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

General: Based on review of documentation, the surveyor found one staff member (DOH 6/03/2024) was listed on Kentucky Applicant Registry and Employment System (KARES) report as eligible not employed. The surveyor observed the staff member working at the childcare center supervising four (4) children with another staff member. Therefore, the staff member's employment status was not maintained in KARES. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found two (2) staff member's files (DOH 8/05/2018 and DOH 6/03/2022) did not contain updated staff evaluations; therefore, the surveyor could not verify if the staff member's evaluations were completed annually. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Kitchen Requirements In Compliance Food Service 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the surveyor observed canned food stored on the floor in the kitchen beneath two (2) wire shelves; therefore, the canned food was not stored six (6) inches off the floor as required. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found one (1) staff member's file (DOH 2/18/2014) did not contain an updated professional development plan; therefore, the surveyor could not verify if the staff member's professional development plan was updated annually. 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 review of documentation and ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 03/28/22) obtained eleven and one-half (11.5) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 03/28/23 - 06/30/23. 2. A staff (DOH: 06/03/22) obtained eleven (11) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 06/03/23 - 06/30/23. 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 4. Premises Requirements.

General: Based on observation, the surveyor found the following: 1. The surveyor entered the School Age Classroom during nap time to observe the classroom was too dark for the surveyor to view the classroom. The surveyor had to utilize a flashlight to walk around the classroom for observations. 2. The surveyor entered the Preschool Classroom during nap time to find the classroom was too dark for the surveyor to view the classroom. The surveyor had to utilize a flashlight to walk around the classroom for observations. 3. The surveyor entered the Two Year Old Classroom Classroom during nap time to find the classroom was too dark for the surveyor to view the classroom. The surveyor had to utilize a flashlight to walk around the classroom for observations. 4. The surveyor entered the Two & Three Year Old Classroom during nap time to find the classroom was too dark for the surveyor to view the classroom. The surveyor had to utilize a flashlight to walk around the classroom to make observations.

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 surveyor found one (1) ceiling tile in the School Age Classroom to be discolored; therefore, the ceiling was not kept in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. The toilet seat hinges contained a yellow substance that appeared to be dried urine; therefore, the toilet was not kept clean. 2. The toilet in the boys' restroom would not flush when the surveyor attempted several times to flush the toilet; therefore, the toilet was not kept in good repair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that the wood-chips around the green & blue slide on the Twos and Threes Playground was depleted. Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the surveyor found the following: 1. A staff’s (DOH: 03/31/22) file contained a copy of a Child Abuse/Neglect Background Check (CAN) that was sent on 03/31/22. The CAN check verified that the staff person lived in Ohio in the last five (5) years. During interview, staff-in-charge stated that the staff person was seventeen (17) years of age. Staff-in-charge stated that the staff person has not worked alone with children. The surveyor did not observe the staff person working alone with children. Staff-in-charge stated that she had not submitted a background check to the state of Ohio for the staff person. 2. A plunger located beside the toilet in the restroom in the Infant Classroom. The plunger was observed to be accessible to the children. 3. Two (2) staple removers, one (1) pad, and one (1) tube of Triple Antibiotic Ointment located inside a cabinet drawer in the Infant Classroom. The safety lock was observed to not be latching properly. 4. A large white board leaned on the wall in the Dining Room that did not appear to be secured. The surveyor observed a small gray table placed in front and on the end of the white board. 5. A container of Air-Dry Clay placed on a shelf in the Dining Room that stated “Not suitable for children under thirty-six (36) months due to small parts which may cause a choking hazard if swallowed.” 6. Two (2) Germ-X bottles placed on the sink located in the Two Year Old Classroom that stated “Keep Out of the Reach of Children” on the labels. 7. One (1) tube of Eczema Relief Cream, one (1) tube of Aquaphor Healing Ointment, and one (1) tube of Boudreauz Butt Paste located inside an unlocked drawer in the Two-Three Year Old Classroom that stated "Keep Out of the Reach of Children" on the labels. 8. A bottle of Hand Sanitizer that stated “Keep Out of the Reach of Children” on the label located on a shelf beside the door in the Three Year Old Classroom. 9. A box of paint supplies that contained paint roller frames, paint rollers, sanding blocks, and a tub of 3M Patch Plus Primer that stated “Keep Out of the Reach of Children” on the label and other items located inside a brown box placed on the floor in the Three Year Old Classroom. 10. A brown box placed in the floor in the Three Year Old Classroom that contained a plastic package that stated “Alfie” and stated “Suffocation Warning. Plastic bags can be dangerous. To avoid danger of suffocation, please keep this bag away from babies and children, and other items. 11. Two (2) boxes stacked on top of each other and placed on a small child sized table in the Three Year Old Classroom. 12. What appeared to be a blue wooden cover over an electrical box located on the wall in the Three Year Old Classroom that had the flat end of a loose nail sticking out. During interview, staff-in-charge stated that the Two Year Old Classroom and Three Year Old Classrooms were not currently being utilized by the children. Staff-in-charge stated that she had moved the items mentioned into the Three Year Old Classroom the day before the surveyors visit on approximately 03/31/22 due to the classroom not currently being utilized by children. Staff-in-charge stated that she would move the items mentioned out of the classroom as soon as possible. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises Not In Compliance

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 review of the Kentucky National Background Check Service, the surveyor found the following: 1. A staff (DOH: 02/16/22) had a completed background check with an eligibility date of 02/25/22; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge stated that the staff person did not work alone with children during that time period. Staff-in-charge stated that she was not aware that the staff person had to submit to fingerprints prior to beginning employment. The staff’s file did not contain a completed Child Abuse/Neglect Background Check or Criminal Records Background Check. 2. A staff (DOH: 03/28/22) had a completed background check with an eligibility date of 03/31/22 and fingerprint submit date of 03/31/22; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge stated that she was not aware that the staff person had to submit to fingerprints prior to beginning employment. The staff’s file did not contain a completed Child Abuse/Neglect Background Check or Criminal Records Background Check. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report 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 3. General Requirements.

General: Based on observation, the surveyor found one (1) bottle of Clorox and one (1) container of Great Value Disinfecting Wipes placed in an unlocked cabinet under the sink in the restroom located in the Infant Classroom. The items mentioned were observed to be accessible to the children. 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 4. Premises Requirements.

General: Based on observation, the surveyor found the following: 1. A “Welcome to Tree Top Toddlers” rug in the School Age Classroom that contained debris; therefore, the rug was not kept clean. 2. Dirt/debris on the floor around the exit door that leads to the playground in the School Age Classroom; therefore, the floor was not kept clean. 3. A spider web on the baseboard located by the exit door that leads to the playground in the School Age Classroom; therefore, the baseboard was not kept clean. 4. Dust on a black rolling stand that contained a television located in the School Age Classroom; therefore, the rolling stand was not kept clean. 5. Debris on the floor around a toy kitchen set in the Two-Three Year Old Classroom; therefore, the floor was not kept clean. 6. Steps under the diaper changing station that contained debris; therefore, the steps were not kept clean. 7. Debris on the window ledge in the One Year Old Classroom; therefore, the window ledge was not kept clean. 8. Debris on the floor under the window in the One Year Old Classroom; therefore, the floor was not kept clean. 9. A yellow substance on the sink by the hot water knob and in the bowl in the One Year Old Classroom; therefore, the sink was not kept clean.

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 surveyor found the following: 1. One (1) ceiling tile located in the back corner of the School Age Classroom that contained what appeared to be a water stain; therefore, the ceiling tile was not kept in good repair. 2. One (1) ceiling tile that appeared to be slid over and exposing insulation located beside a storage closet in the Two Year Old Classroom; therefore, the ceiling tile was not kept in good repair. 3. One (1) ceiling tile that was exposing a small gap located in the back corner of the Three Year Old Classroom; therefore, the ceiling tile was not kept in good repair. 4. One (1) ceiling tile that was exposing a gap along the edge located in the front corner of the Three Year Old Classroom above a set of cubbies; therefore, the ceiling tile was not kept in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. Two (2) toilet seat caps were missing from the toilet where the seat connects and a brown build-up was observed around the bolts located in the girls’ restroom in the Four-Five Year Old Classroom; therefore, the toilet was not kept in clean condition. 2. Two (2) toilet seat caps were missing from the toilet where the seat connects and a brown build-up was observed around the bolts located in the boys' restroom in the Four-Five Year Old Classroom; therefore, the toilet was not kept in clean condition. 3. A light brown build-up around the toilet seat caps/hinges on the toilet located in the restroom in the Infant Classroom; therefore, the toilet was not kept in clean condition. 4. The toilet seat moved easily and was not tightly secured to the first toilet in the first restroom located in the hallway by the Two Year Old Classroom; therefore, the toilet was not kept in good repair. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. Debris on the diaper changing table underneath the diaper changing pad in the Two Year Old Classroom; therefore, the diaper changing surface was not kept clean. 2. Debris on the diaper changing table underneath the diaper changing pad in the Two-Three Year Old Classroom; therefore, the diaper changing surface was not kept clean. 3. Approximately four (4) towels and four (4) blankets, and approximately twenty (20) orange fabric/foam pieces placed on top of the diaper changing pad in the Two Year Old Classroom; therefore, the diaper changing surface was not kept free of any items not used for diaper changing. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A slab of uneven concrete located by the exit door that leads to the playground; therefore, the concrete created a tripping hazard for the children. 2. A loose black cable/wire coming down from a meter box and leading into a blue pole attached to the side of the child-care center building located on the playground. The cable/wire appeared to be within reach of the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. The protective surface around a climbing structure with approximately four (4) slides and a set of monkey bars was depleted and did not have an adequate fall zone. 2. The protective surface around the following play structures was observed to be depleted and to not have an adequate fall zone: A small red metal climbing structure with one (1) yellow slide, One (1) blue/purple climbing structure, One (1) plastic yellow slide, One (1) plastic climbing structure with one (1) blue slide and one (1) green slide, and one (1) small plastic climbing structure with one (1) slide. During interview, staff-in-charge stated that they have new mulch to put on the playground when the weather permitted. The surveyor observed a pile of mulch located outside the playground fence. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a brown couch in the School Age Classroom that was soiled with a dark residue; therefore, the couch was not kept clean. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 02/18/14) file contained a professional development plan dated 06/16/20; therefore, the plan was not completed annually. During interview, staff-in-charge stated that she did not have an up-to-date professional development plan for the staff person mentioned. 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 6. Sleeping and Napping Requirements.

General: Based on observation during a tour of the nursery, a loose blanket was observed placed over a sleeping infant. Staff-in-charge stated that the staff member in the classroom was aware that the blanket should be swaddled around the infant. 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 during a tour of the boys restroom located in the hallway, the surveyor found the following: 1. While checking the water faucet temperature, the water filled up nearly to the top of the sink and was very slow to drain. Staff-in-charge stated that they would have someone look at the sink drain. 2. A layer of dirt/debris covered the light fixture. 3. A thick layer of dust was on the ventilation cover. Therefore, the child-care center failed to keep the premises clean and in good repair. 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: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found four (4) ceiling tiles with discolored water spots; therefore, the child-care center failed to keep the ceiling in good repair. Staff-in- charge stated that the water spots were due to recent heavy rains and they planned to replace the tiles.

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 of the girls restroom located in the hallway, the surveyor found that there was no toilet paper available at the first commode. Staff-in-charge stated that they had probably ran out and that they would restock the toilet paper.

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 surveyor found that there was no hand-drying blower or single use disposable hand drying material available to the children in the boys and girls restroom located in the hallway, or the boys and girls restroom located in the Four and Five Year Old Classroom. During interview, staff-in-charge stated that they had probably used the last of the paper towels and failed to let anyone know so that they could restock the towels. 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 staff member in the One-Year-Old Classroom wiped a child's hands with a diaper wipe after changing the child's diaper; therefore, the staff failed to clean the child's hands with liquid soap and warm water after changing the child's diaper as required.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a staff member in the One-Year-Old Classroom failed to clean/disinfect the diaper changing pad/diaper changing table after changing a child's diaper. During interview, staff-in-charge stated that the staff member was a newer staff member and that she would be reminded of the diaper changing procedures. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that there was a ceiling tile in the Older Three's Room that was stained with a brown substance. Upon interview, staff and the Director stated that they were not aware of there having been a leak in the room. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found one (1) electrical outlet unprotected in the school age room on the back wall. Upon interview, staff were not aware of the unprotected outlet.

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 and interview, an employee file (DOH: 12/20/16) contained documentation showing that the criminal records check was submitted via mail on 11/22/16; however, the results of the criminal records check were not present in the file. The Director stated that she was positive the results had been returned but she did not located them at the time of the survey. The Director reported that the employee had worked alone with the children. 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

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 surveyor found debris including dirt and mulch on the changing mat and underneath the changing mat in the One's Room. Staff stated that the changing area is cleaned after each use. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area 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 6. License Issuance.

General: Based on review of documentation and interview, the following were found: 1. An employee file (DOH: 2/14/17) presented for review contained a criminal records check dated for 2/23/17. Documentation in the file revealed that the criminal records check was not signed or submitted via mail until 2/15/17; therefore, it was not submitted timely on or before the date of hire. The Director stated that the criminal records check is always submitted via mail with the Child Abuse and Neglect check; however, staff do not work alone with the children until the results of both background checks are returned. 2. An employee file (DOH: 12/20/16) contained documentation showing that the criminal records check was submitted via mail on 11/22/16; however, the results of the criminal records check were not present in the file. The background check was submitted timely but the results were not recieved within ninety (90) days of the employee's date of hire. The Director stated that she was positive the results had been returned but she did not located them at the time of the survey. The Director reported that the employee had worked alone with the 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, and interview, an employee file (DOH: 2/14/17) presented for review did not contain results of a negative tuberculin skin test completed within the past two (2) years as required. The employee reported that she had turned a negative tuberculin skin test result in upon hire; however, the Director did not located the documentation at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, review of ECE-TRIS, and interview, the following were found: 1. An employee file (DOH: 3/14/16) only contained documentation of twelve (12) hours of continuing education training for 3/14/16 through 3/13/17. Review of ECE-TRIS, confirmed that the employee had only completed twelve (12) hours of training for the 2016-2017 year. The Director was not aware that the employee had not completed the required fifteen (15) hours of continuing education training. 2. An employee file (DOH: 3/14/16) contained documentation of Pediatric Abusive Head Trauma being completed on 3/31/17. Therefore, the training was not completed within the employee's first year of employment. The Director was not aware that the training had not been completed timely. Programming In Compliance 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the following were found: 1. There was a strand of indoor/outdoor lights around the white board in the Pre-k Room that were accessible to the children. The tag on the strand of lights read that the lights should not be accessible to small children. Staff stated they did not realize the lights could not be accessible to children. 2. There was a cell phone charger cord in the second unlocked drawer of the gray desk in the Older Three's Room. The charger cord was accessible to children. The Director reported staff are not supposed to have cell phones out in the classrooms so the charger cord should not be there. 3. In the bottom drawer of the gray desk located in the Older Three's Room there was a roll of loose plastic trash bags. The drawer was unlocked and the bags were accessible to the children. The Director stated that the bags should not be stored in the drawer.

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, the surveyor found that there was approximately a one-half (1/2) inch hole around the door knob on the exterior door in the Pre-k Room. Light from the outside could be seen through the hole by the door knob and around the edge and bottom of the door. Upon interview, the Director stated she was aware of the issue.

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, the following were found: 1. There were multiple wet papertowels on the school-age playground. 2. There was a soiled wipe by the trash can on the Two's Playground. Staff stated that the wipe may have fell out of the trash can. Staff reported that the playground is supposed to be cleaned up before allowing the children to play.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the playground was found not to be free of forseeable hazards. 1. There is some metal siding on the building within the school-age playgroud fence that has sharp edges thus presenting a risk of harm to children utilizing the playground. The Director stated she had not thought of the risk presented by the siding. 2. Children were observed playing in approximately half (1/2) an inch of brown dirty water located in the play kitchen sink on the Pre-k Playground. Staff stated that water is supposed to be emptied out of equipment or dried up before children our allowed to play. 3. The curvy slide on the school age playground appeared to be crooked and was very shaky or not anchored well. The Director stated she was not aware of the condition of the slide.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the protective surface under the slide and monkey bars on the school-age playground had been depleted. The Director reported that the mulch is replenished each year in the spring after it stops raining so much. Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that there was baked-on food on the inside of the oven door and sides of the oven. The Director reported that the oven is cleaned once a month on a Friday after the center has closed. 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

Category: nutrition. 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's file (DOE:11/4/14) presented for review did not contain the telephone number for the preferred physician. Upon interview, the Director confirmed that the preferred physician's information had been updated recently and the parents must have failed to include the telephone number. 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 and interview, the surveyor found there were no earthquake or tornado drills documented for July - September 2016 or October - December 2016. Upon interview, staff reported that the drills had been conducted but they did not locate the documentation at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found there were no earthquake or tornado drills documented for July - September 2016 or October - December 2016. Upon interview, staff reported that the drills had been conducted but they did not locate the documentation at the time of the survey. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation during a tour of the child care center, the surveyor found the following: 1. The commode, located in the preschool-age girls' restroom, would not flush. 2. The commode, located in the two-year-old boys' restroom, would not flush. Hygienic Practices

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 observation, the surveyor found the following: 1. A child’s full name listed on a medication information form was posted on the refrigerator in the Infant Room. 2. A Daily Attendance Record listing the children’s full names was posted in the Infant Room. 3. A Daily Attendance Record listing the children’s full names was posted on the bulletin board located in the Toddler Room. 4. A Daily Attendance Record, Transition Plan and an Accident Report listing the children’s full names were posted in the Two-Year-Old Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the Infant Room, the surveyor found that an infant was sleeping while wearing a strap attachment connected to a pacifier.

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 surveyor found no verification that two (2) staff (DOH: 03/14/16 and 04/01/16) had obtained a High School Diploma, GED or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found that a staff (DOH: 02/18/14) had obtained only twelve (12) hours of cabinet-approved early care and education annual training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation during a tour of the Infant Room, the surveyor found that an infant was sleeping in a bouncy seat rather than a 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 during a tour of the child care center, the surveyor found the following: 1. A bottle of Wite Out had been placed in a plastic storage container located in the Preschool Room. The label on the bottle indicated that it should be kept out of the reach of children. 2. An electronic charger with a cord attachment had been stored on an approximate three (3) foot shelf located in the School-age Room. The charger was accessible to the children. 3. A can of Equate Shower Foam, Borax Detergent Booster, Epsom Salt and Copper Tone Sunscreen had been stored in an unlocked white plastic cabinet. The items were accessible to the children. 4. A bottle of Cherry Blossom lotion had been stored in an unlocked cabinet located under the diaper changing table in the Two-Year-Old Room. The label indicated that it was “for adult use only” and was 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation during a tour of the child care center, the surveyor found the following: 1. The water temperature measured seventy (70) degrees Fahrenheit at the sinks located in the preschool restrooms and in the classroom. 2. The water continuously ran and could not be turned off at the sink located in the restroom for two-year-old 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 during a tour of the child care center, the surveyor found the following: 1. A plastic chain had been draped over the playground fence. The chain was accessible to the children. 2. A broken clear plastic container had been left on the playground. The plastic container had sharp edges that presented a safety risk. 3. The metal gutter on the outside of the building in the playground area had been cut-off leaving a sharp edge that was accessible to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. Tears were observed in the vinyl covering on four (4) of the mats that were being used by the children in the Preschool Room. 2. Tears were observed in the vinyl covering on nine (9) of the mats used by the children in the School-age Room. 3. Tears were observed in the vinyl covering on four (4) of the mats used by the children in the Two-Year Old Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that the two-year-old children were served pasteruized whole milk with their lunch rather than pasteruized low-fat one (1) percent milk or fat-free skim milk.

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, the surveyor found the following: 1. Two (2) children’s (DOE: 09/21/15 and 03/01/16) did not contain information to enable a person in charge to contact the preferred hospital. 2. A child’s (DOE: 02/23/15) did not contain a general health status or medical history.

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 following items were found: 1. A fan had been placed on top of an refrigerator in the Infant Classroom causing a safety hazard. 2. A fan had been placed on the edge of a changing table in Two Year Old Classroom causing a safety hazard. 3. A fan had been placed on top of a refrigerator in the One Year Old Classroom causing a safety hazard. 4. There was a small unlocked door near the front entrance of the child care center that had a water shut off valve inside the door. Also inside the door was exposed insulation and mouse droppings. 5. There was one (1) unused and uncovered electrical outlet in the Two Year Old Classroom. 6. There were two (2) unused and uncovered electrical outlets in the Two Year Old Classroom. 7. There was one (1) unused and uncovered electrical outlet in the Gross Motor Classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, an employee (DOH: 02/26/15) record presented for review did not contain evidence of the employee completing six (6) hours of cabinet- approved orientation as required by regulations.

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, there was a bucket of mop water and a mop located in the Gross Motor 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, the following items were found: 1. The sink in the Infant Classroom was draining slowly leaving water standing in the sink. 2. The sink in the girls restroom located in the hallway was draining slowly leaving water standing in the sink. 3. There was a vent located in the Preschool Classroom that was covered with dust.

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 trim was missing from the bottom of the laundry room door located in the Preschool Classroom. The missing trim was exposing two (2) sharp metal strips accessible to the children in the classroom.

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, there was a commode seat missing from one (1) of the toilets in the boys' restroom located in the hallway. 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, a staff person (DOH: 03/30/15) in the Two Year Old Classroom used baby wipes to wash the children's hands after breakfast. The staff person also stated that she used baby wipes to wash the children's hands after breakfast.

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, a staff person working in the Infant Classroom stated that the mouth contact toys were sanitized by using the following method: the toys are washed using soapy bleach water, scrub the toys with a brush and then air dry. A staff person working in the One Year Old Classroom stated that the mouth contact toys were sanitized by the following method: the toys were washed using dawn dishwashing liquid in water, using a cloth to clean the toys, rinsing the toys with a bleach solution, and then allowing the toys to air dry. First Aid/Medication

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 no protective surface for any of the small climbing structures located on the toddler playground, two- and three-year-old playground, or the three- and four-year-old playground. The climbing structure on the school age playground did have protected surface.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the sheets and blankets for the cribs located in the Infant Classroom are being washed every other week. The sheets are washed one (1) week and the blankets are washed the next week, instead of both sheets and blankets being washed weekly as required. The Infant classroom also had posted on the wall a bi-weekly schedule for washing sheets and blankets.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the sheets and blankets for the cots located in the One Year Old Classroom, Two Year Old Classroom, and Preschool Classroom are being washed every other week. The sheets are washed one (1) week and the blankets are washed the next week, instead of both sheets and blankets being washed weekly as required. These classroom also had posted on the wall a bi-weekly schedule for washing sheets and blankets.

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, there was a "boppy pillow" used by the children in the Infant Classroom, both ends of the pillow were ripped exposing the pillow stuffing.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the temperature for the freezer used to store frozen food for the children read to be at thirty (30) degrees Fahrenheit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, there were four (4) bottles located on a shelf in the Infant Classroom that were not labeled with a child's name.

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 surveyor found that there were floor tiles missing under and around the table in the two's classroom. The flooring surface was covered with a rug, but was unlevel where children would be walking and where the children's chairs were placed around the table.

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, the surveyor found that that a child's blanket and pillow used for napping had been stored on top of the diaper changing area in the two's classroom.

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, the surveyor found that five (5) of the children's records that were presented for review did not contain the preferred physician's contact information. It was also found that three (3) of the records that were presented for review did not contain the family's preferred hospital contact number. 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.