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

Based on record review and interview, the facility did not provide for the health, safety and comfort of a child when the child was given a food item, a muffin, to which he was allergic. The child had a reaction and EMS transport was requested. Director Requirements 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, a child in care was able to climb atop a stack of eight (8) cots with the cover on them and then jump off, injuring himself. Medical treatment was sought by the parent, the cabinet was notified of the incident, and it was later determined the child did not have a concussion.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

General: Based on interview and review of documentation, it was reported that an incident occurred where a four-year-old child had sustained an injury that required medical attention on 2/28/2025 from a fall that occurred while on the playground. This incident was not reported to the cabinet. Director Requirements In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on observation, the first aid kit did not have a flashlight at the time of inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on observation, the 2018 Ford Transit bus did not have an up-to-date annual inspection on file at the time of inspection. The one on file was from 2023.

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 review of documentation, the following was found during inspection: 1) A staff (DOH: 02/21/22) did not have a status of eligible for hire until 02/22/24. A status of eligible for hire is required prior to date of hire. 2) A staff (DOH: 01/02/25) did not have a status of eligible for hire until 01/09/25. A status of eligible for hire is required prior to the date of hire. 3) A staff (DOH: 02/28/22) had a background check that expired as of 10/22/23 and had not yet been renewed. 4) A staff (DOH: 07/20/23) had a background check that expired as of 11/14/24 and had not yet been renewed. A review of KARES supports these findings.

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 refrigerator in the Infant Three (3) Classroom did not have a thermometer so the temperature could not be determined.

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, the following was found during inspection: 1) A staff (DOH: 04/12/23) had been separated in KARES as of 08/23/24, though this staff member was still currently employed and working in the center. Therefore, their employment status had not been maintained. 2) A staff (DOH: 08/07/23) had been separated in KARES as of 08/01/24, though this staff member was still currently employed and working in the center. Therefore, their employment status had not been maintained. A review of KARES supports these findings. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 33 Inspection Report Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulation was not met: 1) Upon walking into the Threes Number Two (2) Classroom, the children were sitting at the table in the classroom alone. The teacher had walked out of the room to the bathroom in the adjoining room to help a child wash their hands. It could not be determined how long she had been in the bathroom prior to the surveyor entering in the classroom. The teacher returned approximately twenty (20) seconds after the surveyor entered into the classroom. 2) The Surveyor also witnessed the teacher in the Fours Number One (1) Classroom leave the classroom at least three (3) separate times to go into the adjoining classroom. It was around lunch time, so the surveyor thought she was getting food from the other classroom, but she did not have anything when she returned. The first time, the teacher was out of the room for approximately thirty (30) seconds. The second time she left the classroom; she was gone for approximately one (1) minute. The third time, it could not be determined how long she had been out of the classroom. She was in the adjoining classroom with a cot in her hands.

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 center had a Fire Marshal inspection and report on 06/19/24; however, the document had it recorded as zero (0) square footage and zero (0) capacity. The report from the previous year had the same numbers listed. DRCC uses the Fire Marshal report to determine compliance with capacity so the number could not be determined. The person in charge said they would reach back out to the Fire Marshall to get an updated document.

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, the following was found during inspection. Infant 1 (#3) Classroom 1) An uncovered electrical outlet next to a crib on the day of inspection. Explorer 1 (#4) Classroom 1) There was a loose cord hanging from the radio on a top shelf which poses a safety hazard if a child was to pull on it. 2) An uncovered electrical outlet in the bathroom beside the toilet. Twos 2 (#5) Classroom 1) There were two (2) loose cords hanging from a shelf over the sink which poses a safety hazard if a child was to pull on it. Explorers 3 (#18) Classroom 1) There were two (2) loose cords hanging from the top shelf which poses a safety hazard if a child was to pull on it. 2) The cots were being stored upright in a corner and are a safety hazard if they were to fall over on a child. Explorers 2 (#6) Classroom 1) Two (2) loose cords hanging from a top shelf which poses a safety hazard if a child was to pull on it. School Age (#9) Classroom 1) An electrical outlet missing a face plate on the day of inspection. Infant 3 (#1) Classroom 1) A loose cord was hanging from a top shelf and a safety hazard if a child was to pull on it. Fours 1 (#10) Classroom 1) An uncovered electrical outlet in the 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 child care center failed to maintain state regulations. Two (2) staff members (DOH: 03/14/24 and 01/02/25) did not have staff files containing proof of educational qualifications.

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 refrigerator in the Infant Three (3) Classroom did not have a thermometer in the freezer, which was used to store breast milk, so the temperature could not be determined.

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, the following was found during inspection: 1) A staff (DOH: 08/09/19) was due to have their TB skin test renewed by 05/12/24, but did not have a renewed test until 06/19/24. 2) A staff (DOH: 08/26/22) was due to have their TB skin test renewed by 05/02/24, but did not have a renewed test until 06/03/24. 3) Two (2) staff (DOH: 07/24/24 and 12/18/24) did not obtain a negative TB skin test until after their date of hire. 4) A staff (DOH: 12/14/24) did not have a record of a TB skin test or a statement from a medical professional stating they were free from active tuberculosis at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. A staff (DOH: 01/13/23) could be heard by the surveyor speaking to the children in care in an inappropriate manner. The staff used loud and frightening language towards the children including saying "they would have their rest time stuffed animal or baby taken away" and "lay down on their cots" through gritted teeth. This behavior occurred from approximately 10:50 a.m. until 1:00 p.m. after the children in care had fallen asleep.

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 following was found: Fours (#7) Classroom 1) The vent in the bathroom was rusted and had an area of chipping paint. Fours 2 (#11) Classroom 1) The bathroom vent had excessive dust on it.

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 following was found: Explorer 1 (#4) Classroom 1) There was an area of chipping paint in the bathroom on a wall. Threes 1 (#14) Classroom 1) There was an area of chipping paint next to the sensory table. Twos 3 (#13) Classroom 1) There was a stained ceiling tile in the classroom. Fours 2 (#11) Classroom 1) There was a stained ceiling tile in the right bathroom. 2) There was an area on the wall behind the door that had been replaced but had not been painted. Kitchen 1) There was a stained ceiling tile on the day of inspection. 2) There was an area in the corner of the kitchen with spray foam protruding out 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 3. General Requirements.

General: Based on observation, staff in the Two's One (1) Classroom did not wash a child's hands after diapering. She used a baby wipe when they had access to a sink.

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 in the Two's One (1) Classroom did not wash her hands after diapering.

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, the following was found: Two's Five (5) Classroom 1) The paper towel holder in the was broken exposing sharp edges on the day of inspection. 2) The sink in the bathroom was rusted and had areas of chipping enamel.

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 during inspection: 1) Three (3) children’s enrollment information (DOE: 11/04/24, 11/04/24, and 06/03/24) did not contain a preferred physician or a preferred hospital. 2) A child’s enrollment information (DOE: 04/12/22) did not contain a preferred physician, a preferred hospital, or an emergency authorization to seek medical treatment.

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, there was documentation of fire, earthquake, tornado, and lockdown drills on file at the facility; however, none of the drills had documented times. They were documented as morning or afternoon.

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, the Two's five (5) (#16) Classroom did not have an up-to-date lesson plan posted for the week.

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 Four's (4) Classroom did not have a daily schedule posted or available during inspection.

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 Explorer One (1) and Infant Three (3) Classrooms did not have a handwashing sign posted in or around the changing table or sink. 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: Based on observation and review of documentation, the following was found: 1. A staff member (DOH: 08/24/23) previously lived in Arkansas and the facility did not have evidence or results of an out-of-state back check from Arkansas. The KARES eligible for employment authorization form indicated that the staff member lived in Arkansas from 1997 to 2019. The facility would need a criminal records check, a child abuse and neglect check, and a sex offender registry check from Arkansas for this staff member. This staff member was not working during the renewal survey. 2. A staff member (DOH: 07/05/23) previously lived in Illinois and the facility did not have evidence or results of an out-of-state back check from Illinois. The KARES eligible for employment authorization form indicated that the staff member lived in IL from 2015 to 2022. The facility would need a criminal records check, a child abuse and neglect check, and a sex offender registry check from Illinois for this staff member. This staff member was not working during the renewal survey. 3. A staff member (DOH: 07/01/23) previously lived in Indiana and the facility did not have evidence or results of an out-of-state back check from Indiana. The staff member’s file contained a driver’s license from Indiana and the staff in charge indicated that this staff member previously lived in Indiana within the last five (5) years. The facility would need a criminal records check, a child abuse and neglect check, and a sex offender registry check from Indiana for this staff member. This staff member was not working during the renewal survey. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report 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 8. General.

General: Based on observation, the following was found: 1) An uncovered electrical outlet in #16 Two's 5, #9 School Age, and #7 Fours 3 classrooms. 2) There was a group of stacked chairs in #5 Two's 2 and in the bathroom of the #9 School Age classrooms which is a safety concern with children playing around them. 3) In #7 Four's 3 there was an accessible iPad cord. 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 8. General.

General: Based on observation, the center did not have a copy of the current state regulations 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, three (3) staff members (DOH: 05/15/23, 10/03/23, and 01/03/23) did not have proof of education 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, the following was found: 1. Documentation presented for staff member (DOH: 05/15/23) included the most recent TB skin test dated 08/26/21, which was no longer current. 2.Documentation presented for staff member (DOH: 06/30/15) included the most recent TB skin test dated 11/05/21, which was no longer current. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1. A bottle of bleach was found sitting on the floor in #11 Two's 4 classroom. 2) A mop bucket with dirty water in the #9 School Age classroom which was accessible to children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1. A broken faceplate on the light switch in #14 Three's 1 classroom with sharp edges. 2) The air vent in the #7 Four's 3 classroom was rusted.

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 following was found: 1) A stained ceiling tile in #16 Two's 5 classroom, #4 Explorer 1, #11 Two's 4, and #6 Two's 1. 2) The wall behind the trashcan in #5 Two's 2 classroom had chipping paint. 3) A small hole in the wall next to an electrical outlet in #9 School Age classroom. 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: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) The toilet in #17 Two's 6 classroom had a broken handle. 2) The paper towel holder in #16 Two's 5 classroom was broken. Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the refrigerators in #1 Infant 3 classroom, #11 Two's 4, and #4 Explorer 1 classrooms did not have a thermometer so the temperature could not be determined. These refrigerators are used to store children's food.

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, there were three (3) bottles in the Infant #2 class refrigerator that were not labeled with a child's name. Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, #3 Infant 1 classroom, #5 Two's 2 classroom and #9 School Age classroom did not have a daily schedule posted or available during inspection.

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, classroom #14 Three's 1 did not have a handwashing sign or diaper steps posted in or around the changing table or bathroom. 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 3. General Requirements.

General: Based on observation, a purse was sitting on top of a toy storage shelf that was accessible to children in the Four's (4) # 2 room.

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 05/12/2023 AND AS OF 05/25/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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, in the Four's (4) # 3 room on the back wall to the right side of the window, the electric outlet did not have a covering. 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 review of documentation, no education information was presented for review for three (3) staff members with the following hire dates: 8-29-2022; 4-11-2022; 10-9- 2022.

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, current documentation from a health professional stating that the individual is free from active tuberculosis, or negative results from a tuberculin skin test, was not presented for review for a staff member with the hire date of 8-4-2022.

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, 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 with the following date of hire: 4/28/2022. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the Two's (2) #4 door entering the room did not function properly, as evidence by the door did not shut completely. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: 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 Two's (2) #5 bathroom did not have ventilation. The sink was dirty with a brown substance consistent with mud. In the Four's (4) #3 bathroom the toilet seat cover was broken which left sharp plastic and bolts exposed. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records 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, no professional development plan was presented for review for six (6) staff members with the following hire dates: 3-2-2021; 2-18-2022; 4-28-2022; 6 -27-2022; 9-21-2022; 4-11-2022. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on record review and interview, the facility did not provide for the health, safety and comfort of a child when his finger was shut in the door by a staff person. The staff person shut the door to prevent a child from getting out of the classroom. The child's finger was caught in the hinge part of door. The child's finger was bruised and had blood under the skin. The child was taken to the doctor and was diagnosed with a fracture of his thumb tip. Director Requirements In Compliance Employee Records 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 caregiver hired 02/21/22, a caregiver hired 01/27/22, a caregiver hired 09/21/21, a caregiver hired 08/12/21, a caregiver hired 11/19/19 and a caregiver hired 10/24/18, each did not have education verification on file.

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 and interview, a caregiver supervised six (6) children alone for approximately seven (7) minutes in classroom #17. An infant was the youngest child in the group; therefore, staff to child ratio was not maintained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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.

Based on observation, two (2) children drank water directly from a faucet at a handwashing sink one after another after they washed their hands at the sink in classroom #5. Each child's mouth touched the faucet and the handwashing sink was not cleaned and disinfected between uses. 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, a caregiver hired 02/21/22, a caregiver hired 12/08/21, a caregiver 09/21/21, and a caregiver hired 12/16/2020, each did not have TB documentation on file. A caregiver hired a caregiver hired 12/21/2020, had a TB skin test dated 06/14/18. A caregiver hired 08/30/19, had a TB skin test dated 08/14/19. A caregiver hired 10/24/18, had a TB skin test dated 01/25/18. A caregiver hired 11/14/13, had a TB skin test dated 08/16/19.

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 interview and review of documentation, a caregiver hired 11/21/12, did not have current first aid and CPR certification when she transported seven (7) school age children alone, to school on 03/01/22. The caregiver's first aid and CPR certification was dated 05/29/18 and expired after two (2) years from the certification date.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, a caregiver hired 09/21/21, a caregiver hired 09/13/21, a caregiver hired 02/19/21, a caregiver hired 10/24/18, and a caregiver hired 06/30/15, each did not have information on file to verify they were trained in first aid and CPR. 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: recordkeeping. 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 09/21/21, and a caregiver hired 11/10/2020, each did not complete six (6) hours of cabinet approved orientation training within the first three (3) months of employment. A caregiver hired 10/24/18, completed one and one half (1 1/2) hours of cabinet approved pediatric abusive head trauma on 03/15/14 and did not complete pediatric abusive head trauma again within five (5) years. A caregiver hired 12/16/2020, did not complete any hours of training during the first year of employment. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, music from YouTube's Greatest Hits played on an electronic device while children played in classroom 13. The music was not apart of the planned program of activities.

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, interview and review of documentation, an infant slept on a half moon cushion from approximately 7:15 a.m. until 9:45 a.m. in classroom #3. A signed waiver from a health professional that indicated the infant required an alternate sleep position was not on file. 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 disinfectant spray set on the toilet paper dispenser in classroom #13. A bottle of hand sanitizer set on a shelf in classroom #9. These items were accessible to children. A caregiver’s plaid coat and a red jacket were stored on top of a three (3) drawer container and a cup labeled "ice coffee" set on top of the children's cubbies in classroom #13. A caregiver's backpack set in a chair and a caregiver's drink set on shelf in classroom #11. A caregiver's purse set on a shelf in the children's play area and a caregiver's backpack set on top of the children's wooden refrigerator set in classroom #6. 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, two (2) larges plastic garbage bags set on the floor in classroom #14. A large plastic garage bag was stored beside the toilet in classroom #13's restroom. These items were accessible to the children and were not a part of the planned program of instruction. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a dark, yellow and brown substance was on the base of the toilet in the restroom of classroom #9. In addition, the ventilation fan was inoperable in the restroom in classroom #11 and in the restroom in classroom #9; therefore, the rooms had no ventilation to outside air. 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 toddler child did not wash his hands with liquid soap and warm running water after he wiped his nose in classroom #8.

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 after she diapered a child in classroom #17. A caregiver did not wash her hands with liquid soap and warm running water after she diapered a child in classroom #8. A caregiver did not wash her hands with liquid soap and warm running water after she wiped a child's nose in classroom #4. 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 6. Sleeping and Napping Requirements.

General: Based on observation, two (2) crib mattresses were torn in classroom #3. Two (2) crib mattresses were torn in classroom #2. 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

Open / not marked corrected.

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

General: Based on observation and interviews, three (3) large pillows were torn on the top and side and exposed cotton in classroom #14. There was rust on the teeter totter on the outdoor playground. An excessive amount of paper, empty candy and gum wrappers, empty drink bottles, used face masks, food crumbs and grass were on the floor of the center's two (2) vans used to transport children. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on interview and review of documentation the child care center failed to assure compliance with the requirements specific to the current pandemic as established in 922 KAR 2:410e. Per 922 KAR 2:410e Section 4(3), Each child shall remain in the same group throughout the day without interacting with another group, except that sibling groups may be combined if they are the only children in the facility. Interview with multiple sources revealed, the children are combined in different classrooms throughout the child care center in the mornings and the afternoons.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on interview and review of documentation, the staff in charge did not present verification that the child care center maintained a policy for an emergency plan for evacuating the vehicle during transport.

Open Not marked corrected in the state record

Category: transportation. 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 staff in charge did not present verification that the records for the employees with the hire dates of 02/05/2018, 10/18/2019,09/17/2020,11/20/2020 12/11/2020 and 12/14/2020 contained a copy of a High school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the staff in charge did not present verification that the staff members with the hire dates of 06/02/2020, 07/20/2020, 08/25/2020 and 09/17/2020 had completed orientation training within the first ninety (90) days of employment. Continued review revealed the staff members with the hire dates of 11/14/2013 and 11/13/2019 had not met the requirement of completing Pediatric Head Trauma training within the required timeframes. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirements. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation in the infant classroom, a six-month-old infant was asleep in the crib with their pacifier, which contained a long strap attached to the pacifier. 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, in the three-year-old classroom there was a staff purse sitting on the children’s desk/bookcase, which was within reach of the children; therefore making the purse 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 observation, the ceiling tiles in the infant # 1, two and three-year-old classrooms revealed several ceiling tiles with brown stains that were indicative of water stains. The doorknob between classroom two (2)A and two (2)B was not securely fastened to the door. The walls in the two and three-year-old classroom had several areas where the paint was chipped and pulling away from the wall. Based on observation of the restroom located in the school-age classroom, there were several broken tiles, creating a potential tripping hazard. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation 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. Transportation.

General: Based on interview and review of documentation, the staff in charge did not provide verification that the child care center maintained a policy for ensuring staff duties during transportation. 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

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on interview and review of documentation, the staff in charge did not provide verification that a policy had been maintained for the safety procedures regarding the transportation of a child, to include loading and unloading a child; and providing adequate supervision of a child.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on observation, the child care van was not properly equipped with a working fire extinguisher. The three (3) fire extinguishers' gauges indicated the extinguishers were empty. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the breakfast food on a cart that was located in the hallway near the kitchen, there were several gnats flying around and landing on the food that was uncovered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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 staff in charge did not present verification that the records for the children with the enrollment dates of 10/12/2018,11/28/2018 and 08/24/2020 contained information listing the name of a preferred hospital. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulations. Verification of a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for one (1) staff member hired as of 2/20/19.

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 observation and review of documentation, the child care center failed to maintain employee records in accordance with regulations. A current statement from a health professional that the individual is free of active tuberculosis or a current copy of negative tuberculin results was not presented for review at the time of survey for two (2) staff members. These two (2) staff members have hire dates of 9/28/15 and 6/18/18 respectively. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. 1) The child care center did not produce verification from the Early Care and Education Training Records Information System (ECE-TRIS) that three (3) staff members received fifteen (15) hours of annual cabinet approved early care and education training. These three (3) staff member have the following hire dates: 4/21/13, 11/3/15 and 11/1/17. 2) In addition, the child care center did not produce ECE-TRIS verification that three (3) staff members completed six (6) hours of cabinet-approved orientation within the regulatory timeframe. for three (3) staff members. These three (3) staff member have the following hire dates: 2/20/19, 6/1/19 and 7/1/19. 3) Furthermore, the child care center did not produce ECE-TRIS verification that six (6) staff members had completed their respective pediatric abusive head trauma (PAHT) training within the regulatory timeframe. These six (6) staff member have the following hire dates: 11/21/12, 10/15/13, 2/3/14, 11/7/17, 6/18/18 and 8/1/18. 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, the child care center failed to maintain premises in accordance with regulations. The classrooms known as the School Age room, Infant I and Explorer I, each had ceiling stains, which appear to be the result of water leakage.

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, the child care center failed to maintain premises in accordance with regulations. At approximately 2:30 pm on the date of survey, the classroom known as Two-Year-Old (2) was observed to not have any toilet paper available. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children’s records in accordance with regulations. A review of ten (10) children’s files revealed a current immunization certificate was not presented for review at the time of survey for a child with an enrollment date of 8/9/17. 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 8. General.

General: Based on review of documentation and interview, the child care center failed to post documentation in accordance with regulations. The Two’s #1 and Two’s #4 had no daily activities of the planned program posted or readily available. Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to comply with regulations for director requirements. Review of staff files revealed an annual written performance evaluation was not presented for six (6) staff members with hire dates of 04/21/2014, 09/14/2015, 09/06/2016, 08/14/2013, 01/17/2014 and 03/15/2014. Interview with the staff in charge revealed this information was not available at the time of survey. 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 and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the files for four (4) staff members with the hire dates of 02/19/2018, 09/28/2018, 06/25/2018, and 12/21/2016 did not have proof of education documentation (high school diploma, GED, or Commonwealth Child Care Credential). Interview with the staff in charge revealed this information was not available at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the files for six (6) staff members with the hire dates of 02/19/2018, 05/14/2015, 07/30/2018, 02/05/2018, 11/10/2015, and 12/21/2016 failed to have record of a tuberculin results or a statement from a health professional that the individual is free of active tuberculosis. Interview with the staff in charge revealed this information was unavailable at the time of survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed the fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for two (2) staff members with the hire dates of 05/14/2015 and 04/16/2015. Interview with the staff in charge revealed this information was unavailable at the time of survey. 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, the child care center failed to comply with regulations regarding premises. The Four’s #2 room revealed two (2) holes in the wall. In the Explorer #1 room revealed the ceiling tiles were not secure and was observed to be partially hanging off. Further observation revealed it was being held together with yellow tape. In the Two’s #3 room the ceiling tiles were not secure tightly, causing it to be partially open in view of the attic and insulation. In the Four’s #1 room revealed the floor tile was cracked and separating away from the floor causing a tripping hazard. The weather stripping on the door, leading to the large playground, was not tightly secure, causing a tripping hazard. Further observation revealed the weather stripping to be loose and to flap up and down when several two-year-old children were entering through the door leading into the large playground.

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, the child care center failed to maintain the premises in accordance with regulations. Observation of the Two’s #5, Two’s #4, and Two’s #2 bathroom revealed there was no supply of toilet paper.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding premises. Observation in the Two’s #5 bathroom revealed the toilet seat had dust and debris on it. Observation in the Two’s #1 bathroom revealed the light was not operable when the light switch was flipped to the on position, causing the bathroom to be partially visible with the only light coming in from the doorway of the classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding outdoor play area. Observation on the large playground revealed a drainage pipe that was partially buried underground contained an opening at the end, where a small child’s hand or feet could become entrapped. Further observation revealed nine (9) four and five-year old children running about on the playground. 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 11. Toys and Furnishings.

General: Based on observation, the child care center failed to comply with regulations regarding equipment. The area rug in the Two’s #4 room was torn and frayed at the edges, exposing fabric at the seams causing a tripping hazard. In the Four’s #2 room revealed a multi-colored rug that was stained with brown spots throughout it. In the school age room a black mini refrigerator was dirty along the bottom shelves, and side door. Further observation revealed a strong odor coming from inside. Interview with staff in charge revealed the aforementioned refrigerator is broken and being used in the dramatic play area for the children to use during play. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on observation, and interview, the child care center failed to comply with regulations for first aid supplies. Observation in the child care vehicle with the VIN number, 1fbss3128xhb65019, revealed a cold pack was not available. Interview with the staff in charge revealed cold pack was not available in the first aid supplies for the aforementioned vehicle.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on review of documentation and interview, the child care center failed to comply with regulations for transportation. Review of the transportation policy booklet presented by the staff in charge revealed the vehicle inspection report for the vehicle with the VIN number 1fbss31l86ha87822 was not current, as the last vehicle inspection was conducted on 05/22/2017. Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey. 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 review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a professional development plan was not presented for review at the time of survey for six (6) staff members with hire dates 03/15/2014, 01/17/2014, 08/14/2013, 04/16/2015, 09/06/2016, and 09/14/2015. Interview with the staff in charge revealed this information was not available at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain the posted documentation in accordance with regulations. Observation of the Two’s #5 and Four’s #2 room revealed there was no daily activities posted or readily available with the dates and times of activities to be conducted with the children. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements in regards to the health, safety and comfort of children in care. Based on interviews and review of documentation, the child care center van driver proceeded through the intersection at Tucker Station Road with nine (9) children present on the van, striking a car traveling down Bluegrass Parkway.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements regarding background checks. Interviews revealed a staff member hired 2/21/18 has worked alone with children in care. Review of staff files revealed completed background checks for the staff member hired 2/21/18 were not presented for review at the time of survey. Review of the KARES system revealed the aforementioned staff member’s name was not listed on the records for this center. The staff-in- charge revealed the background checks were completed; however, she could not locate this documentation at the time of survey. Supervision In Compliance Staffing Requirements In Compliance Director Requirements In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request the child care center staff-in-charge failed to provide documented evidence that a criminal records background check, required by KRS 199.896 (19), was requested and/or submitted on or before the first day of employment for staff members with hire dates 11/20/17, 12/26/17, 12/18/17, and staff with a rehire date of 12/20/16. In addition, the staff-in-charge failed to provide documented evidence that a child abuse or neglect (CA/N) check was submitted to the cabinet no later than five (5) working days after the date of employment for staff members with hire dates 11/20/17, 12/18/17 and staff with a rehire date of 12/20/16. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence of a high school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential as described in 922 KAR 2:250 for staff members with hire dates 12/26/17 and 12/18/17.

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 interview and review of written documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request the child care center director failed to provide a current statement from a health professional that staff members with hire dates 11/20/17, 12/26/17, 03/01/13, and rehired date 12/20/16 are free of active tuberculosis or received negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements with regard to training. Upon request, the child care center failed to provide documented evidence that employees with hire dates 08/14/13, 05/14/15, and 04/21/14 completed a total fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. In addition, there was documented evidence that staff with a hire date of 05/26/17 failed to complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Orientation was completed on 10/03/17. Furthermore, upon request, there was no documented evidence of one and one-half (1 1/2) hours of pediatric abusive head trauma training (PAHT) completed for staff with a hire date of 05/14/15. PAHT was completed by this staff on 09/29/12 which is more than five (5) years. Therefore, additional training is required in accordance with 922 KAR 2:110 Section 5, Staffing Requirements. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation 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 conduct food service in accordance with regulatory requirements as the cleanliness of the kitchen oven was not maintained. Observation of the child care center kitchen revealed burnt food particles and debris in the oven area of the stove. Exit interview with the child care center director revealed the oven was used to prepare food for consumption by the children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: nutrition. 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 of the child care center kitchen revealed burnt food particles and debris in the oven area of the stove which was determined to be unclean and unsanitary. Exit interview with the child care center director revealed the oven was used to prepare food for consumption by the children in care. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation of the Four-Five-Year-Old Room revealed a child alone in the bathroom and the staff member did not display an awareness of the child being out of scope of vision.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation and interview the child care center failed to maintain adequate supervision in accordance with regulations. Review of documentation revealed that on 5/1/17 a child in care was allowed to enter the classroom bathroom without staff knowledge and remain in the bathroom for five to ten minutes without supervision. Interview with the director revealed she had viewed classroom video that showed the child was left unsupervised for five to ten minutes. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation and interview the child care center director failed to assure compliance with regulatory requirements. Review of documentation revealed that on 5/1/17 a three-year-old child in care was able to access bleach in the classroom bathroom that led to the child requiring medical attention due to contact with the bleach. Interview with the director revealed that on 5/1/17 a child in care had come into contact with bleach that required the contacting of poison control and medical attention. Additional interviews with staff and individuals present during the incident, confirmed that the child's skin and cloths had come into contact with bleach that required the removal of the child's cloths and medical attention due to suspicion of ingestion of bleach and redness to the skin. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain the premises in accordance with regulations. Review of Documentation on 5/8/17 concerning an incident on 5/1/17 revealed a bottle of bleach was left in the classroom bathroom that was accessible to children in care. Interview with the director revealed the bleach is stored in the kitchen away from children and that a staff member placed the bleach in the classroom bathroom. Continued interviews with staff and individuals present during the incident revealed the child accessed the bleach in the bathroom that resulted in the need for medical care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with staffing requirements . Observation of the Two-Three's classroom at 8:10am revealed there were eleven (11) children ages Two (2) to Three (3) present in the classroom with only one teacher General Administration Discussed An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to comply with regulatory requirements. Review of the center’s child abuse reporting procedure revealed a policy that met regulatory requirements; however, the center did not follow their own policy of reporting inappropriate behavior observed or heard of occurring to Child Protective Services, local law enforcement and /or Kentucky State Police. Incidents of inappropriate staff to child interaction were confirmed via video and interview with director. The incidents were not reported to Child Protective Services until guided to do so by DRCC.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of documentation and video revealed two (2) staff members mishandling three (3) one-year old children in care on 2/27/17. Video revealed two (2) of the children being pulled by their arm, one (1) being dropped onto a chair, and one (1) shoved and pushed by staff members. Interview with Director revealed she was aware of the video and that the staff members on the video had been terminated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the childcare center failed to maintain employee records in accordance with regulatory requirements. Upon request the staff in charge did not present verification of the evaluations assessing each staff person's interaction with children in care and classroom performance for fifteen (15) of the twenty- one (21) employees that were employed for more than a year. 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 6. License Issuance.

General: Based on Review of Documentation, Interview, and Observation, the child carecenter failed to maintain employee records in accordance with regulatory requirements. Upon request the staff in charge did not present verification that the criminal records check (CRC) had been completed for the employee with the hire date of 09/02/2016. The employee was not observed working alone. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview the childcare center failed to maintain employee records in accordance with regulatory requirements. Upon request the staff in charge did not present verification that the personnel files for eight (8) staff members with the hire dates of 10/25/2015, 11/05/2015, 02/22/2016, 03/27/2016, 07/01/2016, 09/02/2016, 09/06/2016 and 09/14/2016 contained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250 of educational qualifications.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request the staff in charge did not present verification that the employee with the hire date of 09/14/2016 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin results. 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 Review of Documentation and interview the childcare center failed to comply with regulatory programming requirements. The childcare center director did not present for review verification that the daily activity of programming was posted in writing that had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for each child in the three-year-old classroom #1 and the two to three-year-old classroom. 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 the childcare center failed to maintain premises in accordance with regulatory requirements. The restroom located off the Three-year-old classroom # 2 revealed the ventilation system was not working properly. The ceiling fan was disconnected and was hanging loosely from the ceiling. The sink located in the restroom off the three- year-old classroom revealed that the sink was not equipped with hot running water. Interview with the staff in charge revealed the childcare center director was in the process of addressing. Hygienic Practices In Compliance 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 In Compliance Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain food service requirements in accordance with regulatory requirements. Observation of the temperature gauge inside the refrigerator located in the kitchen revealed the gauge indicated a temperature reading of forty-two degrees Fahrenheit. Therefore the required temperature reading of forty (40) degrees Fahrenheit or below was not maintained. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the record for the child with the enrollment date of 08/24/2015 contained information listing the preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview the childcare center failed to maintain written documentation in accordance with regulatory requirements. Upon request the staff in charge did not present verification of the annual professional development plans for nine (9) of the twenty-one (21) employees that were employed for more than a year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation the childcare center failed to maintain written documentation in accordance with regulatory requirements. Upon request the staff in charge did not present verification that the names of the children who participated in the quarterly tornado and earthquake drills had been recorded from February 2016 through July 2016. Posted Documentation In Compliance Animals Not Applicable

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 Interview, the child care center director failed to assure compliance with regulatory requirements as it related to the health, safety and comfort of a child in care. Interviews with staff at the child care center revealed a five-year-old child choked on a rock that he/she received from the science center in the classroom.

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, and interview, it was determined the center failed to comply with regulatory requirements regarding supervision, specifically children supervised by scope of vision and range of voice. Observation revealed during lunch in the Two's/Three's Classroom, a staff member was in the bathroom located within the classroom assisting a child for approximately thirty (30) seconds; however, the staff member failed to maintain scope of vision of the remaining children eating lunch. As a result, one (1) child was observed hitting another child on the head twice with his eating utensil and two (2) other children were observed hitting each other. Exit interview revealed staff in charge acknowledged the deficiency.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, it was determined that the child care center director failed to comply with regulatory requirements, specifically staff evaluations. Review of all staff files presented revealed the center failed to provide documentation at time of survey verifying the director assessed each staff person's interaction with children in care and classroom performance through an annual written performance evaluation. Exit interview revealed staff in charge acknowledged the deficiency. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, and interview, it was determined that the child care center director failed to comply with regulatory requirements, specifically assuring the health, safety and comfort of each child. Observation revealed several unprotected sockets within wall outlets located in the following classrooms: Toddler #1, Classroom #1, and Classroom #8. Additionally, a container of "spackling paste" was observed accessible to children in the Twos #1 bathroom. Exit interview revealed staff in charge acknowledged the deficiency.

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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically TB verification. Review of all staff files presented, revealed the center failed to provide documentation at time of survey of a current statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results for a staff member hired 3/1/13. Exit interview revealed staff in charge acknowledged the deficiency. Findings: General: Based on Review of Documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically TB verification. Review of all staff files presented, revealed the center failed to provide documentation at time of survey of a current statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results for a staff member hired 3/1/13. Exit interview revealed staff in charge acknowledged the deficiency.

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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically training. Review of all staff files presented revealed the center failed to provide documentation at time of survey verifying the following for each staff member: 1. The completion of six (6) hours of cabinet-approved orientation within the first three (3) months of employment. 2. The completion of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment for each staff member. Exit interview revealed staff in charge acknowledged the deficiency.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically driver requirements. Review of all staff files presented at time of survey revealed the center failed to provide evidence of an annual check of the Kentucky driver history records in accordance with KRS 186.018 for a staff member identified as the driver, hired 2/3/14. Exit interview revealed staff in charge acknowledged the deficiency. Findings: General: Based on Review of Documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically driver requirements. Review of all staff files presented at time of survey revealed the center failed to provide evidence of an annual check of the Kentucky driver history records in accordance with KRS 186.018 for a staff member identified as the driver, hired 2/3/14. Exit interview revealed staff in charge acknowledged the deficiency. Programming

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, and interview, it was determined the center failed to comply with regulatory requirements regarding programming. Review of documentation revealed the center failed to present at time of survey in Classrooms #1 and #8, evidence of a daily planned program to meet the following requirements: 1. Posted in writing in a conspicuous location with each age group and followed. 2. Activities that are individualized and developmentally appropriate for each child served. 3. Provides experience to promote the individual child's physical, emotional, social, and intellectual growth and well-being. 4. Offers a variety of creative activities including the following: art, music, dramatic play, stories and books, science, block building, tactile activity, culture, indoor or outdoor play in which a child makes use of both small and large muscles. 5. A balance of active and quiet play, including group and individual activity. 6. An opportunity for a child to have some free choice of activities and if desired, play apart from the group at times. Exit interview revealed 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 3. General Requirements.

General: Based on Observation, and interview, it was determined the child care center failed to comply with regulatory requirements regarding premises, specifically inaccessible items. Observation revealed cleaning supplies in a low unlocked cabinet, accessible to the children in the Infant #1 Classroom, where crawling infants were present. Exit interview revealed 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, and interview, it was determined the center failed to comply with regulatory requirements regarding premises, specifically being suitable for the purpose intended, kept clean and in good repair. Observation revealed Classroom #8 was being utilized as a storage area for packaged toys, extra tables, and extra chairs. Continued observation revealed the vents located in Classroom #8 contained a large amount of gray substance indicative of dust and the insulation in the ceiling was exposed, due to unsecured ceiling tiles. Exit interview revealed staff in charge acknowledged the deficiency.

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, and interview, it was determined the center failed to comply with regulatory requirements regarding premises, specifically building requirements. Observation revealed eight (8) light bulbs in the Fours #1 Classroom, twelve (12) light bulbs in the School Age #9 Classroom and Nineteen (19) light bulbs in Classroom #8 failed to be in good repair. Exit interview revealed 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, review of documentation and interview, it was determined the center failed to comply with regulatory requirements regarding premises, specifically thirty-five (35) square feet per child. Observation revealed nine (9) children present in the Two's #2 Classroom from 9:20-9:23 a.m. Review of the Division of Regulated Child Care (DRCC) records revealed the total capacity for the referenced classroom is eight children. Exit interview revealed 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, and interview, it was determined the center failed to comply with regulatory requirements regarding premises, specifically a implemented plan for each gender to use the same toilet room at separate times. Observation revealed both boys and girls using different toilets located within the same bathroom to prepare for nap time, in the Three’s #2 Classroom. Exit interview revealed 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 3. General Requirements.

General: Based on Observation, and interview, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically child hand washing. Observation revealed at 9:10 a.m. a child arrived to the center and failed to wash hands with liquid soap and warm running water upon arrival. Additionally, the children in the Two's/Three's Classroom were observed playing with the toys in the classroom directly after eating lunch, yet failed to wash hands with liquid soap and warm running water. Exit interview revealed staff in charge acknowledged the deficiency. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 27 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 3. General Requirements.

General: Based on Observation, and interview, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically staff hand washing. Observation revealed a staff member wiped a child's nose; however, failed to wash hands with liquid soap and running water. Exit interview revealed staff in charge acknowledged the deficiency.

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, and interview, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically diaper changing surface. Observation revealed objects not used for diapering, such as a binder and clipboard, on the diaper changing surface located in the Explorers #3 Classroom. Additionally, boxes were observed on the diaper changing surface in Classroom #1. Exit interview revealed staff in charge acknowledged the deficiency.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically enrollment information. Review of ten (10) children's files presented revealed, the center failed to provide documentation at time of survey verifying a written record of a preferred hospital. Exit interview revealed staff in charge acknowledged the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding posted documentation, specifically daily activities. Review of documentation revealed the center failed to present for review at time of survey a daily schedule of activities for Classrooms #1 and #8. Exit interview revealed 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Review of Documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding posted documentation, specifically diapering. Review of documentation in the diaper changing area in Classroom #1 revealed the center failed to post the proper methods of diapering and hand washing. Exit interview revealed staff in charge acknowledged the deficiency. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain adequate supervision in accordance with regulations. Observation of several classrooms on 6/10/15 during naptime between 11:28am-11:57am revealed the center failed to have adequate lighting in the classrooms to enable staff to see all children at all times. Continued observation revealed staff had to use a handheld light of some sort, while surveyor had to use a cellular phone light in order to see both children and staff members in the classroom. Further observation revealed surveyor could only see certain children when the cellular phone or handheld light was pointed in that direction; otherwise, surveyor could not see all children at all times. Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

Based on observation the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation, the fence had a broken gate which contained rusty, broken sharp edges. Food Service

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on observation in the Two's # I room, children aged one (1) year to two (2) years were not given replacement spoons when a spoon was dropped on the floor. The children were then observed eating with their fingers.

Open Not marked corrected in the state record

Category: ratio. 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 the food service in accordance with regulatory requirements. Based on observation of children in the Two's # 1 room, all children received whole milk. Based on an interview with the staff member, there were children who were two years old who were served whole milk.

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 childcare center failed to maintain refrigerator requirements. Observation of the refrigerators in the Infant #1 and Infant #2 classrooms revealed that there was not an indicating thermometer or other appropriate temperature-measuring device.

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, and Interview, the director failed to maintain the health, safety and comfort of all children in care. Observation of the Explorer #1 Classroom revealed that there was a toddler that was allowed to sleep on the floor. Continued observation of the sleeping Toddler revealed that the Toddler was in an area that was in the path of the door as well as the path of anyone entering the classroom. Observation of the multi-purpose room revealed that several outlets were not covered while they were not in use. Interview with the Director revealed that the Toddlers and Two- Year-Old children use the multi-purpose room and have access to the outlets.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the childcare center failed to maintain all out of state background checks. Review of a Child Abuse and Neglect Check (CAN) and an application revealed that a staff member with the hire date of 11/04/2013 lived in Indiana within the past five years. Interview with the staff member with the hire date of 11/04/2013 revealed that she moved to Kentucky in October of 2013. Review of the staff members file revealed that there was not an Indiana background check available for review. Observation of the staff member with the hire date of 11/04/2013 revealed that she was alone with children for the duration of the survey on 11/06/2014. Review of a Child Abuse and Neglect Check (CAN) and an application revealed that a staff member with the hire date of 04/21/2014 lived in Indiana within the past five years. Interview with the staff member with the hire date of 04/21/2014 revealed that she moved to Kentucky in April of 2011. Review of the staff members file revealed that there was not an Indiana background check available for review. Observation of the staff member with the hire date of 04/21/2014 revealed that she was alone with children for the duration of the survey on 11/06/2014.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the childcare center failed to maintain all out of state background checks. Review of a Child Abuse and Neglect Check (CAN) and an application revealed that a staff member with the hire date of 11/04/2013 lived in Indiana within the past five years. Interview with the staff member with the hire date of 11/04/2014 revealed that she moved to Kentucky in October of 2013. Review of the staff members file revealed that there was not an Indiana background check available for review. Observation of the staff member with the hire date of 11/04/2013 revealed that she was alone with children for the duration of the survey on 11/06/2014. Review of a Child Abuse and Neglect Check (CAN) and an application revealed that a staff member with the hire date of 04/21/2014 lived in Indiana within the past five years. Interview with the staff member with the hire date of 04/21/2014 revealed that she moved to Kentucky in April of 2011. Review of the staff members file revealed that there was not an Indiana background check available for review. Observation of the staff member with the hire date of 04/21/2014 revealed that she was alone with children for the duration of the survey on 11/06/2014.

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, the center failed to assure that staff hired after 01/01/2009 provided proof of a high school diploma, GED or Commonwealth Care Credential. Review of child care staff files revealed that staff members hired on 03/15/2014 and 02/20/2014 did not have a high school diploma, GED or Commonwealth Care Credential 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, the child care center failed to ensure that a staff member was free from active Tuberculosis. Record review revealed that an employee with the hire date of 05/05/2014 did not have documentation from a health professional to verify that the individual was free from active Tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the child care center failed to maintain all driver requirements. Review of documentation of transportation records revealed that the employees with the following hire dates were identified as drivers for the child care center: 01/08/2007, 12/30/2012, 09/05/2013 and 01/17/2014. Review of staff files revealed an absence of the annual check of the Kentucky Driver History Records for the four employees identified as drivers. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center staff failed to maintain inaccessible items requirements. Observation of the Three's #2 classroom revealed that a staff member's purse was on a low table and accessible to the children in care. Continued observation of the Three's #2 classroom revealed that inside the bathroom was a shower filled with various items such as plastic bags and nail clippers that was also accessible to the children in care. Continued observation of the Three’s #2 bathroom revealed that the top of the lid was off of the toilet, allowing access to the water in the tank.

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 childcare center failed to maintain the ceilings in good repair. Observation of the childcare center revealed that the following classrooms had water spots on the ceiling tiles: Three's #2, Explorer #2, Four's #3, Four's #1 and Three's #2.

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, the childcare center failed to maintain sink requirements. Observation of the Explorer #2 and Toddler #1 classrooms revealed that the changing areas used for Infants and Toddlers were 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the childcare center failed to maintain toilet requirements. Observation of the toilet in the Two's #2 Classroom revealed that the toilet had previously overflowed and water was on the floor. Continued observation of the toilet revealed that it would not flush as it was stopped up. Observation of the Three's #2 Classroom revealed that there was not a vent to outside air. Observation of the toilet in the Explorer #3 Classroom revealed that there was a plastic covering that did not fit on the back of the toilet tank. Continued observation of the plastic covering revealed that it was loose and could fall off the toilet if moved. Observation of the toilet in the Three's #2 bathroom revealed that the lid was not on the toilet tank, exposing water to the children in care. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Review of Documentation, the childcare center failed to maintain medication administration requirements. Observation of the Explorer #2 and Explorer #3 classrooms revealed that there were several bottles of diaper rash cream as well as Nystantin and Neosporin on the changing table and in a cabinet. Review of Documentation revealed that the diaper rash cream, Nystantin and Neosporin did not have a written daily request from the parent allowing the use of said medications.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the childcare center failed to maintain children's transportation records. Review of Documentation revealed on 10/29/2014, 10/31/2014 and an unknown date, the childcare staff failed to record in writing, the time each child got on and the time each child got off of the van.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain medication requirements. Observation of the changing area in the Explorer #3 classroom revealed that there were several bottles of diaper cream sitting next to the changing pad instead of in a locked area. Continued observation of the Diaper Creams revealed that numerous bottles did not have the names of the child in which the cream belonged. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation and Interview, the childcare center failed to maintain playground conditions. Observation of the large playground revealed that the black ground cover was showing throughout the playground, creating a possible tripping hazard. Continued observation of the large playground revealed that there was a broken drainage pipe near the right fence that was causing water to puddle. Observation of the small playground revealed that there was a nail sticking out of the board against the center that was accessible to children in care. Continued observation of the small playground revealed that there was pea gravel on the far end of the playground. Interview with the Director revealed that the small playground is used for the children aged Two-years-old and younger.

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 childcare center failed to maintain adequate protective covering. Observation of a "Dixie Dozer" on the small playground revealed that there was not any type of protective covering surrounding the apparatus. Continued observation of the "Dixie Dozer" revealed that the apparatus is used for climbing and sliding.

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, the childcare staff failed to maintain cot requirements. Observation of the Explorer #1 classroom revealed that a Toddler was sleeping on the floor. Continued observation of the Explorer #1 classroom revealed that the Toddler was not offered a cot for naptime.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the childcare center failed to maintain the furniture requirements. Observation of red, blue and black/white pillows in the Explorer #3 classroom revealed that there were visible white and dark stains covering the surface of all three pillows.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the childcare center failed to maintain requirements for transportation. Review of Documentation and Interview of the Director revealed that emergency procedures had not been practiced monthly by staff that transports children as the most recent practice was in March of 2014.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the childcare center failed to maintain a daily pre-trip inspection. Review of documentation revealed on 10/30/2014, 10/31/2014, 11/06/2014 and two unknown dates (no date on sheet), the childcare staff failed to document the daily inspection of the vehicle.

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, in the Infant 2 classroom the diaper changing pad had multiple holes.

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 Interview, staff members in the infant and toddler rooms are not using daily regulatory methods to sanitize toys and other items that are considered mouth contact surfaces. First Aid/Medication

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, in the Two's #1 classroom there was an open bag of Cheetos in the bathroom, open to contaminates.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, in the Two's #1 there was no diaper changing proceedures posted. Animals

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Observation, in the Two's #1 a child's medical information was posted publicly on the dry erase board.

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, there was one bottle in the refrigerator that did not have a name label.

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, in the Explorer's 1, a sick child was observed sitting on the lap of a staff person who was sitting on the floor in the classroom as she was interacting and supervising the remaining children. Based on interview with the staff member, she was waiting for the sick child's parent to arrive and take the sick child home. This sick child was not placed in a supervised area isolated from the rest of the children. Director Requirements

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 with staff in the Toddler 1 classroom, there were two, one year old children and four, two year old children for the entire day resulting in the one year old children being mixed with older children for longer than one hour per day.

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, in the Infant 1 classroom there were toys attached to the inside of four cribs. Based on observation in Infant 2 there was a toy in one of the cribs.

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, in the Three's #3 classroom under the sink in a low unlocked cabinet accessible to children was professional drain opener, lysol, disenfectant cleaner and plastic disposable gloves; of note was that there was a lock on this cabinet that was not in use. In the Three's #2 classroom in a low unlocked cabinet under the sink, accessible to the children, was a bottle of Clorox bleach and several empty plastic bags. In the Toddler #1 classroom in a low unlocked cabinet under the diaper changing station there was a bottle of bleach spray stored that was accessible to the children as a child was observed opening this cabinet. In the Two's #2 there was a box of disposable vinyl gloves on a chair in the bathroom accessible to the children. In the Two's #1 there was a box of vinyl disposable gloves in a bottom bin in the bathroom, accessible to the children. Based on observation in Three's #1 there was two boxes of vinyl disposable gloves on a shelf approximatley four feet high, accessible to the three year old children in the classroom.

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, emergency fire exit #5 was partially blocked by a large cardboard box covering half of the hall way. 495 - Carbon Monoxide Detector Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (4) A working carbon monoxide detector shall be required in a licensed child-care center that is in a home if the home: (a) Uses fuel burning appliances; or (b) Has an attached garage.

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, in the school age classroom bathroom, one of the toilets was not supplied with toilet paper.

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, in the school age bathroom, there was one toilet that was filled with urine and used toilet paper. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, a child was to be given a breathing treatment without a written request from the child's parent in the Toddler 1 classroom. Based on review of records in the Infant 1 classroom, staff has administered over the counter pain medication that was not according to the instructions on the medication's label as the medication label stated that for children under the age of two needed to ask doctor for instructions for administration. No medical note regarding administration was provided and medication was given according to parent's instruction on 11-11-13. The center has been providing one container of diaper cream for all of the children without a written request from the children's parents. Based on review of medication requests, parents are signing a medication request once for multiple days of dosage as opposed to signing a daily written request to administer medication.

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 medication logs, the center staff are not signing their names when they are administering medication. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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 Observation in the Two's #1 a tube of prescription Nystantin was not locked. There were four bottles of sunblock that were not labeled with a child's name. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, in the 2/3 year old classroom there was a blue pillow in the library section that was stained and dirty. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 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 11. Toys and Furnishings.

General: Based on Observation, three booster seats in the center van are not in good repair as they are missing the padded covering provided by the manufactuer to cover the booster seat.

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, there were two Bumbo seats in the infant rooms that have been recalled to have a seatbelt installed, seats at the center did not meet the recalled standards.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Observation, the center vehicle first aid kit did not contain a CPR mouthpiece protector or a thermometer. 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section.

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 was observed to be at three degrees Fahrenheit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, staff with the hire dates 11-23-09 and 11-25-08 failed to have an annual written evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on review of documentation, staff with the hire dates 1-8-07 and 11-25-08 failed to have an annual plan for child-care staff professional development plan on file for review. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Two's #2: Based on observation, staff changed a child’s diaper and proceeded to assist the child in washing their hands without taking diaper changing gloves off. 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 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 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible 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 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 39 Web site: http://chfs.ky.gov/ Inspection Report 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 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 11

Explorers #1: Based on interview, staff stated that mouth toys are sanitized three times a week. Based on interview, staff stated that she rinses mouth toys off in the sink and puts them back in the play area. First Aid/Medication 244 - First aid supplies 922 KAR 2:120 - Section 7 (3) If a child becomes ill while at the center: (a) The child shall be placed in a supervised area isolated from the rest of the children; (b) The parent shall be contacted immediately; and (c) Arrangements shall be made to remove the child from the child-care center as soon as practicable. 1) Availability In Compliance 2) Storage In Compliance 3) Inventoried In Compliance 4) Sanitized, if reusable In Compliance 5) Maintained in sanitary manner In Compliance 6) Liquid soap In Compliance 7) Adhesive bandages In Compliance 8) Sterile gauze In Compliance 9) Medical tape In Compliance 10) Scissors In Compliance 11) Thermometer In Compliance 12) Flashlight In Compliance 13) Cold pack In Compliance 14) First aid book In Compliance 15) Disposibale gloves In Compliance 16) Cardiopulmonary resuscitation mouthpiece protector 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, there were two (2) metal climbing apparatuses that were not secured to the ground.

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 record review there was no education requirement documentation on file three (3) staff.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on record review there was no verification of a current tuberculin assessment or tuberculin skin test, on file for one of the staff. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 40 Web site: http://chfs.ky.gov/ Inspection Report 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance 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; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Two's Room: Based on observation, cords from a lamp and a radio, which were sitting on top of a shelf-storage container that was approximately three (3) feet tall, were hanging across the wall and plugged into a socket located behind a mirror and was accessible to children. 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 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: Infant Room: Based on observation, there was a build up of condensation in the window and droplets of water were falling from the top of window sill. Further observation revealed that there was mold in the bottom and side of the window sill. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 40 Web site: http://chfs.ky.gov/ Inspection Report 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 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

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

Infant Room: Based on observation, there was not a hand-washing procedure posted in the diaper changing area. Toddler Room: Based on observation, there were no hand washing procedures posted at the diaper changing area. Animals 319 - Animal Requirements 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 In Compliance 2) Vaccinated In Compliance 321 - Prohibited Animals 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 In Compliance 2) Wild In Compliance 3) Exotic In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 39 of 40 Web site: http://chfs.ky.gov/ Inspection Report 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 Applicable 2) Partnership statement Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.