922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation, at 7:52 am there was one (1) qualified staff member caring for ten (10) children in the one-and-two-year-old room. Interview with the staff member confirmed the youngest age child in the room was five months old. Therefore, the one-and-two-year-old classroom was over ratio by five (5) children. At 8:10 am the classroom was brought into ratio. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 33 Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, there were two (2) electrical outlets that were not covered within the infant room.

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 review of documentation, the personnel files for two (2) staff members (DOH: 09/21/22 and 12/02/22) did not contain an annual written staff evaluation for the year of 2024.

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 and interview during the inspection, the following was found: One-and-Two-Years-Old Room 1) There was one (1) clear purse sitting on the one-half door that was made accessible to the children. Interview with a staff member confirmed that the purse belonged to another staff member. 2) There was a brown purse hanging from the one-half door, that was made accessible to the children in care. Interview with a staff member confirmed that the purse belonged to another staff member. 3) There were two (2) cups sitting on top of the one-half door that were made accessible to the children. Interview with a staff member confirmed the cups belonged to another staff member.

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 the inspection, the following was found: Preschool Room 1) Two (2) air vents contained an accumulation of dust and debris. Infant Room 1) Two (2) air vents that were zip tied together were sagging and contained a gap in between the vents. The vents were not secured into the ceiling.

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, in the infant room, the water measured one hundred twenty-two (122) degrees Fahrenheit.

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 member within the infant room changed three (3) children’s diapers. After the staff member completed each of the diaper changes, he/she would place each of the children on the floor. The staff member did not wash the children’s hands after each of the diaper changes were completed.

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 member within the infant room changed three (3) children’s diaper. After each of the diaper changes, he/she did not was their hands.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation, there was a brown child size couch and chair that was peeling vinyl within the one-and-two-year-old room. The inside absorbent material was exposed.

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, review of documentation, and interview, the children ages four-years-old to twelve-years-old were served whole milk for breakfast. Review of the milk label confirmed the served milk was whole milk. The staff in charge acknowledged the finding.

Open Not marked corrected in the state record

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 interview during the inspection, the following was found: Infant Room 1) The children were served cereal and whole milk for breakfast. There was not a fruit, vegetable or 100% juice served to the children to meet the required three (3) food components. One-and-Two-Year-Old Room 2) The children were served cereal and whole milk for breakfast. There was not a fruit, vegetable, or 100 % juice to meet the required three (3) food components.

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 record for a child (DOE: 08/12/23) contained an immunization certificate that was expired. 1250 - Enrollment Information Discussed An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 30 of 33 Inspection Report 922 KAR 2:090. Section 9. Records. (1) A child-care center shall maintain: (b) A written record for each child: 1. Completed and signed by the child’s parent; 2. Retained on file on the first day the child attends the child-care center; and 3. To contain: a. Identifying information about the child, which includes, at a minimum, the child’s name, address, and date of birth; b. Contact information to enable a person in charge to contact the child’s: (i) Parent at the parent’s home or place of employment; (ii) Family physician; and (iii) Preferred hospital; c. The name of each person who is designated in writing to pick-up the child; d. The child’s general health status and medical history including, if applicable: (i) Allergies; (ii) Restriction on the child’s participation in activities with specific instructions from the child’s parent or health professional; and (iii) Permission from the parent for third-party professional services in the child-care center; e. The name and phone number of each person to be contacted in an emergency involving or impacting the child; f. Authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence;

Open Not marked corrected in the state record

Category: health medication. 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, written performance evaluations for staff for three (3) staff members (DOH 09/18/20, DOH 09/21/22, and DOH 12/02/22) were not presented. 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: Based on interview and review of documentation, verification of education credentials were not presented for two (2) staff members (DOH 09/18/20 and DOH 12/02/22.) 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 presented staff personnel information revealed the following: 1) The negative tuberculin (TB) test results presented for a staff member (DOH 09/18/20) contained a read date of 09/16/24, and were not current at the time of the inspection. 2) The negative TB test results presented for a staff member (DOH 05/07/24) contained a read date of 07/19/24, and were not current at the time of the inspection.

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, a staff member (DOH 09/21/22) completed only twelve and one-half (12.5) hours of cabinet-approved annual training during the 2023- 2024 review period. A review of ECE-TRIS confirmed this finding. 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 4. Premises Requirements.

General: Based on observation, the following was found: Infant Room: 1) One (1) ceiling tile above the sink contained a brownish stain, indicative of water damage. Three's and Four's Room: 1) One (1) ceiling tile near the handwashing sink contained a brownish stain, indicative of water damage.

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, the handwashing sink in the Infant Room was not equipped with a hand-drying blower or single-use hand-drying material. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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, a large wooden pallet with a splintered surface, which contained protruding nails, was stored along the path that was used by the children to access the outdoor play area. 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: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the professional development plan presented for two staff members (DOH 09/18/20 and 9/21/22) was not completed or dated. 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, the plan of activities posted in the One and Two year-old classroom was not dated. Animals 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: Upon request, a current staff schedule was not presented for review.

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: Observation of the child care center revealed there were twenty-six (26) children present. Review of the child care center’s daily attendance record revealed there were only twenty-four (24) children signed into care.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of the outdoor play area revealed there was an electrical outlet that was not covered. The electrical outlet was accessible to the children. 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: Upon request, the staff in charge did not present a current written evaluation for a staff member with the hire date 09/18/2020 at the time of the inspection. Employee Records 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 7. First Aid and Medicine.

General: Upon request, the staff in charge did not present verification that a staff member with the hire date 12/02/2022 had completed training in first aid and Cardiopulmonary Resuscitation. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the aforementioned staff member had completed the training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

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: Observation of the microwave within the kitchen revealed there was dried food splattered throughout the inside of the microwave. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance 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: nutrition. Open / not marked corrected.

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

General: Upon request, the staff in charge did not present verification that a staff member with the hire date 09/18/2020 had completed fifteen (15) hours of cabinet-approved early care and educational training. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the fifteen (15) hours of cabinet- approved training had been completed by the aforementioned staff member. Upon request, the staff in charge did not present verification that a staff member with the hire date 12/02/2022 had completed six (6) hours of cabinet-approved orientation training within the first three (3) months of employment on the day of the inspection. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the aforementioned staff member had completed the training. 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: Review of documentation revealed there was not a current daily planned program in the one-and-two-year-old room, preschool room, and the school-age room. 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 4. Premises Requirements.

General: Observation of the child care center revealed the following: 1. There were large pieces of paint and concrete flaking off of an exterior wall and falling onto the outdoor play area. The paint and concrete chips were accessible to the children. 2. The interior door leading into the pink bathroom was soiled with dirt and dried food. 3. The faucet on the hand washing sink within the infant room was heavily soiled with a dried white, black, and green substance. The faucet was corroding causing a hole in the base of the faucet.

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: Observation of the child care center revealed the following: 1. There were multiple holes in a wall within the blue bathroom. 2. The walls throughout the one-and-two-year-old room were chipping paint and the drywall was exposed. 3. There were multiple holes in a ceiling tile within the school-age room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Observation of the changing table within the infant room revealed the changing pad contained multiple small tears. The inside absorbent material was exposed. 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 13. Toys and Furnishings.

General: Observation of the preschool room revealed there was a large purple area rug that was frayed and had raveling yarn. Transportation Not Applicable 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: Observation of the thermometer inside the refrigerator within the infant room read forty-five (45) degrees Fahrenheit.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request a written professional development plan was not presented for review for two (2) staff members with the hire dates 09/18/2020 and 03/01/2022 on the day of the inspection. 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 8. General.

General: Based on observation, the surveyor found the following: 1. Loose cords were beside the changing table in the Infant Classroom; the surveyor observed the infants to be mobile and able to reach the loose cords. 2. A loose cord was coming down from a mounted TV in the One's & Two's Classroom. 3. A black three (3) drawer shelf that was unlocked contained White Rain Hairspray that stated, "Keep Out of Reach of Children," in the Three's and Four's Classroom. The surveyor observed this item to be accessible and within reach of the children. 4. One (1) outlet cover was missing from the outlet located in the boys' restroom. All the items mentioned were observed to be accessible to children; therefore, the health, safety and comfort of the children was compromised. 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 review of documentation, the surveyor found the following staff (DOH: 10/30/19 and 09/18/20) files did not contain a written performance evaluation; therefore, the surveyor was unable to determine that an evaluation was completed annually. Staff-in-charge stated that she had completed the written performance evaluation for the staff but could not locate the book at the time of the surveyor's visit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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: Based on review of documentation, the surveyor found that a staff’s (DOH: 09/18/20) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. During interview, staff-in-charge confirmed that the staff person has not had a TB skin test and had not worked at the child-care recently.

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 the following: 1. Staff (DOH: 10/30/19) obtained one (1) hour of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 2. A staff (DOH: 09/18/20) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 3. A staff (DOH: 07/25/22) did not obtain the required Orientation I & II within the first three (3) months of hire. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the that the toilet seat moved easily and was not tightly secured to the toilet in the boys' restroom; therefore, the toilet was not kept in good condition. Hygienic Practices In Compliance First Aid/Medication In Compliance 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, the surveyor found a loose wire hanging down from a gutter beside the door to the playground, that was accessible to children; therefore, the playground was not safe from a foreseeable hazard. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. The following children’s (DOE: 09/13/20, 12/23/20, 10/01/21, 12/09/21, 04/25/22, 06/01/22, 06/23/22, 10/22/20 and 03/21/22) files did not contain telephone numbers for the child’s preferred hospital. 2. The following child's (DOE: 10/01/22) file did not contain authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. 3. The following child's (DOE: 12/23/20) file did not contain the name of the child's preferred hospital. 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, the surveyor found the following staff (DOH: 10/30/19, 09/18/20 and 10/09/19) file did not contain a professional development plan; therefore, the surveyor was unable to determine that a plan was completed annually. Staff-in-charge stated that she had completed the professional development plans for the staff but could not locate the book at the time of the surveyor's visit. 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 8. General.

General: Based on interview and review of documentation, the director failed to provide staff with a copy of the current administrative regulations, 922 KAR 2:120. The copy on file had a print date of 11/01/18.

Open Not marked corrected in the state record

Category: ratio. 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, staff members hired 10/30/19, 07/15/20 and 10/30/19, did not have an annual written performance evaluation on file. 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: Based on interview and review of documentation, a staff member hired 10/30/19, had TB skin test documentation on file that was dated 02/23/19. 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 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on interview and review of documentation, three (3) staff members hired 5/15/20, 10/30/19, and 03/05/21, did not have first aid and (CPR) training.

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 interview and review of documentation, two (2) staff members hired 07/15/20 and 10/30/19, failed to complete the fifteen (15) hours of cabinet approved training hours from July 1 to June 30 of their subsequent year of employment. In addition, a staff member hired 10/30/19 completed two and a half (2 1/2) hours of the required fifteen (15) hours of cabinet approved training during their subsequent year of employment. In addition, two (2) staff members hired 07/15/20 and 03/05/21, had no proof they completed six (6) hours of orientation training. 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 3. General Requirements.

General: Based on observation and interview, a staff member did not wash a child’s hands with soap and warm running water after a diaper change in the infants' room. First Aid/Medication In Compliance 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 interview and review of documentation, grass was underneath a Little Tikes slide on the outdoor playground. No protective surface was available. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 8. General.

General: Based on interview and review of documentation, the staff policy and procedure handbook was not available for review on 09/20/21.

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, seven (7) children were present on 09/20/21, nine (9) children had a documented arrival time; however, two (2) children's departure time was not documented.

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 observation and interview, three (3) staff members hired 10/30/19, 07/15/20 and 10/30/19, did not have an annual written professional development plan on file for review.

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, fire drills, earthquake and tornado drills for 2020 and 2021 were conducted but the names of the children who participated were not documented. 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 11. Staff Requirements.

General: Review of the presented employee records revealed a staff member with hire date 7/15/2020 whose file did not contain a high school diploma, GED or 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.

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 four (4) staff members with the same hire date of 10/30/2019 whose file did not contain documentation to verify completion of the six (6) hours of orientation training. Upon request, the staff member in charge did not present training documentation for the aforementioned staff members at the time of the survey. 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: There was a water stain in the ceiling tile located above the cots in the One and Two Year Old Room at the time of the survey. There were water stains in two (2) of the ceiling tiles located above the sink in Infant Room at the time of the survey. There was a water stain in the ceiling tile located by the vent in the Infant Room at the time of the survey. There were water stains in four (4) of the ceiling tiles located above the sink in the Three-Five Year Old Room at the time of the survey. The light bulb located in the Girl’s Bathroom at the time of the survey was not covered or shatter proof.

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: The Girl’s Bathroom was not equipped with toilet paper at the time of the survey. 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

Open / not marked corrected.

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

General: The white mini-fridge located in the Infant Room had an indicating thermometer reading of fifty (50) degrees Fahrenheit 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 9. Food and Meal Requirements.

General: The menu posted at the time of the survey was not dated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 the presented children records revealed a child whose file did not contain the name of the child’s physician. Upon request, the staff member in charge did not present the documentation for the aforementioned child at the time of the survey. Written Documentation In Compliance 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 8. General.

General: Information on the Kentucky Consumer Product Safety Program and the program’s website as specified in KRS 199.897 was not posted at the time of the survey. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on observation,the child care center failed to comply with regulatory requirements regarding General Administration. The child care center did not maintain running water throughout the kitchen, restrooms and the sinks located in the classrooms.

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 interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the child care center maintained a current copy of liability insurance coverage. 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 child care center staff in charge failed to assure compliance with regulatory requirements. Upon request, the staff in charge did not present verification of a current copy of the administrative regulations. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report 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 childcare center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not provide verification that the record of the employee with the hire date of 10/30/2019, contained a copy of a high school diploma, GED or a commonwealth child care credential.

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, the staff in charge did not present verification that the record of two (2) employee with the hire date of 10/30/2019 contained a current copy of a statement with a date that was verifiable from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results. Programming 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 and interview, the child care center failed to comply with regulatory programming requirements. Upon request, the staff in charge did not present verification that the daily activity of programming was posted in writing that had been updated to reflect the entire day that included the activities that are individualized and developmentally appropriate for four (4) of the four (4) classrooms 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain premises in accordance with regulatory requirements. The exit door to the playground did not contain a door handle to pull the door open. 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

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, the child care center failed to maintain premises in accordance with regulatory requirements. The three (3) sinks located in the the center was not equipped with hot and cold running water that allows for hand washing.

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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the restroom revealed that the two (2)toilets did not flush due to no running water. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the child care center failed to comply with hygienic practices in accordance with regulatory requirements. The changing pad located in the two-year- old classroom revealed a small rip in the middle of the pad, with the inside foam exposed. Therefore, the changing pad was not kept in a hygienic manner. First Aid/Medication In Compliance Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. The playground area contained numerous overgrown weeds. The latch to the gate was broken. Continued observation revealed a twelve (12) inch PVC pipe extending from the concrete wall, creating a potential hazard. Therefore, the playground was not maintained in good condition. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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 6. Sleeping and Napping Requirements.

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The mats to be utilized for naptime were one-inch thick mats and not the required two (2) inch thick mats. Transportation Not Applicable Food Service/Food Program In Compliance 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 interview and review of documentation, the child care center failed to maintain food service in accordance with regulatory requirementss. Upon request, the staff in charge did not present vertiifacation that the center had obtained a food service permit.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that a menu had been completed and posted in a conspicuous place for review. 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 5. Evacuation Plan.

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, 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 submitted to the local emergency management team.

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 observation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care staff in charge did not present verification that the child care center had developed staff policies and procedures. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 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 9. Records.

General: Based on observation and interview, the child care center failed to comply with regulatory programming requirements. Upon request, the staff in charge did not present verification of a written schedule of staff working hours that included the current employees.

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 interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the staff in charge did not present verification of a written policy that specifies that each child-care center staff member will receive orientation training with the first ninety (90) days of hire and the employee shall implement the procedures that were taught at the orientation training. 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 9. Records.

General: Based on interview and review of documentation, the child care center failed to post documentation in accordance with regulatory requirements. Upon request, 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 that was posted in a prominent place in the center. Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.