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

General: Based on interviews and review of documentation, a staff member tested positive for COVID-19 on 01/08/26 and sought medical treatment. She was provided a physician’s note authorizing her to return to work on 01/13/26. On 01/12/26, the staff member was instructed via text message to report to work at 3:00 p.m. that same day, prior to being medically cleared to return. She complied with the instruction and reported to work while still experiencing symptoms. Following her shift, she returned to the emergency room at St. Elizabeth and was issued an additional physician’s note directing her not to return to work until 01/19/26.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, a three-year-old child was left on the playground for approximately one (1) minute during transition time back inside the building. The child was found unharmed by another staff member. Staffing Requirements In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

A staff (DOH: 07/29/24) had a cleared background check in KARES but Eligibility date was 07/30/24 which was after her hire date.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: Room 7 1. A cord for a speaker was hanging and unsecured, presenting a potential injury hazard to children in care. Room 9 1. One uncovered outlet was observed.

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, the following was found during inspection: 1) A staff (DOH:11/11/24) had TB results on file at the facility; however, the results were dated 11/12/24 which is after the staff was hired. 2) A staff (DOH: 09/24/24) had TB results on file at the facility; however, the results were dated 08/25/25 which is after the staff was hired. 3) A staff (DOH: 11/11/24) had TB results on file at the facility; however, the results were dated 03/02/25 which is after the staff was hired. 4) A staff (DOH: 09/23/22) was due to have their TB skin test renewed by 09/21/24, but did not have a renewed test until 03/24/25. 5) A staff (DOH: 05/17/21) was due to have their TB skin test renewed by 05/02/25, but did not have a renewed test until 05/12/25. 6) A staff (DOH: 03/06/17) was due to have their TB skin test renewed by 09/20/24, but did not have a renewed test until 03/13/25. 7) A staff (DOH:12/05/22) was due to have their TB skin test renewed by 12/04/24, but did not have a renewed test until 04/01/25. 8) A staff (DOH: 09/23/19) was due to have their TB skin test renewed by 10/27/24, but did not have a renewed test until 03/25/25. 9) A staff (DOH: 09/25/23) was due to have their TB skin test renewed by 03/16/24, but did not have a renewed test until 03/15/25.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff (DOH: 09/23/22) did not complete their fifteen (15) hours of annual training for the year. She had forteen(14) hours.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a cellular telephone was found on top of a toy cabinet, accessible to children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: Room 3 1. There were several areas of damage due to tape removal. Room 4 1. There were several areas of damage due to tape removal. Room 5 1. There were several areas of damage due to tape removal. Room 7 1. There were several areas of damage due to tape removal. 2. The windowsill on the window to the hallway had areas of damage due to tape removal. Room 8 1. There were several areas of damage due to tape removal. 2. An unknown object was observed stuck to the ceiling and had created an oily residue surrounding it. Room 11 1. Several areas of the ceiling were water damaged.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: Room 7 1. The left-side restroom toilet had not been flushed after use. Room 8 1. The right-side restroom toilet had not been flushed after use. 2. The left-side restroom had a brown substance on the underside of the toilet bowl. Room 9 1. The restroom toilet had not been flushed after use containing fecal matter, resulting in a lingering scent. Room 11 1. The restroom toilet had not been flushed after use, resulting in a lingering scent. Hygienic Practices In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, an unlabeled jar of petroleum jelly was found in the restroom of Room 7. Outdoor Play Area 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 13. Toys and Furnishings.

General: Based on observation, the following was found: Room 6 1. The elephant chair in the reading nook had a stain on the right arm. Room 7 1. The cabinet with animal toys had tape residue that had begun to collect debris. 2. The letter rug was stained. 3. A white, plastic shelf had an accumulation of grime. Room 8 1. An empty basket near the vehicle toy area had an accumulation of grime. Room 11 1. A book storage cabinet had an area of sharp wood exposed where it appeared a hinge had been previously affixed. 2. A toy highchair had an accumulation of grime.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child (DOE: 08/23/21) did not have preferred hospital listed on file at the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, Room Five (5) had fifteen (15) children in the room. The youngest child was age one (1). Staff indicated he was moved to the Two- Year-Old Room because his birthday was soon. The director instructed a staff member to move the child back to Room Five (5) at the time of the exit survey. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, in Room Seven (7), there were two (2) stacks of six (6) blue chairs placed against a wall in the room. A child was wedged behind one of the chair stacks and had to be taken out by staff. Meal Planning/Center Provides Meals 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. Meal Planning Requirements for a Center that Provides Meals.

General: Based on review of documentation, several items on the menu replaced the grain based item with a dessert item. These items included danish, cinnamon roll, oatmeal cookies, sugar cookies, animal crackers, chocolate chip cookies and vanilla wafers. On one particular menu item, a fresh fruit was crossed off and substituted with sugar cookies for snack.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the following was found: On 03/13/25, the surveyor conducted an onsite investigation. The surveyor arrived at approximately 12:30 pm and toured the child-care center and playground. At approximately 12:40 pm, the surveyor found that there were twenty-six (26) children ages three to-five-years-old on the playground with two (2) staff members. The surveyor noted the class was over group size by two (2) children. Based on interview, a staff member stated they had been over group size since 11:45 am, and they would soon receive another child. At approximately 12:47 pm, a child was picked up, which left the class over group size by one (1) child. The surveyor noted that a third staff member was in Classroom #11 but was on her way outside. It a should be noted, the children’s classroom (Classroom #11), has a square footage capacity of nineteen (19) children. The staff member in charge indicated that at she thought she was in compliance because she had three (3) staff members present with the group of children. Meal Planning/Center Provides Meals Not In Compliance 1185 - Breakfast Requirements Not Applicable 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals. (1) Breakfast shall include the following three (3) components: (a) Milk; (b) Bread or grain, which may: 1. Be exchanged for a meat or meat alternative up to three (3) times per week; and 2. Include ready-to-eat cereal with six (6) grams of sugar or less per dry ounce; and (c)1. Fruit; 2. Vegetable; or 3. 100 percent juice. 1190 - Snack Requirements Not Applicable 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals. (2) A snack shall include two (2) of the following components: (a) Milk; (b) Meat or meat alternative; (c) Bread or grain; or (d)1. Fruit; 2. Vegetable; or 3. 100 percent juice. 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: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on review of documentation, two (2) fruits(mandarin oranges and fruit cocktail) were served for lunch on 03/07/25.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on review of documentation, donuts were served for breakfast on 03/04/25 and cinnamon rolls were served for breakfast on 03/05/25. Further mini Oreo cookies were served for snack on 03/10/25.

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 interview, A one-year-old child got her finger smashed in the classroom closet door. A staff member was in the closet getting art supplies and did not know that the child was behind the closet door. The staff member closed the door and the child's finger was in the door jam. The child's finger was bruised and looked pinched, and parents were notified. Parents sought medical attention, the child did not have anything broken and returned back to the center. Director Requirements 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, there were stacked chairs in the #8 classroom which pose a safety hazard for children if they were to fall over. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that one (1) staff member (DOH: 11/15/23), had a TB skin test on file, but the test was not dated. Therefore, it could not be determined if the test was current. 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 3. General Requirements.

General: Based on observation, there were teacher's drinks, which included a Monster drink, on a low shelf in the #8 classroom accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the bathroom vents in classrooms #6 & #7 had excessive dust on them.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was a light out in the left bathroom in Classroom #7.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation: 1) There was excessive tape residue on the ceiling in classroom #7; and 2) There were areas of chipping paint in the kitchen next to the oven. Hygienic Practices In Compliance 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 fence to one of the outdoor playgrounds had an opening that an area of fence was missing. Children from classroom #8 were playing on this playground at the time of inspection, posing a safety concern. There was only one strand of caution tape over the opening in the fence which could easily be bypassed. The opening led to a main road with heavy traffic. Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the refrigerator in #2 classroom did not have a thermometer so the temperature could not be determined. 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 review of documentation, it was found that one (1) child's file reviewed did not contain a physician's contact information. 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: Based on review of documentation, there was documentation of earthquake, tornado and lockdown drills on file at the facility; however, they were documented at the same times. Each drill conducted requires different actions; therefore, there must have different times documented. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview, a child was taken to St. Elizabeth Hospital and Cincinnati Children's hospital on 10/25/23 for an injury to their finger that occurred at the child care center on 10/24/2023. The Division of Regulated childcare was not notified by administrators within the required timeframe that medical attention was sought for the child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, three (3) teachers were talking amongst themselves while on the playground. While the staff were talking to one another, a toddler-aged child fell and hit their head on the concrete. A staff member from an interior classroom observed the child fall and notified the staff members who were on the playground. While the staff member had the door open notifying the playground staff, a separate toddler had placed her finger in the crease/hinge of the doorway. When the notifying staff member closed the door, the toddler’s finger was closed in the crease/hinge of the doorway, causing a fracture to the child's left index finger.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, it was determined that at times the staff person in the one-year-old classroom would raise her voice at the children if they were not following direction and even say curse words in the presence of the children.

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, two staff hired on 1/6/14, and 9/23/20, did not have documentation of an annual evaluation on file at the facility. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, one staff hired on 5/2/22, did not have documentation of negative TB results prior to employment on file at the facility.

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, one staff hired on 9/23/19, did not have documentation of completing the required CPR/FA training on file at the facility. A review of ECE-TRIS confirmed this finding. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. One of the toilets in Room #9 contained urine. Room #9 is the school-age room and during the survey there were no children present, but the staff in charge indicated that school-age children were present in the morning before they were transported to school. 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, this regulatory requirement was not met. The outdoor play area used by the younger children contained a birds nest, located on a light above the exit door that leads to the playground. The glass exit door (Room #10) contained a large accumulation of bird feces. The bird feces was located all over the door, including areas the children could access while playing in the outdoor play area. 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 13. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. The following was found: 1. Room #8 contained a toy shelf with tape residue on the surface. The toy shelf contained dolls. 2. Room #5 contained 2 toy shelves with tape residue on the surface. The toy shelves contained musical instruments and Legos.

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, this regulatory requirement was not met. A hole was observed in a window screen on the playground used by the younger children. The torn window screen coincided with Room #3. Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The refrigerator in Room #3 contained a sticky spilled substance in the bottom of the "Jello" drawer. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, one child enrolled on 9/2/21, did not have documentation of a preferred hospital on file at the facility. 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: Based on review of documentation, this regulatory requirement was not met. The facility did not have any documented shelter-in-place/lockdown drills. Shelter-in- place/lockdown drills shall be conducted quarterly and documented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1.) The statement of deficiency and the plan of correction from the renewal survey conducted on 5/24/2021, was not posted. 2.) Room #9, the school-age room, contained a lesson plan that was no longer current. The lesson plan was dated 5/09/2022 to 5/13/2022. The renewal survey was conducted on 5/16/2022. The school-age room contains children before and after school. Animals 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, it was found that there was no bread component served to the children with lunch. 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 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, it was found that two staff members did not have any out of state background checks completed. Each of these staff members have lived in another state within the last five years. It is important to note that neither of these staff members were working alone during the time of the survey. The dates of hire for these staff are 01/13/2021 and 01/15/2021. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Three staff members did not have evidence of a negative TB skin test prior to employment at the facility. The dates of hire for these staff members are 10/16/2020, 01/15/2021, and 05/17/2021. 2.) One staff person did not have evidence of a negative TB skin test on file at the facility. The date of hire for this staff member is 01/15/2021.

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, the following was found: 1.) One staff member hired 9/23/2019, did not take the Pediatric Abusive Head Trauma training within one year of employment. The training was taken 02/10/2021. 2.) One staff member hired 12/09/2019, did not take the Orientation I and II courses within three months of employment. The courses were taken 10/09/2020. A review of ECE-TRIS confirmed these findings. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there were two cans of disinfectant spray being stored in an unlocked lower cabinet in the Room 2. The plastic child-lock on the cabinet was worn and not engaging at the time of the survey; therefore, they were accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, it was found that there was a missing ceiling tile in the Girls bathroom in the hallway. Also, the floor in Room 2 was sticky as you walked into the classroom. The Surveyor's shoes left impressions on the floor in the area where the floor was sticky. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, there was a bottle of Infant Tylenol found in an unlocked drawer by the sink in Room 3. The bottle was not labled with a child's name. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the following was found: 1. The "pencil" table in Room 4 had numerous areas of chipping paint and splintering wood. 2. The shelving unit used to store plastic animals had an accumulation of dirty tape residue and several areas of chipped veneer. 3. The color block mat in the book area of Room 4 was worn and threadbare in several areas. 4. Three of the wooden shelving units in Room 6 had accumulations of dirty residue on the side surfaces. 5. The shelving unit used to store the musical instruments in Room 5 had an accumulation of dirty tape residue on several shelves on both the top and sides. Transportation In Compliance Food Service/Food Program 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, it was found that two staff members did not have annual professional development plans on file at the facility. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, four staff members hired 1/22/18, 4/8/2019, 12/9/2019, and 6/22/2020, lived in other states within the past five years. These individuals did not have completed background checks for the prior states of residency including sex-offender registry results and state-based child abuse and neglect check results. 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, staff member hired 1/25/2016, did not have an evaluation available for review in their personnel file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 8/14/2020, did not have proof of educational qualifications in their personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members hired 8/14/2020 and 7/27/2020, did not have a negative tuberculin skin result, nor a physician’s statement clearing these individuals of active Tuberculosis in their personnel files. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1. A staff person's purse was sitting on a child-size table in Room 7A. 2. A staff person's purse was sitting on a lower shelf in Room 9B. These items were accessible to the children in care.

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 following was found: 1. There were several plastic grocery bags being stored in an unlocked cabinet under the hand-washing sink in Room 11. 2. There was a pair of large adult scissors being stored in a cup on a child-size table in Room 6. These items were accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1. The ceiling vent in the bathroom in Room 10 had an accumulation of dust and grime. 2. There was discarded cereal from breakfast in the hand-washing sink in Room 8. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found: 1. There was urine in the toilet and a used pull-up on the floor in front of the toilet in the girls bathroom in Room 6. 2. The light was not working in the left-side bathroom in Room 5. 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, the changing mat in Room 3 had a seven-inch tear down the center of the mat and several small tears around the edges of the mat. The surface could not be properly sanitized between uses. 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, a plastic climbing/sliding structure, approximately four feet tall, was sitting directly on a concrete slab less than one foot from a metal pole. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a three-year-old child was lying on a crib mattress on the floor in Room 6. The mattress had large tears down three sides leaving large areas of exposed foam. The mattress can not be properly sanitized between uses.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a long mirror at the bottom of a wall in Room 1 was cracked. The mirror was accessible to the children in care. Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1. There were two bottles in the refrigerator in Room 3 that were not individually labeled with a child's name. 2. There was one bottle in the refrigerator in Room 2 that was not individually labeled with a child's name. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled 9/20/2015, did not list a preferred hospital in their enrollment information. The individual filling out the form had listed, “closest”. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a current schedule of daily activities, including lists and dates of activities to be conducted with the children was not posted in Room 7A. The schedule posted was for the week of 9/7/2020 thru 9/11/2020. Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, it was determined that a staff member hired 6/6/19, inappropriately handled an infant child while placing the child into an exer-saucer. The child's legs were bent while the teacher continued to force the child into the piece of equipment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, it was determined that a three-year-old child was left unsupervised while in the classroom restroom for approximately 14 minutes on 11/1/19.

Open Not marked corrected in the state record

Category: supervision. 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, it was determined that a staff member hired 9/6/19, tapped a child on the hand to redirect her while the child was putting a colored pencil in her mouth. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, it was determined that a staff member hired 9/6/19, tapped a child on the hand to redirect her while the child was putting a colored pencil in her mouth.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, it was determined this regulatory requirement was not met. During the course of an investigation, it was determined a child was left alone in the four (4) year old classroom for approximately thirty three (33) minutes. The child was sleeping in a corner of the room while the teachers and other students were outdoors on the playground. The child was alone in the room and was not in direct sight or hearing distance of a teacher or capable adult. There were three (3) teachers in the room with nineteen (19) children before the child was left alone. The child was left unsupervised until she was found by her mother, who also was a teacher at the facility. Video footage from the classroom confirms the findings.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation and interview, it was determined this regulatory requirement was not met. During the investigation, it was found a child was left alone in the four (4) year old classroom for thirty three (33) minutes. The child was not protected by a capable adult and was not under direct guidance or care of a teacher during this time. It was determined through video footage from the room that an unrelated adult entered the room during the time the child was alone and without supervision. The three (3) teachers in the room at the time were unaware the child was in the room and therefore, could not account for her direct safety or supervision. General Administration In Compliance 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 observation and interview, it was determined this regulatory requirement was not met. During the course of the investigation at the facility, it was found a child was left alone in the four (4) year old classroom for thirty three (33) minutes. Three (3) teachers in the room were unaware the child was left alone while the class had gone to the playground. Video footage from the day of the incident confirms the findings. The child's health, safety, and comfort could not be assured while she was without direct supervision by capable staff. Staff entered and exited the room several times, but did not see the child sleeping in the corner of the room. The child was also alone in the room when an unrelated adult entered the room and stayed for several minutes. Employee Records In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there was a wet roll of toilet paper found on the floor behind the toilet in the Pre-K bathroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that the chain of command for the center was no longer accurate with the appropriate staff members listed.

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 documentation, it was found that ten (10) staff did not have evidence of the national background check being completed. The dates of hire for these staff are 02/06/2019, 04/08/2019, 03/27/2019, 04/03/2019, and 05/06/2019. It is important to note that none of these staff were working alone during the time of this survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that ten (10) staff did not have evidence of submitting their fingerprint for the national background check process. The dates of hire for these staff are 02/06/2019, 04/08/2019, 03/27/2019, 04/03/2019, and 05/06/2019. It is important to note that none of these staff were working alone during the time of this survey. Also, four (4) of these staff had started the online process, but had not yet submitted their fingerprints. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) An infant in the older infant classroom was found asleep in a crib wearing a teething necklace. This necklace could pose a safety hazard. 2) An air freshener was plugged in an outlet right next to the changing table pad and was accessible to the children. 3) There was a one-year-old child wearing a teething necklace in the one-year-old classroom. 4) An air freshener was plugged in an outlet in the Kindergarten room and was accessible to the children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that ten (10) staff members did not have evidence of an annual performance evaluation on file at the the facility. The dates of hire for these staff are: 10/24/2016, 01/25/2016, 03/15/2018, 04/28/2009, 03/06/2017, 09/28/2011, 09/08/2013, 04/30/2018, 01/22/2018, and 01/06/2014.

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, it was found that seven (7) staff did not have proof of education on file at the facility. The dates of hire for these staff are 02/04/2019, 02/06/2019, 04/03/2019, 05/06/2019.

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, the following was found: 1.) One (1) staff did have not have evidence of being free of TB prior to employment. The date of hire for this staff is 04/30/2018. 2.) Two (2) staff did not have evidence of being free of TB that was obtained within the last two (2) years. The dates of hire for these staff are 03/25/2008 and 03/06/2017. 3.) Three (3) staff did not have evidence of being free of TB on file at the facility. The dates of hire for these staff are: 02/04/2019, 03/18/2019, and 05/06/2019. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) There were nine (9) staff who did not have the required fifteen hours of cabinet approved training. The dates of hire for these staff are 10/24/2016, 01/25/2016, 03/15/2018, 04/28/2009, 09/08/2015, 01/22/2008, 01/16/2014, 03/25/2008, and 04/30/2018. 2.) There were four (4) staff who did not have the required orientation training. The dates of hire for these staff are: 11/30/2018, 08/27/2018, 12/26/2018, and 02/06/2019. A review of ECE-TRIS confirmed these findings. 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 following was found; 1) There were numerous food crumbs and torn napkins found on the floor in the school age classroom. 2) The ceiling vent in the PreK bathroom was covered in dust. 3) There was dust covering the light/vent cover in the bathroom in the PreK bathroom. 4) The ceiling vent in the two-year-old classroom was covered in dust. 5) The light/vent in both bathrooms were covered in 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, an overhead light was not working in one (1) of the bathrooms in the PreK 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 was found: 1) There were water stains on the ceiling tiles in the one-year-old classroom. 2) The corner edge of the half wall in the one-year-old classroom was broken and clear duct tape was covering the broken edge. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the following was found; 1) The toilet lid was found on the floor and the handle broken off on the toilet in the men's hallway bathroom. 2) The toilet in the PreK bathroom had urine in it and a blue substance was on the toilet lid. 3) There was urine found in the toilet in the two-year-old classroom. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the changing pad was torn in the older infant classroom. 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 following was found on the large back playground: 1) There were two (2) rusty nails sticking out of the edge of the building next to the ground. These nails were accessible to the children. 2) A wet towel and paper was found on the ground next to the gate. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report 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, upon entering the infant classroom two (2) infants were found asleep in swings. Interview with staff found that the two (2) infants had been asleep for about one (1) hour.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) The edge of the carpet next to the wood floor in the school age classroom was frayed in several areas. 2) The entire fabric on the side of the adult size couch in the school age classroom was pulled away from the frame. 3) There were numerous torn books in the PreK classroom. 4) There were numerous books torn in the two-year-old classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, The following was found on the infant/toddler playground: 1) Both seats and a section of the table top of an adult size picnic table had large cracks exposing a sharp edge. 2) A door to a plastic Little Tykes grill was broken off and found on the ground. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that four (4) children's files did not have a preferred hospital listed on the enrollment paperwork. The dates of enrollment of these children are 08/02/2017, 05/15/2013, 01/12/2014, and 09/17/2014. In addition, it was found that one (1) child did not have a physician contact listed on the enrollment paperwork. The date of enrollment for this child is 07/24/2017. 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, it was found that there were five (5) staff members who did not have an annual professional development plan on file at the facility. The dates of hire for these staff are: 03/15/2018, 03/06/2017, 09/08/2015, 04/30/2018, and 01/22/2018. 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 review of documentation, a staff person was seen on video keeping a one-year-old child down on his cot for over five (5) minutes. The child woke up approximately fifteen (15) minutes early from nap and was moving around on his cot and attempting to get up from his cot. In the video, the staff person in question is sitting on the floor next to the child and is seen at least six (6) times pushing the child's head back down on the cot, was seen placing her hand on the child's back to prevent him from getting up off the cot and was seen flipping him over onto his back and placing the child's blanket completely over the his face with her hand on the child's stomach. Towards the end of the video, the staff person is seen picking the child up and swinging him over her outstretched legs and sitting him down sternly on the floor. The child was then blocked in a corner by two (2) walls, a bookshelf and the staff person's legs. She appeared to say something to the child and then pushed his cot away from her with her hand. The child sat there for approximately one (1) minute before he got up and sat in the staff person’s lap where she is seen patting him gently on the back. It was noted that there was another staff person in the classroom who stated she did not see anything inappropriate occur during naptime. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, a staff person was seen on video keeping a one-year-old child down on his cot for over five (5) minutes. The child woke up approximately fifteen (15) minutes early from nap and was moving around on his cot and attempting to get up from his cot. In the video, the staff person in question is sitting on the floor next to the child and is seen at least six (6) times pushing the child's head back down on the cot, was seen placing her hand on the child's back to prevent him from getting up off the cot and was seen flipping him over onto his back and placing the child's blanket completely over the his face with her hand on the child's stomach. Towards the end of the video, the staff person is seen picking the child up and swinging him over her outstretched legs and sitting him down sternly on the floor. The child was then blocked in a corner by two (2) walls, a bookshelf and the staff person's legs. She appeared to say something to the child and then pushed his cot away from her with her hand. The child sat there for approximately one (1) minute before he got up and sat in the staff person’s lap where she is seen patting him gently on the back. It was noted that there was another staff person in the classroom who stated she did not see anything inappropriate occur during naptime. It is important to note that regulations prohibit discipline associated with rest.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, a one-year-old child was required to lay on his cot for over five (5) minutes after he woke up early from nap. Staff person was seen on video holding him down on the cot by using her hand on his back, covering his head with a blanket and pushing his head back down onto the cot multiple times. The child was never given an alternate activity to do until naptime was over.

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, it was found through review of video that on 05/09/2018 a staff person in the one (1) year-old classroom was observed to pick a child up inappropriately by the child's upper arms holding the child towards the staff's face. The child's feet were not touching the ground. In an interview with several staff who observed the incident, the staff stated that the staff holding the child was fussing at the child and stated that the staff was frustrated. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, it was found that a one (1) year old child was made to sit against a wall in the classroom for time out for a couple of minutes. In an interview with staff it was found that one (1) of the staff in the one (1) year-old classroom placed a one (1) year-old child in time out for climbing on another student causing that student to cry.

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, it was found that three (3) employees did not have the required fifteen (15) hours of training for a twelve (12) month period. The first employee with a hire date of 9-28-2011 had only fourteen (14) hours. The second employee with a hire date of 9-7-2008 had only fourteen and a half (14.5) hours. The third employee with a hire date of 3-11-2009 had only fourteen and a half (14.5) hours. This was checked through ECE TRIS. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that room eleven (11) had a weekly lesson plan posted with an incorrect date listed. The posted lesson plan had a week date on it of 4/2/18-4/6/18. The week this inspection took place was 4/9/18-4/13/18. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that one (1) child with a birth date of 9-15-2016 did not have the physician contact information listed in the enrollment information. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a staff person with a hire date of 09/11/2017 did not have documentation of an out of state background check for the state of Ohio that was marked as a previous state lived in. In an interview with the staff it was found that this staff person had been working alone Monday through Friday from 10:30am until 6:30pm on a regular bases caring for the children in the infant classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Interview, the staff person in charge stated that the director listed with the facility was terminated from employment on October 6th. She stated that the owner was aware a director change request needed to be submitted to the Division of Regulated Child Care but according to the Division of Child Care records, no request has not been submitted. Director Requirements 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.

Based on observation and review of video footage, the class completed a practice fire drill for fire safety week on October 2, 2017. During this practice drill, a child was left unattended in the classroom for a total of two to three (2-3) minutes. It was observed on video that the child was in the bathroom when her class exited the room and when she came out of the bathroom she was in the classroom for one (1) minute alone when another teacher heard the child and went inside the classroom. The child was taken to the front office where staff let the child's teacher know what occurred and addressed this supervision issue. The teachers in the classroom stated that they did not follow the typical fire drill procedure due to this being a fake drill but did think they counted the right amount of students. They admitted the count was wrong, resulting in one child being left in the room. 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 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 12/04/2017 AND AS OF 01/09/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not Inspected

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Review of Documentation, on 8/16/17 a report of suspected child abuse that occurred at this facility was received by the Division of Regulated Child Care and the Department for Community Based Services. The alleged abuse occurred on 8/14/17. The Division of Regulated Child Care and the Department for Community Based Services conducted a visit at the facility on 8/21/17 and as of that date, no employee of the facility had reported the incident involving a three-year-old child and staff person. Interviews found that the facility director had reviewed video footage after a staff person brought the incident to her attention. The staff person reported an incident she observed in which a staff person slung a three-year-old child into a wall. The director did not report the incident. An additional staff person was also in the room when the incident occurred. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, on 8/16/17 a report of suspected child abuse that occurred at this facility was received by the Division of Regulated Child Care and the Department for Community Based Services. The Division of Regulated Child Care and the Department for Community Based Services conducted a visit at the facility on 8/21/17 and as of that date, no employee of the facility had reported the incident involving a three-year-old child and staff person. Interviews found that the facility director had reviewed video footage after a staff person who had looked into the room at the time the incident took place brought the incident to her attention. The staff person reported an incident she observed in which a staff person slung a three-year-old child into a wall. The director did not report the incident. An additional staff person was also in the room when the incident occurred. A review of documentation found that the facility has a written policy and procedure for reporting suspected child abuse or neglect. However, interviews with staff found that some were not familiar or were unsure of this policy. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, on 8/21/17 an investigation was conducted along with the Department for Community Based Services. A review of video footage shows that on 8/14/17 at approximately 9:20 AM a group of children ages two to three (2-3) years sitting on the carpet doing motions to a song. A female teacher is sitting in a chair in front of the group and an additional female teacher is sitting on the floor behind the group of children. At approximately 9:28:34 AM the teacher sitting in the chair reaches down, grabs the feet of a three-year-old male child and turns him. As the staff person does this the child attempts to back away from the staff person who then reaches and grabs the child by his left arm and left leg and then grabs his hands and yanks him up and sets him down roughly on the carpet. At 9:28:41 AM the same staff person then grabs the child by his hands and violently swings him to her left. As she swings him around his entire body is parallel to the floor. The child’s forehead slams into the wall behind the teacher. The child immediately reaches up with his little hand, touches his forehead, and appears to be crying. The teacher, who had one (1) hand on the child reaches around with her other hand and while gripping under his forearms pulls the child into a sitting position. At 9:28:48 AM the child tries to get away and the teacher grabs him and then pulls him roughly onto her lap. The child is observed holding his hands over his eyes and appears to be crying. At 9:29:17 AM the teacher puts him on the carpet in front of her and he is observed sitting on his bottom with his head down. It is important to note that a second teacher who was sitting on the floor behind the group of children observed the entire incident with no reaction or attempt to intervene. This was the child's first day in this classroom. An interview with the director found that she viewed the video footage of the incident with the staff and the three-year-old child on the evening of 8/14/17. After reviewing the video, she allowed the staff person involved to work with children the next two (2) days. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, during a complaint investigation conducted on 8/21/17 it was found that on 8/14/17 video footage shows a group of children sitting on the carpet. The children who were ages two to three (2-3) years old were required to sit in circle time for thirty (30) minutes even though some of them were not participating and became uninterested.

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, in the bathroom in classroom #8 the plastic cover was missing from the light fixture and the bulb in the fixture was not shatter proof.

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, in the bathroom in classroom #8 there was feces in the toilet where it had been used but not flushed. 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, in classroom #1 there were plastic grocery bags stored in the cabinet under the sink; the cabinet door did not have a lock.

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, in classroom #11 a first aid kit was stored under the sink and accessible to the children. The kit contained an ice pack that was labeled keep out of reach of children. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, a staff person hired 1/3/17 had documentation of being free of TB dated 1/11/17; not prior to employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in classroom #5 the children were sent individually to wash their hands before lunch. They then returned to sitting on the floor to listen to a story before going to the table to eat. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in classroom #1 there were diaper creams and ointments stored in a drawer. The drawer had a child safety lock but it did not work. Also, in this room there were medications stored in a cabinet that was not locked. In classroom #3 there was adult ibuprofen in an unlocked drawer; the bottle was not labeled with a name. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, throughout the center the naptime blankets were stored on individual cots that had been stacked. The blankets were folded or bunched up so that the blanket on top of the cot was touching the cot stacked on top.

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, in the school age room the cabinets where the toilet paper and the paper towels were stored had a build upp of dirt and grime. Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, in classroom #2 there was no thermometer in the freezer. 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

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, there were seven (7) children's files reviewed that did not include a 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Observation and interview, the following was found: 1. The surveyor toured the older infant classroom and observed a ladder propped up against the wall beside the cribs. The ladder was in the area that the children use; therefore, accessible and posed a safety concern. 2. A tour of the children's bathrooms in Room #5 and Room #6 (both two (2) year old classrooms) found toilet brushes and toilet plungers sitting beside the toilet. These items were accessible to the children. The staff person in charge acknowledged this finding during the exit interview. 3. A tour of the outdoor playground found an uncovered electrical outlet beside the water fountain. The staff person in charge stated that she was in the process of getting a new cover for the outlet.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, two (2) staff (hire dates: 12/28/15 and 4/4/16) did not have educational documentation on file. The staff person in charge acknowledged this finding during the exit interview.

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, this regulatory requirement was not met. One (1) staff file (hire date: 9/8/14) contained results of a negative T.B. test that is no longer current. The test was dated 1/7/14 which exceeds the two (2) year time frame. The staff person in charge acknowledged the finding during the exit interview.

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, this regulatory requirement was not met. The staff person in charge identified thirteen (13) staff that transport children alone on the facility vehicles. A review of staff files during the visit found that nine (9) of these staff are not currently certified in adult, infant and child CPR and first aid. These staff had CPR and first aid certification cards in their file that contained a March 2016 expiration date. The staff person in charge stated that these staff all attended a re-certification class; however, indicated that the new certification cards had not yet been received.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation and interview, this regulatory requirement was not met. The surveyor entered the younger infant room at 10:00AM and observed one (1) infant asleep on a Boppy pillow on the floor and a second infant asleep in a swing. The surveyor toured the younger infant room a second time at 10:20AM and observed both children still sleeping in the same position. The staff person in charge stated that she did not have documentation stating that the children required an alternate sleeping position.

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, this regulatory requirement was not met. A tour of the school age classroom found two (2) Glade air fresheners sitting on a shelf in the girls' bathroom and three (3) Glade air fresheners sitting on a shelf in the boys' bathroom. These items were labeled "Keep Out of Reach of Children". The staff person in charge acknowledged this finding during the exit interview.

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, this regulatory requirement was not met. The surveyor toured the children's bathrooms in Room #6 (older two (2) year olds) and Room #7 (three (3) year olds) and found an accumulation of dust on all of the ceiling vents. The staff person in charge acknowledged the finding during the exit interview.

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, this regulatory requirement was not met. A tour of the children's bathrooms in Room #7 (three (3) year olds) found feces in the toilet in the girls' bathroom. Hygienic Practices

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, this regulatory requirement was not met. The diaper changing pad in Room #4 (eighteen (18) - twenty-four (24) months old) was torn in several areas. The staff person in charge acknowledged this finding during the exit interview.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation and interview, this regulatory requirement was not met. A tour of Room #4 (eighteen (18) - twenty-four (24) months old) found a bottle of Miralax medication sitting on a shelf in an open cabinet above the handwashing sink; therefore, the medication was not stored properly. A staff person working in the classroom stated that the Miralax belonged to a child that is no longer enrolled at the facility. 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 and interview, this regulatory requirement was not met. Upon arrival, the staff person in charge informed the surveyor that construction was taking place and it was explained that a new classroom was being added onto the back of the building. The staff person in charge escorted the surveyor to the back of the building and identified orange temporary fencing that had been installed on the playground to create an area for construction workers to get supplies from the front parking lot to the work site in an attempt to not interupt the children's outdoor play time. Although there were no children present on the playground at the time of the visit, the construction taking place on the playground and the unstable/temporary fencing presents a potential 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 11. Toys and Furnishings.

General: Based on Observation, this regulatory requirement was not met. During a tour of Room #3 (twelve (12) - eighteen (18) month olds) the surveyor noted that the yellow and purple vinyl mats contained numerous tears.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and interview, the following was found: 1. One (1) civil penalty notice that was issued to the facility on 4/20/16 was not posted. 2. The statement of deficiencies and plan of correction from a 12/22/15 complaint investigation was not posted. The staff person in charge stated that she was not aware of this regulatory requirement.

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, this regulatory requirement was not met. The school age classroom had a schedule of daily activities posted that was dated 2/29/16 - 3/4/16; therefore, it was no longer current.

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 Review of Documentation, interview and observation, this regulatory requirement was not met. Staff interviews during a complaint investigation revealed that on 12/14/15 at 5:38PM the staff person working in the four (4) year old classroom (Room #8) reviewed her classroom attendance list and noticed that two (2) children were missing. The staff person opened the bathroom door in the classroom and found the two (2) children alone in the bathroom together. The children were identified as a male four (4) year old child and a female four (4) year old child. A review of the facility's video surveillance footage found that the children entered the bathroom together at 5:38:06PM and were found by the staff person at 5:42:29PM; therefore, they were alone in the bathroom for approximately four (4) minutes. The staff person stated the following in her written statement, "As soon as the parents left, the other staff person came back and I was doing my head count. That's when I realized two (2) children were unaccounted for. So I immediately checked the bathrooms. I found the two children in the bathroom together". Staffing Requirements

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff (hire date 12/8/14) moved to Kentucky two (2) years ago. This staff person did not have a completed criminal records check from her previous state of residence on file. It is important to note that this staff person was not observed working alone with children at the time of the inspection. Two (2) staff (hire dates 2/11/15) had criminal records checks on file that were dated 3/12/15. The criminal records checks were not processed according to KRS 199.896(19).

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, one (1) staff file (hire date: 2/11/15) did not contain proof of education.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the surveyor found that fourteen (14) staff are listed as bus drivers. The staff did not have a current annual driving record check on file at the time of the inspection. Programming

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 glue board mouse/ insect trap was observed on a shelf behind the toilet in the school age boys' bathroom next to a roll of paper towels.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, an overhead light fixture was not working in the boys' bathroom in classroom #8.

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 did not see diaper changing areas in either of the toddler classrooms (Room 4 and Room 5). Staff in both rooms said they change the children's diapers while the children are standing up. This diaper changing practice does not meet the regulation.

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 surveyor observed a cracked plastic brown seesaw type toy on the playground.

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 parent's preferred hospital information was not documented on the children's enrollment forms.

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 Review of Documentation, the surveyor observed hand-washing steps but no diaper changing steps in classroom #3. Animals

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 Review of Documentation, one (1) staff did not have a current evaluation on file. The staff member was hired on 5/31/11.

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, the facility failed to ensure that no toys or other items be located in a crib with a sleeping child. A boppy pillow was found in a crib with a sleeping infant. The staff member in the classroom stated that the child will often sleep with the boppy pillow to assist the child in breathing. The child sleeping in the crib was approximately five (5) months old. The staff member stated that the facility did not obtain a physician’s statement requesting the boppy to be used while the child is sleeping.

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 facility failed to ensure that trash bags are inaccessible to a child in care. A plunger wrapped in black trash bags was stored in the toilet room of rooms nine (9) and six (6). The plunger was stored on the floor next to the toilet in these rooms. The children in care use the toilet rooms, therefore, the plunger was accessible.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the facility failed to ensure that children are placed on a surface that is padded, nonabsorbent, and free of holes, rips, tears, or other damage. The staff member in classroom four (4) stated that children are changed in a standing position when diapered. The staff member stated that a padded mat is only used when the child must be diapered on top of the changing area. The mat used for diapering had a large tear in the vinyl surface.

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 facility failed to provide a protective surface for outdoor play equipment used to slide. A two (2) feet distance between the bottom of a red slide in the outdoor play area, and the ground was observed. The mulch at the bottom of the slide was sparsely spread, causing the two (2) foot distance between the end of the slide and the ground.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the facility failed to ensure the equipment used by children in care be in good repair. A vinyl rainbow shaped climbing structure was located in the middle of the room in classroom four (4). The vinyl had ripped in several places, exposing the cushion inside the structure. Also in room four (4), four (4) vinyl tumbling mats were located in the corner by the door. The mats were torn in several places, causing the cushion inside the mats to be exposed.

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 facility failed to maintain a written record for each child containing identifying information about the child, contact information, the name of each person who is designated in writing to pick up the child, the child’s general health status and medical history, the name and phone number of each person to be contacted in an emergency situation involving or impacting the child, and authorization by the parent for the child care center to seek emergency medical care for the child in the parent’s absence. A review of enrollment paperwork for children enrolled on 06/21/2011, 08/04/2013 and 08/08/2011, showed that the three (3) children were included on the same written record. The facility did not obtain a written record for each child separately. The staff person in charge reported that the children are siblings and the parents did not complete separate enrollment forms for each child. The facility also failed to obtain written permission form the parent for third party professional services in the child care facility. At the time of survey, six (6) children were observed participating in an activity with a third party professional from Happy Feet LLC in classroom six (6). The third party professional was alone with the children and maintained supervisory control over the group of children. The third party professional maintained records of children signed in and out of the activity while the third party professional conducted supervisory control over the children. The staff member in charge at the facility stated that Happy Feet LLC has provided service in the facility for almost one (1) year. The staff member in charge stated that parents must register their children for the program, however, the facility had not obtained written permission from the parents that allow Happy Feet LLC to conduct the activities with the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff file contained a professional development plan that was not dated. This staff was hired on 8/23/12.

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 facility failed to post the proper methods of diapering and hand washing at each diaper changing area in rooms one (1) and three (3). The staff member in both classroom stated that the postings had been removed while the walls near the changing area were painted. Animals

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. Animals.

General: Based on Interview, the facility failed to ensure that an animal not be allowed in the presence of a child in care unless written parental consent has been obtained. The staff person in charge stated that the facility had not obtained written parental consent for the children in care to be in the presence of two (2) aquatic turtles and fish.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) staff (hire dates: 8/20/07 and 9/2/10) had professional development plans in their file that were dated 4/30/12; therefore, they were no longer current.

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 Review of Documentation, it was found that the facility did not have a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member.

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, it was found that the facility did not have any written documentation indicating that staff meetings were conducted in 2013. The last documented staff meeting was conducted on 8/25/12. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, three (3) staff (hire dates: 1/9/12, 9/2/10 and 3/11/09) eligible for an annual performance review did not have documentation of a review on file in the facility. One (1) staff person (hire date: 12/11/08) had a performance review in her file dated 4/20/12; therefore, it was no longer current.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff file (hire date: 3/14/13) did not have proof of educational requirement.

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 following was found: 1. Two (2) employee files did not have evidence of a negative TB skin test or physician's statement documenting he/she was free from tuberculosis prior to employment. One (1) employee was hired on 3/14/13; however, did not have a TB skin test until 4/4/13. The second employee was hired on 7/23/12; however, did not have a TB test until 9/13/12. 2. One (1) employee file had a doctor's note in her file dated 9/12/12 that stated, "This person is under our care for pregnancy. She should avoid TB testing until after pregnancy if possible". The staff person stated that this person delivered her baby in Feb 2013 and indicated that the staff person had not obtained new TB test documentation.

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 facility failed to meet this regulatory requirement. During the survey the staff person in charge identified the names and schedules of all the staff that work with the school age children. A review of the staff schedule and a review of CPR certification cards in each staff person's file revealed that only one (1) of these staff had a CPR certification card that included "adult" CPR training. This staff person works from 11:45AM - 6:30PM each day; therefore, there is not a staff person present with the school age children (kindergarten age) from 6:30AM - 11:45AM that is certified in adult CPR. Furthermore, the staff person in charge identified three (3) of these staff as the main van drivers that transport school age children each day and none of them are certified in adult CPR.

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 Interview, it was found in Room #1, an infant room, that there is not a scrub brush to clean the toys the children put in their mouths. Based on interview the staff members use washcloths to clean the toys that are mouthed. 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, it was found that a Step 2 multi-colored slide was located on the grass in the preschool outdoor play area. The slide was approximately 2 feet tall.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, children's allergies were posted and uncovered in the 18-24 month old classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on Review of Documentation, there was one (1) staff person hired 5/24/10 who did not have a current T.B. skin test or a statement from a health professional indicating the individual is free of the symptoms of T.B. There was one (1) staff person hired 1/17/11 who had the results of a T.B. skin test dated 6/3/11. An additional staff person hired 9/9/11 had the results of a T.B. skin test read on 9/11/11. The regulation requires that a T.B. skin test be obtained prior to employment. Documentation shows that both of these T.B. skin tests were obtained after employment. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there were two (2) children enrolled 7/6/2010 and 7/1/11 who did not have a current immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.