922 KAR 2:090 · 922 KAR 2:090. Section 8. General.

General: Based on interview, the surveyor learned that the school aged children are permitted to climb over the playground fence to gather toys that go over the fence. Therefore, the health, safety, and comfort of the children was compromised by allowing the children to be outside the fenced-in playground. Staff-in-charge reported that she did not think there was an issue since the staff had the school age children within their scope of vision and range of voice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff member's (DOH: 05/31/23) file contained documentation of a background check submitted through the Kentucky Applicant Registry and Employment System (KARES) that verified the staff’s eligibility date as 10/18/21. The documentation verified that the staff person lived in the state of Florida in the last five (5) years. The staff’s file did not contain a completed out of state Child Abuse/Neglect Background Check (CAN). The surveyor did not observe the staff member working alone with children. Staff-in-charge stated that the the staff member had not worked alone with children at the child-care center. 2. A staff member's (DOH: 06/04/23) file contained documentation of a background check submitted through the Kentucky Applicant Registry and Employment System (KARES) that verified the staff’s eligibility date as 06/17/19. The documentation verified that the staff member lived in the state of Florida in the last five (5) years. The staff member's file did not contain a completed out of state Child Abuse/Neglect Background Check (CAN). The surveyor observed the staff person working alone with children in the Infant Classroom on the day of the visit. During interview, staff-in-charge stated that that the staff member previously worked at a child care center in Bowling Green from August 2021 through October 2021.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found a staff member's (DOH: 06/04/23 ) file that contained documentation from Kentucky Applicant Registry and Employment System (KARES) that the staff member was eligible for hire on 06/17/19. On the day of the surveyor's visit, the surveyor printed the child-care center’s KARES report and reviewed the names listed. The surveyor found that the staff member was not listed under the child-care center’s roster; therefore, the child-care center failed to update the staff member's employment status. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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. A tall black mini fridge was placed on a white book shelf in the Three and Four's Classroom and did not appear to be secured. 2. There was a protective cover missing from an electrical outlet cover in area #2 of the Three and Four's Classroom. 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 two (2) staff member's (DOH: 04/04/18 and 04/15/18) files did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. During interview with staff-in-charge, she stated that she had made new files for the staff members and must have misplaced the documentation.

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, ECE-TRIS, the surveyor found a staff member (DOH: 06/18/18) did not complete the required cabinet approved training in first aid and cardiopulmonary resuscitation (CPR). During interview with staff-in-charge, stated she would have the staff member complete 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 found the following: 1. The toilet seat moved easily and was not tightly secured to the toilet in the School Age Area 1 restroom. 2. The toilet seat moved easily and was not tightly secured to the toilet in the hallway restroom beside the Two's Classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance 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

Open / not marked corrected.

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

General: Based on observation, the surveyor found a loose wheel that was attached to a metal socket placed on the small deck leading from the Two's Classroom door to the playground area; therefore, the playground area was not free of rubbish. During interview with staff-in-charge, the surveyor learned that the loose wheel belonged to an old toy that had been thrown away.

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 the following: 1. A pink and blue slide on the toddler playground was placed on a grassy area; therefore, the slide did not have an adequate fall zone. 2. A blue and yellow slide on the toddler playground was placed on a grassy area; therefore, the slide did not have an adequate fall zone. 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 the following: 1. A red and yellow cozy coupe car that was located on the blacktop area on the playground had a door that missing; therefore, the cozy coupe was not kept in good repair. 2. A silver tricycle located on the blacktop area on the playground was missing a pedal; therefore, the tricycle was not kept in good repair. 3. A red and yellow cozy coupe car located on the school age playground had a missing door; therefore, the cozy coupe was not kept in good repair. Transportation In Compliance 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, the surveyor found the following: 1. The refrigerator in the Preschool Classroom had a temperature reading of approximately forty-five (45) degrees Fahrenheit; therefore, the temperature of the refrigerator was not forty (40) degrees Fahrenheit or below. 2. The refrigerator in the Twos Classroom had a temperature reading of approximately forty-five (45) degrees Fahrenheit; therefore, the temperature of the refrigerator was not forty (40) degree Fahrenheit or below. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 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 8. Kitchen Requirements.

General: Based on observation, the surveyor found that the freezer's temperature in the kitchen was approximately two (2) degrees Fahrenheit; therefore, the temperature of the freezer was not zero (0) degree Fahrenheit or below. 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: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 11/15/21) 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 person did not have a completed background check. During interview, staff-in-charge stated that the staff person was hired at the age of seventeen (17) years old and a Child Abuse/Neglect Background Check (CAN) was completed at that time. The staff's file contained a completed CAN check dated 05/06/22 and a completed Criminal Records Background Check dated 05/11/22. Staff-in-charge stated that the staff person had not worked alone with children. The surveyor did not observe the staff person working alone with children. Staff-in-charge stated that the staff person turned eightteen (18) years of age on 06/22/22 and that she would have the staff person to submit to fingerprints. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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. A bottle of Dalan Therapy Hand Wash Fresh placed on the sink located in School Age Area 1 that stated “Keep Out of the Reach of Children” on the label. 2. A red mop bucket with mop and a white mop bucket with mop placed on the floor in front of the restroom by the School Age Area. 3. A bottle of Soft Soap placed on the sink in the restroom located near School Age Area 1 that stated “Keep Out of the Reach of Children” on the label. 4. Small red, black, and white wires exposed at the bottom of a door in School Age Area 3 located beside the Kitchen. A small brown covering was observed beside the small wires. During interview, staff-in-charge stated that the wires are telephone wires and were not active. 5. A bottle of Coppertone Kids Sunscreen placed inside an open blue bag hanging from a hook on the wall in School Age Area 2 that stated, “Keep Out of the Reach of Children,” on the label. 6. A white bulletin board placed on the floor beside a ramp in the Preschool Classroom that had one (1) exposed nail in the top of the board. 7. A bottle of Coppertone Sunscreen placed inside an unlocked bottom drawer in a brown shelf located beside an exit door in the Preschool Classroom that stated, “Keep Out of the Reach of Children,” on the label. Through interview with staff, the surveyor learned that the children ranged in age from four-years-old to six-years-old in the classroom. 8. A bottle of Glass Cleaner that stated, “Keep Out of the Reach of Children,” on the label, a bottle of Disinfectant Spray that stated, “Keep Out of the Reach of Children,” on the label, and a pink spray bottle that had “Bleach Water” written it placed on a brown shelf located beside an exit door in the Preschool Classroom. Through interview with staff, the surveyor learned that the children ranged in age from four-years-old to six-years-old in the classroom. 9. A box of unopened trash bags placed in a cabinet under the sink in the Three-Four Year Old Classroom. The safety did not appear to be working properly. 10. A tall black mini refrigerator placed on a white shelf and did not appear to be secured. 11. A loose cord coming down the side of a brown shelf from a television in the Three-Four Year Old Classroom. The cord was observed to be accessible to the children. 12. A broom and dust plan placed beside the sink in the restroom located on the left in the hallway that leads to the Two Year Old Classroom. 13. A bottle of Dalan Therapy Hand Wash Soap placed on the sink in the restroom located on the right in the hallway that leads to the Two Year Old Classroom. 14. A broken outlet cover on the electrical outlet located on the wall by the diaper changing table in the Two Year Old Classroom. 15. One (1) Dirt Devil Power Swerve and one (1) spray microfiber floor mop placed beside a brown shelf in the Two Year Old Classroom. 16. One (1) broom and one (1) dust pan placed beside a small brown table in the Two Year Old Classroom. 17. A white cable that appeared to go to a power strip and a loose black cord hanging down on the front corner of a brown shelf in the Two Year Old Classroom. Director Requirements Not In Compliance

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. A staff’s (DOH: 04/15/18) file contained an annual written performance evaluation dated 10/07/20; therefore, the evaluation was not completed annually. 2. A staff’s (DOH: 04/04/18) file contained an annual written performance evaluation dated for 10/15/20; therefore, the evaluation was not completed annually. 3. A staff’s (DOH: 04/14/18) file contained an annual written performance evaluation dated for 10/07/20; therefore, the evaluation was not completed annually. 4. A staff’s (DOH: 06/18/18) file contained an annual written performance evaluation dated for 10/07/20; therefore, the evaluation was not completed annually. 5. A staff’s (DOH: 10/29/18) file contained an annual written performance evaluation dated for 10/07/20; therefore, the evaluation was not completed annually. 6. A staff’s (DOH: 11/20/19) file contained an annual written performance evaluation dated for 10/07/20; therefore, the evaluation was not completed annually. 7. A staff’s (DOH: 06/21/21) file did not contain an annual written performance evaluation; therefore, the surveyor was unable to determine that the evaluation was completed annually. During interview, staff-in-charge stated that the evaluations were completed for the staff mentioned; however, she was unable to locate the documentation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report 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, the surveyor found that a staff’s (DOH: 04/14/18) file 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 person had an up-to-date TB skin test; however, staff- in-charge stated that she was unable to locate the documentation.

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: 04/05/18) obtained fourteen (14) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/20 – 06/30/21. 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 faucet in the restroom located to the left in the hallway leading to the Two Year Old Classroom was loose when pulling the handle to turn on; therefore, the faucet was not 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 that the toilet seat moved easily and was not tightly secured to the toilet in the restroom located by School Age Area 1; therefore, the toilet was not kept in good repair. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the following: 1. Debris on the diaper changing table around the diaper changing pad in the Two Year Old Classroom; therefore, the diaper changing surface was not kept clean. 2. Debris on the diaper changing table around the diaper changing pad in the One Year Old Classroom; therefore, the diaper changing surface was not kept clean. 3. A small white trash can and white drinking cup placed on the diaper changing table beside the diaper changing pad; therefore, the diaper changing surface was not free of any items not used for diaper changing. First Aid/Medication In Compliance Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation, the surveyor found a water bottle and bottle of Vitamin Water placed on the ground in front of the fence by the building on the Infant/Toddler Playground; therefore, the playground was not free from litter or rubbish.

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 the following: 1. A red metal pole placed on a small deck located on the blacktop area of the playground and leads into the Two Year Old Classroom. 2. The top wooden step on a small deck located on the blacktop area of the playground was loose and appeared to be partially detached. 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 the following: 1. A play structure slide located on the playground contained a split/cracked area on the end and to the side of the slide; therefore, the slide was not in good repair. 2. Two (2) red cozy coupes located on the Infant/Toddler Playground that contained cracked seats and were both missing doors; therefore, the two (2) cozy coupes were not in good repair. Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 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 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: 07/01/21) file 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 9. Records.

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 04/05/18) file contained a professional development plan dated 10/08/20; therefore, the plan was not completed annually. 2. A staff’s (DOH: 04/15/18) file contained a professional development plan dated 10/07/20; therefore, the plan was not completed annually. 3. A staff’s (DOH: 04/04/18) file contained a professional development plan dated 10/15/20; therefore, the plan was not completed annually. 4. A staff’s (DOH: 06/18/18) file contained a professional development plan dated 10/07/20; therefore, the plan was not completed annually. 5. A staff’s (DOH: 11/20/19) file contained a professional development plan dated 10/07/20; therefore, the plan was not completed annually. 6. A staff’s (DOH: 10/29/18) file contained a professional development plan dated 10/07/20; therefore, the plan was not completed annually. 7. A staff’s (DOH: 06/21/21) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. 8.A staff’s (DOH: 0 4/14/18) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. During interview, staff-in-charge stated that the professional development plans for the staff mentioned were completed; however, she was unable to locate the documentation. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interviews, the surveyor determined that a staff member placed a three-year-old child in a highchair because the child was throwing a fit by screaming, throwing toys, and pushing chairs. Staff claim that they do not place children in highchairs for discipline; however, the three-year-old child mentioned was place in a highchair after throwing a fit. Staff also stated that they gave the child a sippy cup and a toy and that they used the highchair as a means to calm the child down.

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 center, the surveyor found a thick coat of dust on the ceiling air vents in all three (3) restrooms. During interview, staff stated she had planned on having those cleaned as soon as possible.

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 during a tour of the center, the surveyor discovered twelve (12) children in the School Age Room. The School Age Room has a classroom capacity for five (5) children. Therefore, the classroom was over the room capacity by seven (7) children as there was not a minimum of thirty-five (35) square feet of space per child. During interview, staff stated she was aware of how many children could be in the classroom. 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 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 presented, the surveyor found the following: 1. The most recent immunization certificate for one (1) child (DOE: 01/03/2018) was no longer current after 02/24/2021. 2. The most recent immunization certificate for one (1) child (DOE: 02/26/2021) was no longer current after 07/16/2021. During interview, staff stated they would contact parents for an updated certificate for each child. 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 4. Premises Requirements.

General: Based on observation, the surveyor discovered nine (9) children in the School Age Room. The School Age Room has a classroom capacity for five (5) children. Therefore, the classroom was over the room capacity by four (4) children as there was not a minimum of thirty-five (35) square feet of space per child. During interview, staff stated that she was unaware of how many children could be in the classroom. Staff reported that she did have a diagram with the ratio of each room somewhere. Hygienic Practices In Compliance First Aid/Medication In Compliance 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Animals 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. Animals.

General: Based on observation during a tour of the child care center, the surveyor found a hermit crab located in the Two Year Old Classroom. During interview, staff stated that a parent brought the hermit crab to the center and that the child care center did not have written permission from the parents for a pet to be in the classroom. Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: Based on observation, the surveyor observed two (2) staff persons wearing facemasks over their mouth; however, the staff did not have the mask over their nose. Therefore, the proper Personal Protective Equipment was not being utilized correctly over their mouth and nose. During interview, staff reported they would talk to the two (2) staff about wearing their mask correctly. This deficiency was cited due to the following E-Reg: 922 KAR 2:400E Section 7. Personal Protective Equipment (PPE) Requirements. (1) Each adult, including parents and guardians at drop-off and pick-up, shall wear a facemask while inside a child care center: (a) Unless doing so would represent a serious risk to their health or safety and they are able to present a medical statement stating this; (b) Except during planned staff breaks and lunch away from children in care and other staff.

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 observation and interview, the surveyor found the following: 1. On 2/20/2020 and 2/21/2020, a staff person turned off the water at the childcare center due to a water leak. Staff transported containers of water to the center for handwashing and toilet flushing purposes. Staff reported that multiple children used the same toilets between flushes. 2. On 2/28/2020 during a tour of the childcare center, the surveyor found that unprotected infrared heaters were in use, placed on the floor in the classrooms and were accessible to the children. The surveyor measured the temperature of exterior metal rim located near the heat exit on the heaters. The temperature was 140 degrees, 150 degrees, 180 degrees and 200 degrees Fahrenheit; thus, a safety risk to the children. Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on observation during a tour of the Infant Room, the surveyor found that an infant child was sleeping in a swing. The staff confirmed that the infant child does not have a statement from a health professional indicating the child needed an alternate sleep position. 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 that unprotected infrared heaters were in use, placed on the floor in the classrooms and were accessible to the children. The surveyor measured the temperature of the exterior metal rim located near the heat exit on the heaters. The temperature for the heaters was 140 degrees, 150 degrees, 180 degrees and 200 degrees Fahrenheit. The heaters were not protected from children.

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 interview, the surveyor found that on 2/20/2020 and 2/21/2020, a staff person turned off the water at the childcare center water due to a water leak. Hot and cold running water was not available during this time. Staff transported containers of water to the center for handwashing purposes. Staff reported the water was at room temperature and not between ninety (90) degrees and one-hundred-twenty (120) degrees Fahrenheit. Water was not available at changing areas used for infant and toddler children during this time.

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 interview, the surveyor found that on 2/20/2020 and 2/21/2020, the childcare center's water was shut off due to a water leak. Staff transported containers of water to the center for handwashing and toilet flushing purposes. Staff reported that multiple children used the same toilet between flushes; therefore, staff did not maintain the toilet in a clean condition. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 interview, the surveyor learned that on 2/20/2020 and 2/21/2020 the childcare center was without water due to a water leak. Through interview, the surveyor found that staff cleaned the children’s hands with Wet Wipes, hand sanitizer and by pouring water from a jug over their hands. Staff confirmed that the water was room temperature, not warm.

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 interview, the surveyor learned that on 2/20/2020 and 2/21/2020 the childcare center was without water due to a water leak. Through interview, the surveyor found that staff cleansed their hands with Wet Wipes, hand sanitizer and by pouring water from a jug over their hands. Staff confirmed that the water was room temperature, not warm. Outdoor Play Area Not Applicable Equipment Not Applicable

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 found the following: 1. A staff (DOH: 4/24/18) completed six (6) hours of cabinet-approved orientation training on 8/6/18; thus, it was not within the first three (3) months of employment. 2. A staff (DOH: 8/2/18) completed only twelve and one-half (12 ½) hours of cabinet approved early care and education training from the review period of 8/2/18 through 8/1/19. Programming In Compliance Premises In Compliance Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and the National Background Check Program, the surveyor found the following: 1. A staff’s (DOH: 3/14/19) fingerprints were taken for completion of the National Background Check on 4/10/19; therefore, the staff was hired prior to being cleared for employment. 2. A staff’s (DOH: 2/19/19) fingerprints were taken for completion of the National Background Check on 2/20/19; therefore, the staff was hired prior to being cleared for employment. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

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 that the childcare center did not follow their policy that states, “All staff and children are required to wash hands before and after eating”. Observation of the Preschool Room found that eight (8) four- and five-year-old children did not wash their hands prior to eating lunch. 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

Category: supervision. 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 no verification that an annual written performance evaluation was completed for a staff (DOH: 4/11/18).

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 observation during a tour of the childcare center at lunchtime, the surveyor found the following: 1. A one-year-old child was eating lunch while sitting in a high chair. Staff had not secured the child with the high chair safety straps. 2. Two (2) infant children were eating lunch while sitting in high chairs. Staff had not secured the children with the high chair safety straps. 3. The surveyor observed an unsecured television set on a counter top in the After School Classroom. The television presented a safety risk to the children. 4. The surveyor observed a bottle of Mountain Dew soda on top of the cubbies located in the classroom for the two-year-old children. Through interview, the surveyor learned that the soda belonged to a staff person. Employee Records 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 during a tour of the Preschool Room, the surveyor found that eight (8) four- and five-year-old children were playing on the floor and at tables. The surveyor observed staff serve lunch to the children without having them wash their hands. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 9. Records.

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 7/16/18) enrollment record did not contain written information to enable a person in charge to identify or contact the preferred hospital. 2. A child’s (DOE: 4/25/18) enrollment record did not contain written information to enable a person in charge to contact the preferred hospital. 3. A child’s (DOE: 3/3/19) enrollment record did not contain written information to enable a person in charge to identify or contact the preferred hospital. 4. A child’s (DOE: 7/20/18) enrollment record did not contain written information to enable a person in charge to identify or contact the preferred hospital. 5. A child’s (DOE: 11/11/02) enrollment record did not contain written information to enable a person in charge to contact the preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.