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

General: Based on review of documentation, three (3) staff members (DOH: 07/01/24, two (2) hired on 07/15/24) did not have proof of education on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation, paperwork presented for a staff member (DOH: 08/01/00), included the most recent TB skin test dated 06/29/22, which was no longer current on the day of the survey (08/22/24). 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 In Compliance Animals In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 8. General.

General: Based on observation, the boys' and girls' hall restrooms in the basement both contained an unprotected electrical outlet next to the handwashing sinks. Director Requirements In Compliance 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, it was found that one staff person did not have proof of education in their personnel file. The date of hire for this staff is 01/04/2021.

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.) One staff member did not complete 15 hours of training from 07/01/2020 to 06/30/2021. This staff member only completed 13.5 hours of training. The date of hire for this staff member is 07/20/2020. 2.) One staff member hired 07/20/2020 did not take the Orientation I and II courses within three months of employment. The courses were taken 2/21/21. A review of ECE-TRIS confirmed these findings. Programming In Compliance Premises Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, this regulatory requirement was not met. The following was found: 1. An empty/ uncovered receptacle box was observed on the wall in Room 140. 2. A vent covering in the bathroom of Room 147 was not secured properly to the ceiling. 3. Stained ceiling tiles were observed in Room 143 and Room 135. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on observation in Room 85, the children were eating snack. Some snacks the children were eating did not meet the requirement of two components being served. Food Service In Compliance Children's Records Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on observation, there were two ceiling tiles in Room 85 that were warped and stained due to water damage. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service/Food Program Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on observation and review of documentation, two children did not have physician's contact information on file. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, 1.) During the tour of the three-year-old classroom, the surveyor observed two spray bottles of cleaning fluid located on the counter beside the children’s handwashing sink. There was an unlocked cabinet door underneath this cabinet that housed three containers of Clorox cleaning wipes labeled, “Keep out of reach of children." 2.) The preschool classroom had an unlocked closet door. The surveyor opened the door and observed two canisters of Clorox cleaning wipes, a large bottle of hand-sanitizer, and a bottle of nail polish remover. These items were labeled, “Keep out of reach of children." These items were accessible to the children in care. Hygienic Practices In Compliance Outdoor Play Area In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

922 KAR 2:120 · Correction status not published

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

General: Based on observation during a tour of the facility, the surveyor observed one uncovered outlet in the three year old room and one uncovered outlet in the preschool classroom. Premises Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, this regulatory requirement was not met. An inspection of the outdoor playground located near the gym found that the mulch under a Hippo shaped climber and a caterpillar shaped climber was sparse. The dirt under and around the climbers could be seen through the mulch. Equipment Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on observation and review of documentation, this regulatory requirement was not met. A review of ten (10) children's enrollment information found one (1) child's information did not include a preferred hospital. The space allocated for this documentation had been left blank. Written Documentation Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 12. Reports.

General: Based on observation and interview, this regulatory requirement was not met. At the time of the survey an interview with the staff person in charge found that Room 116 is currently used as a music room once a week. It was also found through interview that this room is not part of the facility's licensed space. At the time of the survey a group of children and staff were observed participating in music activities in that area. Director Requirements Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation in Preschool G135 a pull down diaper changing station was observed mounted to the wall beside the sink located in the classroom. It was found that there was not a padded nonporous surface on the changing table. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

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

General: Based on observation, and interview, this regulatory requirement was not met. The following was found: 1. The staff person in charge stated during interview that on 4/9/19 or 4/10/19 a group of children went outside to play on the playground. A staff person expressed a concern to her about the children being on the playground while construction workers were in the surrounding area; therefore, she went outside and instructed the group to come back inside. This HSS toured the area during the visit and observed that one side of the playground fence (approximately twenty (20) - thirty (30) feet) had been removed and orange, plastic temporary fencing had been installed in its place. No construction materials were observed directly inside the playground space; however, materials were observed in the area that the children and staff have to walk through to get to the playground. The surveyor observed a large ladder leaning up against the building, scaffolding in the corner of the building where bricks were being removed, numerous bricks and concrete blocks observed lying on the ground, a backhoe parked in the parking lot beside the playground, orange cones and yellow caution tape used to block the area on the opposite side of the orange temporary fencing and large pieces of wood in the area. 2. The staff person in charge stated during interview that on 4/9/19 or 4/10/19 a group of children walked through a hallway that leads to the gym and had to step over an electrical cord that was lying across the hallway. Construction workers were working in the ceiling area of the hallway at the time as the children walked through. The staff person in charge that she was not aware of construction going on in the hallway until a staff person brought it to her attention. She stated that she immediately notified staff not to use the area and created a new path for groups to use to access the gym. 3. A tour of the gym during the visit found that one (1) corner had plastic mounted from the ceiling to the floor to create a barrier from the area currently under construction and the opposite corner of the gym had exposed concrete bricks due to drywall that had been removed. These two (2) areas are accessible to the children while they are playing in the gym. There was no barrier to prevent them from having access.

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

General: Based on review of documentation presented for review, the surveyor found one (1) staff person hired 8/1/16 did not have a copy of a high school diploma, GED or other qualifying docmentation on file at the facility. During an interview with the staff person in charge, it was found that this staff person is a substitute.

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation presented for review at the time of the survey and a review of ECE-Tris records, a staff person hired 10/21/02 completed pediatric abusive head trauma training on 4/20/13. This staff person took this required training again on 9/14/18. This exceeds the five (5) year time frame for renewal of pediatric abusive head trauma 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 Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, the following was found: 1) The gross motor space contained chairs stacked with multiple chairs creating a climbing/fall danger. 2) The gross motor space contained a large plastic bag on the basketball goal accessible to children. 3) Room 147 had an unlocked closet that contained cleaner on the floor accessible to children. 4) Room 147 had a heater on the floor accesible to children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

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

General: Based on Observation, Room #147 contained a vent cover in the bathroom ceiling that was not attached properly. 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 2:110. Section 3. Records.

General: Based on Review of Documentation, two (2) children's files (enrollment date: 2/8/17) did not contain contact information regarding a designated pick-up person. Written Documentation In Compliance Posted Documentation Not In Compliance

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, a staff person hired on 9/21/05 had TB skin documentation on file that was no longer valid as of 8/12/15. This staff person was observed working with children in the facility's licensed classroom on the day of the inspection. The director stated that the staff person was a substitute.

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, a staff person hired on 8/17/17 only had a national background check on file that had been submitted through the Protect My Ministry organization. The staff person had a child abuse/ neglect check (CA/N) document on file that only had the staff person’s signature and date which was 1/16/16. Also, there was no documentation on file to suggest that a criminal records check (CRC) had been requested. Based on interview, the director stated that she never submitted the CA/N check or a CRC because she thought that the national background check that the church requires would count for both the CA/N check and CRC. In short, the background checks (CA/N and CRC) had not been requested in accordance with KRS 17.165 and 922 KAR 1:470. It is important to note that this staff person was not observed working alone with children on the day of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

922 KAR 2:110. Section 3. Records.

General: Based on Observation, child enrolled 3/17/16 did not have a physician’s name and contact information or a preferred hospital on file in the facility.

922 KAR 2:110 · Correction status not published

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

General: Based on Observation, 1. A staff person's purse was observed on a lower shelf in Room 140. The purse was accessible to the children in care. 2. A staff person's purse was observed on the floor near the Circle Time area in Room 127. The purse was accessible to the children in care.

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, it was found that eight (8) out of ten (10) childrens' files reviewed did not contain a physician's name and/or telephone number. Ten (10) out of ten (10) childrens' files reviewed did not contain information regarding the parents' preferred hospital.

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, staff member hired on 08/19/15 did not have a child abuse and neglect check on file. The staff member was not working alone the day of the survey.

922 KAR 2:090 · Correction status not published

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

General: Based on Review of Documentation, staff members hired on 01/05/15 and 08/19/15 did not have the education requirement on file.

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, staff member hired on 08/19/15 did not have the six (6) hour Orientation I and II on file.

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 three (3) staff files out of twelve (12) staff files reviewed did not have evidence of the required 15 hours of annual training hours. The dates of hire for the staff were 02/21/2003, 08/27/2001 and 07/21/2005. 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 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; 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 5 Staff Requirements.

General: Based on Review of Documentation, there were two (2) staff hired 8/09 who did not have a high school diploma or GED or other qualifying documentation file at the facility.

922 KAR 2:110 · Correction status not published