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

General: Based on interview and review of documentation, education credentials for two (2) staff members (DOH 07/01/24 and DOH 08/19/24) were not presented for review upon request.

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 presented staff schedule contained names of staff, whom the staff in charge reported were no longer employed at the child care center, and failed to contain the names of staff who were observed working at the center on the day of the inspection. Therefore, the presented documentation was not accurate.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Review of presented documentation and review of the KARES database revealed that an eligibility determination was not available for two (2) staff members (DOH 07/01/24 and DOH 08/19/24.) Further review of KARES revealed that fingerprints for the two (2) staff member had been submitted, however the process for determining employment eligibility had not been completed. The KARES employment roster listed the eligibility determination for the two (2) employees as "in process." The staff member (DOH 07/01/24) was observed working with children in a supervisory role on the day of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the PreK classroom revealed that one (1) electrical outlet near the rear bookshelf was not covered.

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 following was found: 1) The negative tuberculin (TB) test results presented for a staff member (DOH 08/16/23) contained a read date of "06/09/22" and was therefore, not current at the time of the inspection. 2) The results of a negative TB test or a statement from a healthcare professional verifying that a staff member (DOH 07/01/24) was free from active TB was not presented for review upon request.

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 observation and review of documentation, a staff member (DOH 08/19/24) failed to complete six (6) hours of cabinet-approved orientation training. A review of ECE-TRIS confirmed this finding.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on observation, a collection of disinfecting wipes was stored on the floor of the PreK classroom, where they were accessible to the children.

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 portion of the ceiling near the light fixture in the PreK classroom was stained with brown and black marks, indicative of water damage. Additionally, a hole was present in the wall between the sink and the commode in the right-hand restroom. The hole left plumbing exposed.

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: Based on observation, the cabinets surrounding the sinks in both restrooms contained sections of peeling paint.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the faucet, installed on the sink in the right-hand restroom, moved easily from side to side, indicating that it was not fully attached to the sink and not in good repair.

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, a current immunization certificate for a child (DOE 08/30/24) was not presented for review upon request.

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, the enrollment information presented for a child (DOE 05/28/24) failed to contain the name of the family's preferred hospital.

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: Documentation verifying that earthquake drills had been conducted quarterly during 2024 was not presented for review upon request. The staff in charge reported that the drills had been conducted, but not documented. 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 observation, the statement of deficiency and subsequent plan of correction referencing an inspection conducted at the center in 2024 was not posted or made available for public inspection. The available documentation was dated "2022."

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, staff member (DOH: 08/07/19) did not have record of a current annual written performance evaluation on file for 2023 at the time of review. 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, a staff member (DOH: 08/07/19) tuberculosis test expired 10/21/23; therefore there was no statement from a health professional that the individual is free of active tuberculosis; or a copy of a negative tuberculin results in file at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 8/7/19) did not complete fifteen (15) hours of cabinet approved early care and education training completed between 07/01/22 and 06/30/23 at the time of review. Review of the Early Childhood Education Training Report Information System dated 04/18/24 confirmed the lack of training. 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 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 4. Premises Requirements.

General: Based on review of documentation, no current Fire Marshal report was presented for review. The Fire Marshal report on file was dated 8/7/2019, therefore, current compliance could not be verified. Based on interview the staff member in charge stated that she was unable to find the current Fire Marshal report at the time of review. Director Requirements 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, there were no current written performance evaluations for staff members with hire dates of 8/6/2019, 8/6/2019, and 8/7/2019 on file at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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, a staff member with the hire date of 8/6/2019 had zero hours of training for the review period. Review of ECE TRIS shows no completion record of Orientation for a staff member with the hire date of 8/7/2019, therefore, completion of such could not be confirmed. 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, during lunch time the food was being served while the television was being viewed by the children. Premises 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 3. General Requirements.

General: Based on observation, adult scissors on the staff desk were accessible to the preschool children in care at the time of review.

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 windowsill had dirt, debris, and dead insects on it, therefore it was not kept clean. where? Hygienic Practices In Compliance 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 landscaping fabric on the playground was coming up, creating a tripping hazard under the monkey bars and swing set. Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the kitchen refrigerator's temperature was 48 degrees Fahrenheit, based on the temperature measuring device, therefore, it did not maintain a temperature of 40 degrees or lower. The refrigerator in the Pre-K- Kindergarten room measured 52 degrees Fahrenheit, based on the temperature measuring device, therefore, it did not maintain a temperature of 40 degrees or lower.

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 freezers in the kitchen and Pre-K- Kindergarten rooms did not have a thermometer in them, therefore there was no way to measure if the temperature was zero degrees Fahrenheit or lower.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the freezer in the Kitchen had a brown substance on the bottom and door, therefore, it was not clean and sanitary. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, there was no family physician or preferred hospital listed for a child with the enrollment date of 3/21/2022. A file for a child with the enrollment date of 5/3/2022 did not have a specific doctor, practice, or hospital name listed. The child's parent wrote "nearest one" for preferred hospital on the enrollment form. The file for a child with the enrollment date of 3/8/2022 had Children's Hospital listed as physician. 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

Open / not marked corrected.

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

General: Based on interview, no Professional Development Plan was presented for staff members with hire dates of 8/6/2019, 8/6/2019, and 8/7/2019 at the time of 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 review of documentation and interview, a written record of quarterly practiced earthquake drills detailing date, time, and children who participated in accordance with 922 KAR 2:120, Section 3 was not presented for review. Interview with a staff member revealed that earthquake drills were conducted but not documented. 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 and interview, the center's current License, the Statement of Deficiencies with plan of corrections from the current licensure year, and current Rates were not posted in a conspicuous place and made available for public inspection. 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.

General: Upon request, proof of current liability insurance coverage of at least $100,000 per occurrence was not presented for review at the time of inspection. 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: Upon request, a current copy of 922 KAR 2:090 and 922 KAR 2:120 regulations was not presented for review on the day of the inspection.

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: Upon request, a current written staff evaluation was not presented for review on the day of the inspection for a staff member with the hire date 08/23/2019. 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Upon request, documentation was not presented for review to ensure that the child care center’s director had coordinated at least one (1) annual activity involving parental or family participation. 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: Review of employee records revealed the following: 1. Upon request verification that the two (2) staff members with the hire date 08/23/2019 had completed fifteen (15) hours of cabinet-approved early care and educational training was not presented for review 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 fifteen (15) hours of cabinet-approved training had been completed by the aforementioned staff members. 2. Upon request, verification that two (2) staff members with the hire dates 08/23/2019 and 09/16/2021 had completed six (6) hours of cabinet-approved orientation training within the first three (3) months of employment was not presented for review 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 six (6) hour of cabinet-approved orientation training had been completed by the staff members. 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: Observation of handwashing sink vanities in bathroom 1 and bathroom 2 within the preschool room revealed that the doors on both vanities were buckled, peeling paint and laminate, leaving splintered edges. Hygienic Practices In Compliance 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: Observation of the fence located around the perimeter of the outside play area revealed there were double gates that were chained together, leaving a large opening between the two (2) gates. The opening was large enough for a child to escape the outdoor play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the outside play area revealed there were multiple metal spikes protruding from the black plastic borders that go around the perimeter of the outdoor play area. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides 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 10. Meal Planning Requirements for a Center that Provides Meals.

General: Observation of lunch being served within the preschool room revealed the children were asked if they wanted milk and applesauce. Therefore, not all the children were served the required food components: milk and a fruit or a vegetable. Meal Planning/Center Does Not Provide Meals Not Applicable 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 records revealed the following: 1. There was a child’s file with the enrollment date 03/15/2021 that did not contain the name of each person who is designated to pick up the child from the child care center. 2. There was a child’s file with the enrollment date 05/17/2021 that did not contain a parent's signature and authorization by the parent for the child care center to seek emergency care for the child in the parent’s absence. 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: Upon request, a current professional development plan was not presented for review on the day of the inspection for a staff member with the hire date 08/23/2019. 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: Review of written documentation of the earthquake and tornado drills conducted for the first (1st) quarter of 2022 revealed that both drills were conducted on the same day and at the same time. Therefore, one (1) of the two (2) drills were not documented accurately as it is not possible to conduct both drills simultaneously. Also, written documentation detailing the children’s names of who participated in the drills was not presented for review on the day of the inspection.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request, an orientation procedure was not presented for review on the day 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: Review of written documentation of the earthquake, intruder and tornado drills conducted for the first (1st) quarter of 2022 revealed that all three (3) drills were conducted on the same day and at the same time. Therefore, two (2) of the three (3) drills were not documented accurately as it is not possible to conduct three (3) drills simultaneously. Also, written documentation detailing the children’s names of who participated in the drills was not presented for review on the day of the inspection. 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 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 03/02/2021 AND AS OF 03/25/2021, 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 interview and review of documentation, the staff in charge did not present verification that three (3) employees with the hire date of 08/23/2019 had completed Pediatric and Head Trauma training. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirements. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation 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 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 submitted to the local emergency management team within the last year. The plan presented was dated for August 2019. Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to comply with the regulatory requirements specific to the current pandemic as established in 922 KAR 2:410e. Observation in the preschool classroom revealed several stuffed animals located on bookshelves, baskets and plastic bins. The stuffed animals were accessible to the children. The regulations established in 922 2:410 prohibits the use of machine washable toys.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 12. Reports.

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. Review of DRCC records revealed that the staff in charge did not submit to the cabinet written notification for approval of school age services before implementation. Interview with the staff in charge revealed two (2) children enrolled on 03/03/2019 met the qualifications for school-age care. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The mats 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 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: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that the records for two (2) children enrolled on 03/03/2019, contained a Kentucky 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 child care center failed to maintain children’s records in accordance with regulatory requirements. 1) Upon request, the staff in charge did not present verification that the records for ten (10) of the ten (10) records reviewed contained information listing a name of a preferred hospital. 2) Continued review revealed the enrollment information for two (2) children with an enrollment date of 03/03/2019 did not had parental permission for medical authorization. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.