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

General: Based on observation and interview, the hot water temperature registered seventy-nine (79) degrees Fahrenheit at a sink located in the infants' room. Interview determined the hot water was cold due to not having access to the heating apparatus located under the sink in the locked cabinet. The staff member did not have a key to unlock the cabinet.

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, hot water did not dispense from the faucet when hot water knob was turned on in the infants' room. Therefore, the sink was not equipped with hot running water for handwashing. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the hot water was faucet was turned to the on position and no water dispensed from the sink located in the infants’ room. Therefore, there was no hot running water at the sink.

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 ventilation was inoperable in the three-year-olds' restroom. 2) The ventilation was inoperable in the back hallway restroom used by the two and three-year-olds. Therefore, each toilet did not have ventilation to outside air. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a lime green, gray, and white training chair had urine in it. This training chair was located in a restroom in the three-year-old's room. Therefore, the training chair was not emptied promptly after use. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, water flowed from the bottom of a locked cabinet when the hot water faucet was turned to the on position; therefore, the sink was not in good repair. This sink was located in the one-year-olds’ room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the following was found: 1) A staff member (DOH: 01/09/23) had fourteen (14) hours of annual training of the fifteen (15) hours of training completed between July 1 and the following June 30 of the subsequent year of employment. 2) A staff member (DOH: 06/12/23) had nine and a half (9 ½) hours of annual training of the fifteen (15) hours of training completed between July 1 and the following June 30 of the subsequent year of employment. Programming In Compliance 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the following was found: 1) The hot water temperature registered sixty-six (66) degrees Fahrenheit at a sink in the one-year-olds' room. 2) The hot water temperature registered seventy-eight (78) degrees Fahrenheit at a sink 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 following was found: 1) The ventilation was inoperable in the three-year-olds' restroom. 2) The ventilation was inoperable in the back hallway restroom used by the two and three-year-olds. Therefore, each toilet did not have ventilation to outside air. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an unapproved portable sink was located in the three-year-olds' room #2, which totaled four (4) portable sinks at the center. The center’s floor plan was documented by a staff member on 08/06/15 and showed three (3) portable sinks on the premises on 08/06/15. Therefore, the fourth portable sink in the three-year-olds' room was unapproved.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a staff member’s car keys with an Elvis keyring were on a table in the two-year-olds' #2 room. The keys were accessible to children in care.

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 and review of documentation, a staff member (DOH: 12/19/22) was listed under separated employees on the center's Kentucky Applicant Registry and Employment Screening (KARES) report and was present at the center. Interview determined the caregiver left the center during the last week of August 2022 and returned on 12/19/22. 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: 1. Wiring was exposed in an embedded box within a wall located near the backdoor in the two-year-olds #2 room. 2. Four electrical outlets were uncovered on a power strip connected to a portable sink in the toddlers’ room. 3. An electrical outlet was uncovered below a mounted television in the three-year-olds #2 room. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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, three (3) staff members (DOH: 09/21/23, 08/18/23, and 09/01/23) 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: 09/21/23) did not have TB documentation on file.

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 staff member (DOH: 08/17/22) did not complete the 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 11. Staff Requirements.

General: Based on review of documentation: 1. A staff member (DOH: 10/30/12) had nine (9) hours of training during the subsequent year of employment. 2. A staff member (DOH: 01/12/23) completed orientation training after the first three (3) months of employment on 05/02/23. 3. A staff member (DOH: 12/19/22) had not completed orientation training and had four (4) hours of training during the subsequent year of employment. 4. A staff member (DOH: 04/20/14) had twelve (12) hours of training during the subsequent year of employment. 5. A staff member (DOH: 09/01/22) had ten (10) hours of training during the subsequent year of employment. 6. A staff member (DOH: 08/17/22) had not completed orientation training and Pediatric Abusive Head Trauma Training. 7. A staff member (DOH: 06/12/23) had no training hours during the subsequent year of employment. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, eight (8) toddlers were grouped with a four-year-old preschool child for more than one (1) hour in the three-year-olds' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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: 1. Dead bugs were in three (3) light fixtures located in nursery #1 room and in one (1) light fixture located in the two-year-olds' #2 room. 2. A light bulb was not shatter-proof or shielded located in the two-year-olds' #2 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, two (2) backdoors were open and had no protection against the entrance of vermin. The backdoors were left opened while the children were on the 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 brown stain was on a corner ceiling tile located in the hallway next to nursery #1 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, an unapproved portable sink was located in the three-year-olds' room #2, which totaled four (4) portable sinks at the center. The center’s floor plan was documented by a staff member on 08/06/15 and showed three (3) portable sinks on the premises on 08/06/15. Therefore, the fourth portable sink in the three-year-olds' room was unapproved. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation: 1. The hot water temperature registered seventy (70) degrees Fahrenheit at a portable sink located in the toddlers’ room and nursery #2 room. 2. The hot water temperature registered eighty (80) degrees Fahrenheit at a sink located in the restroom in the two-year-olds' #2 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, the ventilation system was inoperable the restroom in the two-years-olds' #2 room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following sheets were loose on crib mattresses: 1. A dark navy sheet with star printed located in nursery #1 room. 2. A pink, yellow, and blue; a pink and gray bird printed, and a hot air balloon printed fitted sheets located in the toddlers’ room. 3. A star and moon printed sheet in the two-year-olds' room. In addition, a two (2) inch long tear was in crib mattress located in the two-years-old 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: 1. A two (2) inch long tear was in a red vinyl seat cushion on a wooden couch located in the three-year-olds' #1 room. The tear exposed the foam inside. 2. Smears and smudges were on the plexiglass of two (2) cribs in nursery #2 room. 3. An accumulation of dust was on a ceiling vent located in the two-year-olds' #2 room. Transportation Not Applicable Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 05/18/21, 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 05/18/21, did not include a preferred hospital documented in the enrollment information. 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 staff member (DOH: 09/01/22) did not have a professional development plan on file. 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 statement of deficiency and plan of correction for the current licensure year were not posted. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was no posted schedule of daily activities located in the one-year-olds’ room. Animals Not Applicable

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 3/6/22, did not have documentation of education on file.

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 5/2/22, had not completed the 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, a caregiver hired on 6/29/21, had no training hours during the first year of employment and had not completed the Pediatric Abusive Head Trauma Training. A caregiver hired on 9/30/20, had one and a half (1 1/2) hours of training during the subsequent year of employment. A caregiver hired on 5/2/22, had no training hours during the subsequent year of employment. Interview determined the caregiver had previously worked in childcare within the past five (5) years. A caregiver hired on 8/28/20, had thirteen and a half (13 ½) hours of training during the subsequent year of employment. A caregiver hired on 10/22/21, had seven and a half (7 1/2) hours of training during the subsequent year of employment. Interview determined the caregiver had previously worked in childcare within the past five (5) years. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, a two (2) inch thick pad was placed under a three-inch-thick crib mattress in the one-year-old's room. Interview determined a parent brought the pad from home to be placed in the child’s crib. Also, the child did not have a health professional waiver, on file, for an alternative the sleep position. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a can of Glade Spray was placed on the toilet tank in a restroom in the three-year-old's room. The label on the can indicated to keep out of the reach of children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, three (3) light fixtures had dead bugs in infants' room #1. Also, dead bugs were in a light fixture in the three-year-old's 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, peeling paint was on the baseboard near a sink in a three-year-old's restroom. A ceiling tile had a brown, stained circle in infants' room #1. A ceiling tile was missing above the restroom door in the three-year-old's room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a portable sink was originally approved to used in the toddlers’ room, but had been moved to the two-years-old's room; therefore, the portable sink no longer meets the plumbing code.

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 at seventy-two (72) degrees Fahrenheit at a portable sink in infants room #2 and the two-years-old's room. The hot water registered at seventy-nine (79) degrees Fahrenheit at a sink in the three-year-old's restroom. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, three (3) tears were on a diaper changing pad and the longest tear was one and a half (1 ½) inches long. The changing pad was in the infants' room #2. First Aid/Medication In Compliance Outdoor Play Area 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, an accumulation of large mushrooms had grown near a four (4) merry-go-cycle located in the older children’s outdoor play area. An approximate six- inch-wide concrete block, which secured a canopy to the ground had sharp edges and was raised approximately an inch above the rubber gravel on 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, five (5) slides did not have a protective surface underneath. These slides were placed on the ground in the younger children’s outdoor play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a gray fitted crib sheet and a rainbow print fitted crib sheet were loose on the crib mattresses located in the infant #2 room. A blue fitted crib sheet and a white fitted crib sheet were loose on crib mattresses located in the one-year-old's room. A crib mattress had a one-inch-long tear in the one-year-old's 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, smears and smudges were on the Plexiglass of five (5) cribs in infants' room #1 and on six (6) Plexiglass cribs in infants' room #2. A vanity was missing a door handle in the three-year-old's restroom. A shelf, which stored toys, had three (3) chipped areas in the one-year-old's room. The chipped areas exposed plastic dowel pins and one of the areas had sharp edges. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, two (2) Medela bottles were not labeled to indicate to whom each bottle belonged in a refrigerator, located in the hallway next to infant room #1. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable 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, three (3) caregivers hired on 6/29/21, 9/30/20, and 8/28/20, did not have a professional development plan on file.

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 earthquake drill for the first quarter of 2022, did not include the names of the children who participated and the time the drill was conducted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, an incident/accident report had two (2) children’s names and a written report of the incident posted in plain view on a board located 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 3. General Requirements.

General: Based on review of documentation, the center did not conduct a tornado drill for the second quarter of 2022. Also, the center did not conduct a lockdown drill for 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 8. General.

General: Based on observation, the center did not post information on the Kentucky Consumer Product Safety Program and the program’s website. Also, the current approval letter/license was dated 11/8/18.

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 gray carpet flooring had a frayed edge near the portable sink in the one-year-olds’ room #2.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 09/11/2021 AND AS OF 09/16/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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, five (5) caregivers hired on 9/5/19, 7/23/18, 4/20/14, 10/26/15, and 10/24/19, each had an evaluation on file dated 7/1/20. Also, a caregiver hired on 7/2/20, did not have an evaluation on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 9/28/20, did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) caregivers hired on 8/28/20 and 9/30/20, did not complete the six (6) hours of orientation training. A caregiver hired on 10/24/19, did not complete the Pediatric Abusive Head Trauma Training. A caregiver hired on 7/23/18, lacked six (6) hours of training. A caregiver hired on 4/20/14, lacked thirteen and a half (13 ½) hours of training. A caregiver hired on 10/26/15, lacked one half (1/2) hour of training. A caregiver hired on 10/24/19, lacked nine (9) hours of training. A caregiver hired on 6/17/14, lacked one fourth (1/4) hour of training. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, dead bugs were in a light fixture in the one-year-olds’ room #1, in three (3) light fixtures in the infants’ room, and in four (4) light fixtures in the one- year-olds’ room #2.

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 center purchased a new portable sink and placed it in the two-year-olds’ room. Interview determined the portable sink was purchased at the beginning of 2021 after a previous existing portable sink was no longer operable. 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

Open / not marked corrected.

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

General: Based on observation, the center purchased a new portable sink and placed it in the two-year-olds’ room. Interview determined the portable sink was purchased at the beginning of 2021 after a previous existing portable sink was no longer operable. The portal sink is not in accordance with requirements.

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 (70) degrees Fahrenheit at a portable sink between the infants’ room and one-year-olds’ room #1. The hot water temperature registered seventy (70) degrees Fahrenheit at two (2) separate portable sinks in the toddlers’ room and in the two-year-olds’ room. Also, the hot water temperature registered seventy (70) degrees Fahrenheit at a sink in the restroom of the older three-year-olds’ 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 child did not wash her hands with liquid soap and warm running water after a diaper change in the older 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 3. General Requirements.

General: Based on observation, a caregiver did not wash her hands with liquid soap and warm running water after a diaper change in the older three-year-olds’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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, soiled diapers were stored in an uncovered trash receptacle in the older 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, a caregiver placed a child on a carpeted floor and changed the child’s diaper in the older three-year-olds’ room. First Aid/Medication In Compliance Outdoor Play Area 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, plastic wrappers, a plastic cup, and pieces of foil were scattered across the ground of 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 Step 2 slide, a multicolor slide, and a Little Tikes slide were all placed directly on the ground with no protective surface in the 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, a blue mountain print fitted sheet, a pink/green floral print fitted sheet, and a car print fitted sheet were all loose on separate crib mattresses in the one-year-olds’ room #1. A pink fitted sheet and two (2) fitted mattress pad covers were loose on a crib mattress located in the one-year-olds’ room. A gray/white polka dot fitted sheet, a gray/white stripped fitted sheet, and a lama print fitted sheet were all loose on separate crib mattresses in the infants’ room. A gold heart print fitted sheet, a car print fitted sheet, and a blue/white striped fitted sheet were all loose on separate crib mattresses in the toddlers’ room. A pink fitted sheet, a butterfly print fitted sheet, and a gold heart print fitted sheet were loose on separate crib mattresses in the one-year-olds’ room #2. In addition, there was documentation on a Graco Portable Crib Model 4020 or on file that indicated the crib met the Consumer Product Safety Commission standards established in 16 C.F.R. 1219 – 1220. 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 13. Toys and Furnishings.

General: Based on observation, the knob to a faucet was turned off and water continuously dripped at a sink located in the hallway near the back door of the center. A wood post that held up the center of a yellow canopy was unstable and moved side to side in the outdoor play area. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the center did not a food service permit from the caterer, who catered the lunch meals. 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 review of documentation, the posted schedule of daily activities indicated lunch was served from 11:00 a.m. to 11:45 a.m. and snack from 2:50 p.m. to 3:15 p.m. in the toddlers’ room. Therefore, meals were not served every two (2) to three (3) hours. 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 3/31/21, did not have documentation on file for staff to contact the child's physician. 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 4/20/14, had a professional development plan on file dated 7/1/20. A caregiver hired on 10/26/15, had a professional development plan on file dated 7/3/20. 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

Open / not marked corrected.

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

General: Based on observation, three (3) children's allergy information were posted in plain view in the toddlers’ room. Documentation was not on file from each child’s parent authorizing the center to post the confidential information.

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 an earthquake and tornado drills during the second quarter of 2021. 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 8. General.

General: Based on observation, pages were missing from the Statement of Deficiency and Plan of Correction posted in the office area.

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, there was no date on the posted schedule of daily activities located in the one-year-olds’ room #2, older three-year-olds’ room, and two-year-olds’ room. Animals Not Applicable

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 7/2/2020, did not have a professional development plan on file on file.

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 crib was positioned near an uncovered electrical outlet in the nursery. A smoke detector was pulled apart from its base and hung from the ceiling in the toddlers’ room. 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, four (4) caregivers hired on 7/2/2020, 8/28/2020, 7/2/2020, 9/30/2020, and two (2) caregivers hired on 9/28/2020, did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 9/5/19, completed one and a half (1 ½) hours of cabinet approved Pediatric Abusive Head Trauma training on 12/7/13 and did not complete the training again within five (5) years. A caregiver hired on 4/20/14, completed one and a half (1 ½) hours of cabinet approved Pediatric Abusive Head Trauma training on 1/29/15 and did not complete the training again within five (5) years. A caregiver hired on 7/23/18, did not complete one and a half (1 ½) hours of cabinet approved Pediatric Abusive Head Trauma training. Two (2) caregivers hired on 11/1/19, 10/24/19, and two (2) caregivers each hired on 7/2/2020, did not complete six (6) hours of cabinet approved orientation training. 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, two (2) cans of Rid-A-Bug Wasp and Hornet Killer Spray were on the sidewalk next to the center’s back door, which led to the outdoor play area. A can of Glade Berry Merry and Bright Spray and a bottle of Castle and Key Hand Sanitizer was on a wall ledge in the two year olds’ room. Each bottle had a label that indicated it should be kept out of reach of children and was stored accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an empty plastic bag was on the wall ledge, which was thirty-seven (37) inches from the floor, in the two year olds’ room. The plastic bag was accessible to children and was not a part of the planned program of instruction.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an accumulation of dust was on a ceiling vent in the preschool room and in the restroom near the back door of 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 4. Premises Requirements.

General: Based on observation, a light was not shielded and did not have a shatter-proof bulb in the restroom near the back door of the center. A light bulb was not shielded and did not have a shatter-proof bulb in the two year olds’ room. Dead bugs were in a light fixture in the nursery. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 4. Premises Requirements.

General: Based on observation, brown spots were on five (5) ceiling tiles and several black spots were on a ceiling tile in the restroom near the back door of 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 sink was not immediately adjacent to a changing area, used for toddlers, in the preschool room. The nearest sink was in the adjacent room. A portable sink was not equipped with water in the nursery. Water sparingly dripped from a faucet on a portable sink in the toddlers' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a brown smear was on the toilet seat in the two year olds’ 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, small tears were in the diapering pad in the two year olds’ room. 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

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 tube of Boudreaux’s Butt Paste was not labeled to indicate to whom it belonged to and was in a cubby accessible to the children in the preschool room. A bottle of Equate Infants’ Pain and Fever, a bottle of Children’s Allergy Liquid Medicine, a bottle of Children’s Benadryl, a bottle of Children’s Pain and Fever, and a bottle of Children’s Ibuprofen were not labeled to indicate to whom they belonged to and were in an unlocked desk drawer in the office area. Natureplex Diaper Ointment and Auqaphor Diaper Ointment were not labeled to indicate to whom they belonged to in a cubby in the nursery. An orange substance in a medication cup was stored on a wall ledge in the two- year-olds’ room. An interview determined the orange substance was Tylenol. 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 packet of wipes, single sheets of wipes, paper, and a plastic cup lid were scattered across the ground of the younger children’s outdoor play area. A candy bar wrapper and several empty bags of Nu Play Rubber Mulch Nuggets were on the ground in 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, three (3) slides were placed on dirt, therefore, did not have a protective surface, on 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the quarterly, practiced earthquake and tornado drills conducted in the first, second and third quarters of 2020 did not detail the name of children participants. 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

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 twenty-three inch long tear and a fourteen inch long tear were on a crib mattress in the nursery. Loosely fitted sheets were on five (5) crib mattresses in the nursery. Loosely fitted sheets were on three (3) crib mattresses in the toddlers’ room. Loosely fitted sheets were on four (4) crib mattresses in the one year olds’ room. A manufacture date was not indicated on a crib label in the one year olds’ room, therefore, the crib did not meet safety standards. 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

Open / not marked corrected.

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

General: Based on observation, the front wheel was missing from a tricycle in the older children’s outdoor play area. An approximately four (4) inch long crack was on the stepladder of a blue and orange Little Tikes Slide in the older children’s outdoor play area. Handprints and dried smears were on the Plexiglas on five (5) cribs’ in the nursery. A portable sink was inoperable in the one-year-olds’ 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 8. Kitchen Requirements.

General: Based on observation, a thermometer was not in a refrigerator in the nursery.

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, staff served uncovered plates of food that they carried from the neighboring center, who catered the center's lunch meal. The food was uncovered and carried by staff through the outside air.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, two (2) bags of breast milk were not labeled in a refrigerator in the nursery.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, a weekly menu was not posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report 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 on 6/19/2020, had an immunization certificate on file that was valid until 9/12/2020.

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 6/15/2020, did not have information on field for staff to contact the child’s preferred hospital and physician. A child enrolled on 7/8/19, did not have authorization by the parent for the center to seek emergency medical care for the child in the parent’s absence and information on file for staff to contact the child’s preferred hospital. 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 8. General.

General: Based on observation, the center’s statement of deficiency and plan of correction for the current licensure year was posted behind the center’s articles of organization and an USDA Poster located on a board in the office area. Also, the center did not have information on the Kentucky Consumer Product Safety Program and the program's website, a description of services provided by the center, and the minimum staff-to-child ratios and group size posted. Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the center failed to assure : 1.) Machine washable toys shall not be used, in accordance with 922 KAR 2:405E Section6 (3). Several stuffed animals/toys and two (2) oversized cloth pillows were located in the preschool room. Several stuffed animals/toys were in the nursery, one-year-olds’ room, and two-year-olds’ room. In addition, five (5) cloth body baby dolls were in the toddlers’ room. 2.) 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). Two (2) caregivers hired on 8/28/2020, 9/30/2020, and two (2) caregivers each hired on 9/28/2020, did not complete the mandatory training. 3.) New staff shall undergo name-based background in accordance with 922 KAR 2:280 and shall not be left alone with children until name-based background checks have been approved and returned, in accordance with 922 KAR 2:405E Section 11(5). A caregiver hired on 9/30/2020 and two (2) caregivers each hired on 9/28/20, did not have documentation to verify criminal records check had been submitted.

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, a staff member tested positive for COVID-19 on 8/14/2020, however a report was not made to the Division of Regulated Child Care until 8/17/2020. Therefore, the report was not submitted to the cabinet within twenty-four (24) hours. Employee Records 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 center's back door, which led to the outdoor play area, was allowed to remain open for approximately twenty (20) minutes. 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, protective surface material was not under three (3) slides and one (1) climbing dome on the younger children's outdoor play area. Instead, these four (4) items were placed on grass . An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 9. Records.

General: Based on review of documentation, a staff member, hired 10/1/12, had a professional development plan on file dated 7/20/18.

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, two (2) electrical outlets in the break room did not have safety plugs. The break room was used as a walkthrough by preschool children and two- year-old children. One (1) outlet was not covered in the eight (8) weeks to one (1) year old's room. A twelve (12) foot electrical cord was attached to an infant's swing, stretched across the floor and plugged into an electrical wall outlet The cord was accessible to infants in the classroom. 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 and review of documentation, staff hired 6/18/19, 7/13/17, 8/19/19, 8/12/19 and 8/14/19, did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, staff hired 4/20/14, 3/16/17, 7/16/17 and staff hired 10/30/12, had not completed fifteen hours of training during their subsequent year of employment. Staff hired 6/7/14, completed one (1) hour of training. Staff hired 10/30/12, completed one and a half (1 1/2) hours of pediatric abusive head trauma training on 5/21/14. Therefore, the training was not completed within five (5) years. 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 a review of documentation and interview, the program of activities in the eight (8) weeks to one-year-old room was not available. Also, the program of activities in the two-year-olds' room was not dated. 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 and interview, an accumulation of dust was on restroom vents located in the hallway and in the two-year-olds' room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on testing of the water temperature at the portable sink in the two- year-olds’ room and in the eight (8) weeks to one (1) year old room, determined the sink did not have hot and cold running water. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation urine was observed in toilet training chair located in the two (2) year olds’ room.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the diaper changing mat was torn in several places in the two-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 and interview, medical tape was not available in the first aid kit. In addition, interview confirmed the first aid kit was not inventoried. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, two (2) crib mattresses were torn with foam exposed in the eight (8) week to one (1) year old room. Four (4) fitted crib sheets were loose on four (4) mattresses in the eight (8) weeks to one (1) year old room and two (2) fitted crib sheets were loose two (2) mattresses in the toddler's room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 6. Sleeping and Napping Requirements.

General: Based on observation, five (5) red and blue rest mats were torn with foam exposed 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 11. Toys and Furnishings.

General: Based on observation and interview, a closet door handle was missing in the toddlers' room. Transportation Not Applicable Food Service/Food Program 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, twenty (22), three (3) and four (4) year olds' present for lunch were served whole milk. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the indicating thermometer in the refrigerator registered 58 degrees Fahrenheit.

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 indicating thermometer in the freezer registered 58 degrees Fahrenheit although the freezer food was frozen. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and review of documentation, a child enrolled 10/2/15, had an immunization certificate valid until 8/21/19.

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 observation and interview, a child enrolled 8/8/19, enrollment information did not list the name of the preferred hospital. A child enrolled 8/8/19, did not have authorization by the parent for the child care center to seek the emergency medical care for the child in the parent's absence. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, review of documentation and interview, staff hired 4/20/14, 7/13/17, 3/16/17, and 7/16/17, did not have a written annual plan for professional development.

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, the center did not conduct quarterly earthquake and tornado drills during the 2nd quarter. The last documented earthquake and tornado drill was conducted on 1/25/19.

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 observation, two (2) children's allergy information was posted on the wall in the infant/toddler room. A child's allergy information was posted on the wall in the eight nursery to toddler room and four (4) children's allergy information was posted on the wall in the toddlers' room. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6

Open Not marked corrected in the state record

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 09/08/2018 AND AS OF 09/13/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 08/01/17, did not have her education verification on file. 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

Open / not marked corrected.

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

General: Based on observation, a caregiver hired 06/13/16, and a caregiver hired 04/20/16, each did not have one and one-hlaf hour (1 1/2) hour of pediatric abusive head trauma training. A caregiver hired 06/13/16, a caregiver hired 04/20/16 and a caregiver hired 06/17/14, each completed one (1) hour of annual training. A caregiver hired 06/13/16, completed 2.5 hours of annual training. A caregiver hired 10/26/15, completed 10.5 hours of annual training. A caregiver hired 04/20/14, completed 11 hours of annual training. A caregiver hired 10/30/12, completed 9 hours of annual training. 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 bottle of hand sanitizer and a can of disinfectant spray were on the changing table beside the changing mat, accessible to the children in the toddlers' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, an accumulation of dust was on the vent in the hall restroom. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, two (2) toddler children and a preschool child did not wash their hands when they arrived. Four (4) preschool children did not wash their hands after they played with colored Play-Doh. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a caregiver did not wash her hands after she wiped a toddler child's nose.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, there were loose papers, child-size scissors, a comb, pens, a thermometer and a pacifier clip stored underneath the changing mat in the infant/toddlers' room. Loose toilet paper sheets, a bag of rubber gloves, a pacifier, loose paper, a folded plastic bag, markers and pens were stored underneath the changing mat in the front toddlers' 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 and interview, there was no medical tape, no flashlight and no CPR mouth piece protector available at the center. In addition, the center also did not inventory their first aid supplies. 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

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, a bottle of Propranolol 20 mg was on a shelf and not stored in a locked place in the toddlers' room. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, there were one (1) to four (4) feet tall patches of grass alone the fence, in the children's outdoor play area. The mulch was sparse around five (5) slides.

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, a wooden plank was missing from the fence that surrounded the 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 11. Toys and Furnishings.

General: Based on observation and interview, the wooden changing table rocked back and forth and side to side when touched in the infant/toddlers' room. Also, the diaper changing mat was too large for the diapering table. The mat was approximately two and five-eighth (2 5/8) inches to large. The chipped and flaked paint were on the wall in the toddlers' room. The door handle was missing from the closet in the toddlers' room. The car imprinted rug, the colored, square imprinted rug, and the purple/green pillow were stained and dirty in the preschool room. Two (2) ceiling lights did not work in the preschool room. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report 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 and interview, a child enrolled 06/01/18, 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 and interview, a child enrolled 05/06/15, did not have her preferred hospital and family physician information. A child enrolled 06/01/18, did not have his enrollment information on file. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the center failed to maintain the names of the children who participated in the fire, earthquake and tornado drills. 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 8. General.

General: Based on observation and interview, the statement of deficiencies/plan of correction was not posted for the current licensure year. The center received a civil monterary penalty (CMP) dated 10/06/17 but failed to post the documenation. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff, hired on 04/20/14, had an annual written performance evaluation that was dated 02/19/16. 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 staff, hired on 04/09/17, 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 staff, hired on 04/09/17, did not complete six (6) hours of cabinet approved orientation training. A staff, hired on 10/30/12, had documentation of completing nine (9) 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 2 Inspection Report Programming In Compliance Hygienic Practices In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, four (4) infants slept in individual cribs that touched another crib in the one-year-olds' room. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a bottle was uncovered in the infants' room. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a child, first date of attendance on 08/14/15, did not have information on file for staff to contact the child's preferred hospitial. 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 staff, hired on 10/30/12, had an annual professional development plan on file that was dated 07/20/16. A staff, hired on 04/20/14, had an annual professional development plan on file that was dated 06/05/14. A staff, hired on 06/17/14, had an annual professional development plan on file that was not dated.

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, there was no posted schedule of daily activities in the infants’ room and 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 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation, two (2) caregivers hired on 6/13/16 and 5/27/16, did not have an annual evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 8/1/17, supervised four (4), one-year-olds for approximately five (5) minutes. This caregiver did not have a processed child abuse and neglect check and criminal records check on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) caregivers hired on 3/20/17 and 7/13/17, and two (2) caregivers, each hired on 8/1/17, did not have documentation of education on file. 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

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 6/17/14, had TB documentation on file dated 2/13/15.

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, four (4) caregivers hired on 3/16/17, 6/13/16, 3/20/17, and 5/27/16, did not complete six (6) hours of orientation training. A caregiver hired on 4/20/16, did not complete the orientation until 9/6/16, which was not within the first 90 days. Five (5) caregivers hired on 6/13/16, 4/20/16, 10/26/15, 6/13/16, and 5/27/16, did not complete Pediatric Abusive Head Trauma Training. Five (5) caregivers hired on 6/13/16, 4/20/16, 10/26/15, 6/13/16, and 5/27/16, had not completed nine (9) hours of training during the first year of employment. A caregiver hired on 4/20/14, lacked thirteen and a half (13 1/2) hours of training; a director hired on 10/30/12, lacked twelve and a half (12 1/2) hours of training, and a caregiver hired on 6/17/14, lacked fifteen (15) hours of 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, a daily planned program of activities was not posted 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 3. General Requirements.

General: Based on Observation, adult music played on the radio, 92.5 WKBR, in the one-year-olds' room. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there were several large, brown soiled spots in the carpet of the two-year-olds’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the hot water registered seventy-eight (78) degrees Fahrenheit at the portable sink in the one-year-olds’ 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, a training chair had been used and not immediately cleaned after use in the toddlers’ room.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, a diaper changing pad was torn in several places in the infants’ room. First Aid/Medication In Compliance Outdoor Play Area 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, there was a thirty-two (32) inch long break in a wooden fence plank in the outdoor play area. The broken area had sharp points that were accessible to children. 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 Review of Documentation, seven (7) fitted crib sheets were loose on seven (3) mattresses in the infants’ room. Also, a rail was detached from a crib’s frame located in the infants’ room. Six (6) fitted crib sheets were loose on six (6) crib mattresses in the one-year-olds’ room. A mattress was torn on both sides and exposed foam in 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 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on Observation, a red mat was torn on one end in the closet near the preschool and two-year-olds’ rooms. Also, a red mat was torn on the end on a table near a copier.

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, two (2) cribs were placed ten (10) inches apart and three (3) cribs were placed next to each other in the infants’ room. Four (4) cribs were placed next to each other in the one-year-olds’ room. Transportation Not Applicable Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a child enrolled on 6/14/16, 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, a child enrolled on 6/14/16, did not have physician's contact information and preferred hospital in his enrollment information. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, five (5) caregivers hired on 6/13/16, 4/20/14, 10/26/15, 6/13/16, and 5/27/16, and a director hired on 10/30/12, did not have a professional development plan on file. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, fire drills conducted for August through December 2016, did not include the names of children who participated in the fire drills.

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 Review of Documentation, there was no documentation of conducted earthquake and tornado drills for the first and second quarters of 2017. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there was no posted proper methods of diapering located in infants’ room and one-year-olds’ room. Animals Not Applicable

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, information concerning six (6) children's food allergy was posted on the wall in the 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 4. Director Requirements and Responsibilities.

General: Based on Observation, four (4) outlets did not have safety plugs in the three (3) year olds' room. Two (2) children wore a teething necklace around their neck in toddler room #2. One (1) child was observed with the necklace in her mouth. Interview determined the children wore the teething necklaces when they slept. Review of the warnings and caution signs indicated these necklaces should be removed when the child sleeps or is unattended. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, four (4) staff each hired 10/2/15, 10/26/15, and two (2) hired 6/13/16, did not have verification of their education on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, staff hired 4/20/14, had TB documentation dated 6/3/14.

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, two (2) crib sheets were loose fitting in the nursery.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, staff hired 4/20/16, did not complete orientation training. Staff hired 10/26/15, completed orientation training on 2/22/16, which was not within the first three (3) months of employment. Also, staff hired 4/20/14, lacked five (5) hours of training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the posted planned program of activities in the three (3) and four (4) year olds' classroom was dated July 1 - 7, 2016.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the children present in the Toddler I classroom and in the Toddler II classroom listened to WBKR radio.

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, the portable sink was not working in toddler room #1. Interview determined the children present used hand sanitizer.

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 brown substance was on the base of the commode. Hygienic Practices

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, staff hired 5/27/16, did not wash her hands with liquid soap and warm running water after she wiped a two (2) year old child's nose.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the training chair had not been emptied and contained urine in the two (2) year olds' restroom.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the changing mat was torn and had exposed foam in the Toddler II classroom, the two (2) year olds' classroom and the mat, on the diapering table along the back hallway adjacent to the restrooms, was torn and had exposed foam.

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 ice was inside the freezer in the nursery. Breast milk that belonged to a child was in this freezer. Also, a red and blue square block was torn with foam exposed in the Toddler I. In addition, the portable sink in the nursery had a foul odor and fruit flies were observed coming from the sink.

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 thermometer registered zero (0) degrees Fahrenheit in the refrigerator located in the nursery.

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 1/26/15, 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 5. Evacuation Plan.

General: Based on Review of Documentation and interview, the center's evacuation plan had not been updated since 10/12/14.

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, five (5) staff, hired 10/2/15, 10/26/15, 6/7/14, 4/20/14, and 10/17/15, did not have a professional development plan on file.

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 interview, the portable sink was not working in toddler room #1. Interview determined the motor burned out.

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, one sleep mat was torn in the preschool 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, a child enrolled 05/28/14, had an immunization certificate which was current until 06/11/15; a child enrolled 03/21/14, had an immunization certificate which was current until 07/06/15, and a child enrolled 01/16/14, had an immunization certificate which was current until 01/30/15. A child enrolled 04/17/14, 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation, two (2) children on 08/04/15, and one (1) child on 08/03/15, did not have a documented departure. Also, two (2) children on 08/05/15, did not have a documented arrival time.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the daily schedule did not include a date in the preschool. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 25 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, these caregivers did not complete orientation training within the first three (3) months of employment: A caregiver hired 06/03/14, completed orientation training on 04/14/15; a caregiver hired 06/17/14, completed orientation training on 07/24/15, and a caregiver hired 09/20/14, completed orientation training on 01/29/15. Also, two (2) caregivers each hired 12/11/14, did not complete orientation training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, an infant child had a bib around her neck while she slept in the crib in the infants' 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, a caregiver hired on 5/15/14, did not maintain a TB skin test on file. Equipment

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, seven (7) children, ages three (3) and four (4) years old, were not provided bedding (a sheet and cover) during nap. Food Service

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the posted food service permit was dated 12/31/14. Interview with the director determined the center had a contract with Ryan's to cater the food but did not have a food service permit from the establishment.

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, a wooden fence had a broken plank which left an opening that was fourteen (14) inches long on the playground. The broken area in the wooden plank had sharp 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, a loose crib sheet was placed on a crib mattress in the mobile infants' 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, a child enrolled on 2/14/13, had an immunization certificate that was valid until 7/6/14.

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 review of documentation, a caregiver hired on 5/29/13, did not have an annual written performance evaluation. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a manufacturer recalled light blue Bumbo Seat was utilized by an infant in the infants' room. Interview determined staff was not aware the Bumbo Seat had been recalled. A review of the Consumer Product Safety Commission recall information determined the Bumbo Seat was recalled in 2007, and instructed consumers to order a free repair kit which included a restraint belt and a warning label.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 6/3/14, did not have documentation of education on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 5/29/13, lacked one (1) hour of early care training during her 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 observation, a posted program of activities was documented for toddlers 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, a diaper changing table and a toilet training chair were in the two (2) year olds' room. The two (2) year olds' room was not equipped with a sink. Interview determined a portable sink was moved from the toddlers' room to the two (2) year olds' room when needed for diaper changing or toileting, but the portable sink was not present in the two (2) year olds' room on 7/29/14.

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 training chair was placed on foam mats in the two (2) year olds' room. Therefore, the chair was not placed on a impervious surface.

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, pine needles were used as protective surface under three (3) Little Tikes Slides and one (1) Step Two Slide on the 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, seven (7) children were not provided a cover during naptime in the two (2) year olds' room, and six (6) children were not provided a cover during naptime in the toddlers' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, two (2) blue throw pillows were soiled in the reading area of the two (2) year olds' 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, a microwave had layers of food splatters on the inside walls of the microwave located in the back hallway of the center.

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, two (2) bottles were not covered in a small white refrigerator located in the break room.

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 jug of whole milk was in a small refrigerator in the break room. Interview determined all children present were served whole milk because staff were unaware children were to be served different types of milk according to the child's age.

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, children were served bologna and cheese sandwiches on white bread for lunch. Interview determined the bread was not whole or enriched grain.

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 child drank from a sippy cup while on a cot during naptime in the two (2) year olds' room.

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, the posted menu was not dated in the break room.

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, eleven (11) children in the preschool #1 room and nine (9) children in the preschool #2 room were served grape flavored water with their lunch. Children's Records

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, ten (10) children enrolled on 4/14/14, 3/11/13, 1/20/14, 1/7/14, 12/3/12, 2/14/13, 4/16/14, 10/7/13, 10/29/13, and 6/30/14, did not include a preferred hospital in their enrollment information. Five (5) children enrolled on 3/11/13, 1/20/14, 10/7/13, 10/29/13, and 6/30/14, did not have their general health status and medical history in their enrollment information. Two (2) children enrolled on 10/7/13 and 10/29/13, had a physician’s name written on their enrollment information, but did not include the physician’s contact phone number. A child enrolled on 10/29/13, did not include the name of each person designated to pick-up the child. A child enrolled on 6/30/14, did not include the name and phone number of a person to be contacted in case of an emergency and a parent’s signature. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) children's parents did not sign the children's daily attendance record to verify accuracy of the week their child attended for 4/7/14 - 4/11/14 and 4/20/14 - 4/24/14.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 10/30/12, did not have a written annual plan for professional development.

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, there was no posting of the proper methods of diapering and hand-washing at a diaper changing area located in the back hallway of the center. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the monthly fire drills did not list the children who participated in the drills for 2013.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the center did not have a written orientation policy.

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 observation, a caregiver hired 10/30/12, did not maintain proof of her education document.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, two (2) caregivers hired 5/30/13 and 1/5/13, did not have educational documents available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 10/30/12, did not have educational documents available for review. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 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 4. Premises Requirements.

General: Based on observation, blades of tall grass were in the enroute area to the playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, two (2) caregivers hired 10/30/12, had not completed six (6) hours of cabinet-approved orientation within the first three (3) months of their employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, one (1) crib mattress was torn 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, four (4) bottles were not label in the refrigerator located in the infants' 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, immunization certificates were not maintained for a child enrolled 12/3/12, two (2) children enrolled 12/10/12, one (1) child enrolled 12/17/12, and one (1) child enrolled 2/14/13.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, seven (7) out of twenty (20) children present on 7/10/13, did not have documented arrival times.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the earthquake and tornado drills did not list the children who participated in the first quarter drills of 2013.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the director failed to conduct, manage, and document staff meetings. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, two (2) caregiver hired 1/15/13 and 5/30/13 were left alone with children and had not received the results of a criminal records check.

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, a caregiver hired 5/30/13, supervised five (5) infants but did not have a processed criminal records check on file. A caregiver hired 1/5/13, supervised six (6), two year old children and had not submitted a criminal records check. Also, a criminal records check was not submitted from the state of Florida for the caregiver hired 1/5/13.

Open Not marked corrected in the state record

Open / not marked corrected.