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

General: Based on observation, the restroom sink in Room 22 was loose from the wall. The caulk behind the sink was lifted, broken and peeling leaving the wall unsmooth. 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 1 of 2 Inspection Report Children's 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, none of the children’s records reviewed contained 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 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 review of documentation, the surveyor found that a staff’s (DOH: 08/25/22) file contained documentation of a background check submitted through the Kentucky Applicant Registry and Employment System (KARES) that verified the staff’s eligibility date as 08/25/22. The documentation verified that the staff person lived in the state of Louisiana in the last five (5) years. The staff’s file did not contain a completed out of state Child Abuse/Neglect Background Check (CAN) or a check of the states sex offender registry. The surveyor observed the staff person working alone with children in Classroom 23 on the day of the visit. During interview, staff-in-charge stated that she thought Louisiana participated in the National Background Check Program; therefore, staff stated that she thought no other background checks were needed. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 surveyor found that a staff’s (DOH: 08/25/22) file contained documentation of a background check submitted through the Kentucky Applicant Registry and Employment System (KARES) that verified the staff’s eligibility date as 08/25/22. The documentation verified that the staff person lived in the state of Louisiana in the last five (5) years. The staff’s file did not contain a completed out of state Child Abuse/Neglect Background Check (CAN) or a check of the states sex offender registry. The surveyor observed the staff person working alone with children in Classroom 23 on the day of the visit. During interview, staff-in-charge stated that she thought Louisiana participated in the National Background Check Program; therefore, staff stated that she thought no other background checks were needed. 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 ECE-TRIS, the surveyor found that a staff (DOH: 05/27/15) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 10/26/17; therefore, the training was not completed within the last five (5) years. 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 3. General Requirements.

General: Based on observation, the surveyor found a red/white bottle that stated, "Walgreens," "Arthritis Pain Reliever," on the label placed inside an unlocked desk drawer in Classroom 22. During interview, staff stated that the medication belonged to a staff person. The desk drawer was located on the side by the filing cabinet. The item mentioned was observed to be accessible to the children. The surveyor observed a staff person to remove the medication from the desk drawer and place in a locked cabinet in the classroom.

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 surveyor found a sink in the boys' restroom located by Classrooms 22, 23, 24, and 25 that was partially detached from the wall and was observed to be loose. The sink had blue tape over it and a note that stated, "Do Not Use." During interview, staff stated that the condition of the sink was due to a school age child who had climbed on top of the sink. Staff stated that a plate had been ordered for the sink and the sink would be repaired the day after the surveyor's visit on approximately 01/20/23. 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

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, the surveyor found the following: 1. The toilet seat moved easily and was not tightly secured to the toilet in the first stall in the boys’ restroom that was located by Classrooms 22, 23, 24, and 25; therefore, the toilet was not kept in good repair. 2. The toilet seats moved easily and were not tightly secured to the toilets in the third and fourth stalls in the girls’ restroom that was located by Classrooms 22, 23, 24, and 25; therefore, the toilets were not kept in good repair. 3. The toilet seats moved easily and were not tightly secured to the toilets in the second, third, and fourth stalls in the boys’ restroom located by the Cafeteria; therefore, the toilets were not kept in good repair. During interview, staff stated that new seats had been ordered for the toilets. 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 In Compliance

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 Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Record review revealed that a staff member with the hire date 8/8/07 failed to have an annual evaluation on file at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. 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 in the restroom located in the Preschool Room revealed a plunger on the floor accessible to children in care.

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, the child care center failed to maintain employee records in accordance with regulatory requirements. Record review of employee files revealed that the file for a staff member with the hire date 12/18/14 contained a Criminal Record Check was completed by Selection.com. Continued review revealed that the child care center failed to have documentation that Selection.com is an approved source in accordance to KRS 17.165.

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 center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed that the file for a staff member with the hire date 8/15/13 failed to contain a high school diploma, GED certificate or other qualifying documents on file 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 center failed to maintain employee’s records in accordance with regulatory requirements. Review of employee’s files revealed that a staff member with the hire date 8/22/11 failed to have documentation of completing fifteen (15) hours of cabinet approved training during her last full year of employment. Further review revealed that a staff member with the hire date 7/18/13 failed to complete nine (9) hours of cabinet approved training during her first year of employment.

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, the child care center failed to maintain children’s records in accordance with regulatory requirements. Record review revealed that a child with the enrollment date 8/11/14 failed to have a current immunization certificate on file at the time of the survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files revealed that a child with the enrollment date 8/11/14 failed to have a preferred hospital listed at the time of the survey.

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, the child care center failed to maintain written documentation in accordance with regulatory requirements. Record review of the daily attendance records revealed that the after school program recorded check marks instead of the arrival time of each child 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 6. License Issuance.

General: Based on Review of Documentation, the child care center failed to comply with liability insurance regulatory requirements. Review of documentation revealed that proof of liability insurance was not available during visit. Interview with staff in charge revealed that the person who is responsible for maintaining the insurance records was out of the office and that this person's office was locked during visit.

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, the child care center failed to comply with fire marshal regulatory requirements. Review of documentation revealed a fire marshal inspection was last conducted on 7/14/09, which is non-compliant with KRS 227.220. Interview with staff in charge revealed that another visit may have been conducted and that the person responsible for the fire marshal records was out of the office during surveyor visit.

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. Director Requirements and Responsibilities.

General: Based on Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Review of documentation revealed an employee with a hire date of 12/1/12 did not have an annual written performance evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. 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 employee records revealed two staff with hire dates of 9/11/13, and 8/15/13 did not have a child abuse neglect check on file. Further review of files, revealed a staff with a hire date of 7/9/13 had a CAN check on file but it was non-compliant due to it being from a former employer from 2001. Continued review of employee records revealed the aforementioned staff with a hire date of 7/9/13 had a criminal records check on file but it was non-compliant due to it being from a former employer from 2010. Further review of employee records revealed a staff with a hire date of 7/18/13 did not have a criminal records check on file. Interview with staff in charge revealed the aforementioned employees are never left alone with children.

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 documentation revealed an employee with a hire date of 7/18/13 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection.

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. Four employees with hire dates of 8/22/11, 6/11/13, 4/8/14, and 10/27/03 did not have documentation from a health professional to verify that the individuals are free from active Tuberculosis.

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 according with regulatory requirements. Review of employee records revealed an employee with a hire date of 8/22/11 had only ten hours of training on file and an employee with a hire date of 2/1/11 had only 1.5 hours of training on file.

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 record review , there was no documentation presented to verify that two staff members have completed fifteen hours of cabinet approved training during their last full year of employment and that one staff member completed nine hours of cabinet approved training during her first full year of employment. 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 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; 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 12. Transportation.

General: Based on interview, there were no written safety procedures available for review for transporting children, loading and unloading the vehicle, and maintaining supervision while transporting children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview, there were no transportation records available for review for the children who attended a field trip in August 2012.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on review of documentation, the snack menu only listed one item for each day. Interview with a staff member revealed that the single item listed on the menu is served with water. Therefore, the snack did not consist of two of the approved components.

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 person with hire date April 4, 2012 did not have documentation for GED or High School Diploma on file

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 person with hire date June 7, 2001 did not have a current result of TB screening on file. Staff person with hire date April 4, 2012 did not have current documentation for TB screening on file. 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 40 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.