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

General: Based on review of documentation, staff member (DOH: 02/06/23), 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, staff member hired (DOH: 07/14/21), did not have evidence of a negative tuberculin skin result, nor a physician’s statement clearing this individual of active tuberculosis. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 In Compliance 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 interview and review of documentation, this regulatory requirement was not met. During the investigation it was found that a four-year-old child was left unsupervised in the classroom bathroom for approximately six (6) minutes. The facility had a carbon monoxide alarm that went off and they evacuated the building. However, two (2) staff members in Classroom 4 left the child that was in the bathroom. Approximately six (6) minutes later another staff member was doing a count and a roll call outside and discovered that a child was missing. At that time, the staff member went in the classroom and found a child in the bathroom. The staff member and the child then exited the classroom and went outside. The child was found unharmed. Staffing Requirements 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 and ECE-TRIS, a staff person hired on 11/17/2003, only completed 11.5 hours of early-care and education training during the July 1, 2021-June 30, 2022, training year. 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 in Classroom #6 (gross motor area), the surveyor found several pieces of paper towels and tissue on the carpeted area and restroom floor. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 surveyor found the following: 1) In the kitchen, the surveyor found a section of the back wall in disrepair. The surveyor observed peeled wallpaper, partially attached baseboard trim, and a section of unfinished drywall. Based on interview, the surveyor found that a pipe had burst over the Christmas break, and the maintenance person is in process of completing the project. 2) In the restroom located in Classroom #6, the surveyor found an area of brown water residue in the seam of a ceiling tile. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not Applicable Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals Not Applicable 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, two (2) children enrolled on 8/9/2022, and 8/10/2022, had immunization documentation on file that was no longer valid as of 10/30/2022, and 9/23/2022.

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) child enrolled on 8/17/2022, did not have written authorization from the child's parent for the child-care center to seek emergency medical care in the parent’s absence. Additionally, the parent’s preferred hospital was not listed on the child’s enrollment form. 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 interview and review of documentation, this regulatory requirement was not met. During the investigation it was learned through interviews and a review of the facility’s video that a child was left unsupervised in the hallway for approximately three (3) minutes. She was found by another staff member that heard a cry and found this child with fingers stuck in the door as she tried to open the door to come into the classroom. The staff member took the child back into the classroom. Staffing Requirements In Compliance General Administration 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 8. General.

General: Based on interview and review of documentation, this regulatory requirement was not met. During interviews and review of the facility's video, it was found that a child had her fingers stuck in the door for approximately three (3) minutes while she was in the hallway trying to get back into the classroom. When she was found it was reported that her fingers on the right hand were red. The child's parents did not seek medical treatment for this injury.

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, the facility failed to maintain staff files. One staff person did not have a personnel file on site for the surveyor to review. The staff person in charge identified this staff person's hire date as "sometime in October 2020". The exact hire date was not provided.

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 did not have educational documentation on file. The staff person in charge identified this staff person's hire date as "sometime in October 2020". The exact hire date was not provided. 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 and interview, one staff person did not have T.B. documentation on file. The staff person in charge identified this staff person's hire date as "sometime in October 2020". The exact hire date was not provided. Programming In Compliance 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 and interview, this regulatory requirement was not met. The following was found: 1. One wall in Classroom #5 had three areas with torn wall paper. Clear tape had been placed over the areas in an attempt to repair. The staff person in charge stated that the classroom is not currently being used by the children due to low enrollment. 2. A wooden piece of trim on the wall in the main hallway was broken in two places and hanging loose.

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 and interview, this regulatory requirement was not met. The toilet in the children's bathroom in Classroom #5 contained a dark ring inside the toilet bowl. The staff person in charge stated that the classroom is not currently being used by the children due to low enrollment. 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, this regulatory requirement was not met. A wooden storage box on the playground contained numerous leaves and discarded plastic drinking cups. Furthermore, the surveyor observed a broken metal hinge on the top of the storage box that contained a sharp edge. 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 and interview, this regulatory requirement was not met. A large climbing structure that contained a tunnel and a double slide had yellow caution tape wrapped all the way around it. The staff person in charge stated that a support post on the back side of the structure was cracked and broken. She wrapped the caution tape around the structure to prevent the children from using it until she an get the structure repaired. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records 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: 10/26/21) had an immunization certificate on file that was no longer current as of 11/30/21. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

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.

Based on interview, it was found that two staff members (a bus driver and a bus monitor), allowed a female stranger who was not an employee of the facility, onto the bus while transporting children. No children were harmed during this encounter; however, it is not an appropriate practice to allow someone who is not an employee on the bus with children present.

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 08/15/18 and 03/01/98, did not have documentation on file from a health care professional stating they were free of active tuberculosis. 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 Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation In Compliance Animals Not Applicable 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, this regulatory requirement was not met. A review of staff records found a staff person with a hire date of 10/21/19 who did not have a copy of a high school diploma, GED or other qualifying document 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, this regulatory requirement was not met. A review of staff files found one staff person with hire date of 3/18/19 who had the results of a T.B. skin test read on 3/23/19. The T.B. test was not completed prior to employment. 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, this regulatory requirement was not met. During a tour of Classroom #5 a toilet plunger was observed in a corner in the bathroom. The toilet plunger was stored in a manner that was not sanitary and was accessible to the children.

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. 1) During a tour of Classroom #2 black rubber interlocking squares were observed on the floor in the area where the sink is located. An accumulation of dirt and grime was observed on the surface of the interlocking squares. 2) During a tour of Classroom #7 numerous paint spatters were observed on the wall by the easel and an exit door leading out the back of the classroom. Hygienic Practices In Compliance First Aid/Medication 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 7. First Aid and Medicine.

General: Based on observation, this regulatory requirement was not met. An inspection of first aid supplies located in an overhead compartment on Bus #7 found that a thermometer was not available as part of the first aid supplies. 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 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on observation, this regulatory requirement was not met. During an inspection of the three buses used to transport children several medications that included but were not limited to Neosporin Antibiotic ointment, aspirin, burn gel and Triple Antibiotic Ointment were found in boxes used to store first aid supplies. This items were stored in an unlocked overhead compartment near the driver's seat. 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 11. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. During a tour of Classroom #7 a large, light green pillow was observed on the floor in the Technology Area. The surface of the pillow had several areas that were soiled and stained.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. During an inspection of the outdoor play area, a post located on the steps leading to the climbing structure had broken off. The cap on the post placed on top of the broken portion and secured with silver duct tape. Transportation In Compliance 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

Open / not marked corrected.

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

General: Based on Observation, it was determined the following regulations were not met in each room: 1. In Room #4, the ceiling tiles above the sink and toilet area in the bathroom were stained brown. The stains were circular in shape. 2. In Room #2, the ceiling tiles in the bathroom area were stained brown and discolored. The stains were circular in shape. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 11. Toys and Furnishings.

General: Based on observation, it was determined the following regulations were not met upon inspection of each room: 1. The main area rug (Letter Rug) in Room #5 was dirty and stained. The rug was used for sitting and play by the children. 2. The main area rug (Colors Rug) in Room #4 was dirty and stained. The rug was used for sitting and play by the children. 3. The main area rug (Number/Alphabet Rug) in Room #2 was dirty and stained. The rug was used for sitting and play by the children. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance 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 Interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements when two staff left a child asleep inside while the rest of the group went outside to play. The group left the room and went outside at approximately 2:45 PM. The five year old child woke up on her own and walked outside on her own about fifteen minutes later. The employment of both teachers was terminated as a result of the incident. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Interview and a review of documentation, on 10/24/17 two (2) staff members were observed hitting a three (3) year-old child on the playground because he was misbehaving and hitting them. Based on interviews and record review one (1) of the teachers put their knee in the child's chest, and said to the child "How does that make you feel?" Based on interview and record review another teacher said to the three (3) year-old child "You ain't going to hit me because I will knock you out!" The staff in charge indicated one (1) of the staff members was terminated from employment and the other staff member resigned.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation and ECE-TRIS records, there was a staff person with a hire date of 8/13/01 who only had evidence of having completed three (3) horus of training for the 2016-2017 training year. This staff person is a Family Service Worker that also helps in the classroom by giving staff breaks. There was an additional Family Service worker with a hire date of 8/12/96 who also helps in the classroom when needed. This staff person only had evidence of having completed eight (8) hours of training for the 2016-2017 training year. A bus driver who has a hire date of 11/02/01 and will give staff breaks on occassion only had evidence of having completed 10.5 hours of training for the 2015-2016 training year. There was an additional staff person hired 2/29/16 who did not complete pediatric abusive head trauma training until 8/16/17. This training is required to be completed within the employees first year of employment. 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, during a tour of Classroom 8 the wall vent in the area where the computer is located had an accumulation of dust. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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, in the bathrooms located in Classrooms 7 and 8 there were small holes in the wall behind the toilet. An accumulation of dirt and grime was found on the wall behind the toilet in the Classroom 7. In the bathroom located in Classroom 4 there were water stains on the ceiling and the floor was sticky. There was also a very strong urine smell.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the toliet in the bathoom located in Classroom 4 had urine in the bowl and a ring of dirt around the inside of the bowl. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation 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. Transportation.

General: Based on Observation, an inspection of the first aid supplies available on Bus # 3 found there was not a CPR mouthpiece available as part of the first aid supplies. The bus is used to transport children from to the facility and home and on field trips. 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

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, there were two (2) staff designated as possible bus drivers who did not have a driving history record on file. There hire dates were 10/2/06 and 8/4/08. Programming

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 kitchen door was propped open and there was no protective screen.

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 were stained ceiling tiles in Classroom #2.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on Observation, the lid on the playground sandbox was broken which allowed excess leaves and debris in the sandbox.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, staff hired on 01/15/13 did not have educational documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on Review of Documentation, one staff member (date of hire 4/1/87) did not have a current TB test on file. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 38 Web site: http://chfs.ky.gov/ Inspection Report 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 2) Type II In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.