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

General: Based on review of documentation, the last Fire Marshal Inspection was dated for 02/01/23 and a current inspection was not provided to the surveyor for review during the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 06/20/2025 AND AS OF 07/07/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: Room 2: 1) The paint was chipping on the grey wall. Room 5: 1) The carpet was torn. Room 6: 1) The paint was chipping on the grey wall. 2) The paint was chipping on the main door. Room 7: 1) The laminate floor tiles were torn. 2) Paint was chipping on the walls.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the diaper changing pad was torn. The diaper changing table was located in Room 6.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1) The ground was exposed through the mulch on the playground. 2) Weeds were growing on the playground.

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, the surveyor found the following: Room 2: 1) The children's play kitchen had chipped paint. 2) Paint was chipped on the brown cubbies. Room 3: 1) The children's play kitchen had chipped paint. 2) Paint was chipped on the brown cubbies. 3) The table surface was chipped. Room 5: 1) There was tape residue on the green cubby. Room 6: 1) The children's play kitchen had chipped paint.

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, job descriptions were not presented to the surveyor for review during the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor discovered a crib sheet that appeared to be dirty in the Nursery. Staff-in-charge reported that she would make sure the crib sheets are cleaned. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered a child's (DOE: 01/12/2022) immunization certificate was no longer after 11/22/2023; therefore, the child's immunization certificate was not current. Staff-in-charge reported that she would have the parents bring an updated immunization certificate. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff member's (DOH: 01/04/2023) file contained a negative tuberculin result (TB skin test) dated for 07/28/2021; therefore, the TB skin test was no longer current. 2. A staff member's (DOH: 08/08/2021) file contained a negative tuberculin result dated for 07/15/2021; therefore, the TB skin test was no longer current. Staff-in-charge reported she would have the staff members update their TB skin tests. 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 4. Premises Requirements.

General: Based on observation, the surveyor discovered the following: Room Four: 1. The air vent cover was hanging down from the ceiling. 2. There was what appeared to be a dirty paper towel on a shelf. Preschool Classroom: 1. There was dirt debris on the floor. 2. There was dirt debris on two (2) rugs that were navy in color. 3. There was a layer of dust on the intake vent. Steps to lower level of the building: 1. There was dirt debris on multiple stairs. After School Classroom: 1. There was what appeared to be food particles on the floor. 2. There was a white substance on the surface of a table. 3. There was a layer of dust on the intake vent. After School Restroom: 1. There was toilet paper on the floor and in the sink of the restroom. 2. There was a layer of dust on the exhaust vent. Nursery: 1. There was dirt debris on the floor. 2. There was what appeared to be food particles on the sides of the hand washing sink. Two-Year-Old Classroom: 1. There was what appeared to be food debris on the floor. Two-Year-Old Restroom: 1. There was toilet paper on the floor. One-Year-Old Classroom: 1. There was a layer of dust on the air vent. 2. There were what appeared to be dead bugs in the light covers. One-Year-Old Restroom: 1. There was dirt debris on the floor. Staff-in-charge reported that she would have the areas cleaned or repaired.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor discovered the following: Room Four: 1. There was a brown substance on the ceiling tile; therefore, the ceiling tile were not in good repair. Hallway: 1. There was what appeared to be water damage to a ceiling; therefore, the ceiling was not in good repair. One-Year-Old Classroom: 1. There was a brown substance on eight (8) ceiling tiles; therefore, the ceiling tiles were not in good repair. Staff-in-charge reported that she would have the ceiling tiles repaired. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found a brown substance on the diaper changing pad located in the Preschool Classroom's restroom; therefore, the diaper changing pad was not kept clean. Staff-in-charge reported that she would have the diaper changing pad cleaned. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor discovered the following: 1. An electrical outlet in the Pre-School Classroom was missing one (1) protective cover. 2. An electrical outlet in the Pre-School Classroom's restroom was missing one (1) protective cover. The protective outlet cover was placed on the floor of the restroom. 3. A toilet bowl cleaning brush was placed on the floor near the toilet in the Pre-School Classroom's restroom. 4. A plunger and a toilet bowl cleaning brush were placed on the floor near the toilet in the School Age Classroom's restroom. 5. Four (4) jackets and one (1) backpack were placed on the floor in the hallway outside of the Pre-School Classroom; thus, creating a potential tripping hazard. 6. A pair of shoes were placed on the floor beside the cubbies in the hallway just outside of the Pre-School Classroom; thus, creating a potential tripping hazard. Therefore, this creates potential health and safety issues for the children. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered that the personnel files for two (2) staff (DOH: 1/23/2023 and 9/19/2022) did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview with the staff-in-charge, the surveyor discovered that the personnel files for two (2) staff (DOH: 2/10/2023 & 7/5/2022) did not contain a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results. 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 3. General Requirements.

General: Based on observation, the surveyor observed a child in the Pre-School Room playing an unknown game on an electronic device from 11:39 a.m. – 11:59 a.m. while two (2) other children sat on each side of the child watching. The time that the child was playing on the game was designated as time prior to lunch for children to be cleaning up, washing hands and preparing for lunch. Staff-in-charge stated that the child belonged to one of the staff members and that the staff had been advised before that the child could not have the device while at the child-care center. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor discovered the following: 1. Layers of paint in the sink of the Pre-School Classroom as well as in the sink located in the Pre-School Classroom's restroom. 2. Paint on the wall and the soap dispenser in the Pre-School Classroom. 3. Several pieces of tile missing from the floor in the Pre-School Classroom. Staff stated that new tiles have been ordered. 4. Food wrappers and trash on the floor of the Pre-School Classroom. 5. A section of the drywall was torn from the wall in the Pre-School Classroom's restroom. 6. A pan was placed under the sink in the Pre-School Classroom's restroom with an unknown yellow liquid observed inside of the pan. 7. Toilet paper was observed on the floor in the Pre-School Classroom's restroom. 8. A brown smear was observed on the floor in the Pre-School Classroom's restroom. 9. A brown smear and yellow spots were observed on the toilet seat in the Pre-School Classroom's restroom. 10. A broken piece of trim near the cubbies located just outside of the Pre-School Classroom's door. 11. Paper towels were observed on the floor in School Age restroom. 12. A dried substance with an orange tint was observed in two (2) areas on the floor of the School Age Classroom. Therefore, the premises was not kept clean and in good repair. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor discovered that the hot water temperature of the sink located in the Pre-School Room and the sink located in the Pre-School Room's restroom had a temperature reading of fifty-two (52) degrees Fahrenheit; therefore, the water temperature of the sink did not fall within the required minimum ninety (90) degrees Fahrenheit and maximum one hundred and twenty (120) degrees Fahrenheit. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor observed staff in the Pre-School Room failed to wash the hands of one (1) child or have the child wash their hands after changing the child’s diaper/pull-up; therefore, the staff failed to clean the child's hands with liquid soap and warm water as required.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, staff in the Pre-School Room fail to wash her hands after changing a child’s diaper/pull-up; therefore, the staff failed to clean her hands with liquid soap and warm water as required. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor observed the following: 1. Various pieces of trash were located throughout the playground area. 2. An ice pack was placed on the ground of the playground. 3. Two (2) jackets, two (2) socks, and a pair of shoes were left on the playground. Therefore, the outdoor play area was not kept clean and free of litter/rubbish.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor observed the following: 1. A broken chair was placed on the ground near a slide. 2. The plastic ground cover found underneath the mulch was exposed in various areas and sticking through the mulch creating a tripping hazard for the children. 3. A protective surface (mulch) was observed in the area around a swing set on the playground; however, the mulch that had been placed on the ground under six (6) swings was pushed away exposing the black ground covering. Therefore, the outdoor play was not safe from foreseeable hazard, well maintained, or in good repair. Equipment In Compliance Transportation Not Applicable Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the thermometer in the refrigerator's freezer located in the School Age Classroom indicated a temperature of twenty-five (25) degrees Fahrenheit; therefore, the temperature was not maintained at zero (0) degrees Fahrenheit or below as required. Food Service Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the surveyor discovered a box of box of bananas and a bag of potatoes was placed on the floor in the kitchen; therefore, the items were not stored at a minimum of six (6) inches off the floor as required. Meal Planning/Center Provides Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report 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, the surveyor discovered that a children's file (DOE: 9/13/2021) did not contain the name or telephone number for the family physician; therefore, the child-care center failed to maintain children's records. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview with staff-in-charge, the surveyor discovered that the child-care center did not have a written chain of command available for the surveyor’s review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered a record indicating that monthly fire drills and the quarterly tornado and earthquake drills were completed for the first quarter of 2023. The provider was unable to locate documentation for the monthly fire drills, quarterly tornado, and earthquake drills for the months of March 2022 through December 2022. The provider confirmed through interview that the drills were completed; however, the provider was unable to locate the documentation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered a record indicating that monthly fire drills, the quarterly tornado, earthquake, and shelter-in-place drills were completed for the first quarter of 2023. Staff-in-charge was unable to locate documentation for the monthly fire drills or the quarterly tornado, earthquake, or shelter-in-place drills for the months of March 2022 through December 2022.. The provider confirmed through interview that the drills were completed; however, the provider was unable to locate the documentation. Therefore, the surveyor was unable to determine if the provider documented the monthly fire drills and quarterly tornado, earthquake and shelter-in-place drills as required. 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 9. Records.

General: Based on review of documentation, the surveyor discovered that the Emergency Preparedness Plan was dated 8/6/2021; therefore, the surveyor was unable to verify if the plan had been reviewed or revised within the past year. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor reviewed the Kentucky National Background Check report to discover that a completed background check had not been completed for a staff (DOH: 2/22/2022). Upon being hired at the child care center, the staff was seventeen-years-old. A Child Abuse Neglect Check was completed on the staff on 2/17/2022. In June of 2022, the staff turned eighteen-years-old and a background check was not submitted for the staff in the KARES system. On the day of the surveyor's visit, the surveyor observed the staff working alone with six (6) one-year-old children. Staff-in-charge stated the staff person is not typically alone in a classroom working with children. Staff- in-charge advised the child care center was short staffed on the day of the surveyor's visit. Upon discovery of the staff not having a completed background check in KARES, the staff-in-charge placed an additional staff in the classroom. Staff-in-charge entered the staff into the KARES system while the surveyor was visiting the child care center. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor reviewed the Kentucky National Background Check report to discover that a completed background check had not been completed for a staff (DOH: 2/22/2022). Upon being hired at the child care center, the staff was seventeen-years-old. A Child Abuse Neglect Check was completed on the staff on 2/17/2022. In June of 2022, the staff turned eighteen-years-old and a background check was not submitted for the staff in the KARES system. On the day of the surveyor's visit, the surveyor observed the staff working alone with six (6) one-year-old children. Staff-in-charge stated the staff person is not typically alone in a classroom working with children. Staff- in-charge advised the child care center was short staffed on the day of the surveyor's visit. Upon discovery of the staff not having a completed background check in KARES, staff-in- charge placed an additional staff in the classroom. Staff-in-charge entered the staff into the KARES system while the surveyor was visiting the child care center. Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.