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

General: Based on interview and review of documentation, a staff member (DOH: 08/01/99) was not CPR/first aid trained.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. A staff member (DOH: 08/01/18) completed the one and one half (1 1/2) hours of cabinet approved pediatric abusive head trauma on 03/14/19 and did not complete the pediatric abusive head trauma again within five (5) years. 2. A staff member (DOH: 07/26/23) did not complete the one and one half (1 ½) hours of cabinet approved pediatric abusive head trauma within the first year of employment. 3. A staff member (DOH: 07/19/24) completed the six (6) hours of cabinet approved orientation training on 12/04/24, which was not completed in the first three (3) months of employment. The ECE-TRIS training report was reviewed on 03/05/25.

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 staff member did not wash her hands with liquid soap and warm running water after she wiped a child’s nose in the one-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 7. First Aid and Medicine.

General: Based on observation and interview, a first aid book was not included in the center’s first aid supplies.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, the following was found: 1. Several tree limbs were on the ground on the large playground. 2. A thirteen (13) inch tree root protruded approximately one (1) inch root above the dirt and presented a tripping hazard on the large playground. 3. Several roots, which were coiled together in front of the last step, protruded approximately one (1) inch above the dirt and presented a tripping a hazard on the small playground.

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 interview and review of documentation, a child, enrolled on 10/25/22, did not have a family physician and a preferred hospital listed on the enrollment form.

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, interview and review of documentation, a staff member (DOH: 04/11/24) did not submit a criminal records check, a sex offender registry check, and the child abuse/neglect check, to Illinois, which was a previous state of residence within the last five (5) years. The staff member was observed supervising children in the preschool II classroom alone on 06/04/24. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, interview and review of documentation, the fire marshal inspection was conducted by a local fire marshal on 08/09/19. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Employee Records 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 11. Staff Requirements.

General: Based on interview, two (2) staff members (DOH: 01/19/24, and 05/10/24) 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 interview and review of documentation, the following was found: 1. Documentation presented for a staff member (DOH: 09/06/19) included the most recent TB skin test dated 09/07/21, which was no longer current. 2. Documentation presented for a staff member (DOH: 09/18/17) included the most recent TB skin test dated 02/08/22, which was no longer current. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, pop music was played and was not a part of the planned program of instruction in the two-year-olds classroom. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a child, first date of attendance on 12/09/20, did not have information on file to enable the person in charge to contact the child’s preferred hospital. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on interview, it was found that there was no staff member that was First Aid/CPR certified at the time of an incident when a child sustained an injury that required medical attention on 04/29/24.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and interview, a radio cord hung down onto a child-size table and was accessible to the children in the preschool II classroom. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the director failed to provide staff with a copy of the current administrative regulations, 922 KAR 2:120. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, adult county music was played in the toddler 1 classroom.

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 and interview, an infant slept with a blanket and a bib around her neck in an individual crib in the Nursery. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a toilet was not flushed and had urine and feces visible in the toilet located in the preschool II classroom. 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 and interview, a staff member failed to wash her hands with liquid soap and warm running water after two (2) diaper changes and after wiping another child’s nose in the toddlers' I 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: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, soiled diapers were stored in an uncovered trash receptacle in the one-year-olds' restroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, socks, a pair of children’s shorts, a spray bottle of Suave Hand sanitizer, a large rubber band, and a can of Clorox 4 in one Disinfectant were not used for diaper changing and were stored on the diaper changing surface in the Toddler I's classroom. 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 interview and review of documentation, the medication log did not have the name of the person who administered Tylenol on 04/20/23 and the person who administered Aquaphor on 04/26/23. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, rust and chipped paint were on two (2) green and yellow metal stationary apparatuses on the older playground. A pink toddler swing and a blue toddler swing had a thick black substance which covered the entire seat on the infants' and toddlers' playground. 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 interview, there was no temperature measuring device to verify the temperature was maintained at forty (40) degrees Fahrenheit or below of a portable refrigerator/freezer located in the Nursery. 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 8. Kitchen Requirements.

General: Based on observation and interview, two (2) bottles were not labeled in the refrigerator in the nursery. In addition, six (6) bottles were not labeled in the portable refrigerator in the toddler I classroom. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a child enrolled 09/19/22, had an immunization certificate on file that was valid until 12/18/22.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, five (5) children, enrolled on 10/25/22, 12/09/20, 09/19/22, 10/22/22 and 12/02/22, each did not have a preferred hospital listed in the enrollment information. In addition, a child enrolled on 10/25/22, did not have the phone number for the child's physician listed 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 interview and review of documentation, thirty-five (35) children were present on 05/24/23, and only thirty-one (31) children had an arrival time documented. Therefore, four (4) children did not have an arrival time documented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the center's statement of deficiencies and plans of correction for the current licensure year were not posted. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, recurring staff meetings were conducted but were not documented. 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 3/3/22, did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, three (3) caregivers, hired on 8/1/18, 2/20/21 and 9/21/21, were not first aid/CPR trained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, two (2) caregivers, hired on 8/5/21 and 9/21/21, did not complete six (6) hours of cabinet approved orientation training within the first three (3) months of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the center's food service permit was valid until 12/31/21. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, a child, enrolled on 2/16/22, had an immunization certificate on file that was current until 3/18/22. A second child, enrolled on 8/3/21, had an immunization certificate on file that did not have an expiration date. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 8/3/21, did not have information on file for staff to contact the child's physician. Three (3) children, two (2) enrolled on 9/21/20 and one (1) enrolled on 8/3/21, each did not have information on file for staff to contact the child's hospital. Three (3) children, enrolled on 9/21/20, 8/3/21 and 8/24/21, each did not have health information pertaining to allergies 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 observation, interview and review of documentation, twenty-seven (27) children were present on 4/4/22, and only three (3) children had an arrival time documented. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 10/30/2021 AND AS OF 11/04/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, center notified the cabinet on 08/19/2021, that a child tested positive for Covid-19 on 08/12/2021. This information was not reported to DRCC within twenty-four (24) hours of discovery. Exposed staff members and children were quarantined on 08/12/2021 based on local health department instructions. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a six-year-old child was combined daily with the two-year-old and three-year-old children during the week of 08/09/21.

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 the vent in the one-year-olds' restroom. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a staff hired 09/06/19 had an annual written evaluation on file that was dated 2018. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the program of activities was dated 2020 and was not followed in the nursery. The program of activities was dated 04/07/21 to 04/21/21 and was not followed in the one-year-olds' classroom. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, medical tape was not included in the first aid supplies. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 deflated lime green plastic play apparatus and a black plastic garbage bag were on the two-year-olds' playground. Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled 12/11/19 had an immunization certificate on file that was valid until 4/30/21. Also, a child enrolled 11/03/20 had an Illinois shot record on file instead of 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 09/21/20 did not have allergy information listed on the enrollment form. 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 09/18/17 did not have written professional development plan on file. Also, a staff hired 09/06/19 had a written professional development plan on file that was dated 2018. Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: Based on observation and interview, three (3) caregivers allowed their mask to hang down the side of their face and their mouth and nose were exposed. A caregiver wore a mask gathered underneath the chin which left the mouth and nose exposed. A caregiver stood in the hallway but wore the mask below her nose. In accordance with 922 KAR 2:400E Section 7, each adult, including parents and guardians at drop-off and pick-up, shall wear a face mask while inside a child care center or family child care home.

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, one (1) staff member was observed supervising six (6) children in the infants’ room. The children's ages ranged from eleven (11) months old to twelve (12) months old. Therefore, minimum staff/child ratio was not maintained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, activities involving parent or family participation, for the subsequent year, were not documented and available for review. Interview with staff member determined the center had activities involving parents, but documentation was not on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member hired 09/25/17, had a TB skin test dated 09/14/17.

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 hired 09/18/17, completed thirteen and one half (13 ½) of the fifteen (15) hours of cabinet approved training during their subsequent year of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a four-ounce tube of Gentle Steps baby ointment was stored on the bottom shelf of an unlocked changing table in the Infant I room. In addition, a thirty (30) ounce bottle of Germ-x hand sanitizer was stored on the bottom shelf of an unlocked changing table. An eight (8) ounce can of Glade air freshener was stored on the bottom shelf of an unlocked changing table in the infant I room. All of these items were accessible to children and the warning label for each stated, "Keep out of 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, two (2) grey 5x6 area rugs were torn and the fabric was raveled around the edges in the preschool room. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a staff failed to wash her hands with liquid soap and warm running water after wiping a child’s nose in the infant II room. In addition, a staff member failed to wash her hands with liquid soap and warm running water after diapering a child in the one-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 and interview, soiled diapers were stored in an uncovered trash receptacle in the one-year old restroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, there was no diaper changing pad on the changing table in the infant II room. A changing table was cracked and busted in several areas in the one-year-old room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: 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 one-ounce tube of Comfort infant gas relief was stored in an unlocked box in the infants’ room and was not labeled to indicate to whom it belonged. In addition, a 6.9 ounce tube of Coppertone kids sport sun-block was stored in an unlocked box and was not labeled to indicate to whom it was intended in the three-year-olds’ room. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a wooden border around the school bus apparatus was separated and a metal stake protruded upwards two (2) inches on the smaller children’s outdoor playground. The sand box was uncovered and filled with water on the older children’s playground. There were two (2) Little Tikes Playhouses that were broken apart and scattered throughout the older children’s outdoor playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a handle bar was missing from a Little Tikes pink riding toy located on the smaller children’s outdoor playground. In addition, a Fisher Price elephant- shaped riding toy was busted in the front and back on the smaller children’s outdoor playground. Handle bars on one (1) teeter-totter had rust and chipped paint on the older children's outdoor playground. A foam cushion on the adult chair was heavily soiled in the infant II room. One (1) Aero Speed box fan was covered in lent and grim in the infant II room. Two (2) Fisher Price space saver high chairs, used during lunch, had the safety straps removed in the infant II 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 and interview, there was no temperature measuring device to verify the temperature was maintained at forty (40) degrees Fahrenheit or below in a portable refrigerator located in the infant II room. In addition, the freezer compartment of the portable refrigerator/freezer was frozen shut with an excessive amount of ice. 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 8. Kitchen Requirements.

General: Based on observation, one (1) four-ounce Dr. Browns infant bottle, in the portable refrigerator, was not labeled to indicate to whom it belonged in the infant I 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 and interview, a plastic bowl filled with pineapples was stored uncovered in the white refrigerator located in the kitchen. 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 and interview, one (1) child enrolled 02/11/19, did not have an immunization certificate on file. In addition, one (1) child enrolled 01/29/19, had an immunization valid until 06/28/19.

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 review of documentation and interview, four (4) children enrolled 9/12/19, 01/29/19, 2/17/20 and 12/11/19 did not have the phone number for their physician listed on the enrollment information. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 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 observation, review of documentation, and interview, twenty-seven (27) children were present on 03/06/2020 but only twenty-five (25) had an arrival time documented.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, a staff member, hired on 08/01/18, had an annual written professional development plan on file that was dated 11/01/18. A staff member, hired on 06/27/18, had an annual written professional development plan on file that was dated 08/20/18. A staff member, hired on 03/05/18, had an annual written professional development plan on file that was dated 05/04/18. A staff member, hired on 09/25/17, had an annual written professional development plan on file that was dated 10/01/18. A staff member, hired on 09/18/17, had an annual written professional development plan on file that was dated 10/01/18. 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 and interview, a lesson plan was not created in the one-year-old classroom. Animals Not Applicable

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 interview, a staff member supervised more than six (6) children and one (1) year old on 2/3/2020. Interviews determined the staff member supervised these children for approximately twenty (20) minutes. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Category: ratio. 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 03/05/18, did not have an annual written performance evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview, a staff person modified a three-month-old child's bottle by cutting the nipple and adding rice cereal to the child's formula without parent permission. The child had not previously been fed rice cereal mixed with formula and cried after being fed the rice cereal as a result of an upset stomach. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff, hired on 09/06/19, did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, an infant slept in a rocker style seat and a second infant slept on a plush pillow on the floor in the infants’ room. Neither infant had a signed waiver by a health professional stating the infant required an alternate sleeping position. First Aid/Medication 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 3. General Requirements.

General: Based on interview and observation, a staff person placed an infant in a crib to bottle feed in the infants II 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 bottle was not labeled and was not covered in the infant II room. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, written permission for the center to administer gas drops to an infant on 12/12/19, and the medication administration record for the gas drops were not maintained on file at the center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, five (5), two-year-old toddlers were grouped together with two (2), three-year-old children for two and a half (2 ½) hours and were not in a transition program in the two-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 and interview, an unscreened door, which led directly to outside, was open for five (5) minutes in the one-year-olds’ room. An unscreened door, which led directly to outside, was open for ten (10) minutes in the nursery. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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, first date of attendance on 01/03/18, did not have information on file to enable the person in charge to contact the child’s physician.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the center's Fire Marshal inspection report, dated 01/29/18, documented the center received failed results. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, staff meetings were conducted but were not documented.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff, hired on 03/05/18, did not have an annual written performance evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a staff, hired on 09/18/17, received six (6) hours of cabinet approved orientation on 12/28/18, which was not within the first three (3) months of employment. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a caregiver’s jacket hung on a hook and was approximately two (2) feet from the floor. A caregiver’s bottle of Equate Ibuprofen was stored on the diapering station in the two-year-olds’ room. A gallon of bleach was stored on a toilet tank in the one-year-olds’ restroom. A bottle of bathroom cleaner and Arm and Hammer carpet odor eliminator were stored on a cart in the two-year-olds’ restroom. A pair of sharp adult scissors was stored in a green container on a three foot high shelf in the three-years-olds’ room. All of these items were accessible to children

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a plastic bag full of wadded up plastic bags hung on a hook and was accessible to children in the school-age room. These bags were not a part of the planned program of instruction. 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, eleven (11) children failed to wash their hands with liquid soap and warm running water after eating lunch in the one-year-olds’ room. Twelve (12) children failed to wash their hands with liquid soap and warm running water after eating lunch in the four and five-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

Open / not marked corrected.

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

General: Based on observation, a staff failed to wash her hands with liquid soap and warm running water after feeding a child in the nursery. A staff failed to wash her hands with liquid soap and warm running water after wiping a child’s nose in the nursery. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a bottle of Children’s Benadryl, concentrated Motrin drops, an ounce tube of Perrigo Hydrocortisone cream, and a three (3) milliliter container of Albuterol Sulfate solution were stored in an unlocked box in the nursery. Two (2), two ounce tubes of Desitin, and two (2) tubes of Vitamin A and D ointment were stored unlocked on top of a miniature refrigerator located on the floor. A tube of Calmoseptine and a tube of Cortizone cream were not labeled to indicate to whom they belonged in the three-year-olds’ room. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a two (2) by four (4) foot section of metal grid was on the ground in the left side area of the playground. The wooden lattice was broken underneath the porch and alongside the steps. The lattice had pointy edges and was located in the left side area of the playground. 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: physical safety. Open / not marked corrected.

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

General: Based on observation, sparse pea gravel was underneath a metal dome-shaped climbing apparatus in the left side area of the playground. Dirt and pine needles were underneath a Little Tikes slide in the right side area of the playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a child slept on a cot that touched another mat; a second child slept on a cot that was two (2) inches from another cot and a third child slept on a cot that was positioned against a shelf 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 11. Toys and Furnishings.

General: Based on observation, a dried brown substance was on the inside, bottom surface of the refrigerator in the dining room. Transportation Not Applicable Food Service/Food Program Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a bottle was not labeled and a bottle was uncovered 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, four (4) toddlers stood while being fed lunch in the nursery. 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 interview and review of documentation, a child, first date of attendance on 01/17/17, did not have the name and phone number of each person to be contacted in an emergency situation involving or impacting the child and did not have the name of each person who was designated in writing to pick-up the children. 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 5. Evacuation Plan.

General: Based on interview and review of documentation, a copy of the center’s written plan for evacuation was not on file at the center.

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, interview and review of documentation, the daily attendance records for the weeks of 01/01/19 and 01/07/19, did not include documented arrival and departure times, initials from a parent or authorized person, and a parent signature to verify accuracy of the weekly attendance for each child, in accordance with Child Care Assistance Program. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the proper methods of diapering was not posted at the diapering station in the nursery. Animals 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 11. Staff Requirements.

General: Based on Review of Documentation, a director hired on 8/15/99, had TB documentation dated 7/8/16.

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 8/1/18, had not completed the orientation training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 4. Premises Requirements.

General: Based on Interview, the children placed their coats together in a pile or they hung the coats on a rack touching another child's coats; therefore, an insufficient quantity of storage was available for each child's personal belongings. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a toddler was lying down on a Boppy pillow while eating cheese in the infants' room.

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, review of documentation and interview, an adult with a start date: 05/07/18, did not have a background check on file and supervised seven (7), one- year old children alone. Interview determined a caregiver hired 10/20/09, stepped out of the toddlers' classroom to go to the infants' room. This left the adult alone with seven (7) children. A second adult with a start date: 05/07/18, did not have a background check on file. Interview determined the background check process had not been started for both staff hired 05/07/18. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Staffing 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 2. Child Care Services.

General: Based on observation and interview, an adult with a start date of 05/07/18, supervised seven (7), one-year-old children for less than a minute on 05/07/18. General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, a small fan was turned on and placed on a shelf, accessible to the preschool children. A tall pedestal fan was turned on, accessible to the crawlers and mobile toddlers in the infants' room. An unplugged heater was on the floor accessible to the preschool children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 07/18/16, completed twelve (12) hours of annual 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, an infant slept in the swing at 8:35 a.m. Interview with the caregiver at 9:07 a.m. revealed the infant had been asleep for twenty (20) minutes. There was no documentation on file which determined the child had an alternate sleep position. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a bottle of bleach water was on the shelf accessible to the preschool children. A container of disinfectant wipes and a can of disinfectant spray was at the hand washing sink, accessible to the school age children. A stapler, a staple remover and an adult pair of scissors were at the hand washing sink, accessible to the school age children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the toddlers' room door was open to the outside and not screened or protected. A small, twelve (12) inch wide wire shelf, with an inch gap between each wire, laid horizontal across the bottom of the door which was open to the outside. Interview determined the door was open for twenty-five (25) minutes. This classroom was used for the mobile one-year-old children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, there was a strong urine odor in the restroom located between the two preschool classrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, there was a dark black substance around the bottom of the toilet bowl in the restroom between the two (2) toddler rooms. The toilet did not flush in the infant/toddlers' restroom. A sign was posted on the toilet seat: "toilet does not flush". Interview determined the toilet had not worked in two (2) weeks. This toilet is required for the center's licensed capacity. 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 preschool child did not wash her hands upon arrival. A preschool child did not wash her hands after using the restroom. A preschool child did not wash her hands after breakfast. 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 3. General Requirements.

General: Based on observation and interview, a preschool caregiver wore gloves but did not wash her hands before and after she diapered a child. The toddlers' caregiver did not wash her hands after she diapered a child.

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, the preschool caregiver did not disinfect the diaper changing mat after she diapered a child. 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, the two-year-olds' caregiver placed diaper cream on a two-year-old child. Documentation and interview revealed the center did not document the date, time and person who administered the diaper cream for children who were not in the infants' room. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, pea gravel was used for the protective surfacing material underneath a slide and two (2) swings used by the two-year-old children. Interview determined the pea gravel was placed there two (2) years ago. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 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 and interview, four (4) fitted sheets were too tight on the mattress in the infants' room and caused the mattress to bow upwards on the corners.

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 toilet tank lid was broken, front to back, on one end. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, a child enrolled 12/19/17, did not have an immunization certificate on file. A child enrolled 04/25/17, had an immunization certificate that was valid until 03/19/18. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interviews, one caregiver supervised seven (7), toddler children for 2½ hours on 09/12/17. Interviews determined one (1) caregiver supervised at least fifteen (15) to twenty (20) children with a two-year-old being the youngest on 09/12/17 and the week of 09/05/17. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Interviews, children briefly watched a movie, "Ernest Scared Stupid”, during June 2017. Interview determined the children became scared and the movie was stopped. The movie was rated PG, "Parental Guidance: some material may not be suitable for children."

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 04/27/17, did not have a documented arrival and departure time for 04/27/17 and 04/28/17.

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 caregiver hired on 7/18/16, washed her hands and a child's hands in an adjacent restroom after diapering and six (6) children were not within the caregiver's scope of vision in room #2. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Observation, nine (9) children's allergy information was listed on a sheet and posted on a board in plain view of anyone who entered room #9. Also, a second list of seven (7) children's allergy information was posted above a sink in plain view of anyone who entered room #9. Seven (7) children's allergy information was listed and posted on a board in plain view of anyone who entered room #3. Six (6) children's allergy information was listed on a sheet and posted in plain view of anyone who entered room #5. Also, nine (9) children's allergy information was listed on a sheet and posted in plain view of anyone who entered room #5. A child's medication form was posted in plain view on a clipboard by the door of room #6. Nine (9) children's allergy information was listed on a sheet and posted on a board, in plain view of anyone who entered room #7. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) caregiver's hired on 10/20/09 and 3/15/10, each had an evaluation on file dated 2/10/15. Two (2) caregivers hired on 4/11/16 and 8/3/15, had no evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

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 cord from a small flat screen television extended approximately forty-four (44) inches to an electrical outlet on the wall in room #1. A bottle warmer was placed on a shelf approximately three and a half (3 ½) feet away from a crib; however, the bottle warmer’s cord hanged down approximately twelve (12) inches in front of the shelf and was plugged into an electrical outlet underneath the shelf.

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 and record review, a caregiver hired on 4/14/17, was alone for fifteen (15) minutes and supervised seven (7) children in room #9. The caregiver was rehired and had a previous criminal records and child abuse and neglect check on file. The director stated new background checks had been submitted, but there was no documentation of a submitted criminal records check and child abuse and neglect check on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 4/14/17, had a criminal records and child abuse and neglect check on file from previous employment at the center. The caregiver was alone for fifteen (15) minutes and supervised seven (7) children in room #9. Interview with the director determined new background checks had been submitted, but no proof of submittal was available for review. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there were dead bugs in a light fixture located in the hallway near the sink.

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 was dust on the ceiling, three (3) light fixtures, and a smoke detector in room #1. A five (5) foot long brown stain was on the ceiling in the hallway across from the staffs' restroom. Interview determined a leak had been repaired but the contractor had to repair the drywall. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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, two (2) tubes of Comforts Vitamin A&D Diaper Rash Ointment were not labeled to indicate for whom each was intended in a locked box located in the restroom adjacent to room #4. 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, there was no protective surface underneath a Little Tikes Slide and a swing set located on the younger children's outdoor play area. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, an approximate fifty (50) inch tall metal geo-dome was not anchored to the ground in 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 11. Toys and Furnishings.

General: Based on Observation, two (2) floor level highchairs did not have safety restraint straps located in room #9. A top rail was raised approximately one and a half (1 1/2) inches from a wooden side rail located outside on the patio across from room #4. Also, the top rail had three (3) raised nails. A wooden trellis had several broken pieces with sharp points located under a wooden patio on the outdoor play area. A floor level highchair did not have safety restraint straps in room #7. Transportation Not Applicable Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a child enrolled on 8/19/16, had no contact information for a preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, nine (9) parent's signatures were missing from the DCC-94 children's daily attendance dated 1/9/17 to 1/13/17. Also, thirteen (13) parents’ signatures were missing from the DCC-94 children's daily attendance form dated 1/2/17 to 1/6/17. Posted Documentation In Compliance Animals Not Applicable

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: The square footage of the toddlers' room measured two-hundred-seventy-five and one-half (275.5) feet which allowed for no more than seven (7) children. Interviews determined more than eight (8) children were present at one time in the toddlers' room. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, a child size purple and white cloth chair was soiled in the toddlers' room. Also, the carpet area was soiled with dark spots in the toddlers' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired 02/23/16, a caregiver hired 02/18/16, and a caregiver hired 08/03/15, did not have education verification 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 04/16/15, did not complete orientation training. Documentation revealed a receipt where the caregiver paid for the orientation class. A caregiver hired 10/14/15, did not complete nine (9) hours of training within her first year of employment. A caregiver hired 08/20/99, did not complete 15 hours of annual training. Interview determined the caregiver completed annual training but did not have proof and documentation was not found in ECE-tris.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, there was no program of activities posted in the school age room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a can of Lysol disinfectant was on a four (4) foot tall shelf in the two (2) year olds' room. A can of Lysol, a bottle of bleach/water solution, a bottle of glass cleaner, and a container of disinfectant wipes were on a table in the school age room. These items were accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, an approximate two (2) inch hole was in the wall in the school age room. Interview determeined the hole was from the door knob hitting against the wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, there was no liquid soap or hand drying material at the handwashing sink located in the hallway. Interviews determined this sink was used by children when they arrived to the center.

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 urine around the base of the toilet in the two (2) year olds' restroom. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report 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, three (3) toddler children did not wash their hands before they ate lunch. One (1) toddler child did not wash his hands after he ate. One (1), two (2) year old child did not wash her hands when she arrived.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a caregiver did not wash her hands after she wiped a two (2) year old child's nose. A caregiver did not wash her hands after she wiped a toddler's nose. A caregiver did not wash her hands when she arrived. A caregiver wore gloves, but did not wash her hands before she fed a child.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the name of a child was not written on the medication log for the medication, albuterol, which was adminstered to the child on 01/08/16, 01/06/16, 09/10/15, 10/05/15, and 12/30/15.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, there were dark colored stains on the fabric chair in the toddler 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, the light did not work in the toddler restroom.

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 10/09/15, had an immunization certificate which was current until 02/04/16. A child enrolled 08/03/15, had an immunization certificate which was current until 03/09/16.

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, a child enrolled 02/11/16, a child enrolled 02/03/16, a child enrolled 10/27/15, a child enrolled 10/09/15, and a child enrolled 10/01/15, did not have their preferred hospital information documented.

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 12/03/14, a caregiver hired 03/15/10, a caregiver hired 10/20/09, and a caregiver hired 08/20/99, did not have an annual written professional development plan.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the Kentucky Consumer Product Safety Program and the program's website were not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the daily schedule was not posted in the toddler room and the school age room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, employee with hire date 12/31/14, had no out of state criminal records check, and an employee with hire date 09/26/14, had no criminal records check on file. These employees exceeded the 90 day probationary period.

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 three (3) and four (4) year olds' room, the two (2) year olds' room and the infants' room had paint chipped on all four (4) walls in each room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the changing pad had two (2), half (1/2) inch holes. This was located in the infants' 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, the John Deer rider/climber and the yellow school bus climber had no protective surface underneath. Interview revealed the protective surface had washed away because of all the rain storms.

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) crib sheets were not tightly fitted on the mattress in the infants' room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the milk refrigerator, located in the kitchen area, had brown and yellow substances on all of the shelves. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 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 8. Kitchen Requirements.

General: Based on observation, the cooking surface on top of the stove had brown stains around three (3) out of the four (4) burners.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, a staff (hired on 09/27/13) obtained six (6) hours of cabinet approved orientation on 01/03/14, which was not within the first three months of 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: 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 4. Premises Requirements.

General: Based on observation, an accumilation of dust was on the vent in the toddlers' restroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, dead bugs were in two (2) light fixtures in the hallway.

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 one inch circular hole was in the wall adjacent to the entrance of the preschool II class.

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 nine (9) inch crack was in the lid of the toilet tank in the nursery restroom. 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, six (6) children did not wash their hands with liquid soap and warm running water before and after eating the lunch meal in the preschool II class. Five (5) children failed to wash their hands before and after eating the lunch meal in the toddlers' class. A child did not wash her hands with liquid soap and warm running water after arriving at 11:15 AM in the preschool II class.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a red chair cushion was torn and foam was exposed in the preschool II classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an accumulation of dust was on a white portable fan stored on a shelf in the preschool I restroom.

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 08/23/13) had an immunization certificate that was valid until 01/06/14. A child (enrolled on 04/01/13) had an immunization certificate that was valid until 11/13/13. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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, ten (10) children (enrolled 07/17/09, 08/31/10, 08/31/10, 01/30/12, 03/26/12, 01/25/13, 04/01/13, 08/09/13, 08/23/13, and 02/06/14) did not have contact information to enable a person in charge to contact the child's preferred hosptial. Also, two (2) children (enrolled 08/31/10 and 04/01/13) did not have contact information to enable a person in charge to contact the child's family physician. A child (enrolled on 02/06/14) did not have the name of each person designated in writing to pick-up the child. 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 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on review of documentation, the center's written plan for emergency evacuation did not include an evacuation route to a designated relocation.

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, three (3) children did not have documented arrival times at 10:30 AM on 02/18/14. In addition, daily attendance records for the weeks of 12/02/13 and 12/16/13 did not include documented arrival and departure times, initials from a parent or authorized person, and a parent signature to verify accuracy of the weekly attendance for each child who was a part of the Child Care Assistance Program (CCAP).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the most current statement of deficiency/plan of correction was not posted. 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 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on review of documentation and interview, a caregiver hired 09/26/13, had a criminal record check dated 07/08/11, and a child abuse/neglect check dated 09/08/11. Interview determined a criminal records check and a child abuse/neglect check was not submitted timely upon her new employment. This caregiver supervised twelve (12), three (3) year to ten (10) year old children when an incident occurred around 2:20 p.m. on 11/29/13. Also, the caregiver stated she supervised children alone from approximately 9:30 a.m. until 6:00 p.m. on 11/29/13.

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, a child did not receive her daily Wal-Zyr medication as requested by the parent and a physician's request dated 07/11/13, and the staff did not implement the center's medication policy which stated, "Medication will be given to children as prescribed by a duly licensed physician on a written daily request of the parent or guardian."

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation and interview, the center staff did not administer a child's medication,on a daily basis, as requested by her parent and physician. First Aid/Medication

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 and interview the center failed to administer a child's medication on a daily basis as requested by the parent and the physician.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, a caregiver (DOH: 2/13/13) did not have education verification available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4

General: Based on observation, a green and yellow metal helicopter was on a hill and was not anchored in the two (2) year olds' play area.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interviews, a caregiver supervised six (6) children, the youngest child was four (4) months old, in the nursery room from approximately 7:30 a.m. to 7:40 a.m. on 3/5/13. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival Not In Compliance Findings: General: Based on review of documentation, seven (7) children had check marks as their arrival time on 3/11/13.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090 - Section 10

General: Based on interview, the licensee failed to report to the cabinet a substantiated finding of child neglect for an employee, date of hire 04/24/12. The director stated she received the processed child abuse/neglect check on 05/14/12, but failed to review the document before she filed it in the employee's file. The director was unaware of the substantiated findings of child neglect until she spoke with the surveyor during a telephone interview on 06/19/12. 127 - Staff Conviction/Substantiation 922 KAR 2:110 - Section 5 (2) A child-care center shall not employ a person: (a) Convicted of a crime pursuant to KRS 17.165(5); or (b) Found by the cabinet to have abused or neglected a child, pursuant to 922 KAR 1:470. 2) CAN Not In Compliance Findings: General: Based on a review of documentation and interview, the licensee failed to immediately discharge an employee, date of hire 04/24/12, that had substantiated child neglect findings determined against her on 10/18/05. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a child's medication log was posted in plain view for anyone who entered the Toddler I room. Also, children's allergies and special conditions were kept in a transparent purple folder which was posted in plain view of anyone who enter the Toddler II classroom.

Open Not marked corrected in the state record

Open / not marked corrected.