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

General: Based on observation, the surveyor discovered that the door stopper in the Preschool Classroom had been removed leaving a piece of metal sticking outward from the wall. Staff-in-charge reported that she would have the metal piece removed.

922 KAR 2:120 · Correction status not published

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

General: Based on review of documentation and ECE-TRIS, the surveyor discovered a staff member (DOH: 09/30/04) had completed fourteen and one-half (14 1/2) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/23 through 06/30/24. During interview, staff-in-charge reported that she knew the staff member did not obtain all of their required training hours. Programming In Compliance Premises Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 8. General.

General: Based on observation, the surveyor found the following: 1. Children had access to an extension cord was not secure to a shelf in the Toddler Classroom. The extension cord was going from an outlet in an upward position onto the shelf. Staff-in-charge reported that she had the extension cord taped to the shelf; however, the tape had come loose from the shelf. 2. A box of metal steaks and a hammer was located on the porch. 3. A small shovel placed in a small trashcan underneath a bench on the porch. 4. A bucket that contained two (2) hammers and a pair of scissors underneath a bench on the porch. 5. A bucket that contained spikes, screws, a screwdriver, and a spray bottle that contained degreaser was on the porch. Children have access to the porch when they are playing on the playground. Staff-in-charger reported that she knew the items were on the porch as she had been working on the playground. 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

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the surveyor discovered a child's (DOE: 05/11/2023) file contained an immunization certificate that was no longer current after 09/05/2023; therefore, the immunization certificate was not up to date. Staff member reported that the child has been sick and had a doctor's note for not being up-to-date on shots; however, staff member was not able to provide the documentation during the surveyor's visit. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, the surveyor found the following: Small Playground: 1. A layer of leaves covering the ground of the playground. 2. Black plastic exposed in areas where the protective surface had been removed. 3. A landscape timber that was crumbling exposing the flat part of a nail that was sticking up. Staff member reported that she would have the playground cleaned. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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

922 KAR 2:120 · Correction status not published

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

General: Based on review of documentation and ECE-TRIS, the surveyor discovered a staff (DOH: 09/16/2020) received fourteen and one-half (14 1/2) of the required fifteen (15) hours of cabinet-approved early care and education training for a time period of 9/16/2021 through 6/30/2022. During interview, staff reported that the staff took an early childhood course; however, the course was not recorded in TRIS. Staff stated she has contacted TRIS multiple times regarding training. Programming In Compliance Premises In Compliance Hygienic Practices Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, the surveyor observed a rip in the diaper changing pad located in the diaper changing area. Staff reported she was aware that the diaper changing pad had a rip. She has been trying to order a new diaper changing pad; however, she is requiring staff to cover the diaper changing pad with a trash bag. 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 Not Applicable Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 13. Reports.

General: Based on observation, the surveyor observed a new covered porch was added to the rear part of the child-care center that leads to the playground. Based on interview with director, the surveyor learned the covered porch was installed June 27th through July 4th while the child-care center was closed. Staff reported she was not aware that she needed to report the installation of a new covered porch. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. Staff (DOH: 09/16/2020) obtained fourteen and one-half (14 ½) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 09/16/2020 through 09/15/2021. 2. Staff (DOH: 03/17/2020) obtained fourteen (14) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/2020 through 06/30/2021. 3. Staff (DOH: 01/02/2017) obtained fourteen (14) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/2020 through 06/30/2021. Staff reported that all staff should have their required training hours. Staff stated she would look at the staff’s records and contact ECE-TRIS. Programming In Compliance Premises In Compliance Hygienic Practices Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the surveyor found the following: 1. Staff’s (DOH: 01/02/2017) file contained a professional development plan dated for 11/30/2020; therefore, a professional development plan was not completed yearly. 2. Staff’s (DOH: 09/18/2019) file contained a professional development plan dated for 11/30/2020; therefore, a professional development plan was not completed yearly. 3. Staff’s (DOH: 08/05/2019) file contained a professional development plan dated for 11/30/2020; therefore, a professional development plan was not completed yearly. 4. Staff’s (DOH: 03/17/2020) file contained a professional development plan dated for 11/30/2020; therefore, a professional development plan was not completed yearly. 5. Staff’s (DOH: 09/16/2020) file contained a professional development plan dated for 11/30/2020; therefore, a professional development plan was not completed yearly. Staff reported she would update the staff’s professional development plans. Posted Documentation In Compliance Animals Not Applicable

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

General: Based on observation and interview during a tour of the child-care center, the surveyor observed a child leave a classroom to go to the restroom down the hallway. The surveyor asked staff in the Three to Five Classroom how old the child was and staff replied that the child was three (3) years old. During interview, staff stated that she thought that children could leave the classroom and go to the restroom alone. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation presented, the surveyor found that one (1) child’s (DOE: 07/16/20) file did not contain information to enable a person in charge to identify or contact the family physician or preferred hospital. During interview, staff stated they would have the parent fill out the information. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

922 KAR 2:090 · Correction status not published

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 fourteen (14) hours of cabinet-approved early care and education annual training for a staff (DOH: 1/2/17) for the review period of 1/2/18 through 1/1/19. 2. The surveyor found verification of only fourteen and one-half (14 ½) hours of cabinet-approved early care and education annual training for a staff (DOH: 8/21/17) for the review period of 8/21/18 through 8/20/19. 3. The surveyor found verification of only thirteen (13) hours of cabinet-approved early care and education annual training for a staff (DOH: 5/8/17) for the review period of 5/8/18 through 5/7/19. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation and interview, the surveyor was not presented with documentation of yearly staff meetings. The director stated that she had not completed staff meetings for the child care center. Employee Records Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation and ECE-TRIS, the surveyor was not presented with documentation that a staff (DOH: 05/23/17) had completed Pediatric Abusive Head Trauma Training (PAHT) within the first year of employment. A review of ECE-TRIS found no documentation of completed PAHT for the staff member. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on interview, the surveyor found that a staff (DOH: 5/1/18) reported she told the children in the school age classroom to shut up. The staff stated the word shut up was used to get the attention of the children. According to the staff and the director, this incident was a one time occurrence. The director corrected the staff to not use the word shut up at the child care center.

922 KAR 2:120 · Correction status not published

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

General: Based on observation, the surveyor found that an eighteen-month-old toddler was being provided care along with three (3) two-year-old children. Through interview with staff, the surveyor learned that the child is in the mixed-age group for the entirety of the day.

922 KAR 2:120 · Correction status not published

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

General: Based on observation, the surveyor found that a Shop Vac had been stored in an unlocked closet located in the hallway near the blue-painted restroom. The Shop Vac had been placed on top of two (2) plastic totes and was easily toppled; thus, it presented a safety risk. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 25 Web site: http://chfs.ky.gov/ Inspection Report

922 KAR 2:110 · Correction status not published

922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation in the staff files and ECE-TRIS, the surveyor found that the record for a staff (DOH: 08/07/06) verified only thirteen (13) hours of annual cabinet-approved early care and education training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

922 KAR 2:110 · Correction status not published

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

General: Based on observation and interview, the surveyor found that two (2) toddler-aged children were being provided care with two (2) two-year-old children for longer than one (1) hour.

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 3. Records.

General: Based on review of documentation, the surveyor found that of ten (10) children's files presented for review, ten (10) did not identify a preferred hospital as required by regulation. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

922 KAR 2:110 · Correction status not published

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

General: Based on observation, the surveyor found areas of worn paint on the toilet seats; thus, it allows for the underneath surface to become absorbent. Therefore, the toilet seats cannot be properly sanitized. Hygienic Practices

922 KAR 2:120 · Correction status not published

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

Based on review of documentation, the surveyor found that the file for a staff (DOH: 07/22/13) did not contain a Criminal Records background check or a Child Abuse and Neglect background check. The surveyor learned through interview that the staff has been alone while providing care to children.

922 KAR 2:110 - Section 5 (1)

General: Based on review of documentation, there were two (2) staff (DOH: 10/21/05 and 08/02/10) files that contained results of a negative TB skin test; however, the two (2) TB skin tests were not given and read within the last two (2) years. Staff member's file with date of hire 10/21/05 contained the results of a TB skin test dated for 12/07/09. Staff member's file with date of hire 08/02/10 contained the results of a TB skin test dated for 04/23/10. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 40 Web site: http://chfs.ky.gov/ Inspection Report 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance