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

General: Based on review of documentation, one (1) staff member (DOH: 11/15/19) did not have a negative tuberculin skin result, nor a physician’s statement clearing them of active tuberculosis in their personnel 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 observation, an area of weed guard was exposed on the playground presenting a tripping hazard for children while at play.

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 following was found: Classroom 106 1.) A large area rug with Alphabet letters had several small circular dirt stains. Classroom 108 1.) A large area rug with numbers on it had several small circular dirt stains.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, three (3) staff members (DOH: 01/05/22, 11/15/19, and 08/01/21) did not have a 2023 professional development plan in their personnel file, the most current plan was dated 2022.

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's file contained a vaccine administration record. The child was enrolled on 09/05/23. The vaccine administration record did not contain an expiration date; therefore, it could not be determined if it was current. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 11. Staff Requirements.

General: Based on review of documentation, a substitute staff member hired on 11/15/19 completed 14.50 of the fifteen (15) hours of cabinet approved early care and education training hours between 07/01/22 and 06/30/23. The ECE-TRIS system was reviewed and confirmed 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 4. Premises Requirements.

General: Based on observation, the girl's bathroom, adjacent to the gym, contained a dusty vent over the middle toilet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 In Compliance 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 10. Director Requirements and Responsibilities.

General: Based on observation and review of documentation, this regulatory requirement was not met. A substitute staff member hired on 11/01/2019, did not have evidence of a current evaluation on file. Staff evaluations are to be conducted annually and documented. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. A staff member hired on 9/13/2021, did not complete her TB skin test until 11/09/2021. TB skin tests shall be conducted prior to employment. 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 observation and review of documentation, this regulatory requirement was not met. A substitute staff member hired on 11/01/2019, did not complete fifteen hours of cabinet approved early care and education training between 7/01/2020 and 6/30/2021. The staff member completed twelve hours of training. The ECE-TRIS system was reviewed and confirmed this finding. 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, this regulatory requirement was not met. Room 107 contained a section of chipped paint on the drywall near the ceiling. The wall looked indented in this area as well. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, this regulatory requirement was not met. Room 107 contained children's popsicles in the freezer. There was no thermometer inside the freezer; therefore, the temperature in the freezer could not be verified. Food Service Not In Compliance

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 Drink Requirements for All Child-Care Centers.

General: Based on observation, this regulatory requirement was not met. Room 106 contained a plate of uncovered chicken nuggets in the freezer. Food shall be stored covered to protect from contamination. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Meal Planning/Center Provides Meals Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. 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 and review of documentation, this regulatory requirement was not met. The following was found: 1. The posted snack menu in room 108 did not contain the correct components. On 11/15/2021, the AM snack menu listed water and Nutri Gran Bites or bars. On 11/16/2021, the PM snack menu listed water and Granola Bars. On 11/17/2021, the AM snack menu listed water and fruit snacks. On 11/18/2021, the PM snack menu listed water and Animal Crackers. On 11/19/2021, the AM snack menu listed water and Granola Bars. Water is not counted as a component for snack. A snack shall include two (2) of the following: milk, protein, bread; or a fruit, vegetable; or 100 percent juice. 2. The posted snack menu in room 106 did not contain the correct components. The PM snack menu Monday through Friday listed water as a second component for snack, with only one other component. Water is not counted as a component for snack. A snack shall include two (2) of the following: milk, protein, bread; or a fruit, vegetable; or 100 percent juice.

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 and review of documentation, this regulatory requirement was not met. The posted snack menu in Room 106 was not current. The posted snack menu was dated 11/08/2021 to 11/12/2021. The survey was conducted on 11/15/2021. 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 observation and review of documentation, this regulatory requirement was not met. A child's file contained an immunization certificate that was expired. The child had been enrolled in excess of thirty days. 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 observation and review of documentation, this regulatory requirement was not met. A substitute staff member hired on 11/01/2019, did not have a current professional development plan on file. Professional development plans are to be conducted annually and documented.

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 and review of documentation, this regulatory requirement was not met. The facility did not have an orientation policy stating that the staff will implement what they have learned in orientation training. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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 members (hire dates of 8/1/2020 and 11/30/2020) did not have a copy of a high school diploma, GED or other qualifying documentation on file. 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

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 records, the following was found: 1) A staff person hired 1/16/2020, did not complete six hours of cabinet-approved orientation training until 3/31/2021. This same staff person had not completed one and one-half hours of cabinet-approved pediatric abusive head trauma training at the time of the survey conducted on 4/7/2021. 2) A staff person hired 11/30/2020, had not completed six hours of cabinet-approved orientation training at the time of the survey on 4/7/2021. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, in Room 107 the posted planned program of activities was not current. The dates listed on the plan were 3/8/2021 - 3/12/2021.

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, interview and review of documentation, children in Room 106 were observed watching television. Staff stated the children watch a thirty-minute Bible Story each day before lunch or nap. A review of the posted daily schedule and the posted planned program of activities found that this information was not documented. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the facility, the following was found: 1) A staff person's backpack and bag were observed stored on the floor under a table. Another staff person's purse was observed on the floor under the staff's desk. In this same room, a container of disinfectant wipes was stored on top of the children's cubbies. The children in the room at the time were ages three-to four-years-old. 2) A gallon of bleach was found stored on the floor inside a closet in Room 106. There was not a lock or child safety latch to keep the children from opening the closet door. The children in this room were ages two- to three-years-old. These items were stored in areas that were accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation in Room 106, the diaper changing mat was yellowed and stained and contained a small tear in the center.

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 interview, it was found that toys mouthed by children not yet toilet trained are washed with soap and water and left out to dry. The toys are then sprayed with Lysol disinfectant spray. The process described does not meet the requirements of this regulation. 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, a first aid kit located in Room 106 contained individual packets of antibiotic ointment. The packets were not stored in a locked container or area and were not labeled for an individual child or adult. Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation and interview, a brown and red plastic climber with a slide had been placed on grass. Grass in not an acceptable surface for equipment used to slide and climb. The staff person in charge indicated the playground flooded approximately three weeks ago and they are in the process of getting more rubber mulch. The staff person in charge stated further the children have not been allowed on the structure while on the playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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 6. Sleeping and Napping Requirements.

General: Based on observation, there were red and blue nap mats in Room 106 and Room 107 that were in disrepair. Cuts and tears were observed on the vinyl covering.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, in Room 106 the children's nap mats were observed stored in each child's individual cubby. The child's sheet and blanket were left on the mats while in storage. The sheets from some of the cubbies were not secure in the child's cubby and touched the sheet of the child on either side. Transportation Not Applicable 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, it was found that refrigerators located in Room 108 and Room 107 did not contain an indicating thermometer or appropriate temperature measuring device. The refrigerators are used to store items served to the children. 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, out of ten children's files reviewed, there were seven children who did not have documentation to verify they are current on their immunizations. These children have been enrolled for more than thirty days. 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 5. Evacuation Plan.

General: Based on review of documentation, found there was no date and no documentation to verify that the facility's written evacuation plan had been submitted to the local emergency management.

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 fire drills conducted on 1/6/2021 and 1/14/2021, did not contain the names of those children who participated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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, there was no documentation to verify quarterly earthquake drills and quarterly tornado drills were conducted for the year 2020. In addition there was no documentation to verify these drills had been conducted so far in 2021. It was also found there was no documentation to verify a monthly fire drill had been conducted in February 2021. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, it was found that the posted planned program of activities in Room 106 did not have a date noted as to when the activities would be conducted. Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.

General: Based on interview and review of documentation, the following was found: 1) A staff person hired 11/30/2020, and a staff person hired 1/11/2021, did not have the results of a criminal records check and no evidence of having a criminal records check submitted. The staff person in charge indicated the request had been submitted. 2) A staff person hired 7/15/2019, did not have evidence of completing the mandatory training requirement for reopening. There was no documentation on file for this staff person. This was also verified through ECE-TRIS records.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, three of the personnel files presented for review did not include a date of employment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one staff person designated as a substitute did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file in the facility. The staff person's hire date was not documented in her personnel 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, staff person hired 7/15/19, did not have evidence of completing the required orientation training in the first three months of employment. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records 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 5. Evacuation Plan.

General: Based on review of documentation, there was no evidence that the facility's Emergency Preparedness Plan had been updated or submitted to the proper authority for review.

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, there was no evidence of practiced fire drills since 5/9/19 on file in the facility. 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 deficiencies and plan of correction from the previous licensure survey was not posted in the facility. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the white garden liner was comming up through the mulch in several places on the playground. This poses a tripping hazard. 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 3. General Requirements.

General: Based on observation, a staff person's purse was located on a small desk in the Fours classroom. The purse was accessible to the children in care. 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on review of documentation, four (4) out of the five (5) staff eligible for an annual evaluation did not have evidence of an evaluation on file in the facility. 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, three (3) employees, hired 8/1/18, 9/11/18 and 8/1/18, did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file in the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff person hired 8/1/18 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1. None of the staff eligible for annual training had evidence of fifteen (15) hours of training on file in the facility. 2. Two (2) staff persons, both hired 8/1/18, did not have evidence of completing the required orientation training in the first three (3) months of employment. A review of ECE-TRIS records supports the information found during the survey. 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 6. Sleeping and Napping Requirements.

General: Based on observation, the mats being used by the children for nap time in the Twos classroom and the Threes classroom were only one (1) inch thick. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Food Service/Food Program 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, there was no milk available in the facility to supplement the children's lunches that were provided by their parents. Several plastic bottles of water brought by the children for lunch were observed in the refrigerator. Those children did not have milk served to them for lunch. 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, there were no indicating thermometers in the refigerators in the Twos classroom and the Threes classroom. These refrigerators were used to store food items for the children. 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, four (4) out of the ten (10) children's files presented for review did not contain a current immunization certificate.

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, two (2) out of the ten (10) children's files presented for review did not have documentation of a preferred hospital listed by the parent. The two (2) children were enrolled 8/22/18 and 3/4/18. 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, six (6) out of six (6) staff eligible for an annual professional development plan did not have evidence of a plan on file in the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, schedules of daily activities, including lists and dates of activities to be conducted with the children, were not posted in the Twos classroom, the Threes classroom and the Fours classroom. Animals In Compliance

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, a request for a change of director was submitted by the child care facility's administrator on 8/15/17. However; as of 10/24/17, all of the required documentation has not been submitted to the Division of Regulated Child Care (DRCC) in order to make this change. For instance, the facility’s named director has not completed the required early care and education training and has not submitted a criminal records check.

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, staff person hired 10/17/16 did not have the results of a CA/N check on file in the facility. An application for the check had been submitted on 10/17/16 but no results had been returned as of the date of the survey. The staff person was observed alone with seven (7) children in the preschool classroom several times during the survey. 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 6. License Issuance.

General: Based on Review of Documentation, staff person hired 10/17/16 did not have the results of a CA/N check on file in the facility. An application for the check had been submitted on 10/17/16 but no results had been returned as of the date of the survey. The staff person was observed alone with seven (7) children in the preschool classroom several times during the survey. 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, 1. Staff person hired 7/11/16 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years. 2. Staff person hired 7/11/16 did not have evidence of negative T.B. results on file in the facility prior to employment. The results on file were dated 9/12/16. 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 3. General Requirements.

General: Based on Observation, there were three (3) pair of adult scissors on the teacher's desk and a bottle of correction fluid in the top drawer of the same desk. These items were accessible to the children in care. Hygienic Practices In Compliance 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, there were several packets of Curad triple antibiotic ointment and a tube of After-bite ointment found in the facility's first aid kit. The kit was in an unlocked condition in the classroom. 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 6. Sleeping and Napping Requirements.

General: Based on Observation, several blankets and pillows used by the children for nap were piled together on top of the children's cubbies. Transportation Not Applicable Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, four (4) out of ten (10) children's file presented for review did not contain evidence of a current immunization certificate. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, it was found that the urinal in the boys' bathroom was wrapped in plastic. The director stated that the urinal was not functioning properly. Hygienic Practices 595 - Child Personal Care/Handwashing Discussed 922 KAR 2:120. Section 3. General Requirements. (4) A child shall: (a) Be helped with personal care and cleanliness based upon their developmental skills; and (b) Wash his or her hands with liquid soap and warm running water: 1. a. Upon arrival at the center; or b. Within thirty (30) minutes of arrival for school-age children; 2. Before and after eating or handling food; 3. After toileting or diaper change; 4. After handling animals; 5. After wiping or blowing nose; 6. After touching items soiled with body fluids or wastes; and 7. After outdoor or indoor play time. 600 - Staff Hygiene/Handwashing Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 27 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 3. General Requirements. (5) Staff shall: (a) Maintain personal cleanliness; (b) Conform to hygienic practices while on duty; and (c) Wash their hands with liquid soap and running water: 1. Upon arrival at the center; 2. After toileting or assisting a child in toileting; 3. Before and after diapering each child; 4. After wiping or blowing a child’s or own nose; 5. After handling animals; 6. After caring for a sick child; 7. Before and after feeding a child or eating; 8. Before dispensing medication; and 9. If possible, before administering first aid. 605 - Staff Communicable Disease Discussed 922 KAR 2:120. Section 3. General Requirements. (6) A staff person suspected of being infected with a communicable disease shall: (a) Not perform duties that may allow for the transmission of the disease until the infectious condition can no longer be transmitted; and (b) Provide a statement from a health professional, if requested. 610 - Diapers/Clean Clothing Supply Discussed 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (6) An adequate quantity of freshly laundered or disposable diapers and clean clothing shall be available. 615 - Training Chair Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (7) If a toilet training chair is used, the chair shall be: (a) Used over a surface that is impervious to moisture; (b) Out of reach of other toilets or toilet training chairs; (c) Emptied promptly; and (d) Sanitized after each use. 620 - Soiled Diapers/Clothing Discussed 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (8) Diapers or clothing shall be: (a) Changed when soiled or wet; (b) Stored in a covered container temporarily; and (c) Washed or disposed of at least once a day. 625 - Diaper Changing Area/Surface Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (10) When a child is diapered, the child shall: (b) Be placed on a surface that is: 1. Clean; 2. Padded; 3. Free of holes, rips, tears, or other damage; 4. Nonabsorbent; 5. Easily cleaned; and 6. Free of any items not used for diaper changing. 630 - Wipes Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (11) Unless allergic, individual disposable washcloths shall be used to thoroughly clean the affected area of the child. 635 - Diapering Practice Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (12) Staff shall disinfect the diapering surface after each child is diapered. (13) If staff wear disposable gloves, the gloves shall be changed and disposed after each child is diapered. 640 - Children's Individual Items Discussed 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (14) Combs, towels or washcloths, brushes, and toothbrushes used by a child shall be: (a) Individually stored in separate containers; and (b) Plainly labeled with the child’s name. 645 - Toothbrush/Toothpaste Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 27 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (15) Toothbrushes shall be: (a) Individually identified; (b) Allowed to air dry; and (c) Protected from contamination. (16) Toothpaste used by multiple children shall be dispensed onto an intermediate surface, such as waxed paper, to avoid cross contamination. 650 - Toy Sanitation Procedure Not Applicable 922 KAR 2:120. Section 11. Toys and Furnishings. (4) Toys and other items that are considered mouth contact surfaces by a child not toilet trained shall be sanitized daily by: (a) Scrubbing in warm, soapy water using a brush to reach into crevices; (b) Rinsing in clean water; (c) Submerging in a sanitizing solution for at least two (2) minutes; and (d) Air dried. First Aid/Medication

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, it was found that toilet brushes and plungers were accessible to the children in both bathrooms. It was also found that a full-length mirror in the girls' bathroom was not shatterproof or covered with a protecting film. 270 - Parent Notification Discussed 922 KAR 2:110. Section 4. Director Requirements and Responsibilities. (1) Effective with the adoption of this administrative regulation, a director shall: (m) Notify the parent immediately of an accident or incident requiring medical treatment of a child; 275 - Caregiver Alone Discussed 922 KAR 2:110. Section 4. Director Requirements and Responsibilities. (1) Effective with the adoption of this administrative regulation, a director shall: (n) Assure that a person acting as a caregiver of a child in care shall not be left alone with a child, if the licensee has not received the results of the background checks as described in Section 3(1)(e)6 of this administrative regulation;

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, it was found that the file for an employee did not contain evidence of submission for or a completed criminal records check and a central registry check. 305 - Background checks/discharged Discussed 922 KAR 2:090. Section 6. License Issuance. (6) Upon completion of background checks described in subsection (4)(b) of this section, a licensee shall discharge immediately: (a) An individual whose name is listed on the central registry established by 922 KAR 1:470; (b) An individual who has been convicted of, or has entered an Alford plea or a plea of guilty to, a crime in accordance with KRS 17.165; (c) An individual who is confirmed by an address check of the Sex Offender Registry and supporting documentation as a registered sex offender; (d) An individual who has been convicted of, or entered an Alford plea or plea of guilty to, a drug-related felony, and five (5) years has not elapsed since the person was fully discharged from imprisonment, probation, or parole; (e) A director who has been convicted of, or entered an Alford plea or a plea of guilty to, a felony offense involving fraud, embezzlement, theft, or forgery; and (f) An individual who has been convicted of, or has entered an Alford plea or a plea of guilty to, an offense under a criminal statute of the United States or of another state similar to an offense specified in this subsection. (7) An individual who has been convicted of, or entered an Alford plea or a plea of guilty to, a nonviolent felony or misdemeanor not specified in this section shall be handled on a case-by-case basis by the licensee with consideration given to the: (a) Nature of the offense; (b) Length of time that has elapsed since the event; and (c) Individual’s life experiences after conviction, Alford plea, or guilty plea. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 27 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, it was found that the files for two (2) employees did not contain evidence of a TB skin test or screening being completed.

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, it was found that the facility did not have anyone certified in first aid and cardiopulmonary resuscitation that would be on duty and present with the children.

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, it was found that multiple empty plastic bags were being stored in an unlocked cabinet in the girls' bathroom.

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, it was found that multiple empty plastic bags were being stored in an unlocked cabinet in the girls' bathroom.

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 found that the brown paint on the baseboards located in the cubby area was peeling and flaking in multiple places. It was also found that in multiple places in the classroom and the bathrooms used by the children, there was a space between the bottom of the wall and the flooring. This space was found to contain debris and crumbled pieces of concrete.

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, it was found that one (1) of the ceiling tiles in the classroom was stained from past water damage.

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, it was found that the equipment present on the outdoor play area was rated for ages five to twelve (5-12) years old. The program will be serving children ages three and four (3-4) years old.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.