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

General: Based on review of the Kentucky Applicant Registry and Employment System (KARES), the surveyor found that a staff (DOH: 10/01/20) did not have a completed background check. Based on review of the applicant history report on KARES, the surveyor found that an application was started on 09/24/20 and withdrawn on 07/14/21 with the reason stating “other.” The report verified that the application was closed on 08/28/21 and that the staff person did not submit to fingerprints. The staff’s file contained a completed Criminal Records Background Check (CRC) dated 09/14/20 and a FBI check dated 09/14/20. The staff’s file did not contain a completed Child Abuse/Neglect Background Check (CAN). The surveyor did not observe the staff person working alone with children. During interview, staff stated that the staff person has not worked alone with children. Staff stated that a background check was completed through the school system for the staff person. Staff-in-charge stated that she would submit an application for the staff person on KARES. 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 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 11. Staff Requirements.

General: Based on review of ECE-TRIS, the surveyor found that a staff (DOH: 05/10/21) obtained one and one-half (1 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 05/10/21- 06/30/22. 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 found that the sink in Classroom Two did not drain properly when running the water; therefore, the sink was not kept in good repair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment 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 a blue stationary boat on the playground that contained a crack on the back top part of the boat; therefore, the boat was not in good repair. 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 observation, the surveyor observed the children and staff in Classroom 2 to leave the classroom to go outside at approximately 10:35 a.m. and return at approximately 11:00 a.m. When the surveyor stepped outside within a few minutes of the children and staff leaving the classroom, the surveyor did not observe the children or staff on the playground or within proximity of the child-care center. Through interview with staff, the surveyor learned that the children and staff took a buggy stroll around the school. Staff stated that the children and staff will go around to the front of the school, circle the softball field, and come back to the child-care center. Staff stated that the children and staff stay on school grounds. Based on review of documentation, the surveyor learned this was not licensed space. During interview, staff stated that parents will circle "yes" or "no" on the sign in/sign out sheet during drop off in the mornings regarding if they allow their child to go on the buggy stroll. Based on review of the sign in/sign out sheet, the surveyor found a section that stated, "Please circle yes if your child is allowed to go on a buggy stroll or no if your child is not allowed to go on a buggy stroll" for each day. The documentation did not contain specific times or locations. Staff stated that this was the only documentation pertaining to the buggy stroll. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation In Compliance 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the following: 1. The toilet seat moved easily and was not tightly secured to the toilet in the restroom located in the Early Head Start 1 Classroom. 2. The toilet seat moved easily and was not tightly secured to the toilet in the restroom located in the Early Head Start Two Classroom. Therefore, both toilets were not kept in good repair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 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.

Based on interview, it was CONFIRMED that the facility did not provide for the health, safety, and comfort of the child. A child got injured by shutting their finger in the door. It was not assured that the child was clear of the door before allowing it to shut. Also, the staff acknowledged the door sometimes closes very hard. Director Requirements In Compliance Employee Records 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 found in the personnel file of one (1) staff (DOH: 1/12/2015), the surveyor found the negative tuberculin result was no longer current as of 11/30/2020; therefore, the center failed to show proof that the employee is free of active tuberculosis or provide a copy of a negative tuberculin result. During interview staff-in-charge stated that she thought the staff member had a current documentation and that she would check with the employee. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 observation during a tour of the kitchen, the surveyor found that the thermometer in the refrigerator freezer indicated a temperature of fourteen (14) degrees Fahrenheit; therefore, the frozen food was not kept at a temperature of zero (0) degrees Fahrenheit or below as required. 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: 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 the following: 1. A child's (DOE: 7/19/2021) immunization certificate indicated "This child is not up to date at this time." 2. A child's (DOE: 7/26/2021) immunization certificate indicated "This child is not up to date at this time." Therefore, the child-care center failed to maintain a current immunization certificate for the children. During interview, staff-in-charge pulled the files and reviewed the documents, then stated that she would check on the certificates for the children mentioned. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on interview, the surveyor found a staff person used inappropriate discipline on a child on two (2) different occassions. According to staff, a staff was observed smacking a child on the hand and spanking a child on the bottom. The staff who witnessed the incident reported the incident to staff. The staff who used inappropriate discipline is no longer employed by the child care center.

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 of the playground area, the surveyor found that the edges of the protective ground cover had come loose creating a sharp edge. Based on interview with the staff in charge, the director is aware of the situation and is in the process of receiving bids from contractors for the repair. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 3. General Requirements.

General: Based on observation, the surveyor found a hamper in the restroom used by children that contained soiled items, such as a cloth used for cleaning hanging on the side of the hamper, and soiled clothing items. These items were accessible to children that use that restroom.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following issues were found: 1) A child's (DOE 07/08/13) record did not contain complete preferred physician/hospital contact information required in the event of an emergency. 2) A child's (DOE 07/08/13) record did not contain complete preferred physician/hospital contact information required in the event of an emergency. 3) A child's (DOE 07/08/13) record did not contain complete preferred physician/hospital contact information required in the event of an emergency. 4) A child's (DOE 07/08/13) record did not contain complete preferred hospital contact information required in the event of an emergency.

Open Not marked corrected in the state record

Open / not marked corrected.