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

General: Based on review of documentation, a child’s record (DOE: 10/09/24) failed to contain the name of a preferred hospital 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: Based on observation, one (1) electrical outlet did not contain a safety plug in the Pre-school 4 classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 15. Animals.

The staff member in charge failed to provide written parental consent for the fish in an aquarium in the Preschool 4 classroom.

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, the following was found: 1. Three (3) staff members (DOH: 08/14/2024, 09/24/2024, and 08/15/2025) did not have evidence of submission or completion of a KARES based background check. One (1) of these staff members (DOH: 08/14/2024) was working with children and the staff in charge on the day of the inspection. 2. One (1) staff member's (DOH:08/19/2019) background check was dated 08/30/2019 and it was, therefore, expired.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain the employment status of each staff member who has submitted a fingerprint-based criminal background check by reporting the status in the Kentucky Applicant Registry and Employment Screening (KARES) report. The staff in charge confirmed that two (2) individuals who were listed as current employees on the KARES report were no longer employed by the center. Therefore, the employment status for the two (2) referenced individuals was not accurately maintained on the report. Supervision In Compliance

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, a current report from the Office of the State Fire Marshal or its designee was not presented for review upon request.

Open Not marked corrected in the state record

Category: physical safety. 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 member in charge failed to provide for review written proof that commercial liability insurance coverage of at least $100,000 per occurrence had been obtained.

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 interview and review of documentation, the center has not had an approved director since 07.01.24, at which time the previously approved director's employment with the center ended. The name of an acting director, and his/her credentials, were never submitted to DRCC for review and approval.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.

Based on interview and review of documentation, the licensee failed to report to the cabinet within one (1) week: (a) Any resignation, termination, or change of director; and (b) The name of the acting director who satisfies the requirements for a director as established in 922 KAR 2:090, Section 10. The previously approved director's employment with the center ended on 07.01.24; however, the separation of the director was not reported to the cabinet. As of the date of this inspection, no such report was made to the cabinet.

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, three (3) staff members (DOH: 08/15/2024, 08/14/2024, and 09/24/2024) did not have education verification on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. The staff in charge did not present verification that the records for three (3) staff members (DOH: 08/15/2024, 08/14/2024, and 09/24/2024) 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. 2. One (1) staff member (DOH: 08/20/2018) had a TB skin test dated 10/07/2022 and it was, therefore, not current.

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 have at least one (1) staff person on duty and present with children at the childcare center with a cabinet-approved CPR and First Aid.

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, the emergency telephone numbers for the police department, fire department, emergency medical care and rescue, and poison control center were not posted or accessible in the event of emergency. Interview with the staff in charge supported these findings.

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, three (3) ceiling tiles contained brown, circular stains, indicative of water damage in the Preschool 4 classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 15 of 31 Inspection Report

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 interview and review of documentation, ten (10) children (DOE: 08/14/2024) did not have the following enrollment information on file: - Contact information to enable a person in charge to contact the child’s parent at the parent’s home or place of employment, family physician, and preferred hospital. - The name of each person who is designated in writing to pickup the child. - The child’s general health status and medical history. - The name and phone number of each person to be contacted in an emergency involving or impacting the child. - 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

Open / not marked corrected.

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

General: Based on observation, the water temperature of the sink in the restroom adjacent to the Preschool 3's classroom measured only eighty (80) degrees Fahrenheit, failing to reach the minimum required water temperature of ninety (90) degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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: Based on observation, one (1) electrical outlet plate cover in the Preschool 3's classroom was broken along its lower edge, leaving a sharp and jagged surface. The aforementioned electrical outlet was located near the floor, where it was accessible to the children in care. 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

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 03/21/23) failed to contain the name of the family's preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff member in charge advised that there was no current fire marshal report to be presented 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.

Based on review of documentation, a staff member with hire date of 7/1/2021 did not have an annual evaluation on file at the time of review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 9. Records.

General: Based on review of documentation in KARES, background checks were completed but staff members with hire dates of 8/19/2019, 8/20/2018, and 8/29/2005 did not have results of background checks conducted in accordance with 922 KAR 2:280 in files 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 11. Staff Requirements.

General: Based on review of documentation, a staff member with the hire date of 7/1/2021 did not have evidence in ECE-TRIS that 15 hours of cabinet approved training was completed. 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 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, staff member with hire date of 7/1/2021 did not have an annual Professional Development Plan on file at the time of review. 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 4. Premises Requirements.

General: Based on observation, two (2) outdoor play areas were not fenced.

Open Not marked corrected in the state record

Open / not marked corrected.

Plan of Correction/15 days

A PLAN OF CORRECTION WAS DUE ON 06/01/2022 AND AS OF 06/24/2022, 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 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on review of documentation, three (3) caregivers hired on 10/14/14, 8/19/19, and 8/20/18, did not complete training in first aid and CPR. 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 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, a thin layer of rubber mulch and a torn rubber protective surface were located below four (4) green slides, one (1) red double slide, and underneath one (1) swing located on the outdoor play area. A slide was placed on the ground in the outdoor play area next to the preschool three room. 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 Not Applicable

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, a three-year-old child was observed in the women's restroom, located across the hall from the three-year-old classroom, with an adult who was not affiliated with or employed by the licensed center. The adult was a visitor of the church. No staff member was in the restoom with the child. The staff member responsible for the supervision of the child was in the classroom with other children. Therefore, the child was not within the scope of vision and range of voice of a qualified staff member. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, there was a plunger stored in two (2) restrooms, one in the four-year-old classroom and one across the hall from the three-year-old classroom. The plungers were accessible to children. Additionally, there were two (2) coffee dispensers on a counter space located outside of the three-year-old classroom. The hot beverage dispensers were accessible to the children in the three-year-old classroom while they transitioned to the classroom from other areas in the building. 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

Open / not marked corrected.

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

General: Based on review of documentation, the tuberculosis documentation submitted for review for a staff member with the date of hire of 3/01/09 was no longer current as of 10/19/2020.

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, documentation for First Aid certification was only submitted for review for one (1) staff member who is employed by the licensed center; however, the certified employee is not scheduled to work during the current school year due to the lack of school-age enrollment caused by the current pandemic. Therefore, there is no staff member certified in First Aid who is present at the center when children are present. Additionally, documentaion for Cardiopulmonary Rescuscitation Certification was submitted for review for only one (1) staff member who is employed by the licensed center; however, per interview, the certified staff member does not regularly work during all hours of operation. Therefore, there is no staff member who is certified in CPR that is present at all times when children are present. Programming In Compliance Premises 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 3. General Requirements.

General: Based on observation, a container of disinfecting wipes was sitting on the adult desk in the four-year-old classroom. The warning label on the container read: 'Hazard to humans and animals'. Additionally, there was a container of industrial antibacterial wipes, Performance Wipes, sitting on a table in the same classroom. Both containers of wipes were accessible to children.

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, there was a pair of adult scissors sitting on the desk in the four-year-old classroom. The scissors were not being used at the time of the observation and they were accessible to 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 in the restroom located in the four-year-old classroom, one of the ceramic tiles on the wall near the toilet was loose and had pulled away from the wall, creating a gap in the wall. The loose tile was located at the bottom of the wall, just above the floor. Additionally, there were two (2) ceiling tiles in the four-year-old classroom that contained stains, which were indicative of water damage. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 4. Premises Requirements.

General: Based on observation, a group of adults, identified as church members, gathered in the community area outside of the three-year-old classroom. One of the adults was observed in the women's restroom at the same time that a three-year-old child was in the restroom. Therefore, there was not a separate restroom solely used by those using the building for child care purposes. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the children in the four-year-old classroom did not wash their hands after eating snack. Interview with the staff member confirmed that children would remain at their desks and that they would be provided with toys at their desks. 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 playground was not fenced for the safety of the children. The playground was located across the parking lot from the building. Although there is a fence dividing the church's property from the streetline, there was no fence surrounding the outdoor play area on the property. Interview with the staff in charge confirmed that the outdoor play area is used by the licensed center, which currently solely consist of preschool children. Equipment In Compliance 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 observation and review of documentation, review of the enrollment records for a child enrolled on 08/17/2020 revealed an immunization certificate that expired on 01/05/2020. Upon request, no current immunization was presented for review. 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

Category: health medication. Open / not marked corrected.

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

General: Review of ten (10) enrollment files, all with the same enrollment date of 08/17/2020, revealed the files for two (2) children failed to include a preferred hospital and one (1) file failed to included a list of individuals who are designated to pick-up 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 review of documentation, no professional development plan was presented for review for a staff member with a date of hire of 08/19/19. Posted Documentation In Compliance Animals Not Applicable 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, interview and review of documentation, the center failed to comply with the regulatory requirements specific to the current pandemic, as established in 922 KAR 2:405E. Upon arrival into the licensed center, center staff did not screen the two (2) surveyors for fever in accordance with 922 KAR 2:405E Section 7 (1). Machine washable toys were not removed, as required by 922 KAR 2:405E Section 6 (3). A large bucket of stuffed animals and an assortment of doll clothes were observed in the four-year- old classroom. The center did not keep children in the same group throughout the day, without interacting with another group, as required in 922 KAR 2:405E Section 4 (3). Based on interview and observation, children from two (2) separate groups are combined at the begining of each day for early arrival, and again at the end of the day for aftercare. In accordance with 922 KAR 2:405E Section 8 (4), a child who is five (5) years old or younger shall not wear a face mask; however, a five-year-old child was observed wearing a face mask. Interview with the staff in charge confirmed that the aforementioned child regularly wears a face mask. Individual bedding failed to be contained in a manner to prevent the bedding belonging to different children from touching one another. The bedding stored in the three-year-old classroom was stored in wooden cubbies. The bedding expanded outside of the cubbies and was touching the bedding from other cubbies. 922 KAR 2:405E Section 6 (5) requires bedding to be separated and stored in individual labeled bins without touching another child's bedding. In accordance with 922 KAR 2:405E Section 4 (9), a child care center shall not provide access to vistors. However, observation revealed the school's Computer/Spanish teacher visited the preschool classroom and provided materials and oversight for a computer activity. Interview with the staff in charge confirmed that the visiting teacher was not a staff member of the licensed center. Additionally, several adults were observed in the community area, located outside of the three-year-old classroom and was later identified as the school age area. The adults were church members who were participating in a bible study and other church functions. Additionally, several of the adults were not wearing face masks.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the child care center failed to maintain background checks in accordance with regulatory requirements. A review of staff files failed to reveal that a staff member with an unknown start date had completed background checks in accordance with regulatory requirements. Multiple files were reviewed, however the files did not contain a determination of eligibility. A KARES report also did not reflect that a background check had been submitted. Observation revealed the staff member working in the Four Year Old room, but was not alone. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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 child care center director failed to assure compliance with regulatory requirements. A review of documentation failed to reveal documentation of a conducted staff meeting. 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: Based on interview and review of documentation, the child care center director failed to assure compliance with regulatory requirements. A review of documentation failed to reveal staff evaluations for all staff members. Interview with staff in charge revealed the documentation had been taken offsite and was unavailable at the time of the survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee files in accordance with regulatory requirements. Review of documentation failed to reveal a staff members proof of educational qualifications, negative results of a tuberculin test or written documentation from a health professional stating the individual is free of tuberculosis, record of annual performance evaluation, and date of employment for a staff member with an unknown hire date.

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 information in accordance with regulatory requirements. A review of documentation failed to reveal a high school diploma, GED, or other comparable entity or a Commonwealth Child Care Certificate for a staff member with an unknown hire date.

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. A review of staff files failed to reveal negative tuberculin test results or a written statement from a health care professional stating the employee is free of tuberculosis for a staff member with an unknown hire date.

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. A review of staff files and an ECE-TRIS report failed to reveal fifteen (15) cabinet approved training hours had been completed by staff members with hire dates of 08/15/06 and 03/01/09. The documentation was not available at the time of the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 3. General Requirements.

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the bathroom revealed a plastic stacked set of drawers containing numerous containers of disinfectant wipes. All containers contained the warning "Keep Out of the Reach of Children". All containers were accessible to the children using the bathroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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 Meal Requirements.

General: Based on interview and review of documentation the child care center failed to maintain the food service in accordance with regulatory requirements. A review of documentation revealed a menu had been created, however the menu had not been posted in advance in a conspicuous area. Interview with staff revealed a menu documented in a calendar, however the menu was not able to be posted in its current form. 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 files in accordance with regulatory requirements. Based on a review of ten (10) children's files, nine (9) files failed to contain enrollment dates of the children, individuals allowed to pick up the child, an emergency release, medical history, a written record completed and signed by the parent on the first day of enrollment , physician contact information and preferred hospital. The documentation was not available at the time of the survey. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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: Based on review of documentation, the child care center failed to maintain postings in accordance with regulatory requirements. A review of postings failed to reveal the most current Statement of Deficiencies issued to the provider, and Plan of Corrections submitted by the provider to the cabinet. The SOD/POC posted was dated 10/28/16.

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 child care center failed to maintain postings in accordance with regulatory posting requirements. A review of documentation in the Four Year Old room failed to reveal a daily schedule. Interview with the staff member revealed the documentation was not available at the time of the survey. Animals 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 review of documentation and interview, the child care center failed to comply with regulatory requirements. Review of the presented documentation revealed that the fire marshal report presented on 11/29/18 was dated 8/16/12 so there is not a way to determine if the child care center is currently in compliance with the state fire marshal. Upon request, the director did not present a recent fire marshal report at the time of the survey. 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 review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 8/21/17 whose file did not include a current written annual evaluation. Upon request, the director did not present a current evaluation for the aforementioned staff member at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center director failed to assure compliance with regulatory requirements. There was a toilet bowl brush located by the sink in the bathroom in the Fours Room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed that on 11/29/18 from 10:24am-12:25pm, the child care center did not have a staff member on duty with current infant, child or adult First Aid certification. Upon request, the director did not present documentation to verify that a staff member on duty at the time of the survey had current infant, child or adult First Aid certification.

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 review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed two (2) staff members with hire dates 10/14/14 and 8/29/05 whose file did not contain documentation to verify completion of the required fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the two (2) staff members did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present documentation to verify that the aforementioned staff members had completed the fifteen (15) hours of cabinet approved training at the time of the survey. 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 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 9. Records.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 8/21/17 whose file did not contain an annual written professional development plan. Upon request, the director did not present a current professional development for the aforementioned staff member at the time of the survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director failed to maintain a current personnel file for each child-care center staff person to include: Name, address, date of birth, and date of employment; proof of education requirements; documentation of personal development plan and annual evaluation; written record of training hours completed, a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results; a Child Abuse or Neglect check, and Criminal records check for staff members with the following hire dates: 12/1/15, 8/29/05, 12/1/14, 10/14/14, 10/15/08, 8/1/07, 10/1/16, 8/3/15, and 3/1/09. Review of DRCC documentation revealed that above mentioned criteria were reviewed previously but not maintained in file. In addition to not maintaining personnel files, the director did not present current personnel files for newly hired staff members not previously reviewed or documented through DRCC. Files of staff persons failed to include: Name, address, date of birth, and date of employment; proof of educational qualifications; record of annual performance evaluation; written record of training with hours completed participation to include, a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results; a Child Abuse or Neglect check, and Criminal records check for staff members with the following hire dates:8/21/17 and 8/8/17.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements regarding education. Upon request, the director did not present maintained documentation of education requirements for staff members with the hire dates 12/1/15, 8/29/05, 12/1/14, 10/14/14, 10/15/08, 8/1/07, 10/1/16, 8/3/15, 3/1/09, 8/21/17, and 8/8/17.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements, upon request the director did not maintain written documentation of a negative TB result or health professional’s statement confirming that staff member is free from tuberculosis. Staff member’s files with the following hire dates: 12/1/15, 8/29/05, 10/14/14, 10/15/08, 8/1/07, 10/1/16, 8/3/15, and 3/1/09. did not have current documentation presented at the time of survey. Staff file with hire date 12/1/14 did not have current documentation of TB result. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present a staff file containing documentation of CPR and First Aid certification for any staff. Review of DRCC documentation for employees presented at previous inspections revealed expired First Aid and CPR certification dates.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present fifteen (15) hours of cabinet-approved early care and education training for the staff files with the following hire dates: 8/1/07, 10/15/08, 10/14/14, 12/1/14, 8/29/05, 12/1/15. 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 In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of staff files, staff members with hire dates of December 2015(date unknown), and 10/01/16 failed to have documentation in the file of a high school diploma, GED, or other qualifying documentation from a comparable educational entity.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on a review of all staff files, staff members with hire dates of August 2015 (date unknown), and December 2015, failed to have a written statement from a health professional stating that the individual is free of tuberculosis or negative results from a tuberculin test. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 the premises in accordance with regulatory requirements. Based on observation, two (2) stall walls in the Ladies bathroom, located in the hallway, revealed peeling paint and drywall. Children were observed utilizing the referenced bathroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. Based on a review of ten (10) childrens' files, children with enrollment dates of: 02/16/16, 04/04/16, and 01/21/16 failed to have current immunization certificates contained in the file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, and interview, the child care center failed to maintain children's records in accordance with regulatory requirements. Based on a review of ten (10) children's records, none of the children's files contained information regarding a hospital preference. Based on interview with the staff in charge, the preferred hospital had inadvertently been left off of the enrollment form. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically background checks. Review of all staff files presented, revealed the center failed to provide documentation at time of survey verifying a completed child abuse or neglect check using the central registry in accordance with 922 KAR 1:470 for a staff member hired 8/1/13.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically training. Review of all staff files presented revealed the center failed to provide documentation at time of survey verifying the completion of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment for each staff member. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically immunization. Review of ten (10) children's files presented revealed, the center failed to provide documentation at time of survey verifying a current immunization certificate for each child in care within thirty (30) days of the child’s enrollment, unless an attending physician or the child’s parent objects to the immunization of the child pursuant to KRS 214.036 for nine (9) children.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files reveal that staff with the hire date of 8/14/14 listed a Louisiana address as a place of residence on the Child Abuse and Neglect check document. Additional review of the staff record revealed that the staff did not have an out of state back ground check available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files reveal that two (2) staff members with the hire date of 8/14/14 failed to have documentation available for review of a high school diploma, GED, Commonwealth Child Care Credential or other qualifying documentation from a comparable educational entity.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of staff files reveal that an employee with the hire date of 8/14/14 did not have documentation available for review from a health care professional to state that the individual was free from active TB.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was no documentation on file for review that a staff member with the hire date 8/1/13 Child Abuse and Neglect Check was sent off within five days of employment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, there was no document available for review verifying that a staff member with the hire date 8/1/13 was free of active tuberculosis.

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, multiple Clorox wipe containers were located on a low shelf in the restroom of the Four/Five’s Room.

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: Based on Observation, children failed to be served whole or enriched grain bread for lunch.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 10

Four year old class: Based on observation, the classroom sink did not have hand washing proceedures posted. Animals 319 - Animal Requirements 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 40 of 41 Web site: http://chfs.ky.gov/ Inspection Report 2) Vaccinated Not Applicable 321 - Prohibited Animals 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated Not Applicable 2) Wild Not Applicable 3) Exotic Not Applicable C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected 2) Partnership statement Not Inspected

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

Three year old class: Based on observation, next to a child's sleeping cot was an outlet that was missing two outlet covers. The boys bathroom had a plunger next to the toilet accessible to children. The boys bathroom had two outlets next to the sink that did not have outlet covers. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides Not In Compliance Findings: Four year old class: Based on observation, under the classroom sink was multiple cleaning supplies acessible to children including Lysol and Clorox wipes and Comet that state "Keep out of reach of children". 7) Personal belongings of staff Not In Compliance Findings: Four year old class: Based on Observation, a staff purse was accessible to children behind the staff desk on the floor. Three year old class: Based on observation, a staff member's backpack was accessible to children on the floor of the classroom. A staff member's purse was sitting on the floor in the classroom. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 41 Web site: http://chfs.ky.gov/ Inspection Report 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 41 Web site: http://chfs.ky.gov/ Inspection Report 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 6

Three year old class: Based on observation, cots are not sanitized after each use or labeled for individual use.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

General: Based on review of documentation, staff evaluations were not completed in the previous year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

General: Based on observation, there are several outlet covers missing in the boys and girls hall bathrooms and waiting areas outside of the bathrooms where the children sit and wait to use the bathroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff members hired on 8-1-12 and 9-1-12 do not have educational requirements on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 41 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on review of documentation, staff member hired on 8-1-12 does not have T.B. verification. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, staff member hired on 9-1-12 had 14 hours of training in previous year. 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 41 Web site: http://chfs.ky.gov/ Inspection Report Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance