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

General: Based on interview and review of documentation, the personnel file for a staff member (DOH: 08/16/22) did not contain verification that fifteen (15) hours of cabinet- approved early care and education training had been completed from July 1, 2023, to June 30, 2024. Review of the ECE TRIS report verified the findings. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area 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, there was not sufficient protective surfacing under the slides on the outdoor playground. Dirt was visible. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, a current copy of negative tuberculin (TB) test results or a current statement from a health professional verifying that a staff person hired on 08/13/98 was free from active TB was not presented for review. The presented TB test was dated 02/26/21 and, therefore, expired at the time of the survey.

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: Review of presented documentation and review of the Early Care and Education Training Records Information System (ECE-TRIS) database revealed that a staff person hired on 08/11/20 failed to complete fifteen (15) hours of annual training. Further review of the ECE-TRIS database revealed that the staff person completed ten (10) hours of training during the last review period. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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, one ceiling tile within the girl's restroom near the American flag mural was stained with a large brown spot, indicative of water damage. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 4. Premises Requirements.

General: Observation of the outdoor play area revealed that bare dirt was visible at the bottom of all five (5) yellow slides and beneath the monkey bars, indicating that the protective surface covering in those areas was insufficient. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals 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 observation, interview and review of documentation, the employee files for two staff members with a hire date of 6/11/2021 did not contain verification of employment eligibility as documented in the Kentucky Applicant Registry and Employment Screening (KARES) or verification that a Child Abuse and Neglect background check had been initiated. The employee files for staff members with hire dates of 9/28/2020 and 3/8/2021 did not contain verification of employment eligibility as documented in KARES or verification that a Criminal Records Check has been initiated. The staff member in charge acknowledged that the verification was not available at the time of the inspection. The aforementioned staff members were not observed working alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the employee file for a staff member with a hire date of 6/11/2021 did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Review of the KARES report on 3/11/2020 revealed four (4) individuals listed as current employees who were determined to be eligible for employment on 4/16/18, 6/26/18, 7/16/19 and 2/7/2020. Interview with the staff member in charge revealed that the aforementioned individuals are no longer employed with the child care center. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented employee records revealed a staff member whose file did not contain a current statement from a health professional stating that she was free of active tuberculosis. Upon request, the staff member in charge did not present a current statement for the aforementioned staff member at the time of the survey. 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: Review of the presented employee records revealed two (2) staff members whose file did not contain documentation to verify that the staff members had completed fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. Upon request, the staff member in charge did not present training documentation for the aforementioned staff members at the time of 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 In Compliance Food Service/Food Program In Compliance 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Review of the presented children’s records revealed a child whose file did not include the name of the child’s physician. Upon request, the staff member in charge did not present the documentation for the aforementioned child at the time of the survey. 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: Review of the presented documentation revealed a staff member whose file did not include a current professional development plan. Upon request, the staff member in charge did not present a current professional development plan for the aforementioned staff member at the time of the survey. 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 11. Staff Requirements.

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files and an ECE-TRIS report failed to reveal 15 cabinet approved training hours for staff members with hire dates of 08/13/98, 08/10/10, and 08/18/98. Interview with staff in charge revealed the documentation was not available at the time of 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 In Compliance Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, and interview, the child care center failed to maintain background checks in accordance with regulations. The file for a staff member with the hire date of 11/15/2016 failed to contain record of a child abuse neglect check, and a state of Kentucky criminal record check. Interview with the director revealed the requested documentation as unavailable at the time of survey. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed the fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for a staff member with the hire date of 11/15/2016. Interview with the director revealed the requested documentation was unavailable at the time of 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 In Compliance Food Service/Food Program In Compliance Food Service 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 child care center failed to comply with regulations regarding posted documentation. Review of posted documentation revealed the Statement of Deficiencies issued by the cabinet and Plan of Corrections submitted by the center during the current licensure year were not posted in a conspicuous place. Animals Not Applicable

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed a staff member with the hire date 8/18/16 did not have written documentation from a health care professional to verify that the individual was free from active TB. Interview with the director revealed she was unable to locate the document.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files and ECE-TRIS revealed a staff member with the hire date 8/18/16 did not complete six (6) hours of cabinet-approved orientation within ninety (90) days of employment. Review of presented staff files and ECE-TRIS revealed a staff member with the hire date 8/13/13 did not complete fifteen (15) hours of cabinet-approved early care and education training. Interview with the director revealed she was not able to verify the training hours were completed. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. The presented earthquake and tornado drill documentation form revealed the child care center did not have written documentation of earthquake and tornado drills conducted for the fourth quarter of 2016 and first quarter of 2017. Interview with the director revealed the earthquake and tornado drills had been conducted; however, she was unable to locate the documentation for the date, time and children who participated in the drills.

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, the child care center failed to maintain written documentation in accordance with regulatory requirements. The presented fire drill form revealed the child care center did not have written documentation of the fire drills conducted for September 2016 and December 2016. Interview with the director revealed the fire drills had been conducted; however, she was unable to locate the documentation for the date, time and children who participated in the drills. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain adequate supervision in accordance with regulations. Observation at 4:15pm revealed a ten-year-old child left the cafeteria which was supervised by the director and was immediately met in the hallway by the assistant director. However, continued observation revealed the assistant director immediately returned into the room that she was supervising, leaving the ten-year-old child to walk alone thru the school hallways out of the scope of vision and range of voice of all staff members for approximately forty-five (45) seconds until she arrived at her classroom which was supervised by a staff member. Staffing Requirements In Compliance Programming 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 Interview and Review of Documentation, the child care center failed to comply with regulatory programming requirements. Interviews revealed a staff member made the following comments in the presence of children in care: (1) “If my mother was here, she would wash your mouth out with soap”; (2) “I just ought to whoop you”; (3) “Back in the day, children were spanked”; and (4) “Shit!” Interviews revealed the staff member did not intend for these comments to be threatening to the children in care; however, further interviews and review of documentation revealed these comments were deemed by some parents as profane, threatening, frightening, or abusive language to their children who were in the care of this staff member. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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, the child care center failed to maintain the children's files in accordance with regulatory requirements. Based on a review of a child's file with an enrollment date of 07/31/15, there was no physician phone number listed to enable a person in charge to contact. Based on an interview with the staff in charge, she also reviewed additional forms for the required information, but stated none of the forms which were available, contained a physician's phone number.

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, the child care center failed to comply with employee documentation requirements. Review of documentation revealed that staff with hire date 8-23-99 had documentation from a health professional that the individual was free from active TB that was not current after 2-12-15. Additional reveiw of documentation revealed that staff with hire date 8-10-10 had documentation from a health professional that the individual was free from active TB that was not current after 6-26-14.

Open Not marked corrected in the state record

Open / not marked corrected.