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

General: Based on observation and interview, the following was found: 1.) Children were leaving the gym to go use the restroom which was outside of the cafeteria where the children could not be heard. There was only one (1) staff member present that day. She stated that this was really the only option for the children who needed to use the restroom. 2.) At other times, children were leaving the gym from one (1) door and returning from another entrance door (still within the building). There were instances that it did not appear that the staff member noticed the children exiting due to tending to the other child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation and interview, it was found that the program was over ratio throughout the entirety of the inspection. The surveyor arrived at 3:03 pm, and there were twenty-six (26) children present with only one (1) staff member. Some of the children did leave during the visit, but not enough children left to ever put the program within compliance. The youngest child present was five (5) years-old. The staff person present indicated that another staff member should have shown up, but there are times when no one will come to this center. General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on review of documentation, one (1) staff member (DOH: 08/12/24) did not complete the required CPR/First Aid Training. A review of ECE-TRIS confirmed this finding.

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.) One (1) staff member did not complete the required orientation training within three (3) months of employment. The training had not yet been taken by the date of inspection which was 12/13/24. 2.) One (1) staff member (DOH: 04/25/22) only completed three (3) of the required fifteen (15) hours of cabinet approved early care and education training for the 07/01/23 to 06/30/24 training year. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 observation, the following was found: 1.) One (1) child was using a cellphone during the visit. He was walking around the cafeteria with the cellphone in his hand and then went to the stage area and sat down with the device. 2.) One (1) child was using a laptop computer during the inspection. At different times, two (2) other children were at the laptop with the first child. It could not be determined what was playing on the cellphone or laptop and if it was developmentally appropriate. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, the children were offered items from a bin located on top of one (1) of the tables within the cafeteria. One (1) item that children were eating was Baked Doritos. The first ingredient listed on this item is corn; therefore it is not considered a bread or grain. This would not satisfy the required snack components. Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one (1) staff member (DOH: 11/30/22) did not have a current professional development plan on file at the time of inspection. The plan on file was dated for 02/03/22. 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

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) There was no written documentation of a fire drill being conducted in November of 2024. 2.) The written documentation for the drill conducted in April of 2024, did not document the time the drill took place. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a staff member hired 7/19/2021, did not have a current TB test or statement from a health professional 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 interview and review of documentation, it was found that (2) staff members hired on 11/30/2022, and 8/16/2023, were present at the facility when surveyor arrived. These two staff members did not have evidence of completing CPR/First Aid certification. It should be noted that another staff member arrived about an hour into the survey, this staff member was certified. Therefore, there was not adequate CPR/First Aid coverage during the entire survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) A staff member hired on 7/19/2021, completed pediatric abusive head trauma training on 1/16/2018; however, did not renew the training due 1/16/2023. 2.) Two staff members hired on 7/19/2021, and 8/10/2022, did not have evidence of completing 15 hours of annual early care and education training on file. 3.) A staff member hired 11/30/2022, did not take orientation within the first three months of employment. The course was taken 3/8/2023. The ECE-TRIS system was reviewed and supports these findings. 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 In Compliance Children's Records In Compliance Written Documentation In Compliance Posted 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 8. General.

General: Based on review of documentation, the following found: 1.) The statement of deficiency and plan of correction from the 9/29/2022 inspection was not posted at the facility. 2.) The current rates were not posted at the facility. 3.) The list of daily planned program of activities (lesson plan) that was posted in the cafeteria was blank. 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, there was no documentation of staff meetings being conducted during the current licensure year presented at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. 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 member hired on 7/19/2021, did not have evidence of an annual evaluation on file at the facility. 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 9. Records.

General: Based on review of documentation, the following was found: 1.) A staff member hired on 8/16/23, that was present during the inspection did not have a personnel file for review at the facility. 2.) A staff member hired on 11/30/2022, that was present during the inspection did not have a Kentucky National Background Check Service (KARES) record check in her file at the facility and the licensee KARES list was blank.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1.) A staff member hired on 8/16/2023, did not have evidence of a high school diploma, GED, or Commonwealth Child Care Credential on file at the facility. This staff member stated that she is enrolled in the GED program, but has not completed it yet. 2.) A staff member hired on 11/30/2022, did not have evidence of a high school diploma, GED, or Commonwealth Child Care Credential 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, a staff member (hire date: 9/15/2022) did not have evidence of a high school diploma, GED, or Commonwealth Child Care Credential 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, a staff member (hire date: 9/15/2022) did not have a current TB test or statement from a health professional on file at the facility. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on observation and interview, there were no adhesive bandages (band-aids) in the first aid kit. The staff in charge stated that they have been ordered. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals 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 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, a weekly menu was not posted at the facility. 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.