922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 10/24/2024 AND AS OF 10/31/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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, staff member (DOH: 9/24/15) failed to complete fifteen (15) hours of cabinet- approved early care and education training during the training year 07/1/23 and 06/30/24. A review of ECE-TRIS verified this information. 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 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 In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals 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 14. Transportation.

General: Based on observation, of the 2010 Dodge Grand Caravan seven (7) passenger van did not contain emergency triangle reflectors on the day of the inspection. Written Documentation In Compliance Posted Documentation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Based on interview and review of the Kentucky Applicant Registry and Employment Screening (KARES) database the center had not been registered into the system under its individual license number, therefore, the employment status of the presented staff members could not be verified. The employment eligibility of the staff was presented for review, however, their employment status was documented under a differning license number within the same ownership. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance 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 3. General Requirements.

General: Based on observation, the staff failed to ensure that five (5) school-age children washed their hands after eating their morning snacks and before touching toys and materials within the classroom. 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 Children's 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: Review of presented children's files revealed that the enrollment information for three (3) students, all with an enrollment date of 02/13/23, failed to list the name of the family's 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation and ECE-Tris, the surveyor found a staff (DOH: 09/24/15) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 12/12/16; therefore, the training was not completed within the last five years. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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 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

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: Review of the presented employee records revealed a staff member with hire date 4/26/21 whose file contain a copy of a high school diploma that appeared to be altered. The name on the diploma appeared to be typed over white out. Interview with the owner during the visit revealed that they acknowledged that the presented diploma appeared to be altered. Upon request, the owner did not present educational documentation for the aforementioned staff member at the time of the survey. Employee Records Not 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 11. Staff Requirements.

General: Review of the presented employee records revealed that a staff member with hire date 4/26/21 whose file did not contain a high school diploma, GED or other documentation from a comparable educational entity. Upon request, the staff member in charge did not present educational documentation for the aforementioned staff member at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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: Review of the presented employee records revealed a staff member with hire date 2/1/2021 whose file did not contain documentation to verify completion of the six (6) hours of orientation training. Review of ECE-TRIS verified that the staff member did not complete the six (6) hours of orientation training. Upon request, the staff member in charge did not present training documentation for the aforementioned staff member at the time of the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not Applicable 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: recordkeeping. Open / not marked corrected.

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

General: The freezer portion of the white refrigerator located in the kitchen was soiled with food debris. The black microwave located outside the kitchen was soiled with food debris. 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: Review of the presented ten (10) children's records revealed that the files did not contain new enrollment packets specific to the center. Upon request the staff member in charge did not present enrollment packets specific to the center at the time of survey. Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Animals Not Applicable Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.

General: The center failed to comply with the regulatory requirements specific to safety and background check requirements as established in 922 KAR 2:415e. Review of the presented employee records revealed a staff member with hire date 11/4/20 whose file did not contain a criminal records check. Upon request, the staff member in charge did not present a criminal records check for the aforementioned staff member at the time of the survey.

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, two ceiling tiles in Room D contained brown spots, indicative of water damage. A ceiling tile in the bathroom was damaged. An accumulation of an unknown source surrounded a ceiling vent in the bathroom. 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 Discussed Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance 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

Category: physical safety. Open / not marked corrected.