922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 01/06/2025 AND AS OF 01/13/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 interview with the staff-in-charge, the surveyor discovered that the personnel file of one (1) staff (DOH: 08/02/24) did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation and interview with staff-in-charge, the surveyor discovered that the personnel file for one (1) staff member (DOH: 08/02/24) did contain documentation that the employee was free of active tuberculosis.

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 discovered that no date was listed indicating two (2) staff members (DOH: 09/09/24 and 07/03/24) had completed six (6) hours of cabinet-approved orientation training; during review of the personnel files with the staff-in-charge, no documentation indicating that the staff members had completed orientation training was found. 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 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: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered a child's (DOE: 06/11/24) immunization certificate was no longer current after 08/03/24; therefore, the child-care center failed to maintain a current immunization certificate for the child. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 15. Animals.

General: Based upon review of the enrollment packets of seven (7) children (DOE: 11/13/24, 10/2/24, 7/4/24, 11/14/24, 11/12/24, 10/24/24, and 11/19/24) the surveyor discovered that the child-care center failed to obtain written parental consent for the children to be in the presence of animals. Staff-in-charge indicated that the animal consent was on the old enrollment packets; however, the consent must have inadvertently been left off of the new enrollment packets. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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 discovered children's jackets and backpacks were placed on hooks and were touching; thus, there was potential for cross- contamination. The jackets and backpacks were in the foyer areas near the restrooms and entrance to the child-care center. 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 interview with the staff-in-charge, the surveyor discovered that the personnel file of two (2) staff (DOH: 08/16/23 & 10/04/23) did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, the surveyor discovered the following: 1. A staff’s personnel file (DOH: 09/24/21) contained a negative tuberculin result that was no longer current after 09/21/21. 2. A staff’s personnel file (DOH: 08/31/23) did not contain a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin result. Therefore, the child-care center failed to show proof that the employees were free of active tuberculosis or provide a copy of a negative tuberculin result.

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 discovered that no date was listed on ECE-TRIS indicating that one (1) staff (DOH: 08/31/23) completed six (6) hours of cabinet-approved orientation training. Staff-in-charge stated that she did not know if the staff member had completed the training. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor discovered the following: Boys’ Restroom 1. The hot water temperature of the sink measured sixty-three (63) degrees Fahrenheit. Girls’ Restroom 1. The hot water temperature of the sink measured eighty-one (81) degrees Fahrenheit. Therefore, the water temperature of the sink did not fall within the required minimum ninety (90) degrees Fahrenheit and maximum one hundred and twenty (120) degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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: Based on observation, the surveyor discovered the following: 1. A reusable drink cup was on the playground near a climbing mound. 2. Three (3) reusable cups were on the ground near the fence. 3. Four (4) jackets were on the ground near the fence. 4. Six (6) reusable cups were hanging on the fence. 5. Three (3) jackets were handing on the fence. 6. A shirt was hung across the fence. 5. A baseball style cap was on the ground near the fence. 6. A zipper bag, a plastic water bottle, an empty Arby’s cup, and a napkin discarded on the playground 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 Children's Records In Compliance 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 7. First Aid and Medicine.

General: Based on review of documentation and ECE-TRIS, the surveyor discovered that a staff (DOH: 06/13/2022) did not received training on first aid and cardiopulmonary resuscitation (CPR). Staff reported that she would have staff complete the first aid and CPR training. 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: recordkeeping. 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 discovered the following: 1. A staff (DOH: 06/18/2021) did not complete the six (6) required hours of cabinet-approved orientation within the first three (3) months of employment. However, the staff person completed orientation on 02/14/2022. 2. A staff (DOH: 06/23/2021) did not complete the six (6) required hours of cabinet-approved orientation within the first three (3) months of employment. However, the staff person completed orientation on 06/27/2022. 3. A staff (DOH: 09/24/2021) did not complete the six (6) required hours of cabinet-approved orientation within the first three (3) months of employment. However, the staff person completed orientation on 02/15/2022. Staff reported that she would make sure training is completed when it is supposed to. Programming In Compliance Premises In Compliance 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 Not Applicable 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

Category: recordkeeping. 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 that a staff’s (DOH: 9/1/14) personnel file contained a written performance evaluation dated for 1/6/20. Staff stated she thought she had completed an evaluation with the staff member after 1/6/20; however, a copy of the staff’s current evaluation could not be located during the surveyor’s visit. 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, a staff’s (DOH: 6/15/21) personnel file did not contain documentation confirming that the employee is free of active tuberculosis or a copy of a negative tuberculin result. Staff stated when the staff was hired, the staff had a current TB skin test; however, the staff did not provide a copy of the TB skin test to the child-care center. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, the surveyor found the following: 1. The personnel file of a staff (DOH: 7/3/18), did not contain verification that the staff had completed fifteen (15) hours of cabinet-approved early care and education training. Upon review of ECE-TRIS, the surveyor found that the staff failed to complete three (3) of the fifteen (15) required training hours during the timeframe of July 1, 2020 through June 30, 2021. Staff stated she did not know why only twelve (12) of the required fifteen (15) hours was completed. 2. The personnel file of a staff (DOH: 10/1/20), did not contain verification that the staff completed six (6) hours of cabinet-approved orientation training. Upon review of ECE-TRIS, the surveyor found that no date was entered indicating that the staff had completed the six (6) hours of cabinet-approved orientation training. Staff provided the surveyor with a certificate for orientation completion; however, the certificate was blurry neither the surveyor nor the staff member was able to read the certificate. 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 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: 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 a child's (DOE: 5/10/21) file did not contain an immunization certificate; therefore, the child-care center failed to maintain a current immunization certificate for the child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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, the surveyor found that a child's (DOE: 5/10/2021) file did not contain the name or telephone number for the preferred hospital; therefore, the child-care center failed to maintain children's records. 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 personnel file for a staff (DOH: 9/1/14) contained a written annual professional development plan dated 1/6/20. Staff stated she thought a written professional development plan was completed after 1/6/20; however, she could not locate a copy of the staff's current professional development plan during the surveyor's visit. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.