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

General: Based on review of documentation, an updated lesson plan with the current dates was not posted in the Pre-K rooms (two separate rooms). Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a caregiver hired 05/12/22, did not have proof first aid and CPR training was completed. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a preschool child in room E203; five (5) preschool children in room E104, and six (6) preschool children in room E105, did not wash their hands with liquid soap and warm running water when they arrived in their classrooms. These children immediately played in the classrooms.

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 wore gloves but did not wash her hands with liquid soap and warm running water before she assisted two (2) children with their pull-up diapers in room E106. This caregiver wore the same gloves and did not wash her hands between each child she assisted with toileting. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the 2005 Ford twenty-five (25) passenger bus had a seat that was not stable. The seat was not attached to the vehicle floor. Interview revealed the seat was not used during transport. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Meal Planning/Center Provides Meals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, four (4) children were not served milk for lunch in room E202. These children brought juice to drink for lunch. Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a child, first date of attendance was 08/22/22, had an immunization certificate that was current until 10/31/22. Two (2) children, first date of attendance 08/22/22, did not have an immunization certificate on file. 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: Observation of the electrical outlets located within the main hallway of the child care center, the upstairs main hallway, the women’s bathroom and room E201 revealed the electrical outlets were not covered. 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 review of the presented staff file for the staff member with the hire date 03/29/2018, there was not verification that the staff member had completed fifteen (15) hours of cabinet-approved early care and education training. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the training hours had been completed by the staff member with the hire date 03/29/2018. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, a drivers history report through the transportation cabinet was not presented for review for a staff member/driver with the hire date 12/20/2021 on the day of the inspection. 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: Observation of room E202 revealed there was a purse sitting on a table within the classroom that was accessible to the children. Interview with a staff member revealed the purse belonged to her.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of room E203 revealed there was an area of the rubber baseboard that was missing, leaving sharp pointed edges that were accessible to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the ceiling tiles located in rooms E105 and E106, the tiles contained brown stains, indicative of water damage. 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 of room E202, there was a plastic drawer that was broken and cracked, leaving jagged edges that was accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the 2005 Ford twenty-five (25) passenger bus revealed there was one (1) seat that was not attached to the vehicles floor. Therefore, the seat was not stable. The bottom step within the 2011 Ford Star Craft fifteen (15) passenger bus contained a rubber stripping that was partially attached, leaving a large gap and causing a potential hazard. Additionally, observation of a large plastic climbing apparatus located on the outside playground revealed the steps were cracked and contained sharp pointed edges. 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 14. Transportation.

General: Upon request, a current inspection report from the transportation cabinet was not presented for review for the 2011 Ford Star Craft fifteen (15) passenger bus and the 2005 Ford twenty-five (25) passenger bus. Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the toaster oven located within the kitchen, there was dried, burnt food on the tray located inside the oven. Observation of the microwave located in room E104 revealed there was dried food through-out the inside of the microwave. Food Service In Compliance Meal Planning/Center Provides Meals Not Applicable Meal Planning/Center Does Not Provide Meals Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Meal Planning Requirements for a Center that Does Not Provide Meals.

General: Observation of the room E106 revealed that six (6) of the nine (9) children present were not offered or served milk. Further observation revealed four (4) of the nine (9) children present did not have a vegetable included in their lunch. Interview with the staff in-charge revealed if a child is missing a food component the child care center will provide the child with a fruit as a substitution for a vegetable. The staff in-charge revealed the child care center does not have any vegetables on the premises for substitution if a child does not have a vegetable. Also, the children that were present on the day of the inspection did not have any special dietary needs. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in room E104 there was one (1) ceiling tile that contained stains, which were indicative of water damage. 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 In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation in both pre k classrooms, E203 and E204, the staff in charge had a felt board accessible to the children to play with. In room E202 in the young fours (4's) there were three (3) children that were sharing and playing with playdoh. Each container was not individualized for their protection. In room E201 there were baby clothes and blankets accessible to the children. According to the emergency regulation, 922 KAR 2:405E, machine washable toys shall not be used.

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 child care center director failed to assure compliance with regulatory requirements in regards to the health, safety and comfort of children in care. The ceiling was leaking into two (2) buckets located at the entrance to room E201 where children were sitting on the floor doing circle time at the time of the survey. There was a plunger next to the toilet in the first stall inside the Boy’s Bathroom located on the second floor. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 8/25/19 and 1/16/19 whose file did not contain a high school diploma, GED or other qualifying documentation from a comparable educational entity. Upon request, the director did not present educational documentation for the aforementioned staff members at the time of the 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 regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 8/20/07 and 8/24/14 whose file did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present training documentation for the aforementioned staff members at the time of the 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 maintain the premises in accordance with regulatory requirements. There were two (2) ceiling tiles missing exposing the pipes that were leaking in room E201 at the time of the survey. Two (2) ceiling tiles were not secured to the frame in room E201. The electrical outlet cover located under the television in room E204 was not secured to wall. There was water stains on two (2) of the ceiling tiles located in room E201. There was water stains on two (2) of the ceiling tiles located in room E104. There was water stains on three (3) of the ceiling tiles located in room E106. There was water stains on two (2) of the ceiling tiles located in room E105. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The sesame street toilet training seat located in the bathroom inside room E105 was dirty/stained.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The white changing pad located in room E201 was torn exposing the inside absorbent material at the time of the survey. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The white dishpan located in the white toy wooden kitchen located in room E202 was cracked exposing sharp plastic pieces. A portion of the cabinet located in room E101 was broken off at the time of the survey. The multi-colored vinyl mat located on the floor below the calendar in room E104 was torn exposing the absorbent material. The faucet was missing from the beige toy kitchen set located in room E103. The faucet was missing from the beige toy kitchen set located in room E105 at the time of the survey. One of the doors was missing from the gray toy grill located in room E104 at the time of the survey. 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 review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Review of the presented documentation revealed that verification of practiced emergency procedures documenting the name of the staff that participated, the date and time of the drill was not presented for review. Upon request, the director did not present the documentation at the time of the survey. Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. The silver microwave located in room E201 was soiled with food debris. The white microwave located in room E203 was soiled with food debris. The silver microwave located in room E204 was soiled with food debris. The silver microwave located in room E102 was soiled with food debris. The black microwave located in room E104 was soiled with food debris. The white microwave located in room E107 was soiled with food debris.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of room E101 revealed a two bottles and a container containing formula on the counter. Interview with the staff member in room revealed that the parent only provides the formula and she is responsible for measuring the formula and the faucet water from the child care center to prepare the bottles for the child in care. 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: ratio. 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 children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed a child with enrollment date 3/25/19 whose file did not contain the name of the family’s preferred hospital. Upon request, the director did not present the documentation for the aforementioned child at the time of the survey. 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 regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 8/20/07 and 8/22/16 whose file did not contain an annual completed and signed professional development plan. Upon request, the director did not present the documentation for the aforementioned staff members at the time of the survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to assure compliance with regulatory requirements. The director must access each staff in an annual (yearly) written performance evaluation; however, at the time of survey, the following ten (10) staff files failed to meet the regulatory requirement: 1)A staff member with a hire date of 9/06/99 had a most recent written evaluation that was dated 11/01/16 in his/her file; 2)A staff member with a hire date of 8/30/04 had a most recent written evaluation that was dated 12/01/16 in his/her file; 3)A staff member with a hire date of 8/28/07 had a most recent written evaluation that was dated 11/11/16 in his/her file; 4)A staff member with a hire date of 4/07/14 had a most recent written evaluation that was dated 11/21/16 in his/her file; 5)A staff member with a hire date of 8/18/14 had a most recent written evaluation that was dated 11/21/16 in his/her file; 6)A staff member with a hire date of 8/25/14 had a most recent written evaluation that was dated 11/03/17 in his/her file; 7)A staff member with a hire date of 8/24/15 had a most recent written evaluation that was dated 11/02/16 in his/her file; 8)A staff member with a hire date of 10/05/15 did not have any written evaluation in his/her file; 9)A staff member with a hire date of 8/22/16 did not have any written evaluation in his/her file; and 10)A staff member with a hire date of 8/22/16 did not have any written performance evaluation in his/her file. In addition, the director acknowledged that she was in the process of completing annual written performance evaluations for the most recent year. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. In the Girls bathroom located on the second floor, there was a plunger located in one (1) of the bathroom stalls, thereby being accessible to the children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Documentation of the completion of pediatric abusive head trauma (PAHT) training within the first year of employment (including once every five (5) years thereafter) was not presented for review at the time of survey for a staff member with a hire date of 8/28/07. In addition, the director acknowledged that the there was no documentation at the time of survey to verify that the above-mentioned staff member had completed any PAHT training since 2/01/2013. 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/Food Program Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation 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 9. Records.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. An annual written professional development plan is required for staff members; however, at the time of survey, the following seven (7) staff files failed to meet the regulatory requirement: 1)A staff member with a hire date of 8/30/04 had a written professional development plan that was not signed or dated in his/her file; 2)A staff member with a hire date of 8/20/07 had a written professional development plan that was not dated in his/her file; 3)A staff member with a hire date of 8/28/07 had a written professional development plan that was not dated in his/her file; 4)A staff member with a hire date of 4/07/14 had a written professional development plan that was not signed or dated in his/her file; 5)A staff member with a hire date of 8/18/14 had a written professional development plan that was not signed in his/her file; 6)A staff member with a hire date of 8/25/14 did not have any written professional development plan in his/her file; and 7)A staff member with a hire date of 8/22/16 did not have any written professional development plan in his/her file. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in acordance with regulatory requirements. In the room for four and five-year-olds, E - 104, there was a used, dirty dust pan on the first table located by the entrance. Therefore, there was litter and rubbish accessible to a children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. In the Toddler Room, # 107, table cleaner in a spray bottle and a roll of wax paper was on the changing table; therefore, the surface contained items not used for diapering. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with the regulatory requirements regarding first aid and/or medication. In the bathroom of Room #103, a tube of diaper rash cream was observed on the back of the toilet on the tank. Therefore, this medication was not stored in a locked location, out of reach of children. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Three (3) files for children with the enrollment dates of 3/20/17, 3/27/17 and 3/27/17, did not contain the necessary documentation for hospital preference. 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Observation, and a review of documentation, the child care center director failed to assure compliance with regulatory requirements. Based on observation of the Toddler room, four (4) children ranging in age from 18 months to 2 years, were observed to be cared for solely by a staff member with a hire date of 08/22/2016. Based on review of a CAN result, the staff member had documented residency in the state of Illinois within the past 5 years. Further review of the staff member's file (hire date 08/22/2016) revealed that it did not contain a completed criminal records check from the state of Illionis. 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 6. License Issuance.

General: Based on Review of Documentation, and observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of a CAN result, a staff member with a hire date of 08/22/16 claimed residency in the state of Illinois within the past 5 years, and failed to have a completed CRC from Illinois contained in the file. Based on observation, the staff member was observed to be the sole caregiver of four (4) children located in the Toddler room. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of documentation, the staff member listed as the van driver failed to reveal in the personnel file that CPR/First Aid certification had been completed. Further review revealed that not all of the staff members had received CPR/First Aid training certification prior to transporting children on field trips.

Open Not marked corrected in the state record

Category: health medication. 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 maintain employee records in accordance with regulatory requirements. Based on a review of docmentation, staff members with hire dates of 10/5/15 and 08/03/14 failed to have written documentation contained in the file revealing fifteen (15) cabinet approved training hours annually. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory programming requirements. Based on a review of documentation, the Infant room failed to have a planned program of activities available for review for the week of 10/17/16. Premises In Compliance 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 maintain the outdoor play area in accordance with regulatory requirements. Based on observation, a small white picket-type fence within the large fence, had a gate that had been left unlatched allowing entrance into an area housing three (3) large air conditioning units and a small broken swing. 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 6. Sleeping and Napping Requirements.

General: Based on Observation, and review of documentation, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation, twelve (12) cribs in the Infant and Young Toddlers rooms were observed to be metal, drop-sided cribs. Based on a review of documentation submitted by the staff in charge, the cribs were found to be non-compliant with Consumer Product Safety Commission standards established in 16 C.F.R. 1219-1220.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation of the play area, a turquoise, two-seater rocker was missing a handle on which to hold while rocking.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Based on observation in the outdoor play area, a turquoise and white Sit and Spin with three (3) seats had broken plastic in the seating area with sharp, hard edges. 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.

Based on a review of documentation the child care center failed to comply with regulatory requirements. Based on a review of travel logs, the center failed to document the children's time on and time off of the vehicle. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Interview, the child care center failed to maintain food service in accordance with regulatory requirements. Based on an interview with staff members in the infant room, it was revealed that staff members add formula to bottles which have been filled with water by the parents prior.

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, interview, and review of documentation, the child care center failed to maintain the food service in accordance with regulatory requirements. Based on observation, eighteen (18) children ranging in age from three (3) years to four (4) years failed to have all required components for a lunch meal. Based on staff interview, parents have been instructed on the requirements of the meal but fail to send in items which meet the requirements. Based on a review of documentation, information regarding meal requirements were included in a packet given to parents at the beginning of the year. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files revealed a staff hired 8/1/11 did not have written documentation from a health care professional to verify that the individual was free from active TB at the time of the survey.

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 maintain employee records in accordance with regulatory requirements. Review of staff files revealed a staff with the hire date 8/25/14 failed to complete six (6) hours of cabinet-approved orientation within ninety (90) days. Continued review of staff files failed to reveal Fifteen (15) hours of cabinet-approved early care and education training for staff members hired 8/20/07, 8/1/12, 6/30/99, 8/1/07, 8/1/11, and 8/1/04 at the time of the survey.

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 the premises in accordance with regulatory requirements. Observation in the Young Toddler classroom revealed the wall to be peeling blue paint. Continued observation revealed a portion of peeling paint to be covered with plaster at the time of the survey.

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 comply with hygienic practices in accordance with regulatory requirements. Observation in the Two-Year-Old classroom revealed a changing pad to be torn exposing the absorbent material inside at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed a window with a cracked bottom pane that is accessible to children. Continued observation revealed a Tree house play apparatus where the top was not locked into the bottom on one side at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator in the Infant classroom revealed a bottle to not be covered at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, observation, and a review of documentation, the child care care failed to maintain the premises in accordance with regulatory requirements. Based on interviews, staff members stated mold was observed and removed from equipment, toys, ceilings and walls. Based on observation, a new wall had been installed behind the washer and dryer in the laundry room. Also based on observation, there was a discolored ceiling tile found in the room designated as a meeting room. Based on an interview with the custodian, the tile had contained mold and was cleaned by the custodian to remove the mold from the air vent and the surrounding tile. Based on a review of documentation, a contract for cleaning services to remove mold was conducted on May 4, 2015. Hygienic Practices

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, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Based on interview, toys were not cleaned using the correct sanitizing procedure.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the director failed to maintain staff evaluations. Review of documentation revealed two (2) staff members (DOH: 1/1/12 and 9/1/92) did not have an annual written performance evaluation on file at the time of inspection. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

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 the director failed to maintain the health, safety, and comfort of children. Observation of the Three's Classroom (E105) revealed a bathroom that has one toilet in it. Continued observation of the bathroom revealed a three-year-old male child standing at the door entrance to the bathroom with a staff member observing another child sitting on the toilet. Interview with staff in the classroom revealed the child standing at the bathroom door entrance was waiting for the other male child to finish in the bathroom.

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 Observation, the child care center failed to maintain employee records. Review of documentation revealed an employee with the hire date of 8/3/14 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection.

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 maintain employee records. Review of documentation revealed an employee (DOH: 8/1/12) did not have a Kentucky Driver History Record on file at the time of inspection. Exit interview with the director revealed she did not have the aforementioned document on file at the time of inspection. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain their ceilings. Observation of classroom E206 revealed a missing ceiling tile in which wiring could be seen where the tile was missing.

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, and interview the child care center failed to maintain their toilet requirements. Observation of the Two's Classroom (E103) revealed a staff member standing at the door entrance to the bathroom, which had one toilet in it. Continued observation of the bathroom revealed a two-year-old female inside the bathroom at the same time as a male two-year-old child. Interview with staff revealed males and females are taken to the bathroom at separate times and further started sometimes males and females overlap, causing them to be in the bathroom at the same time.

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 bottle requirements. Observation of the infant classroom revealed one (1) bottle that was not individually labeled.

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, center's abuse/neglect report procedure stated that staff will report any abuse to the director, child will be asked about places on their body, parents will be asked about what happened, documentation will be made and Department of Social Services will be contacted if child [abuse] is suspected.

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, the children's backpacks in several of the classrooms were touching each other.

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, an employee hired on 10-1-12 does not have on file a high school diploma, GED or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, an employee hired on 8-1-02 does not have a statement from a health provider that the individual is free of active tuberculosis.

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, employees hired on 9-1-12 and 10-1-12 did not complete orientation training within the first 90 days of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, a 23 month old toddler enrolled on 8-19-13 was signed into the two year old classroom for the entire day by the child's parent and child does not have a transition plan.

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, there were two toys attached to the inside of an infant crib.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a staff member in classroom 106 did not wash a child's hands after a diaper change.

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, a staff member in classroom 106 did not sanitize the diaper changing surface after a diaper change.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, an epi-pen for a child enrolled 8-20-12 was expired in August 2013. Based on observation in classroom 102, there was an unlabled tube of diaper rash cream. Based on interview with the director, this tube of diaper rash cream is used for all of the children in the classroom as all of the parents have signed a medication release. 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, on the outdoor playground, a climbing dome apparatus was not securely fastened to the ground.

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, on the outdoor playground, a bench swing had the seat ripped resulting in the toy being unusable as a bench swing.

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 was not equiped with any of the first aid supplies as described in Section 7.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a bottle was not name labeled.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a child enrolled on 8-19-13 does not have a parent signed authorization for the center to seek emergency medical care for the child in the parent's absence.

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, not all of the children were signed into the center.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 5

Toddler: Based on interview with the staff members in the Older Toddlers’ Room, a two year old child was present in the room for all day care with seven toddlers on a daily basis.

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 review of documentation present in all staff members' personnel files, a staff member with a hire date of 08/01/2012 did not have a copy of a current negative TB skin test on file. 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 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 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 2) Type II Not Applicable 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 41 Web site: http://chfs.ky.gov/ Inspection Report 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 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death 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. 2) Background checks Not In Compliance Findings: General: Based on review of documentation, present in all staff members' personnel files, a staff member with a hire date of 08/01/2012 that was identified as the center's van driver did not have the required, completed background checks on file. 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 2:120 · 922 KAR 2:120 - Section 2

Room 9/Pre-K 2: Based on observation and interview, from approximately 12:10 p.m. to approximately 12:11 p.m. one (1) staff member was supervising twenty two (22) four (4) year old children. Room 8/Pre-K 1: Based on observation and interview, from approximately 12:05 p.m. to approximately 12:10 p.m. one (1) staff member was supervising fifteen (15) four (4) year old children. Room 5/older toddlers: Based on observation, at approximately 11:49 a.m. two (2) staff members were supervising nine (9) one (1) year old children. Further observation revealed at approximately 11:50 a.m. one (1) staff member left room for approximately a minute leaving the other staff member with nine (9) children. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.