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

General: Based on interview and observation, one (1) staff member was the sole caregiver of eight (8) children in the Toddler Room. Interview with the staff member present in the classroom revealed the youngest child was five months old.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the center failed to allow thirty-five (35) feet of space for each child. Thirteen (13) children were present in the Preschool classroom. Per review of Division of Regulated Child Care (DRCC) records, specific to the center's Change of Location Inspection and Floor Plan, the Preschool classroom only allows for thirty-five (35) square feet of space for ten (10) children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, Toilet seat was loose in the hallway bathroom. Hygienic Practices 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: Observation of the outdoor play area revealed white landscape fabric was bunched around a plastic School Playhouse and Merry-Go-Round, creating a tripping hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, two (2) electrical outlets in the Preschool classroom were not covered. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a staff purse and drink were stored on a low shelf in the Preschool Classroom, where they were accessible to the children in care. Additionally, a staff purse and drink were stored on the floor of the Infant classroom where they were accessible to the children. One (1) mobile infant and one (1) mobile toddler were present on the day of the inspection. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, landscaping fabric protruded through the mulch in multiple sections of the outdoor play area, creating a tripping hazard. Additionally, a small, rusted piece of metal was attached to the rear portion of the fence. The bottom corner of the metal piece contained a sharp edge. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records 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 interview and review of documentation, a written staff schedule was not presented for review at the time of the inspection. .. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, in the toddler room a large drinking cup with a dark liquid and no lid was on the children's table. A policy in place at the facility prohibits staff from having beverages in the classrooms. Employee Records 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 11. Staff Requirements.

General: Based on review of documentation, a Diploma, GED or Commonwealth Child Care Credential was not presented for review at the time of the inspection for staff members with hire dates of 3/22/2023 and 3/21/2023. 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, in the infant room there was a ceiling tile that was not in the metal brackets, leaving an opening in the ceiling. 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 13. Toys and Furnishings.

General: Based on observation, the blue slide on the playground was not in good repair. Toward the bottom of the slide, the plastic is cracked and is sharp to the touch. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the health, safety, and comfort of children in care were jeopardized in the following occurrences. 1. A toddler received an injury to her arm from an unknown source while she was in the care of Talk Childcare To Me L.L.C., L383339. Review of video documentation from various cameras to account for duration of the child's presence at the center, revealed the child displayed no indication of injury or loss of use of her right arm until she was placed on a changing table for a diaper change. The top of the changing table was not visible from the camera from which the video was captured. Neither the child nor the staff member's interaction with the child, could be seen in the video. Upon the child being returned to the floor from the changing table, the child's arm movement appeared to be limited. The child was then placed at the table and provided lunch and the child failed to use her right arm while handling her food. The child later received medical attention that resulted in her arm being placed in a cast. 2. The same staff member was observed in video grabbing another toddler by the arm and lifting the child off the ground in a rough manner, leaving the child's legs dangling as the child was transitioned to a chair. 3. A different staff member was observed in video using a cloth to wipe a child's nose, then using the same cloth to wipe another child's face. 4. A toddler climbed on top of the changing table and leaned over the side of the table, resulting in the child precariously hanging from the table with his/her head toward the ground while the staff member was across the room and not in close proximity to the child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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: Review of video documentation revealed a staff member changed the diapers of multiple toddlers then guided the toddlers to the table for lunch without first washing the toddlers' hands.

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: Review of video documentation revealed a staff member wore one (1) pair of gloves while changing the diapers of multiple children without changing gloves or washing hands in between changes. The staff member continued to wear the same pair of gloves while putting nap mats out for children. Once the staff member removed the gloves, she continued to assist children and consume her own food without washing her hands.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, a staff supervised six (6) infants, aged eight (8) weeks to one (1) year, in the nursery, from 9:20 am 9:30 am. General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements In Compliance Employee Records In Compliance Programming Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, a cover was observed in each crib of five (5) sleeping infants, who were between eight (8) weeks to one (1) year old, in the infants' room. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, feces was observed in an unflushed toilet in the restroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, and interview, two (2) bottles were not covered in the refrigerator in the infants' room. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation the child care center failed to comply with regulatory requirements. Observation of the school age room revealed there was a staff member with the hire date 03/09/2021 that was the sole caregiver for seven (7) children ages ranging from six (6) years old through eleven (11) years old. While reviewing all presented staff files the surveyor discovered the sole caregiver for the aforementioned classroom was seventeen (17)-years-old; therefore, the staff was not a qualified staff member. The owner/director acknowledged the deficiency. Staffing 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 11. Staff Requirements.

General: Based on observation, interview and review of documentation the child care center failed to comply with regulatory staffing requirements; i.e. the licensee failed to assure that each staff person under eighteen years of age are under the direct supervision of a qualified staff person who meets the requirements of 922 KAR 2:090 Section 11. Observation of the school age room revealed there was a staff member with the hire date 03/09/2021 that was the sole caregiver for seven (7) children ages ranging from six (6) years old through eleven (11) years old. While reviewing all presented staff files the surveyor discovered the sole caregiver for the aforementioned classroom was seventeen (17)-years-old; therefore, the staff was not a qualified staff member. The owner/director acknowledged the deficiency. General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation the child care center director failed to assure compliance with regulatory requirements. Review of all presented staff files revealed two (2) staff members with the hire dates; 12/01/2014 and 05/22/2017 whose file did not contain a current written annual staff evaluation. Upon request, the documents were not presented for review. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation the child care center failed to maintain employee records in accordance with regulatory requirements. Review of all presented staff files revealed one (1) staff member with the hire date 09/28/2020 whose file did not contain documentation to verify completion on the six (6) hour cabinet-approved orientation training within ninety (90) days of employment. Review of the ECE-TRIS report did not verify that the training had been completed. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premise in accordance with regulatory requirements. Observation of the handwashing sink located in the infant classroom revealed the bowl of the sink was chipping a white material causing the sink to possess several rust spots inside the bowl. Observation of the children's bathroom door revealed there was one (1) screw that was protruding out of the mount of the door knob causing the door knob to be very loose and not secured. Observation of the toilet located in children's bathroom revealed one (1) three (3) inch flange screw protruding from the mounting plate that holds the toilet to the floor.

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. Observation of the ceiling located in the preschool classroom revealed one (1) ceiling tile that was sagging over the science center. Observation of the ceiling located in the school-age classroom revealed there was one (1) ceiling tile above the door that contained a brown stain, indicative of water damage. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outside playground revealed there was not sufficient protective surfacing throughout the playground area, around the large climbing apparatus. The black landscape material was visible. Therefore, there was insufficient protective surfacing on the playground. Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain written documentation in accordance with regulatory documentation. Review of all presented staff files revealed there were two (2) staff members with the hire dates; 12/01/2014 and 05/22/2017 whose file did not contain a current written professional development plan. Upon request, the documents were not presented for review. Posted Documentation In Compliance Animals In Compliance 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 3. Implementation and Enforcement.

General: Based on observation, interview and review of documentation, a fingerprint background check was not initiated for a staff member with a hire date of 3/16/2020. Per interviews, the staff member worked alone with children prior to the mandated child care closure on 3/20/2020 due to Covid-19, as well as after the center reopened on 7/6/2020. The staff member was observed working alone with children on the date of the inspection. Additionally, a Kentucky State Criminal Background Check and the results of a Child Abuse and Neglect background check were not were not on file for a staff member with a hire date of 7/9/2020. Per interviews, the aforementioned staff member worked alone with children at least one time since he/she was hired. The staff member in charge stated that a Child Abuse and Neglect background check had been initated for both of the aforementioned staff members, but results had not been returned. This documentation was not on file for either of the staff members. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, staff members with a hire date of 3/16/2020 and 7/9/2020 worked alone with children prior to initiating and receiving the results of appropriate background checks. 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 3. General Requirements.

General: Based on observation and interview, a plastic bin containing two spray bottles was located on the floor in the Infant Room. One bottle was labeled "Bleach" and the second bottle was labeled "Bathroom." Interview with two staff members revealed at least one of the spray bottles contained bleach water. The spray bottle was accessible to the children in care. Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: Based on observation, a staff member wore his/her face mask with his/her nose exposed while working with children for the duration of the inspection. Per CDC guidelines, a face covering should cover the nose and mouth and be secured under the chin.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request,the person-in-charge failed to provide current annual staff evaluations for all staff members. Review of employee records revealed staff members with the hire dates of 10/01/2018, 09/25/2017, 10/01/2017, 05/22/2017, 04/18/2016, 12/01/2014, and 1/23/2017 actively employed for at least one (1) year were not evaluated. The person-in- charge did submit Professional Development plans that she uses for the annual evaluation. The documents submitted were a self assessment not the director's assessment on individual staff. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request,the person-in-charge failed to provide documented evidence from a health professional that the staff member with the hire date of 09/25/2017 was free of active tuberculosis. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, the person-in-charge failed to provide documented evidence of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year for the staff with hire dates of 12/01/2014, 10/01/2017, and 12/01/2014. Review of ECE-TRIS verfied the incomplete trainings for the aforementioned staff members. 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: Observation throughout the center revealed the ceiling tiles were not smooth and flush, leaving gaps in the ceiling. Observation in the preschool classroom revealed two (2) holes that were 1/2 inch wide in the far wall located in the block center. Continued observation of the preschool room revealed peeling paint. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request,the person-in-charge failed to provide a current Food Service permit. The document presented was dated 12/30/2019. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of the file for a child with the enrollment date of 8/26/19 it did not contain the following; a list of individuals who are authorized to pick the child up from the child care center and identify the parents preferred hospital. Review of the file for a child with the enrollment date of 10/11/17 revealed it did not contain emergency contact numbers and the name of each person that is designated to pick the child up from care. Written Documentation In Compliance 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

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Infant Room revealed an infant lying in a bouncy seat drinking a bottle; therefore, the child was not held while being given the bottle.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Infant Room revealed two (2) bottles were not individually labeled. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of documentation and interview with director revealed written documentation of more than one (1) staff meeting was not presented for review at the time of survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files on 1/14/19 revealed the statement of negative tuberculin result on file for a staff member hired 12/1/14 was no longer current as it was dated 11/2/16. Interview with director revealed current documentation was not on file at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for one (1) staff member hired 12/1/14. Interview with director revealed this documentation was not on file at the time of survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Preschool Room revealed a staff member’s purse was located on a small bookshelf accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the center bathroom revealed one (1) of the toilets was not operational as the handle was loose and the toilet would not flush. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the center failed to maintain equipment in accordance with regulations. Observation of the center van used by children revealed the van’s left brake light and left rear turn signal were not operational. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on observation and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the vehicle used by the child care center to transport children revealed the vehicle was a twelve (12)passenger van. Review of documentation revealed current certification of an inspection from the Transportation Cabinet was not presented for review at the time of survey. Interview with director revealed she was unable to locate this documentation at the time of survey. Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children’s records in accordance with regulations. Review of children’s files on 1/14/19 revealed the immunization certificate for a child enrolled 9/24/18 was no longer current as of 10/26/18. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of the fire drill logs presented for review at the time of survey revealed a fire drill was not documented for January through October 2018. Continued review of documentation revealed an earthquake and tornado drill was not documented for the first, second, third and fourth quarters of 2018 Interview with director revealed the drills were conducted; however, she could not locate this documentation at the time of survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 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 kitchen revealed a stove and refrigerator. Further observation failed to reveal ventilation to the outside air.

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 director failed to assure compliance with regulatory requirements related to the health, safety and comfort of children in care. Observation of the outdoor play area revealed a large detached, rusted, metal piping system with torn, sharp, frayed metal surfaces and detached exposed wires on the porch-way leading to the playground from the child care center. In addition, a cracked electrical box with exposed wires was observed on the wall of the outside of the building above the porch- way which led to the playground. Further observation revealed an area of fence held partially closed by a small bag of mulch. The fence contained large protruded and rusted nails. Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the outdoor play area revealed pieces of trash to include barettes, random plastic pieces, cigarette butts, loose plastic bags and styrofoam cups. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed pieces of trash to include barettes, random plastic pieces, cigarette butts, loose plastic bags and styrofoam cups.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed a large, detached, rusted, metal piping system with torn, sharp, frayed metal surfaces and detached exposed wires on the porchway leading to the playground from the child care center. In addition, a cracked electrical box with exposed wires was observed on the wall of the outside of the building above the porch-way which led to the playground. Further observation revealed an area of fence held partially closed by a small bag of mulch. The fence contained large protruded and rusted nails.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. The outdoor play area's protective surface did not adequately cover the ground as surface dirt was observed in the fall zones of the swing and slide equipment. In addition, the two (2) sided swing located next to the fence did not allow a fall zone equal to the height of the equipment and was determined to be too close to the fence.

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 outdoor play area in accordance with regulatory requirements. Observation of the fence surrounding the outdoor play area revealed protruded, rusted nails. In addition, the fence was gapping in one area and was held partially closed by a small bag of mulch. Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children's records in accordance with regulatory requirements. Upon request, the child care center director failed to provide evidence of a current immunization certificate for a child with an enrollment date of 12/14/16. The certificate provided expired on 03/18/18. Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. 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. Based on observation, eight (8) children were observed in the Toddler 2 room with a single staff member when the surveyor entered the building at approximately 9:30 A.M. Based on interview with staff member in the classroom, the youngest child in her care was one (1) year old and the oldest child was two (2) years old. Based on an additional observation conducted at approximately 11:00 A.M., there were still eight (8) children in the classroom, and again the staff member confirmed the youngest child to be one (1) year old. General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Director Requirements 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 4. Director Requirements and Responsibilities.

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Based on observation at approximately 11:10 A.M. in the Toddler One room, four (4) children were sitting at a table waiting for lunch to be served. One child had been observed crying repeatedly throughout the morning, prior to sitting at the table. A second child was also crying, while at the table. Both children were very upset, with visible tears and snot running into their mouths. The staff member stood at the table, looking over the children's heads, with her arms folded, failing to have any eye contact with the children and totally ignoring the needs of the children. The staff member failed to verbally acknowledge any discontent of either child, refraining from any interaction with the children. The first child continued to cry throughout lunch. When the surveyor observed the room again, the child had a piece of bread with the crust hanging out of his mouth while continuing to chew as his head bounced up and down as he was falling asleep while sitting at the table. The staff member then picked the sleeping child up to have his hands washed when the surveyor informed the staff member that the child still had unswallowed food in his mouth which needed to be removed prior to laying the child down to nap. 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, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of all staff files, staff members with hire dates of: 2/1/15 and 1/13/17 failed to have negative results from a tuberculin test or a written statement from a health professional stating the individual is free of tuberculosis. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory programming requirements. Based on a review of documentation, the center failed to provide a daily planned program which is posted in writing in a conspicuous location with each age group and followed including activities that are individualized and developmentally appropriate for each child served and that provides experience to promote the individual child's physical, emotional, social and intellectual growth and well-being and that offers a variety of creative activities including the following: 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; a balance of quiet and active play, including group and individual activity; an opportunity for a child to have some free choice of activities and if desired play apart from the group at times.

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, the child care center failed to implement a regularity of routines to afford the child familiarity with the daily schedule of activity in the Toddler I, Toddler II and Infant rooms. Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain hygienic practices in accordance with regulatory requirements. Based on observation, while sitting in the soft area of the Infant room, a staff member wiped a child's nose and failed to wash her hands, prior to having contact with another child, or surfaces. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation, the playground contained numerous pieces of trash including styrofoam cups, paper cups, along with barettes, small pieces of toys, a magnifying glass, a small plastic teddy bear and other random plastic pieces or parts of toys. A cardboard box containing equipment was also on the playground, after failing to be removed from the equipment it had contained. Equipment In Compliance Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Based on observation, a female child in the Preschool classroom was eating a bowl of cereal for breakfast at a table while other children were playing with blocks spread over the table. The child was observed alternating between eating cereal with her spoon and picking up blocks with her spoon.

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. Based on observation, two (2) children were eating breakfast in the Preschool room when the surveyor entered, and two (2) children in the Toddler 2 room were eating. Both sets of children were eating a bowl of cornflakes containing milk. Based on interview with the staff member in each of the rooms, the children were served cereal and milk. A fruit or vegetable had not been served with breakfast. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. Based on a review of documentation, three children enrolled on 8/1/16, 8/1/16, and 8/1/16 failed to have contact information to enable a person in charge to contact the child's physician. Written Documentation 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 Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of documentation, the center failed to have a written policy that specifies that the procedures that were taught at the orientation training will be implemented by each child care staff member. 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 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 documentation in the Preschool room, the daily schedule failed to include the times of the activities. 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 Interview, and review of documentation the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Interview with staff members revealed a parent, who is not a qualified staff member, was left to watch four (4) children in the infant room on 9/6/16. Interview with a staff member revealed she did leave a parent who is not a qualified staff member to care for the children in the infant room while she took a bathroom break and answered an emergency phone call; therefore the children were unsupervised. Continued interview with the staff member revealed the children were watched by the parent for approximately five (5) to eight (8) minutes. Review of documentation revealed the staff member who left the children unsupervised on 9/6/16 was terminated on 9/7/16 for her actions. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Staffing Requirements Not In Compliance

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 of the preschool room on 10/12/16 revealed eleven (11) children in care with one (1) staff member. Interview with the staff member revealed the ages of children in care in the preschool room were two-year-olds.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of employee files revealed that an employee with the hire date of 12/1/14 failed to have current documentation from a health care professional to state that the individual was free from active TB at the time of the inspection. Interview with staff revealed that the latest documentation available from a health care professional was presented at the time of hire.

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 ECE TRIS records and the employee file failed to reveal documentation to verify that two (2) employees with the hire date of 12/1/14 had completed the required fifteen (15) hours of early care and education training within the previous year of employment. Continued review of employee records revealed that an employee with the hire date of 8/24/15 did not have documentation to verify that the individual had completed the cabinet approved orientation training within the first ninety (90) days of employment. Interview with the director revealed that the some of the staff members were behind on training hours during the previous year of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation in the Infant Room revealed a crib that failed to have tight fitted sheets on the crib mattress at the time of the inspection. Interview with the director revealed an acknowledgement that the crib was newer and did not come with a standard size mattress that would create a tighter fitted sheet.

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 regulatory requirements. Review of children’s records revealed that children with the enrollment dates of 12/2/15, 12/22/14 and 5/4/15 did not have current immunization certificates presented for review at the time of the inspection. Interview with the director revealed that she did not know prior to the inspection that school age children were required to have a current immunization certificates available for review. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of records revealed that children with the enrollment dates of 11/16/16 and 5/4/15 failed to have contact information on the enrollment documentation for the name of a physician or preferred hospital. Interview with the director revealed that she was unaware that he information had not been completed prior to the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, it was determined the child care center failed to comply with regulatory requirements regarding programming, specifically electronic devices. Interviews revealed “media time” includes both electronic listening and viewing devices. Continued interview revealed “media time” is scheduled in the evening for the children to view electronic devices during an educational activity; however, the children also engage in “media time” by listening to electronic devices during a morning educational activity. Review of the preschool daily schedule provided at time of survey, revealed that while “media time” was included in the evening programming, the center failed to include “media time” in the morning programming as well.

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 Interview, and review of documentation, it was determined the child care center failed to comply with regulatory requirements regarding programming, specifically sleeping and napping requirements. Interviews revealed staff thought up to three (3) hours could be allowed for the children’s napping. Review of the preschool daily schedule provided at time of survey, revealed the center listed 12:00-2:45 p.m. as nap time. Premises

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, it was determined the child care center failed to comply with regulatory requirements regarding premises, specifically flooring kept in good repair. Observation revealed, the flooring directly in front of the bottom of the door frame leading to the playground area is detached from the sealed seam between the door frame and the flooring; thus, creating a gap approximately one (1) inch wide, as well as, the floor descending when pressure is applied. Hygienic Practices

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 Interview the child care center failed to comply with programming procedures regarding discipline. Based on interview with the director it was revealed a staff member had smacked a sixteen-month-old child on the hand in the month of May 2015. Therefore, the child had been subject to discipline procedures that are not allowed by regulatory requirements.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview and Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Interviews with owner/director, a parent, and former staff member revealed on May 23, 2015, a former staff member hired 10/8/14 did not call the parent to verify she was home before dropping off three (3) children at their home without an authorized adult being present. Review of the center’s transportation policies and procedures revealed the center had a written procedure for loading and unloading children safely which included the following instructions: “Upon arrival at each child’s home the van staff phone the parent who comes to the van and unloads their child”; therefore, the staff member did not follow the center’s written procedure. Transportation

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Interview and Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Interviews with owner/director and a parent revealed a former staff member hired 10/8/14 dropped off three (3) children, ages four-years-old, five-years-old, and eight-years-old, at their home on May 23, 2015 without an authorized adult being present. Review of a written statement and an employee warning confirmed the former staff member dropped off the three (3) children at their home on May 23, 2015 without an authorized adult being present.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Interview and Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Interviews with a parent revealed on May 23, 2015, three (3) children, ages four-years-old, five-years-old, and eight-years-old, had to cross an alley by themselves to get to their house. Review of a written statement confirmed on May 23, 2015, three (3) children, ages four-years-old, five-years-old, and eight-years-old, had to cross an alley by themselves to get to their house.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Review of the transportation log presented for review at time of survey revealed the transportation log for Saturday, May 23, 2015 was not dated. Continued review revealed on May 23, 2015, the center failed to record the times three (3) children got on the van and the times the same three (3) children got off the van. Children's Records

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of children’s files revealed the transportation agreements on file for three (3) children were dated June 29, 2015. Continued review of children’s files failed to reveal transportation agreements for the same three (3) children which permitted the center to transport the children on May 23, 2015. Interview with owner/director revealed she updated the children’s transportation agreements; therefore, their previous transportation agreements were no longer on file.

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 staffing requirements. Observation in the Infant classroom from 9:20 am to 9:24 am revealed one staff member with nine (9) children ages nine (9) months to five (5) years of age. At 9:30 am observation revealed twelve (12) children ages nine (9) months to five (5) years of age with two (2) staff members. At 9:31 am one of the staff members accompanied four (4) children to another classroom, leaving the Infant classroom with eight (8) children ages nine (9) months to three (3) years of age with one (1) staff member until 9:40 am. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report Employee Records

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files failed to reveal a Kentucky Driver History report for the driver of the van at the time of the survey. Equipment

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with staffing requirements. Observation of the 2001 Oldsmobile Silhouette revealed a scrape over the driver side front wheel, front bumper is scraped and scratched. Continued observation revealed the bumper to be attached with zip ties at the time of the survey. Observation of the vehicle failed to reveal a working front passenger side turning signal at the time of the survey. Transportation

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Observation, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the first aid supplies failed to reveal liquid soap 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 12. Transportation.

General: Based on Observation, interview and review of documentation, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the van where a twenty-two month old child was sitting during an accident revealed a booster seat. Interview with the director revealed the twenty-two month old child to be sitting in a booster seat at the time of the accident. Review of documentation on the booster seat revealed it was made for children ages three (3) to ten (10).

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of transportation log on May 29, 2015 for the week of May 25, 2015 to May 29, 2015 failed to reveal the time six (6) children were signed off the van on May 28, 2015. Continued review of the transportation log failed to reveal the staff member who signed the children onto and off the van each day. Interview with the director revealed that three (3) children who were on the transportation log for riding the van to have an X instead of times for signed on and off. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Children's Records

Open Not marked corrected in the state record

Category: transportation. 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 two (2) children’s files with the enrollment date of 2/4/15 failed to reveal transportation permission slips for children at the time of the survey. Based on interview and review of documentation, it has confirmed that the two referenced children were transported by the center van on 5/26/15.

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 review of documentation, it was determined the center failed to comply with regulatory requirements regarding programming, specifically activities followed. Observation at 9:50 a.m., revealed a group of nine (9) children supervised by two (2) staff members watching a children's television program. Review of the daily scheduled revealed 9:30 a.m.-10:00 a.m. "fresh air or gross motor activities". Continued observation revealed the children in the toddler classroom did not engage in any gross motor activity for the duration of the survey.

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 it was determined the center failed to comply with regulatory requirements regarding supervision. Observation revealed the following circumstances: 1. 10:10 a.m., a staff member left a group of five (5) preschool children unsupervised for ten (10) seconds to lock the front door after a parent left. 2. 10:30 a.m., a staff member left a group of four (4) toddlers unsupervised for five (5) seconds to give another staff member in the preschool room her cell phone. 3. 11:00 a.m., a staff member left a group of five (6) preschool children unsupervised for ten (10) seconds to lock the front door after a parent left. 4. 11:25 a.m., a staff member left a group of five (5) toddlers unsupervised for ten (10) seconds to answer the door for a staff member.

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 Observation, it was determined the child care center director failed to comply with regulatory requirements, specifically assuring the health, safety and comfort of each child. Observation revealed the following circumstances: 1. A closet accessible to children in the preschool classroom was easily opened to revealed several loose hanging wires. 2. A plunger was observed located in the boy's bathroom. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically training. Review of all staff files presented revealed, the center failed to provide documentation at time of survey verifying the completion of six (6) hours of cabinet-approved orientation within the first three (3) months of employment for three (3) staff members with the following hire dates: 10/8/14, 10/15/14 and 11/1/14.

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 review of documentation, it was determined the center failed to comply with regulatory requirements regarding programming, specifically activities followed. Observation at 9:50 a.m., revealed a group of nine (9) children supervised by two (2) staff members watching a children's television program. Review of the daily scheduled revealed 9:30 a.m.-10:00 a.m. "fresh air or gross motor activities". The usage of television was not included in the daily schedule or the planned programming.

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, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically child hand washing. Observation revealed at 10:10 a.m. and 11:00 a.m., two (2) children arrived to the center and failed to wash hands upon arrival. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically staff hand washing. Observation revealed a staff member wiped a child's nose and did wash hands before wiping a second child's nose; the staff member did not wash hands after wiping the second child's nose either. Additionally, observation revealed a staff member arrived at 11:25 a.m. and failed to wash hands upon arrival to the center.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and interview, it was determined the center failed to comply with regulatory requirements regarding first aid/medication, specifically supplies. Observation revealed the center failed to provide an icepack for review at time of survey among the first aid supplies. Interview revealed the icepack was used the day prior and had not been replaced yet.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, observation and interview, it was determined the center failed to comply with regulatory requirements regarding transportation, specifically notification of vehicle. Review of DRCC documentation revealed the center notified the cabinet that the vehicle used for transportation is a 2015 Kia Sorrento. Observation revealed the vehicle used for transportation is an Oldsmobile Silhouette seven (7) passenger van. Interview revealed the center had switched the vehicles used for transportation at the beginning of February, 2015; however did not realize the cabinet had to be notified of the change.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory regulations regarding transportation, specifically pre-trip inspection. Review of the pre-trip inspections presented for review at time of survey revealed, the center failed to provide documentation verifying performed and documented daily inspections of the vehicle to include the following: (a) Tires; (b) Lights, signals, mirrors, gauges, and wiper blades; (c) Safety restraints; (d) Fuel; and (e) Free of debris. The last daily inspection documented was 1/30/15.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory regulations regarding transportation, specifically pre-arranged plan. Review of the policies and procedures presented for review at time of survey revealed, the center failed to provide documentation verifying a completed prearranged written plan to designate where a child can be picked up if the parent or designee is unavailable. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically immunization. Review of ten (10) children's files presented revealed, the center failed to provide documentation at time of survey verifying a current immunization certificate for each child in care within thirty (30) days of the child’s enrollment, unless an attending physician or the child’s parent objects to the immunization of the child pursuant to KRS 214.036 for two (2) children enrolled 11/20/14 and one (1) enrolled 1/12/15.

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, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically immunization. Review of ten (10) children's files presented revealed, the center failed to provide documentation at time of survey verifying a written record of the following information for two (2) children enrolled 2/5/15 and one (1) child enrolled 2/25/15: 1. Family physician and preferred hospital. 2. Authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. Additionally, the center failed to provide documentation at time of survey verifying a written record of the following information for a child enrolled 1/29/15: 1. The name of each person who is designated in writing to pick-up the child. 2. The name and phone number of each person to be contacted in an emergency situation involving or impacting the child.

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, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically fire drills. Review of the center's documented fire drills presented at time of survey, revealed the center failed to document a record of a practiced fire drill for January, 2015.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding written documentation, specifically fire drills. Review of the center's documented fire drills presented at time of survey, revealed the center failed to document a fire drill for January, 2015.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding posted documentation, specifically daily activities. Review of the daily scheduled activities presented for review at time of survey revealed the center failed to maintain a daily schedule of activities for each classroom. The daily schedule of activities posted in the toddler classroom included the dates of 2/16/15-2/21/15. The daily schedule of activities posted in the school-age classroom included the dates of 2/16/15-2/20/15. Neither daily schedule of activities reviewed included the current dates.

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. Based on observation, toilets in both the girls' and boys' bathrooms failed to have ventilation to outside air. Hygienic Practices 595 - Child Personal Care/Handwashing Discussed 922 KAR 2:120. Section 3. General Requirements. (4) A child shall: (a) Be helped with personal care and cleanliness based upon their developmental skills; and (b) Wash his or her hands with liquid soap and warm running water: 1. a. Upon arrival at the center; or b. Within thirty (30) minutes of arrival for school-age children; 2. Before and after eating or handling food; 3. After toileting or diaper change; 4. After handling animals; 5. After wiping or blowing nose; 6. After touching items soiled with body fluids or wastes; and 7. After outdoor or indoor play time. 600 - Staff Hygiene/Handwashing Discussed 922 KAR 2:120. Section 3. General Requirements. (5) Staff shall: (a) Maintain personal cleanliness; (b) Conform to hygienic practices while on duty; and (c) Wash their hands with liquid soap and running water: 1. Upon arrival at the center; 2. After toileting or assisting a child in toileting; 3. Before and after diapering each child; 4. After wiping or blowing a child’s or own nose; 5. After handling animals; 6. After caring for a sick child; 7. Before and after feeding a child or eating; 8. Before dispensing medication; and 9. If possible, before administering first aid. 605 - Staff Communicable Disease Discussed 922 KAR 2:120. Section 3. General Requirements. (6) A staff person suspected of being infected with a communicable disease shall: (a) Not perform duties that may allow for the transmission of the disease until the infectious condition can no longer be transmitted; and (b) Provide a statement from a health professional, if requested. 610 - Diapers/Clean Clothing Supply Discussed 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (6) An adequate quantity of freshly laundered or disposable diapers and clean clothing shall be available. 615 - Training Chair Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (7) If a toilet training chair is used, the chair shall be: (a) Used over a surface that is impervious to moisture; (b) Out of reach of other toilets or toilet training chairs; (c) Emptied promptly; and (d) Sanitized after each use. 620 - Soiled Diapers/Clothing Discussed 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (8) Diapers or clothing shall be: (a) Changed when soiled or wet; (b) Stored in a covered container temporarily; and (c) Washed or disposed of at least once a day.

Open Not marked corrected in the state record

Open / not marked corrected.