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

General: Based on observation and review of documentation, a staff member (DOH: 10/31/24,) had not completed a KARES background check. This staff member was not observed working during the inspection. Review of the KARES data verified this information. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, two (2) staff members' (DOH: 10/01/24 and 10/31/24) personnel files did not contain verification of a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential on the day of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 during the inspection, the following was found: 1) Documentation presented for a staff member (DOH: 10/20/24), did not include a negative TB skin test result or a physician’s statement indicating the staff member was free of active TB. The staff member was observed working with the children on the day of the inspection. 2) Documentation presented for a staff member (DOH: 07/01/21), included the most recent TB skin test dated 07/26/22, which was no longer current. The staff member was observed working with the children on the day of the inspection. 3) Documentation presented for a staff member (DOH: 08/01/16), included the most recent TB skin test dated 08/17/22, which was no longer current. The staff member was observed working with the children on the day of the inspection. 4) Documentation presented for a staff member (DOH: 08/01/05), included the most recent TB skin test dated 07/26/22, which was no longer current. The staff member was observed working with the children on the day of the inspection. 5) Documentation presented for a staff member (DOH: 08/01/16), included the most recent TB skin test dated 08/17/22, which was no longer current. The staff member was observed working with the children on the day of the inspection. 6) Documentation presented for two (2) staff members (DOH: 10/31/24 and 10/01/24), did not include a negative TB skin test result or a physician’s statement indicating the staff member was free of active TB. The staff members were not observed working 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 7. First Aid and Medicine.

General: Based on review of documentation and interview, five (5) staff members (DOH: 11/03/23, 08/01/16, 07/24/24, 02/01/23, and 10/24/21) had not completed the required First Aid and Cardiopulmonary Resuscitation training that is due within ninety (90) days of employment. A review of the ECE-TRIS report verified this information.

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 during the inspection, the following was found: Orientation Training Seven (7) staff members (DOH: 09/15/23, 09/01/23, 08/10/20, 11/03/23, 08/30/21, 07/24/24, and 02/01/23) had not completed orientation training, which is required within ninety (90) days of employment. Pediatric Abusive Head Trauma Training 1) A staff member (DOH: 08/10/20) has not completed one and one-half (1.5) hours of pediatric abusive head trauma training that was due on or before 08/10/21. 2) A staff member (DOH: 01/01/24) has not completed one and one-half (1.5) hours of pediatric abusive head trauma training that was due on or before 01/27/22. 15 Hours of Required Training 1) A staff member (DOH: 10/24/21) completed zero (0) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 2) A staff member (DOH: 10/25/21) completed only ten (10) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 3) A staff member (DOH: 08/09/21) completed only eleven (11) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 4) A staff member (DOH: 06/01/22) completed only twelve (12) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 5) A staff member (DOH: 06/01/22) completed only twelve (12) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 6) A staff member (DOH: 08/01/08) completed only twelve (12) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 7) A staff member (DOH: 08/01/17) completed only twelve (12) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 8)A staff member (DOH: 08/27/21) completed only thirteen (13) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 9) A staff member (DOH: 08/01/17) completed only thirteen and one half (13.5) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. 10) A staff member (DOH: 07/01/21) completed only fourteen and one half (14.5) of the required fifteen (15) hours of early care and education training during the training year 07/01/23 to 06/30/24. Review of the ECE-TRIS report verified this information. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Llamas Room 1) There were brown stains on multiple ceiling tiles throughout the classroom, indicative of water damage. Sloth Room 1) There were multiple ceiling tiles that contained brown strains, indicative of water damage. Panda Room 1) There were multiple ceiling tiles that contained brown stains, indicative of water damage.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the bathroom within the Llama Room, the ventilation to the outside air was not working properly on the day of the inspection. Continued observation revealed there was not a window within the 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation during the inspection, the following was found: Flamingo Room 1) There was dried food, dust, and debris under and around the changing pad. Lamb Room 1) There was a dust and debris under and around the changing pad. Turtle Room 1) There was an accumulation of dust, debris, paper, and dried food under and around the changing pad. Panda Room 1) There was a crack in the changing pad, causing the inside absorbent material to be exposed. 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, there was a screw protruding from a broken piece of wood located on the top of the picnic table that was located on the Little Playground. 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 within the Elephant room, there were two (2) soft pillows that were soiled with round grey circular marks throughout each of the pillows. 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

Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Dolphin Room 1) The trash can lid was soiled with an accumulation of food, dust, and debris. Big Room 1) There were three (3) child size vinyl chairs sitting on the floor, that was cracked and tearing. Hallway 1) There was a back foot break on the back of the Bye Bye Buggy that was broken. A staff member had placed pieces of duct taped on the foot break to secure the break where it was supposed to originally be. The equipment is not working properly. 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, the following was found: Kitchen 1) The white refrigerator freezer contained hair, dried food particle and a sticky substance on the day of the inspection. 2) The standing freezer contained dried food particles on the bottom floor of the freezer. Panda Room 1) The refrigerator door shelves contained food particles and a sticky substance. Ladybug Room 1) The refrigerator contained an accumulation of dried food particles, dust, and debris. 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

Category: nutrition. Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Room 17 1) Based on observation, a metal air vent under the window was rusted and contained chipping paint. Room 27 1) The countertop in the room was soiled with an accumulation of dust, debris, and a dried white substance.

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 during the inspection, the following was found: Room 22 1) There was a lamp sitting on low window sill in the library center. The cord attached to the lamp was dangling from the window sill onto the floor, creating a safety hazard. Room 24 1) There were three (3) tubes of Bath and Body lotion sitting on the handwashing sink, accessible to the children. Room 28 1) There were two (2) electrical outlets that was not covered on the day of the inspection. 2) There was a one hundred twenty (120) volt electrical inflator machine that was sitting on the floor. There were children observed playing around the machine. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation presented, staff members' (DOH: 08/09/21, 12/10/19, and 08/01/23) records did not include a negative TB skin result or a physician’s statement indicating the staff members were free of TB.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members (DOH: 06/06/23, 09/01/23, 08/01/23, and 07/24/23) did not complete the required first aid and cardiopulmonary resuscitation training within ninety (90) days of employment.

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 during the inspection the following was found: 1) A staff member (DOH: 06/08/22) record did not contain documentation verifying the staff member had completed one and one-half (1.5) hours of cabinet-approved pediatric abusive head trauma training that was due on or before 06/08/22. 2) A staff member (DOH:05/25/18) record did not contain documentation verifying that the staff member had completed one and one-half (1.5) hours of cabinet-approved pediatric abusive head trauma training that was due on or before 05/25/23. 3) A staff member (DOH:07/01/21) record did not contain documentation verifying that the staff member had completed one and one-half (1.5) hours of cabinet-approved pediatric abusive head trauma training that was due on or before 07/01/22. 4) A staff member (DOH:08/01/17) record did not contain documentation verifying that the staff member had completed one and one-half (1.5) hours of cabinet-approved pediatric abusive head trauma training that was due on or before 08/01/22. 1) Five (5) staff members' (DOH: 06/08/22, 06/06/23, 09/01/23, 08/01/23, and 07/24/23) records did not contain documentation verifying that the six (6) hours of cabinet-approved orientation training had been completed within the first three (3) months of employment. 2) Review of forty (40) staff files, there were fourteen (14) staff members that had not completed the required fifteen (15) hours of early care and educational training during the training year 07/01/22 to 06/30/23. Review of the Early Care and Educational Training Record Information System (ECE-TRIS) data system verified this information. 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 and interview during the inspection, the following was found: Room 160 1) There was a black purse sitting on a low counter that was accessible to the children. Interview with a staff member revealed that the purse belonged to him/her. Hallway handwashing sink 1) A bottle of Dawn dish washing soap was sitting on the counter adjacent to the water faucet of the handwashing sink that the children use. The warning label on the bottle of cleaner stated, “Keep Out of Reach of Children.” The cleaner was made accessible to the children. 2) There was a can of Lysol disinfectant spray sitting inside the handwashing sink vanity that was not locked. The warning label stated, “Keep Out of Reach of Children.” An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 4. Premises Requirements.

General: Based on observation, a door leading outside to the atrium area was propped open on the day of the inspection. There was not a barrier to protect the door.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation there were two (2) pieces of ceramic tile flooring missing in the bathroom, leaving a hole with sharp jagged edges in the floor in Room 22.

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 during the inspection, the following was found: Room 16 1) The handwashing sink in the bathroom was soiled with an accumulation of dust and debris, indicating that the sink had not been cleaned daily. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Elephant Room 1) The changing table was soiled with dust and debris. Room 26 1) The changing table was soiled with dust and debris. Room 27 1) The changing table was soiled with dust and dried food. Room 18 1) The changing table was soiled with dust and debris. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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 interview and observation the child care center failed to lock the children’s medication. The staff in charge revealed that the children’s medication is kept in a closet in the office. However, observation of the child care center revealed, the medication was not in a locked container, the closet door and the office door was not locked on the day of the inspection. 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 during the inspection, the following was found: Large Outdoor Playground 1) There was a large amount of a green and grey furry substance throughout the large climbing structure. Toddler Outdoor Playground 1) The roof of a child size wooden playhouse was blanketed with a thick green fuzzy 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: Based on observation, there was a black, sharp metal mesh material that was partially attached to the bottom of the fence on the toddler outdoor playground. The sharp metal mesh was accessible to the children. 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 there were numerous sheets and blankets that were hanging out of the children’s cubbies and lying on the floor. The children’s individual belongings were observed touching other children’s bedding in Room 23. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Room 26 1) There was a riding toy in the shape of a bee that was peeling vinyl. The inside absorbent material was exposed. Room 16 1) There were two (2) vinyl rectangle blocks that were cracked. The inside absorbent material was exposed. 2) There was a large white pillow that was soiled with dried brown and yellow substances. 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 during the inspection, the following was found: Room 24 1) The refrigerator did not contain an indicating measuring device. Therefore, the temperature inside of the refrigerator could not be measured. Room 12 1) The refrigerator contained an indicating thermometer that read forty-eight (48) degrees Fahrenheit; therefore, the refrigerator did not maintain a temperature of forty (40) degrees Fahrenheit or below.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Cafeteria 1) The freezer did not contain an indicating measuring device. Therefore, the temperature inside of the refrigerator could not be measured. Room 12 1) The freezer’s indicating measuring device revealed the temperature of the interior of the freezer was five (5) degrees Fahrenheit.

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 during the inspection, the following was found: Room 24 1) There was a dried, red, sticky substance inside the refrigerator. Room 16 1) The exterior and interior of the refrigerator contained dust, debris, and a dried substance. Cafeteria 1) The interior of the Midea refrigerator was soiled with dried food, dust, and debris. 2) The interior of the GE refrigerator was soiled with dried food particles, dust and debris. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable 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.

Based on review of documentation, the following was found: 1) The files for five (5) children (DOE: 08/14/23, 08/15/22, 08/14/23, 08/15/22, 06/05/23, and 10/01/20) did not contain authorization from the parent to give the child care center to seek medical treatment for the child in the parents absence. 2) The files for five (5) children (DOE: 08/14/23, 08/15/22, 06/05/23, 10/01/20, and 08/15/22) did not contained a required parent signature. 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 4. Premises Requirements.

General: Based on observation, there were areas of chipping paint on the walls of Classroom 11. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on review of documentation, the child-care center employed two (2) staff members prior to having a completed background check as required. The staff members were hired on 10/19/21 and 8/5/22 respectively.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 8/5/2022 did not have fingerprints collected for the FBI based background check until 8/22/2022. Additionally, staff member hired 10/19/2021 did not have fingerprints collected for the FBI-based background check until 1/18/2022. 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

Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 06/01/2022 had an employment status as “Separated” on the KARES Background check portal. A staff member observed working in Classroom 16 (no hire date on file) was listed as “separated”. Staff member hired 8/1/14 had an employment status as “Separated” on the KARES portal. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, children’s clothing items were stored on hooks in Classroom 19 and 14; several of the cloth materials were overlapping. This method of storage promotes the spread of germs and bacteria. 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 review of documentation, 2022 staff meeting documentation was not presented for review during the inspection process. 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 9. Records.

General: Based on review of documentation, a staff member observed working in Classroom 16 and a staff member working in Classroom 19 did not have a documented date of hire.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Staff member hired 8/9/2021 did not have proof of educational qualifications in their personnel file. The transcript presented did not list the date that the staff member had graduated. 2.) Staff members hired 8/13/2021 and 10/10/2022 respectively did not have proof of educational qualifications in their personnel files. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Staff member hired 8/9/2021 did not have documentation of a negative tuberculin skin result or a physician’s statement clearing the individual of active tuberculosis. 2.) Staff members hired 12/12/2019, 8/16/2022, and 6/1/2016 each had a negative tuberculin screening that exceeded two years and is no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1. Staff members hired 08/20/2014, 08/1/2014, 8/10/2020, and 08/11/2015, had a Pediatric Abusive Head Trauma training that exceeded five years and was no longer current. 2. Staff members hired 8/9/2021 and 8/13/2021 did not have evidence of completing Pediatric Abusive Head Trauma training. This training is required within the first year of employment. 3. Staff member hired 8/9/2021 did not complete cabinet-approved Orientation training until 8/16/2022. This training is due within the first 90 days of employment. 4. Staff member hired 3/3/2022 did not have evidence of completing cabinet- approved Orientation training. This training is required within the first 90 days of employment. A review of ECE-TRIS supports these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a cabinet drawer within Classroom 18 stored the following items: Omeprazole medication, Hall’s cough drops, Glycerin drops, hand lotion, and hair spray. The warning label on these items read, “Keep out of reach of children.” These items were accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the trash can used to dispose of soiled diapers within Classroom 14 was not covered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a child’s Epinephrine injector was stored on a countertop in a plastic bin within Classroom 172. Emergency rescue medication should be kept out of reach of children. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) Five (5) bucket feeding chairs in Classroom 11 and six (6) bucket chairs within Classroom 14 were not equipped with the manufacturer's seat belt. 2.) Seven chairs (7) were stacked upon one another in Classroom 27 and presented a pullover hazard. 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, the thermometer housed in the refrigerator of Classroom 14 read a temperature of 55 degrees Fahrenheit. A temperature of 40 degrees Fahrenheit or below was not maintained. 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

Open / not marked corrected.

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

General: Based on review of documentation, arrival and departure times for the children in care were not documented. 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: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, children’s allergies and medical information were posted on the walls of Classroom 11 and Classroom 16. Medical information should be kept confidential unless permission to post publicly is granted. 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 and review of documentation, the 2021 Statement of Deficiency and corresponding Plan of Correction were posted on a cork board for public inspection; however, the documents were stapled through all four corners and only the approval letter was visible. The documents were not easily accessible for public viewing. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff hired 10/22/21, did not have their education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 08/01/18, had a TB skin test dated 08/15/19. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, two (2) staff members hired 08/10/20 and 08/16/21, had no proof they completed six (6) hours of orientation training with in the first three (3) months of their employment. In addition, staff member hired on 08/10/20, lacked one and one half (1 ½) hours of cabinet-approved Pediatric Abusive Head Trauma Training within the first year of employment. 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 and interview, a pair of gray handle sharp adult size scissors were stored in a basket on top of a craft cart approximately (3) feet from the floor in the Frogs’ classroom. A plastic bag full of wadded up plastic bags hung next to the changing table in Turtles, Puppies and Llamas classroom. A paper bag full of plastic bags was stored on the bottom shelf of the changing table in the Lambs classroom. These items were 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the hot water temperature registered seventy-four (74) degrees Fahrenheit at the sink in the Ladybug room; seventy (70) degrees Fahrenheit at the sink in the Pony room; seventy-three (73) degrees Fahrenheit at the sink in the Bunny room; sixty-five (65) degrees Fahrenheit at the sink in the Turtle room; eighty (80) degrees Fahrenheit at the sink in the Cow room; seventy (70) degrees Fahrenheit at the sink in the Turkeys room, and seventy (70) degrees Fahrenheit at the sink in the Owl’s room. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, there was dirt, paper and grime underneath the changing pad in the Puppies, Turtles and Lambs classroom. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the red canvas was unraveled and torn on the picnic table located in the outdoor play area. 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 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 and interview, eight (8) children enrolled on 04/16/21, had enrollment information that did not include the health status on allergies. 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 10. Director Requirements and Responsibilities.

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. On 1/13/2021, observation of the girl’s restroom for room 172 revealed a plunger accessible to children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. On 1/14/2021, a review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for a staff member hired on 12/12/19. Interview with the staff in charge revealed the document was not there for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. On 1/14/2021, upon request, the staff in charge did not present verification that two (2) staff members with hire dates of 8/1/2016 and 8/6/2019 had an updated required cabinet approved pediatric head trauma training. The employee hired on 8/1/16 had the training last on 8/28/15 and the employee with hire date of 8/6/19 had the training last on 12/19/2013. 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. On 1/13/2021, upon review of records and interview, the child care director did not present verification that the daily activity of Programming was posted in writing and that had been updated to reflect the current week for classrooms 28 and 63 at the child care center. 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, the child care center failed to maintain the premises in accordance with regulatory requirements. On 1/13/2021, observation of the girl’s restroom for room 172 revealed a spray bottle of disinfectant that stated on the label “keep out of the reach of children” was accessible to children. Interview with the staff in charge confirmed the item was in the bathroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain premises in accordance with regulations. On 1/13/2021, observation in the restrooms used for rooms 15, 17, 22,23,24 revealed the sink used to wash hands did not have hot running water, the water was continually cold with only the hot handle turned on. Interview with the staff in charge confirmed the water did not get warm in the sinks. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. The black mini-fridge located in Room 164 was not equipped with an indicating thermometer or other appropriate temperature-measuring device at the time of the survey. The black mini-fridge located in Room 27 had a thermometer indicating a reading of forty-six (46) degrees Fahrenheit at the time of the survey. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

Based on observation and interview, the child care center failed to assure compliance with the emergency regulations specific to the current pandemic as they relate to required background checks. In accordance with 922 KAR 2:410e, while the fingerprint offices are closed due to the pandemic, a child care center must obtain a Criminal Records Check and Child Abuse/Neglect Check for all employees who were hired after the onset of the pandemic. On 1/14/2021, upon request, the provider failed to provide documented evidence of required background checks for employees with the hire dates of 10/23/2020, 8/10/2020, and 12/2/2020.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 8/1/14 and 5/1/17 whose file did not contain a current statement from a health professional stating that they were free from active tuberculosis. Upon request, the director did not present current statements for the aforementioned staff members at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

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. There were two (2) clear plastic spray bottles located on the counter between the two (2) changing pads within reach of the children in Room 14. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. 1) There were water stains in both corners of the ceiling inside the bathroom in Room 24. 2) There were water stains in two (2) of the ceiling tiles located in Room 28. 3) There was a water stain in the ceiling tile located above the sink in Room 27. 4) There were water stains in seven (7) of the ceiling tiles located in the Kitty Room. 5) There were water stains in four (4) of the ceiling tiles located in Room 19. 6) There was a water stain in the ceiling located above the miscellaneous shelves in Room 18. 7) One (1) of the ceiling tiles was missing exposing the pipes in the ceiling in Room 17. 8) There were water stains in two (2) of the ceiling tiles located in Room 17. 9) There were water stains in four (4) of the ceiling tiles located in Room 16. 10) There were water stains in five (5) of the ceiling tiles located in the Big Room 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. 1) One of the electrical outlet covers located in Room 28 was not secured to the wall and had a gap between the top of the outlet cover and the wall. 2) There was a gap around the sprinkler located in one of the ceiling tiles in the Kitty Room. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The blue changing pad located in Room 19 was torn exposing the absorbent material. The changing pad located in Room 17 was torn exposing the absorbent material. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with the regulatory requirements regarding first aid and/or medication. There was a tube of honest diaper rash cream, a tube of calmoseptine diaper cream and a tube of aquaphor diaper cream located on the changing table within reach of the children in Room 19 at the time of the survey. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The blue beanbag chair located in Room 23 was stained. The red vinyl beanbag chair located in Room 17 was torn exposing the absorbent material. 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. The freezer portion of the white refrigerator located in Room 16 was not equipped with an indicating thermometer 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. There was a clear bottle located in the white refrigerator in Room 16 that was not individually labeled or covered at the time of the survey. Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 and interview, the child care center failed to post documentation in accordance with regulatory requirements. Information on the Kentucky Consumer Product Safety Program and the program’s website as specified in KRS 199.897 was not posted at the time of the survey. The director acknowledged that the documentation was not posted at the time of the survey. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record for the employee with the hire date of 02/15/2016 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that an employee with the hire date of 06/01/2017 had met the requirement of completing one and one-half (1 ½) hours of pediatric abusive head trauma training. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirement. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulatory programming requirements. Upon request, the child care director did not present verification that the daily activity of programming was posted in writing that had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for each child in the following classrooms: # 172, #19, #11 and #12.

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 programming requirements. Observation in the infant classroom #11 revealed a nine-month old infant sleeping in the crib with a pacifier that was attached to a clip. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulatory requirements regarding first aid and or medication. Located on the corner of the mat on the changing table, in the classroom identified as number nineteen (19), were two (2) tubes of diaper rash cream that were labeled; however, the diaper rash cream was accessible to the children. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The large stuffed animal identified as “Elmo”, located in classroom # 14, had a tear in the seam of the neck, exposing the material inside. 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 3. General Requirements.

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the infant classroom # 11 revealed that a nine-month-old infant was laying on a bobby pillow, which was located on the floor. The staff was observed holding a bottle upright to feed the infant. Continued observation revealed an eight-month-old infant, also laying on the floor on a bobby pillow, holding his own bottle. Therefore, the infants were not being held during feeding. 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 director did not present verification that the record of the child with the enrollment date of 01/24/2017 contained a current immunization record. Written Documentation In Compliance Posted Documentation 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Observation of the changing area located in classroom # 18 revealed no posting of the proper methods of diapering procedures. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory programming requirements. Observation of the Caterpillar classroom revealed two (2) infants sleeping in a cribs with a pacifiers attached to pacifier clips. Premises 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 regulatory requirements. Review of documentation revealed a list of the children’s names and food allergies was posted on the walls in the Honey Bee, Butterfly and Turkey classrooms, available for public inspection. During interview, director acknowledged this deficient practice. Director Requirements In Compliance 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 child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for two (2) staff members hired 6/1/17 and 6/20/17. Interview with director revealed she needed to obtain proof of education for these staff members. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the statement of negative tuberculin result on file for a staff member hired 8/1/15 is no longer current as it is dated 7/3/15. Continued review of staff files revealed one (1) staff member hired 8/1/94 failed to have records of negative tuberculin result on file. Interview with 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

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 Lady Bug room revealed a piece of baseboard was missing from the wall next to the window in the eating area. Hygienic Practices In Compliance 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 first aid and/or medication. Observation of the Puppy classroom revealed two (2) tubes of Desitin diaper rash cream stored unlocked on the diaper changing pad. Observation of the Lamb classroom revealed a tube of Aquaphor cream, stored unlocked on the diaper changing pad. Continued observation in the Pony classroom revealed a tube of Aquaphor cream stored unlocked on the diaper changing pad. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed the written records for two (2) children enrolled 7/7/14 and 12/11/15 failed to contain contact information to enable a person in charge to contact the child’s preferred hospital. Interview with director revealed this documentation was not on file at the time of survey. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with the regulatory requirements. Based on observation, an Allergy/Restricted Diet form listing individual children's dietary requirements failed to be maintained in a way that only qualified and authorized staff, and representatives of the cabinet have access to the information in the Ladybug Room.

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 employee records in accordance with regulatory requirements. Based on a review of documentation, staff members with hire dates of 08/01/16, and 08/01/16, failed to have CRC results contained in the file. Additionally, there was no evidence of a request for the results contained in the files. Based on interview with staff in charge, the staff members do not work alone with children.

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 staff files, a staff member with a hire date of 08/01/16 failed to have proof of a high school diploma, GED, or other comparable entity, or a Commonwealth Child Care Credential maintained 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 staff files, a staff member with a hire date of 07/25/14, failed to have a statement from a health care professional stating the individual is free of tuberculosis, or negative results of a tuberculin test contained in the file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Based on observation in the Ladybug Room, and in the Ponies Room, a child's hands failed to be washed after diapering.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Based on observation, a staff member in the Ladybug room failed to wash her hands prior to applying gloves, when diapering a child.

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 maintain hygienic practices in accordance with regulatory requirements. Based on observation in the Ponies Room, the changing table was not sanitized after changing a child's diaper or prior to a diaper change.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation, a rung of the chain link ladder, on the large climbing structure, had a decayed rubber covering allowing for splintering, and rough material to be exposed. Additionally, one red and yellow Little Tykes car was observed to be inoperable due to a missing steering wheel.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on a review of documentation, the food service permit #31231 had expired on 12/31/15, and a current permit was not available for review at the time of the survey.

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 the food service in accordance with regulatory requirements. Based on observation in the Fireflies Room, there was no thermometer available to determine food (breast milk) was kept at a temperature of zero degrees Fahrenheit or below. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 of 26 Web site: http://chfs.ky.gov/ 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 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 Ladybug Room, seven (7) children were fed milk, bananas and crackers directly onto an unsanitized table, Additionally, no equipment, ie: plates were used.

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 Observation, the childcare center failed to maintain the health, safety and comfort of all children in care. Observation of the Ladybug Classroom revealed an outlet was not covered in the eating area and accessible to the Toddler's in the classroom. 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 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on Review of Documentation, Interview and Observation, the childcare center failed to maintain all background check requirements. Review of documentation revealed the staff members with the following hire dates did not have a valid Criminal Record Check (CRC) presented for review: 08/01/2014, 09/01/2014 and 08/01/2015 (two staff). Interview with the Director revealed a staff member with the hire date of 08/01/2015 was interviewed early in the year and the CRC was completed then, but not upon rehire. Continued interview with the Director revealed an out of state record check was completed for the remaining three staff; therefore, a Kentucky CRC was not completed. Observation of the childcare center on 09/24/2015 revealed the staff members without the completed CRC's were working in classrooms with qualified staff. Interview with the Director confirmed the staff had not worked alone in classrooms with children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all training requirements. Review of documentation revealed the staff members with the following hire dates did not complete the required amount of annual training hours: 08/01/1990, 08/01/2005, 08/01/2014, 09/01/2014 and 08/01/2001. Continued review of documentation revealed two staff members with the hire dates of 08/01/2014 failed to complete Pediatric Abusive Head Trauma within the first year of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the childcare center failed to maintain all programming requirements regarding combining toddlers and two-year-old children. Review of dates of birth and attendance records revealed the childcare center combines a twenty two-month-old toddler with the enrollment date of 06/09/2014 with two-year-old children daily, exceeding the one (1) hour maximum.

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 Review of Documentation, the childcare center failed to maintain all programming requirements regarding transition plans. Review of dates of birth and attendance records revealed the childcare center combines a twenty two-month-old toddler with the enrollment date of 06/09/2014 with two-year-old children daily, exceeding the one (1) hour maximum. Review of the enrollment file for the toddler with the enrollment date of 06/09/2014 revealed the lack of a signed permission from the parent allowing the combination of the toddler and the two-year-old children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all toilet room requirements. Observation of the restroom connected to the Butterfly Room revealed an open restroom without stalls or walls. Continued observation of the restroom revealed children of both genders were using the restroom at the same time as a three-year-old female was using the toilet while a three-year-old male was washing his hands.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the childcare staff failed to maintain a proper toy sanitation procedure. Interview with the Caterpillar Class staff revealed that the mouthed toys are placed into a sanitizing dishwasher once a week instead of daily. First Aid/Medication

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all medication requirements. Observation of the Bunny, Pony and Ladybug Classrooms revealed diaper rash cream/ointment and sunscreen were located in a bin and in a cubby around the changing areas. Observation of the Lamb Classroom reveled the diaper rash cream/ointment was located in a bin at the bottom of the diaper changing station and readily accessible to the children in care. 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 childcare center failed to maintain all outdoor play area requirements. Observation of both the toddler and preschool outdoor play areas revealed weeds growing throughout the play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain all protective covering requirements. Observation of the Toddler outdoor play area revealed two (2) Little Tikes slides and/or climbers without any type of protective covering surrounding the slides.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, the childcare center failed to ensure all toys shall be used according to the manufacturer's safety specifications. Observation of the Beehive Classroom revealed a Bumbo seat without the manditory restraint belt. Review of the company website, http://www.recall.bumbousa.com/, revealed on August 15, 2012 Bumbo International Trust conducted a voluntary recall to add a restraint belt and new warnings to the Bumbo® Baby Seat. Infants can maneuver out of or fall from the seat, posing a risk of serious injuries. Working closely with the CPSC, Bumbo has determined that the potential safety issue can be readily corrected in the home by adding a restraint belt. In addition, Bumbo is providing a new warning sticker for consumers to attach to the seat to re-emphasize existing warnings against use of the seat on any raised surfaces. Consumers should stop using their Bumbo Baby Seats immediately, and complete the order form to obtain a free Repair Kit.

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 childcare center failed to maintain all refrigerator requirements. Observation of the thermometer in the Caterpillar Class refrigerator revealed the milk is being stored in a refrigerator that measured at 45 Degrees Fahrenheit.

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 childcare center failed to maintain the confidentiality of all children's records. Review of documentation revealed the allergies of children were posted on the facing of the cabinet doors and accessible to all parents or guardians of other children in the Cat and Bunny classrooms.

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 record review, the child care center director failed to assure compliance with regulatory requirements. Record review revealed that staff members with the hire dates 8/15/13, 8/11/13 and 8/1/13 failed to have an annual evaluation on file at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed a staff member with the hire date 8/20/14 listed an address in Mississippi on the Child Abuse and Neglect Check. Further review revealed that the staff member failed to have an out of state background check from Mississippi on file for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed that staff members with the hire dates 8/15/13 and 8/1/13 failed to have qualifying document stating that they were currently enrolled in high school on file for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed that staff members with the hire dates 8/1/12, 8/1/94 and 8/20/14 failed to have current documentation from a health professional to verify that the individual were free from active tuberculosis 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 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 revealed a changing table in the Play Room that failed to be immediately adjacent to a sink.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Lamb Class revealed after changing a two-year-old child’s diaper the teacher wiped the child’s hands with wet wipes and directed her to go with the other children to play.

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 documentation review the child care center failed to maintain written documentation in accordance with regulatory requirements. Record review revealed that the center’s Emergency Preparedness Plan was last updated in 2012 and reference the past director on the plan, therefore the center's plan failed to be updated by December 31 of each year in accordance to KRS 199.895.

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 documentation review, the child care center failed to post documentation in accordance with regulatory requirements. Observation revealed that toddlers use the Play Room. Review of posted documentation revealed that the center failed to post the proper methods of diapering and hand washing were not posted near the diaper changing area in the Play Room. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, it was determined the director failed to provide a current copy of state regulations for staff. Review of Documentation revealed a copy of regulations dated 2008-2009.

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, it was determined the center failed to provide documentation on file at time of inspection verifying the following: 1. Criminal Record Check for a staff member hired 8/1/13. 2. Out of state Criminal Record Check for a staff member hired 8/1/13.

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 provide documentation of a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection for a staff member hired 8/15/13.

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 provide documentation from a health professional to verify that the individual was free from active TB on file at time of inspection for three staff members with the following hire dates: 8/1/13 and 8/15/13 (two staff members).

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 children failed to wash hands upon arrival. Observation revealed two children arriving at approximately 9:05 a.m., were assisted walking down the hallway from the carpool area to the classroom and did not wash hands upon entering the classroom. 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 a staff member failed to wash hands before changing a diaper. Observation revealed a staff member put on latex gloves instead of washing hands with soap and running water before changing a child's diaper.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

Based on review of documentation, the center failed to provide documentation verifying a current third party contract for transportation services. 815 - Transportation Notification/Safety Procedures - Transporting, Loading/Unloading and Supervision Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (g) Safety procedures for: 1. Transporting a child; 2. Loading and unloading a child; and 3. Providing adequate supervision of a child. 820 - Vehicle Equipment Not Applicable 922 KAR 2:120. Section 12. Transportation. (4) A vehicle used to transport children shall be equipped with: (a) A fire extinguisher; (b) First aid supplies as described in Section 7 of this administrative regulation; (c) Emergency reflective triangles; and (d) A device to cut the restraint system, if necessary. 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section. 830 - Vehicle Inspection Documentation Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (a) A twelve (12) or more passenger vehicle shall display a current certification of inspection from the Transportation Cabinet on the designated window. 835 - Vehicle Requirements/Traffic Stop During Loading/Unloading Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (b) A vehicle that requires traffic to stop while loading and unloading a child shall be equipped with a system of: 1. Signal lamps; 2. Identifying colors; and 3. Cautionary words. 840 - Seatbelts for Each Occupant Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (c) A vehicle shall be equipped with seat belts for each occupant to be individually secured. 845 - No Hazardous Materials Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (d) A vehicle shall not transport children and hazardous materials at the same time. 850 - Car Seats Not Applicable 922 KAR 2:120. Section 12. Transportation. (7) The appropriate car safety seat meeting federal and state motor vehicle safety standards in 49 C.F.R. 571.213 and KRS 189.285 shall be used for each child. 855 - Pre-trip Inspection Not Applicable 922 KAR 2:120. Section 12. Transportation. (8) A daily inspection of the vehicle shall be performed and documented for the following: (a) Tires; (b) Lights, signals, mirrors, gauges, and wiper blades; (c) Safety restraints; (d) Fuel; and (e) Free of debris. 860 - Ratios Not Applicable 922 KAR 2:120. Section 12. Transportation. (9)(a) The staff-to-child ratios set forth in Section 2(2) of this administrative regulation shall apply to vehicle transport, if not inconsistent with special requirements or exceptions in this section. (b) An individual who is driving with a child in the vehicle shall supervise no more than four (4) children under the age of five (5). 865 - Seating Not Applicable 922 KAR 2:120. Section 12. Transportation. (10) Each child shall: (a) Have a seat; (b) Be individually belted or harnessed in the seat; and (c) Remain seated while the vehicle is in motion. 870 - Child Unattended Not Applicable 922 KAR 2:120. Section 12. Transportation. (11) A child shall not be left: (a) Unattended at the site of aftercare delivery; and (b) Unattended in a vehicle. 875 - Pre-arranged Plan Not Applicable 922 KAR 2:120. Section 12. Transportation. (12) If the parent or designee is unavailable, a prearranged written plan shall be completed to designate where the child can be picked up. 880 - Unaccompanied Child Crossing Street Not Applicable 922 KAR 2:120. Section 12. Transportation. (13) A child shall not be picked up or delivered to a location that requires crossing the street or highway unless accompanied by an adult. 885 - Vehicle Headlamps Not Applicable 922 KAR 2:120. Section 12. Transportation. (14) A vehicle transporting a child shall have the headlamps on. 890 - Refueling Not Applicable 922 KAR 2:120. Section 12. Transportation. (15) A vehicle shall be refueled when not being used to transport a child. If emergency refueling or repair is necessary during transporting, all children shall be removed and supervised by an adequate number of adults while refueling or repair is occurring. 895 - Driver Not In Seat Not Applicable 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 922 KAR 2:120. Section 12. Transportation. (16) If the driver is not in the driver's seat, the: (a) Engine shall be turned off; (b) Keys shall be removed; and (c) Emergency brake shall be set. 900 - Children's Transportation Records Not Applicable 922 KAR 2:120. Section 12. Transportation. (17) Transportation services provided shall: (a) Be recorded in writing and include: 1. The first and last name of the child transported; and 2. The time each child gets on and the time each child gets off; (b) Be completed by a staff member other than the driver; and (c) Be kept for five (5) years. 905 - Hazardous Items Not Applicable 922 KAR 2:120. Section 12. Transportation. (19) Firearms, ammunition, alcohol, or illegal substances shall not be transported in a vehicle transporting children. Food Service

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

General: Based on observation, it was determined the center failed to properly label bottles. Observation revealed one unlabled bottle sitting in a basket with the child's name in a refrigerator in the toddler classroom. Additionally, three unlabled bottles were observed sitting in a basket with the child's name in a refrigerator in the infant classroom.

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 provide documentation verifying departure times for each child on the daily attendance record.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

Puppies: Based on observation and interview, there were seven children in the classroom ranging in age from eighteen-months to two-years. Interview with the classroom staff revealed the children that were present were regularly scheduled in the room and the older children were not scheduled to transition to an older classroom. Therefore, toddlers were being cared for with older children on a regular basis.

Open Not marked corrected in the state record

Open / not marked corrected.