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

General: Based on review of documentation, staff member (DOH 10/16/17) did not have evidence of a negative tuberculin skin result, nor a physician’s statement clearing this individual of active tuberculosis.

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, 1) Staff member (DOH 10/16/17) had fourteen and a half (14.5) out of fifteen (15) hours of early care and education training recorded on ECE-TRIS for the July 1, 2023 – June 30, 2024, training year. 2) Staff member (DOH 07/17/23) had ten (10) out of fifteen (15) hours of early care and education training recorded on ECE-TRIS for the July 1, 2023 – June 30, 2024, training year. A review of ECE-TRIS supports these findings.

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, in Classroom #3, the ceiling fan was covered in debris.

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 interview, 1) In Classroom #2: Tape was covering chipped paint on the grey wall. Staff advised that they put tape over the chipping paint, so they know where to paint. 2) In the Toilet Room: The toilet room floor was missing a tile.

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 outdoor play area had the underlayment exposed through the mulch.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, in Classroom #2, the handwashing station cabinet was stained.

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, two (2) children's files reviewed had immunization records that were not current.

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 that the child-care center failed to maintain records of sign-in sheets for October 7th - 11th 2024. During interview with staff-in-charge, she stated that she could not find the documentation that had been requested by the surveyor; therefore, the child-care center failed to maintain records for five (5) years.

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 with staff-in-charge, the surveyor discovered that the personnel file for one (1) staff member (DOH: 01/03/23) did not contain a written performance evaluation. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview with the staff-in-charge, the surveyor discovered that the personnel files for two (2) staff members (DOH: 09/07/23 & 07/17/23) did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview with staff-in-charge, the surveyor discovered that the personnel files for two (2) staff members (DOH: 09/07/23 & 05/21/23) did not contain documentation verifying that the staff members were free of active tuberculosis or a copy of a negative tuberculin results.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered the following: 1. Upon review of ECE-TRIS one (1) staff member (DOH: 01/03/23) completed ten (10) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 01/03/23-01/03/24. 2. Upon review of ECE-TRIS one (1) staff member (DOH: 7/17/23; first year start date: 11/18/22) completed seven (7) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 11/18/22-11/18/23. 3. Upon review of ECE-TRIS one (1) staff member (DOH: 10/16/17) completed two (2) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 07/01/22-06/30/23. 4. No date was listed on the ECE-TRIS Individual Training Record Report indicating that two (2) staff members (DOH: 01/10/24, & 01/03/23) did not complete the six (6) hours of cabinet-approved orientation training. 5. No date was listed on the ECE-TRIS Individual Training Record Report for one (1) staff member (DOH: 01/03/23) indicating that the staff member did not complete the one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training. Therefore, the child-care center failed to ensure that trainings were completed as required. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor discovered the following: Playground One: 1. The mulch placed around the play structure was depleted exposing the ground in various areas. The fall zone was not equal to the height of the equipment as mulch was only placed under the play structure and did not extend past the edges of the equipment. 2. A Little Tykes slide was placed directly on the grass and did not have a protective surface or a fall zone equal to the height of the equipment. Playground Three: 1. The mulch placed around the play structure was depleted exposing the ground in various areas. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview with staff-in-charge, the surveyor discovered that the personnel file for one (1) staff member (DOH: 10/16/17) did not contain a written annual professional development plan. Staff-in-charge stated that a plan had not been completed for the staff member.

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 with staff-in-charge, the surveyor discovered the provider did not have written records to verify that quarterly earthquake drills were performed during 2023.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered that the records provided for review revealed the following: 1. The monthly fire drills were not documented during the months of January and February 2024. 2. That quarterly earthquake drills were not documented during 2023. Staff-in-charge stated that the drills were conducted; however, the drills were not documented. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and record review, the facility reported that on 3/13/23 a child's g-tube was found out of place when his diaper was being changed. No medical attention was sought, or parents contacted. The g-tube was placed in a Ziplock bag and provided to Parent at pick up time. Child required surgery to have the g-tube put back into place. 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 interview and review of documentation, Based on interview and record review, the facility failed to contact Parent when the child's g-tube was found out of place. Parent was notified at pick up time then taken for medical treatment. Employee Records 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 the following: 1. A bottle of Gold Bond hand lotion was placed on a small table that stated “Keep Out of Reach of Children” located in the Twos Classroom. 2. A plunger was located beside a toilet in the restroom. 3. A mop bucket that was filled with water and what appeared to be a cleaning solution located in the doorway of the restroom and the Preschool Classroom. The items mentioned were observed to be accessible to children; therefore, the health, safety and children were compromised. 4. The surveyor was checking the hot water temperature in the Preschool Classroom when a preschooler walked up to the sink and put his hand in the water and shouted, "Ouch, that water burned my hand". The hot water temperature in three (3) sinks located in the Preschool Classroom measured approximately 130 degrees Fahrenheit; therefore, the hot water was not a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 (one hundred twenty) degrees Fahrenheit. The surveyor informed the director of this incident Director Requirements In Compliance 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

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 staff's (DOH: 10/16/17, 08/22/22 and 01/03/23) 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 the following staff's (DOH: 10/16/17, 08/22/22, 01/03/23 and 01/03/23) 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. 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 an eight-week-old infant asleep in a swing with a blanket at 10:56 a.m. while the surveyor was doing her initial walk-through. The surveyor asked that staff person in the classroom how long the infant had been asleep and was informed that the infant had been in the swing asleep for approximately twenty (20) minutes; therefore, the infant was not sleeping in a safe sleep position in a crib on her back without a blanket. 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, the surveyor found the following: 1. An unlocked white cabinet located in the Presschool classroom contained the following: one (1) bottle of Spraway Glass Cleaner, one (1) bottle of Ecolab Glass Cleaner, two (2) Lysol spray bottles and one (1) container of Lysol Wipes. Each of these items stated, "Keep Out of Reach of Children." 2. A bottle of Mr. Clean Multi Surface Cleaner was placed on the sink in the rest room that stated, "Keep Out of Reach of Children." Each of these items mentioned were observed to be within reach of children and accessible to 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, the surveyor found the following: 1. The hot water temperature in the two (2) sinks in the rest room measured approximately 130 degrees Fahrenheit; therefore, the hot water was not a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 (one hundred twenty) degrees Fahrenheit. 2. The hot water temperature in three (3) sinks located in the Preschool Classroom measured approximately 130 degrees Fahrenheit; therefore, the hot water was not a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 (one hundred twenty) degrees Fahrenheit. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 larger playground, there was a yellow water hose that was laying on the ground. 2. On walkway leading to the smaller playground, there was a green water hose laying on the ground. Therefore, the playground was not safe from a foreseeable hazard. 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, the surveyor found the temperature in the refrigerator located in the kitchen had a temperature reading of approximately forty-eight degrees Fahrenheit; therefore, the temperature of the refrigerator was not forty (40) degree Fahrenheit or below. Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found two (2) unopened half gallons of milk located in the kitchen refrigerator that had an expiration date of 02/16/22; therefore, the child-care center failed to keep the milk free from spoilage. 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 a child’s (DOE: 08/09/22) file contained an immunization certificate that was no longer current as of 08/24/22. 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 a child's (DOE: 11/28/22) file did not contain written 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 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on review of documentation, the surveyor found the child-care center failed to document the monthly required fire drills for March, April, and August of 2022. During interview with staff-in-charge, she stated the child-care center conducted the fire drills with the children; however, the documentation of the drills could not be located during the surveyor's visit. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a staff’s (DOH: 10/12/2021) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check; therefore, the staff person was hired prior to clearance for employment. The staff’s file did not contain a completed Child Abuse/Neglect Background Check (CAN) or a Criminal Records Background Check (CRC). During interview, staff reported that she submitted the paperwork; however, she has not received anything back from KARES. In reviewing the center’s KARES report, the staff is listed as "in process". Staff reported that the staff person has not worked alone with children. The surveyor did not observe the staff person working during the surveyor’s visit. 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 review of documentation, the surveyor found the child care center's liability insurance was no longer current as of 10/23/2021. Staff reported the child care center’s liability insurance is up-to-date; however, the documentation could not be provided during the surveyor’s visit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the surveyor found that a staff's (DOH: 10/16/2017) file could not be located during the surveyor’s visit; therefore, the surveyor was unable to verify if the staff had a completed evaluation. Staff reported she would attempt to locate the staff's personnel file. 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.

General: Based on interview, the surveyor discovered that a staff's (DOH: 10/16/2017) file could not be located during the surveyor's visit. Staff reported she was unsure of where the staff's personnel file was located.

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. Staff's (DOH: 10/16/2017) file was not presented to the surveyor for review; therefore, the surveyor could not determine if the staff had a high school diploma, GED, or Commonwealth Child Care Credential. 2. Staff's (DOH: 10/18/2021) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential. 3. Staff's (DOH: 04/13/2021) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential. 4. Staff's (DOH: 10/12/2021) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential. Staff reported she would have the staff bring in verification of education documentation.

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. Staff's (DOH: 10/16/2017) file was not presented to the surveyor for review; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. During interview, the surveyor learned that the staff's file was unable to be located at this time. 2. Staff's (DOH: 10/12/2021) 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 result for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. Staff reported she would obtain TB skin test for all staff. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE- TRIS, the surveyor discovered the following: 1. Staff (DOH: 10/16/2017) completed four and one-half (4 1/2) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 7/30/2020 through 6/29/2021. 2. Staff (DOH: 04/01/2021) did not complete the six (6) hours of cabinet-approved orientation within their first three (3) months of employment in a child care program. 3. Staff (DOH: 10/13/2021) did not complete the six (6) hours of cabinet-approved orientation within their first three (3) months of employment in a child care program. 4. Staff (DOH: 10/07/2021) did not complete the six (6) hours of cabinet-approved orientation within their first three (3) months of employment in a child care program. 5. Staff (DOH: 10/18/2021) did not complete the six (6) hours of cabinet-approved orientation within their first three (3) months of employment in a child care program. 6. Staff (DOH: 04/13/2021) did not complete the six (6) hours of cabinet-approved orientation within their first three (3) months of employment in a child care program. 7. Staff (DOH: 10/12/2021) did not complete the six (6) hours of cabinet-approved orientation within their first three (3) months of employment in a child care program. Staff reported she would ensure staff complete trainings in a timely manner. Programming In Compliance 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 a training chair with yellow spots on the seat. The training chair was located in the restroom near the School Age Classroom. Staff reported she would clean the training chair. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found the wooden mulch was not adequately covering the ground surrounding a tire swing and slide; therefore, the area did not have an adequate protective surface. Staff reported she would cover the areas with mulch. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the surveyor found a staff’s (DOH: 10/16/2017) file could not be presented during the surveyor’s visit; therefore, the surveyor did not view the staff’s professional development plan. Staff reported she would locate the staff’s personnel 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 the following: 1. The center failed to document fire drills for April 2021 through December 2021. 2. The center failed to document tornado, earthquake, and shelter-in-place quarterly drills from April 2021 through December 2021. Staff reported that fire, tornado, earthquake, and shelter-in-place drills were completed; however, the drills were not documented. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor observed a staff member left preschool children on the playground while she walked about ten (10) feet into the building (School-aged Classroom) to allow a child to use the restroom. During interview, staff stated that the staff memeber is new and is learning what to do. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises 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 3. General Requirements.

General: Based on observation in the Preschool Room’s restroom, the surveyor found Lysol Wipes and Microban Sanitizing Spray located by the sink. The items were within reach of the children. Staff stated that the center is teaching the children how to clean up after themselves; however, they would put the supplies out of reach of the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation in the After School Age Classroom, the surveyor found a red substance located in the sink. Therefore, the premises was not kept clean. Staff stated that the children had strawberry smoothies earlier that morning. Hygienic Practices In Compliance 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 playground, the surveyor found two (2) broken toys that had been placed by the door. Staff reported that she would have them picked up and make sure there were no broken toys left outside.

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 climbing/slide structure on the playground did not contain a protective surface; instead, the surveyor found a tarp like material at the bottom of the slide. Staff reported that she did not know that she needed a protective surface and that the tarp like material was in place so the children's clothes would not become muddy. Equipment In Compliance Transportation Not Applicable 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

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 staff (DOH: 10/16/2017) file that did not contain a Professional Development Plan. Staff stated that a Professional Development Plan was complete; however, the staff did not know where the plan was currently located. Posted Documentation In Compliance Animals Not Applicable 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

Open / not marked corrected.

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

General: Based on observation, 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 have been screening individuals; however, they did not think of screening the surveyor upon entrance to the center. This deficiency was cited due to the following E-Reg:922 KAR 2:415E Section 7. Screening and Illness Requirements. (1) Children and adults shall be screened for fever and contagious symptoms upon entry into the child care center or family child care home each day and shall not be allowed to enter if displaying a contagious fever or symptom of COVID-19.

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 and the National Background Check Program, the surveyor found that a staff’s (DOH: 2/3/20) fingerprints were taken on 02/12/2020. Therefore, the staff was not cleared for hire prior to beginning employment. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. The surveyor observed a staff person repeatedly instruct two (2) preschool-age children to lay on their cots at naptime. The children appeared to be restless and did not want to nap. The staff person repeatedly pushed down on the children’s heads and backs in an attempt to make them lay down. The children did not appear to receive injury. 2. There was a plunger and toilet brush with holder beside the toilet located in the restroom used by the children. The items were within reach and accessible to the children. 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

Open / not marked corrected.

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

General: Based on review of documentation, the following personnel information for a staff (DOH: 10/8/19) was not presented for surveyor review: Address, date of birth, verification of education and negative tuberculin result. Through interview, a staff reported that the personnel file was misplaced.

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 no verification of a High School Diploma, GED or Commonwealth Child Care Credential for a staff (DOH: 10/8/19). Through interview, the surveyor learned that the staff’s personnel file 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 following was found: 1. An employee’s (DOH: 10/16/17) file contained a negative tuberculin verification that was no longer current as of 7/17/19. 2. An employee’s (DOH: 10/16/17) file contained a negative tuberculin verification that was no longer current as of 9/11/19. 3. An employee’s (DOH:10/08/19) file did not contain documentation that the staff person was free from active tuberculosis. 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 review of documentation on 3/4/2020, the surveyor found that the daily planned program was dated 2/24/2020 to 2/29/2020. Therefore, the daily planned program was not current. 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 6. Sleeping and Napping Requirements.

General: Based on observation of the preschool-age children, the surveyor found that two (2) preschool-age children did not want to nap. A staff person insisted that the children lay on their cots and did not give them the opportunity to play quietly. 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, the surveyor found that the latch was broken on the cabinet door located under the sink in the restroom used by the children. The cabinet contained Lysol Cleaner, Clorox Wipes, Resolve Cleaner and a toilet brush and holder. The items were accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the classroom for the two-year-old children, the surveyor found a dark circular stain near the light fixture located on the ceiling. Through interview, the surveyor learned that the roof had leaked.

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 that the hot water was not working at multiple sinks located throughout the childcare center. Through interview with staff, the surveyor learned the hot water heater had malfunctioned and is being repaired. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that the hot water was not working at multiple sinks located throughout the childcare center. Through interview with staff, the surveyor learned the hot water heater had malfunctioned. The surveyor observed that the children did wash their hands at the sinks; however, not with warm water. 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

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 debris particles on the diaper-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 11. Toys and Furnishings.

General: Based on interview, staff in the classroom for the one-year-old children stated that she does not use a brush to reach into crevices when scrubbing the mouth contact toys. 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 that a baby gate and water hose were left on the playground. Equipment 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 6. Sleeping and Napping Requirements.

General: Based on observation during a tour of the Infant/Toddler Room, the surveyor found that four (4) children were napping on cots. Through interview with a staff person, the surveyor learned that the youngest child was eleven-months-old. The eleven-months-old child was not sleeping in a crib. Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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 during a tour of the kitchen, the surveyor found that the freezer’s interior temperature was eight (8) degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report 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 that a child’s (DOE: 11/2/18) immunization was no longer current as of 9/28/19. Through interview with staff, the surveyor learned that current immunization verification for the child was not available for review. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on review of documentation, the surveyor found that the written evacuation plan was dated 12/15/17. Through interview, the surveyor learned that a current plan 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 9. Records.

General: Based on review of documentation, the surveyor found the following: 1. The surveyor found that the written annual plan for professional development for a staff (DOH: 8/21/18) was not signed or dated; therefore, the surveyor could not determine if the plan was current. 2. The surveyor found that the written annual plan for professional development for a staff (DOH: 8/27/18) was dated 8/27/18. The plan for professional development was not current. Through interview with staff, the surveyor learned that a current plan 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 9. Records.

General: Based on interview, staff reported that fire, earthquake and tornado drills were conducted during 2019; however, documentation verifying the drills was not available for surveyor review. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that one (1) staff person's (DOH: 03/12/19) file did not contain proof of completed background checks. Based on review of the Kentucky National Background Check Program, the staff person was listed as a pending employee and had a background check submit date of 03/12/19; however, the staff person had not submitted their fingerprints. During a tour of the child care center, the surveyor observed the same staff person working alone and providing care to four (4) infant children. Through interview with the director, it was confirmed that the staff person's fingerprints had not been taken as of the date of the inspection. Supervision 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 observation of the One Year Old Children’s Classroom, the surveyor observed a staff person leave the classroom to diaper a child. The surveyor found that three (3) children were left unsupervised and in high chairs in the One Year Old Children’s Classroom for two to three (2-3) minutes. The director stated during interview that she would change how diapering was completed so children would not be unsupervised and would be in the line of sight at all times. Staffing Requirements In Compliance General Administration In Compliance 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

Category: supervision. 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 that one (1) staff person's (DOH: 03/12/19) file did not contain proof of completed background checks. Based on review of the Kentucky National Background Check Program, the staff person was listed as a pending employee and had a background check submit date of 03/12/19; however, the staff person has not submitted their fingerprints. During a tour of the child care center, the surveyor observed the same staff person working alone and providing care to four (4) infant children. Through interview with the director, it was confirmed that the staff person's fingerprints had not been taken as of the date of the inspection. Therefore, the staff person was left alone with children prior to receiving the results of the completed background checks. 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 9. Records.

General: Based on review of documentation, the following was found: 1. The surveyor was presented with a file for one (1) staff (DOH: 02/20/18) person that did not contain an annual written performance evaluation. Through an interview with the director, it was confirmed that the file did not contain the evaluation. 2. The surveyor was presented with a file for one(1) staff (DOH 03/12/19) person that did not contain the following: A. Name, address, or date of birth of the staff person. B. Proof of educational qualifications. C. Documentation of compliance with tuberculosis screening. D. The results of background checks

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation, the file presented to the surveyor for review for a staff person (DOH: 03/12/19) did not contain documentation of education.

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 confirmation from the director, the surveyor was presented files for two (2) staff members (DOH: 08/21/18 and 03/12/19) that did not contain a copy of a negative tuberculin result or a statement from a health professional that the individuals were free of active tuberculosis. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, the surveyor found that one (1) staff person (DOE: 02/20/18) identified as a substitute did not meet the staff requirements of this administrative regulation for a Type 1 center based on: 1. Lack of Cabinet-approved early care and education annual training hours. 2. No verification of having completed Pediatric Abusive Head Trauma Training within the first year of employment. 3. No verification of having completed Orientation training within the first three (3) months of employment. 4. No verification of education in 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 of a staff (DOH: 02/20/18) file and review of ECE-TRIS, the surveyor found the following: 1. The staff had zero (0) of the required fifteen (15) hours of cabinet-approved early care and education training during the most recent subsequent year of employment. 2. There was no documentation of the staff completing the six (6) hours of cabinet-approved orientation as required by regulations. 3. There was no documentation of the staff completing the Pediatric Abusive Head Trauma Training within the first year of employment. During interview, the director stated that she was aware that the staff person did not have the trainings completed. 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 5. Infant and Toddler Play Requirements.

General: Based on observation when the surveyor entered the child care center at 11:30 a.m., there were eight (8) children present in the Two’s and Three’s Classroom. Staff stated that all of the children in the classroom were two (2) to three (3) years of age. Staff also stated that the two-year-old children did not have transition plans. The children were grouped together for the duration of the survey which was until 1:00 p.m. During interview, the director stated she was not aware that children that were two (2) and three (3) years of age should not be in the same classroom. 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 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 following was found: 1. The most recent immunization certificate presented for surveyor review for one (1) child (DOE: 08/14/18) was no longer current after 02/24/19. 2. The most recent immunization certificate presented for surveyor review for one (1) child (DOE: 02/20/18) was no longer current after 07/14/18. 3. The file for a child (DOE: 08/21/18) did not contain an immunization certificate. 4. The file for a child (DOE: 05/06/18) did not contain an 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 9. Records.

General: Based on review of documentation, the file presented for surveyor review for one (1) child (DOE: 11/29/18) did not contain the following: 1. Preferred hospital and physician. 2. The name of each person who is designated in writing to pick-up the child. 3. The child’s general health status and medical history. 4. The name and phone number of each person to be contacted in an emergency involving or impacting the child. 5. 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 was presented with a folder designated for documentation of practiced earthquake, tornado, and fire drills; however, the surveyor found that the documentation did not contain drills practiced within the past full year. Based upon interview, the director stated that all drills had been completed but they had not been documented. Therefore, a written record of the practiced earthquake, tornado, or fire drills could not be verified. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 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 3. General Requirements.

General: Based on review of documentation, the surveyor was presented with a folder designated for documentation of practiced earthquake, tornado, and fire drills; however, the surveyor found that the documentation did not contain drills practiced within the past full year. Based upon interview, the director stated that all drills had been completed but they had not been documented. Therefore, it could not be verified that the earthquake, tornado, or fire drills had been conducted and/or documented. Posted Documentation In Compliance Animals 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 found the following: (1.) Staff's (DOH: 2/20/18) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential. (2.) Staff's (DOH: 2/20/18) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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: 1/2/18) file did not contain information for a preferred hospital. (2.) A child's (DOE: 2/20/18) file did not contain a preferred hospital's telephone number. (3.) A child's (DOE: 1/4/18) file did not contain a preferred hospital's telephone number. (4.) A child's (DOE: 1/18/18) file did not contain information for a preferred hospital or a preferred physician. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

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, the director of Teachable Moments Child Care Center was witnessed to be working at another daycare center during the hours that Teachable Moments Child Care Center was in operation.

Open Not marked corrected in the state record

Open / not marked corrected.