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

General: Based on observation, the surveyor discovered that the chest freezer thermometer indicated a temperature of fifteen (15) degrees Fahrenheit; therefore, the temperature was not maintained at zero (0) degrees Fahrenheit or below as required. 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 In Compliance Children's Records In Compliance Written Documentation 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 discovered the personnel file for one (1) staff (DOH: 3/8/21) contained a professional development plan that was not dated; therefore, the surveyor was unable to determine if a professional development plan was completed annually as required. 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 3. Implementation and Enforcement.

General: Based on review of the Kentucky National Background Check Service, the surveyor found that a staff person (DOH: 09/08/21) submitted to fingerprints on 10/28/21 and became eligible for hire on 10/28/21; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge stated that she was unaware that she needed to submit a background check through the Kentucky National Background Check Service prior to the staff persons employment. The staff's file contained a completed Child Abuse/Neglect Background Check dated 09/15/21 and a completed Criminal Records Background Check dated 09/16/21. Staff-in-charge stated that the staff person did not work alone with children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Supervision 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.

General: Based on observation, the surveyor found the following: 1. A staff person to walk outside the Four-Five Year Old Classroom door and check on a child that was in the hallway while children were present inside the classroom; therefore, the children were not within scope of vision. The staff person was observed to walk outside the classroom door and check on the child in the hallway and go back inside the classroom and check on the children in the classroom. During interview with staff, the surveyor learned that the child in the hallway was five-years-old and the children in the classroom ranged in age from four-years-old to five-years-old. 2. The surveyor rung the doorbell to the child-care center and a staff person was observed to open the door and go back inside the Four-Five Year Old Classroom. The surveyor did not observe another staff person inside the classroom; therefore, the children were not within scope of vision and range of voice. During interview with staff, the surveyor learned that the children in the classroom ranged in age from four-years-old to five-years-old. 3. A staff person was observed to leave the Four-Five Year Old Classroom and walk down the hallway while children were present inside the classroom; therefore, the children were not within scope of vision and range of voice. The children in the classroom were observed sitting on a rug on the floor unsupervised inside the classroom. During interview with staff, the surveyor learned that the children ranged in age from four-years-old to five-years-old. Staffing Requirements In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. 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. An electrical outlet missing one (1) outlet cover located beside a red child sized couch in the Preschool Classroom. 2. A staff’s (DOH: 03/08/21) file did not contain a completed Child Abuse/Neglect Background Check (CAN). The staff's file contained a Criminal Records Background Check dated 07/16/12. During interview, staff-in-charge stated that the staff person was a transfer from the school system and that the staff person should have completed background checks; however, she was unable to locate the documentation. Based on review of the Kentucky National Background Check Service, the staff person had a completed background check with an eligibility date of 08/10/21. Staff-in-charge stated that the staff person did not work alone with children. 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 and ECE-TRIS, the surveyor found a staff’s (DOH: 03/08/21) file did not contain documentation of six (6) hours of cabinet-approved orientation training; therefore, the training was not completed within the first three (3) months of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. An oval rug, brown square rug, and blue square rug that contained stains in the Afterschool Classroom; therefore, the rugs were not kept clean. 2. A half circle rug that contained stains in the Four-Five Year Old Classroom; therefore, the rug was not kept clean. 3. A brown square rug and square alphabet rug that contained stains in the Preschool Classroom; 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found two (2) urinals in the boys' restroom that contained yellow stains; therefore, the urinals were not kept in clean condition. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found a large gap underneath the fence where the fence meets the building located behind the child-care center building on the playground.

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 on the playground: 1. A drum set that had a small drum attached to what appeared to be a wired rope that contained splintered edges. 2. A wheelbarrow placed beside the brick building near the picnic tables on the playground. 3. A pole with an exposed electrical outlet placed on it located beside the brick building near the picnic tables. 4. A pole with a black cable wrapped around the pole that had splintered ends located near the picnic tables. 5. A loose garden hose placed on the ground beside the brick building near the picnic tables. 6. Pieces of wood with exposed nails placed on the ground and located where the fence meets the brick building behind the child-care center building. 7. Pieces of lattice sticking out that were detached from the bottom of a storage building. 8. A board placed next to a storage building with exposed nails. 9. Pieces of splintered wood placed beside the child-care center building near the storage buildings. 10. A piece of wood detached from the bottom of the child-care center building and sticking out with exposed nails located on the side of the building by the storage buildings. Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 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 found no documenation of recorded lockdown drills conducted for the months of 2021. During interview, staff-in-charge stated that the child-care center has conducted lockdown drills; however, she was not aware that she needed to keep a written record of the practiced drills. Posted Documentation In Compliance Animals 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 2. Child Care Services.

General: Based on observation, the surveyor found the following: 1. In the Preschool Classroom the Lesson Plan was dated for Jan. 25-29, 2021. Staff reported that she will make sure they are kept up to date. 2. In the School Age Classroom the Lesson Plan was dated for Feb. 8-12, 2021. Staff reported that she will make sure they are kept up to date. Premises In Compliance 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 In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable 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 observation, the temperature of the surveyor was not taken before the surveyor was permitted entry into the child care center. During interview, the staff stated that they have been screening individuals; however, they did not think of screening the surveyor upon entrance to the center. This deficiency was cited due to the following E-Reg: 922 KAR 2:415E Section 6. Screening and Illness Requirements. (1) Children and adults shall be screened for fever and contagious symptoms upon entry into the child care center.

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 documentation presented for review, the surveyor was not presented with documentation of any staff meetings that had been conducted within the past year. During interview, staff reported that staff meetings were conducted; however, she could not locate any previously documented staff meetings. 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 presented and ECE - TRIS, the surveyor found that staff (DOH: 01/27/12) obtained eleven and one-half (11 1/2 ) of the required fifteen (15) hours of cabinet - approved early care and education training. During interview, staff stated that they were unaware the fifteen (15) hours of annual training were not met. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on documentation presented for review, the surveyor found no verification that the staff and children practiced fire drills in March 2019 or April 2019. During interview, staff stated that the drills were performed; however, no further documentation was presented to show the drills were completed.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the March 2019 and April 2019 fire drills were not documented. Staff confirmed through interview that the two (2) fire drills were not documented in the files. Posted Documentation In Compliance Animals 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 6. License Issuance.

General: Based on review of documentation and interview, the following were found: 1. A staff file (DOH: 7/31/17) presented for review contained a criminal records background check and child abuse and neglect background check that had been submitted on 8/23/17; therefore, the background checks were not submitted timely. 2. A staff file (DOH: 8/3/17) presented for review contained a criminal records background check and child abuse and neglect background check that had been submitted on 8/15/17; therefore, the background checks were not submitted timely. Upon interview, the Diretor reported that neither staff member had worked with any children until 8/28/17 when school started. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation and interview, the surveyor found the following: 1. A staff file (DOH: 7/31/17) presented for review did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential. 2. A staff file (DOH: 8/3/17) presented for review did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential. Upon interview, the Director was not aware that proof of education was not in the staff files. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication 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 observation and interview, the surveyor found that the center's first aid kit contained multiple flash lights that were not working. Upon interview, staff reported she did not have any batteries for the flash lights and had forgotten to request them. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that a child's file (DOE: 8/28/17) presented for review did not contain the preferred physician's name or telephone number. Upon interview, the Director was not aware that the information was missing from the file. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.