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

General: Based on observation, the child size handwashing sink vanity was chipping at the bottom of the left door, causing the door to contain sharp splintered edges in the Toddler Room. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the Preschool Outdoor Play Area, there was a climbing structure that did not have any protective surface under and around a set of steps. The dirt and grass were visible. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals 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 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on review of documentation, the presented report from the state fire marshal was dated "02/08/2021" and was, therefore, not current at the time of the survey.

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, a section of the edging on the rug within the restroom between the Two year-old and Preschool classrooms was raised and fraying, creating a tripping hazard near the handwashing sinks. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the large ceiling vent within the restroom between the Two year-old and Preschool classrooms contained a substantial accumulation of dust. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the staff in the Toddler classroom failed to ensure that five (5) toddlers washed their hands upon returning to the classroom after outdoor play time and before touching toys and materials within the classroom. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the large, wooden train structure on the toddler playground contained areas of sharp and splintered wood. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation 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: Observation of the Toddler classroom revealed that the posted plan of daily activities was not dated. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the KARES report on 2/13/2020 revealed two (2) individuals listed as current employees who were determined to be eligible for employment on 7/25/18 and 9/24/19. Interview with the staff member in charge revealed that the aforementioned individuals were no longer employed with the child care center. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Review of the presented documentation on 2/13/2020 revealed the fire marshal report presented for review was dated 3/15/17. Upon request, the staff member in charge did not present a current State Fire Marshal Report confirming that the center was currently in compliance with the State Fire Marshal Office at the time of survey. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Review of the presented employee records revealed two (2) staff members with hire dates 12/10/18 and 12/28/15 whose file did not contain a current signed evaluation. Upon request, the staff member in charge did not present a current signed evaluation for the aforementioned staff members at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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: Review of the presented employee records revealed a staff member with hire date 11/13/19 whose file did not contain documentation to verify completion of the six (6) hours of cabinet approved orientation. 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, there was a stain in a ceiling tile, indicative of water damage, located above the blocks area in the Two-Year-Old Room at the time of the survey. 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 armrest on the beige, leather chair located in the Two-Year-Old Room was torn, exposing the inner material at the time of the survey. 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 white refrigerator located in the kitchen that contained milk for the children in care was not equipped with an indicating thermometer at the time of the survey. The staff member in charge acknowledged that the refrigerator was not equipped with an indicating thermometer at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the freezer portion of the white refrigerator located in the kitchen that contained ice cream for the children in care was not equipped with an indicating thermometer at the time of the survey; therefore, the temperature could not be verified.

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 white mini-fridge located in the Toddler Room was soiled with food debris at the time of the survey. 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: Review of the presented children’s records revealed a child with enrollment date 11/25/19 whose file did not contain information on the child’s general health status and medical history. Upon request, the staff member in charge did not present the documentation for the aforementioned child at the time of the survey. 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: Review of the presented employee records revealed two (2) staff members with hire dates 12/10/18 and 12/28/15 whose file did not contain a current professional development form. Upon request, the staff member in charge did not present a current professional development form for the aforementioned staff members at the time of the survey. 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 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 of the evaluation assessing the staff person's interaction with children in care and classroom performance for the employee with a hire date of 12/18/2017.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. In the pre-school classroom, it was observed that a wax- burning candle was sitting in the windowsill with the electric cord hanging down behind a plastic tree, plugged in to the electric outlet. Continued observation revealed there were three (3) children playing near the area, when one (1) child moved the tree, creating exposure to the cord. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 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 a staff with the hire date of 02/11/2007 had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirement. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the restroom revealed it contained four (4) toilets with small dividers between the toilets. However, the front of the toilet stall did not include a door and was open. Observation revealed there were two (2) female children using the restroom, while two (2) male children were washing their hands at the sink in front of the open stalls. Interview with the staff revealed they did not have a plan for the children to use the same toilet room at separate times. Hygienic Practices In Compliance 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 9. Food and Meal Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request, the child care director did not present verification of a posted and dated menu. 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 6. License Issuance.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements. Review of documentation on 3/1/18 revealed that liability insurance presented for review was no longer current as it was dated 7/1/16-9/1/17. Upon request, the director did not present documentation as verification of current liability insurance at the time of the survey. 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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed staff members' files with hire dates 10/10/12, 11/16/16, 1/19/16 that did not contain documentation to verify completion of fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present documentation to verify that the aforementioned staff members completed the fifteen (15) hours of cabinet approved training at the time of the survey. Continued review of the presented employee records revealed staff members' files with hire dates 1/14/16, 4/29/15, 7/19/11, 12/28/15, and 5/22/15 that did not contain documentation to verify current completion of the one and one half (1 ½) hours of pediatric abusive head trauma. 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

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 regulatory requirements. There was a clear plastic container labeled “Infant bleach” located on the counter next to the changing table in the Infant Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was chipped paint by the wooden house located in the dramatic play area in the Infant Room. There were several areas located in the Two’s Room with peeling paint. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals 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 12. Reports.

General: Based on interview, the child care center failed to comply with regulations regarding general administration. Interview with the director revealed an incident occurred at the child care center on the date of 02/09/2018 requiring a four-year-old child to seek medical care was not reported timely to the cabinet. The cabinet received notification of the incident from the director on 02/14/2018. Further interview with the director revealed the staff member with the hire date of 10/26/2017 was terminated from employment on 02/12/2018 due to an internal investigation from the child care center of the above mentioned incident (on 02/09/2018). An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the child care center failed to comply with regulations regarding director requirements. Interview with the director and two (2) staff members with the hire dates of 12/28/2015, 09/04/2017revealed a staff member with the hire date of 10/26/2017 tipped a chair backwards onto the two (2) back legs of the chair with a four-year-old child in it causing the chair to slip and fall to the ground with the aforementioned child hitting the back of his head on the floor.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the director failed to assure compliance with regulatory requirements. Review of staff files revealed an annual written performance evaluation was not presented for review at the time of survey for two (2) staff members hired 12/28/15. Interview with director revealed this documentation was not on file at the time of survey. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of ten (10) children’s files revealed the written records for one (1) child with enrollment date 8/15/16 failed to contain preferred physician information. Continued review of children’s files revealed three (3) children with enrollment dates 6/27/13, 8/15/16 and 11/30/15 failed to contain preferred hospital information. Interview with director revealed this documentation was not on file at the time of survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a written annual plan for childcare staff professional development was not presented for review at the time of survey for one (1) staff member hired 12/28/15. Interview with director revealed this documentation was not on file at the time of survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview the child care center failed to comply with regulatory requirements regarding toileting. Observation revealed two (2) boys and (1) girl using the Pre-School bathroom at the same time. Both children were observed sitting on the toilet next to each other as well as cleaning themselves in front of each other. The bathroom did not have sufficient stalls to allow for the privacy of each child. Interview with the Director disclosed the center does not have separate toilets for girls and boys in that room and there was no plan in place to allow boys and girls to use the same toilet room at separate times. The deficiency was explained and acknowledged by the Director at exit interview.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview the child care center failed to comply with regulatory requirements regarding medication. Observation revealed diaper cream stored in individual children's baskets and not stored in a separate locked place. Interview with the Director disclosed that she was not aware that diaper cream had to be locked. 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 11. Toys and Furnishings.

General: Based on observation and interview the child care center failed to maintain equipment in accordance with regulatory requirements. Observation revealed tears in the cloth seats of a buggy used to transport children. Interview with the Director confirmed that the buggy was regularly and recently used to transport children. The deficiency was explained and acknowledged by the Director at exit interview.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of Documentation and interview the child care center failed to comply with regulatory requirements regarding animals in the presence of children. Observation revealed a small fish tank in the two-year-old classroom that contained a live "Beta" fish. A large aquarium was also observed in the foyer that contained numerous live fish. Review of ten (10) children’s records revealed no written parental consent allowing animals in the presence of a child in care in any of the children's records. Interview with the Director disclosed she was not aware of the requirement to have parental consent for fish in the classrooms. The deficiency was explained and acknowledged by the Director at exit interview.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation, an area in the older children's playground contained a semi-circle area, which contained mulch. Based on an interview, a staff member explained the area had been used as a sandbox but had been converted and mulch had been inserted. The area was designated by stakes of railroad ties. Seven (7) of the stakes had rotted, leaving pointed, sharp and jagged edges. The stakes were not easily seen protruding from the ground and were not in a specified line, with some leaning inward and some outward, creating a tripping hazard for the children - especially for the two (2) year old children which also use this area, based on an interview with the staff person.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the childcare center staff failed to maintain supervision of all children in care. Observation of the infant classroom at 10:26 A.M. on 10/02/2014 revealed that eight (8) infants were in the care of two (2) staff members with seven (7) of the infants playing and eating in the main portion of the room. Continued observation revealed that one (1) infant was awake in a crib against the half wall and out of the scope of vision of the two (2) staff members responsible for the infants for at least three (3) minutes. Continued observation of the staff members revealed that one (1) staff member was sitting on the floor close to the half wall, the other staff member was sitting on the floor feeding two (2)children on the other side of the classroom, making the infant in the crib out of the scope of vision of the staff members. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Interview, the childcare center director failed to maintain the health, safety and comfort of all children in care. Interview with a staff member revealed that on 09/26/2014, a toddler sustained an injury to his arm due to the staff member being in a hurry and pulling up on the toddlers arm. Continued interview with the staff member revealed that the staff member heard a pop of the toddler's arm as the toddler began to cry. Interview with the parent of the toddler revealed that the doctor determined that the toddler suffered from a Nursemaid Elbow, was treated and returned to the care of the center the same day.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain a current immunization certificate on each child. Review of documentation disclosed that a child enrolled on 7/6/2013 has an expired immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Room #2/Twos Area: Based on observation of the room it was revealed two (2) staff members were with nine (9) children present in the room. Interviews with staff members revealed the age group in the room was one (1) years old to two (2) years old. Continued interviews with staff members revealed the child had been transitioned to the room for all day care for approximately one (1) week one. Further staff member interviews with staff members revealed that since the child was getting ready to turn two (2) years old that it was acceptable to allow the child to be grouped in with two (2) year olds.

Open Not marked corrected in the state record

Open / not marked corrected.