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

General: Based on observation, the surveyor found uncovered an outlet on the playground that was accessible to the children in care. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the surveyor observed a staff member (6/7/2021), who did not have CAN check results on file in the facility, alone with the child for approximately five (5) minutes. 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 2. Child Care Services.

General: Based on observation of the small Preschool playground, the surveyor found two (2) staff members sitting next to each other who were unable to maintain scope of view supervision of the children because their view was blocked by the Playground structure. The surveyor observed the same two (2) staff members three (3) times within 30 minutes, and they were in the same place sitting down. Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, staff members hired 9/7/2018, 6/1/2020, and 7/10/2015, did not have evidence of an annual evaluation on file in the facility.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of documentation, the surveyor observed a staff member (6/7/2021) who did not have CAN check results on file in the facility. This staff member was alone with a child for approximately five (5) minutes. 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, six (6) staff members (6/4/2021, 6/17/2021, two (2) staff members hired 6/1/2021, and two (2) staff members hired 6/7/2021) did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file in 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, nine (9) staff members (9/7/2018, 8/20/2020, 7/10/2015, 6/4/2021, three (3) staff members hired on 6/1/2021, and two (2) staff members hired 6/7/2021) did not have a current TB test or statement from a health professional 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, five (5) staff members (9/7/2018, 6/1/2020, 9/1/2020, 6/2/2021 and 6/4/2021) did not have evidence of completing 15 hours of annual early care and education training on file in the facility. A review of ECE-TRIS records supports the information found during the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Programming 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 2. Child Care Services.

General: Based on observation and review of documentation, the list of daily planned program of activities was not posted in the Grey Elephants, Orange Cheetahs and Pink Flamingos rooms. The Green Turtles room had a daily planned program posted with no dates. Premises 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. During the tour of the facility the surveyor found the following: 1.) Staff purses were accessible to children in the Purple Lizards and Blue Sharks rooms. 2.) Hand sanitizer and wipes were accessible to the children in the Orange Cheetahs room.

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 surveyor found chipped paint on the wall in the White Tigers room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation during the tour of the facility, the surveyor found that toilets were not flushed after use in the girls’ bathroom located in the upstairs hallway, Orange Cheetahs and Blue Sharks rooms. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation in the Brown Bears room, the surveyor found a trash can with no lid that contained soiled diapers. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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, the following was found: 1.) Child’s medication was stored in a backpack in the Grey Elephants room and not locked. The backpack was on the floor accessible to the children in care. 2.) Child’s medication was stored in a backpack in the Red Butterflies room and not locked. The backpack was hanging on the classroom door. 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 Children's Records 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, two (2) children enrolled did not have an immunization certificate on file at the facility.

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, it was found that a child enrolled in the center did not have a preferred hospital listed in their file. 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 9. Records.

General: Based on review of documentation, it was determined that three (3) staff members (7/10/2015, 9/7/2018, 6/1/2020) did not have evidence of a professional development plan on file at the facility. Posted 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 10. Director Requirements and Responsibilities.

General: Based on observation and interview, this regulatory requirement was not met. The surveyor found the Green Turtles and Pink Flamingos rooms did not have a posted schedule of daily activities. Animals 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 Observation, during a tour of school age room used for the second through fifth grade children the children did not have access to building blocks. An interview with staff in charge of the school age children found that they had the blocks available during the summer put boxed them up and put them in storage when school started. 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 In Compliance Food Service In Compliance Children's Records Not In Compliance

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, out of ten (10) children's files reviewed there was one (1) child's enrollment information that did not contain a preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

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, there was an uncovered electrical outlet in Classroom 212/213 near the book area.

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, there were two (2) children who did not have a preferred hospital listed in their enrollment information.

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, it was found that one (1) staff person hired 6/1/15 had the results of a criminal records check dated 6/16/15. There was no documentation to verify that the application for the results of the criminal records check was submitted prior to employment or on the date of hire.

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, during a tour of the facility there were gaps around many of the window air conditioning units located in the winodws of some of the classrooms. Light from the outside could be seen coming in through these gaps.

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, during a tour of room 102 there were two (2) water stained ceiling tiles in the corner of the room. Two (2) water stained ceiling tiles were also observed in the school age room.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was found that the hot water at a sink located in the classroom in room 209 was not working. During a tour of the bathrooms located in the building used for extended care it was found that the water temperature which was tested with a calibrated thermometer only reached eighty-five (85) degrees Fahrenheit at the sinks in the girls' and boys's bathrooms located on the main floor. In the boys' and girls' bathroom located upstairs in the same building the water temperature only reached eighty-three (83) degrees Farehneit. In addition the hands free sink in the girls' bathroom located upstairs was not working.

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, the facility had an emergency preparedness plan; however, did not have evidence that the plan had been submitted to the local emergency management official.

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, the facility failed to provide for the safety of each child. The two (2) year old classroom contained a rotating fan that was turned on and accessible to the children in the classroom. 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, one (1) staff person (hire date: 8/19/14) did not have educational documentation on file.

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 file (hire date: 8/20/13) contained results of a negative T.B. test that was no longer current. The test was dated 6/1/12 which exceeds the two (2) year time frame.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation and interview, the facility failed to meet this regulatory requirement. At the time of the survey the staff person in charge identified two (2) bus drivers and indicated that they were maintenance staff at the school. The staff person in charge was not able to locate any identifiying paperwork on the two (2) drivers during the survey including background checks, driver history records and evidence that they hold a current driver's license. Programming

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 diaper changing table in the hallway bathroom did not contain a padded surface.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation and interview, the facility did not have written emergency policies/procedures including evidence that emergency procedures are practiced monthly by staff who transport children. The staff person in charge stated during interview that children typically only go on one (1) field trip during the school year; however, more frequently (weekly) during the summer months.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation and interview, the facility did not meet this regulatory requirement. The facility has a school bus that is used to transport children; however, no inspection documentation was provided for this vehicle during the survey. The staff person in charge stated during interview that children typically only go on one (1) field trip during the school year; however, more frequently (weekly) during the summer months. The staff person in charge stated that the transportation documentation is kept at the maintenance garage and indicated that no one was available to access the documentation during the visit.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation and interview, the facility did not meet this regulatory requirement. The facility did not have written documentation that daily inspections of the school bus were performed on field trip days. The staff person in charge stated during interview that children typically only go on one (1) field trip during the school year; however, more frequently (weekly) during the summer months. The staff person in charge stated that the transportation documentation is kept at the maintenance garage and indicated that no one was available to access the documentation during the visit.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation and interview, the facility did not meet this regulatory requirement. The facility did not have written documentation to verify that the first and last name of the children transported and the time that each child got on and off the vehicle was recorded during field trips. The staff person in charge stated during interview that children typically only go on one (1) field trip during the school year; however, more frequently (weekly) during the summer months. The staff person in charge stated that the transportation documentation is kept at the maintenance garage and indicated that no one was available to access the documentation during the visit.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on Observation, the facility failed to meet this regulatory requirement. The surveyor observed 2% milk being served to the preschool children (three (3) and four (4) year olds) during snack.

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 and interview, the facility did not meet this regulatory requirement. An interview with the staff person in charge reveaeled that children enrolled in the summer program go on several field trips (weekly) during the summer months. The staff person in charge presented a general permission slip that is signed by the parents in each child's enrollment packet; however, the permission slip does not contain specific information (dates and times) about the field trips. Written Documentation

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 Review of Documentation, it was found that there was no documentation of staff meetings. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that two (2) staff files out of nine (9) staff files did not have evidence of the required 15 hours of annual training hours. The hire dates for the staff were 02/06/2002 and 08/22/2011. 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

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 Observation, it was found that there was no program of activities in the two (2) year old classroom. It was also found that there were no cultural materials in the downstairs preschool classroom and no block materials in the upstairs preschool room. These items were not listed on the planned program of activities.

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, it was found that there was no thermometer in the refrigerator in the upstairs classroom.

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, it was found that there was no evidence of an emergency prepardness plan.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2 General.

General: Based on Review of Documentation, it was found that there was no evidence of job descriptions.

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, it was found that two (2) staff files out of nine (9) staff files reviewed did not have evidence of a professional development plan.

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 Review of Documentation, it was found that there was no written parental consent for the turtle, fish and frog that are in the facility.

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, staff with hire date 8/21/12 did not have the results of her TB skin test read until 8/24/12. This does not meet the requirement of having a TB skin test prior to or on the date of hire. 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 3) 15 hours annually In Compliance 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report 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.