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

General: Based on observation, an accumulation of dust was on the vent above the door in Preschool 2 room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the hot water temperature registered eighty-eight (88) degrees at a sink in the Preschool 3 room and at a sink in the Preschool 4 room. 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 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, urine and toilet paper were observed in the toilet of the Preschool 4 room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance 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, the blue woven surface was torn away from the white base of six (6) cots in the Preschool 4 room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) A tear, which exposed foam, was on the lower left arm of a child size blue couch in the Preschool 5 room. 2) Multiple stains were on a tan pillow and a blue pillow in the reading area of the Preschool 3 room. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a caregiver, hired on 7/29/22, completed six (6) hours of orientation training on 1/3/23, which was not within the first three (3) months of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the hot water temperature registered sixty (60) degrees Fahrenheit at a sink in the Pre-School 2 room and Pre-School 5 room. The hot water temperature registered seventy (70) degrees Fahrenheit at a sink in the Toddler 2 room. The hot water temperature registered eighty (80) degrees Fahrenheit at a sink in the Pre-School 3 room and Pre-School 4 room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a tear, which exposed foam, was in the blue cushion on the children’s bench in the Pre-School 1 room. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, three (3) children, enrolled on 2/24/20, 2/22/21, and 5/25/21, did not have information on file to enable staff to contact the child's preferred hospital. Also, a child, enrolled on 5/25/21, did not have a parent signature on the enrollment form. 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 11. Staff Requirements.

General: Based on observation, a caregiver hired 01/10/17, completed one and one half (1 1/2) hours of cabinet approved pediatric abusive head trauma on 01/19/17, and did not complete the training again within five (5) years. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the hot water registered eighty (80) degrees Fahrenheit at a sink located in the toddler room #1. The hot water registered seventy-nine (79) degrees Fahrenheit at a sink located in the toddler room #2. The hot water registered seventy-nine (79) degrees Fahrenheit at four (4) sinks in the school age restroom. The hot water registered seventy-two (72) degrees Fahrenheit at two (2) sinks in preschool room #1. The hot water registered sixty-five (65) degrees Fahrenheit at two (2) sinks in preschool room #2. The hot water registered eighty (80) degrees Fahrenheit at two (2) sinks in preschool room #3. The hot water registered sixty-five (65) degrees Fahrenheit at two (2) sinks in preschool room #4 and the the hot water registered sixty-eight (68) degrees Fahrenheit at two (2) sinks in peschool room #5. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the hot water registered seventy-six (76) degrees Fahrenheit at two (2) sinks in the Preschool #1 room. The hot water registered seventy-nine (79) degrees Fahrenheit at two (2) sinks located in the Preschool #2 room. The hot water registered eighty (80) degrees Fahrenheit at two (2) sinks located in the Preschool #3 room. The hot water registered eighty (80) degrees Fahrenheit at two (2) sinks located in the Preschool #4 room and the hot water registered eighty-eight (88) degrees Fahrenheit at two (2) sinks in in the Preschool #5 room. The hot water registered seventy-nine (79) degrees Fahrenheit at a sink located in toddler room #1 and seventy-eight (78) degrees Fahrenheit at a sink located in toddler room #2. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance 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 8. General.

General: Based on Review of Documentation and interview, the posted daily planned program of activities was not dated in the preschool #2 classroom. Animals 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, a caregiver hired on 1/22/18, did not have an out-of-state criminal records check for the state of Illinois. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance 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 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, a light fixture in two (2) restrooms of the school age room, and a light fixture in the restrooms of preschool room #1, preschool room #2, preschool room #3, preschool room #4, and preschool room #5 had light bulbs that were not shielded or shatterproof.

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 hot water registered seventy-three (73) degrees Fahrenheit at two (2) sinks in a restroom #1 and at two (2) sinks in restroom #2 in the school-age room. The hot water registered seventy-nine (79) degrees Fahrenheit at a sink located in toddler room #2, and the hot water registered eighty-eight (88) degrees Fahrenheit at two (2) sinks in preschool room #1, preschool room #2 and preschool room #5. The hot water registered eighty (80) degrees Fahrenheit at two (2) sinks located in preschool room #3 and preschool room #4. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the planned program of activities was not posted in the older school-age children’s room. 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, three (3) caregivers' coats hung on the back of a door and a caregiver’s cell phone was on a child-size table in preschool room #1. An empty top seal bag and two (2) small rolls of trash bags were stored in an unlocked cabinet in the older school-age children’s room. A bottle of Clean Force oxygen bleach cleaner was stored in an unlocked cabinet in the boys’ restroom. Two (2) empty wadded up plastic bags were stored in an unlocked compartment under the sink in the younger school-age children’s room. An empty wadded up plastic bag was stored in an unlocked compartment under the sink in preschool room #3. A caregiver’s coat hung on the wall behind the door in preschool room #4. All of these items were 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, a two (2) foot section of the textured ceiling peeled away in the boys' restroom.

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 hot water temperature registered sixty-two (62) degrees Fahrenheit at two (2) sinks in the girls’ restroom and at two (2) sinks in the boys’ restroom and at the sink in preschool room #1, preschool room #2, and preschool room #3. Hygienic Practices In Compliance 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, a tube of bacitracin was not labeled to indicate to whom it belonged and was stored in an unlocked cabinet above the sink in preschool room #1. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, dirt and sparse mulch was underneath two (2) slides and a climbing apparatus on the younger children’s playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 11. Toys and Furnishings.

General: Based on Observation, the corners and seams of several soft, vinyl-covered shapes and blocks were untethered and had been covered with tape in the toddler 1s' room. Transportation Not Applicable 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, a child did not have a documented arrival time and three (3) children did not have a documented departure time on 11/23/16. Three (3) children did not have a documented arrival time and ten (10) children did not have a documented departure time on 12/02/16. Posted Documentation In Compliance Animals In Compliance

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 and interview, a caregiver hired 09/21/15, completed orientation training on 01/28/16; therefore, she did not complete orientation training within the first three (3) months of her employment.

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 gardening rack with sharp points was propped beside the plastic storage bin beside the back door. Interview determined the staff failed to put the rack in the storage bin.

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, a two (2) foot section of the texture on the ceiling was peeled in the boys' restroom. Interview determined there was a water leak.

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 and interview, fifteen (15) handwashing sinks registered 68 degrees fahrenheit.

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, four (4) preschool children did not wash their hands after outdoor play. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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 toddler caregiver wore gloves but failed to wash her hands before she diapered a toddler child.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the red fabric was torn from one (1) arm handle to the other arm handle at the seat of the child-size chair located in preschool room #5.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, and interview a child enrolled 07/29/15, and child enrolled 03/11/14, did not have their preferred hospital information on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a caregiver hired on 7/28/14, did not have a processed out-of-state criminal records check from Missouri.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a staff member's cell phone was on a shelf near the door in preschool room #5. The cell phone was 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the hot water registered at sixty (60) degrees Fahrenheit at a sink in preschool room #4, a sink in an adjacent restroom next to preschool room #4, a sink in preschool room #5, a sink in an adjacent restroom to preschool room #5, a sink in the kindergarten room, a sink in an adjacent restroom to the kindergarten room, two (2) sinks in the girls' restroom, two (2) sinks in the boys' restroom across from the kitchen, a sink in preschool room #2, a sink in an adjacent restroom next to preschool room #2, a sink in the preschool room #1, and a sink in an adjacent restroom to preschool room #1.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were several pieces of wood with sharp points and splinters. These pieces of wood were scattered throughout the outdoor play area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, two (2) parents' signatures were not documented to verify accuracy of their child’s attendance for the week of 11/7/14 - 11/21/14.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on record review and interview, a caregiver hired 12/06/10, had a TB skin test dated 01/06/10. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 38 Web site: http://chfs.ky.gov/ Inspection Report 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 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 2) Type II Not Applicable 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 Not In Compliance Findings: General: Based on record review and interview, determined the caregiver hired 08/01/11, did not complete orientation training. Also, the caregiver hired 03/15/2011, had an orientation certificate dated 10/31/11, which revealed she did not complete orientation training with in the first three (3) months of employment. 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. 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 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 Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable 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.