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

General: Based on observation and interview, a child did not wash his hands with liquid soap and warm, running water after being diapered in the preschool A room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member (DOH: 08/22/22) did not have an annual written performance evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, plastic weed block protruded two (2) inches above the protective materiel, throughout the outdoor playground, created a tripping hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, dark stains covered the fabric body of a baby doll in the one-year-olds' classroom.

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 on 09/23/24, had an immunization certificate on file that was valid until 01/01/25.

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 review of documentation, a staff member picked a child up by his wrist and carried the child seven (7) steps to a timeout chair and hardly sat the child in the chair. The child cried and was placed in timeout. Therefore, the childcare center did not protect the child's safety and comfort.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, a staff member picked a child up by his wrist and carried the child seven (7) steps to a timeout chair and swung the child out and back to sit in a chair. The child was crying when being carried and while in timeout. Therefore, the childcare center did not maintain the health, safety and comfort of the child.

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:04/01/24) had a background check dated 04/15/24, which was completed after the hire date. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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 observation and review of documentation, a staff member (DOH: 04/10/24) did not have education documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 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: 04/28/23) completed seven and one half (7 ½) hours of annual training hours from July 1st through June 30th of the subsequent year. 2. A staff member (DOH: 7/24/23) completed thirteen (13) hours of annual training from July 1st through June 30th of the subsequent year. 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, water from a clogged septic tank that had backed up dripped from the camera on the ceiling, above the bookshelves, and behind the pages of art that hung from the ceiling in the Preschool B 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, water and blankets were on the floor around the toilet in the two (2) year-old 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, food particles were on the rim of the toilet in the two (2) year-old room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements 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 observation and review of documentation, a child enrolled o 01/02/24, had an immunization document valid until 04/01/24. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on a review of documentation and interview, a child (SD: 8/23/23) immunization certificate on file was valid until 1/4/24.

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 interview and review of documentation, a one-year-old child was unsupervised from 4:00 pm to 5:00 pm on 1/11/24. Video recording dated 1/11/24 showed three (3) staff members and fourteen (14) children, aged one (1) year to four (4) years old, played outside in the fenced play area. Video recording showed the twenty-month-old child played under the bridge and the slide of the outdoor playhouse after staff and children walked inside the center at 3:58 pm. The child came from underneath the playhouse bridge, walked towards the gate, stopped and looked around at 3:59 pm. The child shook the gate and laid against the gate that blocked the steps that led to the classroom at 4:14 pm. The child walked around the outdoor play area and came back to the gate at 4:35 pm. The child stood at the gate from 4:35 pm until a staff member walked outside to retrieve the child at approximately 5:00 pm on 1/11/24. Staff members were not aware the twenty-month-old child was left outside in the fenced play area. The child's parent arrived at approximately 5:00 pm which prompted the staff members to realize the child was missing and the child was discovered in the outdoor play area. 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 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on interview, a twenty-month-old child was left alone in the outdoor play area from 4:00 pm to 5:00 pm on 1/11/24. The child's parent arrived at approximately 5:00 pm to pick up the child. The staff members informed the parent that the child was already picked up, but the parent said the child was still present at the center. One (1) of the responsible staff members went to the outdoor play area and discovered the crying child next to the gate that led to the steps to go inside the center. The child was brought inside and given to the parent. The responsible staff members were not aware the child was left alone, unsupervised, in the fenced outdoor play area at approximately 4:00 pm when the staff members and children returned inside the childcare center; therefore, the child’s health, safety and comfort were compromised. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and a review of documentation, a twenty-month-old child was not adequately supervised from 4:00 pm to 5:00 pm on 1/11/24. A review of the center's Supervision and Protection of Children Policy stated: 1. We will ensure that all children are adequately supervised. Our supervision includes maintaining minimum child to caregiver ratios. The director will ensure that ratios are adjusted to maintain the levels of supervision and care. 2. We maintain supervision by making sure we can see and hear all children that are not yet in school and by being able to see and hear all school age children. 3. When children six years old or older are using the bathroom, we supervise and protect by: Having a staff member inside the bathroom or door opened and staff member outside the bathroom with view of the child. 4. When children are in a large group, such as outside on the playground or participating in a special mixed group activity, supervision and protection will be maintained. The staff members did not implement the supervision policy when a twenty-month-old child was left outside in the fenced play area, from approximately 4:00 pm to approximately 5:00 pm on 1/11/24. Children's Records Not Inspected

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, one staff member hired on 04/01/2019, had negative tuberculin skin results on file that exceeded two years, and therefore, was no longer current. Tuberculin skin test was expired om 05/02/2023. 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 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 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 interview and review of documentation, the files for children enrolled on 01/12/2022, 08/29/2022, 10/31/2022, 04/20/2022, and 06/13/2022, did include an identified 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 10. Director Requirements and Responsibilities.

General: Based on observation and interview on 06/14/22, a staff member gave a child their pacifier without washing it when the child threw it onto the floor multiple times in the one- year-olds’ classroom. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, staff member hired 08/23/16 completed the Pediatric Abusive Head Trauma training on 08/13/16 but failed to complete the training every five (5) years. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, on 06/14/22, four (4) children placed in highchairs in anticipation of lunch played with toys; a staff member did not wash the children's hands with liquid soap and warm, running water before they ate their lunch 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 13. Toys and Furnishings.

General: Based on observation and interview on 06/14/22, a child threw their pacifier on the floor three (3) times and it was given back by the staff member without washing the pacifier. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview, and review of documentation, a 4-ounce tube of sunblock and a 1.5 ounce Neutrogena sunblock stick were stored in a locked box in the two-year-old’s and three-year-old’s’ classroom room, but were not labeled to indicate to whom each belonged. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

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, plastic weed block was raised two (2) inches above the mulch throughout the outdoor older children’s playground. The raised weed block was a tripping hazard. Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, a red and blue nap mat had a two-inch-long tear and exposed foam in the upstairs preschool room A.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a thick accumulation of dust was on the white ceiling fan in the upstairs preschool room A. 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 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, a child enrolled 04/11/22 did not have an immunization certificate on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, a child enrolled 04/11/22 was present on 06/14/22 but did not have an enrollment form on file; therefore, the person in charge could not provide for the child's health, safety and welfare in case of need. 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, fifty-three (53) children were present on 06/14/22 and only forty-seven (47) had documented arrival times. Posted Documentation In Compliance Animals 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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of all staff files revealed there was one (1) staff member with the hire date 05/06/2019 whose file did not contain verification that the one and one-half (1 1/2) hours of cabinet-approved pediatric abusive head trauma training had been completed within the first year of hire. Review of the ECE TRIS report could not verify that the training had been completed. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements. Observation of the sink located in the school-age bathroom revealed the hot water measured seventy (70) degrees Fahrenheit. Observation of the handwashing sink located in the two-year-old classroom revealed the hot water measured sixty (60) degrees Fahrenheit; therefore, the hot water in both aforementioned sinks was not at a minimum of ninety (90) degrees Fahrenheit and a maximum of one- hundred-twenty (120) degrees Fahrenheit. 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, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. Observation of a staff member delivering the children's lunches to individual classrooms revealed the staff member did not wash their hands before serving the children their food. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outside play area in accordance with regulatory requirements. Observation of the fences located on the one-year-old and two-year-old playgrounds revealed the fences were chipping black paint. The paint chips were on the protective surfacing which was accessible to the children. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of a staff member transporting the children’s food into individual classrooms revealed the food was not protected while being transported throughout the child care center. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.

General: Based on observation, the child care center failed to assure compliance with the regulatory requirements specific to the current pandemic established in 922 KAR 2:415e. Observation of three (3) vinyl mats located in the two-year-old room revealed the mats were dressed with sheets that were touching other children's belongings and there were two (2) children's blankets stacked on top of the mats; therefore, the children's bedding was not individually labeled and stored in a bin. Additionally, observation revealed a a staff member was not wearing gloves when he / she was delivering the children's lunch to the classrooms.

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: Upon request, the staff in charge failed to provide documented evidence from a health professional that staff with the hire date of 11/02/2012 was free of active turberculosis. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in the Preschool classroom there was an uncovered electrical outlet. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, diaper cream has been administered to a child with the enrollment date of 01/10/2020; however, the staff in charge failed to provide evidence of a written record from the parents of the child, giving permission to administer diaper cream on the child. 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, the fence throughout the Infant and Toddler playground was peeling black paint. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, the staff in charge did not submit for review a written record of practiced fire drills for July 2019 and September 2019. Additionally, written records of a practiced tornado and earthquake drill for the second and fourth quarters of 2019 were not presented. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The staff member in the Infant classroom was observed completing a diaper change. Upon completion, the staff member did not maintain hygienic pratices by washing the infants hands. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the record of the employee with the hire date of 01/29/2018 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the employee with the hire date of 04/10/2013 had met the requirement of Fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. Continued review revealed that the employee with the hire date of 08/20/2018 had not completed new orientation training within the first ninety (90) days of employment. Review of the TRIS training system indicated the above-mentioned employees had not met the requirement. 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

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, the child care center failed to comply with regulatory in requirements. Upon entry into the infant classroom, it was observed that a three-month-old infant was sleeping inside of a baby swing. On a second entry into the infant classroom, it was observed that a staff member placed a three-month-old infant face down on a bobby pillow inside of the crib. Interview with the staff revealed the infants did not have a signed waiver for the alternative sleep position. Premises In Compliance Hygienic Practices 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 and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed the fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for two (2) staff members with the hire dates of 11/21/2016 and 04/10/2013. Interview with the staff in charge revealed the fifteen (15) hours of cabinet approved training for the two (2) aforementioned staff members was unavailable at the time of survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding premises. In the preschool bathroom there is a hole in the wall behind the door exposing drywall and insulation. 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

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, review of documentation and interview, the child care center failed to comply with regulations regarding hygienic practices. Observation in the one- year-old room revealed a diaper changing station mounted to the wall that did not contain a padded surface. Further observation of the one-year-old room revealed a staff member with the hire date of 11/10/2017 completed a diaper change with a one-year-old child placed directly on the diaper changing station without a padded surface. Review of the previous licensure years’ statement of deficiencies revealed this was a regulatory violation and the directors plan of correction revealed a changing pad would be placed on top of the mounted diaper changing station before completing a diaper change. Interview with the staff in charge revealed a diaper changing pad was not available at the time of survey. Further interview, revealed the staff in charge was aware of the previous licensure year statement of deficiencies and plan of corrections. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with regulations regarding equipment. In the following rooms a red chair and a blue chair is torn around the edges, exposing fabric at the seams: one-year-old room and preschool room. Transportation Not Applicable Food Service 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 2. Child Care Services.

General: Based on observation, the child-care center failed to maintain adequate supervision in accordance with regulations. Eight (8) two-year-old children were put down on mats for rest time in the Two-Year-Old Room at 1:20pm. However, several of these children were not within the staff member's scope of vision from 1:20pm-1:22pm while this staff member was performing some task in the bathroom located on the opposite side of the room from where the children were resting on mats. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. There was an automatic hand sanitizer dispenser mounted on the wall in reach of children in care, located near the director’s office in the hallway leading to the Two-Year-Old Room. Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the child-care center failed to maintain the premises in accordance with regulations. One (1) of the bathrooms in the Two-Year-Old Room contained one (1) toilet and two (2) sinks, but the bathroom was not accessible to children in care as the room remained locked and a sign labeled “Employees Only-Keep Closed” was posted on the door. Review of DRCC records revealed the center has an approved capacity of 99. There were only four (4) toilets available for the children to use as long as the aforementioned bathroom remained locked. Based on the center’s capacity, the center needs to have at least five (5) toilets accessible to children in care in order to meet the minimum toilet/urinal requirements. 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 and interview, the child-care center failed to maintain hygienic practices in accordance with regulations. The diaper changing stations mounted to the wall in the Infant Room and One-Year-Old Room did not contain a padded surface to be used when children are diapered. According to staff members, children are placed directly on the non-padded surface of the diaper changing station when diapered. 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, interview, and review of documentation, the child-care center failed to comply with regulations regarding first aid and/or medication. A staff member administered a breathing treatment to a one-year-old child but it was not documented as required. The staff member revealed she does not document the administration of a breathing treatment on any record kept by the center; she only documents the administration of the medication on the daily sheet which is sent home with the parents. Another staff member stated she also administers breathing treatments to children in care, but only documents the administration of the medication on the daily sheets which are sent home to the parents. The center’s medication administration form revealed a parent/parents gave written authorization to administer medication on 2/14/17, 2/15/17, 2/17/17, and 2/20/17. The owner acknowledged the child/ren received the medication while at the center, but the administration of the medication was not documented as required by regulation. 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, the child-care center failed to maintain an outdoor play area in accordance with regulations. The large playground contained a few areas where the black landscape fabric protruded through the protective surface (pebbles) creating a potential tripping hazard for children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child-care center failed to maintain an outdoor play area in accordance with regulations. 1) The protective surface at the bottom of the two (2) long, blue slides located on the large playground failed to sufficiently cover the ground. 2) The protective surface at the bottom of the blue slide on the smaller playground failed to sufficiently cover the ground. Equipment In Compliance 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 and interview, the child-care center failed to maintain children’s records in accordance with regulations. Of ten (10) children’s files reviewed, the written record for one (1) child failed to contain contact information to enable a person in charge to contact the child’s preferred hospital. The owner confirmed that this documentation was not on file at the time of survey. 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 2. Child Care Services.

General: Based on Observation, review of documentation, and interview, it was determined the center failed to comply with regulatory requirements regarding programming, specifically activities followed. Observation at 10:10 a.m., revealed a group of thirteen (13) children supervised by two (2) staff members engaged in "table activities". Review of the daily schedule revealed 9:45 a.m.-10:30 a.m. "outside activites (weather permitting) or indoor gross motor activities". Continued observation revealed the children in the preschool classroom did not engage in outside or gross motor activities for the duration of the survey. Exit interview revealed owner and director acknowledgment of the deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, and interview, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically child hand washing. Observation revealed at 10:05 a.m., a child arrived to the center and failed to wash hands with liquid soap and warm running water upon arrival. Additionally, observation revealed the children in the Two's Classroom failed to wash hands with liquid soap and warm running water after eating lunch. Exit interview revealed owner and director acknowledgment of deficiency.

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, it was determined the center failed to comply with regulatory requirements regarding equipment, specifically individual bedding stored in a sanitary manner. Observation revealed five (5) children’s mats with sheets and blankets stacked atop each other in the Toddler Cassroom. Exit interview with owner and director revealed acknowledgment of the deficiency.

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, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically enrollment information. Review of ten (10) children's files presented revealed, the center failed to provide documentation at time of survey verifying a written record of a preferred hospital for four (4) children. Exit interview with owner and director revealed acknowledgment of the deficiency. 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 4. Director Requirements and Responsibilities.

General: Based on Observation, the director failed to provide for the health, safety, and comfort of each child. Observation of the Pre-School Room revealed that ten (10) children were seated at tables while the staff member stood at the front of the class teaching a lesson. Continued observation revealed a male child with an enrollment date of 11/1/11 and a male child with an enrollment date of 3/14/12 were seated next to one another. Continued observation revealed the two (2) aforementioned male children were kissing each other on the lips. Continued observation revealed the staff member instructed the two (2) children to stop. Continued observation revealed the two (2) children repeatedly kissed on the lips and the staff member instructed the two (2) children to stop. Further observation revealed the child with the enrollment date of 11/1/11 was attempting to kiss the child with the enrollment date of 3/4/12 again, but the child pulled his head away. Further observation revealed the two (2) children were not separated at any point during this incident and the staff member failed to intervene to discontinue the inappropriate behavior between the two (2) children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results for all staff members. Review of a staff member’s file with the hire date of 4/10/13 revealed the staff member’s copy of negative tuberculin results expired on 11/2/14. No statement from a health professional or additional copy of negative tuberculin results was presented 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, the center failed to ensure that staff members with supervisory authority over a child completed cabinet-approved training during each year of employment. Review of staff files revealed that four (4) staff members with the hire date of 4/10/13 did not complete their cabinet-approved training hours. The first staff member completed 6 of 15 hrs; the second staff member completed 14 of 15 hrs; the third staff member completed 10 of 15 hrs; and the fourth staff member completed 7.5 of 15 hrs.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the center failed to maintain a daily planned program in accordance with regulations. Review of Documentation in the One-Year-Old Room on 1/8/15 revealed the daily planned program of activities was not current as it was dated 12/8/14 - 12/12/14. Review of Documentation in the School-Age Room revealed no daily planned program of activities was posted.

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 center failed to maintain sleeping and napping requirements in accordance with regulations. Observation of the Baby Room revealed an infant wearing a bib while sleeping in the crib. Continued observation revealed a pink and white polka dot sheet was loosely fitted around the mattress of another crib.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the center failed to keep inaccessible items out of reach of children in care. Observation of the Pre-School Room revealed a staff member’s purse was placed on the floor near the teacher’s desk. Continued observation of the Pre-School Room revealed a 67 oz. bottle of hand sanitizer was placed on the attendance table and a small bottle of hand sanitizer was placed on the teacher’s desk in reach of children in care. Further observation revealed a bottle labeled “Carpet Cleaner”, a bottle of 409 spray, and a bottle of glass cleaner were stored on the bottom shelf of an unlocked cabinet in reach of children in care. Observation of the hand sanitizer, 409 spray, and glass cleaner revealed the labels specified “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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the center failed to provide a toilet room for each gender or implement a plan to use the same bathroom at separate times. Observation of the bathroom in the Two-Year-Old Room revealed a female and male child were in the bathroom at the same time. Continued observation revealed the female child sat on the toilet while the male child stood waiting inside the bathroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the center failed to maintain each toilet in clean condition. Observation of the Two-Year-Old Bathroom and the Pre-school Bathroom revealed urine in the toilets. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 27 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, the center failed to maintain hygienic practices in accordance with regulations. Observation of the One-Year-Old Room revealed that a staff member did not wash a child’s hands after diapering. Observation of the Pre-School Room revealed a child wiped his nose, but did not wash his hands afterwards.

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.

Based on observation and interview, the center failed to assure that a diapering surface was cleaned prior to each use. Observation of one of the Two-Year-Old Bathrooms revealed a blue and red mat stored on the floor next to the toilet. Interview with a staff member revealed the blue and red mat was used for diaper changing. Continued interview with the staff member revealed the mat was sanitized after each use; however, the staff member did not state the mat was not cleaned prior to use. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

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, Interview, and Review of Documentation, the center failed to administer medication in accordance with regulations. Observation of the One-Year- Old Room revealed a locked box stored near the diaper changing area. During interview, the staff member indicated the locked box contained diaper rash ointment for the child with the enrollment date of 12/27/13. During continued interview, the staff member revealed the parent gave the center verbal consent to use the diaper rash ointment on the child as needed. During further interview, the staff member indicated the diaper rash ointment had been used on the child on 1/5/15, 1/6/15, and 1/7/15. Review of the Medicine Log revealed the center did not obtain a written request from the child’s parent to administer the diaper rash ointment. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 27 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, Interview, and Review of Documentation, the center failed to maintain medication administration records in accordance with regulations. Observation of the One-Year-Old Room revealed a locked box stored near the diaper changing area. During interview, the staff member indicated the locked box contained diaper rash ointment for the child with the enrollment date of 12/27/13. During continued interview, the staff member indicated the diaper rash ointment had been used on the child on 1/5/15, 1/6/15, and 1/7/15. During further interview, the staff member indicated she records each child’s diaper changes on a daily log kept in the classroom. Review of the daily log for the child with the enrollment date of 12/27/13 revealed the log did not contain any information indicating diaper rash ointment had been used on the child on 1/5/15, 1/6/15, or 1/7/15. Review of the Medicine Log revealed the center did not have any written records of the administration of the diaper rash ointment for this child.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, the center failed to store all medication in a separate and locked place, out of the reach of children. Observation of the Pre-School Room revealed a bottle of Echinacea-whole herb-dietary supplement was stored on the top shelf of an unlocked cabinet. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the center failed to maintain outdoor play areas in accordance with regulations. Observation of the playground with the pebbles revealed the area surrounding all three (3) blue slides, the red and yellow stair-step climbing pole, the rock climbing ladder with the rope were not adequately covered with a protective surface. Continued observation revealed numerous small mounds of hard ground coated with a black covering were protruding through the protective surface surrounding the slides, climbing apparatuses, and other areas on the playground. Observation of the smaller playground with the blue mulch revealed that the area in front of the blue slide was not adequately covered with a protective surface. Continued observation revealed that a small area of hard ground coated with a black covering was exposed directly in front of the blue slide.

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, and Review of Documentation, the center failed to maintain daily attendance records. Observation of the Baby Room, One-Year-Old Room, and Two-Year-Old Room on 1/8/15 revealed that, collectively, nineteen (19) children were present in these rooms. Review of the attendance records revealed that on 1/8/15 only fourteen (14) children were signed in for these rooms.

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 documentation review, the center failed to conduct earthquake drills in accordance with regulations. Review of the earthquake drill log revealed the center failed to conduct and/or document an earthquake drill in the 2nd quarter of 2014. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, Review of Documentation and Interview, the center failed to maintain regulations regarding animals in the presence of children in care. Observation of the Pre-School Room revealed a small fish tank positioned on the table next to the teacher’s desk. Review of the children’s files revealed none of the parents had signed permission slips consenting to the fish. Interview with the owner revealed the owner was not aware parental consent was required in order to have the fish in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there was insufficient protective surface at the end of the blue slide on the preschool 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, in the infant room there were four cribs currently in use that contained sheets that were not tight fitting.

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, in the preschool classroom the allergies of six children were publicly displayed.

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 staff member hired on 8-6-13 did not have the results of a criminal records check on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in the toddler room the radio was on playing adult content music "...when you're ready come and get it...".

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, an infant was wearing a bib while sleeping in the crib.

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 Interview, in the toddler classroom the toys are not sanitized properly as the staff member sanitizes the toys by using Lysol sanitizing wipes. 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, on 1-13-14 a child was given medication at 9:00 a.m. and 3:00 p.m. Continued record review indicated that the parent requested that the child only receive one dosage at 8:30 a.m. Additional review of documentation indicated that the center did not have parent signed request for emergency administration of epi- pens for two children enrolled on 5-1-08 and 7-29-13.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Review of Documentation, an epi-pen prescibed to a child enrolled on 7-29-13 for emergency rescue, use was no longer current as the epi-pen contained an expiration date of November 2013. Outdoor Play Area

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, in the toddler classroom there were numerous battery operated toys that did not contain working batteries to allow the children to play with the toys according to the manufactuer's specifications.

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 Interview, in the infant room two infants ages two months and four months are being bottle fed every four to five hours which exceeds the regulatory meal schedule for children to be fed every two to three hours.

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, lunch was served with only one fruit and did not have an additional fruit or vegetable as required per regualtion. 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 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, children enrolled on 5-28-13 and 12-9-13 did not have parent signed authorization for emergency medical treatment. A child enrolled on 5-28-13 did not have his physician or preferred hospital documented. 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, several children throughout the week were not signed out. Further examination of the daily attendance sheets revealed that staff are not signing children into the center when they arrive after school.

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 interview on a undetermined date in August 2013, multiple children were unsupervised in the three and four year old bathroom in the basement as the remainder of the class went outside. The children were unsupervised for approximately one minute per staff interview before they were retrieved by a staff member and returned to their group. Premises

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the two year old classroom is using the toddler classroom as an entrance and an exit to the toddler playground.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the center failed to have proof of a high school diploma, GED or CCC on file for staff members with the hire date 4/10/13.

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 and interview, the center failed to have proof of compliance on ten cribs in the Infant room that had a manufacture date of 2007.

Open Not marked corrected in the state record

Open / not marked corrected.