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 staff member hired on 11/15/2021 did not complete any of the fifteen (15) early-care and education training hours between 07/01/2021 and 6/30/2022. The ECE-TRIS system was reviewed and confirmed 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals 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 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation and review of documentation, this regulatory requirement was not met. The facility provides AM snack to the children. The facility did not have a posted AM snack menu for May. An AM snack menu was located for March and April in a binder. 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 2:120 · 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 orientation policy stating that the staff will implement the procedures taught in Orientation training. 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 3. General Requirements.

General: Based on observation, a staff members purse was found in an unlocked cabinet in the preschool classroom. The purse was easily accessible to the children. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

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, there is a large wooden planter approximately three feet away from a rock wall climbing structure on the playground. There is not enough distance between the planter and the climbing structure for an appropriate fall zone. 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 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 8. General.

General: Based on observation, there were numerous cloth tote bags with the children's personal belongings hanging on hooks on the walls in the Primary Classroom. Multiple bags were hung on each hook; therefore, they were overlapping and touching. Individual items stored in this manner allow the spread of germs and contamination. It should be noted this same deficiency was cited at the renewal visit on 10/28/2020. 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 9. Records.

General: Based on observation, there were several staff members without hire dates listed on file. The staff person in charge had to call another staff person to find out the hire dates for those staff members. The staff person in charge stated that two of the staff in question were hired on either 09/17/2021 or 09/18/2021. This deficiency was cited at the renewal inspection on 10/28/2020. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

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, two staff hired 09/17/21 or 09/18/21 (an exact hire date could not be determined by the staff person in charge) and one staff hired 08/24/21 did not have education documentation on file.

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, two staff hired 09/17/21 or 09/18/21 (an exact hire date could not be determined by the staff person in charge) and two other staff hired on 08/24/21 and 07/02/21 did not have documenation on file from a health care professional stating that they were free of active tuberculosis.

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, one staff did not have the required fifteen (15) hours of cabinet approved training on file. This was verified through ECE-TRIS. 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, a bottle of Lysol Toilet Bowl cleaner was found in an unlocked sink cabinet located in the Toddler classroom. The cleaner was accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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, the following was found: 1) There was a light out above the urinal in the Toddler classroom bathroom. 2) The overhead light in the Preschool classroom bathroom was out and the only light available in the bathroom was two night lights plugged in above the toilet.

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, the exhaust fan in the Toddler classroom was covered in dust. Hygienic Practices In Compliance First Aid/Medication 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 7. First Aid and Medicine.

General: Based on observation, a container of Matys Organic Diaper Rash Relief was found in an unloced drawer in the Toddler classroom. The container stated to keep out of reach of children. The container was accessible to the children. Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, there was dirty standing water in a blue boat that had a black tarp over it and there was dirty water found in a small water table. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

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, there was mostly dirt and no mulch found at the base of the blue slide. Equipment In Compliance Transportation In Compliance 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, there was no thermometer found in the freezer located in the Toddler classroom. 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

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, one child's file did not contain a copy of an immunization record.

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, one child's file did not contain a preferred hospital but instead the parent/guardian listed "closest" as a preferred hospital. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report 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 5. Evacuation Plan.

General: Based on review of documentation, there were no written documentation showing the emergency preparedness plan was submitted to the Kentucky Emergency Management Office for 2020.

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 review of documentation, one staff person did not have a professional development plan on file.

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 review of documentation, the following was found: 1) There were no listed names of the children who were in attendance with the September 2021 fire drill that was on file. 2) There was only the September 2021 fire drill available for review. There were no earthquake/tornado drills on file. The staff person in charge stated that the other drills were not on site. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, staff person hired 11/8/2020, did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file in the facility. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the children were sleeping on yoga mats for naptime. The yoga mats were not two inches thick. Emergency Regulation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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, five staff (hire dates: 7/7/20, 6/15/20, 10/5/20, 9/13/20, and 9/30/20) did not have educational documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

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. The following was found: 1. One staff file (hire date: 8/1/10) contained results of a negative T.B. test that is no longer current. The test was dated 10/3/18 which exceeds the two year time frame. 2. Six staff (hire dates: 7/7/20, 6/15/20, 9/8/20, 10/5/20, 9/13/20, and 9/30/20) did not have T.B. documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, this regulatory requirement was not met. The following was found: 1. A staff person with a hire date of 9/8/20 did not have evidence or results of an out of state background check from Florida. The staff person had a copy of a Florida driver's license in her file and listed that she previously lived in Florida in 2018. 2. A staff person with a hire date of 9/28/20 did not have evidence or results of an out of state background check from North Carolina. The staff person stated during interview that she moved to Kentucky from North Carolina in January 2020. 3. A staff person with a hire date of 9/13/20 did not have evidence of the application or the results of an out of state background check from California. The staff person had listed that he previously lived in California in 2019. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Supervision Not In Compliance

Open Not marked corrected in the state record

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. At approximately 11:15AM, the surveyor toured the playground with the staff person in charge. Upon opening the gate and entering the area, four preschool boys were observed playing around a rubber tire with standing water and mud. The boys were splashing each other with the water and mud; therefore, their clothes were wet and muddy. One of the boys was heard telling the others to stop splashing him. The staff person present with the group was observed sitting in chair on the opposite side of the playground (approximately 40 - 50 feet away) and several other pieces of equipment were observed positioned between where she was sitting and where the four boys were playing. Therefore, the staff person was sitting at a distance from the children that prevented them from being adequately supervising. 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 10. Director Requirements and Responsibilities.

General: Based on observation and interview, this regulatory requirement was not met. The following was found: 1. The surveyor observed 10 - 12 cloth tote bags with the children's personal belongings hung on hooks on the walls in the Primary Classroom. Multiple bags were hung on each hook; therefore, they were overlapping and touching. Individual items stored in this manner allow the spread of germs and contamination. 2. A coffee maker was observed sitting on a low table that was approximately six - eight inches from the floor in the Primary Classroom (preschool). The coffee maker was on, it was very hot to the touch and it was accessible to the eleven children present in the room. A staff person working in the classroom stated that the coffee maker was positioned on the low shelf so that children could assist in making coffee for the staff each morning. The staff person identified a specific male child in the room and stated that "he is very busy" and it gives him a chore to assist with. 3. Out of the eight staff employed at the facility, only one staff person (hire date: 8/1/10) had completed background checks on file. Two staff (hire dates: 7/7/20 and 6/15/20) had a completed child abuse/neglect check (CAN) on file; however, they did not have a completed criminal records check (CRC). The remaining five staff did not have evidence or results of background checks. It is important to note that the staff person with completed background checks was not present at the facility during the inspection. 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 9. Records.

General: Based on review of documentation and interview, this regulatory requirement was not met. A review of staff files during the inspection found seven staff that did not have the date of employment listed in their file. The staff person in charge reviewed staff contract agreement paperwork located in a separate binder and then verbally identified the dates - 7/7/20, 6/15/20, 9/8/20, 10/5/20, 9/28/20, 9/13/20, and 9/30/20 as the hire dates. However, the dates of hire were not maintained in the personnel files.

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), two staff (hire dates: 7/7/20 and 6/15/20) did not complete the six hours of cabinet- approved training within the first three months of employment. Programming In Compliance Premises In Compliance Hygienic Practices 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, this regulatory requirement was not met. The surveyor toured the children's bathroom in the Primary Classroom and observed a pair of soiled pants lying on the floor. 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 Not In Compliance

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, this regulatory requirement was not met. The following was found: 1. One child did not have an immunization certificate on file. 2. One child’s file had an immunization certificate that did not have the required information (expiration date); therefore, it could not be determined whether or not the immunization certificate was current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 8. General.

General: Based on review of documentation, this regulatory requirement was not met. A review of the policies and procedures found that the facility did not have a current chain of command. The chain of command had three staff names listed that are no longer employed at the facility.

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 review of documentation and interview, this regulatory requirement was not met. At the time of the survey it was found that there was no record of fire, earthquake and tornado drills conducted by the facility. The staff person in charge contacted the director via phone call during the inspection and the director stated that she had the records at her house. Posted Documentation In Compliance Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on review of documentation, a review of the Training Records Information System (TRIS), observation, and interview, this regulatory requirement was not met. The following was found: 1. One staff person (hire date: 8/1/10) did not have evidence of completing the required ECE 202 training class (Requirements for Reopening Child Care in Kentucky). This staff person does not have a set schedule; however, staff stated that she typically works in the afternoons. 2. The facility failed to submit a background check for two staff (hire dates: 7/7/20 and 6/15/20). Both staff had a completed child abuse/neglect check (CAN) on file; however, they only had criminal records check (CRC) application forms in their file. There was no way for the surveyor to verify whether or not the applications had been submitted for processing. The CRC results had not been obtained. The staff person with a 6/15/20 hire date was observed working in the primary classroom during the visit. 3. Five staff (hire dates: 9/8/20, 10/5/20, 9/28/20, 9/13/20, and 9/30/20) had KARES application forms in their files; however, there was no evidence or results on file of a completed child abuse/neglect check (CAN) or a criminal records check (CRC). Three of these staff were observed working at the facility during the visit. 4. One adult female that was observed present in the toddler classroom during the visit was identified as a college student who was working on practicum hours. The person stated that she started on 10/26/20, and indicated that she is present daily from 8:00AM - 11:00AM.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the childcare facility did not receive zoning approval prior to implementing childcare services at a new location. The facility provided childcare services at the new location starting in May of 2019; however, zoning was not approved for this location until November of 2019.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care program changed locations without approval from the Office of the State Fire Marshal for the new location. The children began attending the new location in May of 2019; however, the Fire Marshal inspection did not occur until August 25 2020.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Based on interview and observation, false information was provided to a Cabinet representative during a phone call on 9/3/2020. During that phone call, it was reported by a staff person that no children were present or in care at the facility. In an on-site inspection conducted that same day, it was found that two classrooms were open and children were in care. 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 2:090 · 922 KAR 2:090. Section 12. Reports.

Based on interview and record review, the facility did not submit written notification or obtain prior approval before implementing a change of location. During May of 2019, the center relocated to a new address. The center began operating, closed for the summer, resumed operating in August 2019 and continued to operate until March 2020. The center closed in March and reopened August, 2020. An inspection by DRCC was not completed until August 14, 2020, and the Fire Marshal inspection was not competed until August 25, 2020. 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, interview and review of documentation, the facility did not receive Fire Marshal or Division of Regulated Child Care approval prior to moving to and operating in a new location starting in May of 2019. An inspection by DRCC was not completed until August 14, 2020, and Fire Marshal inspection was not competed until August 25, 2020. Children were cared for in the unapproved space for a period not less than September 2019 through March 2020, and then August 2020 through September 3, 2020.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a Fire Marshal report was not presented for review.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, four staff with hire date of 01/10/2019 did not have proof of required orientation in file and on TRIS. 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 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: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, four (4) staff did not have education documentation on file.

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, three (3) staff did not have documentation on file from a health care professional stating they were free of active tuberculosis. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Discussed Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.