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

General: Based on review of documentation, one (1) staff member (DOH: 11/19/19) last completed pediatric abusive head trauma training on 11/17/19, and has yet to renew the training due by 11/17/24; therefore, the training is no longer current. A review of ECE-TRIS confirmed this finding. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there was a small aerosol spray bottle of Bath and Body Works room spray on the teacher's desk within the Four-Year-Old Classroom. This was accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were adult scissors on the teacher's desk that were accessible to the children in care within the Four-Year-Old Classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a child sized, red vinyl chair was in disrepair. The vinyl covering was peeling, worn away, and cracking in different areas of the chair. 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 In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, children's napping items were protruding from their backpacks in the Four-Year-Old classroom; this method of storage promotes the spread of germs and bacteria. Director Requirements In Compliance Employee 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 7. First Aid and Medicine.

General: Based on review of documentation, staff member (DOH: 10/21/22), did not have evidence of being trained in CPR/First Aid administration. A review of ECE-TRIS supports this finding. 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

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 (DOH: 4/19/22), only completed one (1) out of fifteen (15) hours of cabinet-approved early care and education training for the July 1, 2022–June 30th, 2023 training year. 2.) Staff member (DOH: 10/21/22), did not have evidence of completing cabinet-approved orientation training, this training is required within the first ninety (90) days of employment. A review of ECE-TRIS supports these findings. Programming In Compliance Premises In Compliance 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a large white cushion within the Four-Year-Old classroom had brown stains and debris embedded in the fleece. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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, one child’s enrollment documentation did not list a physician contact number. 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on review of documentation, the surveyor observed staff members within the Two-Year-Old classroom and One-Year-Old classroom using their cell phones. The facility has a policy indicating that staff members are not to be using their phones during business hours. Additionally, a staff meeting was held in June of 2022 reiterating the no cell phone policy. 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 9. Records.

General: Based on interview and review of documentation, a staff member observed working in the Two-Year-Old classroom did not have a date of hire documented in their personnel file. A date of hire could not be verbally identified. 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, a staff member observed working in the Two-Year-Old classroom with an unknown date of hire, did not have proof of educational qualifications in their personnel 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, a staff member observed working in the Two-Year-Old classroom with an unknown date of hire, did not have a negative tuberculin skin result, nor a physician’s statement clearing this individual of active tuberculosis in their personnel file. 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 observation, at 10:57AM, the surveyor observed children in the Two-Year-Old classroom huddled around a staff member who was playing a video on their phone. The children remained engaged in the cell phone video until 11:10AM. The daily schedule in the classroom had “story time” listed for 11:00AM. The video on the phone was not documented as a part of the daily planned programming for the classroom. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) An area of the wall within the School-Age classroom contained crayon streaks. 2.) There were areas of tape residue on the wall within the Three-Year-Old classroom that have accumulated dirt and grime. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the vinyl covering on the diaper changing pad within the Two-Year-Old classroom was ripped; rendering the pad unable to be properly cleaned and sanitized. First Aid/Medication In Compliance Outdoor Play Area In Compliance 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, a sleeping mat within the Two-Year-Old classroom had a corner of the protective covering that had ripped, exposing the foam padding underneath. This renders the mat unable to be properly cleaned and sanitized.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1.) A play kitchenette in the Four-Year-Old classroom had crayon marks on the refrigerator door. 2.) A child-sized wooden chair within the Four-Year-Old classroom was cracked and chipping in the corner. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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, three out of ten children’s files reviewed did not have a preferred hospital listed. 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 tornado and earthquake drills were documented as occurring at the same time, these drills require separate actions and should be documented separately. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the lesson plan posted within the One-Year-Old classroom was not current, the posted plan was dated 9/12/22-9/16/22. Animals Not Applicable

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 children had expired immunizations records 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 8. General.

General: Based on interview, the staff person in charge could not locate the staff job descriptions at the time of the inspection. 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

Open / not marked corrected.

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

General: Based on interview, the staff person in charge could not locate any Fire Marshal report. Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, three staff members did not have a current staff evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 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 9. Records.

General: Based on interview, there was no hire date listed for the cook. The staff person in charge stated to another staff person to go and ask the cook what was her hire date. The staff person came back and said the cook said "it was after Thanksgiving" and the staff person in charge decided on the Monday after Thanksgiving.

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 hired on 10/10/19 did not have written documentation from a health care professional stating that she was free 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, the following was found: 1) Two staff members did not complete the required fifteen hours of cabinet approved training. 2) Two staff members hired on 08/19/2020 and 07/10/2021, did not complete the required Orientation. Both staff members have been employed for more than three months. ECE- TRIS system was reviewed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, there was no programming going on in the three-year-old classroom during the entire inspection visit. There were only four children present in the classroom and they were running around the room, yelling, climbing onto shelves, throwing toys over the half wall onto the floor and hitting one another. The surveyor was at the facility from 10:00am-11:50am. According to the daily schedule from 9:45am-10:30am the children were supposed to be in Circle Time. At 10:15am the staff person in the classroom got out some coloring sheets and asked the children to come sit at the table but only one child came to the table to color while the other children kept running around the classroom. 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, there was a staff purse found sitting on a shelf in the classroom where four and five-year-old children were present. The purse was 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, the following was found: 1) There was a dried liquid substance found on a wall in the classroom next to the lobby and office area. 2) There were numerous crayon marks found on the walls in the 3's classroom. Hygienic Practices 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 interview, the staff person in charge could not locate a staff schedule at the time of the inspection.

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, none of the children washed their hands after eating lunch. The children got up from the tables and went to centers. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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, there was water found in the green turtle sand box 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 13. Toys and Furnishings.

General: Based on observation, the black leather was peeling off of the arm rest and the back of an office chair located in the four and five-year-old classroom. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one bottle located in the infant room refrigerator did not have a label. 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 gallons of chocolate milk in the kitchen refrigerator. The cook stated that the chocolate milk is only given on occasion as a treat. Meal Planning/Center Provides Meals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, the menu stated that "sauce" and "juice" was to be served as the vegetable and juice component but carrots and strawberries, bananas and blueberries were served to the children. The surveyor asked what the sauce was and the staff person in charge stated tomato sauce. Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 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) There were three children that did not have a preferred hospital listed on file. 2) There was one child enrolled that did not have physician's contact information listed on file. 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 5. Evacuation Plan.

General: Based on review of documentation, there was no written evidence the emergency preparedness plan had been submitted to the local emergency management office for 2020.

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) There was no monthly fire drill documented for July or August 2021. 2) The last quarterly earthquake/tornado drill documented was May 2021. 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 5. Checks of Other States.

General: Based on review of documentation, observation, and interview, this regulatory requirement was not met. One staff person (hire date: 7/8/21) had a completed fingerprint- based background check in KARES with eligible for hire status; however, did not have evidence or results of an out of state background check from Ohio. The staff person told the staff person in charge during the visit that she moved to Kentucky from Ohio in December 2020; therefore, she would need a child abuse and neglect check and a sexual abuse registry check from this state. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 and interview, this regulatory requirement was not met. One staff person did not have the date of employment listed in their file. The staff person in charge reviewed the date that the staff person submitted fingerprints for a background check and then verbally identified the date-7/8/21 as the hire date.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, at approximately 12:01 p.m., the surveyor found one staff person and six children ages three- to twelve-months-old present in the infant classroom. Therefore, the infant classroom was over-ratio by one child. The staff person stated that she had been over-ratio for approximately 30 minutes, because a second staff person was assisting with staff breaks. The second staff person entered the classroom at 12:07 p.m., and confirmed that she had been gone for approximately 30 minutes. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the surveyor found a three-month-old infant sleeping in a crib; propped on a boppy pillow. Interviews with staff found that the infant requires an alternate sleep position due to a medical condition. A written request from a health professional was not on file. Written Documentation 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, one staff person (hire date: 10/5/20) did not have educational documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. A review of the facility's liability insurance documentation on file found that the coverage dates were 5/15/19, through 5/15/20; therefore, the policy was not current. 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, this regulatory requirement was not met. During a review of the facility records, the surveyor found documentation of only one staff meeting that was conducted March 2020.

Open Not marked corrected in the state record

Category: recordkeeping. 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 eligible for an annual performance review did not have documentation of a review on file in the facility. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The surveyor observed the roll of paper towels that the staff and children use in the two-year-old classroom is stored in an unsanitary manner, positioned on top of a half wall beside the sink. This method of storage promotes germs due to each staff person and child handling the roll to obtain a paper towel. 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 and the Training Records Information System (TRIS), one staff person (hire date: 7/15/20) did not complete the six hours of cabinet- approved training within the first three months of employment. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, this regulatory requirement was not met. During a tour of the two-year-old classroom, the surveyor observed clear tape being used to repair a hole in the diaper changing mat. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 9. Food and Meal Requirements.

General: Based on review of documentation, this regulatory requirement was not met. A menu was posted that was dated 10/12/20; therefore, it was not current. 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, this regulatory requirement was not met. The following was found: 1. One child had an immunization certificate on file that was no longer current as of 2/20/20. 2. One child’s file had an immunization certificate that did not have the required information (expiration date); therefore, it could not be determined whether or not the immunization certificate was 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, this regulatory requirement was not met. The following was found: 1. None of the children’s files/enrollment documentation contained information for the family’s preferred hospital. 2. One child’s file/enrollment paperwork did not have physician contact information. 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, one staff person did not have evidence of a staff professional development plan on file in the facility. 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

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. The following was found: 1. The last fire drill was conducted on 8/5/20; therefore, these drills are not conducted monthly. 2. During a review of the emergency drill log, the surveyor found documentation of storm drills; however, individual documentation of earthquake and tornado drills was not recorded. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. The facility had a diagram posted; however, it did not include a written emergency plan. Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation, review of documentation and the Training Records Information System (TRIS), two staff (hire dates: 7/12/19 and 11/2/20) did not have evidence of completing the required ECE 202 training class (Requirements for Reopening Child Care in Kentucky). Both staff were observed working in the facility during the inspection.

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 following was found: 1) Two out of three high chairs in the one-year-old classroom did not have a safety strap and buckle. 2) The kitchen door was propped open and several knives and empty plastic bags were found in unlocked drawers. These items were accessible to the children. 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, staff hired on 07/12/19, and 10/09/19, did not have education documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report 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, the following was found: 1) There was no daily planned program posted in the older preschool classroom. 2) There was no daily planned program posted in the younger preschool classroom. 3) The daily planned program posted in the school-age classroom was from August 2019.

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, there was a very loose fitting sheet found in one of the cribs in the one-year-old classroom. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, there was a portable sink located just inside the front door of the facility. According to the staff person in charge, she has children wash their hands at that sink upon entry to the facility. The water temperature at the sink did not get above 80 degrees. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the diaper changing pad in the one-year-old classroom was torn. 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 In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program 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 9. Food and Meal Requirements.

General: Based on observation, there were two gallons of two percent milk found in the refrigerator. Staff person in charge stated that the milk was served to the children. Food Service 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, children enrolled on 08/28/19, 08/29/19, 08/30/19, 08/22/19, 08/20/19, 08/21/19 and 09/16/19, did not have a physician's contact number or preferred hospital listed on file. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the staff schedule on file was not current.

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 review of documentation, the fire drills that were conducted by the facility did not list the names of the children who participated in the drill. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, the following was found: 1) The daily schedule listed throughout the facility started at 9:00am and ended at 5:00pm. The staff person in charge stated that the facility is open from 5:30am-6:30pm daily. There was no information listed showing what activities the children engage in from 5:30am-9:00am and from 5:00pm-6:30pm. 2) There was no daily schedule posted in the Infant classroom. Animals Not Applicable

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, it was found that the center did not have enough qualified staff members at the time of inspection. The facility had eight (8) staff members named, however five (5) of these staff were missing documentation such as proof of education and TB skin test screenings. It was found that two (2) staff members had not yet completed the requirements for their GED. General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 observation, the following was found: 1) Two (2) staff did not have proof of education on file at the facility. 2) Two (2) staff at the center have not yet completed their GED. Based on an interview with the director it was found that these two staff have almost completed their GED and are just waiting to take the test.

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, it was found that two (2) staff did not have evidence of a TB screening on file at the facility.

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, it was found that the center did not have adequate substitutes. Based on review of paperwork it was found that the center had two (2) substitutes listed, however the staff members did not have proof of education on file at the facility. One of the staff person listed had not yet completed the requirements to obtain a GED. Therefore, neither of these staff could be counted as a qualified substitute. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Discussed 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 5. Evacuation Plan.

General: Based on observation and record review, it was found that the facility's Emergency Preparedness Plan had not yet been submitted to the proper authority. The facility director and co-director had this document and were working on it before HSS arrived at the facility. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.