m.. Interview with the staff revealed that the child had been in time-out and was seated in the hallway chair. At approximately 10:17 a.m., surveyor entered the Four-Year-Old Room as the child in time-out was entering the room. Within moments, the child left the room and returned to the chair in the hallway without direction or permission. Interview with the staff revealed that the child had returned to time-out in the hallway; out of the scope of vision of staff. Observation revealed that the staff person in the Infant Room realized that the child had returned to the time-out chair after a few moments and directed him back into his classroom. At approximately 11:00 a.m., observations revealed a four-year-old child enter the child care center from the outdoor play area and proceed down the hall alone and unsupervised into the classroom. Ongoing observation revealed another staff person in the office redirect the child back to the outdoor play area with the rest of his class.

Open Not marked corrected in the state record

Category: supervision. 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 upon arrival to the child care center revealed a staff member working alone with five (5) children in the Infant Room attempting to supervise a four-year-old child in the hallway, which was in a “time-out” chair, by standing in the doorway and pivoting between the classroom and the hallway. Ongoing observation revealed ten (10) children in the Two-Year-Old Room with one supervising adult. Interview with staff revealed that the children ranged in age from one-year-old to two-years-old. Observation revealed that the child care center failed to maintain the required ratio for a toddler in care at the time of the inspection.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, interview and review of records, the child care center failed to comply with staffing requirements. Observation in the Two-Year-Old Room revealed ten (10) children in care. Interview with the staff revealed that two (2) of the children were still toddlers. Review of children’s files revealed that one child was eighteen (18 months- old while the second child in question was twenty-one (21) months old. Interview with the staff in charge revealed that the ratio was based on the two-year-old children.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. Review of records failed to reveal current written proof of liability insurance coverage at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements. Review of staff records revealed documentation that the named director was no longer employed at the child care center with the last day of employment being 2/26/15. Interview with the staff person in charge revealed that the child care center did not currently have an approved director.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center director failed to assure compliance with regulatory requirements as it pertains to the health, safety and comfort of a child in care. Observation revealed a child sitting in a “time-out” chair in the hallway out of the direct scope of vision of a supervising adult at approximately 10:15 a.m. Interview with the staff revealed that the child is placed in the hallway in “time-out” when he misbehaves.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, observation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that staff members with the hire dates of 4/16/15, 1/22/15 and 4/9/15 failed to have documentation available for review to verify that a criminal records check had been completed. Observation revealed staff with the hire date of 4/16/15 working alone with ten (10) children that were one (1) and two-years-old from the beginning of the inspection at approximately 10:15 a.m. until 2:00 p.m. and then alone off and on until end of the inspection at 4:15 p.m.. Observation in the Four-Year-Old Room revealed staff with the hire date of 4/9/15 working alone with eight (8) four-year-old children from 3:00 p.m. until the completion of the inspection at 4:15 p.m.. Interview with the staff person in charge revealed that the criminal records check had been submitted, but not yet returned at the time of the inspection. Continued interview revealed that the staff person in charge realized that the staff schedule placed individuals without a completed criminal records check in classrooms alone with children. Staff person with the hire date of 1/22/15 was not observed at the child care center on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed that staff members with the hire dates of 4/16/15, 1/22/15 and 9/30/14 failed to have documentation available for review to verify that they had completed a High School Diploma, a GED or a Commonwealth Child Care Credential.

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 staff files revealed employees with the hire dates of 3/14/14, 4/11/14, 4/11/14 failed to have documentation to verify that they had completed the required fifteen (15) hours of Cabinet approved early care and education training in the previous year of employment. Ongoing review of staff files revealed that employees with the hire dates of 9/30/14 and 1/22/15 failed to have documentation to verify that they had completed the orientation training within the first three (3) months of employment. Interview with the staff person in charge revealed that staff had not completed all of the required training hours and the newer staff failed to complete the orientation training within the first three (3) months of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, review of documentation and interview, the child care center failed to comply with programming requirements. Observation of the Two-Year-Old Room revealed ten (10) children in care. Review of children’s files revealed that two (2) of the children cared for in the Two-Year-Old Room were still toddlers. Ongoing review of the children’s files revealed that one (1) child was eighteen (18) months old and the second child was twenty-one (21) months old. Review of children’s files failed to reveal a transition plan for the twenty-one (21) month old child. Interview with the staff in charge revealed that the toddlers are placed with the two-year-old children when the Infant Room reaches maximum ratio.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Two-Year-Old Room revealed a purse, belonging to the staff member, hanging on a low hook within reach of the children in care at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the girls' bathroom revealed both of the toilets were full of waste contents that failed to be flushed. Ongoing observation failed to reveal a supply of toilet paper for one (1) of the toilets, brown smears and splatters on both of the toilets indicating a failure to be sanitized and toilet paper scraps lying on the floor. Observation of the boys' bathroom revealed both of the toilets full of waste, both of the toilets stained and splattered with urine and brown matter and un-sanitized at the time of the inspection. Ongoing observation of the boys' bathroom revealed that the sinks were heavily soiled with dried liquid soap and dark residue, failing to be maintained in a clean condition. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 27 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the sink located in the girls' bathroom failed to reveal a hand-drying blower or single use disposable hand drying material.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the bathrooms used for children revealed a failure to be kept in clean condition. Observation of the toilets in the Two-Year-Old Room revealed one (1) toilet that failed to be in good repair and was no longer in use. Interview with the staff revealed that the toilet had not been in working order for at least several weeks. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation failed to reveal liquid soap at the sink in the Toddler Room. Interview with staff revealed that the sink is used after diapering; however liquid soap is not used as it is not available.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation failed to reveal liquid soap at the sink in the Toddler Room. Interview with staff revealed that the sink is used to wash hands after diapering and eating; however liquid soap is not used as it is not available.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the diapering surface in the Toddler Room revealed debris under the change pad indicating that both sides of the change pad had not been sanitized after each use.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with the regulatory requirements regarding medication. Observation of the Infant Room and the Toddler Room revealed diapering ointment lying on the diaper changing surface, failing to be locked at the time of the inspection. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed chip bags, broken plastic Easter eggs with sharp edges and other random debris items on the ground and accessible to the children in care.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in the Infant Room revealed five (5) cribs each containing two (2) mattresses which had been stacked upon each other at the time of the inspection. Interview revealed that all of the cribs were used for the five (5) children that were in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the Infant Room revealed a refrigerator containing eleven (11) baby bottles. Observation of the indicating thermometer revealed a temperature of fifty (50) degrees Fahrenheit failing to meet the requirement of storing perishable food at forty (40) degrees Fahrenheit or below. Observation of the refrigerator located in the kitchen revealed a thermometer indicating that the storage temperature was twenty-eight (28) degrees Fahrenheit. Observation of the food located in the refrigerator revealed that the food was not in a frozen state, indicating that the thermometer was not in good working order.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the freezer located in the kitchen failed to reveal a thermometer to verify that the food was stored at a temperature of zero (0) degrees Fahrenheit or below 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 9. Food and Meal Requirements.

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the freezer located in the kitchen revealed a bag of frozen broccoli cuts that failed to be sealed and protected from spoilage.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s records revealed that a child with the enrollment date of 4/30/14 failed to have a current immunization certificate available for review at the time of the inspection.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files revealed that children with the enrollment dates of 4/30/14 and 11/12/14 failed to have documentation to notify the child care center of the preferred hospital in case of an emergency. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the emergency evacuation plan revealed that the plan did not include current information and had not been updated in more than a year. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, observation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of attendance documentation revealed twelve (12) children signed in for care. Observation revealed twenty (20) children in care. Interview with the staff person in charge revealed that the other children are electronically signed in as their parents drop them off. Review of the electronic attendance print out revealed thirty-five (35) children in attendance and failed to reveal a time of arrival for each child in attendance.

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 records failed to reveal a staff schedule. Interview with the staff person in charge revealed that the staff schedule was not available for review at the time of the inspection.

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 and interview the child care center failed to comply with supervision regulatory requirements. Observation of the Preschool Classroom door revealed it measures fourteen (14) feet away from the hallway to where the preschool bathrooms are located. Continued observation of where the preschool bathrooms were revealed the kitchen has an opening, which would allow staff to observe children once they enter the hallway to the preschool bathrooms, but the staff in the kitchen would not have scope of vision of the children when they walk the fourteen (14) feet distance to get to the hallway of where the bathrooms are located. Based on interviews it has been determined that children in the Preschool Classroom ages three-years-old to four-years-old are allowed to walk to and from the bathrooms unsupervised. Continued interviews revealed that children in the Preschool Classroom ages three-years-old to four-years-old have been allowed to walk to and from the preschool bathrooms unsupervised for approximately one (1) year. 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 4. Director Requirements and Responsibilities.

General: Based on Interview and review of documentation, the director did not supervise staff conduct to ensure implementation of program policies and procedures. Based on interviews, a child was picked up by an individual that was not on a child's authorized pick up list and the individual was not authorized by the child's parent to be picked up by this individual. Based on review of the center's parent handbook presented to parents, page 3 states "Story Time Learning Academy has a strict policy concerning the release of your child. We will not release your child to anyone who is not listed as authorized on the registration form." Based on review of the center's staff manual regarding arrivals and departures, page 10 states, "3. CHILDREN WILL ONLY BE RELEASED TO LEGAL GUARDIANS AND PERSONS ON THE AUTHORIZED PICK UP LIST." "5. Only release a child to someone else if you have a written note from the parent." Based on interviews, the parent did not provide a note or authorization for the child to be picked up by anyone that was not on the child's authorized list. The director failed to ensure that staff members followed these center policies regarding the pick up of a three-year-old child that went home with an unauthorized individual that placed her at risk of harm.

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 Interview and review of documentation, the center failed to ensure the health safety and comfort of a three(3)-year-old enrolled child. Based on interview a three (3)-year-old child was released from care to an adult that was not on the authorized pick up list on her enrollment sheet signed by her Father when he enrolled her in the center. The child's Father had provided custody paperwork to the center and explained the situation that the child could be at risk of harm if she were to be with her Mother. The center released the child to her Maternal Uncle at the request of the child's Maternal Grandmother without the knowledge of the Father or notifying the Father. By releasing the child to an individual that was not on the authorized pick up list, the center placed the child at risk of harm as the child may have had unauthorized contact with her Mother or her Mother may have absconded with the child against court orders, placing child at great risk.

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. Based on a review of documentation, the center's policy of all forms must be completed prior to enrollment was not maintained on children enrolled on 04/11/14 (Acknowledgement of Notification of Parents Rights), and 04/17/14(Registration and Emergency Information Form).

Open Not marked corrected in the state record

Category: supervision. 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. Based on a review of records, contact information to enable a person in charge to contact the child's physician was not maintained on a child enrolled on 04/22/14. Based on a review of records, the child's general health status and medical history including allergies, and restrictions on the child's participation in activities with specific instructions from the child's parent or health professional was not maintained on children with enrollment dates of : 04/22/14, 04/24/14, 04/09/14, 04/08/14, 04/21/04, and 04/17/14. Upon continued review of records, a child enrolled on 04/11/14 did not have a written record signed by the child's parent.

Open Not marked corrected in the state record

Open / not marked corrected.