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

General: Based on observation in the Nursery, the surveyor found that the sink did not drain the water while the surveyor was testing the hot water temperature; therefore, the sink was not in good repair and draining properly. Staff-in-charge stated she would have the sink fixed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and review of ECE-TRIS, the surveyor found the following: 1. One (1) staff (DOH: 08/23/22) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma (PAHT) training on 11/21/19; therefore, the surveyor was unable to determine if the staff person had completed PAHT training every five years as required. 2. One (1) staff (DOH: 02/03/20) completed two (2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period of 07/01/23- 06/30/24. 3. One (1) staff (DOH: 08/06/21) completed twelve (12) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period of 07/01/23 -06/30/24. 4. One (1) staff (DOH: 12/17/18) completed seven and one-half (7 ½) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period of 07/01/23-06/30/24.

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 in the Nursery, the surveyor found two (2) infants covered by a loose blanket while sleeping in their cribs. When the surveyor interviewed the Nursery staff person, the staff stated that she was unaware that the infants could not have a blanket on them while sleeping. During interview, staff-in-charge stated the Nursery staff person had just been hired two (2) days prior to the inspection, and that she would remind the staff to make sure the cribs had no bedding other than a tight-fitted sheet.

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 the Preschool Classroom, the surveyor found a plastic take-out cup of soda and a cell phone on a shelf in the middle of the classroom within reach of children. Therefore, these personal belongings of staff were accessible to the children in care of the childcare center. Staff-in-charge stated she would remind staff to keep all personal items out of reach of the children.

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 of the upstairs restroom, the surveyor found a loose toilet seat on the left-hand toilet and found that the right-hand toilet did not flush; therefore, these toilets were not kept in good repair. Staff-in-charge stated she would have the seat hinges tightened on the left-hand toilet. She stated that they had turned off the water to the toilet on the right-hand side of the restroom as they did not use it. 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 4. Premises Requirements.

General: Based on observation, during the walk-through of the outside playground, the surveyor found in an area between the childcare center building and a Little Tykes playhouse that the mulch had depleted, exposing the black fabric underlying material. Therefore, the playground was not well-maintained. Staff-in-charge stated they would have the mulch replenished.

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 one (1) child’s (DOE: 06/06/24) file contained an immunization certificate that was no longer current as of 06/26/24; therefore, the childcare center failed to maintain a current immunization certificate for this child. Staff-in-charge stated she would contact the parents to bring in a current immunization certificate.

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 one (1) staff member's (DOH: 12/17/18) file contained a negative tuberculin result was read on 06/25/21; therefore, the staff member needs an updated negative tuberculin result.

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 a staff member (DOH: 09/06/23) obtained the six (6) hours of cabinet-approved Orientation training on 02/01/24; therefore, the staff member did not obtain the training within their first three (3) months of employment. During interview, staff-in-charge stated she was aware that the staff member was late obtaining the required training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 sink located in the One Year Old Classroom did not have cold water. When the surveyor turned the knob to attempt to turn on the cold water, no water came from the faucet. During interview, staff-in-charge stated she would have this issue fixed. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 surveyor found areas of what appeared to be a dried and dark substance in the bottom of the refrigerator located in the kitchen. During interview, staff-in-charge stated she would have the refrigerator cleaned. 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 Not Applicable

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a staff member's (DOH: 08/15/23) file contained documentation from Kentucky Applicant Registry and Employment System (KARES) that the staff member was eligible for hire on 11/15/22. On the day of surveyor's visit, the surveyor printed the child-care center’s KARES report and reviewed the names listed to find that the staff member was not listed under the child-care center’s roster; therefore, the child-care center failed to update the staff member’s employment status. Supervision In Compliance Staffing Requirements In Compliance 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 6. Sleeping and Napping Requirements.

General: Based on observation, the surveyor found a two (2) children in the Infant Classroom sleeping in a cribs while being propped up on a boppy pillow at 12:17 pm. The staff member in the classroom confirmed that the child had been asleep for ten (10) to fifteen (15) minutes. The staff member stated the one (1) child was eleven-months-old and the other child was four-months-old. During interview with staff-in-charge, she confirmed that the child-care center did not have documentation for the children to sleep in a alternate sleep position; therefore, the child care center failed to keep the child in a safe sleep position. 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 6. Sleeping and Napping Requirements.

General: Based on observation, the surveyor found two (2) children in the Infant Classroom in cribs and propped up on boppy pillows at 12:17 pm. The surveyor observed both children to also have bottles in the crib with them. The staff person in the classroom confirmed that the children were four-months-old and eleven-months-old; therefore the child-care center failed to keep items out of the crib. 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 found a window in the Two's Classroom appeared to have a large crack through the glass; therefore, the window was not kept kept in good repair. During interview with staff-in-charge, she stated that the window had been cracked/broken for approximately five (5) years. Hygienic Practices 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 11. Staff Requirements.

General: Based on review of documentation, the surveyor discovered the following: 1. A staff's (DOH: 01/09/2023) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative tuberculin (TB skin test) results for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. Staff reported that staff (DOH: 01/09/2023) had a TB skin test completed; however, she did not realize she needed to go back to have it read. 2. A staff's (DOH: 11/29/2021) personnel file contained a negative TB skin test dated for 12/09/2020; therefore, the TB verification was no longer current. The surveyor was unable to verify if the staff person was free of active tuberculosis. Staff reported that she let staff (DOH: 11/29/2021) know she needed a TB skin test; staff reported that she has not went.

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 surveyor found the following: 1. In the Preschool One Classroom, there was one (1) electric outlet cover missing beside the long table. 2. In the Preschool One Classroom, there was a loose cord hanging from a pencil sharpener that was on top of a tall shelf; the cord was plugged into the wall and was not secure. 3. In the Older Two's Classroom, a bottle of Eucerin Daily Hydration Lotion and a bottle of Bello Hand Sanitizer Gel had been placed on top of a small shelf. The items contained a label that read, "Keep Out of Reach of Children" and both items were observed to be within reach of children. 4. In the Older Two's Classroom, the surveyor found two (2) rodent glue trap's behind two (2) toilets in the upstairs rest room. The surveyor observed both rodent glue traps to be accessible to children. 5. On the playground, there were two (2) five (5) gallon buckets that read "Big Blue Lubricant" on the buckets. The labels on buckets read, "Keep Out of Reach of Children." Both buckets had been placed on the patio on the playground and both buckets had the lip removed. While observing the buckets, the child-care center cook came outside and informed the surveyor that the buckets actually contained salt for melting ice from the ice storm a few weeks ago and the child-care center had not put the contents up yet. The surveyor observed the buckets to be filled with salt and observed there to be salt on the ground around the buckets. The salt and the buckets were observed to be within reach of children and observed to be accessible to children; therefore, the buckets of salt caused a threat to the health, safety and comfort to the children at the child-care center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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. A staff’s (DOH: 08/19/21) file contained an annual written performance evaluation dated for 10/04/21; therefore, the surveyor was unable to determine if the evaluation was completed annually. 2. A staff's (DOH: (02/03/20) file contained an annual written performance evaluation dated for 04/21/21; therefore, the surveyor was unable to determine if the evaluation was completed annually. 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 9. Records.

Based on review of documentation, the surveyor found that one (1) staff (DOH: 12/17/18) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential; therefore, the staff's education documentation was not maintained in the staff 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, the surveyor found that the following staff (DOH: 08/23/22, 09/28/22 and 09/28/22) files did not contain verification 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 review of documentation, the surveyor found that the following staff (DOH: 11/29/21, 05/23/22) files did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. This deficiency was also cited during a monitoring inspection #323531 conducted on 01/20/23.

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 and ECE-TRIS, the surveyor found that the following staff (DOH: 06/13/22, 08/23/22 and 09/06/22) had not completed the required first aid and cardiopulmonary resuscitation (CPR) training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. 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. A child’s (DOE: 09/14/22) file did not contain the contact telephone number of the child’s preferred hospital. 2. A child's (DOE: 08/16/22) file did not contain the contact telephone number of the child's physician. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report 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 11. Staff Requirements.

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 08/06/21) obtained twelve and a half (12.50) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 2. A staff (DOH: 12/17/18) obtained eleven (11) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 3. A staff (DOH: 08/19/21) obtained ten and a half (10.50) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 4. The staff's (DOH: 06/13/22) training record or staff file did not contain documentation that the staff person complete the six (6) hours of cabinet-approved Orientation. 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 found a green plastic tote located on the playground. The tote contained approximately eight (8) inches of water.

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 in the downstairs Preschool Two Classroom, the surveyor found that the toilet seat moved easily and was not tightly secured to the toilet; therefore, the toilet was not in good repair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. On the large picnic table on the patio, there was an open Cheeto bag and an open orange Gatorade bottle. 2. On a small red picnic table on the patio, there was an open white Gatorade bottle. Therefore, the playground was not kept free from litter. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the mulch was depleted through-out the playground and the tarp used under the protective surface (mulch) was exposed in multiple areas through-out the playground. Equipment In Compliance Transportation In Compliance 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 review of documentation, the surveyor found that the food service permit had expired as of 12/31/22. During interview with the staff-in-charge, she stated that the health department has not been out for their 2023 renewal. Staff-in-charge stated that she would contact them as soon as possible to have them come to the child-care center to receive their 2023 food permit. 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

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 08/22/22) file did not contain an immunization certificate. 2. A child’s (DOE: 09/14/22) file did not contain an immunization certificate. 3. A child’s (DOE: 08/16/22) file contained an immunization certificate that was no longer current as of 09/09/22.

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. A staff’s (DOH: 02/03/20) file contained a professional development plan that was not dated; therefore, the surveyor was unable to determine if the plan was completed annually. 2. A staff’s (DOH: 08/19/21) file contained a professional development plan that was not dated; therefore, the surveyor was unable to determine if the plan was completed annually. 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 observation at 9:32 a.m. after the surveyor arrived at the center, the surveyor observed the Front Two-Year-Old Classroom teacher walking from the Back Two- Year-Old Classroom. There were nine (9) children left unsupervised in the Front Two-Year-Old Classroom. During interview, the staff person reported that she was putting items away and that she left the gate open, so she was able to still see the children. The child care center classrooms are separated by half walls, approximately four (4) feet high. Staff reported that she would talk to all staff about staying with their classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Staffing Requirements Not In Compliance

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, the surveyor found two (2) staff caring for eight (8) children on the playground outside. One (1) of the staff walked into the child care center leaving the other staff person alone with the eight (8) children. The one (1) staff person was alone with the children for approximately three (3) minutes. Staff stated that all the children on the playground were one-year-old children. Therefore, the staff-to-child ratio was exceeded by two (2) children. Employee Records Discussed Premises Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation of the restroom near the Preschool Classroom, the surveyor found that there was feces along with a yellow colored substance inside the toilet bowl. Staff reported that she would talk with teachers about making sure the toilets are flushed after each use. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 while on the Bigger Playground, the surveyor found the following: 1. There was a ride-on zebra toy that was missing a handle, exposing sharp edges. 2. There was a play lawn mower missing a handle, exposing sharp edges. 3. There was a green plastic watering can that was missing pieces of plastic, exposing sharp edges. 4. There was a bottle of Hello Bello hand sanitizer spray bottle located on the concrete. Based on observation while on the Smaller Playground, the surveyor found a yellow and red three-wheeler that was missing a pedal. The items mentioned were not safe from foreseeable hazards on the playground. Staff reported that she would remove all items as soon as possible.

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 insufficient amounts of protective surface (mulch) on the Bigger Playground. Dirt and a tarp like substance was exposed in multiple places on the playground. Staff reported that the director is working with a contractor to have the playgrounds repaired. 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 the following: 1. A child (DOE: 11/24/2020) file contained an immunization certificate was no longer current as of 02/24/2022. 2. A child (DOE: 08/30/2020) file contained an immunization certificate was no longer current as of 12/15/2020.

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 surveyor discovered there was a crack in the brown climbing and slide structure on the larger playground. Staff reported that she would have the climbing and slide structure repaired. Transportation Not Applicable Kitchen 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 8. General.

General: Based on observation, the surveyor discovered the following: 1. There were two (2) electrical outlets missing safety covers by the Office door located in the Front Two-Year-Old Classroom. 2. There was a pacifier located on the floor in the One-Year-Old Classroom. The surveyor observed a child crawl to the pacifier and place it in their mouth. Staff reported that she will take care of the concerns listed above. 3. There was a toilet bowl brush and plunger located in the restroom that is near the Front Two-Year-Old Classroom. These items were accessible to the children. Staff reported that she would have all items put away properly. 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 a staff member's (DOH: 02/03/2020) file contained a staff evaluation that was completed on 04/21/2021; therefore, the surveyor was unable to determine if the staff had an evaluation completed annually. Staff reported that she would have the staff's evaluation completed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 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, the surveyor found there were two (2) staff's (DOH: 06/13/2022 x2) files that did not contain education documentation; therefore, the surveyor was unable to verify the two (2) staff's education. Staff reported that she would have staff bring in education documentation.

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 and ECE-TRIS, the surveyor found the following: 1. There were two (2) staff (DOH: 12/17/2018 x2) that did not complete the required training on first aid and CPR. 2. A staff (DOH: 02/03/2020) did not complete the required training on first aid and CPR. Staff reported that she would have staff complete the required first aid and CPR training.

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 and ECE TRIS, the surveyor found the following: 1. A staff (DOH: 03/12/2021) did not complete the required fifteen (15) hours of cabinet-approved early care and education training completed between March 12,2021 and March 11, 2022. 2. A staff (DOH: 02/03/2020) did not complete the required fifteen (15) hours of cabinet-approved early care and education training completed between July 01,2020 and June 30, 2021. 3. There were three (3) staff (DOH: 12/17/2018 x3) that did not complete the required fifteen (15) hours of cabinet-approved early care and education training completed between July 01,2020 and June 30, 2021. 4. A staff (DOH: 09/25/2019) completed one and one-half (1.5) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between July 01,2020 and June 30, 2021. 5. A staff (DOH: 08/06/2021) completed one and one-half (1.5) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between July 01,2020 and June 30, 2021. 6. A staff (03/12/2021) did not complete the required six (6) hours of cabinet-approved orientation completed within the first three (3) months of employment. 7. A staff (09/24/2019) did not complete the required six (6) hours of cabinet-approved orientation completed within the first three (3) months of employment. 8. A staff (02/03/2020) did not complete the required six (6) hours of cabinet-approved orientation completed within the first three (3) months of employment. 9. A staff (03/12/2021) did not completed the required one and one-half (1 ½) hours of cabinet- approved pediatric abusive head trauma training (PAHT). Staff reported that she would have staff complete their trainings. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 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, the surveyor found the following: 1. The lesson plan posted in the Front Two-Year-Old Classroom was dated for 03/07/2022-03/11/2022; therefore, the lesson plan was current. 2. There was not a lesson plan posted in the One-Year-Old Classroom. 3. The lesson plan posted in the Back Two-year-Old Classroom did not have a date located on the plan; therefore, the surveyor was unable to determine is the plan was current. Staff reported that she would make sure lesson plans are up to date.

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, the surveyor observed the children watching television from 10:00am-11:08am; therefore the children watched the television over the maximum of thirty (30) minutes a day. Staff reported that she would talk to staff about how long children are able to watch the television.

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 observed two (2) infants laying asleep in two (2) swings. During interview, staff reported that the children had been asleep for approximately ten (10) minutes. Staff reported that she would explain to the staff children need to be removed from the swing when asleep. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 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 observed the following: 1. There was what appeared to be a mask placed on the parking-lot ground by the stairs leading upstairs; therefore, the premises were not kept clean. 2. There was a rodent trap placed on the ground where the children walk to the playground. 3. There was four (4) long boards placed on the ground on the path the children take to the playground. 4. There was what appeared to be a sheet of plywood leaned up against the child-care center on the path the children take to the playground. 5. The grass leading to the playground was not maintained. The grass was approximately fifteen (15) inches high; therefore, the premises were not maintained. Staff reported that she would clean up the premises.

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 two (2) spiders on the wall by the closet located in the Preschool Classroom. Staff reported that she has not had a chance to call the exterminator to come to the center.

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 observed the wall paneling coming loose from the wall in multiple areas in the Preschool Classroom. Staff reported that she would have the wall 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor discovered the following: 1. Paper towels had been placed on the floor in the restroom located near the Preschool Classroom. 2. There was a strong foul odor coming from the restroom near the Preschool Classroom. Staff reported that she would have the restroom cleaned. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 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, the surveyor found the following: 1. In the restroom near the Preschool Classroom, one (1) toilet was loose. Staff reported that she was unaware that the toilet was loose but would have it repaired. 2. There was a yellow substance in the toilet bowl in the restroom near the Preschool Classroom. 3. There was a yellow substance located on the toilet seat in the restroom near the Front Two-Year-Old Classroom. Staff reported that she would talk to staff about ensuring the toilets are flushed and the toilet seats are clean. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. There were holes in the changing pad located in the Nursery. 2. There were holes in the changing pad located in the One-Year-Old Classroom. Staff reported that she would have the changing pads replaced in the Nursery and One-Year-Old 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 surveyor found a Snicker wrapper placed on the ground of the Smaller Playground. Staff reported that she would have the playground 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 discovered a crack in the pavement about ten inches long and about a quarter inch wide, causing the pavement to be unlevel; therefore, the playground condition was not in good repair or free from foreseeable hazard. Staff reported that she would have someone repair the break. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor observed the tarp used under the protective surface (mulch) was exposed in multiple areas of the larger playground. Staff reported that she would have more mulch put on the playground. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor observed the following: 1. There was brown stains on a fabric dragon chair located in the One-Year-Old Classroom. 2. There was a green and a blue fabric pillow with brown stains located in the Preschool Classroom. 3. There was a blue soft vinyl chair that contained rips located in the Preschool Classroom. 4. There was a red soft vinyl chair that contained rips located in the Preschool Classroom. 5. There was a crack in the plastic paint easel located in the Preschool Classroom. Staff reported that she would have the toys and furniture cleaned and/or replaced.

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 the Nursery, the surveyor found a bottle that contain a brown substance that was located in the refrigerator. The bottle was not covered. Staff reported that she would let staff know to cover bottles when not in use. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 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, the surveyor found the following: 1. A child's (DOE:03/08/2022) file contained an immunization certificate that was no longer current after 06/07/2022. 2. A child's (DOE:01/18/2021) file contained an immunization certificate that was no longer current after 04/11/2022. 3. A child's (DOE: 12/14/2021) file contained an immunization certificate that was no longer current after 06/11/2022. 4. A child's (DOE: 12/05/2021) file contained an immunization certificate that was no longer current after 04/28/2022. 5. A child's (DOE:05/16/2022) file did not contain an immunization certificate; therefore, the surveyor was unable to verify if the child had a current immunization certificate. Staff reported that she would let parents know that the children needed up-to-date immunization certificates.

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. A child's (DOE: 04/12/2021) file did not contain contact information for the preferred physician. 2. A child's (DOE: 04/05/2022) file did not contain contact information for the preferred physician. 3. A child's (DOE: 05/16/2022) file did not contain contact information or a preferred hospital. Staff reported she would have the parents complete enrollment packets. 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 observation, the surveyor found thirty-five (35) children present at the child care center. However, based on review of documentation, there were only thirteen (13) children signed in the daily attendance records for the center. Staff reported that she tries to get parents to sign their children in. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. 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. A staff's (DOH: 02/03/2020) file contained a professional development plan with no date; therefore, the surveyor was unable to verify the professional development plan was completed annually. 2. A staff's (DOH: 08/19/2021) file contained a professional development plan with no date; therefore, the surveyor was unable to verify the professional development plan was completed annually. Staff reported that she would have staff complete their professional development plan with a date. Posted Documentation In Compliance Animals Not Applicable

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 found the following: 1. A staff’s (DOH: 01/06/22) file did not contain documentation of background checks submitted through the Kentucky Applicant Registry and Employment Screening (KARES) Database. Based on review of KARES, the determination status for the staff person was listed as ‘in process’ and had a background check submit date of 01/11/22; however, the staff person had not submitted to fingerprints. The surveyor did not observe the staff person working alone with children. During interview, staff-in-charge stated that the staff person has not worked alone with children. Staff-in-charge stated that she would send the staff person to submit to fingerprints. The staff’s file did not contain a completed Child Abuse/Neglect Background Check or Criminal Records Background Check. 2. A staff’s (DOH: 03/12/21) file did not contain documentation of background checks submitted through the KARES Database. Based on review of KARES, the staff person did not have a completed background check. The surveyor did not observe the staff person working alone with children. During interview, staff-in-charge stated that the staff person has not worked alone with children and identified the staff person as the cook. Staff-in-charge stated that she would send the staff person to submit to fingerprints. The staff’s file did not contain a completed Child Abuse/Neglect Background Check or Criminal Records Background Check. In addition, based on review of documentation in KARES and staff files, the surveyor found the following: 3. A staff (DOH: 01/04/22) had a completed background check within KARES with an eligibility date of 01/10/22 and a fingerprint submit date of 01/10/22; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge stated that the staff person did not work alone with children until the background checks were completed. The staff’s file did not contain a completed Child Abuse/Neglect Background Check or completed Criminal Records Background Check. 4. A staff (DOH: 10/29/21) had a completed background check within KARES with an eligibility date of 11/24/21 and a fingerprint submit date of 11/04/21; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge stated that the staff person did not work alone with children until the background checks were completed. The staff’s file did not contain a completed Child Abuse/Neglect Background Check or completed Criminal Records Background Check. 5. A staff (DOH: 09/14/21) had a completed background check within KARES with an eligibility date of 11/23/21 and a fingerprint submit date of 09/21/21; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge stated that the staff person did not work alone with children until the background checks were completed. The staff’s file did not contain a completed Child Abuse/Neglect Background Check or completed Criminal Records Background Check. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interviews with staff, the surveyor learned that a seven-year-old, school-age child was brought to the center, by a staff person, during the hours of operation. The staff stated that the child was not enrolled at the center. Through interviews with staff, the surveyor learned that the seven-year-old child was brought to the child-care center on approximately three (3) different occasions when the child did not have school and there was no one to supervise the child at home. Based on staff interviews, the surveyor learned that the seven-year-old child stayed in the kitchen from approximately 7:15 a.m. to 12:00 p.m. or the child stayed inside the Four- and Five-Year-Old Classroom from approximately 7:30 a.m. to 4:15 p.m. The childcare center failed to request a change of service to add school-age children to the license. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 found the following: 1. The following staff (DOH: 01/04/22, 06/04/21, and 03/12/21) files did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff were free from active tuberculosis. During interview, staff-in-charge stated that the staff mentioned had up-to-date TB skin tests; however, she was unable to locate the documentation. 2. The following staff (DOH: 01/06/22 and 12/17/18) files did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff were free from active tuberculosis. During interview, staff-in-charge stated that the staff mentioned did not have an up-to-date TB skin test. 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 5. Infant and Toddler Play Requirements.

General: Based on observation, the surveyor found four (4) children inside the Older Two Year Old Classroom. Through interview with staff, the surveyor learned that one (1) child was two-years-old and three (3) of the children were three-years-old. Staff stated that the children were grouped together for longer than one (1) hour; however, staff also stated that the two-year-old child did not have a transition plan on file. Premises Discussed 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 multiple interviews, the surveyor learned that a seven-year-old, school-age child, who is not enrolled at the child-care center, was brought to the center by a staff person during the hours of operation on approximately three (3) separate occasions. Through interview, the surveyor learned that the seven-year-old child stayed in the kitchen while at the center from approximately 7:15 a.m. to 12:00 p.m. or the child stayed inside the Four- and Five-Year-Old Classroom from approximately 7:30 a.m. to 4:15 p.m. Through interview, the staff stated that the seven-year-old child did not assist staff while in the kitchen; however, the child watched an iPad while inside the kitchen. Therefore, the child care center failed to assure compliance with kitchen requirements when the kitchen area was used for an activity of a child. Children's Records Discussed

Open Not marked corrected in the state record

Category: nutrition. 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. A staff’s (DOH: 12/17/18) file contained a written performance evaluation dated for 12/16/19; therefore, the evaluation was not completed annually. 2. A staff’s (DOH: 12/17/18) file contained a written performance evaluation dated for 12/16/19; therefore, the evaluation was not completed annually. 3. A staff’s (DOH: 02/03/20) file contained a written performance evaluation dated for 08/13/19; therefore, the evaluation was not completed annually. 4. A staff’s (DOH: 03/28/19) file contained a written performance evaluation that was not dated; therefore, the evaluation was not completed annually. 5. A staff’s (DOH: 09/24/19) file did not contain a written performance evaluation; therefore, an evaluation was not completed annually. Through interview with staff-in-charge, the surveyor learned that up-to-date annual written performance evaluations were not available for review for the staff mentioned. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

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 found the following: 1. A staff’s (DOH: 02/04/21) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. 2. A staff’s (DOH: 03/05/21) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. 3. A staff’s (DOH: 09/04/20) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. Through interview with staff-in-charge, the surveyor learned that the educational verification was not available for review for the staff mentioned.

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 found that none of the center staff possessed current certification in CPR/First Aid. Staff-in-charge stated that staff are in the process of being scheduled for this training. Programming In Compliance Premises 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 3. General Requirements.

General: Based on observation, the surveyor found the following: 1. A mop was located beside the first toilet in the restroom located in the Front Twos Classroom. 2. A sticky trap was located by the toilet in the restroom near the Three-Five Year Old Classroom. The items were observed to be within reach and accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A yellow square rug that contained stains and debris was in the Front Twos Classroom; therefore, the rug was not kept clean. 2. A square rug that contained debris was in the Back Twos Classroom; therefore, the rug was not kept clean. 3. A square rug that contained stains and debris was in the Ones Classroom; therefore, the rug was not kept clean. 4. A square ABC rug that contained stains and debris was in the Ones Classroom; therefore, the rug was not kept clean. 5. A round blue rug that contained debris was in the Three-Five Year Old Classroom; therefore, the rug was not kept clean. 6. A cream square rug that contained stains and debris was in the Entry Way; therefore, the rug was not kept clean. 7. The garbage can located in the restroom of the Front Twos Classroom was soiled. 8. The door of the restroom in the Front Twos Classroom was soiled. 9. The window in the Front Twos Classroom contained a crack.

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 of the restroom located in the Front Twos Classroom, the surveyor found the following: 1. A cracked floor tile was located in front of the second toilet. 2. The drywall beside the sink was damaged and appeared to be torn.

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 surveyor found the following: 1. The sink located in the restroom of the Front Twos Classroom contained stains. 2. The sink located in the Ones Classroom contained stains. 3. The sink faucet was leaking from underneath the sink in the restroom located near the Three-Five Year Old Classroom. The surveyor observed an orange bowl placed under the sink that was full of water.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. The first toilet bowl located in the restroom of the Front Twos Classroom contained stains. 2. The toilet bowl located near the Three-Five Year Old Classroom contained stains. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. There was debris on the diaper changing table underneath the diaper changing pad in the Nursery; therefore, the diaper changing surface was not kept clean. 2. There was debris on the diaper changing table underneath the diaper changing pad in the Ones Classroom; therefore, the diaper changing surface was not kept clean. 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 of the outdoor play area located in front of the Front Twos Classroom, the surveyor observed a large gap between the wooden fence and concrete and cinder blocks were in the gap; therefore, the play area was not kept safe from foreseeable hazard. During interview, staff-in-charge stated that the gap was filled in with mulch, but she had the mulch removed. Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 12/17/18) file contained a professional development plan dated for 12/30/18; therefore, the plan was not completed annually. 2. A staff’s (DOH: 03/28/19) file contained a professional development plan dated for 03/29/19; therefore, the plan was not completed annually. 3. A staff’s (DOH: 12/17/18) file contained a professional development plan dated for 02/06/19; therefore, the plan was not completed annually. 4. A staff’s (DOH: 12/17/18) file contained a professional development plan dated for 12/28/18; therefore, the plan was not completed annually. 5. A staff’s (DOH: 09/24/19) file contained a professional development plan that was not dated; therefore, it could not be determined that the plan was completed annually. 6. A staff’s (DOH: 02/03/20) file contained a professional development plan that was not dated; therefore, it could not be determined that the plan was completed annually. Through interview with staff-in-charge, the surveyor learned that up-to-date annual professional development plans were not available for review for the staff mentioned. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 02/08/21) file did not contain a completed Child Abuse/Neglect Background Check or a completed Criminal Records Background Check. During interview, staff-in- charge stated that the staff member has worked alone with children for the first time on 04/05/21. The surveyor observed the staff member working alone with children. 2. A staff’s (DOH: 03/01/21) file did not contain a completed Child Abuse/Neglect Background Check or a completed Criminal Records Background Check. During interview, staff-in- charge stated that the staff member has worked alone with children for the first time on 04/05/21. The surveyor observed the staff member working alone with children. 3. A staff’s (DOH: 03/05/21) file did not contain a completed Child Abuse/Neglect Background Check or a completed Criminal Records Background Check. During interview, staff-in- charge stated that the staff member has worked alone with children for the first time on 04/05/21. The surveyor observed the staff member working alone with children. 4. A staff’s (DOH: 02/04/21) file did not contain a completed Child Abuse/Neglect Background Check or a completed Criminal Records Background Check. During interview, staff-in- charge stated that the staff member has not worked alone with children. The surveyor did not observe the staff member to work alone with children. Based on review of the Kentucky National Background Check Service, the staff mentioned did not have a completed background check.

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 interview and review of documentation, the surveyor was presented with a file which found that the childcare center’s liability insurance policy had an expiration date of 09/12/18. An updated insurance policy was not available for review. The director stated that the center did have an updated copy of the policy; however, the documentation could not be located during the inspection visit. 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, the file presented for surveyor review for one (1) employee (DOH: 11/07/18) contained negative tuberculin verification dated 01/11/17 which was no longer current. During interview, the director did not provide additional documentation for the staff member. 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 11. Staff Requirements.

General: Based on review of documentation and ECE-TRIS, the surveyor found that a staff (DOH: 12/17/18) completed one and one-half (1 ½) hours of cabinet approved pediatric abusive head trauma (PAHT) training on 12/30/13; thus, not within the past five (5) years. During interview, the director did not provide additional documentation of PAHT training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance 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: recordkeeping. Open / not marked corrected.