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

General: Based on observation, the surveyor discovered the following: Toddler Restroom: 1. There was a layer of dust on the exhaust fan. Staff member reported that she would have the exhaust fan cleaned. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor witnessed a layer of leaves that covered the surveyor's shoes when walking the playground. Staff member stated that she noticed the leaves when walking on the playground and that the leaves were cleaned out last week. 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 Not Applicable Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

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 found a staff's (DOH: 09/29/2021) personnel file contained a professional development plan that was dated 10/19/2021; therefore, the professional development plan was not completed annually. Staff reported that she would have staff complete a Professional Development Plan. Posted Documentation In Compliance Animals Not Applicable 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, the surveyor found a staff's (DOH: 09/29/2021) personnel file contained a staff evaluation with no date; therefore, the surveyor was unable to confirm staff evaluation was completed yearly. Staff reported she would have the staff complete an evaluation. 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, the surveyor discovered the following 1. A staff's (DOH: 05/07/2021) personnel file contained a negative tuberculin (TB skin test) result dated 07/24/2020; therefore, the surveyor was unable to determine if the staff person was free of active tuberculosis. 2. A staff's (DOH: 09/14/2021) personnel file contained a negative tuberculin (TB skin test) result dated 07/24/2020; therefore, the surveyor was unable to determine if the staff person was free of active tuberculosis. Staff reported she did not realize TB skin test were required to be completed every two (2) years. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS the surveyor discovered a staff (DOH: 09/30/2021) completed twelve and one-half (12 1/2) of the required fifteen (15) hours of cabinet-approved early care and education training for a review period of 7/1/2021 through 6/30/2022. Staff reported in the future, she will keep track of the staff's trainings. 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 surveyor observed a thick layer of dust on the fan blades located in the Preschool Classroom. Staff reported she would have the fan blades cleaned.

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 a brown substance that appeared to be a stain on a ceiling tile located in the Two Year Old Classroom. Staff reported she would replace the ceiling tile. 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 Not Applicable Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. 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 found the following: 1. Staff’s (DOH: 08/24/2020) file did not contain documentation of a background check submitted through the Kentucky National Background Check Service. Staff's personnel file did contain a Child Abuse/Neglect Background Check (CAN) dated for 07/12/2020 and a Criminal Records Check (CRC) dated for 07/08/2020. Based on review of the KARES report, the staff person was not listed. The surveyor observed the staff working with another staff with five (5) children in the Rowdy Raccoons Classroom. Neither of the staff working in the Rowdy Raccoons Classroom had completed background checks through the Kentucky National Background Check Service. 2. Staff’s (DOH 11/09/2021) file did not contain documentation of a background check submitted through the Kentucky National Background Check Service. Staff's personnel file did contain a Child Abuse/Neglect Background Check (CAN) dated for 11/04/2021 and a Criminal Records Check (CRC) dated for 11/30/2021. The staff person was listed as "in progress" on the KARES report; therefore, the staff began working at the child care center prior to having their fingerprints taken. 3. Staff’s (DOH: 07/26/2021) file did not contain documentation of a background check submitted through the Kentucky National Background Check Service. Staff's personnel file did contain a Child Abuse/Neglect Background Check (CAN) dated for 07/26/2021 and a Criminal Records Check (CRC) dated for 07/26/2021. Based on review of the KARES report, the staff person was listed as "closed- fingerprints not taken”. The surveyor observed the staff working with another staff with five (5) children in the Rowdy Raccoons Classroom. Neither of the staff working in the Rowdy Raccoons Classroom had completed background checks through the Kentucky National Background Check Service. Staff stated she would have the Kentucky National Background Check Service completed on all the staff. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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 review of documentation, the surveyor found the following: 1. Staff's (DOH: 08/24/2020) file did not contain a staff evaluation. 2. Staff's (DOH: 08/24/2020) file did not contain a staff evaluation. 3. Staff's (DOH: 11/23/2020) file did not contain a staff evaluation. Staff reported the staff's evaluations were completed; however, the documentation was located at the main office.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. Staff’s (DOH: 08/24/2020) file did not contain documentation of a background check submitted through the Kentucky National Background Check Service. Staff's personnel file did contain a Child Abuse/Neglect Background Check (CAN) dated for 07/12/2020 and a Criminal Records Check (CRC) dated for 07/08/2020. Based on review of the KARES report, the staff person was not listed. The surveyor observed the staff working with another staff with five (5) children in the Rowdy Raccoons Classroom. Neither of the staff working in the Rowdy Raccoons Classroom had completed background checks through the Kentucky National Background Check Service. 2. Staff’s (DOH: 07/26/2021) file did not contain documentation of a background check submitted through the Kentucky National Background Check Service. Staff's personnel file did contain a Child Abuse/Neglect Background Check (CAN) dated for 07/26/2021 and a Criminal Records Check (CRC) dated for 07/26/2021. Based on review of the KARES report, the staff person was listed as "closed- fingerprints not taken”. The surveyor observed the staff working with another staff with five (5) children in the Rowdy Raccoons Classroom. Neither of the staff working in the Rowdy Raccoons Classroom had completed background checks through the Kentucky National Background Check Service. Staff stated she would have the Kentucky National Background Check Service completed on all the staff. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. Staff (DOH: 08/24/2020) did not complete the six (6) hours of cabinet-approved orientation training within their first three (3) months of employment in a child care program. The staff completed orientation training on 03/16/2021. 2. Staff (DOH: 11/23/2020) did not complete the six (6) hours of cabinet-approved orientation training within their first three (3) months of employment in a child care program. The staff completed orientation on 10/20/2021. 3. Staff (DOH: 08/24/2020) did not complete the six (6) hours of cabinet-approved orientation training within their first three (3) months of employment in a child care program. The staff completed orientation on 12/08/2021. 4. Staff (DOH: 06/23/2021) did not complete the six (6) hours of cabinet-approved orientation training within their first three (3) months of employment in a child care program. 5. Staff (DOH: 08/24/2020) did not complete the one and one-half (1 ½) hours of cabinet- approved pediatric abusive head trauma training within their first year of employment. 6. Staff (DOH: 11/23/2020) did not complete the one and one-half (1 ½) hours of cabinet- approved pediatric abusive head trauma training within their first year of employment. Staff completed pediatric abusive head trauma training on 11/24/2021. 7. Staff (DOH: 4/27/2021) last completed the one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma on 03/29/2016; therefore the training was not completed once every five (5) years. 8. Staff (DOH: 08/24/2020) completed six (6) of the required fifteen (15) hours of cabinet-approved early care and education training between 08/24/2020 and 08/23/2021. 9. Staff (DOH: 11/23/2020) completed six (6) of the required fifteen (15) hours of cabinet-approved early care and education training between 11/23/2020 and 11/22/2021. 10. Staff (DOH: 08/24/2020) completed seven and one-half (7 1/2) of the required fifteen (15) hours of cabinet-approved early care and education training between 08/24/2020 and 08/23/2021. Staff reported she would ensure the staff complete the required cabinet-approved trainings. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the toilet seat was loose on the toilet in the restroom located off from the Rowdy Raccoons Classroom. Staff reported that she would fix the toilet seat. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor discovered that there was no longer a protective surface (mulch) under the swings located on the school-age playground. Staff reported she would replenish the mulch. 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 Not Applicable 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 found that a child’s (DOE:04/09/21) immunization was not current as of 08/26/2021. Staff reported she would contact the child's parent to get a current immunization certificate. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. Staff’s (DOH: 08/24/2020) file contained a professional development plan with no date; therefore, the surveyor was unable to determine if the professional development plan was completed annually. 2. Staff’s (DOH: 11/23/2020) file contained a professional development plan with no date; therefore, the surveyor was unable to determine if the professional development plan was completed annually. 3. Staff’s (DOH: 08/16/2003) file contained a professional development plan with no signature; therefore, the surveyor was unable to determine if the professional development plan was completed with the staff. 4. Staff’s (DOH: 08/24/2020) file did not contain a professional development plan; therefore, the surveyor was unable to determine if the professional development plan was completed within the year. Staff reported she would complete the staff's professional development plan. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.