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

General: Based on observation and interview, the surveyor found there were six (6) infants present in the Infant Classroom, while only five (5) cribs were available for use. Further staff interviews revealed that from 03/27/25 to 04/18/25, a total of seven (7) infants were enrolled in the classroom, exceeding the number of available cribs. The staff member in charge stated an extra crib is available; however, it has not yet been assembled.

922 KAR 2:120 · Correction status not published

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

General: Based on observation, at approximately 9:50 am, the surveyor found the Infant Classroom over-ratio by one (1) child. The staff member stated the children were ages five (5) months to nine (9) months old. She stated that she had been over-ratio for approximately five (5) minutes. Equipment Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 8. General.

General: Based on observation, the surveyor found a roll of toilet tissue on the back of the toilet in the restroom. The storage of toilet tissue in this manner promotes the spread of germs. The staff member in charge stated the toilet dispenser was broken.

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: 12/13/22 and 05/02/23) did not have TB documentation on file.

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, a staff member (DOH:12/13/22) only completed 10.50 hours of early care and education training during the 07/01/23 to 06/30/24 training year.

922 KAR 2:090 · Correction status not published

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

General: Based on observation and interview, the following was found: One-Year-Old Classroom 1) At approximately 10:41 am, the surveyor observed four (4) infants sleeping in bouncy seats. The staff member stated the children were 2 1/2 months to 9 months old and had been asleep for ten (10) minutes. It is important to note, the children did not require an alternate sleep position. The infants were moved to the One-Year-Old Classroom because the Infant Classroom had flooded over the weekend because of torrential rain. The staff had not yet moved the cribs to the One-Year-Old Classroom.

922 KAR 2:120 · Correction status not published

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

General: Based on observation and interview, on 09/18/24 at 4:02 pm the surveyor observed sixteen (16) one- to four-year-old children in the care of two (2) staff members. The staff- to-child ratio for a child age one year is one staff to six (1:6) children with a maximum group size of twelve (12). The staff person in charge of the group indicated that the One- to Two-year-old classroom joined the Preschool classroom at 3:50 pm. A third staff member joined the group and she went inside for approximately one to two (1-2) minutes to grab an item for another child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report General Administration In Compliance Programming In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on observation, there was no written plan and diagram outlining the course of action in the event of a natural or manmade disaster posted anywhere in the facility. Animals Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, several pieces of trash were found on the playground (paper, plastic spoon and several wipes).

922 KAR 2:120 · Correction status not published

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

General: Based on observation, the facility serves an AM and PM snack; however, no menu for these meals was posted. Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation, it was found in the Two's room a chair with elephant print was dirty with stains. It should be noted the children use the chair daily. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Kitchen Requirements Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on observation, in one of the bathrooms by the Indoor play area, the trash can was too full, causing the trash to overflow onto the floor. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the earthquake, tornado, fire, and lockdown drills did not include the names of the children that participated in the drills. Posted Documentation In Compliance Animals In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, it was found that soap, gauze, tape, scissors, working flashlight, first aid book, and a mouthpiece was missing from the first aid kit. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements 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 hired 3/6/23, did not have evidence of a high school diploma, GED, or Commonwealth Child Care Credential 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 3 Inspection Report First Aid/Medication Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, the refrigerator in the One-to-Two-Year-Old room did not have a thermometer. 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

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, a child enrolled 12/14/2021, had an immunization record that was no longer current as of 11/8/2021.

922 KAR 2:090 · Correction status not published

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

General: Based on observation and interview, the posted snack menu did not contain a date; the staff person in charge stated that the posted menu was not current. Meal Planning/Center Does Not Provide Meals 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 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on interview and review of documentation, enrollment paperwork was not available for a child that was present. Therefore, no information for this child was on file. The staff person in charge stated that the child was newly enrolled, and the parents had not yet returned the enrollment form. Additionally, the enrollment form used by the facility did not have an area for guardians to designate a preferred hospital; therefore, a preferred hospital was not documented for the seven children’s files reviewed. Written Documentation In Compliance Posted Documentation Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 8. General.

General: Based on review of documentation, the lesson plan in the Three-to-Five-year-old classroom was not dated; the surveyor was unable to determine whether the posted plan was current. Animals In Compliance

922 KAR 2:090. Section 9. Records.

General: Based on observation and review of documentation, this regulatory requirement was not met. The facility did not have a written staff schedule on file. Posted Documentation Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on observation, this regulatory requirement was not met. The facility did not have a posted written plan of evacuation in the event of a natural or manmade disaster. Animals In Compliance

922 KAR 2:090 · Correction status not published

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 did not have proof of education on file.

922 KAR 2:090 · Correction status not published

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 did not have written evidence of negative TB documentation on file prior to employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

922 KAR 2:090 · Correction status not published

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

General: Based on observation and review of documentation, this regulatory requirement was not met. A staff member did not have written evidence of CPR and first aid training on file, Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication Not In Compliance