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

General: Based on observation and review of documentation, the Preschool Room contained thirteen (13) children and one (1) staff member supervising the children during the follow-up survey. The children ranged in age from 3-5 years old. The ages were verified with a review of the children's files. The room was out of staff-to-child ratio. The maximum number of children that one (1) staff member can supervise with a three (3) year-old present is twelve (12) children. This regulatory requirement was cited during the renewal survey conducted on 09/27/23. The plan of correction indicated that the Area Manager will hire an extra person and the Area Manager will ensure staff is in ratio when doing the schedule. The plan of correction further indicated that the site director will let the Area Manager know how many are expected and Area manager will schedule enough staff for the day. Employee Records 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 9. Records.

General: Based on interview and review of documentation, a staff file did not contain negative TB skin test documentation. This staff member was hired on 07/19/21. This was previously cited during the renewal survey conducted on 09/27/23. The plan of correction indicated that Site Director received the current TB and put it in the staff file. The plan further stated the Site Director will check monthly to make sure all TB tests for staff are up-to-date. The TB skin test was not in the staff member's file during the follow-up visit. In addition, another staff file was reviewed during the follow-up visit and it did not contain a documented hire date. The staff in charge was asked the hire date and she stated that it should have been listed on the plan of correction.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member with an undetermined hire date, did not have negative TB documentation on file. The surveyor asked the staff in charge the staff member's hire date and she stated that it was on the plan of correction. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 8. General.

General: Based on observation, the statement of deficiency and plan of correction from the 09/27/23 renewal survey was not posted for public inspection.

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, one staff member had a hire date documented as 08/17/22; however, per review of the KARES background check portal this staff member was not deemed eligible until 10/24/22. This staff member was not present during the inspection process. 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, at 3:27pm the school-age students returned from the bathroom. The classroom door closed when the last child entered. Approximately one minute later the surveyor heard the locked doorknob rattling from the hallway, and checked to see who was on the other side. A female student who had been left behind entered the classroom. The surveyor notified the staff person in charge that the child had returned to the classroom. The child was unsupervised in the hallway for approximately one minute. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Staffing Requirements 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 2. Child Care Services.

General: Based on observation and interview, the surveyor arrived to the facility parking lot at 2:41pm and observed one staff member escorting sixteen students to the program from the main building. The surveyor followed the group and asked the staff person in charge of the group the age of the children. The staff member responded that the children were all aged four. The classroom was over ratio by two students until 4:05pm. 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, there was one uncovered electrical outlet within the Preschool classroom. 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 review of documentation, staff member hired 03/27/2023, had a high school transcript for the 2022-2023 school year in their personnel file. This staff member has since graduated and needs proof of educational qualifications to document a graduate status.

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 member hired 07/19/21, had a negative tuberculin skin result on file that exceeded two years; therefore, the document was no longer current. 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 7. First Aid and Medicine.

General: Based on review of documentation, staff member hired 10/03/22, did not have evidence of being trained in CPR/First Aid.

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 08/17/22, only completed eight out of 15 hours of cabinet-approved early care and education training for the 08/17/22-08/16/23 training year. 2.) Staff member hired 04/25/22, only completed 12 out of 15 hours of cabinet-approved early care and education training for the 04/25/22-04/25/23 training year. 3.) Staff member hired 08/19/21, had zero out of 15 hours of cabinet-approved early care and education training for the 7/1/22-6/30/23 training year. A review of ECE-TRIS supports these findings. 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 and review of documentation, a container of disinfecting wipes were placed on a desk within the Preschool classroom, the instructions for use on the container read, “Keep out of reach of children”. The container 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 4. Premises Requirements.

General: Based on observation, the windows to both classrooms were open; the windows were not protected with a screen. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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 and interview, the surveyor asked whether any children at the facility were prescribed medication. The school-age staff member stated that one of the children has an epi-pen that is brought to the facility every day and is kept in her backpack. The backpack was stored on the back of the child’s chair; therefore, was accessible to the children in care. 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 In Compliance Children's Records 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, one child did not have an immunization record available for review in their enrollment packet. The child had been enrolled for more than 30 days. Written Documentation In Compliance Posted 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 observation and review of documentation, the evacuation diagram posted at the facility did not include written instructions directing occupants of the correct actions to take during an emergency such as an earthquake or tornado. 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.

General: Based on review of documentation, two staff hired on 8/31/22, and 10/3/221, did not have evidence of education on file at the facility.

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, one staff hired on 10/3/2022, who was present on the day of inspection, did not have evidence of submitting an application or documentation of a cleared background check in KARES on file at the facility. 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 8. General.

General: Based on interview and review of documentation, the center did not have a current copy of the regulations at the time of inspection.

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, there was no evidence of any family involvement activity being conducted on file at the facility. 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 9. Records.

General: Based on review of documentation, one staff hired on 10/3/22, did not have a staff file at the time of inspection.

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, two staff hired on 8/31/22, and 10/3/22, did not have documentation of a negative TB test or a statement from a health care professional stating that the staff is free from active tuberculosis 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, there was no one present that was currently certified in CPR and First Aid on the day of inspection. Therefore, there was not adequate CPR and First Aid coverage. Programming In Compliance Premises 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 3. General Requirements.

General: Based on observation, there was a bottle of Lysol on a low shelf that was accessible to children. The bottle was labeled keep out of reach of children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance 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, there was not an up-to-date snack menu made available at the time of inspection. 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 enrolled on 7/21/22, did not have an up-to-date record of immunizations on file at the time of inspection. The record on file expired on 11/16/22. 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, there was no written schedule of staff hours presented at the time of 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, there was no evidence presented at the time of survey of fire, earthquake, tornado, or lockdown drills being conducted at the facility during the last year. 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 observation, the statement of deficiency and corresponding plan of correction from the previous relicensure survey, as well as a lesson plan were not posted or made available at the time of inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Animals 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 following was found: 1) The staff person in charge stated that she normally works at a different Alphabest location but was at this site to help out for the day. This staff person did not have a personnel file on site with her the day of the inspection. 2) One staff file did not have a hire date listed anywhere on file and the staff person in charge did not know the hire date. This same staff person did not have education documentation on file. 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 review of documentation, one staff did not have the required fifteen hours of cabinet approved training on file. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, two children did not have an immunization record 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 review of documentation, one child only had two incident reports in his file. There was no enrollment information on file for the child. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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 review of documentation, a staff person hired on 9/22/2020, did not have the results of a central registry check (CA/N). The staff person in charge stated that she was informed by a Child Care Aware representative that she only needed to process a criminal records check for a new hire. It should be noted, the staff person was not observed working alone with children.

Open Not marked corrected in the state record

Open / not marked corrected.