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: 04/07/17) file contained documentation that a background check was submitted through KARES on 11/07/18. The surveyor reviewed the child-care centers KARES report and observed that the staff person had an expired background check. The surveyor observered the staff person to be working alone in the Pre-K Classroom alone with eight (8) children on the day of the surveyor's visit; therefore, the child-care center failed to resubmit the background check and conduct fingerprints on the staff person. During interview with staff-in-charge, she stated that the staff person had not been able to receive new fingerprints due to the location in their area closing down. The surveyor suggested that she get in contact with her Child Care Aware Coach to find the closest location. Supervision Not 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 observation and review of documentation, the surveyor found that eight (8) children were being cared for by an unqualified staff person. The staff’s file contained documentation that a background check was submitted through KARES on 11/07/18. The surveyor reviewed the child-care centers KARES report and found that the staff person had an expired background check. On the day of the surveyor’s visit, the staff person working alone in the Pre-K Classroom, caring for eight (8) children. Therefore, the child-care center failed to provide adequate supervision by a qualified staff person. Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Director Requirements Not In Compliance

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 observation and review of documentation, the surveyor found that a staff’s (DOH: 04/07/17) file contained documentation that a background check was submitted through KARES on 11/07/18. The surveyor reviewed the child-care centers KARES report and observed that the staff person had an expired background check. The surveyor observed the staff person to be working alone in the Pre-K Classroom alone with eight (8) children on the day of the surveyor's visit; therefore, the staff person was working alone with children without a current background check. 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 blue and grey slide placed on a grassy area of the Infant Playground; therefore, the slide did not have an adequate fall zone. During interview with staff-in-charge, she stated that the child-care center did not own a large enough mat that covered the fall zone area and that the child-care center would need to purchase a mat for the area. This deficiency was cited during a Renewal Inspection conducted on 12/18/23. The provider’s plan of correction for this deficiency stated, “The slide has a mat that is taken outside when the toddlers go outside to play. I was not aware that we had to leave the mat outdoors at all times. The mat was moved outside and placed under the slide." The provider’s ongoing compliance for this deficiency stated, “Director was not aware that we had to leave the mat outside at all times. We were only taking the mat out when playground was in use. The director now realizes we need to leave the mat outdoors all the time for the fall zone.”

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 back part of the fence was detached from the top of the fence railing in the picnic area of the playground; therefore, the fence was not stable and not kept in good condition. During interview with staff-in-charge, she stated that the child-care center had someone come to the child-care center to look at the fence and had been told the fence had been fixed. This deficiency was cited during a Renewal Inspection conducted on 12/18/23. The provider’s plan of correction for this deficiency stated, “Director was not aware the fence was detached outside. Our plans are to fix the fence when the bad weather clears. Our area has had severe weather in the past couple weeks. We have plans to fix the fence by the end of this month.” The provider’s ongoing compliance to this deficiency stated, “to have the co-director to check the fence quarterly to ensure that it is in good condition and does not need any repairs.”

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 two (2) staff (DOH: 08/30/11 and 04/17/23) did not complete the required cabinet approved training in first aid and cardiopulmonary resuscitation (CPR).

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 two (2) staff member's (DOH: 06/28/10 and 03/24/16 ) files did not contain written performance evaluations; therefore, the surveyor was unable to determine if the evaluations were completed annually. 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 member's (DOH: 06/02/23) file did not contain verification 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 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, the surveyor found that a staff member’s (DOH: 03/24/16) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the individual is free from active tuberculosis. During interview with staff-in-charge, it was confirmed that the child-care center did not have an updated copy of the staff member's TB skin test.

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. Based on review of ECE-TRIS, one (1) staff member (DOH: 11/09/11) completed the one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 07/17/18; therefore, the training was not completed within the last five years. 2. Based on review of ECE-TRIS, one (1) staff member (DOH: 04/17/23) did not have documentation that Orientation was completed within the first three (3) months of employment. 3. Based on review of ECE-TRIS, one (1) staff member's (DOH: 06/02/23) completed Orientation on 09/22/23; therefore, the training was not completed within the first three (3) months of employment. 4. Based on review of ECE-TRIS, one (1) staff member (DOH: 08/30/11) completed (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/011/22 - 06/30/23. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 a bucket in the picnic area of the playground that contained a broken lid and jagged edges; therefore, the playground was not safe from foreseeable hazards. 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

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 blue and grey slide placed on a grassy area of the Infant Playground; therefore, the slide did not have an adequate fall zone.

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 back part of the fence was detached from the top of the fence railing in the picnic area of the playground; therefore, the fence was not stable and kept in good condition. Equipment In Compliance 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 kitchen's freezer had a temperature reading of eighteen (18) degrees Fahrenheit; therefore the child-care center failed to maintain the freezer's temperature at zero (0) degrees 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 Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found two (2) staff member's (DOH: 06/28/10 and 03/24/16) files did not contain professional development plans; therefore, the surveyor was unable to determine if the plans were completed annually.

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 the child-care center failed to document the monthly required fire drill for November 2023. Staff-in-charge confirmed through interview that the child-care did not conduct a fire drill in November 2023. Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. 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. Staff (DOH: 03/24/16) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 08/10/16; therefore, the training was not completed within the last five years. 2. Staff (DOH: 04/07/17) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 06/26/17; therefore, the training was not completed within the last five years. 3. Staff (DOH: 02/05/16) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 08/19/16; therefore, the training was not completed within the last five years. 4. The following staff (DOH: 04/09/18, 05/22/18, 11/09/11 and 08/30/11) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 5. Staff (DOH: 06/28/10) obtained one (1) hour of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 6. The following staff (DOH: 07/12/17 and 08/29/16 ) obtained two (2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 7. The following staff (DOH: 02/05/16 and 04/04/17 ) obtained thirteen (13) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 8. The following staff (DOH: 03/24/16 and 05/30/99) obtained fourteen (14) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 08/26/22) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential.

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's (DOH: 04/07/17, 05/22/18 and 08/26/22) 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. 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 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on review of documentation and ECE-TRIS, the surveyor found that the following staff (DOH: 11/09/11, 06/28/10, 07/12/17, 08/29/16, 08/30/11, 02/05/16, 03/24/16, 04/07/17, 04/09/18 and 05/22/18) had not completed the required CPR and First Aid Training.

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 that the sinks in the two (2) children's restrooms did not have running hot or cold water; therefore, the child-care center failed to supply hot/cold running water in the restrooms. During interview, staff-in-charge stated the children use the sink that is outside of the rest room doors for hand-washing and the restrooms have not had running water in the sinks since they bought the building. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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: 09/03/20) 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: 05/30/99) file contained a professional development plan dated for 10/01/19; therefore, the plan was not completed annually. 2. A staff's (DOH: (04/09/18) file contained a professional development plan that did not contain a date; therefore, the surveyor was unable to confirm that the professional development plan was completed annually.

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 the child-care center did not participate in lockdown drills in 2021 or 2022; therefore, the child-care center failed to participate and document the required lockdown drills. During interview, staff-in-charge stated she was not aware that lockdown drills were required. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the Fire Marshal report to be dated 2/15/18. Staff-in-charge stated that the child-care center should have a more recent report; however, they were unable to locate the documentation for the surveyor to review during the visit.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found liquid hand soap placed on a sink located beside of the Three Year Old Classroom and liquid hand soap placed on a sink located beside of the Twos and Threes Classroom. The liquid hand soap label read "Keep Out of Reach of Children"; therefore, the liquid hand soap was accessible to the children posing a potential health and safety issue for the children. 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 personnel files for staff (DOH: 11/9/11, 6/28/10, 7/12/17, 8/29/16, 8/30/11, 2/5/16, 3/24/16, 5/6/16, 4/7/17, 4/9/18, 5/11/18, 5/22/18) contained written performance evaluations dated for 09/2020. Staff-in charge stated that she thought evaluations were completed after 09/2020; however, she was unable to locate the documentation during the surveyor’s visit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

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: 1/12/18) file contained a negative tuberculin result that was no longer current as of 1/12/20; therefore, the child care center failed to show proof that the staff is free of active tuberculosis or provide a copy of a negative tuberculin result. During interview, staff-n-charge stated she didn’t realize that the staff’s negative tuberculin result was no longer current.

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 no staff at the child care center have current certification in CPR/First Aid; therefore, the center failed to ensure at least one (1) person was on duty and present with cabinet-approved infant/child CPR/First Aid certification. During interview, staff-in-charge stated she would schedule CPR/First Aid certification for staff.

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 review of documentation, the surveyor found that the personnel files for three (3) staff (DOH: 4/7/2017, 5/22/2018 & 5/11/2018) did not contain documentation of CPR/First Aid Training; therefore, the surveyor was unable to determine if the staff had received training on first aid and cardiopulmonary resuscitation (CPR) as required. Staff-in- charge stated that all staff would be scheduled for CPR/First Aid Training.

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 was unable to locate verification that staff (DOH: 11/9/11, 6/28/10, 7/12/17, 8/29/16, 5/30/99, 8/30/11, 2/5/16, 3/24/16, 5/6/16, 4/7/17, 4/9/18, 5/11/18, 5/22/18) completed fifteen (15) hours of cabinet-approved early care and education training for the timeframe of 7/1/20 thru 6/30/21. Staff-in-charge stated that she thought all staff had completed the required training hours; however, the training hours may not have been obtained for the timeframe of 7/1/20 thru 6/30/21. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, during a tour of the kitchen, the surveyor found the thermometer in one of the refrigerator freezers indicated a temperature of nine (9) degrees Fahrenheit; therefore, the frozen food was not kept at a temperature of zero (0) degrees Fahrenheit or below as required. Staff stated that they would adjust and monitor the temperature to ensure that it is at the required temperature. 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 Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the surveyor found thirty (30) children were present at the child care center on the day of the surveyor’s visit. Based on review of documentation, three (3) children were signed in on the daily attendance record; therefore, the daily attendance records were not maintained. Staff-in-charge stated that it is an ongoing issue to get parents to sign their children into the child care center on the daily attendance records.

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 personnel files for staff (DOH: 11/9/11, 6/28/10, 7/12/17, 8/29/16, 8/30/11, 2/5/16, 3/24/16, 5/6/16, 4/7/17, 4/9/18, 5/11/18, 5/22/18) contained written annual professional development plans dated for 09/2020. Staff stated she thought written professional development plans were completed after 09/2020; however, she was unable to locate the documentation during the surveyor’s visit. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on review of documentation presented, the surveyor found: 1. An updated annual evaluation for a staff member (DOH: 06/28/10) was not located in the file. The last annual staff evaluation on file for the staff member was completed in 2019. 2. An updated annual evaluation for a staff member (DOH: 05/30/99)was not located in the file. The last annual staff evaluation on file for the staff member was completed in 2019. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation during a tour of the center, the surveyor found: 1. In the Three Year Old Room, the posted lesson plan was dated week one and the survey was conducted during week two; therefore, the lesson plan was not updated as required. 2. In the School-Age Room, the posted lesson plan was dated for February - Monthly; therefore, lesson plans were not updated as required. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance 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 during a tour of the playground, the surveyor found that the school age playground was littered with garbage and debris. 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 11. Toys and Furnishings.

General: Based on observation during a tour of the playground, the surveyor found the wooden bench had a sharp, jagged edge on the seat; therefore, the playground equipment is not well maintained. Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on observation during a tour of the center, the surveyor found: 1. In the Three Year Old Room, the posted menu was dated 02/01 – 02/05/2021; therefore, the weekly menu was not updated as required. 2. In the After-School Room, the posted menu was dated 2021; therefore, the weekly menu was not dated properly as required. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on observation, the following was found: 1) The temperature of the surveyor was not taken before the surveyor was permitted entry into the child care center. During interview, staff stated that they were aware that they needed to take the surveyor's temperature upon entrance to the center. Staff did take the surveyor’s temperature during interview. This deficiency was cited due to the following E-Reg: 922 KAR 2:410E Section 7. Screening and Illness Requirements. (1) Children and adults shall be screened for fever and contagious symptoms upon entry into the child care center or family child care home each day and shall not be allowed to enter if displaying a contagious fever or symptom of COVID-19. 2) Based on observation, the surveyor found staff would have their mask below their chin; therefore, staff did not properly wear face masks while inside the child care center. The surveyor did not find any exceptions to the E-Reg. in staff files. Based on interview, staff stated they will speak with staff on the proper way to wear masks. This deficiency was cited due to the following E-Reg: 922 KAR 2:410 Section 8. Personal Protective Equipment (PPE) Requirements. (1) Each adult, including parents and guardians at drop-off and pick-up, shall wear a face mask while inside a child care center or family child care home: (a) Unless they meet any of the exemption criteria established in subsection (5) of this section; (b) Except during planned staff breaks and lunch away from children in care and other staff; or (c) Except for staff working with infant or toddler groups who choose to wear a face shield instead.

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, the surveyor found a one-year-old child was sucking on a pacifier. The pacifier was attached to a small stuffed animal. The stuffed animal presents a safety risk to the child. Programming 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found that the cold water was not working at the sink located in the classroom for the two-year-old children. This deficiency was cited during a Renewal Inspection on 12/03/19. The Plan of Correction written for this deficiency stated, “All sinks have had the cold water turned back on. We had shut off the cold water supply off from the sinks and maintained the warm side only and all sinks have been adjusted.” The date for this plan was 12/13/19. The ongoing compliance for this deficiency stated, “We only had to turn the cold water supply on and we will not have any reason to adjust them in the future.” An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area In Compliance Written Documentation 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 observation during a tour of the childcare center, the surveyor found the following: 1. The surveyor found empty plastic bags stored on a small shelf within reach of the two and three-year-old children. 2. The surveyor found a mousetrap and a sticky trap in an unlocked cabinet located under the sink in a restroom used by the children. The mousetrap was accessible to the children. 3. The surveyor found a sticky trap on the floor located in a restroom used by the children. The sticky trap were accessible to the children. 4. A one-year-old child was sucking on a pacifier attached to a small stuffed animal. The stuffed animal presents a safety risk as it can obstruct the child's breathing. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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 documentation and ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 7/12/17) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 9/4/13; thus, not within the past five (5) years. 2. A staff (DOH: 8/29/16) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 5/20/14; thus, not within the past five (5) years. 3. The surveyor found no verification that a staff (DOH: 6/2/10) completed any cabinet-approved early care and education annual training hours for the review period of 6/2/18 through 6/1/19. 4. The surveyor found no verification that a staff (DOH: 8/29/16) completed any cabinet-approved early care and education annual training hours for the review period of 8/29/18 through 8/28/19. 5. The surveyor found no verification that a staff (DOH: 5/30/99) completed any cabinet-approved early care and education annual training hours for the review period of 5/30/18 through 5/29/19. 6. The surveyor found no verification that a staff (DOH: 8/30/11) completed any cabinet-approved early care and education annual training hours for the review period of 8/30/18 through 8/28/19. 7. The surveyor found no verification that a staff (DOH: 3/24/16) completed any cabinet-approved early care and education annual training hours for the review period of 3/24/18 through 3/23/19. 8. The surveyor found no verification that a staff (DOH: 4/7/17) completed any cabinet-approved early care and education annual training hours for the review period of 4/7/18 through 4/6/19. 9. The surveyor found verification that a staff (DOH: 11/1/18) completed only twelve (12) hours of cabinet-approved early care and education annual training for the review period of 11/1/18 through 10/31/19. 10. The surveyor found verification that a staff (DOH: 5/6/16) completed only two (2) hours of cabinet-approved early care and education annual training for the review period of 5/6/18 through 5/5/19. Programming 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 5. Infant and Toddler Play Requirements.

General: Based on observation during a tour of the childcare center, the surveyor found that two (2) staff persons were providing care for (4) one-year-old children and six (6) two- year-old children. The staff reported that they were unaware that the one-year-old children and two-year-old children could not be in a mixed-age group. Additionally, staff confirmed that the children are in the mixed-age group for the entirety of the day.

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 observed an infant sleeping in a crib. Sheets that covered the crib mattresses were too small/tight resulting in the mattresses being pulled upward. As a result, the infant child was sleeping in an alternate position rather than flat on its back. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the following: 1. The cold water was not working in the sink located in the classroom for the two and three-year-old children. 2. The surveyor found that the cold water was not working in the sink located in the classroom for the two-year-old children. 3. The surveyor found that the cold water was not working in the sink located in the classroom for the one-year-old children. 4. The surveyor found that the cold water was not working in the sink located near a diaper-changing table used by the children. 5. The surveyor found that the cold water was not working in the sinks located in the restrooms used by the children. 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 11. Toys and Furnishings.

General: Based on interview, the surveyor learned that staff use the following steps to sanitize mouth contact toys: Scrub the mouth contact toys using a toothbrush in sanitizer, rinse and air dry. The proper steps to sanitize mouth contact toys is as follows: Scrub in warm, soapy water using a brush to reach into crevices, rinse in clean water, submerge in a sanitizing solution for at least two (2) minutes and air dry. First Aid/Medication In Compliance 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 during a tour of the playground, the surveyor found no protective surface under or around two (2) small slides on the playground for the toddler-age children. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 during a tour of the childcare center, the surveyor found the following: 1. A roster containing the children’s full names and dates of birth was posted in the classroom for the one-year-old children. The confidential information was accessible to others. 2. A roster containing the children’s full names and dates of birth was posted in the classroom for the two-year-old children. The confidential information was accessible to others. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on observation, the surveyor found that two (2) two-year-old children were provided care for longer than one (1) hour with five (5) three-year-old children. Through interview with the director, the surveyor learned that written transition plans were not completed for the two (2) two-year-old children to be provided care with older children. 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 6. Sleeping and Napping Requirements.

General: Based on observation, the surveyor found that six (6) children under the age of one year were present at the childcare center. Only five (5) cribs were available to meet the children’s needs. This deficiency was previously cited on 11/26/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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, review of ECE-TRIS, and interview, the followng were found: 1. Documentation of Peadiatric Abusive Head Trauma (PAHT) training was presented for staff (DOH: 4/24/09) that had been completed on 9/4/13. Review of ECE-TRIS, confirmed that PAHT was completed on 9/4/13; therefore, it had not been completed within the past five (5) years. 2. Only ten and a half (10.5) hours of annual training were presented for a staff (DOH: 5/30/99) for 5/30/17 - 5/29/18. Review of ECE-TRIS, confirmed that only ten and a half (10.5) hours of annual training had been completed. 3. Only two (2) hours of annual training were presented for a staff (DOH: 2/5/16) for 2/5/17 - 2/4/18. Review of ECE-TRIS, confirmed that only two (2) hours of annual training had been completed. 4. Only ten (10) hours of annual training were presented for a staff (DOH: 8/24/16) for 8/24/17 - 8/23/18. There were zero (0) hours of training documented in ECE-TRIS. The Director reported that she was aware of some of the training deficiencies but not all of them. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment 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 6. Sleeping and Napping Requirements.

General: Based on observation and interview, the surveyor found that there were no cribs available for nap time in the Older Infants Classroom. Staff reported that two (2) of the children were under the age of twelve (12) months and are placed on a cot for nap time. The adjoining Younger Infants Classroom contained five (5) cribs and there were five (5) infants present at time of inspection. Therefore, the center does not have an adequate number of cribs available to meet the needs of the infants enrolled. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, observation, and interview, the surveyor found that there were fifty-one (51) children present at the time of the inspection. Review of the daily attendance sign in/sign out sheets in each classroom revealed that only fourteen (14) children had been signed in. The Director reported that it is difficult to get parents to remember to sign the children in and out. The Director stated that each teacher keeps a separate attendance log where they document each child that is present each day. Posted Documentation 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 10. Director Requirements and Responsibilities.

General: Based on observation and interview, the surveyor did not observe a daily schedule posted in the Older Infants Classroom. Staff stated that there had been a daily schedule posted previously but they were not sure what had happened to it. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation and ECE - TRIS, the surveyor found the following: (1.) Staff (DOH: 5/6/16) obtained nine and one-half (9 1/2) of the required fifteen (15) hours of cabinet - approved early care and education training. (2.) Staff (DOH: 3/24/16) obtained seven and one-half (7 1/2) of the required fifteen (15) hours of cabinet - approved early care and education training. (3.) Staff (DOH: 5/30/99) obtained eight (8) of the required fifteen (15) hours of cabinet - approved early care and education training. (4.) Staff (DOH: 3/24/06) obtained none of the required fifteen (15) hours of cabinet - approved early care and education training. (5.) Staff (DOH: 5/6/16) completed six (6) hours of cabinet - approved orientation on 11/4/16. The training was not obtained within the staff's first three (3) months of employment. (6.) Staff (DOH: 4/14/17) completed six (6) hours of cabinet - approved orientation on 8/2/17. The training was not obtained within the staff's first three (3) months of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment In Compliance Transportation Not Applicable Food Service 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 6. License Issuance.

General: Based on review of documentation, the surveyor found that an employee (DOH: 4/8/16) had previously worked at the childcare center with an original hire date of 6/4/13. The employee terminated employment and was rehired on 4/8/16; new CRC & CAN checks were not completed for the employee upon rehire. In an interview with the director, the surveyor learned that the employee is a floater, kitchen assistant and cleaner and has not been left alone with children since the rehire date. The employee has worked beyond the ninety (90) day probationary period. 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

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation, and ECE-TRIS, the surveyor found the following: 1. A staff member (DOH: 3/24/06) has not obtained fifteen (15) hours of cabinet-approved training. 2. A staff member (DOH: 4/24/09) has not obtained fifteen (15) hours of cabinet-approved training. 3. A staff member (DOH: 2/5/16) did not obtain the six (6) hours of orientation training within the first three months of employment. The orientation training was completed on 6/22/16. 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 Food Service 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 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found that the one (1) sink located outside the preschool classroom did not currently have any cold water. Based on interview the director stated that she was unaware that the sink did not have any cold water.

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 preschool outdoor playarea, the surveyor found one (1) electrical outlet that was uncovered and accessible to the children in care. The outlet was not identified as being tamper-resistant. An interview with the center director reviealed that she was unaware that the outlet was accessible to the children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 25 Web site: http://chfs.ky.gov/ Inspection Report

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 infant and toddler outdoor playarea, the surveyor observed two (2) plastic slides placed on grass. The slides did not have a protective surface to ensure the safety of the children. Interview with the center director revealed that she was unaware that the small toddler slides needed to be placed on a protective surface.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on observation during a tour of the school age restroom, the surveyor found one (1) toilet plunger accessible to the children located on the floor beside the toilet.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation, the file presented for review for a staff member (DOH: 11/9/11) and ECE-TRIS contained evidence of only one and a half (1.5) hour of training for the current training year 11/9/12 through 11/9/13. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Reports.

General: Based on review of documentation and interview, the surveyor found that on 10/25/13 at 5:15 p.m. the child care center obtained knowledge that a one-year-old child had a significant bruise on the left ear that allegedly occurred while under the supervisory control of the child care center staff. The child care center failed to comply with the regulatory requirements to report abuse or neglect in accordance with 922 KAR 1:330 in that the child care center staff had supervisory and disciplinary control over the child. Director Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation contained in a staff's file, the surveyor found that cabinet-approved orientation training had not been obtained within the first three (3) months of employment. Equipment

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2 General.

General: Based on observation, the following was found: 1.) The child care center failed to post information on the Kentucky Consumer Product Safety Program and the program's web site as specified in KRS 199.897. 2.) The child care center failed to post the statement of deficiency issued by the cabinet during the current licensure year. 3.) The child care center failed to post the plan of correction submitted by the child care center during the current licensure year.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 Staff Requirements.

General: Based on review of documentation, the files for two (2) staff members (DOH: 1/14/13 and 10/12/12) did not contain evidence of a high school diploma, GED, or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on review of documentation, the file for a staff member (DOH: 10/12/12) did not contain a health professional's statement verifying that the individual is free of active TB or a copy of the results of a negative TB skin test. Equipment - Classroom 237 - Crib Mattress/Standards 922 KAR 2:120 - Section 6 (2) A crib shall: (a) Be equipped with a firm, comfortable waterproof mattress; and (b) Meet the standards set forth in 16 C.F.R. 1508 and 1509. 2) Meets Standards In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.