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

General: Based on review of documentation, the surveyor found the documentation provided of the commercial liability insurance did not document the limits of liability coverage. The documentation was dated from 03/31/24 through 03/31/25. Therefore, the surveyor was unable to verify if the child care center had current liability insurance with a minimum of $100,000 per occurrence. During interview, staff-in-charge stated that she was unable to locate a current policy, but was sure the childcare center did have current coverage.

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. One (1) staff’s file (DOH: 11/30/20) contained a written annual evaluation dated 10/16/23. 2. One (1) staff’s (DOH: 11/01/23) file contained no written annual evaluation for the staff member.

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 one (1) staff's (DOH: 01/16/23) file contained a tuberculin (TB) skin test dated 01/11/23.

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 review of documentation and ECE-TRIS, the surveyor found the following: 1. One (1) staff’s (DOH: 09/04/24, ECE-TRIS DOH: 10/07/24, ECE-TRIS First Year Start Date: 09/04/24) file contained no documentation of orientation completion. Surveyor review of individual ECE-TRIS record found no date of orientation recorded. Therefore, the surveyor was unable to verify that this staff had completed six (6) hours of cabinet-approved orientation within the first three (3) months of employment as required. 2. One (1) staff (DOH: 08/09/24, ECE-TRIS DOH: 07/29/24, ECE-TRIS First Year Start Date: 08/09/24) completed six (6) hours of cabinet-approved orientation on 03/17/25; therefore, the staff member did not complete orientation within the first three (3) months of employment as required. 3. One (1) staff’s (DOH: 07/31/24, ECE-TRIS First Year Start Date: 08/01/24) file contained no documentation of orientation completion. Surveyor review of individual ECE-TRIS record found no date of orientation recorded. Therefore, the surveyor was unable to verify that this staff had completed six (6) hours of cabinet-approved orientation within the first three (3) months of employment as required.

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 review of documentation, the surveyor found that one (1) child’s file (DOE: 08/14/24) file contained no immunization certificate. Staff-in-charge stated the center would contact the child's parents to bring in this documentation.

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 one (1) child’s file (DOE: 08/14/24) did not contain contact phone numbers for the child’s preferred physician or hospital; therefore, the childcare center failed to maintain complete contact information for the physician and preferred hospital in the child’s record. Staff-in-charge stated the center would contact the child's parents to obtain this information.

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. One (1) staff’s file (DOH: 11/30/20) contained a professional development plan dated 10/16/23. 2. One (1) staff’s (DOH: 11/01/23) file did not contain a written professional development plan.

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’s (DOH: 10/18/22) file contained documentation of a TB skin test dated 11/18/21; therefore, the staff’s file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff was free from active tuberculosis. Through interview with staff- in-charge, the surveyor learned the up-to-date documentation was not available for review.

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. The surveyor found the following on the top shelf of an unlocked black cabinet in the Second-Third Grade Classroom: 1. One (1) bottle of Equate 70 percent Isopropyl Alcohol that read, “Keep Out of the Reach of Children,” on the label. 2. One (1) spray can of Cutter Backwoods Insect Repellent and one (1) spray can of OFF Deep Woods Insect Repellent. Both cans read, “Keep Out of the Reach of Children,” on the labels. 2. A children’s blue jacket, black/blue/yellow backpack, and blue cup were placed on the floor in the Second-Third Grade Classroom. 3. A large box propped against the wall in the Second-Third Grade Classroom that read, “Fab Glass and Mirror.” Red/white tape was observed across the box that read, “Glass. Handle with care”. 4. A soiled dustpan placed next to the garbage can in the Second-Third Grade Classroom. 5. A round table was observed turned upright and leaned against the wall next to the exit door that leads to the playground. The table was observed to not be secure. The items mentioned were observed to be accessible to the children; therefore, the health, safety, and comfort of the children was compromised. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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 the following: 1. A staff (DOH: 11/10/20) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/22-06/30/23. 2. A staff (DOH: 08/23/21) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 08/23/21 – 08/23/22. 3. A staff (DOH: 11/29/22) obtained nine and one-half (9 ½) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 11/29/22 – 11/29/23. 4. A staff (DOH: 11/16/22) obtained nine and one-half (9 ½) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 11/16/22 – 11/16/23. 5. A staff (DOH: 12/09/22) obtained six (6) hours of cabinet-approved orientation training on 03/11/23; therefore, the training was not completed within the first three (3) months of employment. 6. A staff (DOH: 10/28/22) obtained six (6) hours of cabinet-approved orientation training on 02/24/23; therefore, the training was not completed within the first three (3) months of employment. 8. A staff (DOH: 11/29/22) obtained six (6) hours of cabinet-approved orientation training on 03/07/23; therefore, the training was not completed within the first three (3) months of employment. 8. A staff (DOH: 11/16/22) obtained six (6) hours of cabinet-approved orientation training on 08/23/23; therefore, the training was not completed with 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. A black purse was placed on a white table in the Second-Third Grade Classroom. The purse was observed to be accessible to the children. Through interview with staff, the surveyor learned the purse belonged to a staff member. 2. A box of Borax placed on the top shelf of an unlocked black cabinet in the Second-Third Grade Classroom. The box read, "Keep Out of the Reach of Children," on the label. 3. A bottle of Discover Disinfectant and Febreze Fabric placed on the bottom middle shelf of a gray cabinet in the Overflow Classroom. The items mentioned read, "Keep Out of the Reach of Children," on the labels. The items mentioned were observed to be accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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. A white vent in the Second-Third Grade Classroom that contained a thick coating of dust; therefore, the vent was not kept clean. 2. The black baseboard along the bottom of the wall in the Second-Third Grade Classroom contained debris/dust; therefore, the baseboard was not kept clean. 3. Two (2) white poles in the Second-Third Grade Classroom contained rust; therefore, the poles were not kept in good repair. 4. A black rug located at the entrance of the Second-Third Grade Classroom that contained debris; therefore, the rug was not kept clean. 5. A stainless steel garbage can that was soiled in the Second-Third Grade Classroom; therefore, the garbage can was not kept clean. 6. A stainless steel garbage can that was soiled in the Overflow Classroom; therefore, the garbage can was not kept clean. 7. The steps leading to the Gym located near the Second-Third Grade Classroom contained debris in the corners of the steps; therefore, the steps were not kept clean. 8. The landing at the top of the steps that lead to the Gym contained debris in the corners of the wall; therefore, the floor was not kept clean. 9. The wall at the top of both sides of the bleachers in the Gym was observed to be peeling/chipping in areas; therefore, the wall 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: 1. The toilet seat moved easily and was not tightly secured to the toilet in first and second stalls of the girls' restroom located beside the Gym; therefore, the toilets were not kept in good repair. 2. The toilet seat moved easily and was not tightly secured to the toilet in the stall in the boys' restroom located beside the Gym; therefore, the toilet was kept in good repair. 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, the surveyor found a First Aid backpack and blue First Aid box in an unlocked gray cabinet in the Overflow Classroom; therefore, the First Aid items were not stored out of reach of a child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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, the surveyor found part of a chain link fence leaned on the back fence roll on the playground. The chain link fence did not appear to be secure; therefore, the playground was not safe from foreseeable hazard.

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 brush in the back fence roll on the playground; therefore, the fence was not in good condition. During interview, staff-in-charge stated she has tried to get the brush taken care of since last year and would have the brush removed from the fence roll. 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

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: 08/21/23) file contained an immunization certificate that was no longer current as of 12/09/23. Through interview with staff-in-charge, the surveyor learned the up-to-date documentation was not available for review.

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 that the following children’s (DOE: 08/16/23, 08/16/23, 08/21/23, 08/16/23, 08/16/23, 08/16/23, 08/21/23, 08/21/23, and 08/16/23) files did not contain a contact telephone number for the child’s preferred hospital. 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 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on review of documentation, the surveyor found no documentation of completed fire, earthquake, tornado, or lockdown drills for the year 2023. During interview, staff- in-charge reported the drills were completed; however, the documentation was probably files, boxed, and put away. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:280 · 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 the following: 1. A staff (DOH: 10/18/22) had a completed background check with an eligibility date of 11/09/22 and a fingerprint submit date of 11/02/22; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge stated that she began working for the child-care center on 10/18/22. Staff-in-charge stated that she worked in the office and did not work alone with children. Staff-in-charge stated that she was fingerprinted in May 2022 and the previous child-care director terminated the application; therefore, she had to be fingerprinted again. 2. A staff (DOH: 09/14/22) had a completed background check with an eligibility date of 09/27/22 and fingerprint submit date of 09/26/22; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge stated that she was not the director at the time the staff person was hired. Through interview with staff, the surveyor learned that the staff person did not work alone with children. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report 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 observation, the surveyor found the following: 1. An unlocked black cabinet in the Second-Third Grade Classroom that contained the following: 1. One (1) bottle of Isopropyl Alcohol that stated, "Keep Out of the Reach of Children," on the label. 2. One (1) Cutter Backwoods Insect Repellent that stated, "Keep Out of the Reach of Children," on the label. 3. A black crate that contained one (1) bottle of Isopropyl Alcohol that stated, "Keep out of the Reach of Children," on the label and one (1) bottle of Hydrogen Peroxide that stated, "Keep Out of the Reach of Children," on the label. 2. A large round white table folded and leaned on the wall behind a rolling whiteboard in the Overflow Classroom. The table was observed to not be secure. The items mentioned were observed to be accessible to the children; therefore, the health, safety, and comfort of the children was compromised. 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 the following staff (DOH: 11/30/22, 05/18/22, and 11/10/201) files 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 mentioned have had a TB skin test; however, the documentation was not available for review.

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 and ECE-TRIS, the surveyor found that the personnel file for one (1) staff (DOH: 09/14/22) did not contain documentation that the staff had received training on first aid and cardiopulmonary resuscitation (CPR); therefore, the child-care center failed to ensure that every staff member has obtained training on first aid and cardiopulmonary resuscitation (CPR) as required.

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 ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 11/10/20) obtained four (4) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 11/11/21 - 11/11/22. 2. A staff (DOH: 08/23/21) obtained eight (8) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 08/23/21 - 08/23/22. 3. A staff (DOH: 09/14/22) obtained zero (0) hours of the required six (6) hours of cabinet-approved orientation training; therefore, the training was not completed within the first three (3) months of employment. 4. A staff (DOH: 08/23/21) obtained zero (0) hours of the required one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training; therefore, the training was not completed within one (1) year of employment. During interview, staff-in-charge stated that she was not aware that staff had to complete fifteen (15) hours of cabinet-approved early care and education training annually. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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 3. General Requirements.

General: Based on observation, the surveyor found the following: 1. One (1) container of Clorox Wipes that stated, "Keep Out of the Reach of Children," on the label and one (1) bottle of Aerosol Disinfectant & Deodorizer that stated, "Keep Out of the Reach of Children," on the label placed on a gray/black shelf in the Overflow Classroom. 2. An unlocked black cabinet in the Second-Third Grade Classroom that contained the following: 1. One (1) bottle of Alpha-HP Multi-Surface Disinfectant Cleaner that stated, "Keep Out of the Reach of Children," on the label, one (1) bottle of Glass Cleaner that stated, "Keep Out of the Reach of Children," on the label, and two (2) Lysol Disinfectants that stated, "Keep Out of the Reach of Children," on the labels. The items were observed to be accessible to 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. Dust/Debris along some of the black baseboard that went around the bottom of the wall in the Second-Third Grade Classroom; therefore, the baseboard was not kept clean. 2. What appeared to be food crumbs on the floor under a table and between two (2) tables in the Second-Third Grade Classroom; therefore, the floor was not kept clean. 3. Dirt and debris on the stairs and in the corner of the stairs that was located by the Second-Third Grade Classroom and led to the Gym; therefore, the stairs were not kept clean. Hygienic Practices In Compliance 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 a red First Aid Kit at the front of a small closet near the exit door in the Overflow Classroom that stated, "Keep Out of the Reach of Children," on the label; therefore, the First Aid Kit was not stored out of reach of a child. A curtain was observed to be hung over the closet area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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 7. First Aid and Medicine.

General: Based on observation, the surveyor found two (2) tubes of Equate Sunscreen that stated, "Keep Out of the Reach of Children," on the labels in an unlocked black cabinet in the Second-Third Grade Classroom; therefore, the sunscreens were not made inaccessible to a child. 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, the surveyor found the following: 1. A long ladder was observed to be placed on the ground beside the child-care center building by the exit door on the playground. 2. The gate located on the side of the playground that was observed to not latch properly. Therefore, the playground was not safe from foreseeable hazards.

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 that the back fence roll on the playground contained an overgrowth of brush; therefore, the fence was not in good condition. The surveyor observed limbs sticking out from the fence that contained briars. 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, the surveyor found a white/red bean bag that contained brown spots in the Second-Third Grade Classroom; therefore, the bean bag was not kept clean. 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 4 of 6 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 review of documentation, the surveyor found the following: 1. A child’s (DOE: 08/17/22) file contained documentation that stated, “My Chart Health Summary,” and did not contain an expiration date; therefore, the surveyor was unable to determine that the immunization certificate was current. 2. A child’s (DOE: 09/12/22) file contained documentation of current immunizations and did not contain an expiration date; therefore, the surveyor was unable to determine that the immunization certificate was current.

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 child’s (DOE: 0817/22) file did not contain the name or contact telephone numbers for the child's preferred family physician and hospital. 2. The following children's (DOE: 08/17/22, 08/17/22, 08/17/22, 12/11/22, 09/26/22, 08/17/22, 08/17/22, 08/17/22, and 09/12/22) files did not contain the 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 5. Evacuation Plan.

General: Based on review of documentation, the surveyor found that the written evacuation plan was not dated/signed; therefore, the surveyor was unable to determine that the plan was up-to-date. Staff-in-charge stated that she was unsure if the emergency preparedness plan was sent to local emergency management.

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, the surveyor found no documentation of Fire, Earthquake, Tornado, or Lockdown Drills conducted during 2022. During interview with staff-in-charge, the surveyor learned that the documentation was not available for review. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Based on interview with staff-in-charge, the surveyor learned that the KARES report contained staff who were no longer employed at the child-care center; therefore, the child-care center failed to maintain the employment or residential status of each child-care staff member who had submitted to a fingerprint-based criminal background check. Staff- in-charge stated that she would update the KARES report. Supervision In Compliance Staffing Requirements In Compliance 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 interview with staff, the surveyor learned that fourteen (14) children were present for the Kindergarten – Second Grade Classroom. Based on review of documentation, the surveyor learned that the Kindergarten-Second Grade Classroom was licensed for eleven (11) children; therefore, there was not a minimum of thirty-five (35) square feet of space per child. Upon arrival, the surveyor observed the Group X and Kindergarten-Second Grade Classrooms to be grouped together in the Gym. While visiting the child-care center, the surveyor observed the fourteen (14) children to go back to the Kindergarten-Second Grade Classroom.

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 interview, the surveyor learned that a staff was left alone to supervise approximately seven (7) school age boys. Through interview, the surveyor learned that the incident occurred on approximately 04/08/22 at approximately 11:45 a.m. Staff stated that the staff person is sixteen (16) years of age. Based on interview, the surveyor learned that the school-age children had been swimming at the child-care center and two (2) staff persons took the children and lined them up at the locker rooms once they were finished. Through interview, the surveyor learned that the staff went on inside the locker room with the school age boys to supervise them, without being given the directive. Staff stated that she called a qualified staff person to come to the locker room to supervise the sixteen (16) year old staff person with the children at that time. General Administration In Compliance Children's 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 9. Records.

General: Based on review of documentation, the surveyor found no documentation of written parental consent for the swimming pool located at the child-care center. Based on review of documentation, the surveyor found that the swimming pool is not licensed space. Through interview with staff, the surveyor learned that written parental consent for the swimming pool was obtained in approximately August 2021 for the children; however, staff stated that she was unable to locate the documentation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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 provided, the surveyor found that a staff’s (DOH: 08/23/2021) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. 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 confirmed that a background check was not submitted through the Kentucky National Background Check Service and that she was unaware that she needed to submit a background check through the Kentucky National Background Check Service. Staff-in-charge stated that the staff person has not worked alone with children. The surveyor did not observe the staff person working alone with children. The staff’s file did not contain a completed Child Abuse/Neglect Background Check (CAN) or a completed Criminal Records Background Check (CRC). During interview, staff confirmed that the staff member did not have a completed background check, a CAN check, or a CRC completed on file. Based on review of documentation provided, the surveyor found that a staff’s (DOH: 07/09/2001) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. 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 confirmed that a background check was not submitted through the Kentucky National Background Check Service and that she was unaware that she needed to submit a background check through the Kentucky National Background Check Service. Staff-in- charge stated that the staff person has not worked alone with children. The surveyor did not observe the staff person working alone with children. The staff’s file did not contain a completed Child Abuse/Neglect Background Check (CAN) or a completed Criminal Records Background Check (CRC). During interview, staff confirmed that the staff member did not have a completed background check, a CAN check, or a CRC completed on file. Based on review of documentation provided, the surveyor found that a staff’s (DOH: 11/10/2020) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. 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 confirmed that a background check was not submitted through the Kentucky National Background Check Service and that she was unaware that she needed to submit a background check through the Kentucky National Background Check Service. Staff-in- charge stated that the staff person has not worked alone with children. The surveyor did not observe the staff person working alone with children. The staff’s file did not contain a completed Child Abuse/Neglect Background Check (CAN) or a completed Criminal Records Background Check (CRC). During interview, staff confirmed that the staff member did not have a completed background check, a CAN check, or a CRC completed on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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 review of documentation provided, the surveyor found that a staff’s (DOH: 08/23/2021) file and the review of the Kentucky National Background Check Service, the surveyor found the staff was not listed on the Kentucky National Background Check Service due to being under the age of eighteen (18). The surveyor did not observe the staff working alone in a classroom with children. The surveyor noted that the staff was not scheduled to work the day (02/14/2022) of the survey. The staff’s file did not contain a completed Child Abuse/Neglect Background Check (CAN) or a completed Criminal Records Check (CRC). During interview, staff confirmed that staff member was under the age of 18. Staff stated they did not know a CAN Check was not completed. 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 presented, the surveyor found the following: 1. A staff’s (DOH: 08/23/2021) file presented for review did not contain evidence of educational qualification. 2. A staff’s (DOH: 07/09/2021) file presented for review did not contain evidence of educational qualification. 3. A staff’s (DOH: 11/05/2021) file presented for review did not contain evidence of educational qualification. 4. A staff’s (DOH: 09/14/2021) file presented for review did not contain evidence of educational qualification. 5. A staff’s (DOH: 08/23/2021) file presented for review did not contain evidence of educational qualification. During interview, staff confirmed that the proof of education documents were not in the staff’s files.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Based on review of documentation presented, the surveyor was not presented with documentation of a negative tuberculin result or a statement from a health professional that the individual is free of active tuberculosis for a staff member (DOH: 08/23/2021). An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 presented and review of ECE-TRIS records, the surveyor found the following: 1. A staff member (DOH: 09/09/2013) had obtained zero (0) hours of cabinet-approved early care and education annual training. Staff member last completed the one and one half (1 ½) hours of pediatric abusive head trauma (PAHT) training on 11/21/2016. A review of the staff member’s file and a review of ECE-TRIS found no additional PAHT training; therefore, the PAHT training is not being completed every five (5) years. 2. A staff member (DOH: 12/04/2020) had obtained six (6) hours of cabinet-approved early care and education annual training. The staff member had not completed the one and one half (1 ½) hours of pediatric abusive head trauma training within the twelve (12) months of employment. 3. A staff member (DOH: 05/29/2019) had obtained only eight (8) hours of cabinet-approved early care and education annual training. 4. A staff member (DOH: 01/06/2021) had obtained zero (0) hours of cabinet-approved early care and education annual training. The staff member had not completed the six (6) hours orientation, the one and one half (1 ½) hours of pediatric abusive head trauma training within the twelve (12) months of employment. During interview, staff stated they realized trainings were not completed. 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 during a tour of the center, the surveyor found the following: 1. A coating of dust on the ceiling air vent in the boys' restroom located next to the gymnasium. 2. A coating of dust on the ceiling air vent in the girls’ restroom located next to the gymnasium. During interview, staff stated that they would ask to have the air vents cleaned. Hygienic Practices In Compliance 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 presented, the surveyor found: 1. A child's (DOE: 07/06/2021) file did not contain evidence of an immunization certificate. 2. A child’s (DOE: 08/04/2021) file did not contain evidence of an immunization certificate. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

Open Not marked corrected in the state record

Category: health medication. 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 the childcare center, the surveyor found urine in the toilet bowl in the Men's restroom. Therefore, the toilet was not kept in a clean condition. 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 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 11. Staff Requirements.

General: Based on review of documentation presented, the surveyor found the following: 1. An employee (DOH: 05/29/19) record presented for review did not contain evidence of educational qualification. 2. An employee (DOH: 06/06/20) record presented for review did not contain evidence of educational qualification. 3. An employee (DOH: 06/01/20) record presented for review did not contain evidence of educational qualification. 4. An employee (DOH: 01/30/20) record presented for review did not contain evidence of educational qualification. During interview, the documents were not presented for review. 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 4. Premises Requirements.

General: Based on observation during a tour of the childcare center, the surveyor found the following: 1. There were yellow circular stains on the ceiling tiles located in the Pre-K Classroom. 2. There were yellow circular stains on three (3) ceiling tiles located in the Pre-K restroom.

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 that the restroom located in the Pre-K Classroom was not maintained in a clean condition as the exhaust fan had a thick coating of dust on it.

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 the childcare center, the surveyor found that the sink in the Pre-K Classroom was not equipped with hot water at a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 degrees Fahrenheit. The sink’s temperature was maintained at 81 degrees.

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 presented, the surveyor found the following: 1. A child’s (DOE: 08/11/20) enrollment information did not contain an authorization by the parent for the childcare center to seek emergency medical care for the child in the parent’s absence and information to enable a person in charge to identify and contact the preferred hospital. 2. A child’s (DOE: 08/11/20) enrollment information did not contain the general health status and medical history, authorization by the parent for the childcare center to seek emergency medical care for the child in the parent’s absence and information to enable a person in charge to identify and contact the preferred hospital. During interview, the documents were not presented for review. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.