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

General: Based on interview and review of documentation, the center's Kentucky Applicant Registry and Employment Screening (KARES) roster contained two (2) people who no longer work at the center. This was confirmed by interview with the director. Supervision 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, the smoke detector was beeping throughout the duration of the inspection in the 4's and 5's classroom. The beeping was indicative of a low battery or malfunction.

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, one child's (1) enrollment file (DOE: 09/09/24) listed a nonexistent preferred hospital.

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 06/17/2024 AND AS OF 07/15/2024, 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 review of documentation, the child care center did not have any staff members who were certified in Adult First Aid by a cabinet-approved source. There are school age children enrolled at the child care center. 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

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, a staff member (DOH 08/17/20) did not complete (15) hours of early care and education training during the training year 07/01/22 to 06/30/23. A review of ECE-TRIS verified this information. 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 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, the immunization certificate for a child (DOE 08/15/23) was expired. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, a large glass shard was observed on the ground of the playground.

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, written job descriptions were not available for review during the inspection.

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 Fire Marshal inspection report on file was dated 2/18/2020. This inspection exceeds two years, and therefore is no longer valid. There was no evidence that the provider made a request for inspection through the State Fire Marshal office. 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 9. Records.

General: Based on review of documentation, a staff member present on the date of the survey did not have a documented date of hire. This staff member was observed interacting with the children and cooking meals. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member with an unknown date of hire, did not have proof of educational qualifications on file. This staff member’s file could not be located during the inspection process.

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 an unknown date of hire, did not have evidence of a negative tuberculin screening, nor a physician’s statement clearing them of active tuberculosis. This staff member’s file could not be located during the inspection process. Programming In Compliance 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, an area of baseboard was separating from the wall in the School-Age classroom. 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, two screws were protruding from the wooden fence on the playground. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one child enrolled 8/10/2022, had an immunization record that was no longer current. Written Documentation Not In Compliance

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 observation, one child’s allergy information was posted on a door within the facility, there was no indication that permission was obtained to post the medical information. Posted Documentation In Compliance Animals Not Applicable

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 of the preschool room, there were multiple times throughout the survey one (1) staff member with the hire date 11/01/2021 was the sole caregiver for five (5) children. Upon request, a completed background check from the National Background Check Program (NBCP) was not presented for review for the staff member with the hire date 11/01/2021. The Kentucky Applicant Registry and Employment Screening (KARES) report did not list the staff member with the hire date 11/01/2021 as being employed at the child care center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Upon request, verification that the child care center initiated the process for obtaining a completed background check from the National Background Check Program (NBCP) for a staff member with the hire date 11/01/2021 was not presented for review on the day of the inspection. The Kentucky Applicant Registry and Employment Screening (KARES) report did not verify that the background check from the Nation Background Check Program (NBCP) had been initiated. Supervision In Compliance Staffing 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 11. Staff Requirements.

Based on review of documentation, there were only two (2) staff files presented for review on the day of the inspection. Continued review revealed there was only one (1) qualified staff member for the whole child care center. The second (2) staff member was observed working alone with the children. However, there was not a completed background check from the Nation Background Check Program (NBCP) on the staff member with the hire date 11/01/2022. Review of Division of Regulated Child Care documentation revealed the child care center was licensed for toddlers, preschool and school-age children. Interview with the director revealed there were eight (8) children enrolled at the child care center and there were five (5) children present on the day of the inspection and the youngest child present on the day of the inspection was two (2) years old. General Administration In Compliance Director Requirements 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 8. General.

General: Upon request, a current copy of the administrative regulations(922 KAR 2:120, 922 KAR 2:280 and 922 KAR 2:090) 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: Based on observation of the preschool room, a staff member with the hire date 11/01/2021 was the sole care giver for five (5) children. There were multiple times throughout the inspection that the staff member with the hire date 11/02/201 was left alone with the children. Verification of completed background checks was not presented for review for the referenced staff member. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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 director did not present verification that the child care center maintained two (2) qualified substitute staff members. Interview with the director revealed that the child care center did not have two (2) qualified substitutes.

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 presented staff file for staff member with the hire date of 08/17/2020, there was not verification that the staff member had completed fifteen (15) hours of cabinet-approved early care and education training. Review of the Early Care and Education Training Records Information System (ECE-TRIS) report did not verify that the training hours had been completed. Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Upon request, a daily planned program was not presented for review for the preschool room on the day of the inspection. 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 metal handrail leading onto the outside playground was rusted and chipping paint. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation of the sink in the bathroom within the two-year-old room, the handwashing sink within the two-year-old room and the bathroom sink within the preschool room, the hot water temperature exceeded one hundred-twenty (120) degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the deep freezer located within the kitchen, the temperature could not be verified to ensure that temperature inside the deep freezer was zero (0) degrees Fahrenheit or below.

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 of the refrigerator located within the kitchen, there were dried pieces of shredded cheese scattered on the bottom shelf. Also there were other dried food particles on the bottom shelf of the refrigerator. 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

Category: nutrition. Open / not marked corrected.

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

General: Upon request, a current immunization certificate was not presented for review for two (2) children with the following enrollment dates: 08/31/2021 and 12/06/2021. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Review of presented children’s files revealed there was one (1) child with the enrollment date 08/25/2020 whose file listed a non-existing hospital as a preferred hospital. Therefore, there was not a preferred hospital listed in the child’s file. 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: Upon request, a current written evacuation plan in the event of fire, natural disaster, or other threatening situation that may pose a health and safety hazard for a child in care was not presented for review on the day of the inspection. The document presented for review was dated 02/20/2020.

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 fire, earthquake and tornado drills revealed the drills were conducted and documented with the date and time. However, the children who participated in the tornado and earthquake drills were not listed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Upon request, verification that a lockdown drill was conducted for the third (3rd) and fourth (4th) quarter of 2021 was not presented for review on the day of the inspection. Interview with the director revealed the lockdown drills were not conducted. 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 9. Records.

General: Upon request, a written plan with a diagram outlining the course of action in the event of a natural or manmade disaster was not posted in a prominent place or presented for review on the day of the inspection. Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6

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, three (3) staff members have not completed six (6) hours of cabinet-approved orientation training within the first three (3) months of employment. 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

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the sink located in the bathroom of the classroom known as the Three-to-Five-Year-Old classroom did not have any running hot water. In addition, the staff-in-charge disclosed that the faucet used to operate the hot water began to malfunction recently. 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 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, three (3) children's files did not have a current certificate of immunization for the respective 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 9. Records.

General: Based on review of documentation, two (2) children's files did not have the preferred hospital listed for the respective children. 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.