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

General: Based on observation and interview, a can of Lysol disinfectant spray and Lysol multi-surface cleaner were stored in an unlocked cabinet underneath the sink and were accessible to children in the four and five-year-old room.

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 and interview, an two (2) electrical outlets were not covered in the four and five-year-old room. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member (DOH: 02/04/21) did not have a written evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report 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 interview and review of documentation, the following was found: 1) A staff member (DOH: 03/10/18) completed pediatric abusive head trauma (PAHT) training on 09/26/2018 and had not completed the training again within five (5) years. 2) A staff member (DOH: 02/04/2021) did not complete any of the required fifteen (15) hours of early care and education training during the subsequent year of employment. The staff member had also not completed pediatric abusive head trauma (PAHT) training.

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: Based on interview and review of documentation, four (4) staff members (DOH: 03/10/18, 06/04/18, 11/08/18 and 11/08/18) were each listed as a driver and had a Kentucky driver history record dated 09/21/21. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the following was found: 1) The hot water temperature registered seventy (70) degrees Fahrenheit at a sink in the nursey, 2) The hot water temperature registered eighty-two (82) degrees Fahrenheit at sink in the five-year-old room. 3) The hot water temperature registered eighty (80) degrees Fahrenheit at the sinks in the four and five-year-old room, in the restroom across from the director's office, and in the men and women's restrooms. 4) The sink was not equipped with liquid soap in the four and five-year-old restroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the toilet did not flush properly in the three-year-old room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance 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 and interview, the freezer compartment of the mini refrigerator in the nursery did not have measuring device to ensure the freezer temperature was zero degrees Fahrenheit or below. The mini refrigerator contained frozen raspberries in the freezer compartment. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

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 following was found: 1) Two (2) children (enrolled on: 06/13/23 and 09/11/23) immunization certificates expired on 06/21/24 and 04/25/24, respectively. 2) Two (2) children (enrolled on: 10/26/20 and 02/21/24) did not have an immunization certificate on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1) A child (enrolled on 09/11/23) did not have the name of each person who is designated in writing to pick up the child or the name and phone number of each person to be contacted in an emergency involving or impacting the child. 2) A child (enrolled on 02/21/24) enrollment forms did not contain health status and medical history including allergies. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a quarterly practiced earthquake drill, tornado drill and lockdown drill were conducted on 09/27/24 and the date, time and name of children participants were not documented.

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 interview and review of documentation, a quarterly practiced earthquake drill, tornado drill and lockdown drill were conducted on 09/27/24 but were not documented. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, a staff member (DOH: 01/16/24) did not have a processed Tennessee Child Abuse and Neglect Check and sex offender registry on file. The caregiver was alone in the one-year-olds’ room and supervised five (5) children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, a staff member (DOH: 01/16/24) was alone in the one-year-olds’ room and supervised five (5) children. The staff member did not have a processed Tennessee Child Abuse and Neglect Check and sex offender registry on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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, a staff member (DOH: 09/05/23) did not have documentation 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, a staff member (DOH: 09/05/23) did not have TB documentation on file. Programming 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, the center did not conduct a fire drill for August 2023. Posted Documentation In Compliance Animals Not Applicable

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 review of documentation, two (2) staff members (DOH: 03/08/23 and 09/17/21) had not completed first aid and CPR training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 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, the following was found: 1) Two (2) staff members (DOH: 03/08/23 and 04/01/22) had not completed the six (6) hours of orientation training. 2) A staff member (DOH: 09/17/21) had not completed the Pediatric Abusive Head Trauma Training. 3) A staff member (DOH: 11/30/21) had five and a half (5½) training hours during the subsequent year of employment. 4) Two (2) staff members (DOH: 03/15/18 and 03/12/18) last completed the Pediatric Abusive Head Trauma Training on 09/26/18. 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 3. General Requirements.

General: Based on observation, a large bag of Miracle Grow Potting Soil was open and placed on the floor in the preschool #2 room. The potting soil was accessible to children in care.

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, brown stains were on two (2) ceiling tiles in the older school-age room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1) The hot water temperature registered eighty-three (83) degrees Fahrenheit at sinks located in preschool #1 room, older school-age room, and men and ladies’ restrooms. 2) The hot water temperature registered sixty-five (65) degrees Fahrenheit at a sink located in the one-year-olds’ room.

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 brown stain was on the front of the toilet bowl located in the men’s restroom. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report First Aid/Medication In Compliance 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 following was found: 1) Three (3) pieces of two by four (2x4) lumber were located next to a sandpit in the younger children’s outdoor play area. 2) Plastic cups, spoons, and paper plates were scattered across the older children’s outdoor play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was an approximately nine (9) inch wide and six (6) inch wide holes in the vinyl fence located in the older children’s outdoor play area. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the sand pit, not in use, was partially covered in the younger children’s outdoor play area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a pink heart printed child’s coat and a pink, yellow, and orange stripped child’s coat were placed on top of each other on a shelf located in the three- year-olds' room. 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 13. Toys and Furnishings.

General: Based on observation, the following was found: 1) Small particles were on a blue circle shaped area rug located in the two-year-olds' room. 2) Dark spots were on an alphabet area rug in preschool #2 room. 3) Small particles were on two (2) blue circle shaped area rugs located in the preschool #1 room. 4) A half door was off the hinge located at the entrance of a restroom located in the two-year-olds' room. 5) The facing of a drawer was missing located below a sink in a restroom in the three-year-olds' room. 6) A white electrical cover plate was broken located in the preschool #1 room. 7) The cover was missing off a box, which exposed wiring, and below it was a two and a half (2½) inch wide hole on the building that faced inside of the younger children’s outdoor play area. 8) The wing of a yellow airplane toy was cracked located in the older children’s outdoor play area. 9) Small particles were on the floor of the center’s van. 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 Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, five (5) children enrolled on 03/30/18, 09/18/23, 04/19/23, 10/02/23, and 10/02/23, did not have an immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) A child enrolled on 10/02/23, did not include a preferred hospital in the enrollment information. 2) A child enrolled on 10/02/23, did not include a preferred hospital, an authorized pick-up list, and no emergency contact in the enrollment information. 3) A child enrolled on 10/06/23, did not include the phone numbers for emergency contacts in the enrollment information. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, a detective came to the center and inquired about a child who received a broken leg on 08/28/23, and later discovered the incident did occur at the center on 08/23/23. A staff member had no knowledge of the incident until she was questioned on 08/28/23. However, the staff member failed to notify the cabinet within twenty-four (24) hours of the questioned incident. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, video footage showed a staff member picked up a fourteen-month-old child and tossed the child onto an alphabet foam puzzle floor tiles in the one-year-olds' room on 08/23/23. The child was on the floor and appeared in distress and pain. Following the incident, the child could not stand or walk. The night of 08/23/23, the child was taken to the emergency room where an x-ray determined the child had a fractured right fibula and tibia. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, video footage showed a staff member picked up a fourteen-month-old child and tossed the child onto alphabet foam puzzle floor tiles in the one-year-olds' room on 08/23/23. The center’s policy and procedures indicated staff would not physically discipline a child. Therefore, the staff member did not follow the center’s policy and procedures. Employee Records In Compliance Programming Not In Compliance

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, video footage showed a fourteen-month-old child would not remain seated at a table during mealtime in the one-year-olds' room on 08/23/23. A staff member picked up the fourteen-month-old child, tossed the child onto the alphabet foam puzzle floor tiles, and removed the child’s lunch plate and cup from the table on 08/23/23. Therefore, the child was disciplined because the child refused to remain seated at the table. 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, two (2) children, enrolled on 05/1/23 and 08/14/23, did not have an immunization certificate on file. A child enrolled on 09/07/22, had an immunization certificate on file valid until 10/03/22. 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: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 08/14/23, did not include a preferred hospital and the name and phone number for her physician in the enrollment information. A child enrolled on 09/07/22, did not include phone numbers for the listed individuals to be contacted in case of an emergency. A child enrolled on 05/01/23, did not include the name and telephone number for his physician in the enrollment information. Written Documentation 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, a crack was down the center of the doorframe in the five-year-olds' room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a light fixture was missing a cover and exposed a non-shatterproof bulb in the hallway outside of the school age restroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment In Compliance Posted Documentation In Compliance

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 hot water temperature registered one hundred thirty (130) degrees Fahrenheit at a sink in the girls' restroom and at a sink in the older school-age room. Hot water did not dispense from the faucet at a sink in the boys' restroom. Equipment In Compliance Posted Documentation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a schedule of daily activities was not posted in the one-year-olds’ room and three-year-olds' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a program of activities was not posted in the one-year-olds’ room and three-year-olds' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a stack of blue chairs, a stack of wooden chairs, toddler toys, two (2) large white trash bags filled with items, a laundry basket, and cots were in the one-year-olds’ restroom.

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, sections of baseboards were missing in the three-year-olds' room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, two (2) boxes of Kleenex, soiled toilet paper, and scattered pieces of toilet paper were on the floor in the one-year-olds' restroom.

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 hot water temperature registered seventy-eight (78) degrees Fahrenheit at a sink located in the one-year-olds’ restroom.

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 toilet did not flush in the restroom next to the three-year-olds' room. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, school-age children were present in the one-year-olds’ room and three-years-old room on 1/2/23. However, the equipment in each room did not meet the physical, developmental needs, and interest of the school-age children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 8. General.

General: Based on observation, an electrical outlet was not covered below a mounted television and an electrical outlet was not covered near a doll house in the afterschool room. Two (2) electrical outlets were not covered in the two-year-olds' room, preschool room, and three-year-olds' room. Four (4) electrical outlets were not covered in the school-age room. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 3/6/18, had an evaluation on file that was dated 9/20/21. Four (4) caregivers hired on 3/12/18, 4/23/19, 6/2/18, and 9/17/21, each had an evaluation on file that was dated 3/12/21. Three (3) caregivers hired on 6/28/21, 3/15/18, and 9/17/21, did not have an evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report 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, a caregiver hired on 5/16/22, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 4/18/18, had TB documentation on file that was dated 8/8/20. A caregiver hired on 4/23/19, had TB documentation on file that was dated 12/16/19. A caregiver hired on 3/15/18, had TB documentation on file that was dated 7/17/19.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 5/16/22, had no first aid and CPR training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, three (3) caregivers hired on 3/6/18, 4/18/18, and 6/2/18, had a professional development plan on file that was dated 9/20/21. Four (4) caregivers hired on 2/4/21, 6/28/21, 3/15/18, and 9/17/21, did not have a professional development plan on file. A caregiver hired on 3/12/18, had a professional development plan on file that was dated 9/14/21. A caregiver hired on 4/23/19, had a professional development plan on file that was dated 7/17/21.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 2/4/21, did not complete training hours during the first year of employment and did not complete Pediatric Abusive Head Trauma Training. A caregiver hired on 6/28/21, completed six (6) hours of orientation training after the first three (3) months of employment on 4/9/22, did not complete Pediatric Abusive Head Trauma Training, and completed six (6) training hours during the first year of employment. A caregiver hired on 4/23/19, completed ten (10) hours of training during the subsequent year of employment. Two (2) caregivers hired on 4/1/22 and 5/16/22, did not complete six (6) hours of orientation training. A caregiver hired on 3/15/18, completed two (2) training hours during the subsequent year of employment. A caregiver hired on 9/17/21, did not complete training hours during the subsequent year of employment and did not complete Pediatric Abusive Head Trauma Training.

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: Based on review of documentation, four (4) caregivers hired on 3/6/18, 3/12/18, 4/18/18, and 6/2/18 had a driver history record on file that was dated 9/22/21 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no posted daily planned program of activities in the two-year-olds' room, infants’ room, and school-age room. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a circle shaped, mounted light fixture was not shielded and did not have shatter-proof bulbs located on the wall in the two-year-olds' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, gnats were present in the boys’ restroom and in the afterschool classroom. Mice droppings were observed under a crib mattress and a diaper changing pad and on top of a pink plastic storage unit located in the infants’ room, on the floor in the children’s kitchen play area in the preschool room, on the floor next to the kitchen door and behind a toilet located in the one-year-olds’ restroom and in the girls’ restroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an accumulation of grime was on the baseboards and tile flooring throughout the center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 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, a supply of toilet paper was not located in the three-year-olds' restroom.

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 hot water temperature registered one hundred fifty (150) degrees Fahrenheit at a sink located in the two-years’-old room and three-years-old room. The hot water temperature registered seventy (70) degrees Fahrenheit at a sink located in the infants’ room. The hot water temperature registered one hundred forty (140) degrees Fahrenheit at a sink located in the school age room, preschool room, the boys’ restroom, and the girls’ restroom. The hot water temperature registered one hundred forty- five (145) degrees Fahrenheit at a sink located in a restroom near the preschool room. The hot water temperature registered one hundred thirty (130) degrees Fahrenheit at a sink located in the one-year-olds’ restroom.

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, solid waste and urine were in a toilet located in a restroom near the preschool room. Urine was in the toilet located in the one-year-olds’ restroom. Therefore, the toilets had not been flushed after usage. There was dimmed lighting located in a restroom near the preschool room. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a caregiver did not wash her hands with liquid soap and warm running water after she wiped a child’s nose twice in the two-year-olds' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 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. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, a waste receptacle did not have a cover/lid and stored soiled diapers located in the two-year-olds room and infants’ room. A waste receptacle did not have a cover/lid and stored soiled pull-ups located in the three-year-olds' room. 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, a jar of Aquaphor Diaper Ointment was not labeled to indicate to whom it belonged to in the two-year-olds' room. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, two (2) small, jagged holes were in the vinyl white fence located in the older children's outdoor play area. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, three (3) blue nap mats were torn along the seam and one (1) nap mat had a tear down the middle of the mat in the two-year-olds' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, small particles were on the floor of the center’s van. Grime was on a wooden step stool at a sink, a black mark was along the windowsill and the same window had a four (4) inch long break on the window frame located in the two-year- olds' room. Smears were on a mounted mirror located in the two-year-olds' room and school-age room. Smears were on a Lakeshore toddler loft mirror, and a face and bear printed area rug was soiled located in the one-year-olds' room. White smears were on a black waste receptacle, and a face-printed area rug was soiled located in the infants’ room. A round, black pillow was matted, and a brown area rug was soiled located in the preschool room. A pink, owl printed pillow and an oval shaped area rug were soiled located in the three-year-olds' room. Grime was on several areas on the lower section of the half door in the three- years-olds’ restroom. A ceiling vent had no cover in the hallway near the preschool room. A twelve (12) inch long break was in the frame of the half door located between the three-year-olds’ room and the one-year-old’s room. A red/blue toy car had a cracked wheel located on the younger children’s outdoor play area. The plastic covering was torn on the seat of a red bike and exposed cushion, the cover plate was missing from a pink scooter and exposed wiring, a pink/blue Little Tikes car had two (2) cracked wheels, and foot pedals were missing from a red tricycle in the older children’s outdoor play area. 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: Based on review of documentation, there was no documented transportation emergency procedures practiced during January through July 2022.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, the center’s van was last inspected on 1/8/21.

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, a bottle of Super Tech Motor Oil was on the floor between the driver and passenger seats on the van.

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 review of documentation, there was no documented daily inspection performed on the center’s van from January through July 2022, and 9/26/22 through 9/28/22. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the time six (6) children got on the center's van on 9/28/22 was not documented. Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 8/22/22, did not have an immunization certificate on file. A child enrolled on 3/23/22, had an immunization certificate on file that was valid until 9/2/22. A child enrolled on 3/30/18, had an immunization certificate on file that was valid until 7/28/19. A child enrolled on 2/28/22, had an immunization certificate on file that was valid until 4/13/22. A child enrolled on 6/15/20, had an immunization certificate on file that was valid until 4/1/20. Written Documentation Not 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 9. Records.

General: Based on review of documentation, the center did not have a list of participants for monthly fire drills conducted January through August 2022. The center did not have a list of participants for the earthquake, tornado, and lockdown drills conducted during the first and second quarters of 2022. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was no posted schedule of daily activities in the school-age room. 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, four (4) florescent light bulbs were not shatter proof or shielded on a light fixture in the one-year-olds’ room. Also, dead bugs were in a light fixture in the kindergarteners’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, brown spots and grime were on the tile floor and baseboards in the preschool restroom near the kitchen.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 3/15/18, had a professional development plan on file that was dated 4/9/19. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 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 8. General.

General: Based on observation, the center's Statement of Deficiencies and Plan of Correction for the current licensure year and information on the Kentucky Consumer Product Safety Program and the program's website were not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a paper cup, a plastic water bottle, and food wrappers were scattered in the front yard of the center.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 9/17/21, did not have a processed background check and was present at the center. Supervision In Compliance Staffing Requirements In Compliance 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 and review of documentation, two (2) electrical outlets were uncovered in the preschool room. Three (3) electrical outlets were uncovered in the school age room and in the kindergarteners’ room. One (1) electrical outlet was uncovered in the infants’ room. Five (5) electrical outlets were uncovered in the one-year-olds’ room and school age room. A sink was used for handwashing and washing bottles in the infants’ room. Long chunks of pulled pork was served to three (3), one-year-old children in the infants’ room. Three (3), one-year-old children each sat in a highchair that was missing safety straps during lunch in the infants’ room. A caregiver hired on 5/12/21, did not have a name-based child abuse/neglect check on file. A caregiver hired on 5/17/21, did not have a child abuse/neglect check and a sex offender registry check on file from Indiana, which was a previous sate of residence. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 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, a caregiver hired on 3/6/18, had TB documentation on file dated 9/2/19. A caregiver hired on 6/2/18, had TB documentation on file dated 7/17/19. A caregiver hired on 3/15/18, had TB documentation on file dated 7/17/19. Two (2) caregivers hired on 5/17/21 and 5/18/21, did not have TB documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 3/6/18, completed fourteen and a half (14 ½) hours of training during a subsequent year of employment. Three (3) caregivers hired on 5/12/21, 5/18/21, and 5/17/21, each did not complete six (6) hours of orientation training within the first three (3) months of employment. Two (2) caregivers hired on 3/15/18 and 4/23/19, each did not complete training hours during a subsequent year 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 14. Transportation.

General: Based on review of documentation, four (4) caregivers hired on 3/12/18, 9/2/19, 6/2/18, 4/18/18, did not have a driver’s history record on file. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no daily planned program of activities posted in the two-year-olds’ room, one-year-olds’ room, after school age room, and kindergarteners’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the hot water registered one hundred and forty-seven (147) degrees Fahrenheit at a sink in the preschool restroom near the kitchen. The hot water registered eighty-four (84) degrees Fahrenheit at a sink in the second preschool restroom. The hot water registered one hundred and fifty (150) degrees Fahrenheit at a sink in a restroom, near the two-year-olds’ room. The hot water registered one hundred and forty (140) degrees Fahrenheit at a sink in the men’s restroom near the school age room, at a sink in the ladies’ restroom near the school age room, at a sink in the infants’ room, and at a sink in the school age room. The hot water registered seventy-four (74) degrees Fahrenheit at a sink in the one-year-olds’ room.

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 brown spot was on the front of the toilet bowel in the preschool restroom near the kitchen. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, first aid supplies on the center's van did not include scissors, a CPR mouth shield, and hand soap. Also, the flashlight was inoperable. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, food wrappers, plastic water bottles, an empty box of Kleenex, and a child's pink sock were scattered on the younger children’s outdoor play area. Also, candy wrappers, plastic cups, a paper plate, orange peelings, a pink and black child’s sock, and a paper towel roll were scattered across the older children’s outdoor play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, tall weeds were on the younger children’s outdoor play area. The tallest weed was approximately four and a half (4 1/2) feet tall. Also, tall weeds were on the older children’s outdoor play area. There were gaps between several black, square rubber tiles on the older children’s outdoor play area. The largest gap between the rubber tiles was approximately four (4) inches wide and created a tripping hazard.

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, a five (5) inch long break was in a white vinyl fence in the older children’s outdoor play area. The break in the fence left sharp points. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a sand pit (not in use) was partially uncovered on the younger children’s outdoor play area.

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, five (5) sheets loosely fit on crib mattresses in the infants’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, seats were missing from two (2) silver tricycles, two (2) foot pedals were missing from a silver tricycle, a foot pedal was missing from a silver tricycle, a seat was missing and a four (4) inch long crack was in the front wheel of a black and silver tricycle and the back portion of a blue, adult size chair was broken on the older children’s outdoor play area. Dark soiled stains/spots were on a fish printed area rug in the preschool room; on an ABC printed area rug in the two-year-olds’ room, and on an animal/faces printed area rug in the infants’ room. Dark soiled stains/spots were on a rubber ABC puzzle mat in the two-year-olds’ room. Several broken blades were on a window blind at a window near the fire alarm in the preschool room. A four (4) inch long hole was in the back of a wooden Kaplan shelf which stored toys in the two-year-olds’ room. A white curtain hung from a bent curtain rod at a window in the after school age room. 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, a thermometer was not in a refrigerator in the infants’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the temperature was ten (10) degrees Fahrenheit in a freezer in the kitchen. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, seven (7) children were served a plant based lunch due to medical issues. An interview with the center’s cook and a staff member determined each child did not have a dietary restriction documented. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 3/2/20, had an immunization certificate on file valid until 11/25/20. A child enrolled on 6/7/21, did not have an immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 10/19/20, did not have information on file for staff to contact the child's physician and five (5) individuals listed as emergency contacts. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, four (4) children were present in the infants’ room and school age room, but only three (3) children had a documented arrival time in each room. Seven (7) children were present in the two-year-olds’ room, but only five (5) children had a documented arrival time.

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, there was no date on the schedule of daily activities posted in the preschool room and two-year-olds’ room. There was no date and times on the schedule of daily activities posted in the infants’ room. Also, there was no posted schedule of daily activities in the school age room, one-year-olds’ room, after school age room, and kindergarten’s room. Animals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 15. Animals.

General: Based on observation and interview, a pet geico lizard was in a glass tank in the school age room. Interview determined the lizard was recently purchased and staff had not obtained written parental consent for the lizard to be in the presence of the four (4) children in the school age room.

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, a caregiver hired on 3/12/18, did not have an annual written performance evaluation on file.

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, a sandbox, not in use, was partially uncovered in the outdoor play area next to the outdoor playground.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a blue nap mat was torn along the seam in the restroom adjacent to the one-year-olds’ room. 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on observation, an electrical outlet was not covered in the three-year-olds’ room. Four (4) electrical outlets were not covered in the after school room #1. An electrical outlet adjacent to a washer and dryer was uncovered in the restroom next to the preschool room. A child had a nickel size necklace pendant in his mouth in the three-year- olds’ room. Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, eight (8) bulbs were not shatterproof or shielded in the restroom near the three-year-olds’ classroom, in a restroom next to the preschool room, and in the men’s restroom next to the laundry room. Six (6) bulb light bulbs were not shatterproof or shielded in the women’s restroom next to the laundry room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a six (6) inch long area of baseboard was missing from the wall and exposed broken drywall and a wooden stud in the one-year-olds’ room. An area of peeled plaster was on the ceiling next to the ceiling vent in the women’s restroom next to the laundry room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the hot water temperature registered one hundred forty (140) degrees Fahrenheit at a sink in the two-year-olds’ room, at a sink in the women’s restroom next to the laundry room, and at a sink in the after school room #1. The hot water temperature registered one hundred thirty-seven (137) degrees Fahrenheit at a sink in the three-year-olds’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a toilet was clogged in the women’s restroom next to the laundry room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, dirt marks were left on the face of a child in the three-year-olds’ room. The class previously played in the outdoor play area. First Aid/Medication In Compliance 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, a towel, paper plate, restaurant cup, plastic cup lid and candy wrappers were scattered on the ground in the outdoor play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a Little Tikes Slide was placed on concrete on the outdoor playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a foot pedal was missing from two (2) red tricycles in the outdoor play area. The rim and backboard were missing from a plastic basketball hoop system on the outdoor playground. Sharp edges and a broken leg was on a blue, plastic stepstool in the outdoor play area. An area rug with children’s printed faces and a gray area rug were soiled with several dark spots in the two-year-olds’ room. Black smudges were across a white, half door in the three-year-olds’ room. White smears were on a mirror next to gray shelves in the preschool room. 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, a face mask, license plate cover, and candy wrappers were on the floor of the center's van. In addition, a plastic drinking straw and a brown crumbled food substance were wedge between a seat on the last row of the center’s van.

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 review of documentation, the time each child got on and off the center’s van was not documented for seven (7) children transported during the week of 10/28/20, for eight (8) children transported during the weeks of 10/05/20 and 10/14/20, for ten (10) children transported during the weeks of 10/12/20 and 10/21/20, and for four (4) children transported during the week of 11/9/20. 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 9. Food and Meal Requirements.

General: Based on observation, the posted menu was dated 8/10/20 – 8/14/20. 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, a caregiver hired on 3/12/18, had a written annual professional development plan on file that was dated 4/9/19. 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the names of children participants were not documented for a monthly practiced fire drill conducted on 1/13/20. Posted Documentation 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the posted proper methods of diapering and handwashing were not posted in the one-year-olds’ room. Animals Not Applicable 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 review of documentation, the center failed to ensure new staff shall undergo name-based background in accordance with 922 KAR 2:280. Two (2) caregivers hired on 10/12/20, and 10/26/20 did not have a processed name-based criminal record check on file. In addition, the center failed to assure all child care staff, directors, owners and operators complete a new, mandatory training on cleaning, sanitizing, health procedures, and mandatory reporting prior to the date of reopening, in accordance with 922 KAR 2:405E Section 9 (1). A caregiver hired on 3/12/18, did not complete the reopening training.

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 testing the water temperature and interview, the hot water temperature registered eighty-two eight (82) degrees Fahrenheit at the sink in the Nursery. The hot water temperature registered one-hundred and thirty (130) degrees Fahrenheit at three (3) sinks in restrooms located in the hallway, to be utilized by children. In addition, the hot water temperature registered one-hundred and thirty (130) degrees Fahrenheit at the sink in the three-year-olds’ classroom. Outdoor Play Area In Compliance Equipment In Compliance Food Service In Compliance Posted Documentation In Compliance

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 and interview, the second row bench seat in the 2007 Ford F350 van had a hole in the fabric of the seat that measured approximately 5 inches in diameter. The same seat was also heavily soiled and stained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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, review of documentation and interview, procedures and instructions had not been developed to ensure children were safely loaded onto and safely departed off the center’s 2007 Ford F350 van. Observation determined there was a minimal distance of two (2) feet from the ground to the bottom landing of the van steps. A hand railing was not available in case of need. Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, three (3) children, first dates of attendance on approximately 04/01/19, did not have an immunization certificate on file. Written Documentation Not 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 9. Records.

General: Based on review of documentation, a child did not have a documented arrival and departure time on 11/18/19.

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, interview and review of documentation, the center's discipline policy stated teachers must lovingly guide and redirect children to help them learn to cooperate with their peers and to have positive educational experiences to enhance their growth and development while in our care. Guidance and discipline will be administered impartially. To best accomplish this, teachers are to follow these guidelines: CHILDREN WILL ALWAYS BE TREATED WITH RESPECT. You may use a firm authoritative voice but a positive manner. Never raise your voice or scream. Watch the tone of your voice, sometimes you can sound “mean” or like you dislike the child. It was determined the discipline policy was not followed by staff on 11/20/19, when a staff member told a child to get up from his cot and the child said no. The staff told the child you are going to whether you want to or not, then picked-up the child, approximately a foot from the floor, by the upper right arm and right leg and laid the child on the floor. Then the staff member said, "Go" and snapped her fingers, extended her right arm and pointed in a direction she wanted the child to go. Again the child said refused and said “no”, the staff member told the child "I will pick you up son" and “no problemo". The staff member grabbed the child, who sat on the floor, under both arms, lifted and carried him to a new location in the room. The staff member aggressively told the child to lay down. The staff member returned to the location the child was removed, picked up what appeared to be the child’s shoes and the shoes were thrown in the air. 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: supervision. Open / not marked corrected.

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

General: Based on review of documentation, a staff, hired on 11/07/18, completed one and a half (1 ½) hours of cabinet approved training during the first year of employment. Programming Discussed Children's 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 9. Records.

General: Based on review of documentation, a child, first date of attendance on 06/22/18, did not have an immunization certificate on file. Written Documentation Not 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 9. Records.

General: Based on review of documentation, a staff, hired on 04/18/18, had an annual professional development plan on file that was dated 03/06/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a staff hired on 04/01/19, supervised nine (9) children, alone, in the four and five year old's room at naptime from 1:10 pm to 1:45 pm on 11/21/19. Interview and a review of the KARES report determined the staff member was separated from employment, rehired and had not been moved to a permanent employee status. Supervision In Compliance Staffing Requirements In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of a recorded interaction between a staff person and a child during nap time on 11/20/19 in the three-year-olds' room, the director failed to provide for the comfort of children as evidence by the following: A staff member told a child to get up from his cot and the child said “No”. The staff told the child you are going to whether you want to or not, then picked-up the child, approximately a foot from the floor, by the upper right arm and right leg and laid the child on the floor. Then the staff member said, "Go", snapped her fingers, extended her right arm and pointed in a direction she wanted the child to go. Again, the child refused and said “No”, the staff member told the child "I will pick you up son" and “no problemo". The staff member grabbed the child, who sat on the floor, under both arms, lifted and carried him to a new location across the room. The staff member aggressively told the child to lay down. The staff member returned to the previous location the child was in, picked up what appeared to be the child’s shoes and the shoes were thrown in the air in the child’s direction. A thud was heard and the child hysterically cried aloud. 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, a staff, hired on 04/01/19, did not have education documentation 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 observation and review of documentation, a staff, hired on 04/01/19, did not have TB documentation on file. A staff, hired on 11/07/18, had TB documentation on file that did not have "read" results.

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 seven (7), one-year-old children outside on the playground. Interview confirmed she was aware staff/child ratios were not maintained for a hour. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, the center did not have a procedure to ensure complaince with and inform child care staff of the laws of the Commonwealth for reporting child abuse/neglect set forth in KRS 620.030. The center's policy states "It is the responsibility of every staff member to report to his/her director any incidence or suspected incidence of client abuse or neglect." Also, the director will report to the owner. "If appropriate , the Director shall report the incident to appropriate legal authorities." Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 03/15/18; a caregiver hired 03/06/18; a caregiver hired 06/19/07, and a caregiver hired 10/04/06, did not have a written annual performance evaluation. 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 interview and review of documentation, a caregiver hired 08/29/19, did not have her education documentation on file. Interview revealed the paper work was requested but not received.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 03/06/18, did not complete one and one-half (1 1/2) hour of pediatric abusive head trauma training within her first year of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a pint of paint was stored underneath the children's hand washing sink in the three-year-old room. A can of Glade disinfectant set on a shelf above the children's cubbies and a bottle labeled bleach water set on a desk. These items were in the preschool room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a large piece of floor tile was cracked with missing pieces in front of the door, which exited to the three-year-old playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the toilet did not flush in the hallway restroom located across from the three-year-old room. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, seven (7) children did not wash their hands with liquid soap and warm running water before they ate lunch in the two-year-old room. In addition, two (2), two-year-old children had dried green nasal mucus and brown dirt below their noses and smeared on each side of their cheeks. No attempt was made to clean the two (2) children's faces.

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 before she changed a child's diaper in the two-year-old room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a bottle of Children Ibuprofen; a bottle of Ibuprofen; a bottle of Children Pain Relief; a bottle of Imodium; a bottle of Infant's Tylenol; two (2) bottles of Hydrogen Peroxide and two (2) tubes of Soothing Sting were not labeled but stored in the first aid cabinet in the kitchen. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, an excessivve amount of grass and weeds had grown through the play mats and mulch on the large playground. An excessive amount of grass and weeds had grown through the mulch on the smaller playground and the three-year-old 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 4. Premises Requirements.

General: Based on observation, a small sandbox and a large sandbox were not covered, while not in use. Children were not playing on the playgrounds, while the sandboxes were uncovered.

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, an excessive amount of dust and what appeared to be dirt was on the top of the kitchen set in the two-year-old room. The seat of a wooden chair was cracked and broken in the three-year-old room. An excessive amount of dust and what appeared to be dirt was on the top a pink/white child's vanity and the child size kitchen in the preschool room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 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, a softball size brown stain was on the ceiling tile in the hallway restroom, across from the three-year-old room. A softball size brown substance was on the ceiling tile in the three-year-old room. There was rust on the legs of the blue metal chair and the seat of the blue metal car located on the smaller playground. There were brown spots on the face rug and the tan rug in the one-year-old room. There were brown spots on the letter rug in the two-year-old room. The wood was splintered, chipped, nails and bolts were exposed to the large wooden play equipment of the large playground. The large wooden play equipment had attached a slide, and a standing platform. A piece of metal floor stripping, which held the carpet in place was raised and not secure to the floor in the preschool room. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a one-year-old child drank from a bottle as she walked around the one-year-old room instead or sitting at the table or in a high chair. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled 08/14/18, had an immunization certificate valid until 03/28/19; a child enrolled 09/28/17, had an immunization certificate valid until 01/18/19; a child enrolled 05/24/17, had an immunization certificate valid until 06/08/19; a child enrolled 08/26/15, had an immunization certificate valid until 09/09/19; two (2) children each enrolled 07/09/17, each had an immunization certificate valid until 03/14/19, and a child enrolled 09/02/16, did not have an immunization certificate on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled 03/14/18, received third party services from a therapist but did not have permission from the parent/guardian to receive third party services at the center. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, six (6) children did not have a documented departure time and one (1) child did not have a documented arrival time on 09/23/19. Surveyor observed thirty (30) children present but eighteen (18) children had a documented arrival time on 09/24/19.

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 interview and a review of the tornado and earthquakes drills for 2018 and 2019, it was revealed the quarterly tornado and earthquakes drills for the third and forth quarter of 2018 and the first and second quarter of 2019, were practiced but the names of the children who participated were not documented.

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 interview and a review of the monthly fire drills of 2018 and 2019 the drills were conducted but the names of children were not documented. Posted Documentation In Compliance Animals Not Applicable

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 and interview, splattered food particles were in the oven located in the kitchen.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation and interview, a swing on the three-year-olds' outdoor playground had dirt underneath. This deficiency was previously cited during an renewal visit on 10/24/18. The center’s plan of correction stated the deficiency would be corrected by 10/25/18. 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 observation, thirty-one (31) children were present on 01//19/19 but only thirty (30) children had their arrival time documented.

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, the indicating thermometer was not working in the refrigerator in the infants' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a one-year-old child's face and clothes had dried oatmeal. Interview determined oatmeal was served for breakfast at 8:30 am on 10/24/18. First Aid/Medication In Compliance 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, a swing on the three-year-olds' outdoor play area had dirt underneath. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the sandbox was not covered in the preschool children's outdoor play area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, staff hired 3/6/18 and 10/10/18, supervised seven (7) one-year-old children in the toddlers' room from 9:45 am to 10:50 am on 10/24/18. These two (2) caregivers did not have completed background check results. Also, staff hired 3/15/18, supervised seven (7) preschool children from 9:45 am to 11:30 am on 10/24/18 and did not have the results of the background check on file. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, staff hired 3/6/18 and 10/10/18, supervised seven (7)one-year-old children in the toddlers' room from 9:45 am 10:50 am on 10/24/18. Also, staff hired 3/15/18, supervised seven (7) preschool children from 9:45 am to 11:30 am on 10/24/18 and did not have the results of their background check on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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 Observation, staff hired 6/6/18, did not have verification 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, staff hired 3/15/18 and 6/2/18, had not completed orientation training. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the planned progrm of activities, posted in the school-age room, was dated 10/15/18 to 10/19/18. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, two (2) ceiling tiles were stained in the three-year-olds' room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, a black ring was inside the toilet bowl of two (2) commodes. The base of two (2) commodes was dirty and had a urine odor. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 11. Toys and Furnishings.

General: Based on Observation, a ceiling light was not working in the three (3) year-olds' room. Transportation Not Applicable Food Service/Food Program In Compliance 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

Open / not marked corrected.

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

General: Based on observation, splattered food particles were in the oven located in the kitchen. Also, a white substance was in the bottom of the refrigerator located in the kitchen. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) parents signed the DCC-94 form prior to the end of the week for the week of 10/22/18. Also, a review of the daily attendance records determined twelve (12) children did not have documented arrival time on 10/24/18.

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, staff hired 6/6/18, 3/15/18, 6/2/18, 4/18/18 and 3/6/18, did not have a professional development plan on 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 2. Child Care Services.

General: Based on Observation, a staff member hired 2/28/18, supervised thirteen (13) children, two-years to seven-years-old, in the preschool classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 04/13/2018 AND AS OF 04/17/2018, 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 12. Reports.

General: Based on interview, the licensee failed to notify the cabinet that the director was no longer employed. Staff hired 5/16/13, stated the director left on 2/13/18. 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 9. Records.

General: Based on Observation, staff hired 4/24/17, who was present at the center, had no records on file. Staff hired 2/28/17, only had a TB skin test and education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, staff hired 5/16/13, was the only staff present at the center with current first aid and CPR certification. Staff hired 5/16/13, stated she left the center from 11:30 am until 12:30 pm on 2/28/17. Therefore, no staff was present with current first aid and CPR certification.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Interview, the center did not have two (2) qualified substitutes. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there were two (2) brown spots, twelve (12) inches in diameter, that covered a ceiling tile. Also, five (5) ceiling tiles had a large brown spot in the preschool room, two (2) ceiling tiles had a large brown spot in the one-year-olds' room, a ceiling tile was filled with what appeared to be water and swayed down. In addition, a ceiling tile was missing in the school-age room. Interview determined the roof had a leak. Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the bottom bracket was missing from the gate on the toddlers' playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a toddler swing had dried, loose dirt on the seat and tray located beside the door in the toddlers' outdoor play area.

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, the center had one qualified substitute. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming 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 interview, there was no proof of the center's current liability insurance. The insurance on file expired 10/01/17. Director Requirements Not 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 interview, three (3) outlets were missing a safety plug in the toddlers' room. One (1) outlet was missing a safety plug in the preschool room. The cord to the sound machine was unplugged and laid on the floor in the preschool room. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a child, over 24 months old, was combined with the toddler children from 7:10 a.m. until 8:50 a.m. Interviews determined the two-year-old child was with the toddler children more than one hour daily. 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, eight large plastic bags of mulch were on the preschool children's outdoor playground.

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, there were numerous dead bugs along the baseboard and underneath the wooden child-size chair in the infants' room. There were numerous dead bugs along the baseboard, by the trash can, near the exit door and behind the child's kitchen set in the school-age room. There were cob webs in the corner by the exit door in the infants' room and along the bottom of the crates in the school age room. There was dirt and grime along the baseboards in the infants' room and school-age room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview, the center had a pest control services in place but could not provide verification.

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, there was dried urine around the base of three (3) toilets located in the hall restroom. There were black stains inside the toilet bowl in three (3) toilets in the hallway restroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a toddler and a preschool child did not wash their hands when they arrived.

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 toddlers' caregiver did not wash her hands before and after she changed a child's diaper. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there were weeds grown up through the mulch and rubber surfacing material on the two-year-old, preschool and school age children's playground. A tree root was exposed at the bottom of the slide on the school age children's playground. There was a 12 inch long skinny tree root, raised in the center, on one (1) side of the slide on the school age children's 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 11. Toys and Furnishings.

General: Based on observation, the paint was chipped on top of the brown table in the preschool classroom. There were two (2) brown spots that partially cover one ceiling tile and one (1) large brown spot covered one ceiling tile in the preschool room. Interview determined the roof previoulsy leaked. The corner of the ABC rug had frayed edges in the preschool room. The bear rug had dark spots on the fabric in the toddler room. The adult-size chair cushion had large black dark stains in the toddlers' room. The ceiling vent had an excessive amount of dust located in the hallway. The white pillow had brown stains in the school age room. One (1) ceiling light flickered continuously in the hallway restroom and one (1) celing light did not work in the infants' room. A baseball size brown stain was on one (1) ceiling tile in the school age room. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, there was one (1) can of powder formula stored in an infant's cubbie. Interview confirmed caregivers prepared the bottles in the classroom. The powdered formula was measured by the parent but the water was measured by the caregivers and then mixed with the formula. 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: ratio. Open / not marked corrected.

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

General: Based on observation and interview one (1) caregiver supervised twenty-four (24) children, alone, for thirty (30) minutes while the second caregiver prepared lunch for the center on 05/15/17. Interviews determined there was no additional staff available for the lunch preparation. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation, one (1) caregiver supervised six (6) children, six months to one-year-old at 10:40 a.m. Interview determined she supervised these children beginning at 9:30 a.m. on 05/15/17. One (1) caregiver supervised twenty-four (24) children for thirty (30) minutes on 05/15/17. The age of the youngest child was a two-year-old. The caregiver who prepared lunch returned to assist the first caregiver; therefore, two (2) caregivers supervised twenty-four (24) children with a two-year-old being the youngest. Interviews determined these two (2) caregivers supervised twenty-four (24) children from about 9:50 a.m. until 2:00 p.m. on 05/11/17 and 05/12/17. Interviews determined one (1) caregiver supervised more than ten (10) children (exact number unknown) on 05/08/17 and 05/09/17. A two-year-old was the youngest child in the group. 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 observation, review of documentation and interview, a caregiver hired 05/10/17, did not have a processed child abuse/neglect check on file but was allowed to supervise twenty-four (24) children for thirty (30) minutes on 05/15/17. 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 observation, interview and review of documentation, a caregiver hired 05/10/17, did not have a processed child abuse/neglect check on file but supervised twenty- four (24) children alone for thirty (30) minutes on 05/15/17.

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 center’s injury policy stated an accident report must always be filled out on any injury, no matter how slight, and given to the director. The injury policy was not followed when a caregiver failed to complete an accident report for an incident that took place in the preschool room at approximately 8:00 am on 01/24/17. Instead, the director learned about the child’s injury from the child as the director visited the preschool room about an hour after the incident occurred.

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, a caregiver served a bowl of hot cream of wheat to a child for breakfast on 01/24/17. The hot food spilled on a child’s hand and the child received a second degree burn. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 Review of Documentation and interview, a bowl of hot cream of wheat was served to children for breakfast on 01/24/17. One child spilled the bowl of hot cream of wheat on his hand which resulted in a second degree burn; therefore, the food was too hot and not safe for human consumption at the time it was served.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 2/27/14, lacked nine (9) hours of training. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, there was dried water stains in a light fixture in the center's kitchen. Interviews determined when it rained the center's roof leaked.

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, there were soiled ceiling tiles in the following areas of the center: two (2) ceiling tiles above the three compartment sink and drying area in the kitchen; three (3) ceiling tiles at the door of the nursery; three (3) ceiling tiles in the school-aged room, and four (4) ceiling tiles at the door of the preschool room. Interviews determined when it rained the center's roof leaked which caused several ceiling tiles to turn brown throughout the center.

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, a strong urine odor was present inside the school-age restroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, several holes were present in the blue tarp that covered the sandbox on the older children’s outdoor playground.

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 Review of Documentation, the Fire Marshal inspection report was dated 04/06/14. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, an electrical outlet was not covered in the one and two year olds’ room. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a thermometer indicated the temperature was twenty (20) degrees Fahrenheit in a freezer in the kitchen. Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, the daily attendance records for the week of 07/11/16, did not include a parent signature to verify accuracy of the weekly attendance, in accordance with the Child Care Assistance Program. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, each statement of deficiency issued by the cabinet during the current licensure year and each plan of correction submitted by the child- care center to the cabinet during the current licensure year were not posted. Animals Not Applicable

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 black ring, black speckles and feces were present inside a toilet in the school-age restroom. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, an once tube of Boudreaux’s butt paste and a four (4) ounce tube of Equate diaper rash relief were stored unlocked in the top drawer of a plastic chest of drawer container in the two year olds’ room. A bottle of Levofloxacin and two (2) diazepam rectal gel twin packs were stored in an unlocked box in the kitchen. Also, a fluid ounce bottle of Little Remedies gas relief drops and an ounce tube of Gold Bond anti-itch cream were not labeled to indicate to whom they belonged and were stored in an unlocked box in the kitchen. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, a large cobweb, with a spider present, extended from the corner of the building to the fence between the infant and toddlers’ outdoor playground and the older children’s outdoor playground. A squirrel carcass was present on the ground of the infant and toddlers' playground. Black fabric weed block was raised above the protective surface in several areas on the older children’s outdoor 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, an accumulation of dust was on a TV stand in the school-age room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, cobwebs were inside a car shaped rocking toy on the older children’s outdoor playground. Dried smear marks were present on a child-size mirror, which was positioned on the lower portion of the wall, in the one and two year olds’ room. An interview with staff revealed the smears were from children smearing drool from their hands onto the mirror. A puddle of water was underneath the refrigerator in the kitchen. An interview with staff revealed the refrigerator leaked. A flaky white substance was inside the refrigerator underneath the bottom left drawer in the kitchen. Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff, hired on 05/20/13, completed twelve (12) hours of cabinet approved training during the subsequent year of employment. Also, a staff, hired on 02/27/14, completed six (6) hours of cabinet approved training during the subsequent year of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, three (3), one year old children were combined with three (3), two year old children from 10:00 am until 12:00 pm in the one and two year olds' room. An interview with staff revealed the one year old children had been combined with older children daily for two (2) months. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, cobwebs were present in two (2) lower corners of the wall where the wall met the floor in the school-age room. Also, cobwebs were present in the lower corner of the window and a large cobweb with two (2) bugs present was in the lower corner of the wall in the one and two year olds’ room. Cobwebs were present in the corners of the exit door window in the preschool children’s room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, dead bugs were inside four (4) light shields in the infants’ room and inside three (3) light shields in the school-age room and the two year olds’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a two feet by two (2) feet brown stain was on a ceiling tile that bulged downward in the school-age room. Also, a one (1) foot by one (1) foot brown stain was present on the ceiling tile in the preschool room. An interview with staff revealed the roof leaked.

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 interviews, a caregiver, hired on 02/15/16, slept at his desk with approximately (9) children present at naptime on 09/12/16 in the preschool room. Also, a caregiver, hired on 02/15/16, left a child alone on the outdoor playground for an unknown amount of time on 03/12/16. Staffing Requirements In Compliance Director Requirements In Compliance Employee Records 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 5. Staff Requirements.

General: Based on Review of Documentation, a staff, hired on 02/15/16, completed six (6) hours of cabinet approved orientation on 05/23/16, which was not within the first three (3) months of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, two caregivers hired 1/8/13 and 10/30/06 had TB skin tests dated 2/1/13 and 3/7/13.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 1/8/13, lacked five (5) hours of training and caregiver hired 4/2/15, had not completed orientation training. Also, a caregiver hired 2/23/15, obtained six (6) hours of orientation training on 8/17/15, which was not within the first three (3) months of her employment.

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, two (2) ceiling lights were not working in the three (3) and four (4) year olds' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two children enrolled on 3/1/15 and 3/15/15, did not list the preferred hospital in their enrollment information.

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 daily schedule did not include a date in the nursery, one (1) year olds' room, two (2) year olds' room, three (3) year olds' room and the school age children's room.

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, a child enrolled 9/8/14, immunization certificate was valid until 7/25/14.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview, a careiver placed a plastic bib with a cloth collar around the neck of an infant (date of birth: 03/31/15) at 10:00 a.m. on 12/01/14. The child wore and slept in the bib until the child's parent removed the bib at 4:30 p.m. on 12/01/14. The child's neck measure 3 1/4 inches. The bib measured 3 1/4 inches when snapped in the first snap and measured 4 inches when snapped in the second snap. As a result of the bib being around the child's neck, the child received crusted marks across the anterior neck, one (1) from the right side of her neck to the midline, and one (1) from the left side to the midline on 12/01/14. In addition, surveyor observed the center utilized Bumbo seats which were recalled. Interview determined the Bumbo seats were used daily and staff were not aware the Bumbo seats were recalled. Programming

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 interview, a child (date of birth:) 03/31/14, slept with a bib on her neck in the crib during rest time on 12/01/14. Equipment 765 - Toys Not Applicable 922 KAR 2:120. Section 11. Toys and Furnishings. (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, three (3) preschool children had no cover on their cots at naptime in the prescool room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a pink and purple doll house had spider webs and berry tree droppings on the younger children's outdoor play area.

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 food splattered on the inside walls of the microwave located in the kitchen.

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, a bottle was not covered on a counter in the nursery.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center's evacuation plan was dated 6/21/12, and had not been updated since 6/21/12.

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 center had a written record for a fire drill conducted on 7/31/14, but did not include the names of the children who participated in the fire drill.

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, the Kentucky Consumer Product Safety Program information and the website were not posted.

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, two (2) eletrical outlets were not covered next to the storage closet in the school age room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a wooden plank had two (2) rusty nails and was detached from the fence in the younger children's outdoor play area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a caregiver failed to wash her hands after wiping a child's nose. Instead, the caregiver grabbed a toy, handed the toy to a child and sat on the floor.

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, black fabric weedblock material was exposed in five (5) areas on the 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 6. Sleeping and Napping Requirements.

General: Based on observation, a green fitted sheet had four (4) dried, circular stains in the nursery.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, three (3) rest mats were approximately one inch thick in the three year olds' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, material on an infant's swing had a stain in the nursery.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, three (3) electrical outlets were not covered in the one year olds' room.

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, a staff (DOH: 04/16/12) completed six (6) hours of cabinet approved training within the first year of employment. In addition, a staff (DOH: 06/25/12) completed four (4) hours of cabinet approved training within the first year 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 2. Child Care Services.

General: Based on review of documentation, the program of activities was not posted.

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 vent, in the restroom near the nursery, had an accumulation of brown dust. In addition, a cobweb hung approximately six (6) inches from a corner mirror in the three year olds' room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, dead bugs were observed inside the ceiling light cover.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a two (2) foot section of baseboard was detached a half inch from the wall in the one year olds' room. In addition, peeled paint was on multiple places on the wall in the one year olds' room. Three (3) feet of flooring was torn and curled up in front of the door which led to the playground in the three year olds' room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, approximately twenty-four (24) feet of vinyl rope was partially drooped from the top of a three (3) foot shelf and was accessible to children in the three year olds' room. In addition, the seat of a blue chair was cracked and exposed a sharp, pointy metal piece on the playground. 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 12. Transportation.

General: Based on review of documentation, the center did not document a pre-trip inspection of the van tires, lights, signals, mirrors, gauges, wiper blades, safety restraints, fuel and debris before a field trip on 10/12/12.

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, transportation logs dated 10/12/12, 12/12/12 and 12/27/12, were not completed by a staff member other than the driver. The transportation log dated 12/27/12, did not have a documented time when each child got off and on the van at the field trip location and when each child returned to the center.

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 thermometer used to determine the temperature of the freezer was inoperable. Therefore, it could not be determined if frozen food was kept at zero degrees Fahrenheit or below.

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, food particles and a dried yellow substance was underneath the storage bin at the bottom of the refrigerator. In addition, dried food particles were on the sides, bottom and top surfaces of the microwave.

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 bservation, an infant's bottle, half filled with an orange liquid, was not covered in a child's storage cubby from 10:00 am until 12:30 pm. In adddition, a bottle was not covered in the nursery. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 21 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child's (DOE: 05/28/13) file had an immunization certificate valid until 07/23/13.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, written consent was not obtained for a fish to be in the presence of twelve (12) children in the three year olds' room.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Reports.

General: Based on interviews, the center failed to notify the cabinet that a caregiver, hire date 05/20/12, was named as the alleged perpetrator in a cabinet report of child neglect. Interviews determined the caregiver was named as the alleged perpetrator January 2013.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interviews, a caregiver, hire date 05/20/12, had supervisory and disciplinary control over children, and was named as the alleged perpetrator in a child neglect report in January 2013. The caregiver confirmed she supervised children in the preschool classroom from 7:30 a.m. to 5:30 p.m. Monday through Friday. Director Requirements

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 interviews, the director failed to provide for the safety and comfort of children by allowing a caregiver, hire date 05/20/12, who was named as the alleged perpetrator in a child neglect report, to have direct contact and supervisory authority over children at the center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on a review of documentation and interview, a child, enrollment date 05/26/10, had an immunization certificate on file that was valid until 10/04/12.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Nursery: Based on observation and interview, an infant's crib sheet was loose and not fitted to the crib mattress.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Three year olds' room: Based on observation and interview, a safety plug was not in an electrical wall outlet. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 44 Web site: http://chfs.ky.gov/ Inspection Report 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 2) Clean Not In Compliance Findings: Toddlers' room: Based on observation and interview, an accumulation of dust was on a ceiling vent located in front of the children's storage cubbies. 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 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs 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 5) Clean Light Fixtures Not In Compliance Findings: Nursery: Based on observation and interview, dead bugs were observed inside the ceiling light cover. 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 6) Pipes In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 44 Web site: http://chfs.ky.gov/ Inspection Report 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 3) Stoves Not Applicable 4) Heaters Not Applicable 5) Furnaces Not Applicable 7) Stairs Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a three (3) foot section of exposed black plastic and a two (2) foot section of exposed black plastic were underneath the arched climber on the three (3) year olds' 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 6 Sleeping and Napping Equipment.

Preschool: Based on observation and interview, five (5) rest mats were not two (2) inches thick. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 28 of 44 Web site: http://chfs.ky.gov/ Inspection Report 237 - Crib Mattress/Standards 922 KAR 2:120 - Section 6 (2) A crib shall: (a) Be equipped with a firm, comfortable waterproof mattress; and (b) Meet the standards set forth in 16 C.F.R. 1508 and 1509. 1) Mattress In Compliance 2) Meets Standards In Compliance 238 - Sheets/Covers 922 KAR 2:120 - Section 6 (3) Individual sheets and covers shall be: (a) Provided for a child; (b) Laundered a minimum of once per week or more often, if necessary; and (c) Stored in a sanitary manner. 1) Provided In Compliance 2) Laundered In Compliance 3) Sanitary Storage In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Nursery: Based on observation and interview, two (2) cribs were spaced five (5) apart.

Open Not marked corrected in the state record

Open / not marked corrected.