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

General: Based on observation during the inspection, the following was found: Baby Room 1) An air vent contained an accumulation of dust and debris. Hallway 1) An air vent that contained an accumulation of dust and debris.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: Outdoor Play Area 1) A brown wooden exterior door contained peeling and chipping pieces of wood around the doorknob and other areas of the door, causing sharp splintered edges. 2) A metal kick plate was partially attached to the brown wooden door, causing the kick plate to contain sharp pointed edges. 3) The door frame of the brown wooden door contained rotted wood and a rusted nail that protruded out frame the wooden frame. 4) A tan wooden door contained peeling and chipping paint and wood, causing the door to contain areas that were sharp and splintered. Also, there was a gray substance on the wooden door, indicative of water damage.

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, an area of paint and drywall was chipping off of the corner of a wall, causing the metal flashing to be exposed in the baby room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the refrigerator in the Baby Room, a bottle of Amoxicillin prescription medication was stored on the bottom shelf, where it was not locked. Outdoor Play Area In Compliance 780 - Fence and Supervision Requirement Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall have constant and active supervision and shall be: (a) Except for an after-school child-care program, located on the premises of a public or state-accredited nonpublic school, fenced for the safety of the children;

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, four (4) bottles were not labeled or covered in the refrigerator in the Baby Room. Food Service 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, a child’s record (DOE: 10/09/24) contained the name of a non-existing hospital as the family's preferred hospital.

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, one (1) the file for a staff member (DOH: 03/14/2024) contained a TB skin test dated 03/11/2024, but the read date was not available.

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 observation, interview and review of documentation, the three (3) staff members that were present upon the surveyor's arrival at the child-care center did not have a current certification in CPR/First Aid on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, four (4) staff members (DOH: 01/09/2024, 03/22/2024, 09/20/2023, 03/14/2024) did not have evidence of completing the required CPR/First Aid training on file. A review of ECE-TRIS records supported the information found during 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 11. Staff Requirements.

General: Based on interview and review of documentation, the following was found: 1. Verification of six (6) hours of cabinet-approved orientation, completed in the first three (3) months of employment, was not presented for review for five (5) staff members (DOH: 01/09/2024, 03/22/2024, 01/01/2022, 09/20/2023, and 03/14/2024). 2. One staff member (DOH:01/01/2022), had not completed pediatric head trauma training (PAHT). 3. Verification of fifteen (15) hours of cabinet-approved early care and education training, completed between July 1 and the following June 30 of each subsequent year of employment, was not presented for review for one (1) staff member (DOH: 01/01/2022). 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, two (2) sinks in the Nemo and Rainbow bathrooms were not equiped with liquid soap and with hand-drying blower or single use disposable hand drying material. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, one (1) child's enrollment file (DOE: 06/24/2024) did not have a valid immunization certification on file. 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

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. One child’s (DOE: 06/07/2023) enrollment information listed “Any” as their preferred hospital. 2. One (1) child's enrollment file (DOE: 06/07/2023) did not contain authorization by the parent for the provider to seek emergency medical care for each child in the parents' absence. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, an annual plan for staff development was not presented for five (5) employees (DOH: 06/24/2024, 01/09/2024, 03/22/2024, 01/01/2022, and 03/13/2024). 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 review of documentation, information on the Kentucky Consumer Product Safety Program and the program's Web site as specified in KRS 199.897 was not available for public inspection. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, two (2) staff members acted as caregivers to twelve (12) children in the Nemo classroom during rest time. The staff reported that the children ranged in age from one (1) to four (4) years and would remain in combined care throughout the duration of rest time; in excess of one (1) hour. The staff in charge stated that the toddlers did not have signed transition plans on file at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, staff members with hire dates of 3/16/2023 and 2/5/2023 did not have orientation training within ninety (90) days of hire. Review of the Early Childhood Education Training Report Information System confirmed the lack of training at the time of review. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a six (6) month old child in the Baby B classroom, was napping with a blanket in the baby crib at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the hot water in the sinks where children wash their hands, in the restroom between the Baby B and Nemo rooms, was 125 degrees Fahrenheit. Therefore, the sink between those two rooms was not equipped with hot water at a maximum temperature of 120 degrees Fahrenheit at the time of review.

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 ceiling ventilation fan in the restroom between Baby B and Nemo classrooms, which was the only ventilation to the outside air, was not working at the time of review. 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 6. Sleeping and Napping Requirements.

Based on observation, the cots used for napping in the school age classroom were not spaced twelve (12) inches apart at the time of review. Transportation In Compliance 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, bottles in the Baby B classroom refrigerator were not labeled at the time of review. 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 review of documentation, the presented immunization record for a child with enrollment date of 2/28/2022 expired on 6/30/2023; therefore, it was not current at the time of review. Upon review, the immunization documentation for a child with enrollment date of 8/8/2022 only had a list of shots taken and no expiration date on the form at the time of review. 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

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, an enrollment form for a child with enrollment date of 6/8/2023 listed the word 'any' for the preferred hospital; therefore, a specific preferred hospital was not identified. 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 7. First Aid and Medicine.

General: Based on review of documentation and ECE-TRIS, the surveyor found a Staff (DOH: 06/15/22) had not completed the required CPR-Training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the that a Staff (DOH: 08/30/22) file contained documentation of background checks submitted through the Kentucky National Background Check Service on 08/13/22 that stated that the staff person was Not Eligible for employment. The surveyor observed the staff person to be working alone with children in the nursery during the renewal visit. Therefore, the staff person was hired prior to clearance for employment. During interview with the staff-in-charge, the surveyor was presented with a letter from Staff (DOH: 08/30/22) that stated she had appealed the findings. Staff-in-charge stated that the staff (DOH: 08/30/22) had been working at the child-care center since 08/30/22. 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 2:280 · 922 KAR 2:280. Section 6. Disqualifying Background Check Results.

General: Based on observation, the surveyor found the that a Staff (DOH: 08/30/22) file contained documentation of background checks submitted through the Kentucky National Background Check Service on 08/13/22 that stated that the staff person was Not Eligible for employment. The surveyor observed the staff person to be working alone with children in the nursery during the renewal visit. Therefore, the staff person was hired prior to clearance for employment. During interview with the staff-in-charge, the surveyor was presented with a letter from Staff (DOH: 08/30/22) that stated she had appealed the findings. Staff-in-charge stated that the staff (DOH: 08/30/22) had been working at the child-care center since 08/30/22. Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a Staff (DOH: 08/30/22) who did not have a completed background check through the Kentucky National Background Check Service The surveyor observed the staff person to be working alone with children ages 3 months - 1 years in the nursery; therefore, the children were not supervised by a qualified staff person. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the surveyor found a toilet brush beside the toilet located in the Preschool and School Age restroom; therefore, the health, safety and comfort of the children was compromised. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 review of documentation, the surveyor found the that a Staff (DOH: 08/30/22) file contained documentation of background checks submitted through the Kentucky National Background Check Service on 08/13/22 that stated that the staff person was Not Eligible for employment. The surveyor observed the staff person to be working alone with children in the nursery during the renewal visit. Therefore, the staff member did not have a completed background check indicating she was Eligible for employment prior to being hired by the child-care center. During interview with the staff-in-charge, the surveyor was presented with a letter from Staff (DOH: 08/30/22) that stated she had appealed the findings. Staff-in-charge stated that the staff (DOH: 08/30/22) had been working at the child-care center since 08/30/22. 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, the surveyor found the following Staff (DOH: 08/30/22 and 09/13/22) files did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential.

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 ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 02/12/20) obtained twelve (12) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 2. A staff (DOH: 09/14/21) obtained fourteen (14) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 3. A Staff (DOH: 06/15/22) had not completed the required six-hour Orientation I & II training within three (3) months of being hired. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. Two (2) red Little Tyke slides were located on grass; therefore, the two (2) slides did not have an adequate protective surface. 2. Two (2) blue large slides were located on grass; therefore, the two (2) slides did not have an adequate protective surface. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation 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 9. Records.

General: Upon request, a current professional development plan was not presented for review on the day of the inspection for the staff members with the following hire dates: 04/04/2018 and 06/16/2020.

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 written documentation of the earthquake and tornado drills conducted for the first (1st) quarter of 2022 revealed that both drills were conducted on the same day and at the same time. Therefore, one (1) of the two (2) drills were not documented accurately as it is not possible to conducted both drills simultaneously. 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: physical safety. Open / not marked corrected.

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

General: Upon request, a written policy that states that the procedures that were taught at the orientation training shall be implemented by each child care staff member was not presented for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of written documentation of the intruder drill log revealed a drill was conducted for the first (1st) quarter of 2022. However, written documentation detailing the children’s names of who participated in the drills were not presented for review. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Review of documentation revealed the following: 1. A chain of command was not presented for review. 2. A job description for a substitute was not presented for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current written staff evaluation was not presented for review on the day of the inspection for the staff members with the hire dates: 06/16/2020, 02/12/2020, and 04/04/2018. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, a written statement from a health care professional stating that one (1) staff member with the hire date 07/01/2019 was free of active tuberculosis, or a copy of a copy of a negative tuberculin screen, was not presented for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, documentation verifying that four (4) staff members with the hire dates, 07/01/2019, 12/28/2019, 04/04/2018, and 06/16/2020, had completed the required cardiopulmonary resuscitation and first aid training was not presented for review. There was no documentation presented to verify that the aforementioned staff members were trained in cardiopulmonary resuscitation and first aid. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the staff members had completed the required training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, verification that the child care center has hired two (2) adequate substitutes in case of need was not presented for review.

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: Review of employee records revealed the following: 1. Verification that eight (8) staff members with the hire dates: 12/01/2016, 02/27/2020, 01/20/2017, 04/04/2018, 06/10/2019, 01/18/2021, 02/12/2020, and 06/16/2020 and had completed fifteen (15) hours of cabinet-approved early care and educational training was not presented for review on the day of the inspection. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the fifteen (15) hours of cabinet-approved training had been completed by the aforementioned staff members. 2. Verification that nine (9) staff members with the hire dates: 12/01/2016, 11/29/2016, 02/27/2020, 01/20/2017, 07/01/2019, 04/04/2018, 06/10/2019, 01/18/2021, and 06/16/2020 had completed one and one half (1 ½) hours of cabinet-approved pediatric abusive head trauma training once every five (5) years was not presented for review. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the one and one half (1 1/2) hours of cabinet-approved pediatric abusive head trauma training had been completed by the staff members. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of the preschool room revealed a purse was sitting on a low shelf that was accessible to the children. Interview with the staff member revealed the purse belonged to him/her.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the child care center revealed the following: 1. The air vent within the two-year-old room was rusted and chipping paint. 2. The paper towel holder within the two-year-old bathroom was partially attached to the wall. 3. There were three (3) window screens that were torn and in disrepair on the windows in the two-year-old-room. 4. There were two (2) wooden exterior doors leading to the outdoor play area that were chipping paint and chipping wood, leaving areas of both doors with sharp, splintered edges. 5. The green door within the school-age room was peeling paint.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the bathroom within the two-year-old-room revealed the ventilation was not working properly. There were no windows observed inside of the bathroom. Therefore, there was no ventilation to outside air. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the changing tables in the two-year-old-room and the infant room revealed there was a build-up of dust and debris under and around the changing pads. 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: Observation of the outdoor play area revealed there was one (1) red slide and one (1) blue slide that did not have sufficient protective surfacing at the foot of each of the slides. The ground was visible. Equipment In Compliance Transportation In Compliance Kitchen Requirements 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: Observation in the infant room revealed an eight (8) month old infant was sitting in a bouncy seat while a staff member was sitting on the floor in front of the bouncy seat feeding the infant a bottle. Therefore, the child was not being held.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.

General: Observation in the infant room at nap time revealed a staff member gave a twelve (12) month old child a sippy cup filled with a white substance and placed the child with the cup on a cot. The child laid on the cot and drank from the sippy cup. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of a record for a child with an enrollment date of 02/12/2021 revealed a non-existing hospital was listed. Therefore, a preferred hospital was not listed in the child’s record. 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 11. Staff Requirements.

General: Based on interview and review of documentation, only one staff member at the center is currently certified in First AId and CPR. Interview with the staff member in charge revealed that the aforementioned staff member is not always present at the center during business hours; therefore, there are times when no staff member present at the center is certified in First Aid and CPR.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the files for staff members with hire dates of 2/11/20 and 2/12/20 did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential. Additionally, the file for a staff member, who is a high school student with a hire date of 10/23/19, did not contain verfication that the staff member is currently enrolled in high school. Interview with the staff member in charge revealed that the documentation was not available at the time of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the files for staff members with hire dates of 6/10/19, 7/1/19, and 10/23/19 did not contain verification that the staff members received six (6) hours of cabinet-approved orientation within the first three (3) months of their employment. The files for staff members with hire dates 4/4/18 and 6/12/18 did not contain verification that the staff member completed fifteen (15) annual hours of cabinet approved early care and education training. The file for a staff member with a hire date of 6/12/18 did not contain verification that the staff member had completed one and one half (1 1/2) hours of pediatric abusive head trauma training within the last five (5) years. Interview with the staff member in charge revealed that the documentation was not available at the time of the inspection. Review of ECE-Tris records failed fo verify completion of the aforementioned trainings. 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 water temperature in all of six sinks in the center exceeded 120 degrees. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the Nemo Room, a child's hands were not washed with soap and warm running water after his/her diaper was changed. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the playground revealed the protective surface did not sufficiently cover the ground under a two slides. 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 of the Cat in the Hat Room, the cover of a florescent light hung off of the fixture on one side, indicating that it was not securely attached. Another florescent light in the Cat in the Hat Room flickered continuously, indicating that it was not functiong properly. Transportation In Compliance 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, the posted weekly menu was outdated. 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 interview and review of documentation, the enrollment record for a child enrolled 1/7/19 was not signed by a parent and did not contain authorization by the parent for the provider to seek emergency medical care for the child in the parent’s absence, or the name of each person who is designated in writing to pick-up the child. The enrollment record for a child enrolled 11/4/19 did not contain a family physician and preferred hospital, or the name and phone number of each person to be contacted in an emergency situation involving or impacting the child. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, the daily schedule of activities in the Shooting Stars Room, Nemo Room, and Rainbow Room was outdated. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the child care center failed to comply with regulations regarding supervision. Interview with a staff member revealed that children are left unsupervised in the classrooms when a staff member leaves the classroom to go into the kitchen to retrieve the milk. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, the child care center failed to comply with regulations regarding director requirements. Observation in the infant room revealed a one-year-old child standing upright in a high chair. Further observation revealed the high chair was equipped with seatbelts to strap the aforementioned child in for safety but the child was not strapped into the seatbelt. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding hygiene practices. In the Nemo I room a staff member did not assist the one-year-old child to wash his/her hands after completing a diaper change.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding hygiene practices. In the Nemo I room a staff member did not wash his/her hands after completing a diaper change.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding hygienic practices. Observation in the Nemo I room revealed a staff member completed a diaper change with a one-year-old child and did not disinfect the diapering surface after the diaper change. Further observation revealed the same aforementioned staff member then started another diaper change with different one-year-old child, laying the child down on the same diapering surface that had not been previously disinfected. Equipment Discussed

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

The child care center failed to fully cooperate with the state agency during an inspection or investigation. On 10/22/19, the Division of Regulated Child Care (DRCC) visited the child care center. During the course of an interview regarding thermostats, the staff-in-charge disclosed that he/she knew who the person was who complained to DRCC, and he/she was considering firing that employee. The surveyor advised that his/her report would memorialize his/her statement regarding termination of an employee who have filed a complaint. On 11/1/19, DRCC visited the child center and interviewed the staff-in-charge once again. During the interview, the staff-in-charge disclosed that he/she never threatened retaliation against any employee of the child care center for initiating investigations against the child care center. The staff-in-charge disclosed that he/she contacted the DRCC with regard to employees filing false allegations against the child care center. The staff-in-charge disclosed that he/she discussed how to protect the child care center against false allegations from staff members who are disgruntled. The staff-in-charge specifically named two (2) staff members as being disgruntled employees. The staff-in-charge disclosed that he/she was on the telephone with the DRCC, explaining that it is not right for staff members to call the state because they are “emotionally wounded.” Furthermore, the staff-in-charge disclosed that he/she stated to DRCC that he/she wanted to know “who did this.” Furthermore, the staff-in-charge disclosed that he/she was either in her office or he/she was in the hallway of the child care center when speaking to DRCC. Moreover, the staff-in-charge disclosed that staff members are always attempting to eavesdrop on his/her conversations when in the privacy of the manager’s office. Finally, the staff-in-charge disclosed that his/her words “I want to know who did this” were verbatim. The surveyor followed up by asking the staff-in-charge if he/she could understand how a staff member could interpret her words “I want to know who did this” as a threat against their employment, including termination or reprimand/demotion of some sort. The staff-in-charge then replied differently than the verbatim he/she acknowledged as “I want to know who did this.” The staff-in-charge changed his/her description of the conversation with DRCC to he/she wanted to know who did this in order to explain to the complainant how unfair it is to DRCC and the child care center to take time to investigate false allegations. In addition, a former employee interviewed by DRCC disclosed that he/she was made aware that the staff-in-charge had threatened staff members after DRCC visited the child care center on 10/22/23. The former employee disclosed on 10/23/19 the staff-in-charge apologized in the child care center group text. The copy of the text reads, "i'm sorry I lost my temper. it make me so upset when people are trying to take away what I have built. I provide for over 27 families that is a lot to carry, and I get sooo upset when someone tries to take away they way people are paying their bills. it's not right no matter "who it is". Base on the totality of the above-mentioned events, the child care center failed to fully cooperate with the state agency during an inspection or investigation by attempting to intimidate employees who may have wanted to exercise their right to raise concerns about possible regulatory violations within the child care center. Premises 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 interview, the child care center failed to comply with regulatory requirements in regards to sick child exclusion. Interviews revealed that children are allowed to attend the child care center after showing signs of an illness. Interviews revealed that sick children are not isolated from other children while in care at the center. Interviews revealed that not all children are required to leave the center when showing signs of an illness. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with background checks in accordance with regulatory requirements. Interviews revealed that an individual came into the center as a cook to prepare breakfast on 10/10/19 and one (1) other day during the week of 10/14/19 without a complete background check. Interviews revealed that a high school student who Co-Ops comes in every day at 11:30am and works alone with children while relieving staff members for lunch without a complete background check. Review of the KARES report on 10/22/19 revealed that neither of the aforementioned individuals are listed on the report as being determined eligible for employment. 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 4. Procedures and Payments.

General: Based on interview and review of documentation, the child care center failed to comply with background checks in accordance with regulatory requirements. Interviews revealed that a high school student who Co-Ops comes into the child care center every day at 11:30am and works alone with children while relieving staff members for lunch without a background check. Review of the KARES report on 10/22/19 revealed that the aforementioned individual’s information has not been submitted for a background check.

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 interview and review of documentation, the child care center failed to comply with background checks in accordance with regulatory requirements. Interviews revealed that an individual came into the center as a cook to prepare breakfast on 10/10/19 and one (1) other day the week of 10/14/19 without a complete background check. Review of the KARES report on 10/22/19 revealed that the aforementioned individual was entered into the system on 9/26/19 but had not submitted fingerprints to complete the background check process. Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interviews and review of documentation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the child care center on 10/22/19 at 8:40am revealed a three-year-old child come out of the bathroom in the cafeteria, walk through the School-Age Room and go out the back door to the Outdoor Play Area alone. Observation revealed that his class was in the Outdoor Play Area with the staff member responsible for the class. Interviews revealed that a parent discovered his three-year-old child alone in the Infant Room while one (1) staff was in the back of the center and the other staff member was locked outside the center. Interviews revealed that the parent had gained access to the building after several unsuccessful attempts were made to notify the staff member in the center that he was at the door. Review of documentation revealed that the parent of the aforementioned child contacted the staff members in charge on the center app regarding the incident. Review of documentation revealed that the staff member locked outside the center acknowledged finding the aforementioned child alone in the Infant Room upon gaining access to the center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, the child care center failed to comply with staffing requirements in regards to ratios. Interviews revealed that between 7:00am and 8:00am, two (2) staff members typically care for up eighteen (18) children ranging in age from eighteen-months-old through ten-years-old. Interviews revealed that after 4:00pm when staff members are sent home for the day, the rooms are combined, causing the child care center to be out of ratio. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 12. Reports.

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements in regards to reports to the cabinet. Interviews revealed that a three-year-old child fell off a ride on scooter in the Outdoor Play Area causing him to bust his chin on the concrete. The child was taken to the emergency room where the wound was glued shut. The director/owner acknowledged that she failed to notify the cabinet within twenty-four (24) hours of being notified that the child received medical care for his injury while in care at the child care center. Review of documentation revealed that the incident occurred on 10/10/19 and an incident report was completed.

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 interview, the child care center failed to comply with regulatory requirements in regards to sick child protocol. Interviews revealed that sick children are not isolated from other children while in care at the center. Interviews revealed that not all children are required to leave the center when showing signs of an illness. 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 and review of documentation, the child care center director failed to assure compliance with regulatory requirements. Interviews revealed that a high school student who Co-Ops comes into the child care center every day at 11:30am and works alone with children while relieving staff members for lunch without a background check. Review of the KARES report on 10/22/19 revealed that the aforementioned individual’s information has not been submitted for a background check. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There were several water stains in the ceilings located in the Nemo Room. There was a large water stain in the ceiling next to the fluorescent lights in the Rainbow Room. There was a water stain in the ceiling located in the School Age Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. The vent was not secured to the ceiling in the Rainbow Room. The walls located in the Nemo Room had marker/crayon marks all over the walls and cabinet doors. Interviews revealed that food from breakfast and lunch are left out all day and not put back in the kitchen after meals. Interviews revealed that spills are not cleaned up immediately and left on the floors. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The metal fence was not attached to the metal poles in several areas around the Outdoor Play Area causing sharp metal pieces to protrude onto the playground. One of the green wooden planks was no longer attached to the wooden fence located in the back of the Outdoor Play Area, causing the wooden plank to protrude onto the playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The red and blue pillows located in the Rainbow Room were stained at the time of the survey. The white changing table located in the Infant Room was wobbly and not secure at the time of the survey. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interviews, the child care center failed to maintain written documentation in accordance with regulatory requirements in regards to attendance records. Observation of a staff member leaving with her children to take them to school revealed that she did not sign them out on the app prior to taking them to school or when she returned to center. Interview with another staff member revealed that staff members do not sign their children out when they leave to take them to school even though they sign their children into the center when they arrive to work each morning.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, observation and interview, the child care center failed to comply with regulatory requirements regarding background checks. Upon request, the staff member in charge did not present verification that a fingerprint background check had been initiated for a staff member with a hire date of 6/12/18. The staff member was observed working alone with children. Review of the KARES database revealed the process had not been initiated. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report Staffing 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 2. Child Care Services.

General: Based on observation, the child care center failed to comply with staffing requirements. Observation of the Nemo I Room at 12:00 pm revealed one staff member was the sole caregiver of eight (8) children ages one (1) and two (2) years old. A second staff member was assisting a child in the bathroom with the door closed, and entered the room under two (2) minutes later. General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises is accordance with regulatory requirements. Observation of all six (6) of the sinks in the center revealed the hot water temperature exceeded 120 degrees.

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 Rainbow Room revealed a rectangular hole, which was the size of an outlet, was in the ceiling, exposing wires that were in the ceiling. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report

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: Based on observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the Nemo II Room revealed an uncovered outlet near the changing table. Observation of the Dr. Seuss Room revealed three (3) outlets were uncovered. Continued observation of the Dr. Seuss Room revealed a light switch cover next to the door leading to the playground was broken, creating a area large enough for a child to stick his finger into the space. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that the file for a staff member with a hire date of 01/10/18 contained verfication that the staff member, who is a high school student, is enrolled in high school for the 2018-2019 school year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that the files for two staff members with a hire date of 11/29/16 and one staff member with a hire date of 6/12/18 contained a current statement from a health professional that the individuals are free of active tuberculosis; or a copy of negative tuberculin results. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that a staff member with a hire date of 11/29/16 completed fifteen (15) annual hours of cabinet approved early care and education training. Review of ECE-TRIS reports revealed only nine (9) training hours were completed within the employee's review period. Further observation revealed the file for a staff member with a hire date of 8/1/18 did not contain verification that six (6) hours of cabinet approved orientation training had been completed within the first three (3) months of employment. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and observation, the child care center failed to comply with programming requirements. Review of documentation in the Nemo II Room revealed the posted program of daily activities was current, but not followed. Observation revealed the classroom did not have materials availible to the children including: music, dramatic play, stories and books, science, block building, tactile activities, culture, a balance of active and quiet play, and an opportunity for the children to have some free choice of activities. The children were observered to climb on empty shelves and run around the room, and received very little interaction or direction from the staff member who was supervising them for the duration of the survey. Observation of the School Age Room revealed materials including music, dramatic play, stories and books, science, block building, tactile activity, culture, a balance of active and quiet play, and an opportunity for the children to have some free choice of activities were not readily availible to the children. 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. Observation of the Dr. Seuss Room revealed a staff member’s cell phone was on a toy shelf containing manipulatives; the phone was accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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 bathroom in the Nemo I Room revealed the ventilation system was not fuctioning. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the Nemo I and Nemo II Rooms revealed four (4) children's hands were not washed with soap and warm running water after a diaper change. Continued observation revealed eight (8) children in the Nemo I and Nemo II Rooms did not wash their hands before or after eating lunch.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of the toddler room revealed a staff member did not wash her hands with soap and warm running water after changing three (3) children's diapers. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation the the playground revealed the white material under the mulch was visible and bunched, creating a tripping hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play are in accordance with regulatory requirements. Observation of the playground revealed the protective surface did not sufficiently cover the ground under two (2) yellow swings, two (2) red slides, and one (1) green slide. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, and interview, the child care center failed to comply with regulatory programming requirements. Observation of the Infant Room revealed an infant asleep in a swing at 9:00 am. Therefore, the infant was not provided an individual crib for rest. Transportation In Compliance 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 of the Infant Room at 11:30 am revealed an infant drank a bottle while in a swing. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen revealed it was not ventilated to the outside air. A ceiling vent was present, but the staff member in charge stated she did not know how to turn it on. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff member in charge did not present a current written evacuation plan. Interview with the staff member in charge revealed it was not available at the time of the survey.

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 written documentation in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that the names of the children who participated in fire, earthquake and tornado drills in 2018 were documented.

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 and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that fire drills had been conducted and documented in September, November and December 2018. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed each statement of deficiency issued by the cabinet during the current licensure year and each plan of correction submitted by the child-care center to the cabinet during the current licensure year was not posted in a conspicuous place. Interview with the staff member in charge revealed the documentation was in an unmarked folder on the sign in table.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation in the Nemo II Room revealed the daily schedule of activities, which included the dates and times of activities to be conducted, was outdated, as the month listed was October. Observation of the Dr. Seuss Room revealed a daily schedule of activities was not posted. 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, a high school diploma, GED or Commonwealth Child Care Credential was not presented for review for a staff member with the hire date 7/6/17.

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, written documentation from a health care professional was not presented for review to verify that a staff member with the hire date 9/14/18 was free from active TB. 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 interview, the child care center failed to maintain food service in accordance with regulatory requirements. Interview revealed that while a staff member was talking with a child they were occasionally escorted into the kitchen, but remained in the kitchen for no more than one (1) minute.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview, review of documentation and observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Interview and review of staff files revealed two (2) seventeen (17) year old minors work at the child care center. Observation of the cat in the hat room at 5:06 p.m. revealed four (4) children in care of one (1) of the seventeen (17) year old minors with no adult supervision. Observation of the cat in the hat room at 5:08 p.m. revealed four (4) children in care of two (2) seventeen (17) year old minors with no adult supervision. Therefore, the children were not supervised by a qualified staff member. Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, review of documentation, and observation, the child care center failed to comply with staffing requirements. Interview and review of staff files revealed two (2) seventeen (17) year old minors work at the child care center. Observation of the cat in the hat room at 5:06 p.m. revealed four (4) children in care of one (1) of the seventeen (17) year old minors with no adult supervision. Observation of the cat in the hat room at 5:08 p.m. revealed four (4) children in care of two (2) seventeen (17) year old minors with no adult supervision. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documentation of a high school diploma, GED or qualifying documentation from a comparable education entity, or Commonwealth Child Care Credential for staff members with hire dates 02/23/18, 10/30/17 and 01/20/17.

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 center failed to provide documented evidence of a current statement from a health professional that a staff member with a hire date of 10/10/17 is free of active tuberculosis or a current copy of a negative tuberculin result. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence of completed six (6) hours of cabinet-approved orientation within the first three (3) months of employment for staff members with hire dates 10/30/17, 11/06/17, 10/10/17 and 01/20/17. In addition, documented evidence for fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment was not received for staff with a hire date of 01/20/17. 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 5. Infant and Toddler Play Requirements.

General: Based on observation and interview, the child care center failed to assure compliance with regulatory programming requirements. Observation of the Rainbow classroom revealed five (5) children and one (1) staff. Interview with staff revealed the ages of the children in the classroom ranged from two (2) years to three (3) years. The toddlers were observed to be combined with older children for more than one (1) hour during the inspection. 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/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation and interview, the child care center failed to maintain children's records in accordance with regulatory requirements. Upon request, the child care center director failed to provide evidence of a current immunization record for a child with an enrollment date of 07/05/17. The document provided expired on 03/05/18. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care center failed to provide documented evidence that the child care center submitted an evacuation plan to local emergency management officials by December 31, 2017. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of Child Abuse and Neglect check for a staff member with the hire date of 12/01/16 revealed that the staff member lived in California within the last five years. Upon request the child care director did not present verification that the out of state background check had been completed for the employee.

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’s records in accordance with regulatory requirements. Upon request the child care director did not present verification that the records for employees with the hire dates of 01/20/2017, 02/10/2017 and 02/13/2017 contained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250. 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’s records in accordance with regulatory requirements. Upon request the child care director did not present verification that the records for employees with the hire dates of 01/20/2017, 02/10/2017 and 02/13/2017 contained a copy of a negative tuberculosis test or a statement from a health provider indicating that the staff member is free of active tuberculosis. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and interview the child care center failed to comply with programming requirements. A ten-week-old infant was observed sleeping in a swing from 9:53 a.m. to 10:11 a.m., in the infant classroom. Per interview with the staff member, no signed waiver from a health professional stating that the infant requires an alternate sleep position was obtained for the referenced infant. 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. A prescription bottle of cetirizine was sitting openly on the shelf located inside the cabinet above the sink. Therefore, the medication was not securely locked. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service 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 3. General Requirements.

General: Based on Observation the child care center failed to maintain food service in accordance with regulatory requirements. A six-month-old infant was observed sitting in a round activity seat at 10:03 a.m., while the staff was holding another infant and holding a bottle upright to feed the infant located in the activity seat. Therefore, the infant was not being held during feeding.

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 requirements. The infant bottles located in the small white refrigerator in the infant classroom revealed the bottles were not properly labeled to identify for which child the bottles were to be used for. 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 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 provide a menu that had been dated. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation 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 enrollment records for children with the enrollment dates of 01/09/2017 and 01/12/2017 contained a current copy of immunization certificate.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation and interview the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request the child care director did not present verification that the record for the child with the enrollment date of 01/09/2017 contained information listing the physician, preferred hospital or emergency contacts. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview the child care center failed to comply with regulatory programming requirements. The child care center director did not present for review verification that the daily activity of programming that was posted in writing had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for each child in four (4) of the four (4) classrooms. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.