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

General: Based on observation, the surveyor discovered the child-care center was closed on 12/26/2024, when a visit was attempted. There was a sign posted on the front door of the child-care center that the center was closed. DRCC was not notified of the closure. Staff-in-charge reported that she did not realize the closure was not reported. 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 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on review of documentation in a staff member's personnel file and ECE-TRIS, the surveyor discovered a staff member (DOH:09/30/2024) did not have documentation of receiving training on first aid and cardiopulmonary resuscitation (CPR). Staff-in-charge reported that she would make sure the staff member completes 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 review of documentation in staff members' personnel files and ECE-TRIS, the surveyor discovered the following: 1. A staff member (DOH: 09/19/2023) completed thirteen (13) of the required fifteen (15) hours of cabinet-approved early care and education training between 09/19/2023 through 09/18/2024. 2. A staff member (DOH: 05/24/2023) completed nine (9) of the required fifteen (15) hours of cabinet-approved early care and education training between 05/24/2024 through 06/30/2024. 3. A staff member (DOH: 06/08/2023) completed twelve and one half (12 1/2) of the required fifteen (15) hours of cabinet-approved early care and education training between 06/08/2023 through 06/08/2024. 4. A staff member (DOH: 08/30/2022) completed eleven and one half (11 1/2) of the required fifteen (15) hours of cabinet-approved early care and education training between 07/01/2023 through 06/30/2024. 5. A staff member (DOH: 08/28/2018) completed two and one half (2 1/2) of the required fifteen (15) hours of cabinet-approved early care and education training between 07/01/2023 through 06/30/2024. 6. A staff member (DOH: 08/14/2018) completed fourteen (14) of the required fifteen (15) hours of cabinet-approved early care and education training between 07/01/2023 through 06/30/2024. 7. A staff member (DOH: 01/13/2020) completed the required one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 12/07/2019; therefore, PAHT was not completed once every five (5) years. 8. A staff member (DOH: 07/16/2024) did not complete the required six (6) hours of cabinet-approved orientation within the first three (3) months of employment in a child-care program. 9. A staff member (DOH: 03/19/2024) did not complete the required six (6) hours of cabinet-approved orientation within the first three (3) months of employment in a child-care program. 10. A staff member (DOH: 08/23/2024) completed the required six (6) hours of cabinet-approved orientation on 01/13/2025; therefore, the staff member completed the orientation training after first three (3) months of employment in a child-care program. 11. A staff member (DOH: 07/10/2024) completed the required six (6) hours of cabinet-approved orientation on 01/27/2025; therefore, the staff member completed the orientation training after first three (3) months of employment in a child-care program. 12. A staff member (DOH: 09/30/2024) did not complete the required six (6) hours of cabinet-approved orientation within the first three (3) months of employment in a child-care program. Staff-in-charge reported that she would have staff members complete trainings. 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, the surveyor discovered that there was a layer of dust on the air vent located in the Butterflies' Classroom. Staff-in-charge stated that she would have the air vent cleaned. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 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, the surveyor discovered that a child's (DOE: 02/26/2024) file did not contain an immunization certificate; therefore, the surveyor was unable to confirm the child was up to date on immunizations. Staff-in-charge reported that she would have the parents bring in an up-to-date immunization certificate. 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 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on review of KARES, a background check for one (1) staff member (DOH: 2/23/24) had not been submitted through KARES. During the initial walk through, the surveyor observed the staff member working alone in the Bookworms Classroom with seven (7) children. During interview with staff member, the staff member confirmed that the age of the children was between two-years-old and three-years-old. Staff member revealed that the lead teacher for the classroom was on break when the surveyor arrived and had been on break for approximately ten (10) minutes. Staff-in-charge confirmed that the date of the surveyor's visit (02/23/24) was the staff member’s first day 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 6. License Issuance.

General: Based on interview with staff-in-charge, the surveyor discovered the child-care center could not provide a fire marshal report. Staff-in-charge stated the fire marshal informed them that someone from the Division of Building Code Enforcement would need to look at the area where the wall was removed. According to the staff-in-charge, the Division of Building Code Enforcement approved the space after reviewing photographs and blueprints; however, no documentation verifying the approval from the Division of Building Code Enforcement or an updated Fire Marshal report could be provided during the surveyor’s visit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 review of KARES, a background check for one (1) staff member (DOH: 2/23/24) had not been submitted through KARES. During the initial walk through, the surveyor observed the staff member working alone in the Bookworms Classroom with seven (7) children. During interview with staff member, the staff member confirmed that the age of the children was between two-years-old and three-years-old. Staff member revealed that the lead teacher for the classroom was on break when the surveyor arrived and had been on break for approximately ten (10) minutes. Staff-in-charge confirmed that the date of the surveyor's visit (02/23/24) was the staff member’s first day at the child-care center. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on interview with a staff member in the Bookworms Classroom, the surveyor learned that there were three (3) two-year-old children in the classroom with four (4) three-year-old children. The staff member confirmed that the children are combined together in the Bookworms Classroom all day. Staff-in-charge stated that transition plans had not been completed for the two-year-old children; therefore, the children had been in mixed age groups for longer than one (1) hour. Premises In Compliance Equipment In Compliance 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 interview with staff-in-charge, the surveyor discovered that staff walk through the kitchen with the children from the Cocoon Classroom to the indoor gross motor area and the playground; therefore, the kitchen is used as a walk through room to gain access to other areas of the child-care center. Posted Documentation In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the surveyor found that a section of the white fence leading to the playground was broken and exposed a large gap; therefore, the fence was not kept in good condition. Equipment 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 observation, the surveyor found the following: 1. A large puddle of water in the Wiggle Worms Classroom’s restroom. The water appeared to be seeping out from underneath a white cabinet; therefore, the health, safety, and comfort of the children were compromised. During interview, staff-in-charge was not sure what was inside of the white cabinet. 2. A container of Lysol Wipes and a bottle of Hand Surface Sanitizer placed on a ledge in the Wiggle Worm Classroom's restroom. A white chair was placed in front of the ledge making both items accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. The Barnyard Classroom had been renovated into a kitchen. The surveyor observed this space being used as a kitchen on the day of the surveyor's visit. During interview, staff-in- charge stated that that the renovation took place in December. The first time the child-care center utilized the new kitchen was 12/27/23. According to the staff-in-charge, children do not walk through the kitchen to access the Cocoon Classroom. Staff-in-charge stated parents and children utilize the front door located outside the Cocoon Classroom’s entry way for drop-off and pick-up. 2. The kitchen that was previously located upstairs in the child-care center had been removed to convert the Caterpillars Classroom into a larger space. During interview, staff-in- charge stated the child-care center had not utilized the unlicensed area. Neither of the changes were reported to DRCC. 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 surveyor found that a staff member’s (DOH: 09/19/23) file did not contain verification of a high school diploma, GED, or Commonwealth Child Care Credential. During interview, staff-in-charge confirmed she could not locate the documentation.

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 surveyor found the following: 1. A staff member’s (DOH: 08/30/22) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. During interview, staff-in-charge stated that she was not aware if the staff member mentioned had an updated TB skin test. 2. A staff member’s (DOH: 07/03/23) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. During interview, staff-in-charge stated that she thought the staff member had an updated TB skin test; however, she could not locate the documentation during the surveyor's visit. 3. A staff member’s (DOH: 12/07/23) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. During interview, staff-in-charge stated that the staff member worked at another location owned by the same center and the TB skin test was probably located at that center; however, the documentation could not be provided during the surveyor's visit. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report 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 surveyor found the following: Indoor Gross Motor: 1. There were dead bugs in the window sill beside the hospital play area. 2. There was a dead bug on the floor inside the hospital play area. 3. There were dead bugs on the floor in the post office play area. 4. There were dead bugs in the window sill beside the police department play area. Glow Worms: 1. The navy round rug contained debris and dirt on the rug. Book Worms: 1. The oval ABC rug contained debris and dirt on the rug. 2. The vent on the back wall located next to the exit door had a thick coating of dust. Therefore. the premises were not kept clean.

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, the surveyor found a ceiling tile in the Cocoon Classroom had discoloration; therefore, the ceiling was not kept in good repair.

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: Wiggle Worms: 1. The surveyor found that the hot water temperature in the restroom located inside of the classroom measured approximately 78 degrees Fahrenheit; therefore, the hot water was not a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 degrees Fahrenheit. Fireflies: 1. The surveyor found that the hot water temperature in the restroom located in the classroom measured approximately 82 degrees Fahrenheit; therefore, the hot water was not a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 degrees Fahrenheit. Butterflies: 1. The surveyor found that the hot water temperature in the restroom located in the classroom measured approximately 70 degrees Fahrenheit; therefore, the hot water was not a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 degrees Fahrenheit. Cocoon: 1. The surveyor found that the hot water temperature in classroom sink measured approximately 72 degrees Fahrenheit; therefore, the hot water was not a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 degrees Fahrenheit.

Open Not marked corrected in the state record

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 the toilet seat located on the toilet in the Book Worms Classroom's restroom was loose and not secured to the toilet; therefore, the toilet was not kept in good repair. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the following: Glow Worms: 1. There was debris on the diaper changing table underneath the diaper changing pad; therefore, the diaper changing surface was not kept clean. Wiggle Worms: 1. There was debris and hair on the diaper changing table underneath the diaper changing pad; therefore, the diaper changing surface was not kept clean. 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 13. Toys and Furnishings.

General: Based on observation, the surveyor found the material on a small black child sized chair was peeling in the Wiggle Worms Classroom; therefore, the chair was not free of peeling. Transportation In Compliance 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 review of documentation, the surveyor found the food service permit expired on 12/31/23.

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, the surveyor found one (1) uncovered bottle that contained milk inside a refrigerator in the Caterpillars Classroom. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a staff member’s (DOH: 08/16/18) file contained a professional development plan dated for 07/01/22; therefore, the plan was not completed annually. During interview, staff-in-charge stated that the director was working on updating the professional development plans. 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 interview, staff confirmed the Infant Room's maximum group size of ten (10) infants was exceeded by one (1) or two (2) children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation during the initial walk-through, the surveyor discovered three (3) staff members providing care for eleven (11) children in the Cocoon Classroom. Staff reported that the children were between the ages of four-months-old to twelve-months-old; therefore, the classroom exceeded the maximum group size of ten (10) children by one (1) child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report General Administration In Compliance 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 11. Staff Requirements.

General: Based on interview with the staff-in-charge, the surveyor discovered that the personnel files for three (1) staff members (DOH: 5/31/2023, 5/24/2023, & 6/27/2023) did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential. Staff-in-charge stated that she had not received the documentation from the 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: Based on review of documentation, the surveyor discovered that the personnel file of one (1) staff member (DOH: 5/10/2021) contained a negative tuberculin result that was read on 4/17/2021 and was no longer current after 4/17/2023. 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 during the initial walk-through, the surveyor discovered the following: 1. Eleven (11) children were present in the Wiggleworms Room. The Wigglesworms Room measures for a maximum capacity of nine (9) children. The classroom's capacity was exceeded by two (2) children. 2. Thirteen (13) children were present in the Gloworms Room. The Gloworms Room measures for a maximum capacity of twelve (12) children. The classroom capacity was exceeded by one (1) child. Therefore, the child-care center failed to maintain the thirty-five (35) square feet of space per child as required. Staff-in-charge stated that she was not aware of the classroom capacity size for each room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on interview, the surveyor determined that a staff discovered a snake inside a classroom in the child-care center on 06/11/23. Staff stated the snake may have gained access to the building through a gap located around indoor plumbing.

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 what appeared to be a tarp placed on the ground of the playground. During interview, staff reported wind ripped a tarp used for shade resulting in the tarp being placed on the ground. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Meal Planning/Center Does Not Provide Meals Not Applicable 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: physical safety. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on review of documentation, the surveyor found the following: 1. A staff (DOH: 01/03/22) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service, a Criminal Records Check (CRC), or a Child Abuse/Neglect Check (CAN). Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check prior to employment; therefore, the staff person was hired prior to clearance for employment. Completed forms for CAN and CRC were filled out by the staff person and was found in the staff persons file but had not been submitted. During interview, staff-in-charge stated that the staff person had not worked alone children. The surveyor did not observe the staff person working alone with children. 2. A staff (DOH: 01/28/22) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service, a Criminal Records Check (CRC), or a Child Abuse/Neglect Check (CAN) prior to employment. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge stated that the staff person had not worked alone with children and would submit their paperwork. The surveyor did not observe the staff person working alone with children. 3. A staff (DOH: 12/23/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service, a Criminal Records Check (CRC), or a Child Abuse/Neglect Check (CAN) prior to employment. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge stated that the staff person had not worked alone with children and would submit their paperwork. The surveyor did not observe the staff person working alone with children. 4. A staff (DOH: 02/28/22) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service, a Criminal Records Check (CRC), or a Child Abuse/Neglect Check (CAN). Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge stated that the staff person had not worked alone with children and would submit their paperwork. The surveyor did not observe the staff person working alone with children. 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 9. Records.

General: Based on observation and review of documentation, the surveyor observed a staff (DOH: 2/28/22) person working in the Glowworm Classroom during the surveyor's initial head count. When the surveyor reviewed staff files, the surveyor found that the staff file was not present. Staff-in-charge stated that the staff person had just started working at the center that week and the center had not created a file; therefore, the surveyor was unable to review or verify the staff person's information and the center failed to maintain a personnel file for the staff person.

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 surveyor was not presented with a staff file for staff (DOH: 02/28/22) and education for the staff was not presented to the surveyor. Staff-in-charge stated that the staff person had just started working at the center that week and the center had not created a file yet.

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 surveyor was not presented with a staff file for staff (DOH: 02/28/22) and TB documentation for the staff was not presented to the surveyor. Staff-in-charge stated that the staff person had just started working at the center that week and the center had not created a file yet.

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 review of documentation, the surveyor found the following: 1. A staff (DOH: 12/27/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service, a Criminal Records Check (CRC), or a Child Abuse/Neglect Check (CAN). Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check; therefore, the staff person was hired prior to clearance for employment. The paperwork was found in the staff persons file but had not been submitted. During interview, staff-in- charge stated that the staff person had not worked alone with children and would submit their paperwork. The surveyor did not observe the staff person working alone with children. 2. A staff (DOH: 01/03/22) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service, a Criminal Records Check (CRC), or a Child Abuse/Neglect Check (CAN). Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check; therefore, the staff person was hired prior to clearance for employment. Completed forms for CAN and CRC were filled out by the staff person and was found in the staff persons file but had not been submitted. During interview, staff-in-charge stated that the staff person had not worked alone with children and would submit their paperwork. The surveyor did not observe the staff person working alone with children. 3. A staff (DOH: 08/24/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to hire date. The staff persons file contained an out of state Tennessee Child Abuse/Neglect Check (CAN) that was dated 8/23/21. Based on review of the Kentucky National Background Check Service, the staff member’s background check was dated 09/24/21; therefore, the staff person was hired prior to clearance for employment. 4. A staff (DOH: 09/10/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to hire date. Based on review of the Kentucky National Background Check Service, the staff member’s background check was dated 09/27/21; therefore, the staff person was hired prior to clearance for employment. 5. A staff (DOH: 05/26/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to hire date. The staff member’s background check was dated 06/22/21; therefore, the staff person was hired prior to clearance for employment. 6. A staff (DOH: 08/02/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to hire date. Based on review of the Kentucky National Background Check Service, the staff member’s background check was dated 08/16/21; therefore, the staff person was hired prior to clearance for employment. 7 A staff (DOH: 12/16/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to hire date. Staff person had a Tennessee Child Abuse/Neglect Check (CAN) completed on 12/16/21. Based on review of the Kentucky National Background Check Service, the staff member’s background check was dated 12/23/21; therefore, the staff person was hired prior to clearance for employment. 8. 5. A staff (DOH: 05/26/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service prior to hire date. The staff member’s background check was dated 06/22/21; therefore, the staff person was hired prior to clearance for employment.

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, 1. A staff’s (DOH: 08/04/21) members file did not contain a completed or submitted out of state background check. Based on review of documentation, the staff member's file contained a Child/Neglect Background Check (CAN) that stated she lived in the state Virginia; The staff member's file did not contain documentation of an Out-of-State Child Abuse/Neglect Check (CAN) or Criminal Records Check (CRC) for Virginia. The surveyor did no observe the staff person working alone with children. 2. A staff's (DOH: 08/24/21) file did not contain an out of state Criminal Records Check (CRC). Based on review of documentation, the staff member's file contained a completed Kentucky Child Abuse/Neglect Check (CAN) and a Kentucky Criminal Records Check (CRC) that stated that she lived in Tennessee. The surveyor did not observe the staff person to work alone with children. 3. A staff's (DOH: 05/26/21) file did not contain an out of state Criminal Records Check (CRC). Based on review of documentation, the staff member's file contained a completed Kentucky Child Abuse/Neglect Check (CAN) and a Kentucky Criminal Records Check (CRC) that stated that she lived in Tennessee. The surveyor did not observe the staff person to work alone with children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report 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 8. General.

General: Based on observations, the surveyor found the following: 1. An unsecure black refrigerator that had been placed on top of a brown shelf in the Book Worms Classroom. 2. An unsecure purple easel leaned up against the back wall located in the Book Worms Classroom. During the inspection, the staff stated that cots would be placed near the easel during rest time for children. 3. An unsecured black refrigerator that had been placed on top of a tunnel shelf in the Wiggle Worms Classroom. 4. An unlocked cabinet underneath the sink in the Caterpillars Classroom that contained a bottle of Hand Sanitizer that stated on the back label, "Keep Out of Reach of Children." The surveyor observed that it was within reach of children during the inspection. 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 the following: 1. A staff’s (DOH: 02/01/19) file contained an annual written performance evaluation dated for 11/30/20. 2. A staff’s (DOH: 08/28/18) file contained an annual written performance evaluation dated for 11/30/20. 3. A staff's (DOH: 11/03/20) file contained an annual written performance evaluation dated for 01/11/21. 4. A staff's (DOH: 08/14/18) file contained an annual written performance evaluation dated for 10/05/20. 5. A staff's (DOH: 12/06/18) file contained an annual written performance evaluation dated for 03/17/20. 6. A staff's (DOH: 12/18/18) file contained an annual written performance evaluation dated for 01/11/21. Based on the dates of the completed evaluations, the surveyor was unable to determine if the staff evaluations were completed annually. 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, the surveyor found a staff’s (DOH: 01/13/20) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. Staff-in-charge reported that she knew the documentation was missing from the file and that the staff person would be sending a copy of their high school transcript later that day. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 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 surveyor found the following: 1. A staff’s (DOH: 09/9/21) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff person was free from active tuberculosis. 2. A staff's (DOH: 08/20/18) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff person was free from active tuberculosis. During interview, staff-in-charge stated that staff person was scheduled for a TB skin test. 3. A staff's (DOH: 08/28/18) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff person was free from active tuberculosis. During interview, staff-in-charge stated that staff person was scheduled for a TB skin test. 4. A staff’s (DOH: 12/18/18) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff person was free from active tuberculosis. 5. A staff’s (DOH: 12/27/21) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff person was free from active tuberculosis. 6. A staff’s (DOH: 08/02/21) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff person was free from active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that two (2) of the childcare centers staff possessed currently certification in CPR/First Aid. Based on the staff schedule, the surveyor found that the childcare center does not have enough staff certified in CPR/First Aid. The childcare center had two (2) staff listed on the schedule that are Certified in CPR/First Aid; however, their scheduled times did not reflect all hours of operation. During interview, staff-in-charge stated that approximately 10 staff persons had completed the course but had not received their paper copies of their certifications. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 Inspection Report

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 of the outdoor playground, the surveyor found the following: 1. Black padding located beside the large play structure and blue slide was separated; therefore, this created a tripping hazard. 2. A wooden post attached to a set of steps, leading up to a wooden play structure had one (1) nail protruding out of a wooden post. 3. A wooden ramp, leading up to the wooden play structure had two (2) nails protruding out of a wooden post, beside the blue slide. 4. There was a blue rope that contained a clip on the end, attached to a tree outside of the play area that was observed to hang over the fence into the play area where it was within reach of children. The items mentioned above presents a foreseeable hazard to the children.

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 ECE-TRIS, the surveyor found the following: 1. Staff (DOH: 08/24/21) has not completed the six (6) hours of cabinet approved orientation; therefore, the training was not completed within the first three (3) months of employment. 2. Staff (DOH: 09/10/21) has not completed the six (6) hours of cabinet approved orientation; therefore, the training was not completed within the first three (3) months of employment. 3. Staff (DOH: 08/04/21) has not completed the six (6) hours of cabinet approved orientation; therefore, the training was not completed within the first three (3) months of employment. 4. Staff (DOH: 08/02/21) has not completed the six (6) hours of cabinet approved orientation; therefore, the training was not completed within the first three (3) months of employment. 5. Staff (DOH: 09/27/21) has not completed the six (6) hours of cabinet approved orientation; therefore, the training was not completed within the first three (3) months of employment. 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 the following: 1. In the Book Worms Classroom, there was an unlocked brown cabinet that contained a staff person's purse. During interview, the staff confirmed that the purse belonged to her and that she moved her purse to a locked cabinet. 2. In the Wiggle Worms Classroom, an unlocked white cabinet was located near the changing table that contained the following: A bottle of Mild & Mildew Spray that stated, "Keep Out of the Reach of Children" and a set of keys that belonged to a staff person. Both items were located on the second shelf from the bottom and were within reach of children. 3. In the Gross Motor Room, on top of a tan cabinet, there was a canister of Sanitizing Wipes that the back label stated, "Keep Out of the Reach of Children.” During the inspection, the surveyor observed the Sanitizing Wipes to be within reach of the children in the room. 4. In the Glow Worms Classroom, there was one (1) bottle of Disinfectant Sanitizer that was placed on a wire shelf beside the sink. The label on the sanitizer stated, "Keep Out of the Reach of Children" on the back label. 5. A bucket of Sanitizing Wipes located in the hallway between the Butterflies Classroom and Barnyard Classroom that stated on the label, "Keep Out of Reach of Children." 6. An unlocked cabinet located underneath the sink in the Caterpillars Classroom contained a spray bottle of disinfectant that stated on the back label, "Keep Out of the Reach of Children." During the inspection, the disinfectant was observed to be within reach of children. The items mentioned were observed to be accessible to children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report

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 the following: 1. An ABC rug in the Wiggle Worms Classroom contained pieces of paper; therefore, the rug was not kept clean. 2. A blue pillow in the Wiggle Worms Classroom contained stains; therefore, the pillow was not kept clean. 3. A blue square rug and two (2) round blue rugs in the Butterflies Classroom contained pieces of paper; therefore, the rugs were not kept clean. 4. A large colorful rug with hands in the Book Worms Classroom contained pieces of paper; therefore, the rug was not kept clean. 5. A dust pan located in the restroom in the Book Worms Classroom was dusty & appeared to have items swept into it and not thrown away; therefore, the dust pan was not kept clean. 6. A large vent on the back wall of the Book Worms Classroom contained dust; therefore, the vent was not kept clean. 7. One (1) sink in the Caterpillars Classroom that did not appear to drain properly while checking the water temperature; therefore, the sink was not kept in good repair. Hygienic Practices 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 surveyor found the following: 1. In the Wiggle Worms Classroom, there was debris underneath the diaper changing pad on the diaper changing table; therefore, the diaper changing surface was not kept clean. 2. In the Caterpillars Classroom, there was debris underneath the diaper changing pad on the diaper changing table; therefore, the diaper changing surface was not kept clean. 3. In the Book Worms Classroom, there was debris underneath the diaper changing pad on the diaper changing table; therefore, the diaper changing surface was not kept clean. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report First Aid/Medication 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 7. First Aid and Medicine.

General: Based on observation, the surveyor found the following: 1. A white cabinet that was located in the Wiggle Worms Classroom near the changing table was unlocked and contained the following: One (1) bottle of Desitin Cream, one (1) bottle of Vitamin A & D Ointment, one (1) can of spray Coppertone Sunscreen, one (1) bottle of Babyganics Sunscreen. 2. A white cabinet that was located in the Wiggle Worms Classroom near the changing table was unlocked and contained the following: one (1) bottle of Equate Ibuprofen that appeared to belong to a child and one (1) bottle of Aquaphor Lotion. Each of these items stated on the back label, "Keep Out of the Reach of Children." These items appeared to be within reach of children by the surveyor. Outdoor Play Area Not 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 of the playground, the surveyor found a brown post located near the white fence that was unsecure. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 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 13. Toys and Furnishings.

General: Based on observation of the outdoor playground, the surveyor found the following: One (1) blue and yellow Little Tykes car that contained broken plastic and exposed a jagged edge on the front of the car. 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 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 surveyor found the following: 1. A child’s (DOE: 08/03/21) file contained an immunization certificate that was no longer current as of 08/28/21; therefore, the surveyor was unable to determine that the immunization certificate was current. 2. A child’s (DOE: 05/03/21) file contained an immunization certificate that was no longer current as of 11/12/21; therefore, the surveyor was unable to determine that the immunization certificate was 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 review of documentation, the surveyor found the following: 1. A staff’s (DOH: 02/01/19) file contained a professional development plan dated for 11/30/20. 2. A staff’s (DOH: 08/28/18) file contained a professional development plan dated for 11/30/20. 3. A staff’s (DOH:12/06/18) file contained a professional development plan dated for 02/03/19. 4. A staff’s (DOH: 11/03/20) file contained a professional development plan dated for 01/11/21. 5. A staff’s (DOH:12/18/18) file contained a professional development plan dated for 01/11/21. 6. A staff’s (DOH:08/14/18) file contained a professional development plan dated for 10/05/20. Based on the dates of the completed Professional Development Plans, the surveyor was unable to determine if the Professional Development Plans were completed annually. 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 and interview, the provider failed to maintain first aid certification for a person on duty and present with children who applied first aid to a child. A child was injured on 9/7/2021 at 9:30 a.m. The staff person on duty provided first aid but had an expired first aid certification card. The certification expired 5/6/21.

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, the surveyor found the following: 1. A staff’s (DOH: 01/13/20) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. 2. A staff’s (DOH: 12/07/20) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. Through interview with staff-in-charge, the surveyor learned that the educational verification was not available for review for the staff mentioned. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found bottles of master blaster, power spray, and disinfectant spray in an unlocked cabinet below the sink located in the Caterpillars Classroom. The items were accessible and within reach of the children.

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 the following: 1. A round blue rug in the Bookworms Classroom contained debris; therefore, the rug was not kept clean. 2. A square rug in the Fireflies Classroom contained stains and debris; therefore, the rug was not kept clean. 3. A blue square rug and two (2) round blue rugs in the Butterflies Classroom contained debris; therefore, the rugs were not kept clean.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found toilet paper located on the floor of the restroom located in the Fireflies Classroom. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found stains and debris on the diaper changing table underneath the diaper changing pad located in the Wiggleworms Classroom; therefore, the diaper changing surface was not kept clean. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service 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 8. Kitchen Requirements.

General: Based on review of documentation, the surveyor was presented with a food service permit with an expiration date of 12/31/20. Through interview with staff-in-charge, the surveyor learned that the new food service permit has not yet been received in the mail. 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: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a child's (DOE: 06/01/20) file did not contain a contact telephone number for the child's preferred hospital. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 01/13/20) file contained a professional development plan dated for 02/14/20; therefore, the plan was not completed annually. 2. A staff’s (DOH: 12/06/18) file contained a professional development plan dated for 02/13/18; therefore, the plan was not completed annually. 3. A staff’s (DOH: 02/22/19) file contained a professional development plan dated for 02/02/20; therefore, the plan was not completed annually. 4. A staff’s (DOH: 01/13/20) file contained a professional development plan dated for 02/10/20; therefore, the plan was not completed annually. Through interview with staff-in-charge, the surveyor learned that up-to-date annual professional development plans were not available for review for the staff mentioned. Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 01/21/21) file did not contain a completed Criminal Records Background Check. The staff file contained an original Child Abuse/Neglect Background Check only, dated for 02/23/21. During interview, staff-in-charge stated that the staff member has not worked alone with children. The surveyor did not observe the staff member working alone with children. 2. A staff’s (DOH: 02/17/21) file did not contain a completed Child Abuse/Neglect Background Check. The staff file contained an original Criminal Records Background Check only, dated for 02/22/21. During interview, staff-in-charge stated that the staff member has not worked alone with children. The surveyor did not observe the staff member working alone with children. 3. A staff’s (DOH: 02/11/21) file did not contain a completed Child Abuse/Neglect Background Check. The staff file contained an original Criminal Records Background Check only, dated for 02/19/21. During interview, staff-in-charge stated that the staff member has not worked alone with children. The surveyor did not observe the staff member working alone with children. Based on review of the Kentucky National Background Check Service, the staff mentioned did not have a completed background check.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 12. Reports.

General: Based on interview and review of documentation, the Cabinet was not notified of the incident that occurred on 12/1/2020 until 12/7/2020. Therefore, an incident was not reported to the cabinet within twenty-four (24) hours of discovering a child was taken for medical evaluation.

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 during a tour of the indoor gross motor area, the surveyor found a small trampoline that was accessible to the children. 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 surveyor found no verification of a staff’s (DOH: 1/13/20) High School Diploma, GED or Commonwealth Child Care Credential. 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 surveyor found the following: 1. The surveyor found no verification that a staff (DOH: 6/24/19) has obtained a copy of a negative tuberculin result or a statement from a health professional that the individual is free of active tuberculosis. 2. The surveyor found no verification that a staff (DOH: 1/13/20) has obtained a copy of a negative tuberculin result or a statement from a health professional that the individual is free of active tuberculosis. 3. The surveyor found no verification that a staff (DOH: 2/1/19) has obtained a copy of a negative tuberculin result or a statement from a health professional that the individual is free of active tuberculosis. 4. The surveyor found that the copy of a negative tuberculin result contained in a staff’s (DOH: 2/22/19) personnel file was dated 9/19/16; therefore, was no longer current as of 9/19/18.

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 ECE-TRIS, the surveyor found the following: 1. The surveyor found verification of only thirteen (13) cabinet-approved early care and education annual training hours for a staff (DOH: 11/20/18). 2. The surveyor found verification of only thirteen and one-half (13 ½) cabinet-approved early care and education annual training hours for a staff (DOH: 8/14/18). 3. The surveyor found verification of only nine (9) cabinet-approved early care and education annual training hours for a staff (DOH: 8/29/18). 4. The surveyor found verification of only ten and one-half (10 ½) cabinet-approved early care and education annual training hours for a staff (DOH: 1/2/19). 5. The surveyor found no verification that a staff (DOH: 6/24/19) has completed six (6) hours of cabinet-approved orientation training. 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 6. Sleeping and Napping Requirements.

General: Based on observation during a tour of the Infant Room, the surveyor observed an infant lying on his tummy in his crib. Through interview, a staff confirmed that she had laid the infant on his tummy when placing him in the crib. The staff also confirmed that the infant’s health professional had not provided a signed waiver indicating the child needed an alternate sleep position. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation during a tour of childcare center the surveyor found the following: 1. The surveyor found that the water temperature located at the sink in the restroom used by the three-year-old children measured at eighty (80) degrees Fahrenheit. Regulatory compliance with water temperature is between ninety (90) and one-hundred-twenty (120) degrees. 2. The surveyor found that the water temperature located at the sink in the classroom for the twelve to twenty-four-month-old children measured at fifty (50) degrees Fahrenheit. Regulatory compliance with water temperature is between ninety (90) and one-hundred-twenty (120) degrees. 3. The surveyor found that the water temperature located at the sink in the Infant’s Room measured at fifty (50) degrees Fahrenheit. Regulatory compliance with water temperature is between ninety (90) and one-hundred-twenty (120) degrees. 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 review of documentation, the surveyor found that a child’s (DOE:1/6/2020) enrollment information lacked the following: 1. Identifying and contact information so that an individual in charge can contact the family physician. 2. Identifying and contact information so that an individual in charge can contact the preferred hospital. Written Documentation In Compliance 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 5. Checks of Other States.

General: Based on review of documentation and interview, the following were found: 1. A staff file (DOH: 10/2/18) did not contain documentation of an out of state background check. The staff's drivers license was issued in Tennessee with a Tennessee address. Staff reported that an out of state background check had not been completed as the staff member had not lived outside the state of Kentucky within the past five (5) years. Staff stated that the staff member has a second residence in Tennessee and has a drivers license issued by that state for insurance purposes. 2. A staff file (DOH: 8/29/18) did not contain documentation of an out of state background check. The staff's drivers license was issued in Tennessee. Staff stated that the staff member had never lived in Tennessee but has the Tennessee drivers license for insurance purposes. Staff did not present a Tennessee background check for review for either staff member and stated that an out of state background check had not been requested for either staff member. Staff stated that the staff members had not worked alone. 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 4 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 and interview, the surveyor was presented with a staff file (DOH: 11/2/18) that did not contain documentation of education in the form of a high school diplome, GED, or Commonwealth Child Care Credential. Upon interview, staff confirmed that documentation of education had not yet been obtained.

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 following were found: 1. The surveyor was presented with a staff file (DOH: 11/2/18) that did not contain documentation of a negative tuberculin skin test. 2. The surveyor was presented with a staff file (DOH: 8/14/18) that did not contain documentation of a negative tuberculind skin test. Staff reported they did not realize a tuberculin skin test had not been obtained. Programming 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 observation and interview, the surveyor found that a daily schedule was not posted in the Nursery Classroom. Staff stated that a daily schedule had been posted and they were not sure why it was no longer posted. 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 surveyor found that a current lesson plan was not posted in the Toddler Classroom. Staff reported that she was hired to be the new lead teacher for the classroom and new curriculum had been ordered; however, a lesson plan was not being completed until the arrival of the new curriculum. Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that the diaper changing mat located in the Toddler Classroom contained a small rip in the vinyl covering exposing the foam filling. Staff were not aware of the presence of the rip in the vinyl. First Aid/Medication 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 7. First Aid and Medicine.

General: Based on observation and interview, the surveyor found that a bottle of children's tylenol and a bottle of children's ibuprofen were stored inside a cubby basket on the shelf in the Nursery. The medication was not locked. Staff stated that the child's parent works at the center and had left the medication in the child's cubby. Staff explained that the medication should have been locked under the classroom sink. Outdoor Play Area Not Applicable Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not 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 8. Kitchen Requirements.

General: Based on observation and interview, the surveyor found that the refrigerator thermometer in the kitchen was reading at fifty (50) degrees Fahrenheit rather than the required forty (40) degrees Fahrenheit or lower. Staff were not aware that the refrigerator was not maintained at the correct temperature. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 and interview, the surveyor found that both kitchen freezer thermometers were reading at ten (10) degrees Fahrenheit rather than the required zero (0) degrees Fahrenheit or lower. Staff stated that they were not aware that the freezers were not maintained at the correct temperature. 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: Based on review of documentation and interview, the surveyor was presented with a child's file (DOE: 8/8/18) that did not contain a valid immunization certificate. The immunization certificate on file was no longer valid after 9/24/18. Upon interview, staff were not aware that the immunization certificate was no longer valid. 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 8. General.

General: Based on review of documentation and interview, the surveyor was not presented with a job description for the position of Director. Staff stated that they did not have a job description for a Director. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.