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

General: Based on review of documentation, a child's enrollment file (DOE: 02/10/23) did not have preferred hospital listed. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, a current annual written performance evaluation for 2023 was not presented for two staff members. (DOH: 08/17/22 and 08/01/22) Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a high school diploma, GED or qualifying documentation from a comparable educational entity, or commonwealth child care credentials was not presented for a staff member. (DOH: 08/17/22) An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the TB test on file for a staff member (DOH: 09/10/23) was no longer current.

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 observation and review of documentation, a staff member (DOH: 08/16/23), did not received training in first aid and cardiopulmonary resuscitation (CPR). Review of the Early Childhood Education Training Report Information System confirmed the lack of training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 08/16/23), did not complete six (6) hours of cabinet-approved orientation completed within the first three (3) months of employment. Review of ECE-TRIS verified this finding. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a written annual plan for child-care staff professional development was not presented for two staff members. (DOH: 08/17/22 and 08/01/22) 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 2. Child Care Services.

General: Based on observation, this regulation was not met. When the surveyor arrived, both Pre-K4 classes were outside on the playground. One class had 18 children and the other class had 19 children for a total of 37 children on the playground. The group size for ages four to five is 28 children; therefore, the group was over the maximum group size by nine children. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, there was one uncovered electrical outlet in the Pre-K4 (1) classroom. 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, one staff hired on 8/19/21, did not have evidence of an evaluation on file at the facility. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, four staff with hire dates of 8/18/22, 2/15/22, 1/3/23, and 8/17/22, did not have proof of education on file at the facility. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on observation, the following was found: 1.) Two staff with hire dates of 11/1/21, and one staff with a hire date of 8/9/21, did not complete the required 15 hours of annual training. 2.) Two staff with hire dates of 11/1/21, and one staff with a hire date of 2/15/22, did not complete the required pediatric abusive head trauma training. The staff members have been employed for more than one year. 3.) One staff hired on 7/1/20, completed pediatric abusive head trauma training on 2/20/17; however, did not renew training due 2/20/22. 4.) One staff hired on 10/1/21, completed pediatric abusive head trauma training on 10/30/17; however, did not renew training due 10/30/22. 5.) One staff hired on 8/18/20, and two staff hired on 11/1/21, did not complete the required orientation training. These staff members have been employed for more than three months. 6.) Two staff with hire dates of 8/18/22, and 2/15/22, did not take orientation training within three months of employment. The courses were taken on 3/17/23, and 1/23/23. A review of ECE-TRIS supports the information found during the survey. 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: recordkeeping. Open / not marked corrected.

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

General: Based on observation, this regulation was not met. In the Pre-K3 (1) classroom, the mats were leaning up against each other with the sheets touching. Transportation In Compliance 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

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on interview and review of documentation, two (2) staff members hired 08/04/21 and 07/01/20, did not submit a request for a background check from Virginia, which was a previous state of residence. In addition, a staff member hired 10/15/21, did not submit a request for a background check from Indiana, which was a previous state of residence. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance 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 interview and review of documentation, two (2) staff members, hired 08/09/21 and 08/19/21, did not have education verification on file.

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, four (4) staff members hired 01/10/19, 08/09/21, 10/15/21, 08/19/21, and two (2) staff persons hired 11/01/21, did not have first aid and (CPR) training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, four (4) staff members hired 01/10/19, 08/09/21, 10/15/21, 08/19/21 and two (2) staff members hired 11/01/21, had no proof each completed six (6) hours of orientation training with in the first three (3) months of their employment. A staff member hired 01/10/19, completed one and one-half (1 1/2 ) hours of annual training from 07/2020 to 06/2021. Two (2) staff members hired 08/31/15 and 01/19/16 completed six and one-half (6 1/2 ) hours of annual training from 07/2020 to 06/2021. Staff member hired 01/10/19, lacked one and one half (1 ½) hours of cabinet approved Pediatric Abusive Head Trauma Training within the first year of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center did not present a current Fire Marshal report for review. The document presented was dated 10/31/2017. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the presented staff members files revealed the staff members with the hire dates of 08/14/2019, 08/16/2017, 08/31/2015, 01/19/2016 and 08/26/2019 were actively employed for at least one (1) year and were not evaluated during the review period. Interview with the staff in-charge revealed the evaluations were not conducted on the aforementioned staff members.

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: Observation of the gym revealed there was one (1) electrical outlet that was not covered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of presented staff members' files revealed two (2) staff members with the hire dates of 08/26/2019 and 11/01/2020 whose file did not contain a high school diploma, GED or other qualifying documentation from a comparable education entity. Upon request, the staff member in-charge did not present educational documentation for the aforementioned staff members.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of presented staff file's revealed three (3) staff members with the hire dates of 08/14/2019, 01/10/2019 and 8/26/2019 did not complete six (6) hours of cabinet- approved orientation training within ninety (90) days of employment. Review of ECE TRIS report could not verify the training had been completed. Interview with the staff in-charge revealed she was not able to verify that the orientation training was completed within ninety (90) days of employment for the aforementioned staff members. Review of presented staff member's files revealed five (5) staff members with the hire dates; 08/14/2019, 08/16/2017, 08/31/2015, 01/19/2016 and 08/26/2019 whose file did not contain documentation to verify completion of the one and one-half (1 1/2) hours of pediatric abusive head trauma. Review of ECE TRIS report could not verify the training had been completed. Upon request, documentation was not presented to verify that the completion of the one and one-half (1 1/2) hours of pediatric abusive head trauma training for the aforementioned staff members. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Observation of the sink located in the women's restroom adjacent to the gym revealed there was not any soap in the soap dispenser for hand washing. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance 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 2:090 · 922 KAR 2:090. Section 9. Records.

Review of ten (10) presented children's files revealed all ten (10) of the children's files did not contain emergency authorization for medical care. Continued review revealed two (2) children's files with the enrollment dates of 08/17/2020 and 07/20/2020 did not contain the child's general health status and medical history. Upon request, the child care center did not present the documentation for review. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center did not present a current organizational chart for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of the presented staff members' files, a current professional development plan was not presented for review for five (5) staff members with the following hire dates: 01/19/2016, 08/26/2019, 08/14/2019, 08/16/2017 and 08/31/2015. 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 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulatory background checks requirements. Review of the Kentucky Applicant Registry and Employment Screening (KARES) system on the Kentucky Online Gateway (KOG) on 9/4/19 revealed the following: 1) An individual was listed as a current employee and as teacher assistant with an eligible for employment date of 5/21/19. 2) An individual was listed as a current employee and as teacher assistant with an eligible for employment date of 8/2/19. In addition, an interview with the staff in charge disclosed that the above-mentioned individuals were no longer employees at the child care center. 3) Furthermore, an individual listed as separated (teacher assistant) with an eligible for employment date of 1/10/19 was observed working at the child care center. Supervision In Compliance Staffing Requirements In Compliance 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 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 11/08/2019 AND AS OF 11/26/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a personnel file was not presented for review at the time of survey for a staff member with an unknown hire date who was shown as separated from employment on the Kentucky Applicant Registry and Employment Screening (KARES) system as of 9/4/19.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain employee records in accordance with regulations. 1) Observation revealed that on the date of survey, four (4) staff members with the following hire dates: 8/15/18, 8/14/19, 8/26/19 and 9/15/19, did not have any documents in their respective files showing any educational attainment. 2) In addition, a staff member with an unknown hire date who was shown as separated from employment on the Kentucky Applicant Registry and Employment Screening (KARES) system as of 9/4/19 did not have any proof of education and was working.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain employee records in accordance with regulations. 1) A current statement from a health professional that the individual is free of active tuberculosis or a current copy of negative tuberculin results were not presented for review for four (4) staff members with the following hire dates: 8/15/18, 8/14/19,8/26/19 and 9/15/19. 2) In addition, a staff member with an unknown hire date and shown as separated from employment on the Kentucky Applicant Registry and Employment Screening (KARES) system as of 9/4/19 did not have any current copy of negative tuberculin results. The individual was working.

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. The staff in charge did not produce verification from the Early Care and Education Training Records Information System (ECE-TRIS) that staff members with the hire dates of 8/20/16 and 8/15/18 had received fifteen (15) hours of annual cabinet approved early care and education training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 2:090 · 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 two (2) staff members with hire dates 8/16/17 and 8/23/16 whose files did not contain an annual written evaluation. Upon request, the director did not present a current evaluation for the aforementioned staff members 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 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 a staff member with hire date 9/4/18 whose file did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity. Upon request, the director did not present educational documentation for the aforementioned staff member at the time of the survey. 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 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 1/19/16 and 9/4/18 whose files did not contain a statement from a health professional that they were free of active tuberculosis. Upon request, the director did not present a current statement for the aforementioned staff members at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: 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 8/16/17 and 9/14/17 whose files did not contain documentation to verify completion of the six (6) hours of orientation. Review of the presented employee records revealed a staff member with hire date 8/16/17 whose file did not contain documentation to verify completion of the one and one-half (1 ½) hours of Pediatric Abuse Head Trauma training. Continued review of the presented employee records revealed four (4) staff members with hire dates 8/31/15, 1/19/16, 8/23/16 and 8/16/17 whose files did not contain documentation to verify completion of the fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff members did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present training documentation for the aforementioned staff members at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The toilet located in the After School Building was not secured to the floor. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance 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 2:090 · 922 KAR 2:090. Section 9. 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 records revealed two (2) children with the same enrollment date of 8/7/18 whose files did not contain the name of the preferred hospital. Upon request, the director did not present the documentation for the aforementioned children at the time of the 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 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 three (3) staff members with hire dates 8/16/17, 8/31/15 and 8/23/16 whose files did not contain an annual written professional development plan. Upon request, the director did not present a current professional development plan for the aforementioned staff members at the time of the survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to posted documentation in accordance with regulatory requirements. The two (2) daily activity plans posted on 9/6/18 were no longer current as they were dated 8/20 and 8/27. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain adequate supervision in accordance with regulatory requirements. Observation revealed a school-aged male child leave the boys bathroom located in the back area of the child care center, close to the game room. Although staff may have been aware of the child’s use of the restroom, the child was not observed to be within scope of vision or range of voice by staff who provided care. Interview with staff revealed the child was six (6) years old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation of the child care center revealed two (2) classrooms and three (3) staff persons. The classrooms appeared to be co-mingled as the children were allowed to repeatedly enter and exit each classroom. Interview with staff revealed the youngest child in each room was five (5) years old. There was a total of thirty-two (32) children between each classroom. As the children were co-mingled, the child care center exceeded the maximum group size of thirty (30) children, based on the youngest child identified in the group. General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements with regard to staff evaluations. Upon request, the child care center director failed to provide documented evidence of an assessment for each staff person’s interaction with children in care and classroom performance through an annual written performance evaluation for a staff member with a hire date 08/23/16. Employee Records Not In Compliance

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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documentation of a high school diploma, GED or qualifying documentation from a comparable education entity, or Commonwealth Child Care Credential for a staff member with a hire date of 10/03/17.

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 interview, observation and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care center director failed to provide documented evidence of the completion of fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment, for staff with hire dates 01/19/16, 08/23/16, and 08/31/15. In addition, there was no documented evidence that staff with hire dates of 09/14/17 and 09/15/17, who were also observed to perform duties of a staff person, completed six (6) hours of cabinet-approved orientation within the first three (3) months of employment. The Early Care and Education-Training Records Information System (ECE-TRIS) report was also reviewed to determine compliance. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and review of tape measured documentation, the child care center failed to maintain a minimum of thirty-five (35) square feet per child in the Kindergarten classroom next to the Middle classroom. The capacity per thirty-five (35) square feet per child was not to exceed seven (7) children. Observation revealed fifteen (15) to eighteen (18) children in the classroom during the inspection. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the outdoor play area revealed insufficient protective surfaces around play equipment used to swing, climb and slide. Surface dirt was observed within loosely scattered protective surfaces. Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care center failed to provide documented evidence of a written annual plan for child-care staff professional development for staff with hire dates 08/23/16 and 08/31/15. 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 4. Director Requirements and Responsibilities.

General: Based on Observation, the child care center director failed to assure compliance with regulatory requirements. Observation of the game room revealed a broken electrical outlet cover plate located under the window. Employee 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 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 presented staff files revealed six (6) staff members with the hire dates 7/13/16, 9/19/16, 8/25/14, 10/19/16, 10/5/16 and 10/26/16 did not have written documentation from a health care professional to verify that the individual was free from active TB at the time of the survey. Interview with the director revealed she did not locate the documents at the time of the survey. 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

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 presented staff files revealed a staff member with the hire date 7/13/16 did not complete six (6) hours of cabinet-approved orientation within ninety (90) days of employment. Review of presented staff files revealed two (2) staff members did not complete Fifteen (15) hours of cabinet-approved early care and education training. Review of the ECE TRIS report verified the training hours were not completed. Interview with the director revealed she could not locate documents to verify the training hours had been completed. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of the boys' and girls' bathrooms revealed there was not ventilation to outside air at the time of the survey. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed a slide with the ground being exposed in areas under it; therefore there was not sufficient protective surfacing. Equipment In Compliance Transportation In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the refrigerator downstairs revealed there was not an indicating thermometer or appropriate temperature measuring device at the time of the survey. 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

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the two (2) freezers downstairs revealed there was not an indicating thermometer or appropriate temperature measuring device to determine that the temperature was maintained at zero degrees Fahrenheit or below. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. 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 records in accordance with regulatory requirements. Review of children’s files revealed two (2) children with the enrollment dates 11/7/15 and 8/24/16 did not have on file an immunization certificate at the time of the survey.

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 record review, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of ten (10) children’s files revealed the following: 1. Two (2) files did not contain information for the parents preferred hospital. 2. One (1) file did not contain the information for the family physician. 3. Ten (10) files 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. Written Documentation In Compliance Posted Documentation In Compliance Animals 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. Animals.

General: Based on Observation, review of documentation, and interview, the child care center failed to comply with regulatory requirements regarding animals. Observation of the art room revealed birds. Review of children’s files revealed there was not written parental consent for children to be in the presence of the birds at the child care center. Interview with the director revealed there was not written parental consent for the children to be in the presence of birds. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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. Review of staff files failed to reveal Fifteen (15) hours of cabinet-approved early care and education training for two (2) staff members hired 8/25/14. Interview with the director revealed an acknowledgement of the deficiency. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation and Interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed a yellow playhouse with white spindles in disrepair at the time of the survey. Interview with the director revealed it was in the process of being addressed.

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 and Interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of ten (10) children’s files revealed the ten (10) children’s files failed to have emergency authorization for the child care center from a parent 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 6. License Issuance.

General: Based on Review of Documentation, and interview with the director, the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed that the requirements of a child abuse or neglect check using the central registry in accordance with 922 KAR 1:470; and a criminal records check as required by KRS 199.896(19)was not completed for the staff with the hire dates of 09/15/2014 and 09/29/2014. Interview with the director revealed she was in the process of addressing.

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 with the director, the child care center failed to maintain employee’s records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed that the employee’s record did not contain a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250 of educational qualifications for three(3) of the staff with the hire date of 8/25/2014 and two (2) additional staff with the hires of 09/15/2014 and 09/24/2014. Interview with the director revealed she was aware of the missing documents.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, and interview with the director, the child care center failed to comply with regulatory requirements regarding transportation. Review of the transportation log for field trips dated 08/6/2014 to the Louisville Science Center and the field trip dated 08/13/2014 to the Fern Valley Strike and Spare did not record the time each child got on and the time each child got off the vehicle. Interview with the director revealed she was aware of the regulation and was in the process of addressing.

Open Not marked corrected in the state record

Category: transportation. 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 provide documentation verifying current liability insurance coverage.

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 provide documentation verifying the following: 1. Completed Child Abuse and Neglect Checks for two staff members with the hire dates of 9/27/13 and 9/19/13. 2. Completed Criminal Record Checks for two staff members with the hired dates of 9/27/13 and 9/19/13. 3. Completed out-of-state background checks for three staff members with the hire dates of 8/23/13 (2) and 9/19/13.

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 provide written documentation by a health professional verifying two staff members with the following hire dates are free of active tuberculosis: 6/1/09 and 8/23/13.

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, it was determined the center failed to keep the following items inaccessible to children: 1. Observation revealed a staff purse sitting on an accessible shelf in the 3rd-6th grade classroom. 2. Observation revealed plastic bags were stored in an unlocked drawer in the 3rd-6th grade classroom.

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, it was determined children failed to wash hands with liquid soap and running water after eating. Observation revealed eight children in the 3rd-6th grade classroom did not wash hands after eating snack.

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, it was determined the center failed to provide documentation verifying current immunization for one child enrolled 8/13/13.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was determined the center failed to provide documentation of a written policy that specifies the procedures that were taught at the orientation training shall be implemented by each child care staff member.

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, all staff members did not have documentation of a current TB skin test or a statement from a health professional. Findings include: Staff #4, Staff #5 and Staff #10 did not have a record that they had obtained a negative TB skin test or a statement from a health professional. The director stated in interview that she was aware that the staff were missing the documenation and had no further statement regarding this violation. 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 3) 15 hours annually In Compliance 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 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 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

Open Not marked corrected in the state record

Open / not marked corrected.