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

General: Based on interview and review of documentation, a staff member (DOH:09/22/25) has an eligibility date of 10/28/18. No verification was found that a check of the National Background Check Program was completed for the staff member since 10/28/18. Therefore, the Criminal background check has not been completed within the last five (5) years. Interview with the director determined that the staff member was the cook.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff handbook provided to the surveyor by the director, the reporting of abuse neglect policy states "All employees much report all actual or suspected child abuse of any child attending the center immediately to the administrator/owner.".

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the surveyor found the following: 1. No verification was found of a staff member's (DOH: 05/14/13) annual written performance evaluation. Through interview, the surveyor learned that the performance evaluation was not available for review during the renewal survey. 2) No verification was found of a staff member (DOH: 09/10/24) annual written performance evaluation. Through interview, the surveyor learned that the performance evaluation was not available for review during the renewal survey.

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 interview and review of documentation, the surveyor found no verification that a staff (DOH: 07/11/25) obtained a High School Diploma, GED or Commonwealth Child Care Credential. Interview with staff found that the educational verification was not available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member's (DOH: 05/14/13) file contained a copy of a negative tuberculin result that was no longer current as of 07/21/25.

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 standing floor fan was covered in dust.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: In the Two-Year-Old Room: 1) There was tape residue on the while wall. 2) Paint was chipping on the white wall. 3) The vent in the ceiling was covered in dust. In the Children's Restroom: 1) The toilet paper holder was broken. In the School Age Room: 1) The blue half wall had marker marks all over the wall.

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 toilet seat was loose in the child's restroom 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 changing station outside of the children's restrooms had debris under the changing pad.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: On the outdoor playground: 1) The mulch on the playground had weeds growing through the mulched area. 2) The grass was overgrown.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found the following: In the One -Year-Old Room: 1) The cots were closely together and did not have 12-inch spacing between them. Staff advised that she has the cots close together so she could sit in the floor and pat the children on the backs during nap.

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, there were a children's bottle in the refrigerator that was not labeled in the kitchen. Food Service 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, ten (10) of the children’s files did not contain information to enable a person in charge to contact the preferred hospital.

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, no verification was found of a staff member's (DOH: 05/14/13) professional development plan. Through interview, the surveyor learned that the professional development plan was not available for review during the renewal survey.

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 of KARES the surveyor discovered the following: 1. A staff member (DOH: 08/28/2024) was not listed on the child-care center's KARES report; therefore, the surveyor was not able to verify the staff member had a completed background check. 2. A staff member (DOH: 04/23/2024) was not listed on the child-care center's KARES report; therefore, the surveyor was not able to verify the staff member had a completed background check. 3. A staff member (DOH: 09/09/2024) was not listed on the child-care center's KARES report; therefore, the surveyor was not able to verify the staff member had a completed background check. Staff-in-charge reported that she does not know about the background checks for the staff members and would let the owner know. 4. A staff member (DOH: 09/23/2024) was listed on the child-care center's KARES report as in process; therefore, the surveyor was not able to verify the staff member had a completed background check. During interview, the staff-in-charge stated that the staff member worked for a week before separating from the child-care center. Supervision Discussed 90 - Children Supervised Discussed An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 922 KAR 2:120. Section 2. Child Care Services. (3)(a) Each center shall maintain a child-care program that assures each child shall be: 1. Provided with adequate supervision at all times by a qualified staff person who ensures the child is: a. Within scope of vision and range of voice; or b. For a school-age child, within scope of vision or range of voice; 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 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 06/17/2025 AND AS OF 07/01/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor witnessed a staff member (DOH: 08/28/2024) was supervising eleven (11) three (3) to five (5) year olds on the playground alone. After reviewing of documentation, the surveyor learned that the staff member did not have a completed KARES report. Staff-in-charge reported that she would let the owner know.

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 interview and review of the Kentucky Applicant Registry and Employment System (KARES), the surveyor found: 1. Background checks for one (1) staff (DOH: 04/29/24) had not been submitted through KARES. The employee’s personnel file did not contain documentation of background checks submitted through KARES. The employee’s personnel file did not contain documentation of completed Child Abuse/Neglect, Sex Offender Registry or Criminal Background Checks for review. The surveyor observed this staff member to be working in the Three- to Five-Year-Old classroom on the date of the inspection. Staff-in-charge advised she was unable to provide documentation of background results prior to date of hire for this staff member. 2. Background checks for one (1) staff (DOH: unknown) had not been submitted through KARES. The employee’s personnel file did not contain documentation of completed Child Abuse/Neglect, Sex Offender Registry or Criminal Background Checks for review. The surveyor observed this staff member to be working in the Three-to-Five-Year-Old classroom on the date of the inspection. During interview, staff-in-charge advised this employee had been hired by the owner while staff-in-charge was off sick with flu, and she was unable to produce documentation of completed background results prior to this staff’s employment. 3. Background checks for one (1) staff (DOH: 09/10/24) had not been completed through KARES, as the staff’s applicant history shows the application had been started on 05/22/24 and closed/withdrawn on 08/27/24 as the individual left for another job. The employee’s personnel file did not contain documentation of completed Child Abuse/Neglect, Sex Offender Registry or Criminal Background Checks for review. Staff-in-charge stated she was unable to provide for review documentation of completed background check results prior to this staff’s employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of the Kentucky Applicant Registry and Employment System (KARES), the surveyor found: 1) One (1) staff (DOH: unknown) was not listed as a current employee on the childcare center’s KARES roster. The surveyor observed this staff member working with children in the Three-to-Five-Year-Old classroom on the date of the inspection; therefore, the childcare center failed to maintain the current employment status of this staff member. 2) One (1) staff (DOH: 04/29/24) was not listed as a current employee on the childcare center’s KARES roster; therefore, the childcare center failed to maintain the employment status of this staff member. The surveyor observed this staff member working with children in the Three-to-Five-Year-Old classroom on the date of the inspection; therefore, the childcare center failed to maintain the current employment status of this staff member. 3) One (1) staff (DOH: 09/10/24) was not listed as a current employee on the childcare center’s KARES roster; therefore, the childcare center failed to maintain the current employment status of this staff member. The surveyor did not observe this staff member to be working on the date of the inspection. Staff-in-charge advised this staff member recently began working as a cook and did not have a supervisory role over the children. Supervision In Compliance 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 6. License Issuance.

General: Based on observation and interview, the surveyor found a fire marshal inspection report dated 02/12/18. The staff-in-charge advised that she could not locate an updated fire marshal inspection report to submit for review; therefore, the surveyor could not verify that the childcare center had been inspected periodically by the fire marshal since 02/12/18.

Open Not marked corrected in the state record

Category: physical safety. 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 found an insurance declarations page with an expiration date of 12/19/22. During interview, staff-in-charge advised she could not locate a current insurance policy declarations page, and she did not have access to the owner’s office to look for it there. Therefore, the surveyor was unable to verify that the childcare center had written documentation of current liability insurance with a minimum of $100,000 coverage per occurrence.

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 observation, interview and review of documentation, the surveyor found that there were six (6) children present in the Two-Year-Old classroom, which was measured for maximum capacity of three (3) children. During interview, staff-in-charge stated that the bookshelves separating the Two-Year-Old classroom and Three-to-Five-Year- Old classroom had been moved at some point before she came back to work at the center. Documentation review revealed that no change request to increase capacity had been submitted to DRCC; therefore, written notification of the change was not made to the cabinet to allow for approval before implementation of increased capacity in the space used for the Two-Year-Old classroom. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the surveyor found one (1) staff’s (DOH: unknown) file did not contain documentation of a GED, high school diploma, or Commonwealth Child Care Credential. Staff-in-charge stated she could not provide this staff’s proof of education for review; therefore, the surveyor could not verify that this staff provided documentation of education prior to employment.

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, the surveyor found: 1) One (1) staff’s (DOH: 10/04/23) file contained a negative tuberculin (TB) skin test that was no longer current; the TB skin test was dated for 08/05/22. Staff advised she would obtain an updated TB skin test. 2) One (1) staff’s (DOH: 09/10/24) file did not contain a negative tuberculin (TB) skin test or statement from a health professional that the staff is free of active tuberculosis; therefore, the surveyor could not verify that the staff provided negative TB skin test results prior to employment with the childcare center. Staff-in-charge advised she could not provide for review documentation of a current TB skin test for this staff member.

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 in ECE-TRIS, the surveyor found one (1) staff (DOH: 10/04/23) completed eleven and one-half (11 ½) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period of 07/01/23-6/30/24. 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 and interview, the surveyor found that there were six (6) children present in the Two-Year-Old classroom, which was measured for maximum capacity of three (3) children. The classroom capacity was exceeded by three (3) children; therefore, the child-care center failed to maintain the thirty-five (35) square feet of space per child as required. During interview, staff-in-charge stated that the bookshelves separating the Two-Year-Old classroom and Three-to-Five-Year-Old classroom had been moved at some point before she came back to work at the center, and she was unaware if the center had submitted a change request for the space to be re-measured for a new capacity. The surveyor advised the center would need to submit a change request to increase capacity and have the space approved by DRCC. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 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 of the outside playground area, the surveyor found multiple areas with discarded paper litter, debris, and broken plastic pieces from a square container; therefore, the playground was not clean and free from litter and rubbish.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following on the outside playground: 1) A loose garden hose on the ground just inside the gate entrance to the playground which presented a potential tripping hazard. 2) An approximate nine-inch (9”) gap at the bottom of a storage building on the playground which presented a potential hazard for a child to crawl or reach under the building. 3) An approximate seven-inch (7”) gap at the back of the playground area between the chain-link fence and a concrete retaining wall, which presented a potential for small children to escape through the opening as well as to reach the stack of discarded sharp wooden sticks stacked between the fence and the retaining wall. 4) A deceased animal, which appeared to be a rabbit, on the ground in the back corner of the playground nearest the childcare center building, between the bottom of a gutter downspout and the concrete retaining wall, within reach of any children on the playground. 5) Sections of yellow rope tied to the chain link and hanging down at multiple places along the fencing inside the playground, which presented a potential hazard to children. Therefore, the playground was not safe from foreseeable hazards or well-maintained. Equipment In Compliance Transportation In Compliance Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the surveyor found a posted food permit #40402 with an expiration date of 12/31/23. The staff-in-charge stated she was unable to find a current food service permit for review. Therefore, the surveyor could not verify that the childcare center had a current food service 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 interview and review of documentation, the surveyor found one (1) child’s (DOE: 09/12/24) file contained an immunization certificate which expired 08/26/24; therefore, the childcare center failed to maintain a current immunization certificate on file for this child. Staff-in-charge advised she will contact the family for an updated immunization certificate. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1. One (1) child’s (DOE: 08/29/24) file did not contain a contact phone number for the child’s physician and preferred hospital; therefore, the childcare center failed to maintain a complete written record for this child. 2. One (1) child’s (DOE: 09/12/22) file did not contain a contact phone number for the child’s physician and preferred hospital; therefore, the childcare center failed to maintain a complete written record for this child. 3. One (1) child’s (DOE: 7/03/24) file did not contain pick-up and emergency contact information or a contact phone number for the child’s physician and preferred hospital; therefore, the childcare center failed to maintain a complete written record for this child. 4. One (1) child’s (DOE: 08/05/24) file did not contain a contact phone number for the child’s preferred hospital; therefore, the childcare center failed to maintain a complete written record for this child. 5. One (1) child’s (DOE: 7/23/24) file did not contain pick-up and emergency contact information or a contact phone number for the child’s physician and preferred hospital; therefore, the childcare center failed to maintain a complete written record for this child. 6. One (1) child’s (DOE: 09/04/24) file did not contain a contact phone number for the child’s physician or preferred hospital; therefore, the childcare center failed to maintain a complete written record for this child. 7. One (1) child’s (DOE: 9/12/24) file did not contact phone number for the child’s preferred hospital; therefore, the childcare center failed to maintain a complete written record for this child. 8. One (1) child’s (DOE: 09/12/24) file did not contain a contact phone number for the child’s preferred hospital; therefore, the childcare center failed to maintain a complete written record for this child. 9. One (1) child’s (DOE: 06/13/24) file did not contain a contact phone number for the child’s preferred hospital; therefore, the childcare center failed to maintain a complete written record for this child. 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 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Based on review of documentation in the staff's personnel file and KARES, the surveyor discovered that a staff member (DOH: 10/17/23) was listed as separated and listed as eligible-expired. New fingerprints were taken on 05/25/23. therefore, the staff member's employment was not up to date because she was listed as "separated". Staff-in-charge reported that she thought everything was fixed for the background checks when she took over as a director. Supervision In Compliance 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 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 08/06/2024 AND AS OF 08/26/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 09/10/2024 AND AS OF 10/17/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Programming 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 found approximately twenty-one (21) children's mats stacked on top of each other and placed on a small child sized brown shelf that divided the Two Year Old Classroom and Preschool Classroom; therefore, the health, safety, and comfort of the children was compromised. During interview, staff-in-charge stated that she would move the mats to a closet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

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 review of documentation and interview with staff-in-charge, the surveyor learned that staff pushed back a half wall consisting of shelves in the School Age Classroom to make the classroom bigger. Staff reported that this change made the Two Year Old Classroom smaller. Through interview with staff-in-charge, the surveyor learned that the change was not reported to DRCC; therefore, written notification of the change was not made to the cabinet, in writing, to allow for approval before implementation. Staff-in- charge stated that she was not aware that she needed to report the change. 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: 05/14/13) file contained an annual written performance evaluation dated 03/14/19; therefore, the evaluation was not completed annually. 2. A staff’s (DOH: 09/25/20) file contained an annual written performance evaluation dated for 10/10/21; therefore, the evaluation was not completed annually. Through interview with staff-in-charge, the surveyor learned that the up-to-date annual written performance evaluations for the staff mentioned were not available for review. Staff-in- charge stated that the evaluations were in a basket to complete. 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 that the following staff’s (DOH: 11/10/22 and 11/18/22) files 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 documentation for the staff mentioned was not available for review.

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. A staff’s (DOH: 05/14/13) file contained documentation of a TB skin test dated 10/29/19; therefore, the staff’s file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff was free from active tuberculosis. 2. A staff’s (DOH: 05/14/13) file contained documentation of a TB skin test dated 06/04/21; therefore, the staff’s file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff was free from active tuberculosis. 3. A staff’s (DOH: 09/25/20) file contained documentation of a TB skin test dated 09/18/20; therefore, the staff's file 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. Through interview with staff-in-charge, the surveyor learned that a current TB skin test for the staff mentioned was not available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Programming In Compliance Premises In Compliance 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 of the playground, the surveyor found the following: 1. A loose garden hose placed on the sidewalk by the gate entrance into the playground. 2. The surveyor found an approximate eight (8) inch gap between two (2) wooden boards on the railing of a play structure. During interview, staff-in-charge stated that there used to be a slide in place of the wooden boards that was removed. 3. A broken wooden board on the walkway up to the play structure that was observed to pull up and expose two (2) nails on the bottom of the board. 4. The surveyor observed four (4) buckets to contain one (1) slim wooden pole each and to have vines growing on them. During interview, staff-in-charge stated that the poles were used for tomato plants. 5. An opened bag of potting soil was placed on the ground and was observed to have plants growing out of it. The potting soil states, "Keep Out of the Reach of Children." 6. The top part of cinder block wall located beside the child-care center building was observed to be broken and was exposing gaps in the top part of the wall. One (1) of the blocks was observed to move slightly when pushed on. Therefore, the playground was not safe from foreseeable hazards, well maintained, or in good repair.

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 protective surface on the back side of the play structure located on the playground was depleted; therefore, the play structure did not have an adequate fall zone. 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 found the following: 1. A pink cozy coupe car located on the playground that contained broken plastic on the front part of the car; therefore, the car was not in good repair. 2. A yellow/blue table located underneath of the canopy on the playground that was peeling/flaking on the top part of the table; therefore, the table was not in good repair. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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: 08/26/19) file contained an immunization certificate that was no longer current as of 10/18/20. 2. A child’s (DOE: 01/09/23) file did not contain an immunization certificate. 3. A child’s (DOE: 05/27/23) file did not contain an immunization certificate. 4. A child’s (DOE: 05/08/23) file did not contain an immunization certificate. 5. A child’s (DOE: 05/15/20) file did not contain an immunization certificate. 6. A child’s (DOE: 02/13/19) file did not contain an immunization certificate. 7. A child’s (DOE: 05/15/20file did not contain an immunization certificate. Through interview with staff-in-charge, the surveyor learned that the documentation for the children mentioned was not available for review.

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: 05/27/23) file did not contain a contact telephone number for the child’s preferred family physician. 2. A child’s (DOE: 02/13/19) file did not contain the contact telephone number for the child’s family physician and preferred hospital. 3. A child’s (DOE: 05/15/20) file did not contain the name and contact telephone number of the child’s preferred hospital or authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 05/14/13) file contained a professional development plan dated 05/14/16; therefore, the plan was not completed annually. 2. A staff’s (DOH: 05/14/13) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. 3. A staff’s (DOH: 09/25/20) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. Through interview with staff-in-charge, the surveyor learned that the up-to-date professional development plans for the staff mentioned were not available for review. Staff-in-charge stated that the plans were in a basket to complete. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

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: 03/09/22) file contained documentation of background checks submitted through the Kentucky National Background Check Service on 03/17/22. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check prior to being hired by the child-care center; therefore, the staff person was hired prior to clearance for employment. 2. A staff’s (DOH: 06/13/22) file contained documentation of background checks submitted through the Kentucky National Background Check Service on 07/29/22. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check prior to being hired by the child-care center; therefore, the staff person was hired prior to clearance for employment. Staff-in-charge stated that she was not aware that staff had to have fingerprints prior to working at the child care center. Staff-in-charge stated that she believed that staff only had to have a TB skin test showing that they were free of tuberculosis prior to working at the child-care center. Staff-in-charge stated that both employees did not work alone with children until the results of the fingerprints were released to the child-care center. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report 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 8. General.

General: Based on observation and review of documentation, the surveyor found the following: 1. A box on top of a wooden table on the playground that contained one (1) bottle of Coppertone Sunscreen that stated on the back label, "Keep Out of Reach of Children," one (1) bottle of Deep Woods Insect Repellent that stated, "Keep Out of Reach of Children," and one (1) pair of adult size scissors that contained sharp edges. Each item mentioned was within reach of children and compromised the health, safety and comfort of the children on the playground. 2. A staff's (DOH: 04/06/22) file contained a partially filled out Child Abuse/Neglect Background Check; however, it had not been completed and was not mailed for the final results. The staff's file did contain documentation for a completed Criminal Record Check dated 06/01/22. Staff-in-charge stated that the staff is seventeen-years-old and she was not sure if the Child Abuse/Neglect Background Check documentation had been mailed for a final result. Staff-in-charge stated she had not completed the online Child Abuse/Neglect check for the staff person. The staff has not worked alone with children. 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’s (DOH: 07/16/20) file contained an annual written performance evaluation dated for 10/30/20; therefore, the evaluation was not 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 11. Staff Requirements.

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 05/14/13) file 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. Staff-in-charge stated that she would have him go to the health department to have the test done. 2. A staff's (DOH: 07/16/20) file 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. Staff-in-charge stated that the staff person had an appointment on 08/02/22 to have this completed.

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: 09/25/20) obtained six and one-half (6 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period of 07/01/21 – 06/30/22. 2. A staff (DOH: 07/16/20) obtained three (3) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period of 07/01/21 – 06/30/22. 3. A staff (DOH: 03/09/22) did not obtain the cabinet-approved Orientation I & II within their first three-months of employment. Staff-in-charge stated she would have the staff person complete the training. 4. A staff (DOH: 04/06/22) did not obtain the cabinet-approved Orientation I & II within their first three-months of employment. Staff-in-charge stated she did not know that the staff person needed to complete this training since the staff person is under the age of eighteen (18). Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Premises In Compliance Hygienic Practices 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 following: 1. Debris on the diaper changing table underneath the diaper changing pad in the rest room; therefore, the diaper changing surface was not kept clean. 2. Debris and what appeared to be food crumbs on the diaper changing pad; 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, the surveyor found the following: 1. A down spout located near the gate contained sharp edges. 2. A loose water hose was beside the gate. Both items were accessible to children and could result in a foreseeable hazard. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

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 child’s (DOE: 05/09/22) file did not contain an immunization certificate. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

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 two (2) children’s (DOE: 11/28/21 and 03/18/22) files did not contain the name or contact telephone numbers for the child’s preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a staff’s (DOH: 07/16/20) file contained a professional development plan dated for 07/16/21; therefore, the plan was not completed annually. 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 8. General.

General: Based on review of documentation, the surveyor found that one (1) staff’s (DOH: 09/25/20) file did not contain a completed Criminal Records Background Check. The staff's file contained a completed Child Abuse/Neglect Background Check dated 09/27/20. During interview, staff-in-charge stated that she thought she had completed a Criminal Records Background Check for the staff person when they were hired in 2020; however, she was unable to locate the documentation. Staff-in-charge stated that the staff person has worked with children. Based on review of the Kentucky National Background Check Service, the staff person had a completed background check with an eligibility date of 07/29/21. Director Requirements Discussed Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on multiple interviews, the surveyor learned that children who are disruptive during nap time such as being loud, yelling, or hitting each other, will be asked to be quiet. Staff stated that if asking the children to be quiet does not help, the children are placed in timeout that consists of sitting in a chair. Therefore, children are being disciplined that is associated with rest. Staff stated that a staff person will sit with the child in timeout and talk to them, then the child will go back to their mat. During interview, staff also stated that a child that has had approximately ten (10) to fifteen (15) minutes of quiet time on their mat and has not fallen asleep is given the option to play quietly. 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 5. Infant and Toddler Play Requirements.

General: Based on observation, the surveyor found ten (10) children in the Preschool I Classroom. Based on interview with staff, the surveyor learned that the children ranged in age from two-years-old to four-years-old. Staff stated that one (1) child was two-years-old. The surveyor observed the children to be grouped together for the duration of the survey which was from approximately 10:15 a.m. to 11:30 a.m. Staff stated that the two-year-old child did not have a transition plan on file and that they were not aware that the child needed a transition plan.

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 multiple interviews, the surveyor learned that a two-year-old child cried for approximately fifteen (15) to twenty (20) minutes during nap time and was not given the option of an alternate activity. Staff stated that the two-year-old child cried until she fell asleep. Based on review of video footage obtained from the child-care center, the surveyor found that the two-year-old child was laying on a mat on her belly with her head raised up and was crying. The surveyor observed a staff person to repeat to the child to "put her head down" and to "lay down" and for the two-year-old child to repeat "no.” The surveyor observed the staff person to use her hand to lay the two-year-old child's head down on the mat and the child was observed to cry, say "no," and to raise her head back up off the mat.

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 was presented with staff member's file (DOH:09/5/2017) that contained a staff evaluation dated for 09/09/2019; therefore, the staff member's interaction with children in care and classroom performance through an annual written performance evaluation was not current. Staff-in-charge reported that she would make sure all staff member's evaluations are current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. One (1) staff person's (DOH: 5/14/2013) completed fourteen (14) hours of cabinet-approved early care and education training for the review period of 07/01/20 through 06/30/21. 2. One (1) staff person's (DOH: 9/5/2017) completed zero (0) hours of cabinet-approved early care and education training for the review period of 07/01/20 through 06/30/21. Staff-in-charge reported that she will make sure staff has fifteen (15) hours in the future. 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, during a tour of the child-care center, the surveyor found that one (1) ceiling tile located in the School Age Classroom had a yellowish stain. Staff-in-charge reported that she would have the tile replaced.

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 observed a yellow substance in the toilet located in the second restroom. Staff-in-charge reported that she would talk to staff about making sure the restrooms are cleaned after each use. 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 observed what appeared to be dirty gloves laying on the changing pad; therefore, the changing pad was not clean. Staff-in-charge reported that she would talk to staff about making sure nothing is laying on the changing pad. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 found the following: 1. There was a down spout located next to the gate that had sharp edges. 2. There was a clear baggy and blue rubber substance located on the playground. Staff-in-charge reported that she would make sure the playground is cleaned up and free of debris. Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, during a tour of the child-care center, the surveyor found dark baked-on food particles on the bottom of the oven located in the kitchen. In pervious survey conducted on 02/02/2021, the child-care center received a deficiency for dark baked on food particles on the bottom of the oven located in the kitchen. On the Plan of Correction it was stated the following: "The Cook was shown the mess and told to clean! She will do the Precise cleaning on the oven settings this weekend when children are not at the center. Director made a check off list for kitchen area to be adhered to from now on." Staff-in-charge reported that the oven would be cleaned. 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

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 was presented with a child's file (DOE: 08/30/2021) that contained an immunization certificate that is no longer current as of 09/04/2020. Staff reported that she would make sure children's immunization certificate are current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

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 was presented with the following: 1. A child's file (DOE: 08/30/2021) did not contain record of a family physician and contact number. 2. A child's file (DOE: 06/01/2017) did not contain record of a preferred hospital and contact number. Staff-in-charge reported that she would make sure the children's files are completed. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor was presented with the following: 1. Staff member's file (DOH: 05/14/2013) contained a Professional Development dated for 03/14/2019. 2. Staff member's file (DOH:05/14/2013) contained a Professional Development with no date. Staff-in-charge reported that she would make sure all staff would have a Professional Development in their file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered that there was no verification found that the staff and children practiced an earthquake drill between April- June 2021. Through interview, staff reported that the staff and children have drills all the time. 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 12. Reports.

General: Based on observation during a tour of the child-care center and interview, the surveyor found that the center did not provide written documentation of a change in services. The Toddler Room had been quarantined due to the class having a child that tested positive for COVID-19. During interview, staff stated that they had notified the local health department and followed their recommendations; however, staff did not notify the Cabinet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the child-care center, the surveyor observed the following: 1. A towel or blanket was located on the floor by a climbing structure in the two-year-old room. The towel or blanket was found by the stairs for climbing; therefore, it presents a hazard to the children. During interview, staff stated that the blanket is there to prevent cold air coming in from the electrical room into the classroom; however, it shall be removed. Staff stated the space between the wall and floor in the two-year-old room will be fixed. 2. A large plastic bottle of hand sanitizer had been placed on a shelf located in the school age classroom. The surveyor observed a child pouring the hand sanitizer from the bottle into a small cup to play with; therefore, it presented a hazard because a child could mistake the sanitizer for a drink. During interview, staff stated the hand sanitizer will be moved to the desk of the teacher. Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the child-care center, the surveyor found that a large plastic bottle of hand sanitizer had been placed on a shelf located in the school age classroom. The surveyor observed a child pouring the hand sanitizer from the bottle into a small cup to play with.

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 a tour of the child-care center, the surveyor found that one (1) ceiling tile located in the School Age Classroom had a yellowish stain. During interview, staff stated they would have the tile repaired. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during a tour of the child-care center, the surveyor found dark baked-on food particles on the bottom of the oven located in the kitchen. During interview, staff stated the oven would be cleaned. Children's Records In Compliance 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 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: Based on observation, the following was found: 1) The temperature of the surveyor was not taken before the surveyor was permitted entry into the child-care center. Based on interview, the staff stated that they were not aware that they needed to take the surveyor's temperature upon entrance to the center; however, staff stated they do take temperatures of staff before entering the child-care center. This deficiency was cited due to the following E-Reg: 922 KAR 2:400E Section 6. Screening and Illness Requirements. (1) Children and adults shall be screened for fever and contagious symptoms upon entry into the child care center. 2) Based on observation, the surveyor found staff would pull the mask away from their face to speak to each other or would have their mask below their chin; therefore, staff did not properly wear face masks while inside the child-care center. The surveyor did not find any exceptions to the E-Reg in staff files. Based on interview, staff stated they will speak with staff on the proper way to wear masks. This deficiency was cited due to the following E-Reg: 922 KAR 2:410 Section 8. Personal Protective Equipment (PPE) Requirements. (1) Each adult, including parents and guardians at drop-off and pick-up, shall wear a face mask while inside a child care center or family child care home: (a) Unless they meet any of the exemption criteria established in subsection (5) of this section; (b) Except during planned staff breaks and lunch away from children in care and other staff; or (c) Except for staff working with infant or toddler groups who choose to wear a face shield instead.

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 interview, staff reported children are taken into the kitchen when they misbehave. According to staff, the kitchen is a private area where staff and children can discuss why they are misbehaving. Staff did not know that children were not allowed to be in the kitchen of a Type 1 Child Care Center.

Open Not marked corrected in the state record

Category: nutrition. 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 a staff's (DOH: 5/14/13) file contained a copy of a negative tuberculin result dated 4/24/17; therefore, the result is no longer current. Staff confirmed through interview that this is the staff's most recent 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 the following: (1.) Staff (DOH: 9/5/17) obtained three (3) of the required fifteen (15) hours of cabinet - approved early care and education training. (2.) Staff (DOH: 6/18/18) has not obtained the one and one-half (1 1/2) hours of pediatric abusive head trauma training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's 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.

General: Based on review of documentation, the surveyor found a child's (DOE: 8/26/19) file contained did not contain an immunization certificate. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and ECE - TRIS, the surveyor found the following: (1.) Staff (DOH: 8/17/16) obtained twelve (12) of the required fifteen (15) hours of cabinet - approved early care and education training. (2.) Staff (DOH: 8/17/16) obtained six (6) hours of cabinet - approved orientation on 11/28/16. The orientation training was not obtained within the staff's first three (3) months of employment. (3.) Staff (DOH: 9/20/16) obtained six (6) hours of cabinet - approved orientation on 1/5/17. The orientation training was not obtained within the staff's first three (3) months of employment. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Children's Records Not 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 3. Records.

General: Based on review of documentation, the surveyor found that the child's (DOE: 12/18/14) file did not contain contact information for a preferred physician. 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 observation, there were a total of three (3) staff present inside the child care center on 8-3-16; however, only two (2) staff were responsible for supervising three (3) classrooms of children during lunch preparation. The following was observed during this visit: 1) One (1) staff member (DOH: 8-18-14) was providing supervision to the preschool room and the school-age room by standing at the end of a half wall which divided the two (2) classrooms. 2) One (1) staff member (DOH: 5-14-13) was providing supervision to the two-year-old classroom by standing inside that room. 3) One (1) staff member (DOH: 5-14-13) was preparing lunch in the kitchen with the door closed and exited the kitchen sixteen (16) minutes after the surveyor arrived at the center. Based on interview with staff, it was reported that the third staff member is responsible for supervising the school-age classroom before and after lunch is prepared. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the child care center director did not assure that additional staff were available during cooking hours, i.e., there were a total of three (3) staff present inside the child care center on 8-3-16; however, only two (2) staff were responsible for supervising three (3) classrooms of children during lunch preparation. The following was observed during this visit: 1) One (1) staff member (DOH: 8-18-14) was providing supervision to the preschool room and the school-age room by standing at the end of a half wall which divided the two (2) classrooms. 2) One (1) staff member (DOH: 5-14-13) was providing supervision to the two-year-old classroom by standing inside that room. 3) One (1) staff member (DOH: 5-14-13) was preparing lunch in the kitchen with the door closed and exited the kitchen sixteen (16) minutes after the surveyor arrived at the center. Based on interview with staff, it was reported that the third staff member is responsible for supervising the school-age classroom before and after lunch is prepared.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation of staff files, one (1) staff member (DOH: 5-14-13) did not have an annual evaluation in their file. Based on interview, the director stated she has not completed a recent evaluation for this staff.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation of staff files, the criminal records check (CRC) was not submitted timely for two (2) staff members, i.e., staff with DOH: 6-7-16 had a CRC that was not submitted until 6-15-16 and staff with DOH: 7-3-15 had a CRC that was not submitted until 7-13-15. Based on interview, the director stated that neither staff member was left alone with any children prior to receiving these results back.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation of staff files and ECE-TRIS, the following things were found: 1) Staff with DOH: 3-14-16 has not completed the required six (6) hours of orientation. 2) Staff with DOH: 8-18-14 has not completed the required Pediatric Abusive Head Trauma training. 3) Staff with DOH: 5-14-13 only completed four (4) of the required fifteen (15) hours of annual training for the year 5-14-13 to 5-14-14.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation of children's files, one (1) child (DOE: 3-22-16) did not have an immunization certificate present in their file for review. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation of children's files, the following nine (9) children's files did not contain the name and phone number of the preferred hospital filled out on their enrollment packet: DOE: 6-3-13, DOE: 10-13-14, DOE: 10-14-15, DOE: 3-22-16, DOE: 5-23-16, DOE: 5-23-16, DOE: 2-16-16, DOE: 8-11-15, DOE: 5-5-14; furthermore, the following one (1) child did not have the name and phone number of the physician or the preferred hospital filled out on their enrollment packet: DOE- 12-18-14.

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 observation, there were a total of eighteen (18) children present during the surveyor's visit; however, based on review of documentation, there were only sixteen (16) children signed in on the attendance sheets. Based on interview, the director confirmed that there were eighteen (18) children present and stated that two (2) parents must have forgotten to sign their children in.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation of staff files, the following staff did not have a current annual professional development plan: 1) DOH: 8-18-14 (last updated 8-18-14) 2) DOH: 5-14-13 (last updated on 5-20-15) 3) DOH: 5-14-13 (last updated on 5-20-15)

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center provided documentation to verify only one (1) staff meeting.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the child abuse and neglect check for a staff member (DOH: 6/18/15) was submitted for completion on 7/9/15, which was not within the time frame required by 922 KAR 1:470. Also, the criminal records check for this staff member was submitted for completion on 7/10/15, which was not within the time frame required by KRS 199.896. The center director stated that the staff member has only worked one (1) day and was not left alone with children on that day.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to provide documentation of a high school diploma, GED or qualifying document from a comparable education entity, or Commonwealth Child Care Credential as described in 922 KAR 2:250 for three (3) staff (DOH: 8/18/14, 5/26/15, 6/18/15).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation the following was found: (1) During a tour of the school-age classroom, the surveyor observed one (1) spray bottle labeled sanitizer stored on a shelf accessible to the children. (2) The surveyor found multiple empty plastic bags and one (1) spray bottle labeled disenfectent located in an unlocked cabinet under the diaper changing table accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one (1) child failed to wash their hands after wiping their nose as required.

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 a tour of the outdoor play area, the surveyor found one (1) basketball goal net that was was ripped. The netting was accessible to the school- age children in care and was not in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the child care center's thermometer located in the freezer indicated that the temperature was eighteen (18) degrees Fahrenheit, therefore, the frozen food was not kept at a temperature of zero (0) degrees or below on the date of the surveyors visit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, none of the ten (10) children's files presented for surveyor review contained the child's preferred hospital and preferred hospital telephone number.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the arrival times for two (2) children were not documented on 7/27/15.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the center's earthquake and tornado drills presented for surveyor review failed to contain a separate time in which each drill occurred.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, written performance evaluations were not presented for review for three (3) staff members (dates of hire - 5/22/13, 5/22/13 and 5/14/3).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, annual performance evaluatins were not presented for review for three (3) staff members (dates of hire - 5/22/13, 5/22/13 and 5/14/13).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a negative tuberculin results certificate that was dated 4/3/12 was no longer current after 4/2/14 but was presented for review for a staff member (date of hire - 5/20/13).

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the center has three (3) substitute staff members. However, the following were found: 1) A negative tuberculin results certificate that was dated 4/3/12 and was no longer current after 4/2/14 was presented for review for a substitute staff member (date of hire - 5/20/13). 2) No cabinet-approved early care and education training records were presented for review for two (2) substitute staff members (dates of hire for both - 5/22/13). In addition, records of only seven (7) hours of cabinet-approved early care and education training obtained from 5/14/13 to 5/13/14 were presented for review for a substitute staff member (date of hire - 5/14/13). ECE-TRIS records were reviewed and no additional training was found for these staff members.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, no cabinet-approved early care and education training records were presented for review for two (2) substitute staff members (dates of hire for both - 5/22/13). In addition, records of only seven (7) hours of cabinet-approved early care and education training obtained from 5/14/13 to 5/13/14 were presented for review for a substitute staff member (date of hire - 5/14/13). ECE-TRIS records were reviewed and no additional training was found for these staff members. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

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, a grill with a fuel tank was inside the fenced playground area and was accessible to children. 695 - Protective Surface Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (21) A protective surface shall: (a) Be provided for outdoor play equipment used to: 1. Climb; 2. Swing; and 3. Slide; and (b) Have a fall zone equal to the height of the equipment.

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 and measurement with a calibrated thermometer, the preschool classroom was sixty-three (63) degrees Fahrenheit on the date of the surveyor's visit. 555 - Indoor Gross Motor Space Requirements Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (22) If a child-care center does not have access to an outdoor play area, an indoor space shall: (a) Be used as a play area; (b) Have a minimum of sixty (60) square feet per child, separate from and in addition to the thirty-five (35) square feet minimum pursuant to subsection (6) of this section; (c) Include equipment for gross motor skills; (d) Be well-ventilated; (e) Be heated; and (f) Have a protective surface of at least two (2) inches thick around equipment intended for climbing.

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 child care center failed to equip one (1) sink with soap.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the earthquake and tornado drills presented for surveyor review for the quarterly months of April through June 2013 and July through September 2013 did not contain the time the drills were conducted.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a used toilet bowl plunger was on the floor beside the toilet in the girls' restroom.

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 posted program of activities did not include dates.

Open Not marked corrected in the state record

Open / not marked corrected.