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

General: Based on observation, an extension cord within the Preschool classroom had electrical outlets that were not protected/covered. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 4/21/2022, did not have evidence of completing the required CPR/First Aid training. This staff member has been employed more than three months. A review of ECE-TRIS confirmed this finding. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Staff member hired 8/14/2019, only completed one out of 15 hours of cabinet-approved early care and education training for the July 1, 2021, to June 30th, 2022 training year. 2.) Staff member hired 8/16/2021, only completed 13 out of 15 hours of cabinet-approved early care and education training for the August 16, 2021, to August 16, 2022 training year. A review of ECE-TRIS supports these findings. 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 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 3. General Requirements.

General: Based on review of documentation, the following was found: 1.) There was no written evidence to indicate that a fire drill had been practiced in January of 2023. 2.) There was no written evidence to indicate that a lockdown drill had been practiced in the fourth quarter of 2022. 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 3. General Requirements.

General: Based on observation during a tour of the facility, the following was found: 1) In the Early Preschool Room, a spray bottle with the words "bleach water" written on the side was stored in an open compartment on the diaper changing station. 2) In the boys' bathroom located in the hallway near the indoor gross motor room, a can of Oder Eliminator was stored in a low unlocked cabinet. The label on the can indicates to keep out of the reach of children. Both items were within reach of the children.

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 ECE-Tris records, a staff person hired 9/24/2020, did not complete six hours of cabinet-approved orientation training until 2/13/2021. The training was not completed within the first three months of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 during a tour of the facility, the following was found: 1) Two water-stained ceiling tiles were found in the Toddler I room. 2) In the Toddler II room, scuff marks and areas of chipping and peeling paint were found on the surface of the walls. 3) In the Early Preschool room, a long indention was found in the wall near one of the shelves. Hygienic Practices 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 interview, it was found that one staff person indicated that toys that are mouthed by children not toilet trained are placed in a bucket of bleach water to soak and then removed and placed on a towel to air dry. This process does not meet the requirement for cleaning and sanitizing toys mouthed by children not toilet trained. First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the following was found: 1) In the girls' bathroom located beside the gross motor room, a tube of Aquaphor healing ointment was found stored in an unlocked cabinet. The tube of ointment was not labeled for an individual child or adult. 2) In the Toddler II room, a container of Aquaphor healing ointment was found stored in an open compartment on the diaper-changing table. All medication is required to be labeled for an individual and stored in a locked container or area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 In Compliance Animals Not Applicable Emergency Regulation In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, this regulatory requirement was not met. A review of eleven (11) staff files found one (1) staff person had evidence of living in the state of Texas during the last five years. Further review of documentation found that an out of state background check for the state of Texas had not been obtained. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 10. Director Requirements and Responsibilities.

General: Based on observation, this regulatory requirement was not met. During a tour of the facility the following was observed. 1) A toilet plunger was found by the toilet in the first stall in the boy's bathroom located near the facility office. 2) A toilet plunger was found by the toilet in the first stall in the girls' bathroom located near the facility office. 3) In the Toddler II room there were large vinyl blocks in various shapes for children to walk and climb on. These blocks were observed in the corner of the room near a low wooden shelf. One (1) of the blocks, shaped like a triangle, was placed on the floor to form a ramp to the other blocks. Some of the children were observed running down the ramp. Due to the location of the end of the ramp and the position of the shelf there was not enough space to keep a child from hitting the shelf if they should happen to fall. 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, this regulatory requirement was not met. A review of eleven (11) staff files found one (1) staff person with a hire date of 10/11/18 did not have a copy of a high school diploma, GED or other qualifying documentation on file at the facility.

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, this regulatory requirement was not met. A review of eleven (11) staff files found one (1) staff person with a hire date of 8/15/18 who had the results of a T.B. test read on 3/2/19. This date is after the employee's date of hire and not prior to the date of hire as stated in this regulation. There was no other documentation on file to verify that a T.B. test had been completed prior to employment.

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, this regulatory requirement was not met. 1) A staff person hired 2/22/02 had documentation of completing pediatric abusive head trauma training on 10/30/13. There was no documentation to verify this staff person had completed this training once every five (5) years. 2) A staff person hired 3/9/12 had evidence of completing pediatric abusive head trauma training on 12/12/13. There was no documentation to verify this staff person had completed this training once every five (5) years. 3) A staff person hired 4/6/15 had evidence of completing pediatric abusive head trauma training on 8/12/13. There was no documentation to verify this staff person had completed this training once every five (5) years. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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, this regulatory requirement was not met. During a tour of the facility the following was found: 1) in the preschool room a water stained ceiling tile was found in one corner of the classroom. 2) Dusty ceiling vents were found in each of the classrooms. 3) In Toddler II there were areas of chipping and peeling paint on the wall where the tables were located. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance 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, this regulatory requirement was not met. On the large playground there was a tall stationary climber in the middle of the play area. There was a red plastic side panel on the side close to the sand box that was cracked and broken where it was attached to a metal support bar. Colored duct tape had been used to repair the crack and was starting to fray at the edges. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on Review of Documentation and the Training Records Information System (TRIS), one (1) staff file (hire date: 3/7/16) did not contain the required fifteen (15) hours of training. 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 3. General Requirements.

General: Based on Observation, this regulatory requirement was not met. During a tour of the Social Hall/Gross Motor Room the surveyor observed two (2) large containers (sixty- seven (67) ounces each) of Germ X hand sanitizer with pumps sitting on a table near the entrance/exit door. These bottles were both labeled "Keep Out of Reach of Children"; however, were accessible to the children playing in the gym during the visit. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation, this regulatory requirement was not met. During a tour of the facility the surveyor observed one (1) stained ceiling tile in the Toddler 1 classroom and two (2) stained ceiling tiles in the entrance to the Social Hall/Gross Motor Room. 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 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 8. Kitchen Requirements.

General: Based on Observation and interview, the facility failed to ensure eating and drinking utensils be clean and sanitary. During a tour of the preschool classroom the surveyor observed a staff person washing sippy cups by hand in the classroom sink. This process does not meet the requirement of the regulation because the items are not sanitized. The staff person in charge stated during interview that the plates used by one (1) year olds during meal times are also washed by hand after each meal. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation and interview, this regulatory requirement was not met. One (1) child (enrollment date: 11/25/17) had an immunization certificate on file that was no longer current as of 3/21/18. The staff person in charge stated that she would contact the parents and request the updated records if she could not locate a current copy. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, this regulatory requirement was not met. A review of the 4/16/18 attendance records during the visit found that thirty-three (33) children were present in the facility; however, only twenty-four (24) of them had an arrival time documented. Posted Documentation In Compliance Animals 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 6. License Issuance.

General: Based on Review of Documentation, staff person hired 3/28/17 had the results of a criminal records check dated 3/30/17. There was no evidence on file that the application for the check had been submitted prior to employment as required.

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, staff person hired 2/22/02 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years. 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 In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Observation, during a tour of the facility the snack served for the day was posted on the doors of the Toddler and Toddler II rooms. One (1) of the components served for snack were raisins. Raisins are a choking hazard for toddlers. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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 ECE-TRIS records, there was one (1) staff person with a hire date of 8/23/00 who only had evidence of having completed fourteen (14) hours of training for the 2014-2015 training year. During an interview with the staff person who is also in charge of going through the staff files and assuring everything is current indicated that she was sure she had completed fifteen (15) hours of training. However, additional documentation could not be found. 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

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on Observation, during a tour of Toddler II there were six (6) children ages one (1) to two (2) years old in the room. An interview with staff found that three (3) of the children are two (2) years old. During an interview with the staff person in charge it was indicated that these children are enrolled in the classroom and remain in the room all day. The staff person in charge also indicated that there is not room to move the two (2) year old children into an older room. The staff person in charge stated further becasue they operate during the school year only she did not want to move the children to another room for only a few months. There was not a transition plan for these children. 420 - Infant Sleep Position Not Applicable 922 KAR 2:120. Section 6. Sleeping and Napping Requirements. (1) An infant shall sleep or nap on the infant’s back unless the infant’s health professional signs a waiver that states the infant requires an alternate sleeping position.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, at the time of the survey lunch was observed being served in the Early Preschool room. The children's drinks were observed lined up along the edge of the counter. Children were heard asking the staff person for something to drink and the staff were respond, "Just a momnet. Eat a few more bites please." During an interview with the staff person in charge it was indicated that the staff person wanted to make sure the children ate their food and did not fill up on liquid.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Observation, during a tour of the Toddler II room a water stained ceiling tile was observed near one (1) of the light fixtures. During an interview with the staff person in charge it was indicated that a leak had been found and that an order has been placed to replace the ceiling tile.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Interview, with the staff person in charge it was found that the parents are responsible for providing lunch for their child each day. Lunch was observed being served in the Early Preschool room. The following individual lunches were observed that did not have the required components for lunch; corn, orange, bagel with cream cheese and watermelon fruit juice; pretzels, popcorn and strawberries; macaroni and cheese, yogurt and a roll. An interview with the staff person in the room found that if the child did not bring anything to drink or brought somthing other than milk they will offer them water to drink with their meal. An interview with the staff person in charge found that they had cheese sticks and bananas available for those children as a suppliment to those lunches that did not meet the requirements. However, the staff person in this room was not observed serving these items to those children whose lunches did not meet the requirements. Children's Records

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Observation, during a tour of the preschool room several fish were observed in a fish tank. During an interview with the staff person in charge it was found that the fish had only been at the facility for approxiamtely one (1) month and they had not gotten written permission from the children's parents allowing the fish to be in the classroom.

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 surveyor found the indicating thermometer located in the refrigerator had a reading of fifty (50) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the surveyor observed a gallon of 2% milk in the refrigerator. It was revealed that children ages two (2) years old to school age are being served the 2% milk instead of 1% or skim milk. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk provided by the parent shall be prepared and labeled.

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, the surveyor found that ten (10) children's files did not have the parent's preferred hospital information documented. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on Review of Documentation, one (1) employee (hire date: 1/2/12) file contained results of a negative T.B. test that is no longer current. The employee's test result was dated 3/2/10 which exceeds the two (2) year time frame. 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, one (1) file did not contain the required fifteen (15) hours of cabinet-approved training during each year of employment. The file was for a staff person hired 2/15/11. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 Web site: http://chfs.ky.gov/ Inspection Report 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 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

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, one (1) staff person (hire date: 3/12/12) did not have evidence of a high school diploma, GED, or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on Review of Documentation, one (1) child (enrollment date: 7/29/11) had an immunization certificate that was no longer current as of 2/28/12.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.