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

General: Based on interview and review of documentation, during review of the personnel file for a staff member (DOH: 08/21/23) there was a background check that listed the staff member had lived out of state within the last five (5) years in Georgia, Florida, and Alabama. The file did not contain a Child Abuse and Neglect check (CAN) and the sex offender registry information for Georgia, and Florida. The file did not contain a criminal record check, a Child Abuse and Neglect check (CAN) and the sex offender registry information from Alabama. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 07/08/2024 AND AS OF 07/30/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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 interview and review of documentation, the personnel file for a staff member (DOH: 02/21/22) did not contain an evaluation for the year 2023. 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: Upon request, no verification that any staff member was certified in first aid and cardiopulmonary resuscitation (CPR) was presented for review during the inspection. The documentation presented for review for first aid and CPR certification expired on 03/30/24. There was a document presented that a class was to be held for first aid and CPR certification. 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: health medication. Open / not marked corrected.

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

General: Based on observation, a large, round, circular area on the playground contained very uneven ground, and the landscaping fabric in that area was visible, creating a tripping hazard for the children in care. Equipment 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 5. Evacuation Plan.

General: Based on interview and review of documentation, a current evacuation plan was not presented. The evacuation plan presented was dated 2022.

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 fabric was separated from the frame of a cot in the Pre K Room; therefore, the cot was in disrepair. Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

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 and interview, two boxes of food were stored on the ground in a classroom. Interview with staff members revealed the food that was stored on the ground was used for the children's snack on the day of the inspection. Meal Planning/Center Provides Meals 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 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on review of documentation, a weekly snack menu was not posted. Meal Planning/Center Does Not Provide 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 11. Meal Planning Requirements for a Center that Does Not Provide Meals.

General: Based on interview, the snack that was served to children on the day of the inspection included animal crackers, cereal bars, and water. Therefore, not all required snack components were met.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Meal Planning Requirements for a Center that Does Not Provide Meals.

General: Based on interview, the center does not serve lunch, and children bring their lunch from home. However, the child care center did not have additional food on site to ensure all lunch componets were met on the day of the inspection. Per interview with staff, not all children had the required lunch components in their lunch on that day. Additionally, per interviews with staff members, milk is not served with lunch on a regular basis. 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: Based on interview and review of documentation, the record for two (2) children (DOE: 04/22/23 and 08/15/13) did not contain a current immunization certification. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

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 interview and review of documentation, the following was found during the inspection: 1. The record for seven (7) children (DOE: 09/19/23, 02/27/24, 08/28/23, 08/05/23, 08/15/23, and 01/17/24) did not contain a preferred hospital. 2. The record for one (1) child (DOE: 04/22/23) contained the name for the preferred hospital as Kosair. Kosair is no longer in existence as a hospital. 3. The record for two (2) children (DOE: 08/28/23 and 01/27/23) did not contain authorization by the parent for the child care center to seek emergency medical care in their absence. 4. The record for one (1) child (DOE: 08/28/23) did not contain the child’s general health status and medical history, the name of each person who is designated to pick-up the child, the name and phone number of each person to be contacted in an emergency involving or impacting the child. 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 interview and review of documentation, the personnel file for a staff member (DOH: 02/21/22) did not contain a professional development plan at the time of the inspection.

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: During review of the drill log the following was found: 1. A tornado drill was not documented for the 1st quarter of 2024. 2. An earthquake drill was not documented for the 4th quarter of 2023 and the 1st quarter of 2024. 3. A lockdown/shelter in place drill was not documented for the 1st quarter of 2024. Interview with a staff member could not verify if the drills had been conducted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Posted Documentation 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 8. General.

General: Based on review of documentation, current rates for child care, minimum staff-to-child ratio requirements, and group size requirements were not posted in a conspicuous place on the day of the inspection. Animals 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 interview and review of documentation, and based on review of the Kentucky Applicant Registry and Employment Screening (KARES), the fingerprint-based criminal background check for staff with hire date of 8/21/2023 had not been completed and documentation was not presented the day of the inspection. 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, during the inspection it was observed that a preschool child went to the restroom alone, away from the teacher and other kids. The child went around the corner, down the hall, and into the preschool room, where the restroom was situated. Therefore, adequate supervision by a qualified staff person ensuring the child was within the scope of vision and range of voice was not met. Staffing Requirements In Compliance 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 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 10/02/2023 AND AS OF 10/06/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Findings: A PLAN OF CORRECTION WAS DUE ON 10/23/2023 AND AS OF 10/25/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 interview and review of documentation, no professional development plan was presented for review for a staff member with the 2/21/2022 hire date. Employee Records 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 9. Records.

General: Based on interview and review of documentation, Educational documentation (HS diploma, GED, CCCC or other qualifying documentation) was not provided for review for staff with hire date of 8/21/2023.

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, current documentation from a health professional stating that the individual is free from active tuberculosis, negative results from a tuberculin skin test or tuberculosis screening, was not presented for review for staff with the hire dates of 2/21/2022, 8/21/2023 and 7/2/2021.

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 (2) staff with hire dates of 7/1/2021 and one (1) with hire date 2/21/2022 did not have the minimum of 15 annual training hours completed. Furthermore, verification of six (6) hours of cabinet-approved orientation training in accordance with KRS 199.8982(1)(a)6, that is to be completed within three (3) months of submission to the cabinet of a complete OIG-DRCC-03, for staff with hire the dates of 7/1/2021 and 2/21/2022 was not presented for review during the inspection. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Meal Planning/Center Does Not Provide Meals In Compliance Children's 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 9. Records.

General: Based on review of documentation, no current immunization certificate or healthcare statement was presented for review for children with enrollment dates of 9/11/2022, 8/13/2023, 9/20/22 and 7/11/2022.

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, authorization by the parent for the provider to seek emergency medical care for the child in the parent’s absence was not presented for review for a child with an enrollment date of 9/11/2022. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation and interview, upon entry into the center at 08:45 a.m. there were fifteen (15) children present with one (1) staff, during the duration of the survey. Interview with the staff revealed the children ranged in age from four (4) to seven (7) years of age. Therefore, child care center was over by one (1) child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the child care center had maintained current liability insurance. The document presented expired in January of 2022.

Open Not marked corrected in the state record

Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 03/03/2022 AND AS OF 03/21/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 interview and review of documentation, the staff in charge did not present verification that the center had a current copy of the administrative regulations. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the records for the employee with the hire date of 07/01/2021 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis, or a copy of negative tuberculin result.

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, the staff in charge could not provide verification that at least one (1) staff member present was currently certified by a Cabinet Approved Source for CPR/First Aid. Review of four (4) of the four (4) employees files presented revealed that the employees were not certified in CPR and First Aid.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that two (2) employees with the hire dates of 07/01/2021 and 07/20/2021 had completed orientation training within the first ninety (90) days of employment. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirements. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 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 9. Records.

General: Based on interview and review of documentation, the staff in charge did not present verification that the children with the enrollment dates of 09/21/2021, 10/20/2021 and 03/31/2021 had a current immunization certificate.

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 interview and review of documentation, the staff in charge did not present verification that the record for a child with the enrollment date of 09/21/201 contained information listing the name of a physician, a preferred hospital, and a pick-up list. The record for a child with the enrollment date of 10/2021 did not contain information for a pick-up list. 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 interview and review of documentation, the staff in charge did not present verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been completed to include all of the required documentation and submitted to the local emergency management team. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 9. Records.

General: Based on interview and review of documentation, the staff in charge did not provide verification that the center had documented the names of the children who had participated in the fire and disaster drills that were conducted for the months of October, November, December 2021 and January 2022. Posted Documentation 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 8. General.

General: Based on interview and review of documentation, the staff in charge did not provide verification that the following information was posted and available for public inspection. 1) Kentucky Consumer Product Safety Program and the program's website as specified in KRS 199.897. 2) Each statement of deficiency issued by the cabinet during the current licensure year and each plan of correction submitted by the child care center to the cabinet during the current licensure year. 3) Description of services provided or current rates for child care. 4) Staff to child ratios.

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 interview and review of documentation, the staff in charge did not present verification that a written plan outlining the course of action in the event of a natural or manmade disaster was posted in a prominent place. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on interview and review of documentation the child care center failed to maintain background checks in accordance with regulatory requirements. Upon request, documentation was not presented to verify that the child care center had initiated the process for obtaining background checks for three (3) staff members with the hire dates: 07/01/2021, 07/01/2021 and 07/01/2021. 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 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on interview and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. Upon request, an out of state background check for a staff member with the hire date 07/01/2021 was not presented for review, to include an Alabama criminal records check, an Alabama child abuse and neglect check and a check of the Alabama sex offender registry. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 07/27/2021 AND AS OF 08/03/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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 interview and review of documentation, the child care center failed to comply with regulatory requirements. Upon request a neglect/abuse report procedure was not presented for review. 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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, a high school diploma, GED, Commonwealth Child Care Credential or a qualifying documentation from a comparable educational entity was not presented for review for two (2) staff members with the hire dates 07/01/2021 and 07/01/2021.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, written documentation from a health care professional was not presented for review to verify that three (3) staff members with the hire dates 07/01/2021, 07/01/2021 and 07/01/2021 were free of active tuberculosis. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. The child care center failed to maintain two (2) qualified substitutes to have available in case they were needed. In interview, the director acknowleged the deficiency. 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 Discussed Food Service 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 child care center failed to maintain food service in accordance with regulatory requirements. Observation of the indicating thermometer inside the refrigerator located in the kitchen revealed the temperature was forty-two (42) degrees Fahrenheit. Therefore, the temperature of the refrigerator was not forty (40) degrees Fahrenheit or below. Children's Records Discussed 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 interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, a current staff schedule was not presented for review on the day of the survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.