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

General: Based on review of documentation and interview, the fire marshal report that was presented for review was not current, as it was dated 07/01/22.

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 review of documentation, a staff member (DOH: 12/13/19) did not have verification that she had completed the fifteen (15) hours of required cabinet-approved early care and educational training for the training year 07/01/23 – 06/30/24. A review of ECE-TRIS records verified this finding.

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: Based on review of documentation, during the inspection, the following was found: Mickey Mouse Room 1) The daily planned program was dated 02/10 – 02/14. Therefore, the daily planned program was not current on the day of the inspection. Preschool Room 1) The daily planned program was dated 02/10 – 02/14. Therefore, the daily planned program was not current on the day of the inspection.

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 of the Mickey Mouse Room, a staff member did not ensure a one-year-old child's hands were washed after a diaper change.

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 of the Infant Room, a bottle of bleach water sat atop a mini refrigerator, and was accessible to the one-year-old children in care. 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

Open / not marked corrected.

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

General: Based on review of documentation, the enrollment record for a child (DOE: 12/7/22) listed a preferred hospital that no longer exists; therefore, a current preferred hospital was not listed at the time review. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 2/16/23) had not received cabinet-approved Pediatric Abusive Head Trauma training (PAHT) within the last five years. Review of the Early Childhood Education Training Report Information System confirmed this finding. 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 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Review of the KARES database revealed that the employment status of a staff member hired on 07/28/2022 had not been maintained on the center's staff roster. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: The presented copy of the administrative regulation contained 922 KAR 2:090, however, 922 KAR 2:120 and 922 KAR 2:280 were not included. 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

Category: ratio. Open / not marked corrected.

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

General:An employment authorization form verifying the results of a background check conducted in accordance with 922 KAR 2:280 was not maintained in the personnel file of a staff person whose date of hire was 11/03/2022. Additionally, the form was not presented for review upon request.

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, education credentials for staff members hired on 08/16/2022 and 11/03/2022 were not presented for review at the time of the survey.

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: Verification that a staff person hired on 07/28/2022 had received training on first aid and cardiopulmonary resuscitation (CPR) was not presented for review upon request. 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: Upon request, a current immunization record for a child whose date of enrollment was 09/20/2022 was not presented for review. 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: Documentation confirming that the center conducted a tornado drill during the third quarter of the current licensure year was not presented for review upon request. 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

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 proper method of diapering was not posted near the changing area in the infant classroom. Animals Not Applicable

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: Observation of the infant room revealed there was an electrical outlet above the handwashing sink that did not contain a protective cover. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

Observation of the school-age b classroom revealed there were no materials for science, and dramatic play at the time of the inspection. Observation of the cat in the hat room revealed there were no materials for science, sensory and blocks at the time 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: Observation of the school-age a classroom revealed there was a baseboard that was heavily soiled with dust and debris.

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.

Observation of the infant room revealed there were multiple ceiling tiles that were not flush to the metal ceiling brackets. Continued observation in the infant room revealed a hole in a ceiling tile. 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.

Observation of the outdoor play area revealed the following: 1. Around the perimeter of the outdoor play area there was a wooden fence that contained a six (6) inch gap at the bottom of the fence. The open area between the fence and the ground was large enough for a toddler/child to crawl through. 2. There was a wooden gate that contained a wooden plank that was partially attached. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the infant room revealed the crib sheets on the crib mattresses were not tight fitting. Evidenced by loose material gathered on the top and sides of the mattresses. 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: Observation of the kitchen revealed there was dried food splattered on multiple ceiling tiles and the light fixture.

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: Upon request a food service permit was not presented for review. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Discussed Children's Records Discussed Written Documentation In Compliance Posted Documentation In Compliance Animals 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 11. Staff Requirements.

General: Review of the presented staff schedule and staff files revealed there is not a person scheduled that is certified in cabinet approved adult and pediatric cardiopulmonary resuscitation and first aid from 7:00 a.m. to 7:30 a.m. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.