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

General: Based on review of documentation, it could not be verified that the center had a reunification plan specific to infant/toddlers. Posted Documentation 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, it could not be verified that the center conducted fire drills in November and December of 2024.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, it could not be verified that a professional development plan was completed for one (1) staff member. (DOH:10/10/24)

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, there were two (2) people on the Kentucky Applicant Registry and Employment Screening (KARES) roster that no longer worked at the center. This was confirmed by the staff in charge. Supervision In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a written procedure to maintain supervision, ratios and group size was not presented. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, the presented fire marshal report was dated 11/20/23 and; therefore, not current.

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 toilet brush was stored next to the toilet in the restroom off the Butterfly classroom.

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 employee file for two (2) staff members (DOH: 01/18/23 and 07/24/23) did not contain proof education via a high school diploma, Commonwealth Child Care Credential, GED or equivalent.

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 employee file for (1) staff member (DOH: 08/30/21) did not contain verification that the staff member was free from active tuberculosis. The presented documentation was was dated, 03/31/21 which surpassed a two year period.

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 changing station in the Momo Tres classroom was not immediately adjacent to a sink.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was a tear in the changing pad thus exposing the inside absorbent material, in the Momo Tres classroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the exterior of the oven door was missing, indicating it was not in good repair.

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, one child's enrollment file (DOE: 02/17/25) did not contain a preferred contact or a physician's contact information.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of video documentation on 06/27/25 a staff member (DOH: 04/11/22) grabbed a child by the arm inappropriately and escorted her/him across the room, toward the bathroom. Continued review of video documentation revealed the aforementioned staff member (DOH: 04/11/22) picked up a rectangular object and hit a child on his/her back. The staff member compromised the health, safety and comfort of the two (2) mentioned children. Hygienic Practices In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 01/13/2025 AND AS OF 02/04/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 interview and review of documentation, two (2) staff members (DOH: 10/06/2023 and 07/24/2023) did not have evidence of educational qualifications in their personnel files. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member (DOH: 04/11/2022) had a TB skin test dated 04/20/2022. In addition, another member (DOH: 08/30/2021) had a TB skin test dated 08/30/2021. Neither of the TB skin tests were not current.

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 ECE-TRIS, one staff member (DOH: 10/06/2023) had not completed the required cabinet approved training in first aid and cardiopulmonary resuscitation (CPR).

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 observation, the following was found: 1. Seven (7) staff members (DOH: 04/11/2022, 03/26/2022, 08/30/2021, 03/03/2022, 10/21/2020, 10/06/2023, and 07/24/2023) failed to complete fifteen (15) hours of cabinet- approved annual education training completed between July 1 and the following June 30. Review of the ECE TRIS report supported these findings. 2. Verification of six (6) hours of cabinet-approved orientation, completed in the first three (3) months of employment, was not presented for review for one (1) staff member (DOH: 10/06/2023). 3. One staff member (DOH: 10/06/2023) had not completed Pediatric Head Trauma Training (PAHT). Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a bottle of Radiance Toilet Bowel Cleaner with bleach was stored behind the toilet in the Butterflies restroom. The warning label on the back of the bottle read, “Keep out of reach of children.” The toilet cleaner bottle was accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, toilet paper was not provided in the Butterflies and Moo-Moos bathrooms. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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, a staff member did not wash a child's hands with liquid soap and warm running water after a diaper change in the Moo-Moos classroom. Instead, the staff member wiped the child's hands with a wipe. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records 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, five (5) children's enrollment files (DOE: 08/27/2024, 01/02/2023, 01/02/2023, 12/13/2021, and 10/14/2021) did not contain a family physician contact number. 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 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on observation, interview and review of documentation, on 07/24/24 and 07/29/24 a staff member (DOH: 10/21/20) was observed working with an authority over children in the Infant classroom with an employment status of 'provisional closed- fingerprints not taken' on the KARES reports dated 07/23/24 and 07/29/24. Therefore, the individual was working prior to completing the required background checks and obtaining a determination of eligibility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a staff member (DOH: 04/11/22) with eligible employment status, was listed as separated on the KARES report dated 07/23/24 and 07/29/24. However, the staff member was observed working with an authority over children in the Pres-K classroom on 07/24/24 and 07/29/24 at the time of walkthrough. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 7. First Aid and Medicine.

General: Based on observation, interview and review of documentation, during the walkthrough on 07/24/24, there was a child who had vomited on the carpet while playing with other children from ages of three (3) years to seven (7) years old. The children were asked to move away from the vomit so the staff member could clean the area where the child became ill. The child was not separated from the other children until he was taken after two (2) minutes to wash his hands. The staff member took the child's temperature and allowed him to continue to play with the other children and toys. The child's mother was texted approximately six (6) minutes after the child had thrown up on the carpet. The child was still allowed to play around the other children for another two (2) minutes before a mask was put on the child. The child was not separated from the other children until twenty (20) to (25) minutes after he had thrown up. 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, during walkthrough on 07/24/24 cribs used for napping in the Infant classroom were not spaced twelve (12) inches apart. Furthermore, during the walkthrough in the Infant classroom on 07/29/24 children were observed sleeping in cribs that were not spaced twelve (12) inches apart. Children napping on cots in the Moo Moo's classroom were not spaced twelve (12) inches apart on 07/29/24. 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 review of documentation, during the walkthrough on 07/24/24 some of the parents were not signing their children in on the attendance sheet. Attendance record showed some parents were signing in and out and some were not on several days. The staff in charge advised that parents are supposed to initial each day and sign the attendance sheet at the end of the week. Therefore, the attendance records for the child care center was not current at the time of review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, verification of current compliance with the fire marshal was not available as the most current fire marshal document was dated 02/18/2020. Interview with the staff in charge revealed the documentation was not available 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 and interview, several chairs were stacked in the Momos classroom and presented a pullover/tipping hazard. Director Requirements In Compliance 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

Open / not marked corrected.

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

General: Based on interview and review of documentation, it was revealed that staff members with hire dates of 03/26/2022, 08/30/2021, 03/03/2022, 04/11/2022, and 03/07/2022 did not complete fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. A review of ECE-TRIS report supported this finding. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the emergency telephone numbers for the police department, fire department, emergency medical care and rescue squad, and poison control center were not posted or accessible in the event of emergency. Interview with the staff in charge supported these findings.

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 toilet seat was not adequately attached to the toilet bowl; therefore, it was loose, which presented a danger for the children in the Momos classroom. 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 observations in the Momos and Infant classrooms it was revealed the staff member did not wash the child's hands with liquid soap and warm, running water after a diaper change. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, cots used for sleeping in the Pre-K and Momos classrooms were not spaced twelve (12) inches apart to allow free and safe movement by a person. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no evidence to indicate that a fire drill had been conducted in the month of October of 2023. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the infant room revealed one (1) staff member caring for eight (8) children. The children ranged in age from three (3) months to one (1) year. Therefore, the infant room exceeded minimum staff to child ratio by three (3) children. Continued observation revealed the second staff member working within the room would leave and re-enter the classroom numerous times over the course of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 8. General.

General: Interviews with multiple sources revealed that a staff member flicked a child on the hand with his/her fingers. Therefore, the child care center compromised the health safety, and comfort of a child in care. Interview with multiple sources revealed that staff members restrain the children into a chair using a seatbelt that snaps. The children are restrained into a chair when the children cuss, hit, pull hair, and do not listen to the teacher. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the three-and-four-year-old room revealed there were no age-appropriate activities/toys out for the children to use in play. Continued observation of the classroom revealed there were six (6) children present. A staff member offered four (4) children a piece of paper and offered one (1) pencil to each of the four (4) children. There were two (2) children running around the classroom wrestling and throwing socks at each other. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the infant room revealed a staff member did not wash the children’s hands after each diaper change.

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 infant room revealed that a staff member did not change his/her gloves after each diaper change. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Two staff did not have evaluations on file. These staff were hired on 10/21/2020 and 9/15/2021 (substitute staff). Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The following was found: 1. A staff member hired on 5/15/2022, did not have written evidence of negative TB documentation on file. 2. A staff member hired on 6/14/2020, had a TB skin test on file that was no longer current. The TB skin test was dated 7/17/2020 and is valid for two years. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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, this regulatory requirement was not met. It was found that the Preschool bathroom contained a dusty vent above the toilet

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, this regulatory requirement was not met. The following was found: 1. The Infant Room contained a stained ceiling tile next to the vent. 2. The One-Year-Old Room contained a stained ceiling tile above the window. 3. The bathroom off of the Two-Year-Old Room contained a stained ceiling tile above the toilet. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The first aid supplies did not include a CPR mouthpiece protector. The staff in charge indicated that they previously had one, but she was unable to locate it. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The fenced outdoor play area contained pea gravel throughout the space. The facility cares for infants through school-age children. The facility has one outdoor play area. Pea gravel is considered a choking hazard for children under three-years-old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The front of the oven door in the kitchen was not attached to the metal frame. It was hanging down on the floor. 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 review of documentation, this regulatory requirement was not met. The following was found: 1. Two children’s files contained immunization certificates that were no longer current. The immunization certificates were dated 9/03/2022 and 8/24/2022. These children had been enrolled in excess of thirty days. 2. A child’s file contained a health summary report (in place of an immunization certificate), and it did not contain an expiration date. This child had been enrolled in excess of thirty days.

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, this regulatory requirement was not met. The following was found: 1. Four children’s files were missing a physician’s phone number. 2. Three children’s files were missing a preferred hospital. This area was blank on the enrollment form. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Three staff did not have professional development plans on file. These staff were hired on 3/2/2020, 10/21/2020, and 9/15/2021 (substitute staff). Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The posted lesson plan in the Preschool Room was not dated. 2. The One-Year-Old Room did not have a posted lesson plan. 3. The posted lesson plan in the Two-Year-Old Room was no longer current. It was dated August 28th. The renewal survey was conducted on 9/16/2022.

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, this regulatory requirement was not met. The Two-Year-Old Room contained a diaper changing table against the wall. The proper methods of diapering were not posted. Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the preschool/school age room at 8:53 a.m. revealed that a staff member with the hire date of 01/11/2021 was the sole caregiver for two (2) children. The staff member was the sole caregiver of the children in the preschool/school age room until 12:15p.m. Upon request, a completed background check with an eligible hire status from the National Background Check Program (NBCP) program was not presented for review on the day of the inspection. Review of the Kentucky Applicant Registry and Employment Screening (KARES) report revealed the aforementioned staff member was not listed as employed at the child care center. Also, there was a staff member with the hire date 11/02/2021 whose file did not contain verification that a background check from the Nation Background Check Program (NBCP) with an eligible status was completed. Per review, the Kentucky Applicant Registry and Employment Screen (KARES) report did not list the staff member with the hire date 11/02/2021 as being employed at the child care center. The staff member with the hire date 11/02/2021 was not observed working at the child care center on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation for staff members with the hire dates of 01/11/2021 and 11/02/2021, the staff members were employed at the child care center. Review of the Kentucky Applicant Registry and Employment Screening (KARES) report listed the aforementioned staff members as not being employed at the child care center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the director did not present verification that the staff member with the hire date 12/17/2020 had obtained the six (6) hour cabinet-approved orientation training within the first three (3) months of employment. Also, the director did not present verification for two (2) staff members with the hire dates 03/02/2020 and 06/19/2020 had completed fifteen (15) hours of cabinet-approved early care and education training. Review of the Early Care and Education Training Records Information System ECE-TRIS report did not verify that the aforementioned trainings had been completed by the staff members on the day of the inspection. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation of the child care center, there were numerous occasions that the staff members failed to provide supervision for the children in care. Observation of the toddler room at 8:57a.m. revealed the staff member walked out of the room and left three (3) one-year-old children unsupervised to take dishes into the kitchen. The staff member returned back into the room at 8:58a.m. While observing the preschool/school age room there were two (2) children in care. The school bus arrived at the center at 9:18a.m. and the staff member was preparing to take the child to the school bus when the staff member in the toddler room, which was divided by a tall half (1/2) wall, said she will watch the child while the other staff member put the child on the bus. The staff member in the toddler room did not supervise the child in the preschool / school age room due to the staff member was changing a child’s diaper. The staff member working in the preschool/school age room returned to the preschool/school age room at 9:19a.m. Observation of the preschool/school age room revealed at 9:58a.m. the director left two (2) children unsupervised while the director answered the front door. The director returned back into the room at 9:58a.m. 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 of the bathroom located within the toddler room, there was a toilet bowl brush sitting adjacent to the toilet that was accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the director of the child care center revealed on the day of the inspection that the outside play area was closed because it was under construction. The director did not contact the cabinet and give notification that the outside play area was not in use due to construction. 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, an annual written staff evaluation was not presented for review for staff members with the hire dates 03/11/2020 and 06/19/2020.

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: Observation of the preschool/school age room at 8:53 a.m. revealed that a staff member with the hire date 01/11/2021 was the sole caregiver for two (2) children. The staff member was the sole caregiver of the children in the preschool/school age room until 12:15p.m. Verification of required background checks was not presented for review for the referenced staff member. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a negative tuberculosis test or a written statement from a health care provider stating the staff members with the hire dates of 06/19/2020 and 03/11/2020 were free of tuberculosis was not presented for review on the day of the inspection. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation of the munchkin room at 8:53a.m., the children in that room were watching Cocomelon on the television. The television was playing children’s shows until 12:00p.m. Interview with the staff member revealed the children were one-year old. Therefore, the center staff failed to assure that electronic viewing for children under the age of twenty-four (24) months was prohibited.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the toddler room at 8:50a.m., there were three (3) children sitting in highchairs with no interaction from the staff member. The children were observed sitting in the highchairs until 9:31a.m., when the staff member started changing the children's diapers. Therefore, the children were made to wait with no activies or programming available to them.

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 of the infant room, there was a plastic bag tied onto the railing of a crib that an infant sleeps in. Interview with the staff member revealed the child’s shoes were inside the bag. Continued observation of the same crib revealed there was a boppy pillow that was hanging on the railing of the crib. Continued observation of the infant room revealed there was an infant sleeping in a crib with loose fitting sheets. Therefore, the sheets were not tight fitting. Interview with the staff member revealed the infant sleeping in the crib was eight (8) months old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the kitchen, the kitchen door was open and there was two (2) gallons of bleach and a gallon of pot and pan detergent that were labeled 'keep out of reach of children' that were stored on the floor as you entered the kitchen. The kitchen is within the two-year-old room. Therefore, the bleach and pot and pan detergent were easily accessible to the children. In interview, the staff in-charge acknowledged the deficiency.

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 bathroom located within the toddler room, the handwashing sink was not secured to the wall, leaving a large gap between the wall and the sink. The wooden door frame leading from the munchkin room into the infant room was cracked and broken. There was also a brass hinge hanging from the door frame. Observation of the wooden half doors located in the munchkin room, entry way into the center, toddler room and the infant room revealed they were chipping paint and the wood was exposed. Observation of the wooden half door in the preschool/school age room revealed the doorknob was not secured to the door and it the door was very difficult to open. Observation of the doorknob on the wooden half door leading into the infant room revealed it was not secured to the door causing the knob to be loose. There was a white metal air vent located in the infant room that was not secured to the wall, causing the metal air vent to hang off of the wall.

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 bathroom located within the toddler room, there was a light fixture that was not shielded. The director could not verify that the light bulb was shatterproof.

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 ceilings located in the toddler room and the infant room, there were multiple brown stains on the ceiling tiles, indicative of water damage. Also, there was a hole in a ceiling tile located in the infant room. Observation of the floor located in the infant room revealed there were pieces of the vinyl flooring missing in front of the handwashing sink.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, a current immunization certificate was not presented for review for a child with the enrollment date 05/16/2021.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, there was not a designated indoor gross motor area inside the child care center. Interview with the director revealed that while the outside play area was closed and under construction the staff members use the classrooms for gross motor activities. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 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: Observation of a diaper change in the toddler room revealed that the staff member did not wash the child’s hands after the diapering procedure was completed. The staff member then placed the child in a highchair then retrieved a second (2nd) child and changed that child’s diaper and failed to wash that child’s hands after the diapering procedure was completed.

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 of the changing area located in the infant and toddler rooms, the changing pads contained small tears and the inside absorbent material was exposed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of a diaper change in the toddler room revealed the staff member was wearing gloves. After the staff member had completed the diaper procedure, the staff member placed the child in a highchair and then retrieved a second (2nd) child and continued to change that child’s diaper. Therefore, the staff member did not change her gloves after each diapering procedure was completed. Continued observation revealed that the staff member failed to sanitize the changing pad after each of the diaper changes. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Observation of the preschool/school age room revealed there was a table with bucket seats that contained a large crack on the tabletop, causing an area that was sharp and splintered. There was a table located in the toddler room that contained a red sticky substance. Therefore, it was not clean.

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: Observation of the outside play area revealed there were multiple pieces of wooden and metal play apparatuses that were chipping paint and contained splintered edges. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report 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 of the refrigerator freezer located within the kitchen, there were frozen loose green beans that were lying on the bottom of a shelf. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in-charge did not present documentation of a family physician for the child with enrollment date 06/21/2021. 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 5. Evacuation Plan.

General: Based on interview and review of documentation, the director did not present a current emergency preparedness plan that had been submitted to the local emergency management team that contained the procedures in the event of a fire, natural disaster or life threatening situation that may pose a health and safety hazard for children in care.

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, a written annual profession development plan for the staff members with the hire dates 03/11/2020 and 06/19/2020 was not presented for review on the day of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the Infant Room, a bottle warmer sat on top of a mini refrigerator. The cord dangled and was accessible to children in care, creating a potential safety risk, should the cord be pulled by a child. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the file for a staff member with a hire date of 6/15/2020 did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential. Interview with the staff member in charge revealed that the documentation for the aforementioned staff member was not available at the time of the survey. 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 1 of 3 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, tall weeds grew throughout the play space, as well as along the back portion of the fence line.

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 playground, the protective surface did not sufficiently cover the ground under seven (7) swings and one (1) slide. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the mini refrigerator in the Infant Room, one (1) bottle was uncovered and unlabled. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a written record, completed and signed by the child’s parent and retained on the first day, containing: identifying information about the child, including the child’s name, address, and date of birth; contact information to enable the provider to contact the child’s parent at the parent’s home or place of employment; family physician and preferred hospital; the name of each person who is designated in writing to pick-up the child; the child’s general health status and medical history including, if applicable: allergies; restriction on the child’s participation in activities with specific instructions from the child’s parent or health professional; permission from the parent for third-party professional services in the child care center, the name and phone number of each person to be contacted in an emergency situation involving or impacting the child, and authorization by the parent for the provider to seek emergency medical care for the child in the parent’s absence was not provided for three (3) children enrolled 7/1/2020. The staff member in charge stated that the aforementioned enrollment records had been removed from the premises by another staff member, who was not working at the time of the survey. Further review of children's records revealed that the enrollment records for children with an enrollment date of 6/21/2020, 6/23/20, and two children with an enrollment date of 6/15/2020 did not contain a preferred hospital. Additionally, the enrollment records for a child enrolled 6/23/20 and two children enrolled 6/15/20 did not contain the name and phone number of each person to be contacted in an emergency situation involving or impacting the child. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation of the back outdoor play area revealed the chain link fence upper rail had three (3) places where the bar was not connected properly; leaving exposed sharp edges, creating a danger and a risk of harm. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Discussed Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.