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

General: Based on interview, this regulatory requirement was not met. During interview with the staff person-in-charge, they informed the surveyor that a field trip was taken earlier in the month, and another scheduled for the end of October of 2024. The staff person stated that the children are bussed to another location by a Nelson County school bus. The staff person stated that each child had a field trip permission form signed by their guardian. This service has not been approved for this license. 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on interview and review of documentation, one (1) staff member did not have a documented date of hire in their personnel file. The staff person-in-charge believed that this individual was hired in July of 2023.

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, one (1) staff member (DOH: 7/01/23) did not have proof of educational qualifications in their personnel file.

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, (1) staff member (DOH: 7/01/23) did not have a negative tuberculin skin result, nor a physician’s statement clearing them of active tuberculosis in their personnel file.

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, one (1) staff member (DOH: 08/01/23) did not have evidence of being trained in CPR/ First aid administration.

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 following was found: 1.) Staff member (DOH: 08/01/23) did not have evidence of completing cabinet- approved orientation training. 2.) Staff member (DOH: 08/01/23) did not have evidence of completing pediatric abusive head trauma training. A review of ECE-TRIS supports these findings. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals 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 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, a menu was not posted for public inspection. 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

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. 1.) There was no written evidence to document that a fire drill had been practiced during in April 2024. 2.) A roster of participants was not available for fire drills practiced in August, September, or October of 2024. 3.) A roster of participants was not available for the August 2024 tornado and earthquake drill. 4.) A roster of participants was not available for the September 2024 lockdown drill. Posted 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 8. General.

General: Based on observation, tuition rates were not posted for public inspection. Animals 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, a child enrolled on 10/17/23 had an immunization on file that was no longer current. The immunization was dated 01/07/24. The child was enrolled in excess of thirty (30) days.

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, two (2) staff members did not have documented hire dates on file. A staff member that is normally in charge gave the surveyor the hire dates verbally over the phone during the exit conference.

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, six (6) staff files (DOH: 05/31/23, 09/25/23, 06/05/23, 07/01/23, 06/08/23, and 11/13/23) did not contain proof of education. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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, no TB documentation was presented for two (2) staff members (DOH: 07/01/23 and 11/13/23).

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 observation and review of documentation, no one was present with the children with current infant and child CPR and First aid certification during the renewal survey. During the renewal survey there was one (1) staff member present, and she did not have documentation on file of current infant and child CPR and First aid certification.

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 following was found: 1. A staff member (DOH: 05/31/23) has not completed orientation training, which is required within ninety (90) days of employment. 2. A staff member (DOH: 06/05/23) has not completed orientation training, which is required within ninety (90) days of employment. A review of ECE-TRIS verified this information. 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, Room 208 (Preschool Room) contained a stained ceiling tile near the back wall. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled on 09/12/23 did not have a physician's phone number on file. This area was left blank on the enrollement paperwork. 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 5. Evacuation Plan.

General: Based on review of documentation, the facility did not have written evidence of the submission of the 2023 emergency preparedness plan to the local emergency management officials in accordance with KRS 199.895 and 42 U.S.C. 9858c(c)(2)(U). The facility had written documentation for the submission of the 2022 emergency preparedness plan. Posted 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 8. General.

General: Based on observation, the following items were not posted for public inspection: 1. The minimum staff-to-child ratios and group size established in 922 KAR 2:120. 2. The information on the Kentucky Consumer Product Safety Program and the program's Web site as specified in KRS 199.897. 3. The current rates for childcare. 4. The statement of deficiency and plan of correction from the renewal survey conducted on 01/25/23. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Animals 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 interview and review of documentation, the child care center failed to maintain state regulations. A current copy of administrative regulations (922 KAR 2:090, 922 KAR 2:120, and 922 KAR 2:280) were not available for review at the time of the survey. A subsequent interview with staff-in-charge found she did not have a copy on-site. Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain state regulations. Multiple areas of peeling, white paint that exposed the blue paint underneath were found along the wall below the classroom windows. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation, the staff in charge allowed six (6) children to go to the restroom which was located across the hallway from the classroom. The staff did not supervise the children and the children were not within scope of vision or range of voice, due to the proximity of the restrooms. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the daily activity of programming was posted in writing that had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for the classroom. Premises In Compliance 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 3. General Requirements.

General: Based on observation, upon completion of a snack the children were not prompted or assisted in handwashing procedures. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 documentation review, the staff in charge did not present verification that the child care center had maintained enrollment records to include a current listing of a preferred hospital for the children enrolled on 08/25/2021 and 09/13/2021. The record for a child with the enrollment date of 09/13/2021 did not contain information listing a physician and medical information. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, five (5) of the seven (7) children enrolled at the child care center did not have a current immunization certificate in their respective files. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

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, three (3) of the seven (7) children enrolled at the child care center did not have a listing of the preferred hospital in their respective files. (Specifically, two (2) children's files had the preferred hospital listed as "closest.") 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 documentation of fire drills conducted for the months of October and November 2020 did not include the names of the children who participated in the drills. Posted Documentation In Compliance Animals In Compliance Emergency Regulation 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 11. Staff Requirements.

General: Upon request, a high school diploma, GED, or Commonwealth Child Care Crediential was not presented for review for a staff member with the hire date 09/23/2019.

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: Upon request, written documentation from a health care professional was not presented for review to verify that the staff member with the hire date 09/23/2019 was free from active TB. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the outdoor playground revealed the child care center failed to have a fence in the outdoor play area. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Discussed Written Documentation In Compliance Posted 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: Review of presented posted documents revealed the child care center did not have a written plan outlining the course of action in the event of a natural or manmade disaster. Interview with a staff member revealed there was not a written plan outlining the course of action in the event of a nateral or manmade disaster. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.