922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on interview and review of documentation, an employee with a date of hire 5/5/2018, was not listed in the center's Kentucky Applicant Registry and Employment Screening (KARES) report and was confirmed by the center owner/director to be a current employee. Based on an interview with the center owner/director, there is one (1) adult living in the home who was not listed in KARES. The adult is the owner's husband. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on review of documentation, a copy of the Kentucky child care administrative regulations, 922 KAR 2:090, 922 KAR 2:280, and 922: KAR 2:120 were not presented for review at the time of the inspection. 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: 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, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed one (1) staff with date of hire 5/5/2018, did not complete Cardiopulmonary Resuscitation (CPR) and First Aid training as required by state regulations. A review of ECE-TRIS confirmed these findings. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance 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, the center failed to maintain the outdoor play area in accordance with regulations. Observation revealed an exposed screw protruding from the bottom of the fence into an area of broken concrete beside a kids' Little Tykes picnic table. Equipment 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 6. Sleeping and Napping Requirements.

General: Based on observation, the childcare center failed to maintain proper cot spacing in accordance with regulation 922 KAR 2:120, section six (6). The center failed to ensure two cots in use at the time of survey were spaced at least twelve (12) inches apart for allowance of proper and safe movement.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a high chair located in the child care kitchen no longer contained the safety restraint straps. A remnant of the straps remained on the seat surface; however, the remainder of the straps had been removed. Interview confirmed that the high chair was utilized by an enrolled child. Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the childcare center failed to maintain clean and sanitary kitchen equipment in accordance with regulations. Observation of the kitchen revealed debris/food build-up in the interior of the stove. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, a two-year-old child was eating a banana without being seated, while walking around the programming area. 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: Per interview with supervising staff, lunch consisted of macaroni and cheese, bread, peas, and milk. No second vegetable or fruit was served, which is required per regulation 922 KAR 2:120. 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 observation, interview, and review of documentation, the childcare center failed to maintain written documentation in accordance with regulations. Observation of the center on 08/23/22, revealed seven (7) children were present; however, review of attendance records for 08/23/22, revealed only five (5) children were signed in. Interview with owner/director revealed two (2) children had not been signed-in when they arrived for school that morning.

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 interview and review of documentation, the childcare center did not have a copy of an orientation procedure. Based on an interview with the center owner/director, she would only verbalize the orientation procedure and did not have a printed copy for employees. 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 including the KARES system, it was found that an adult who resides in the home did not have a background check in accordance with 922 KAR 2:280 and had not completed the fingerprint based background check. The staff person in charge indicated the adult resides in the home but is not around the children. 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: Based on review of documentation, a staff person hired 5/5/2018 had the results of a T.B. test read on 8/18/2018. This exceeds the two-year-time frame for the results of a negative T.B. test and is no longer current. There was no other documentation on file at the facility to verify the staff person is free from the signs and symptoms of T.B. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices 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. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, a pull down diaper changing station located in the bathroom had a thin pad. The staff person in charge stated the other side of the pad was nonabsorbent and demonstrated by putting water on the surface and then wiped the surface with a dry paper towel. The surveyor felt the surface of the pad and found that the surface of the pad was still wet. Therefore, the pad was not made of a nonabsorbent material. There were children present who are not toilet trained and wear a diaper or pull-up. 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: Based on observation, during an inspection of the outdoor play area several broken pieces of plastic landscape edging were found scattered in an area where the steps leading to the deck are located. Some of the pieces had sharp edges. This space is accessible to the children. It should be noted that the provider removed the broken pieces while outside with the surveyor. Equipment 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 11. Toys and Furnishings.

General: Based on observation, there was a blue, vinyl covered child-sized couch in disrepair. There were areas along the seat and arms that were worn, exposing the mesh beneath the vinyl. This does not allow the couch to be properly cleaned and sanitized.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on observation, during an inspection of the outdoor play area the third step on a Little Tikes brand plastic climber was in disrepair. The step was cracked and broken. Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on observation, the storage space located underneath the sink in the children’s restroom had an accumulation of dirt and grime. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a mounted diaper changing station in the restroom. The surface was not padded. The director presented a disposable pad that she uses underneath the children when diapering. She stated she then disposes of the pad after each diaper change. The disposable pads presented were of absorbent material. 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 In Compliance Written Documentation 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 3. General Requirements.

General: Based on interview and review of documentation, a fire drill was not documentated for the month of April 2019. The director indicated that she forgot to document the fire drill. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the earthquake, tornado and fire drills were documented each month but only had one (1) time listed as if they were all completed at the same time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.