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

General: Based on interview and review of documentation, on 04/14/25 a staff member pulled a two-year-old's hair because the child kept pulling other children's hair in the classroom. The child did not sustain an injury. The staff member was terminated from employment.

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 interview, the center was informed by a child's parents of suspected abuse of their child by a staff member, but the center did not report it to the Department for Community Based Services CPS and remove the staff involved in the alleged abuse from direct care of children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a current fire marshal inspection was not available for review at the time of survey. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: 1.) Staff members (DOH 10/01/18, 06/04/21, 05/23/22, 06/14/23, 04/18/23, 11/17/22), did not have the 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 members (DOH 06/14/23, 04/18/23, 11/08/23), did not have evidence of completing Cabinet-approved Orientation training; this training is to be completed within the first 90 days of hire. 3.) Staff members (DOH 06/14/23, 04/18/23), did not have evidence of completing Cabinet approved Pediatric Head Trauma Training; this training is to be completed within the first year of hire. 4.) Staff member (11/08/23), did not have CPR training. 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 3. General Requirements.

General: Based on observation, in the Three-Year-Old Room, staff belongings were sitting on a table 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 following was found: School Age Toilet Room 1.) There was toilet paper littering the floor.

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 Pre-K Room sink did not have hand drying towels. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on observation, in the One-Year-Old Room, an unlabeled tube of diaper cream was located in a basket on the changing table within reach of the children. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation during the inspection, the following was found: In the School Age Room: 1.) The cubbies had paint chipping and tape reside on them. In the One-Year-Old Room: 1.) The white cubby had paint chipping. 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

Open / not marked corrected.

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

General: Based on review of documentation, two (2) children had immunization records that were not current, and one (1) child enrolled longer than 30 days did not have an immunization record. 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, one (1) children file reviewed did not list a 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, fire drills for June were not available for review at the time of the survey. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor entered the Infant classroom and observed two infants sleeping in cribs, swaddled in blankets.

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, a child in the crib with a blanket was found within the Nursery room. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records 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 and interview, it was found that a school-age child was in the office the whole time during the survey. The child was present in the office and on a tablet while staff was in and out of the office, leaving the child out of range of voice or scope of vision. Upon talking to staff, this child belonged to a staff member and was not enrolled at the center. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records 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 11. Staff Requirements.

General: Based on review of documentation, staff member hired 11/23/22, did not have proof of educational qualifications in their personnel file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 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, staff members hired 10/24/17, 7/10/23, and 6/14/23, did not have evidence of a negative tuberculin skin result, nor a physician’s statement clearing these individuals of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on review of documentation, staff members hired 6/4/21, 7/26/21, 11/23/22, and 11/7/22, did not have evidence of completing CPR/First Aid training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Staff member hired 3/4/23, did not have evidence of completing cabinet-approved orientation training; this training is to be completed within the first 90 days of hire. 2.) Staff members hired 10/24/17, 5/1/21, 6/4/21, 7/26/21, and 5/23/22, did not have the fifteen (15) hours of early care and education training recorded on ECE-TRIS for the training year. ECE-TRIS records supports the information found during the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) The Two's/Three's room revealed a vent in the wall that was extremely dirty and dusty. The vent was within reach of the children. 2.) There was an outlet missing a cover in the Two's/Three's room, as well as the separate Three's room and the One-Year-Old room, all within reach of the children. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the Four's and School-Age room revealed the door to the playground was unlocked and open; therefore, the door was not protected.

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 toilet room in the Three's room had toilet paper littering the floor. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, three (3) children had immunization records that were not 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 following was found: 1.) One (1) children’s file reviewed did not list a preferred hospital in the enrollment paperwork. 2.) It was found that a school-age child was in the office the whole time during the survey. The child was present in the office and on a tablet while staff was in and out of the office, leaving the child out of range of voice or scope of vision. Upon talking to staff, this child belonged to a staff member and was not enrolled in the center. This child did not have any enrollment information on file at the facility, despite being present and unsupervised while in care. 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 6. Sleeping and Napping Requirements.

General: Based on observation, during the follow up inspection, an infant was sleeping in the crib completely covered with a blanket.

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, this regulatory requirement was not met. At the time of the survey it was found that there was no record of lockdown drills conducted at the facility. 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 4. Procedures and Payments.

General: Based on review of documentation, observation, and interview, this regulatory requirement was not met. One staff person (hire date: 5/9/22) was observed working at the facility during the visit and identified as being 17 years old, did not have evidence of submission or results of a child abuse/neglect check (CAN) on file. The staff person in charge stated that she submitted this background check for processing, but never received the results. The staff person in charge further stated that she did not keep a copy of the form that she submitted for processing; therefore, there was no evidence of the background check for the surveyor to review. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, this regulatory requirement was not met. The following was found: 1. The surveyor entered the facility at approximately 8:55AM and observed one staff person caring for seven children (one-year-old's) in the Toddler classroom. Since the youngest child in the group was a one-year-old, the minimum staff to child ratio would need to be one staff person for six children. 2. The surveyor proceeded to the Three-Year-Old Classroom and observed one staff person caring for 13 children (age range: three-to-eight-years-old). Since the youngest child in the group was a three-year-old, the minimum staff to child ratio would need to be one staff person for 12 children. The staff person stated that she would be splitting up the group after the children picked up the toys in the classroom. General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, two staff (hire dates: 5/3/21 and 5/1/21) eligible for an annual performance review did not have documentation of a review on file at the facility. 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 review of documentation and interview, this regulatory requirement was not met. A review of staff files during the inspection found three staff that did not have the date of employment listed in their file. The staff person in charge reviewed the date that each staff person obtained their T.B. documentation and then verbally identified the dates 7/6/21, 5/23/22, and 5/9/22, as the hire dates. However, the dates of hire were not maintained in the personnel files. 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 and interview, one staff person (hire date: 5/9/22) did not have educational documentation on file. The staff person in charge stated that this staff person graduated from high school in May 2022; however, she did not have any documentation on file to support this.

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, this regulatory requirement was not met. The following was found: 1. One staff person did not have evidence of a negative TB skin test or physician's statement documenting he/she was free from tuberculosis prior to employment. The staff person was hired on 5/1/21; however, did not have a TB skin test until 5/14/21. 2. One staff file (hire date: 8/16/21) contained results of a negative T.B. test that is no longer current. The test was dated 7/30/20, which exceeds the two year time frame.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on review of documentation, one staff person (hire date: 6/4/21) did not have evidence of completing CPR/First Aid training on file at the facility. A review of ECE- TRIS records supports the information found during the 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 review of documentation and the Training Records Information System (TRIS), the following was found: 1. Three staff (hire dates: 3/7/22, 5/1/21, and 5/9/22) did not complete the required Orientation training. These staff have been employed for more than three months. 2. Two staff (hire dates: 7/6/21 and 5/1/21) did not complete the required PAHT training. These staff have been employed for more than one year. 3. Five staff (hire dates: 10/1/18, 6/4/21, 5/3/21, 7/6/21, and 5/1/21) did not complete the required 15 hours of cabinet-approved training hours between 7/1/2021 and 6/30/22. 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, this regulatory requirement was not met. A wall near the block area in the Two-Year-Old Classroom contained excessive crayon marks. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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, this regulatory requirement was not met. The surveyor observed several pieces of trash (empty plastic bottles and a plastic fork) on the ground of the middle playground area and several pieces of trash (empty plastic bottle and discarded diaper wipes) positioned on a window ledge of the younger children's playground.

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, this regulatory requirement was not met. During a tour of the Pre-K/School-Age Playground, the surveyor found that a portion of the chain link fence was in disrepair. The chain link fence was not connected to the top support bar; therefore, it was hanging loose and created a large gap that was several inches wide. 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, this regulatory requirement was not met. Two small white tables in the Three-Year-Old Classroom contained crayon marks all over the top surface. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one child (enrollment date: 3/8/22) had an immunization certificate on file that was no longer current as of 7/1/22. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Three staff (hire dates: 5/3/21, 7/6/21, and 5/1/21) eligible for a staff professional development plan did not have documentation of a plan on file. 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

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. A ten-month-old child in the infant room was wearing an amber teething necklace during the inspection. The amber teething necklace is considered a choking hazard. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. Two (2) staff members did not have proof of education on file. These staff were hired on 8/09/2021 and 7/06/2021. 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 observation and review of documentation, this regulatory requirement was not met. A staff hired on 5/03/2021, did not complete the required Orientation I and II courses. This staff member has been employed for more than three (3) months. The ECE-TRIS system was reviewed. 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, this regulatory requirement was not met. A brown substance was on the wall in the two-year-old room next to a shelf that contained blocks. 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, this regulatory requirement was not met. The preschool playground contained patches of weeds that were coming through the pea gravel. 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 13. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The school-age playground contained a broken plastic bucket. The bucket was on wheels. 2. A window located on the school-age playground contained a torn screen. The screen was torn on the top corner. 3. The school-age room contained tape residue on the front of the sink cabinet. 4. The hall bathroom, outside of the school-age room, contained a vent in the ceiling that was dusty. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The refrigerator in the infant room that contained bottles and children's cups did not have a thermometer inside; therefore, the temperature inside the refrigerator could not be determined. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. A child that had been enrolled in excess of thirty (30) days did not have an immunization certificate on file.

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 observation and review of documentation, this regulatory requirement was not met. Three (3) children's files did not include a preferred hospital. This area was left blank on the enrollment forms. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The school-age room and the two-year-old room contained posted lesson plans that were no longer current. The inspection was conducted on 8/17/2021, and the posted lesson plan in the school-age room was dated for the week of 8/01/2021. The lesson plan in the two-year-old room was dated for the week of 7/26/2021. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.