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

General: Based on interview and review of documentation, a staff member (DOH: 05/15/23) did not have first aid/CPR training.

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) A staff member (DOH: 05/15/23) did not complete six (6) hours of orientation training within the first three (3) months of employment. 2) A staff (DOH: 06/06/22) completed thirteen and one-half (13 ½) hours of annual training from 06/06/22 to 06/06/23. 3) A staff member (DOH: 06/11/19) completed twelve (12) hours of annual training from 07/01/22 to 06/30/23. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, a seat was missing on the red, blue, and yellow teeter-totter play equipment on the outside playground. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, several biscuits were stored uncovered and not protected from contamination in the white freezer located in the kitchen. 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

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 06/11/19, had TB documentation on file that was dated 06/07/19.

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, a caregiver hired 06/14/16, did not complete any annual training during a subsequent year of employment. Programming In Compliance 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, twelve (12) plastic bags were in the children's cubbies in the two-year-old room. Eighteen (18) plastic bags were in the children's cubbies in the preschool room. These bags were not a part of the planned program of instruction and were accessible to children. 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 13. Toys and Furnishings.

General: Based on observation, rust was on the metal bars of the four (4) seater teeter-totter located on the outdoor playground. The edges of the carpet were raveled near the child size table in the two-year-old room. A smoke detector continuously chirped in building #2. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records 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, a child first date of attendance on 02/22/2021, did not have an immunization certificate on file.

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, a child first date of attendance on 04/01/2021, did not have allergy information documented on the enrollment form. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 5. Infant and Toddler Play Requirements.

General: Based on observation, interview and review of documentation, two (2), two-year-old children were grouped with five (5), three-year-old children all day and were not in a transition program in the two and three-year-olds’ room. 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 3. General Requirements.

General: Based on observation, a spray bottle filled with a bleach water solution and a can of disinfectant spray were stored in an unlocked cabinet and were accessible to children in the school age room. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a thick mucus was present under a child's nose for fifteen (15) minutes in the toddlers' room.

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 caregiver did not wash her hands with liquid soap and warm running water before she diapered a child in the toddlers' room. Also, a caregiver did not wash her hands with liquid soap and warm running water after she wiped a child's nose in the two and three-year-olds' room. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interviews, pea gravel was present as protective surface on the large outdoor playground that was used by two-year-old children. 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, four (4) children were placed directly on mats and were not provided a sheet during nap time in the one-year-olds' room. Also, five (5) children were placed directly on mats and were not provided a sheet during nap time in the two and three-year-olds' room.

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, three (3) children slept on cots with less than twelve (12) inches of space in the 4-year-olds’ and older room. Five (5) children slept on mats with less than twelve (12) inches of space in the two and three-year-olds’ room. Two (2) children slept on mats with less than twelve (12) inches of space in the toddlers’ room. Each cot/mat was positioned against a wooden toy shelf or spaced approximately an inch apart from another cot/mat.

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, interview and review of documentation, a blue Bumbo seat was in the infants' room. A review of the Consumer Product Safety Review Commission recall information determined the Bumbo seat was recalled in 2007 and consumers were instructed to order a free repair kit, which included a restraint belt and a warning label. Interview determined the center was not aware of the recall. Also, a dark red stain was on the seat of three (3) cloth high chairs in the infant's room. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance 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 2. Child Care Services.

General: Based on observation, a caregiver hired on 1/23/19, cared for thirteen (13) children in the preschool room. The youngest child was three-years-old. Also, a caregiver hired on 6/14/16, cared for seven (7) children in the one-year-olds room. The youngest child was seventeen-months-old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, there was no posted daily planned program of activities in the infants' room #1. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, water leaked from the handle when the toilet was flushed in the girls' restroom in building #1. 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, a tube of A+D Ointment, a tube of Parent's Choice Diaper Rash Ointment, and a bottle of Nystatin Topical Powder were not labeled to indicate whom the medication belonged to. These items were located in a medication box, in a cabinet in the infants' room #2. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, on the older children's outdoor play area, a thirty-two (32) inch tall, blue metal climbing bar was not anchored to the ground.

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, a four (4) inch long tear was in a crib mattress used by children in the infants' room #1.

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, a screw protruded one (1) inch out from a sink's cabinet door located in the infants' room #1 Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation, fifty-three (53) parents had signed the daily attendance record prior to the end of the week. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a cargiver hired on 10/1/12, lacked fifteen (15) hours of training. Programming In Compliance Written Documentation 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 7. First Aid and Medicine.

General: Based on Observation, a box of AZO tablets was not labeled to indicate to whom it belonged to in the infants’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, a brown circular stain was on a crib sheet in the infants’ room.

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, three (3) red and blue nap mats were torn in the school-age room. An interview revealed staff used tape to cover tears on two (2) nap mats and cotton thread to sew tears closed on the third nap mat.

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, a sink faucet handle was unattached to the sink base in the infants’ room. Transportation Not Applicable Food Service/Food Program Not Applicable 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, a thermometer indicated the temperature was 50 degrees Fahrenheit in two (2) refrigerators in the kitchen (school-age building). An indicating thermometer was not present in the refrigerator in the kitchen (infants’ building).

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, a thermometer indicated the temperature was 18 degrees Fahrenheit in the freezer in the kitchen (preschool building). 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: nutrition. Open / not marked corrected.

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

General: Based on Observation, three (3) bottles were not labeled in the infants’ room. 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, a child, first date of attendance on 05/31/18, had an immunization certificate on file that was valid until 07/17/18. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 10. Director Requirements and Responsibilities.

General: Based on Observation, an electrical outlet was not covered in the one-year-olds’ room. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, pop music played and was not a part of the planned program of activities in the three-year and four-year-olds’ room. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a bottle of Comet, multi-surface antibacterial cleaner and glass cleaner were stored in a white caddy on the lower shelf of an unlocked plastic storage closet and were accessible to children 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 3. General Requirements.

General: Based on Observation, a roll of large plastic trash bags and two (2) opened boxes of top seal plastic bags were stored on the lower shelf of an unlocked plastic storage closet in the school-age room. These items were accessible to children and were not a part of the planned program of instruction.

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 accumulation of dust was in the ceiling vent in the boys’ and girls’ restrooms in the school-age room. An accumulation of dust was on the ceiling, above a ceiling fan, in the one-year-olds’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, dead bugs were inside the light shield in the boys’ and girls’ restrooms in the school-age room. 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, a red bag, which contained a first aid kit, hung on the front end of a white PVC pipe, framed storage structure in the school-age room.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, the leg on the sand table was bent. This cause the sand table to lean and be unstable. Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the sand table was not covered on the two-year-olds' playground. Surveyor observed the caregiver turn the table upside down to pour water out of the sand table.

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, a caregiver hired 07/25/17, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, and interview, two (2) caregivers hired 08/04/16 and 07/14/16, did not complete their one and one-half (1 1/2) hours of pediatric abusive head trauma training within their first year of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the radio played music from 94.7 radio station and was not part of the program of activities in the infant/toddler building. 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 carpet was torn and frayed about eight (8) inches at the entrance into the infants' area. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a caregiver did not wash her hands after she wiped a child's nose in the two-year-olds' room. First Aid/Medication 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 7. First Aid and Medicine.

General: Based on observation, a bottle of Albuterol was stored in an unlocked medication box in the infants' room. A bottle of ibuprofen, a bottle of acetamin elx., and a bottle of pain relief teething gel were not labeled to indicate whom each medication belonged and were stored in an unlocked medication box in the infants' room. 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 and interview, an oval climber did not have a protective surface. Also, the two-year-old children were observed playing in pea gravel which was in a section on the two-year-olds' playground. Two (2), two-year-old boys played in the pea gravel with their hands and shovels. 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 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on review of documentation and interview, a copy of the written evacuation plan was not provided to the local emergency management officials when updated in accordance with KRS 199.895. Interview determined the licensee was not aware a copy was to be given to the local emergency management officials. 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 9. Food and Meal Requirements.

General: Based on Observation, a box of pear halfs, two (2) boxes of pork and beans, a box of spear pickles, a box of fruit grain bars, and a box of creamy ranch dressing were stacked together and placed directly on the floor in the kitchen in the school age building.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, a right side railing was very loose on the stairs which lead to the outdoor play area from the preschool/toddler's building.

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 Observation, three (3) toddlers played with window blinds while waiting their turn to wash hands in the infants' building. The caregiver present was assisting another child with hand washing. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 9/14/16, did not have education documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 10/31/07, did not complete the Pediatric Abusive Head Trauma Training. Also, a caregiver hired on 2/7/14, lacked fifteen (15) hours of training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, an outdoor light fixture was not shielded or shatterproof next to the entrance of the infants' building.

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, nine (9) infants and toddlers played and ate lunch in the multipurpose room located in the infants’ building. The square footage of the room was one hundred seventy-three (173) square feet. Therefore, only four (4) children were allowed in this room.

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 hot water registered at seventy-five (75) degrees Fahrenheit at a sink located outside of the restroom in the infants' building.

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 caregiver failed to wash her hands after cleaning a child's nose in the infants' building.

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, there was a one (1) inch tear in a diaper changing pad on a changing table in the preschool 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 6. Sleeping and Napping Requirements.

General: Based on Observation, four (4) crib sheets were stained, a crib sheet had a one (1) inch tear, and another crib sheet was loose fitting to the crib mattress. These cribs were in the infants' building.

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, four (4) highchairs did not have safety straps and the chairs were in use in the infants' building.

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, a child enrolled on 7/26/16, had no physician's name and phone number listed in the enrollment information. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

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 interviews, one (1) caregiver supervised six (6) infant and toddler children for about forty-five (45) minutes on 03/26/16. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 5/28/15, had not obtained a criminal records check from her previous state of residence Georgia.

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, a caregiver hired 4/2/15, obtained six (6) hours of cabinet approved orientation on 7/24/15, which was not within the first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interviews, one and two year old children rode on a Yamaha power wheels riding toy while on the one and two year olds' playground. Record review determined the manufacturer's label stated the toy was intended for children three years old and older.

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), one year old children were grouped with two year old children for approximately three (3) hours in the one and two year olds' 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, a pile of bird droppings were on the floor under a large bird cage in the front foyer.

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, an approximate six (6) inch crack was in a light shield, and fabric wiring was tied around each end of the light shield and around the light fixture to secure the light shield in place in the infants' and toddlers' room in building #2. Also, an end cap was missing from a light fixture in the infants' and one year olds' room in building 2.

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 hot water temperature registered seventy (70) degrees Fahrenheit in the sink in the boys' restroom.

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 child did not wash his hands with liquid soap and warm running water upon arrival to the center in the one and two year olds' room. Six (6) children washed their hands with liquid soap and cold running water before eating lunch 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, the top bar on the gate was loosened on the older children's playground.

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, a hole with two (2) pointy corners was on two (2) white metal benches on the older children's playground.

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, two (2) children, enrolled on 11/20/12; a child enrolled 12/14/12; two (2) children enrolled on 01/01/13; two (2) children enrolled on 01/03/13; a child enrolled on 04/04/13; a child enrolled on 01/03/14, and a child, enrolled on 07/11/14, each did not have information to enable the person in charge to contact the child’s preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the posted schedule of daily activities did not include dates in the one and two year olds' room. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the director failed to obtain parental consent for a fish, gerbil, and four (4) parakeets to be in the presence of the children.

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, the infant and toddler children were combined with the two (2) year old children all day, everyday for the past two (2) months.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, observation and interview, the center did not have a transition plan for the children who were twenty-one (21) months and older who transitioned into the preschool classroom. One year old children were combined with children who were over two years old. Children's Records

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 ceiling had brown and black stains in the school age girls' restroom. Also, a screw protuded from the paneling wall and the carpet had a large run across the floor in the two year olds' 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, standing water was located at the back of the toilet's base and there was a pool of urine to the side of the toilet in the school age boys' restroom. Hygienic Practices

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 toddlers' playground had tall grass and weeds.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a rug had black stains in the two year olds' room. Also, a large area rug had black stains in the school age room.

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 observation, while a caregiver located the sheets and blankets for nap time, a three year old child was bitten on the thumb by another child. The caregiver failed to comfort the child and continued to gather the sheets and blankets. The child sat and cried at the table for approximately four (4) minutes.

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 same program of activities was posted for each age group (i.e., watch a dinosaur documentary and discuss what was learned, bath a dinosaur, make a volcano and erupt a volcano); therefore, the activities were not individualized or developmentally appropriate for infant and toddler children.

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 three (3) to five(5) year old children sat at the tables and waited, for appoximately fifteen (15)minutes, for lunch to be served. No activity was provided during the 15 minute wait.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

Building 3 - After School: Based on observation and interview, four (4) safety plugs were missing from two (2) electrical outlets on the wall above the blue mats. Also, three (3) safety plugs were missing from two (2) electrical outlets beside the computers. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 43 Web site: http://chfs.ky.gov/ Inspection Report 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 2) Clean Not In Compliance Findings: Building 2 - Toddlers: Based on observation and interview, mouse droppngs were on the counter, in the window sill and behind the portable refrigerator in the one year olds' room. 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 7) Shielded/shatter proof bulbs Not In Compliance Findings: Building 1 - School Age: Based on observation and interview, two light bulbs were not shatterproof and were uncovered in the boys' restroom. 201 - Protected Items Not Applicable 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 43 Web site: http://chfs.ky.gov/ Inspection Report 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4

General: Based on observation and interview, a dome shaped jungle gym was not secured to the ground on the older children's playground.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 3

Building 2 - Infant: Based on observation, a pink sheet was gathered in the middle of the crib mattress. 234 - Infant/Toddler with older children Not Applicable 922 KAR 2:120 - Section 5 (2) An infant or toddler may participate in an activity with an older child for no more than one (1) hour. 282 - Toilet Training Not Applicable 922 KAR 2:120 - Section 10 (5) Toilet training shall be coordinated with the child's parent. Premises - Classroom

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)

General: Based on observation and interview, a 10x8 inch circular hole was observed in the foundation of building #2 within the playground area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 10

Building 2 - Toddlers: Based on observation and interview, the diapering procedures were not posted in the diaper changing area. Building 1 - 2 through 4: Based on observation and interview, diapering procedures were not posted near the diaper changing station. Animals 319 - Animal Requirements Not Applicable 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised Not Applicable 2) Vaccinated Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 42 of 43 Web site: http://chfs.ky.gov/ Inspection Report 321 - Prohibited Animals Not Applicable 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated Not Applicable 2) Wild Not Applicable 3) Exotic Not Applicable C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected 2) Partnership statement Not Inspected

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

General: Based on a review of documentation and interview, a one year old child bit other children forty (40) times between 05/07/12 and 08/24/12. Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 2) Followed Not In Compliance Findings: Two year old children: Based on a review of documentation, observation and interview, the posted program of activities was not follow. The program of activities for 08/27/12, included the study of the seasons, music, books and art. Surveyor observed the children climbed on equipment, climbed on chairs, and ran around the classroom. Premises - Classroom

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

Infant/Toddler: Based on observation and interview, a quart size crock pot, used to warm infant bottles, was on top of a portable refrigerator. The electrical cord to the crock pot was accessible to children in the room. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides Not In Compliance Findings: Two year old children: Based on observation and interview, a one year old child climbed onto a child-size chair to reach a spray bottle of bleach water stored on a shelf. General Premises 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices 188 - Child Personal care/Handwashing 922 KAR 2:120 - Section 3 (4) A child shall; (a) Be helped with personal care and cleanliness; and (b) Wash his or her hands with liquid soap and warm running water: 1. Upon arrival at the center; 2. Before and after eating or handling food; 3. After toileting or diaper change; 4. After handling animals; 5. After wiping or blowing nose; 6. After touching items soiled with body fluids or wastes; and 7. After outdoor or indoor play time. 4) Handwashing after toileting or diaper change Not In Compliance Findings: Two year old children: Based on observation and interview, the caregiver failed to wash a child's hands after diapering. 189 - Staff Hygiene/Hand Washing 922 KAR 2:120 - Section 3 (5) Staff shall: (a) Maintain personal cleanliness; (b) Conform to hygienic practices while on duty; and (c) Wash their hands with liquid soap and running water: 1. Upon arrival at the center; 2. After toileting or assisting a child in toileting; 3. Before and after diapering each child; 4. After wiping or blowing a child's or own nose; 5. After handling animals; 6. After caring for a sick child; 7. Before and after feeding a child or eating; 8. Before dispensing medication; and 9. If possible, before administering first aid. 5) Handwashing before/after diapering Not In Compliance Findings: Two year old children: Based on observation and interview, the caregiver failed to wash her hands with liquid soap and running water after she changed a child's diaper.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Infant room: Based on observation, a crib was immediately adjacent to a table.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

toddler room: Based on observation and interview, there was a black substance located on the white pipes in the cabinet located underneath the sink in the toddlers' room. Interviews determined there was a past water leak underneath the sink. Surveyor also noticed a strong musty odor in the toddlers' room and underneath the sink in the cabinet. Infant room: Based on observation, a Scensy candle cord was plugged into the wall and accessible to children. Interviews determined the Scensy candle was used to eliminate the musty odor from the toddlers' room. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 2) Clean Not In Compliance Findings: toddler room: Based on observation, a black substance was on a dirty cloth, a blue plastic bag, a white pipe, pieces of dry wall, and inside the cabinet underneath the sink in the toddlers' room. Also, a hole was in the back of the cabinet. General Premises 203 - Pest Control 922 KAR 2:120 - Section 4 (6) Measures shall be utilized to control the presence of: (a) Rodents; (b) Flies; (c) Roaches; and (d) Other vermin. 1) No rodents Not In Compliance Findings: General: Based on observation, mouse dropping were observed on a shelf in the infant and toddlers' restroom. Equipment - Classroom

Open Not marked corrected in the state record

Open / not marked corrected.