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

General: Based on review of documentation, the following was found: 1) Ten (10) staff members (DOH: 08/12/22, 08/10/22, 08/07/19, 08/15/19, 08/10/22, 10/17/22, 08/10/22, 11/08/22, 09/01/23, and 09/06/22) did not have an evaluation on file. 2) A staff member (DOH: 07/29/13) had an evaluation on file dated May 2019. 3) A staff member (DOH: 08/07/17) had an evaluation on file dated 05/08/17. Employee Records 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 7. First Aid and Medicine.

General: Based on review of documentation, a staff member (DOH: 09/01/23) had not completed the first aid and CPR training. 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: 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) A staff member (DOH: 07/29/13) had thirteen (13) training hours during the subsequent year of employment. 2) A staff member (DOH: 08/07/19) had one and a half (1½) training hours during the subsequent year of employment. 3) Two (2) staff members (DOH: 08/15/19 and 08/07/17) had three (3) training hours during the subsequent year of employment. 4) A staff member (DOH: 10/17/22) had eight (8) training hours during the first year of employment. 5) A staff member (DOH: 01/27/22) had twelve and a half (12½) training hours during the subsequent 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the hot water temperature registered sixty (60) degrees Fahrenheit at two (2) sinks located in room 114. Hygienic Practices In Compliance 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 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, caregivers hired on 8/3/20, 7/29/13, 9/15/21, 8/7/19, 8/7/17 and 8/28/20, did not have an annual written performance evaluation on file. 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 interview, caregivers hired on 8/8/22 and 8/22/22, did not have education documentation on file. 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

Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired on 8/15/19, completed five and one half (5 1/2) hours of training, a caregiver hired on 8/7/19, completed five (5) hours of training and a caregiver hired on 8/28/20, completed one (1) hour of training between July 1 and the following June 30. 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 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 In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, caregivers hired on 1/27/22, 8/4/16, 8/7/19 and 8/28/20, did not have a written professional development plan on file. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on review of documentation, a caregiver hired on 8/1/21, and a caregiver hired on 8/5/21, did not initiate the process of obtaining background checks in the National Background Check Portal (NBCP). 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, eight (8) caregivers hired on 8/13/20, 8/7/19, 8/28/20, 8/5/19, 8/1/20, 8/7/19, 8/28/20, and 8/1/20, did not have an evaluation on file. A caregiver hired on 8/4/16, had an evaluation on file dated 5/20/20. A caregiver hired on 8/7/17, had an evaluation on file dated 5/8/17. A caregiver hired on 8/24/15, had an evaluation on file dated 5/11/18. A caregiver hired on 8/4/16, had an evaluation on file dated 5/2/19. A caregiver hired on 8/5/10, had an evaluation on file dated 5/20/20. A caregiver hired on 7/29/13, had an evaluation on file dated May 2019. 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, a caregiver hired on 8/15/19, had TB documentation on file dated 8/14/19. Two (2) caregivers each hired on 8/1/20, did not have TB documentation on 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 caregiver hired on 8/13/20, completed seven and one half (7 ½) hours of training during the first year of employment and completed the six (6) hours of orientation training on 12/14/20, which was not within the first three (3) months of employment. Two (2) caregivers hired on 8/7/17 and 8/5/19, and two (2) caregivers each hired on 8/7/19, did not complete any hours of training during a subsequent year of employment. A caregiver hired on 3/29/21, did not complete six (6) hours of orientation training. A caregiver hired on 8/24/15, last completed the Pediatric Abusive Head Trauma training on 5/16/16. A caregiver hired on 8/1/20, completed the six (6) hours of orientation training on 12/18/20, which was not within the first three (3) months of employment. A caregiver hired on 8/4/16, completed twelve (12) hours of training during a subsequent year of employment and last completed the Pediatric Abusive Head Trauma training on 8/30/16. A caregiver hired on 7/29/13, completed thirteen (13) hours of training during a subsequent year of employment. Two (2) caregivers hired on 8/28/20 and 8/1/20, each completed seven and one half (7 ½) hours of training during the 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 3. General Requirements.

General: Based on observation, a caregiver's set of keys, cellphone, and an open can of Sprite were stored on a table and were accessible to children in room 116.

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 hot water registered eighty-eight (88) degrees Fahrenheit at a sink in room 114 and at three (3) sinks in the girls’ restroom near the gym. The hot water registered eighty-four (84) degrees Fahrenheit at a sink in the girls’ restroom near the gym. The hot water registered eighty-three (83) degrees Fahrenheit at a sink in the girls’ restroom near room 113. 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 2 of 3 Inspection Report 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, rust was on the chain links of twelve (12) swings in the older children’s outdoor play area. 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

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 8/1/21, did not have contact information on file for staff to contact the child's physician. 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, a caregiver hired on 8/13/20, had a professional development plan on file dated 8/13/20. A caregiver hired on 8/28/20, had a professional development plan on file dated 8/28/20. Two (2) caregivers hired on 8/5/19 and 8/1/20, each did not have a professional development plan on file. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a date and times were not documented on the posted schedule of daily activities in room 113. A date was not documented on the posted schedule of daily activities in room 114 and room 116. 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, three (3) caregivers hired on 8/5/10, 8/24/15, and 8/4/16, each had an annual written performance evaluation on file that was dated 5/11/18. A caregiver hired on 8/7/17, had an annual written performance evaluation on file that was dated 5/8/17. Three (3) caregivers hired on 8/15/19, 8/7/19, and 7/28/19, did not have an annual written performance evaluation on file. 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, two (2) caregivers hired on 8/1/20 and 9/25/20, did not have education verification 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, a caregiver hired on 6/15/20, and two (2) caregivers hired on 8/1/20, did not completed six (6) hours of cabinet approved orientation training within the first three (3) months 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the hot water temperature registered seventy (70) degrees Fahrenheit at a sink in rooms 113 and 114. The hot water temperature registered seventy (70) degrees Fahrenheit at four (4) sinks in the boys’ restroom and the girls’ restroom located near the gym. The hot water temperature registered seventy (70) degrees Fahrenheit at four (4) sinks in the boys’ restroom and the girls’ restroom located near room 113. Also, the hot water temperature registered eighty (80) degrees Fahrenheit at a sink in room 118. 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 11. Toys and Furnishings.

General: Based on observation, black soiled spots were on an alphabet print area rug in room 118. Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, a caregiver hired 7/29/13, had an annual professional development plan on file that was dated 10/15/19. A caregiver hired on 8/4/16, had an annual professional development plan on file that was dated 11/8/19. Five (5) caregivers hired on 8/15/19, 8/7/19, 8/7/17, 8/1/20, and 6/15/20, did not have an annual professional development plan on file. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 review of documentation, the center failed to ensure new staff shall undergo name-based background checks in accordance with 922 KAR 2:405E Section 11(5) (a). A caregiver hired on 8/13/20, did not have a processed child abuse/neglect check and a criminal records check on file.

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 review of documentation, the most current Fire Marshal inspection report was dated 03/24/18. 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, a staff, hired on 08/24/15, had an annual written performance evaluation on file that was dated 05/11/18. 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, a staff hired on 08/07/19, a staff hired on 08/09/17, and a staff hired on 08/29/19, did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff hired on 08/07/19, and a staff hired on 08/08/19, did not have TB documentation on file. A staff hired on 07/29/13, had TB documentation on file that was dated 09/18/17.

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 hired on 10/23/17, had documentation of completing six (6) hours of cabinet approved training hours during the first year of employment. A staff hired on 08/04/16, had documentation of completing nine (9) hours of cabinet approved training hours during a subsequent year of employment. A staff hired on 08/04/16, had documentation of completing three (3) hours of cabinet approved training hours during a subsequent year of employment. A staff hired on 08/09/17, did not have documentation of completing any hours of cabinet approved training hours during a subsequent 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 3. General Requirements.

General: Based on observation, a bottle Claire Dust Up was stored in an open faced wooden unit in the cafeteria. A gallon of Pro-Texall Deluxe Foam was stored on the corner of the sink counter in the restroom of room 118. These items were both labeled, "Keep out of reach of children," but were accessible to children.

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, thirteen (13) extra-large empty plastic bags were stored on top of shelves and tables in room 114. Seven (7) extra-large empty plastic bags were stored on top of shelves and tables in room 118. Three (3) rolls of small plastic trash bags were stored in an open faced wooden unit holder on the wall in the cafeteria. These items were not a part of the planned program of instruction and were accessible to 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, a large brown stain was on a ceiling tile in the school-age girls’ restroom. Large brown stains were on two (2) ceiling tiles in the cafeteria.

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 hot water temperature registered eighty (80) degrees Fahrenheit at three (3) sinks in the school-age girls’ restroom. The hot water temperature registered eighty (80) degrees Fahrenheit at a sink in the school-age boys’ restroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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, an opening, approximately a foot long, was at the bottom of the chain-link fence on the school-age children's playground. In that area, the bottom of the chain-link fence could be pushed out approximately one (1) foot. Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service 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 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on observation, the Children and Parent Rights, were not posted.

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, a staff, hired on 08/05/10, had an annual professional development plan on file that was dated 09/06/18. A staff, hired on 09/04/09, had an annual professional development plan on file that was dated 08/20/18. A staff, hired on 07/29/19, had an annual professional development plan on file that was dated 08/30/18. A staff, hired on 08/04/16, did not have an annual professional development plan on file.

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, monthly, practiced fire drills were conducted in May through August 2019, but the date, time and name of children participants were not documented. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, monthly, practiced fire drills were conducted in May through August 2019, but were not documented. 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 center's statement of deficiency and plan of correction during the current year were not posted. Animals In Compliance

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, a caregiver hired 09/13/18, did not have a live fingerprint scan but worked at the center. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, a caregiver hired 08/04/16, did not have a written annual evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, a caregiver hired 08/28/18, a caregiver hired 09/13/18 and a caregiver hired 06/27/18, did not have education information on 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 and interview, a caregiver hired 09/04/09, had a TB skin test dated 09/20/16. A caregiver hired 08/04/16, had a TB skin test dated 06/27/16. A caregiver hired 08/16/17, had a TB skin test dated 03/18/16. A caregiver hired 12/07/17, a caregiver hired 09/13/18, and a caregiver hired 01/11/18, did not have a TB skin test or physician statement on 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 and interview, a caregiver hired 08/07/13, completed 12 hours of annual training. A caregiver hired 08/07/14, completed seven (7) hours of annual training A caregiver hired 08/04/16, did not complete any annual training. A caregiver hired 08/10/16, completed six (6) hours of annual training. A caregiver hired 08/14/17, completed seven and half (7 1/2) hours of training within the first year of employment. A caregiver hired 04/27/17, completed four and half (4 1/2) hours of training within her first year of employment. A caregiver hired 06/27/18, and a caregiver hired 08/14/17, each did not complete orientation training within the first three (3) months of their 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 and interview, there were darks spots and stains throughout the carpet in preschool room 3. 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 3. General Requirements.

General: Based on observation, four (4) preschool children did not wash their hands after they ate the morning snack. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 11. Toys and Furnishings.

General: Based on observation, there were dark brown spots and stains on the large yellow pillow in preschool room 2. Transportation Not Applicable Food Service/Food Program In Compliance 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 and interview, a child enrolled 08/03/18, did not have an immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, two (2) children, each enrolled 08/03/18, and a child enrolled 08/14/18, did not have emergency authorization, hospital information and doctor's contact information on file. A child enrolled 08/03/18 and a child enrolled 08/21/18, did not have emergency authorization on file. 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 3. General Requirements.

General: Based on interview and review of documentation, the center did not conduct a fire drill in September 2018. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, a caregiver hired 8/4/16, did not have an annual written performance evaluation on file. 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 6. License Issuance.

General: Based on Review of Documentation, a caregiver hired 8/14/17, 8/16/17, did not have proof a child abuse/neglect check was submitted timely. Also, a caregiver hired 6/5/17, did not have proof a criminal records check and a child abuse/neglect check were submitted timely. 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

Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired 8/4/16, completed orientation training on 2/20/17, which was not within the first three (3) months of her employment. Caregiver hired 8/5/10, completed twelve (12) hours of annual training; caregiver hired 8/24/15, completed five (5) hours of annual training; two (2) caregivers each hired 8/4/16, completed seven and a half (7.50) hours of annual training; caregiver hired 9/6/16, completed two and a half (2.50) hours of annual training, and caregiver hired 9/12/16, completed four and a half (4.50) hours of training, 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 In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, a child enrolled 8/8/17, enrollment information did not include contact information to enable the person in charge to contact the child's parent at the home or place of employment, the name of the person in writing to pick up the child, and the name and phone number of each person to be contacted in an emergency situation involving the child. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, caregivers hired 8/4/16, 9/12/16, 6/5/17, 9/6/16, 7/29/13 and 8/24/15, did not have a professional development plan on file. 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 6. License Issuance.

General: Based on review of documentation and interview, a caregiver 09/12/16, and a caregiver hired 09/08/16, each did not have proof a criminal records check and child abuse/neglect check were submitted timely. A caregiver hired 09/06/16, a caregiver hired 08/04/16, and a caregiver hired 08/01/16, each did not have proof a child abuse/neglect check was submitted timely.

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 interview, a caregiver hired 08/01/16, did not have education verification 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation and interview, a caregiver hired 09/12/16, did not have proof a TB skin test or a health professional statement was on file.

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, a caregiver hired 09/02/15, did not have proof she completed one and half (1 1/2) hours of pedatric abusive head trauma training. 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 3. General Requirements.

General: Based on observation, sixteen (16) preschool children used individual wash cloths but did not wash their hands with warm running water and soap after they ate snack. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 Meal Requirements.

General: Based on observation, review of documentation and interview, one child ate a chocolate cake stick and another child ate chips for their morning snack while the other fourteen (14) children ate a breakfast bar in the preschool room. Review of documentation revealed there was no written documentation from each child's parent/guardian or health professional which indicated a dietary restriction. 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: nutrition. Open / not marked corrected.

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

Based on observation and interview, a child ate chips and milk for her morning snack. This snack did not meet the regulatory snack requirments. Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on review of documentation and interview, the statement of deficiencies/plan of correction was stored in a book in the office and not posted in a conspicuous place available to the public inspection. Also, the information on the Kentucky Consumer Product Safety Program and the program's website were not posted. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, four (4) caregivers hired on 8/18/14, 8/19/07, and two (2) on 8/5/10, did not have an annual written performance evaluation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, a caregiver hired on 9/2/15, and two (2) caregivers each hired on 8/6/15, did not have documentation of a processed child abuse and neglect check available for review. Interview determined a copy of the child abuse and neglect checks had not been received from the office which submits the checks for the center. Also, a volunteer, start date unknown, did not have documentation of a processed child abuse and neglect check and criminal records check available for review.

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, a caregiver hired on 9/24/14, did not have education 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. Staff Requirements.

General: Based on Review of Documentation, two (2) caregivers hired on 8/6/15 and 9/2/15, did not have TB 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. Staff Requirements.

General: Based on Review of Documentation, a caregiver hired on 8/6/15, did not have documentation of a processed child abuse and neglect check. Therefore, this person was not a qualified substitute. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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, a caregiver hired on 9/4/09, lacked three (3) hours of training. A second caregiver hired on 8/18/14, lacked nine (9) hours of training. A third caregiver hired on 9/29/14, completed the six (6) hours of orientation on 5/22/15. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

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, the hot water temperature registered seventy (70) degrees Fahrenheit at (4) sinks in the girls' restroom and four (4) sinks in the boys' restroom.

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, weed block material was above the pea gravel next to two (2) large playground apparatuses. The weed block material presented a tripping hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, four (4) caregivers hired on 9/29/14, 8/19/07, and two (2) on 8/5/10, did not have a written plan for child care staff professional development.

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 and interview, there was no earthquake and tornado drills conducted and documented for the second quarter 2015. Posted Documentation

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 interviews, two (2), four (4) year old boys left the gym and went to the boys' restroom without staff knowledge at approximately 4:00 p.m. on 07/23/14. The boys' restroom was adjacent to the gym, approximately seven (7) feet away. The supervising caregiver was unaware how long the two (2) boys were gone. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements

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 interviews, a caregiver went to the boys' restroom to retrieve two (2) boys at approximately 4:00 p.m. on 7/23/14. This left another caregiver to care for thirteen (13) children, the youngest child three (3) years old. General Administration

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interviews, two (2) boys were alone, for an undetermined amount of time, in the boys’ restroom located adjacent to the gym. The supervising caregiver was in the gym and was unaware the two (2) boys had left the gym. The supervising caregiver discovered the boys in the boys’ restroom, and both boys had their pants down and one boy was licking the other boy’s penis. The supervising caregiver was unaware how long the boys were in the restroom. Review of documentation determined the center’s policy and procedures stated, “Ordinarily students shall be supervised at all times...it is important to remember that one must be actively engaged in supervising. Engaging in conversations with others, standing in one location, or any activity that distracts one from actively monitoring the students are not considered acceptable practices.” Therefore, the supervising caregiver did not implement the center’s policies and procedures pertaining to supervision. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report

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 interviews, two (2), four (4) year old boys were alone in the boys' restroom located adjacent to the gym on 7/23/14. The supervising caregiver was not aware the two (2) boys had left the gym. The supervising caregiver discovered the two (2) boys in the boys' restroom, with their pants down and one boy was licking the other boy's penis. The supervising caregiver was unaware how long the boys were in the boys' restroom. Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation, two (2) children enrolled on 4/29/14 and 5/27/14, did not have a preferred hospital included in their enrollment information. Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a three (3) year old child drank directly from the water fountain and placed his mouth on the water spout. The water fountain was not sanitized before another child drank from it.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, three (3) preschool children had orange juice for lunch and were not provided milk. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk shall be prepared, labeled, and provided by the parent.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation and interview, a child enrolled 07/31/13, had an immunization certificate which was current until 01/09/13.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2 General.

General: Based on review of documentation and interview, the most current statement of deficiencies/plan of correction was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 2

General: Based on observation, a child's food allergies were posted on the wall in Room 116. 92 - Volunteer/Board Member Compliance Not Applicable 922 KAR 2:110 - Section 2 (4) A volunteer or board member shall comply with the policies and procedures of the child-care center. 94 - Resident Interference Not Applicable 922 KAR 2:110 - Section 2 (6) An activity of a person living in a child-care center that is a dwelling unit shall not interfere with the child-care center program. 127 - Staff Conviction/Substantiation 922 KAR 2:110 - Section 5 (2) A child-care center shall not employ a person: (a) Convicted of a crime pursuant to KRS 17.165(5); or (b) Found by the cabinet to have abused or neglected a child, pursuant to 922 KAR 1:470. 1) CRC In Compliance 2) CAN In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.