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

General: Based on interview and review of documentation, current compliance with the Office of the State Fire Marshal could not be verified. The presented fire marshal inspection document was dated 01.29.19. Interview with the staff in charge revealed previous communication with a representative of the Office of the State Fire Marshal; however, documentation of such communication was not available for review. Director Requirements In Compliance Employee 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 11. Staff Requirements.

General: Based on interview and review of documentation, no verification of education from the educational entity was presented for review for a staff member (DOH 08.06.19). The documentation that was presented for review consisted of an Academic Achievement Award from the House of Representatives. 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, the documentation submitted for review as verification that a staff member (DOH 01.04.21) was free of active tuberculosis (TB) appeared to contain laboratory testing results; however, there was no information on the document identifying the source of the information to confirm that the presented information was TB skin tests results from a health care provider.

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, no documentation was presented for review to verify that a staff member (DOH 07.03.24) completed first aid and cardipulmonary resuscitation training within the first ninety (90) days of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Review of documentation, to include review of Early Care Education Training Information System (ECE-TRIS), failed to confirm that a staff member (DOH 7.21.23) completed fifteen (15) hours of training during the last review period, which was 03.22.24 through 06.30.24. The staff completed only two (2) hours of training during that period. 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 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on review of the KARES documentation, a staff member with the (DOH: 03/24/17) background check had expired on 09/05/23. The staff in charge did not present a current background check for the aforementioned staff member on the day of the inspection. The staff member was not observed working at the child care center on the day of the inspection. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, there were four (4) two-year-old children present at the child care center on the day of the inspection. Review of the DRCC documentation revealed the child care center was not authorized to provide services for toddlers. Therefore, the child care center implemented changes prior to receiving approval from the Division of Regulated Child Care. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member with the (DOH: 02/18/22) had completed zero (0) hours of the required fifteen (15) hours of early care and educational training during the year 07/01/22 to 06/30/23. 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 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 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, the breakfast served to children on the day of the inspection included cereal, milk, and water. Therefore, not all required breakfast components were not served to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance 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 time that the tornado drill, earthquake drill, and lockdown drill were conducted for the second (2nd) quarter of 2023 was not documented. Posted Documentation In Compliance Animals 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 11. Staff Requirements.

General: Based on observation and review of documentation, staff members hired on 03/24/17 and 08/06/19, did not have current documentation on file from a health care professional stating that they were free of active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, staff hired on 01/04/21, completed PAHT training on 04/25/16; however, did not renew the training due 04/25/21. The ECE-TRIS system was reviewed and confirmed this finding. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, child enrolled on 08/02/21, did not have a current immunization certificate on file. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, a completed National Background Check Program (NBCP) with an eligible status was not presented for review for two (2) staff members with a hire date of 01/04/2021. Interview with the stafff member in charge revealed that the background checks had not been initiated. One of the staff members was observed working with children on the date of the inspection.

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, two staff members with hire dates of 1/4/2021 were not listed as employees on the center's Kentucky Applicant Registry and Employment Screening (KARES) database. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration 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, a current fire marshal report was not present for review on the day of the inspection. The document presented was dated 01/29/2019. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance 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: Based on observation, there were two (2) large apple shaped shelves that were chipping paint and a child size red vinyl couch that contained multiple tears in the vinyl exposing the inside absorbent material in the Red Room. 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 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: Based on review of documentation, the enrollment files for children with an enrollment date of 10/06/2020, 04/13/2021, 03/13/2019, 05/03/2021, 04/06/2021, 08/11/2021, 03/07/2019, 07/01/2021, 08/02/2021 and 08/23/2021 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. Additionally, there was a child’s file with an enrollment date of 03/07/2019 that did not contain a preferred hospital. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 9. Records.

General: Based on interview and review of documentation, a written plan and diagram outlining the course of action in the event of a natural or manmade disaster for fire, tornado, earthquake, and lockdown was not posted. Interview with the staff member in charge reveals the documentation was not availible on the day of the inspection. Animals Not Applicable

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 ceilings in the blue and red classrooms revealed multiple brown stains on the ceiling tiles, indicative of water damage. Further observation of the blue room revealed the walls were not smooth and flush in the kitchen and block centers. Continued observation of the ceiling, located in the entry way of the child care center, revealed a large hole with a chain hanging out of it.

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: Observation of the restroom revealed a toilet behind the orange curtain that did not flush properly. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable Emergency Regulation 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. The records for seven (7) children with the enrollment dates of 08/08/2018, 08/15/2018, 08/08/2018, 08/13/2018, 05/15/2017, 08/12/2018, and 08/08/2018 did not contain a preferred hospital. Interview with the director revealed the requested documentation was unavailable at the time or survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulations regarding written documentation. Review of the attendance records and interview with the director revealed not all thirty-four (34) children present during time of survey were signed into the daily attendance records; only thirty (30) were signed into the daily attendance record for that day. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on observation, the child care center failed to maintain the equipment in accordance with regulatory requirements. Observation revealed a green wooden shelving unit that contained a nailhead protruding upwards from the top of the unit. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 5. Evacuation Plan.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of documentation failed to reveal a written 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. Interview with the staff in charge revealed the documentation was not available 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 9. Records.

General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. A review of all drills revealed the last recorded earthquake drill was 6/30/17. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Posted Documentation In Compliance Animals 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 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. Review of the presented employee files revealed a staff member with hire date 3/16/17 whose file did not contain verification of completion of the six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Upon request, the Director did not provide the verification of completion of orientation for the aforementioned staff member 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: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. There was a crack in one of the light covers located in the kitchen exposing a portion of the fluorescent light bulbs. 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 was torn exposing the absorbent material. 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 11. Toys and Furnishings.

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. The red riding apparatus located on the outside play area was missing one of the cushions over a pedal exposing the metal underneath. Transportation Not Applicable Food Service In Compliance 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 2:110 · 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. Review of the presented children’s files revealed a child’s record with enrollment date 8/1/16 whose file did not contain the name of the family’s physician. Upon request, the Director did not provide the documentation at the time of the survey. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.