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

General: Based on observation, classrooms PK 2A and PK 2B were combined in a large area used for gross motor activities. There were twenty four (24) total children and the youngest child was two (2) years old; therefore, over the maximum group size by four (4) children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 33 Inspection Report

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 8. General.

General: Based on observation: 1.) Unsecured cords from low wall mounted televisions hung within children's reach and ran along the floor to the electrical outlet in classrooms PK 2B and PK 4B. 2.) An unsecured laptop cord hung from the teacher's desk and ran across the floor where it plugged into the wall in classroom PK 4A. 3.) There was an uncovered electric outlet, under the window in classroom PK 4A.

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation, three (3) staff members (DOH: 08/01/17, 09/18/18, and 09/18/20) did not complete the required fifteen (15) hours of annual cabinet- approved early care and education training for the year.

922 KAR 2:090 · Correction status not published

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

General: Based on observation, there was a stapler and multiple pairs of scissors accessible to children within classroom PK 4A. These items were not in use during the inspection of the classroom.

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 8. General.

General: Based on observation, there were several plastic grocery bags being stored in a basket next to the changing table. The bags were accessible to children in care. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Employee Records Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation, the following was found: 1) Two staff members (DOH:11/28/22,03/06/23) did not complete the required Orientation. This staff member has been employed for more than three months. 2) Two staff members (DOH:11/28/22,03/06/23) did not complete the required PAHT training. This staff member has been employed for more than one year. 3) A staff member (DOH:08/11/22) completed PAHT training on 12/27/18; however, did not renew the training due 12/27/23. 4) Sixteen (16) out of the seventeen (17) eligible employees (03/15/95,09/18/18,08/01/20,08/01/17,08/01/20,09/28/20,08/11/22,10/11/18,08/19/19,11/01/21,08/19/20,03/06/23,11/27/17,08/01/20,07/15/20,11/28/22) did not have evidence of completing fifteen (15) hours of annual early care and education training on file in the facility. A review of ECE-TRIS confirmed these findings. Programming In Compliance Premises In Compliance Hygienic Practices Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation, two (2) staff members (DOH:11/28/22,07/01/23) did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file at the facility.

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation in the Infant room, there was a soiled diaper in a trash can with no lid. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

922 KAR 2:120 · Correction status not published

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

General: Based on review of documentation, the following was found: 1.) A staff member hired 8/11/2022, did not complete the required Orientation. This staff member has been employed for more than three (3) months. The ECE-TRIS system was reviewed. 2.) A staff member hired 8/16/2016, completed PAHT training on 5/3/2017; however, they did not renew the training due 5/3/2022. The ECE-TRIS system was reviewed. 3.) A staff member hired 11/27/2017, completed PAHT training on 12/13/2017; however, they did not renew the training due 12/13/2022. The ECE-TRIS system was reviewed. 4.) Fourteen (14) out of fifteen (15) staff members eligible (8/19/2019, 7/24/2019, 3/15/1995, 8/1/2020, 8/1/2020, 8/1/2017, 9/18/2018, 7/15/2020, 8/19/2020, 9/28/2020, 8/16/2016, 8/1/2020, 11/27/2017, and 11/1/2021) did not have evidence of completing fifteen (15) hours of annual early care and education training on file in the facility. A review of ECE-TRIS records supports the information found during the survey. Programming Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 8. Kitchen Requirements.

General: Based on observation, the refrigerators being used for the children in the Infant, Pre-K 3B, and Pre-K 2A rooms did not contain an indicating thermometer. It could not be determined that the interior temperature of the refrigerators was 40 degrees or below. 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

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

General: Based on review of documentation, this regulatory requirement was not met. The facility did not have a written policy that states the staff will implement the procedures that they were taught in orientation training. Posted Documentation In Compliance Animals In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on review of documentation, this regulatory requirement was not met. Three staff did not have evaluations on file. These staff were hired on 8/01/2020 (2 staff), and a substitute hired on 7/15/2020. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The following was found: 1. A staff member hired on 8/01/2020, was not listed on the facility’s KARES background check report. The staff in charge indicated that this staff member previously worked at another center in town, and she had not transferred them over to this center. A review of the KARES report from the other center showed that the staff member had separated from employment. The facility had a copy of a child abuse/neglect and criminal records check on file for this staff member. The staff member was not working alone with the children during the renewal inspection. 2. A staff member hired on 9/28/2020, was not listed on the facility’s KARES background check report. The staff in charge indicated that this staff member previously worked at another center in town, and she had not transferred them over to this center. A review of the KARES report from the other center showed that the staff member had separated from employment. The facility had a copy of a KARES report from the other center that was dated 3/07/2018. This staff member was not working alone with the children during the renewal inspection. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

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

General: Based on observation in the infant/toddler classroom, the surveyor found sheets that were not formfitting to three crib mattresses. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 8. Kitchen Requirements.

General: Based on observation, the surveyor found that there were no temperature measuring devices in refrigerators located in the following classrooms: Pre-K A, Pre-K D, Pre-K 2 A, Pre-K 3 B, and Infant/Toddler. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on observation and review of documentation, staff hired on 8/21/2020, 9/1/2020, 10/26/2020, and 4/1/2021, did not have the results of background checks before being left alone with children. The surveyor observed the staff working alone with children during the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, two staff hired on 9/1/2020, and one staff hired on 4/1/2021, did not have a personnel file available for review.

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, there were no arrival and departure times being recorded for the children in the facility. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Emergency Regulation Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, the following was found: 1. A staff person's purse was sitting on the floor beside a desk in the Pre-K, 2-B classroom. 2. A staff person's purse was being stored on top of the nap mats under an open counter in the Pre-K, 4-B classroom. These items were accessible to the children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on review of documentation, staff person hired 8/1/2020, did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file in the facility. Programming In Compliance Premises Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, the nap mats throughout the facility were only one-inch thick. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

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

General: Based on observation, this regulatory requirement was not met. In Pre-K A it was found that the first aid kit is stored on the bottom shelf of an open storage unit located by the door as you enter the room. This method of storage allows the first aid supplies to be accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, this regulatory requirement was not met. A review of eleven (11) staff files found four (4) newly hired staff that did not have a documented date of hire. An interview with the director found that she is using the date the staff person became eligible for hire in the KAERS system as their date of hire.

922 KAR 2:090 · Correction status not published

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

General: Based on observation, this regulatory requirement was not met. 1) In Pre-K B which contained children ages two to three (2-3) years old, a bottle of Restore supplement and a bottle of D3 supplement were observed in a shlef by the teacher's desk. The shelf was located at a height that made the bottles of supplement accessible to the children. The label on the bottles contained a warning to keep out of reach of children. 2) In Pre-K 3 an adult screwdriver was found in a drawer in a cabinet located where the sink is located. A bottle of correction fluid was also found in another drawer in the same area. It should be noted that there were no child safety locks on the drawers, making the items accessible to the children. 3) In Pre-K 3 an open can of Diet Coke was found on the counter by the sink. The can of Diet Coke was accessible to the children. In the same room there was a drawer in a cabinet located beside a dry erase board. Inside the drawer were several empty plastic Kroger bags. There was not a child safety lock on the drawer, making the plastic bags accessible to the children. 4) In pre-K 4 A bottles of correction fluid were found in two (2) drawers in a long built-in cabinet along the wall as you come into the room. A pair of adult scissors was also found. There were no child safety locks, making the items accessible to the children. In the bathroom in this same classroom, a Whole Foods grocery bag was observed by a green cabinet. Inside the bag were several empty plastic Kroger bags. The bags were accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

922 KAR 2:090. Section 9. Records.

General: Based on Review of Documentation, the surveyor found two (2) children enrolled on 8/16/17 had immunization documentation on file that was no longer valid as of 10/31/17 and 2/28/18. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

922 KAR 2:090 · Correction status not published

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

General: Based on Review of Documentation and ECE-TRIS, the surveyor found the following: (1) A staff person hired on 3/15/1995 only had one (1) hour of Early Care and Education Training. (2) A staff person hired on 2/15/2017 did not complete the six (6) hour orientation training and the Abusive Pediatric Head Trauma training. This staff person has not completed any of the required fifteen (15) hours of Early Care and Education 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/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 Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on Observation, it was found that two (2) employees hired on 8-16-16 were working together in a Two Year Old classroom. One (1) of these employees did not have a completed criminal records check on file. Neither of these employees had a completed central registry check on file. Employee Records Not In Compliance

922 KAR 2:110 · Correction status not published

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

General: Based on Observation, it was found that a schedule of daily activities was not posted in the Two Year Old classroom or the Pre-K 3 classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

922 KAR 2:110 · Correction status not published

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

General: Based on Observation, it was found that a plunger in the bathroom located in the Two Year Old classroom was accessible to the children. In addition, it was found that the children's coats in the Pre-K 3 classroom were overlapping while hanging on the wall hooks. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

922 KAR 2:110 · Correction status not published

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

General: Based on Observation, it was found that the diapering and handwashing procedures were not posted at the diaper changing station located in the Two Year Old classroom. Animals Not Applicable

922 KAR 2:120 · Correction status not published

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

General: Based on Review of Documentation, it was found that the file for an employee hired on 9-1-08 did not contain evidence of a TB skin test or screening. It was also found that the files for two (2) employees hired on 1-4-16 contained the results of TB skin tests or screenings that were completed on 2-12-16 and 2-19-16. These dates are not prior to date of hire as required by the regulation.

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, it was found that the files and ECE-TRIS records for employees hired on 9-1-08, 8-1-02 and 4-18-13 contained evidence of seven (7), zero (0) and zero (0) hours of training being completed during the last completed training year. It was also found that the files and ECE-TRIS records for employees hired on 4-18-14 and 4-18-13 did not contain evidence of the pediatric abusive head trauma training being completed. 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

922 KAR 2:110 · Correction status not published

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, it was found that the files for two (2) employees did not contain evidence of a professional development plan being completed.

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, it was found that the files for four (4) eligible employees did not contain evidence of annual professional development plans being completed.

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, it was found that the file for an employee hired on 9-1-08 contained the results of a TB skin test that was read on 4-23-12. The file for an employee hired on 4-18-13 contained the results of a TB skin test that was read on 8-24-12. The file for an employee hired on 10-15-13 contained the results of a TB skin test that was read on 3-4-13. These dates are not within the two (2) year timeframe required by the regulation.

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, it was found that the files for employees hired on 9-1-08, 8-1-02 and 4-9-12 contained evidence of only six (6), zero (0) and twelve (12) hours of annual training being completed during the last completed training year. The file for an employee hired on 4-18-13 contained evidence of zero (0) additional training hours being completed during the first year of employment. The files for employees hired on 4-18-13 and 10-15-13 did not contain evidence of the pediatric abusive head trauma training being completed within the first year of employment. 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

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, one (1) staff person (hire date: 3/12/13) eligible for an annual professional development plan did not have documentation of a plan on file in the facility.

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, and interview, one (1) staff person (hire date: 4/18/14) did not have a completed child abuse/neglect check (CAN) on file. The staff person in charge stated that this person started working at the facility as a high school co-op student volunteer September 2013 and indicated that the person was under 18 years old at the time. The staff person in charge clarified by stating that a new CAN check was not submitted for processing when the person, who is now eighteen (18) years old, was hired as a staff person on 4/18/14. The staff person in charge stated that this staff person never works alone with the children.

922 KAR 2:090 · Correction status not published

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

General: Based on Review of Documentation, two (2) staff files (hire dates: 8/1/02 and 3/13/12) did not contain the required fifteen (15) hours of training. 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

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

General: Based on Review of Documentation, it could not be verified if the facility is in compliance with local zoning laws due to documentation to verify zoning approval not being available for review at the time of the survey. 210 - Construction/Renovation Notification Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (19) The Department of Housing, Buildings and Construction, State Fire Marshal's Office, and cabinet shall be contacted concerning a planned new building, addition, or major renovation prior to construction.

922 KAR 2:120 · Correction status not published

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

General: Based on Review of Documentation, there was one (1) staff person hired 4/9/12 and another staff person hired 3/13/12 who did not have evidence of a high school diploma, GED or other qualifying documentation on file.

922 KAR 2:110 · Correction status not published

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, a review of ten (10) children's files found one (1) child enrolled 9/9/12 who did not have a current immunization certificate on file.

922 KAR 2:110 · Correction status not published

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, the names of the children who particiated in earthquake and tornado drills for 2013 were not available for review at the time of the survey.

922 KAR 2:110 · Correction status not published

922 KAR 2:110 - Section 5 (1)

General: Based on Review of Documentation, it was found that two (2) staff files out of nine (9) staff files reviewed did not have evidence of a TB skin test. It was also found that two (2) staff files out of nine (9) staff files reviewed had evidence of a TB skin test that was obtained past the required time frame. One (1) employee hired 03/15/2012 did not receive a TB skin test until 04/10/2012. Another employee hired 04/09/2012 did not have a TB skin test read until 04/10/2012. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, it found that two (2) staff persons (hire dates 08/2002 and 09/2008) did not have evidence of the required 15 hours of annual training. 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance