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

General: Based on review of documentation, the surveyor found one (1) staff's (DOH: 4/20/19) file contained an annual written performance evaluation dated for 5/9/23; therefore, the evaluation was not completed annually. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. One (1) staff (DOH: 4/12/19) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 7/29/19; therefore, the training was not completed within the last five years. 2. One (1) staff (DOH: 4/20/19) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 8/18/19; therefore, the training was not completed within the last five years. 3. One (1) staff (DOH: 4/20/19) completed zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period of 7/01/23- 6/30/24. 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 observed a broken trim piece made from wood with an exposed nail and jagged edges; therefore, this area on the playground was not in good repair or safe from foreseeable hazards.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor observed an approximate three (3) inch gap in the corner of the chain link fence. A flat piece of metal that fastens the chain link to the corner fence post was missing; therefore, this section of the fence was not in good condition. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found one (1) staff's (4/20/19) file contained a professional development plan dated for 5/9/23; therefore, the plan was not completed annually. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found no documentation of a fire drill conducted during the month of May 2023. During interview, staff-in-charge stated that the fire drill was conducted; however, the drill was 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 observation, the surveyor found the following: 1. The surveyor observed approximately six (6) children in the Three-Five Year Old Classroom and four (4) children in the Two-Three Year Old Classroom to not be wearing shoes. The bottom of one (1) child's feet was observed to be dirty. During interview, staff-in-charge stated that the children had just came back inside from the playground and staff had taken their shoes off to clean the children up. 2.Seven (7) cots were observed standing upright in the Three-Five Year Old Classroom and were observed to not lock into place or be secure. 3. Eight (8) cots were observed standing upright in the Two-Three Year Old Classroom and were observed to not lock into place or be secure. 4. Four (4) cots were observed standing upright in the Two Year Old Classroom and were observed to not lock into place or be secure. Therefore, the health, safety, and comfort of the children was compromised. During interview, staff-in-charge stated that the cots were held by a strap that attached to the wall; however, the straps were broken. Staff-in-charge stated that Two Year Old Classroom has not been utilized by children for approximately six (6) months. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A red leather chair in the Two-Three Year Old Classroom that contained a peeling seat; therefore, the chair was not in good repair. 2. A coating of dust on the floor in the back corner of the Two Year Old Classroom; therefore, the floor was not kept clean. 3. A black build up of residue was found on the sink countertop behind the faucet in the restroom located in the Three-Five Year Old Classroom; therefore, the countertop was not kept clean.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the hot water temperature at the sink located in the Two Year Old Classroom measured at a temperature of approximately one hundred twenty three (123) degrees Fahrenheit; therefore, the sink was not equipped with hot water at a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of one hundred twenty (120) degrees Fahrenheit. During interview, staff-in-charge stated that the Two Year Old Classroom has not been utilized by children for approximately six (6) months.

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 a wet floor tile and what appeared to be a water stain on the tile behind the toilet in the restroom located in the Two-Three Year Old Classroom. Water appeared to be seeping out from under the toilet; therefore, the toilet was not kept in good repair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a wooden picnic table on the playground that contained a bowed board that was not flush with the rest of the boards on the top of the table. The surveyor observed small gaps between the wood on the sides of the bowed board. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 surveyor found a red Little Tikes Cozy Coupe car on the playground that was missing one (1) door and contained broken plastic located where the door attaches to the car; therefore, the cozy coupe car was not in good repair. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor witnessed a staff person remove four (4) school-age children from the Preschool Classroom and start to take the children into the School Age Classroom. When the surveyor questioned the staff person who would be supervising the children, the staff stated that the children would be in the classroom by themselves; however, the staff person took the school-age children back to the Preschool Classroom. During interview, the Director stated that when the Preschool Classroom gets over staff-to-child ratio, the staff will send four (4) of the school-age children into the School Age Classroom by themselves. The Director stated that they have been doing this type of arrangement since school let out for summer break. The director also stated that the Preschool Classroom staff would oversee both classrooms. The director stated that she believed it was okay, due to the Preschool Classroom staff being able to hear the school-age children. The surveyor sat in the School-Age Classroom and was not able to see into the Preschool Classroom and had trouble hearing the staff person in the Preschool Classroom; therefore, the children in the School Age Classroom have been out of score of vision and range of voice for an undetermined amount of time and on unknown dates. Therefore, adequate supervision was not maintained at the child-care center. Staffing 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 11. Staff Requirements.

General: Based on observation, the surveyor found one (1) staff supervising sixteen (16) children. The staff person stated that the children's ages were 3-years-old to 12-years old; therefore, the child-care center failed to have the minimum number of adult workers. Staff-in-charge stated that the child-care center was down two (2) staff members. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found one (1) staff supervising sixteen (16) children. Staff person stated that the children were 3-years-old to 12-years old; therefore, the staff-to-child ratio exceeded by four (4) children. Staff-in-charge stated that the child-care center was down two (2) staff members. General Administration 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 8. General.

General: Based on observation, the surveyor found the following: 1. There were thirteen (13) children running around the Preschool Classroom, the children were not wearing socks or shoes. The surveyor observed the children's feet to be dirty. Staff stated that the children were 3-years-old to 12-years-old. 2. There was a bottle of hand soap on the sink in the Preschool Classroom that stated, "Keep Out of Reach of Children," on the back label. The bottle of soap was observed to be within reach of children. 3. In the Nursery, the surveyor found a puddle of water that was seeping under a blue circle rug, causing a slipping hazard. The staff person placed an 11-month old onto the wet rug; therefore, the child-care center compromised the safety & comfort of the child. The Director had the staff person move the eleven-month-old child to another classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that the Preschool Classroom had a mixture of preschool children and school-age children with one (1) staff person; therefore, the center did not have the group of children separately maintained and a specific staff assigned to each group. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 11. Staff Requirements.

General: Based on review of documentation from ECE-TRIS, the surveyor found that staff (DOH: 04/12/19) completed zero (0) hours of the required fifteen (15) hours of cabinet approved early care and education training during the timeframe of 07/01/2020 and 06/30/2021. 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, the surveyor found a bottle of Re-Juv-Nal Disinfectant on a ledge that was between the kitchen & the School Age Classroom. The surveyor observed the bottle to have "Danger, Keep Out of Reach of Children," on the front label. The disinfectant was observed to be within reach of 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 in the Nursery, the surveyor found a puddle of water that was seeping under a blue circle rug. The surveyor noticed that the water was seeping out from under a locked white door, located in the corner of the Nursery. The surveyor mentioned the puddle of water to the staff person in the classroom, to which the staff replied, "I had just noticed that." The staff person informed the surveyor that behind the locked door was the hot water heater, the staff stated that she would contact a maintenance man. Staff-in-charge stated that they believe that the hot water heater had burst during the night; therefore, the premises was not kept in good repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found sixteen (16) children being cared for in the Preschool Classroom. Based on review of documentation of the child-care center's diagram from DRCC Records, the surveyor found that the Preschool Classroom had a capacity of ten (10) children; therefore, the minimum of thirty-five (35) square feet per child was not maintained.

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 a yellow colored substance located on the toilet bowl, behind the toilet seat; therefore, the toilet was not kept in clean condition. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following, 1. In the Nursery, the changing pad contained holes. 2. In the Nursery, there was a plastic wrapper on top of the changing table, underneath the changing pad. 3. In the Toddler Classroom, the changing pad contained holes. 4. In the Toddler Classroom, there was food crumbs on the changing table, located beside the changing pad. Staff-in-charge stated that she had ordered new changing table pads and they had been delivered during the surveyors visit. The surveyor did not observe new changing pads. 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 13. Toys and Furnishings.

General: Based on observation, the surveyor found one (1) small couch in the Nursery that contained holes; therefore, the furniture was not kept in good repair. Transportation In Compliance Kitchen Requirements 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the surveyor found one (1) gallon of Best Choice 2% milk that had been opened. The milk had an expiration date of 06/20/22. The director stated that she was unsure when the milk was last used. 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 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 the following: 1. A child's (DOE: 02/28/22) file contained an immunization certificate that did not contain an expiration date. 2. A child’s (DOE: 04/13/21) file contained an immunization certificate that was no longer current as of 07/26/21. 3. A child’s (DOE: 07/01/19) file contained an immunization certificate that was no longer current as of 02/08/22. 4. A child’s (DOE: 07/01/19) file contained an immunization certificate that was no longer current as of 02/08/22.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following. 1. A child’s (DOE: 07/11/19) file did not contain authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence or the name of each person who is designated in writing to pick-up the child. 2. A child’s (DOE: 07/11/19) file did not contain the name of each person who is designated in writing to pick-up the child. 3. A child’s (DOE: 07/11/19) file did not contain the name of each person who is designated in writing to pick-up the child. 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, there were twenty-one (21) children present at the child-care center during the surveyor's visit on 06/29/22. However, after review of documentation of the daily attendance sheets, the surveyor found that only seventeen (17) children were signed in at the child-care center for 06/29/22. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found that staff (DOH: 04/12/2019) completed zero (0) hours of the required fifteen (15) hours of cabinet- approved early care and education training during the timeframe of 07/01/2020 and 06/30/2021. Staff reported that she would make sure staff completes the required fifteen (15) hours of cabinet-approved early care and education training by 06/30 of the current year. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found a yellow colored substance in the toilet that was located in the restroom near the Toddler Classroom. Staff stated that she would speak with staff to ensure the toilets are flushed after each use. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. In the Toddler Classroom, the changing pad had small holes. 2. In the Nursery, the changing pad had small holes. Staff stated that she would have the changing pads replaced. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance 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 Not Applicable Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a child's (DOE: 08/16/2021) immunization certificate was no longer current as of 09/24/2021. Staff reported that she would get an updated immunization certificate as soon as possible. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 that a child's (DOE: 09/13/2019) file was missing the preferred hospital and phone number, along with the preferred physician and phone number. Staff reported that she would have the child's parent to update the preferred hospital and physician information, along with their contact information. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation, the surveyor found the daily planned program posted in the Toddler Classroom was dated for 09/21 – 10/02/2020; therefore, the daily planned program was not current. Staff stated during interview that they would update the daily planned program. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that the food service permit was dated for 2019. The surveyor was not presented with a current food service permit or current inspection report. Staff stated during interview that they have not received a new permit for the current year.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on observation during a tour of the childcare center, the surveyor observed the posted menu was dated for 09/21/2020; therefore, the posted menu was not current. Staff stated during interview that they would update the menu. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE - TRIS, the surveyor found the following: (1.) Staff (DOH: 4/12/19) obtained the six (6) hours of cabinet -approved orientation on 7/22/19; therefore, the training was not obtained during the staff's first three (3) months of employment. (2.) Staff (DOH: 4/12/19) did not obtain the six (6) hours of cabinet - approved orientation within their first three (3) months of employment. (3.) Staff (DOH: 4/20/19) did not obtain the six (6) hours of cabinet - approved orientation within their first three (3) months of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service/Food Program In Compliance Food Service 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

Category: recordkeeping. Open / not marked corrected.