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

General: Based on review of documentation, one (1) staff member (DOH: 04/01/24) had TB results on file at the facility; however, the results were dated 04/04/24 which is three (3) days after the initial hire date.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center did not have a current copy of the regulations (922 KAR 2:120 and 922 KAR 2:280), at the time of inspection. Employee Records 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 7. First Aid and Medicine.

General: Based on review of documentation, one (1) staff member (DOH: 09/05/23) did not have evidence of completing the required CPR/FA training on file at the facility. 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 4. Premises Requirements.

General: Based on observation, the air vent in the Four's class restroom had an excessive amount of dust build up on the outer surface.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the walls in the Indoor Gross Motor area had several areas of spackle and missing paint, within reach of children in care. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the trash can in the bathroom used for the disposing of used diapers did not have a lid and was not covered, exposing the contents to children in care. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the diaper cream was stored in the bathroom on a lower shelf that was open and accessible to children at the time of inspection. It should be noted there was a KEEP OUT OF REACH OF CHILDREN warning on the outer label. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the refrigerator the Infant Number Two (2) classroom was reading forty-six (46) degrees Fahrenheit on the thermometer. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the freezer thermometer in the kitchen was reading nine (9) degrees Fahrenheit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, one (1) bottle in the Infant Number One (1) classroom refrigerator was observed without a lid. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Two (2) staff members (DOH: 09/14/23 and 09/05/23) had a professional development plan on file; however it was undated, so it could not be determined if it was completed within the last year. 2.) Four (4) staff members (DOH: 07/23/13, 06/12/20, 10/17/22, and 06/12/20) had professional development plans on file but were not completed within the last year. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the Three's and Four's classrooms did not have a current lesson plan posted or available for review at the time of the survey. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the health, safety, and comfort of enrolled children were jeopardized when staff members told the children that there was a monster in the closet that would get them if they did not do what they were told to do. 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 5. Infant and Toddler Play Requirements.

General: Based on observation and interview, a two-year-old child remains in the Threes' classroom on a regular basis with three-year-old children. The center did not have a transition plan signed by the two-year-old child's parent documenting the parent's approval for the toddler to transition to a preschool class. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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 and review of documentation, a caregiver hired on 11/09/22, was listed as eligible and separated on 06/27/21 in KARES. This caregiver was present at the center on 12/14/22. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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, a caregiver hired on 04/21/14, did not have an annual written evaluation on file. 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 observation, interview and review of documentation, a caregiver hired 02/20/22, had TB documentation dated 01/09/2020. 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 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on observation, interview and review of documentation, a caregiver hired 07/11/22, was not trained in first aid and CPR. 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, interview and review of documentation, the radio played country music from a local radio station while the children sat and played with toys in the infants' room. The music had adult content and was not a part of the planned program of activities. 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 caregiver’s purse and jacket were on the floor beside the stairs that led downstairs to the preschool room. A caregiver's camo coat was stored on the children's shelf in the two-year-old room. A caregiver's bag was in a child-size chair in the preschool room. All of these items were accessible to children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a temperature indicating device was not in the freezer; therefore, it could not be determined that food was maintained at zero degrees Fahrenheit or lower. This freezer was located in the hallway and used for the center's food. Food Service Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, there was one (1) different can of powder formula in the infant child's cubby. Interviews confirmed caregivers prepared the infant's bottles, three (3) times a day, in the infants' room. The caregivers measured the formula and water, and then mixed them together. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation 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: Based on observation, interview and review of documentation, the center had a student volunteer present but did not have a written policy pertaining to student volunteers.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the center could not provide the documented arrival and departure times for each child present on 12/12/22 and 12/13/22, and forty-one (41) children's arrival time on 12/14/22.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a caregiver hired on 04/21/14, had a professional development plan on file dated 07/31/21. 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 interview and review of documentation, each statement of deficiencies and plan of correction for the current licensure year was not posted. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 07/21/21 and a caregiver hired 12/16/2020, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 06/12/2020, had TB documentation on file that was dated 09/02/19. A caregiver hired 08/12/21 and a caregiver hired 07/21/21, did not have TB documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a caregiver hired 08/16/21, a caregiver hired 08/12/21, a caregiver hired 07/21/21, a caregiver hired 12/16/2020, a caregiver hired 01/07/2020, and a caregiver hired 02/01/19, did not have verification of first aid/CPR training. 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, the radio played music from a local radio station while the children sat and played with toys in the infant and Explorer room. The music had adult content and was not a part of the planned program of activities. 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 caregiver’s drink and two (2) bottles of water were stored on a shelf in the four-year-old room. A bottle of hand sanitizer set on a shelf in the four- year-old room. The bottle of hand sanitizer was labeled "Keep out of reach of children". These items were accessible to children.

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, six (6) large plastic bags were stored on the floor, in a closet, in the two-year-old's room. The closet door was opened which allowed these items, that were not a part of the planned program of instruction, to be accessible to children. 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, six (6) children did not wash their hands with liquid soap and warm running water before they ate lunch in the Explorer room. A toddler child did not wash her hands with liquid soap and warm running water after she was diapered in the Explorer room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a caregiver did not wash her hands with liquid soap and warm running water before she fed an infant in the infants' room. A caregiver did not wash her hands with liquid soap and warm running water before and after she diapered a toddler child in the Explorer room. A caregiver did not wash her hands with liquid soap and warm running after after she fed an infant in the infants' room.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, a radio, a paper, a pen, rubber-bands, infant socks and a clipboard were stored on the diaper changing surface in the Explorer 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, a caregiver did not disinfect the diaper changing mat in the infant and Explorer room. 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: Based on observation, the black fabric peeled and hung down from the back side of the wooden changing table in the infant/Explorer room. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Meal Planning/Center Provides Meals 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. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, a two-year-old child was served water for lunch in the two-year-old's room. Review of documentation determined the child had no dietary restriction available for review. 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, a child first date of attendance on 10/12/2020, had an immunization certificate on file that was current until 07/16/21. 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 interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements regarding the health, safety and comfort of a child. Based on interviews, the health, safety and comfort of a child was compromised when the child was instructed by a staff member, to hit another child in retaliation from being hit. A review of written documentation revealed a child had been hit in the head by a block thrown by another child prior to being instructed to then hit the other child.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center staff in charge failed to assure compliance with regulatory requirements. Observation of the room next to the two (2) and three (3) year-old room revealed an outlet cover that was hanging out away from the wall, posing a risk of live wire exposure to children. Interview with the staff in charge confirmed the outlet area was uncovered. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for three (3) staff members hired 8/24/2020, 8/24/2020 and 10/15/19. Interview with the staff in charge confirmed the documents were not there for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that two (2) staff members with the hire dates of 1/07/2020 and 2/01/19 had proof or documentation showing Six (6) hours of cabinet- approved orientation completed within the first three (3) months of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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 8. Kitchen Requirements.

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation and interview revealed that the refrigerator in the back room of the three’s (3)’s room did not have a thermometer in it.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation and interview with the staff in charge revealed that the kitchen Freezer did not have a thermometer; therefore, there were no means to tell the temperature of the food.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed that the kitchen food rack had food stored in cardboard boxes less than (6) six inches from the floor. Interview with the staff in charge revealed the food was stored as described. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: 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 child care center failed to maintain children’s records in accordance with regulatory requirements. A review of ten (10) children’s files revealed there was no Doctor listed for a child with the enrollment date of 6/15/2020. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review the center’s documentation revealed there was no current written staff schedule on file for review.

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 interview and review of documentation, the child care center failed to maintain a written policy requiring each employee to implement the procedures they were taught during orientation training. 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the director failed to provide documented evidence of a written staff schedule. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulatory background check requirements. Upon request, the director failed to provide documented evidence of background checks submitted and/ or completed for two (2) staff with hire dates 06/12/2020. Supervision In Compliance Staffing Requirements Discussed General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the director failed to provide zoning documentation to verify that the inspected site was approved for child care usage. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to assure compliance with regulatory requirements with regard to the health, safety and comfort of children. Observation of five (5) of six (6) classrooms revealed machine washable toys in each classroom which are currently prohibited per emergency regulations 922 KAR 2:400E. 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 observation, interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director failed to provide documented evidence of at least two (2) qualified substitutes. Review of employee records revealed the two (2) staff identified failed to submit and complete background checks to determine eligibility for employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not Applicable 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 interview and review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request, the director failed to provide documented evidence of a food service permit. Children's Records Discussed Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the director failed to provide documented evidence that a written plan to address emergency preparedness was submitted to the local emergency management. Interview with the director revealed she had not submitted the documents. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the director failed to provide documented evidence of written job descriptions for staff at the child care center.

Open Not marked corrected in the state record

Open / not marked corrected.