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

General: Based on review of documentation and ECE-TRIS, the surveyor found a staff (DOH: 05/14/24) obtained eight (8) of the required fifteen (15) hours of cabinet–approved early care and education training between 05/14/24-05/14/25.

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 DRCC total approved capacity for the After School Room is seven (7) children. The surveyor observed nine (9) children inside the classroom during the surveyor's visit. Therefore, the child care center failed to maintain a minimum of thirty-five (35) square feet per child in the After School Room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation of the playground, the surveyor found the mulch was depleted in several areas exposing the black underlayment; therefore, the playground was not well maintained.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation of the Infant Room, the surveyor observed an infant child sleeping in a crib covered with a blanket. During interview, staff advised that the child was nine (9) months old.

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 a staff member’s (DOH: 10/14/15) 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. The surveyor reviewed a TB test that was dated 03/31/22. Staff-in-charge called the Director while the surveyor was present at the child-care center to see if an updated TB skin test could be found for the staff member. The surveyor was informed that the staff member had an updated TB skin test; however, she would need to retrieve a copy from the doctor's office. Staff-in-charge asked if the surveyor could wait until 1:10 pm for a copy of the staff member’s current TB Skin test. The surveyor stayed at the child-care center until 1:30 pm and the TB Skin test had not been sent to the staff-in-charge while the surveyor was present. After the surveyor left the child-care center, the surveyor received a text message at 1:37 pm on her work cell phone from the staff-in-charge of a picture of the TB Skin test for the staff member. The surveyor observed the picture of the staff member’s TB skin test with a date at the bottom that read 01/24/24.

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 members (DOH: 10/14/15, 05/14/18 and 02/26/24) did not complete the required cabinet approved training in first aid and cardiopulmonary resuscitation (CPR). 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: 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. One (1) staff member (DOH: 11/21/22) completed the one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 08/14/18; therefore, the training was not completed within the last five years. 2. One (1) staff member (DOH: 11/21/22) completed nine and one-half (9 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 11/21/22-11/21/23. 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 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found that the diaper changing pad located in the Nursery Classroom contained a tear; therefore, the diaper changing surface was not free of holes, rips, tears, or other damage. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the surveyor found five (5) bottles located in a refrigerator in the Nursery Classroom that were not properly covered; therefore, the child-care center failed to cover the bottles when not in use. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 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. The following children's (DOE: 09/25/23, 11/29/23 and 11/29/23) files did not contain the contact telephone number for the children’s preferred hospital. 2. The following children’s (DOE: 09/11/23 and 09/18/23) files did not contain the name or contact telephone numbers for the children’s preferred family physician or hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on review of documentation, the surveyor discovered the following: 1. The ECE-TRIS Individual Training Record Report for one (1) staff (DOH: 7/5/2022) indicated that the staff completed the training for first aid and cardiopulmonary resuscitation (CPR) on 3/6/2023; therefore, the child-care center failed to ensure that every staff member completed first aid and CPR training within the first three (3) months of employment as required. 2. No date was listed on the ECE-TRIS Individual Training Record Report for one (1) staff (DOH: 5/17/1999) indicating that the staff completed the training for first aid and CPR. The surveyor did not find documentation in the employee files indicating that staff had completed the training on first aid and CPR; therefore, the child-care center failed to ensure that every staff member had received training on first aid and CPR as required. 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: 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 discovered the following: 1. The ECE-TRIS Individual Training Record Report for one (1) staff (DOH: 7/5/2022) indicated that the staff completed six (6) hours of cabinet-approved orientation training on 3/6/2023; therefore, staff failed to complete the six (6) hours of cabinet-approved orientation within the first three (3) months of employment. 2. Upon review of the ECE-TRIS Required Training Hours Report for the timeframe of 7/1/2021 thru 6/30/2022, the surveyor discovered that three (3) staff (DOH: 5/17/1999 , 5/14/2018, and 3/3/2018) failed to complete any of the fifteen (15) required hours of cabinet-approved early care and education training; therefore, the child-care center failed to ensure that training was completed as required. 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: 1. The hot water temperature of the sink, located in the Nursery, measured one hundred and forty (140) degrees Fahrenheit. 2. The hot water temperature of the sink, located in the Men’s Restroom and the Women’s Restroom, measured one hundred and forty-four (144) degrees Fahrenheit. Therefore, the water temperature of the sinks did not fall within the required minimum ninety (90) degrees Fahrenheit and maximum one hundred and twenty (120) degrees Fahrenheit. Staff-in-charge stated that the water temperature is often adjusted when the church has baptisms. 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 discovered debris under the diaper changing pad located on the diaper changing table in the 2’s room; therefore, the diaper changing surface was not clean. 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 In Compliance Meal Planning/Center Does Not Provide Meals 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

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered the following: 1. The file presented for review for a child (DOE: 8/8/2022) did not contain the name or telephone number for the preferred hospital. 2. The file presented for review for a child (DOE: 8/30/2022) did not contain the name or telephone number for the family physician or the name and number for the preferred hospital. Therefore, the child-care center failed to maintain children's records as required. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. A brown bug located in the floor beside a small brown/white desk in the School Age Classroom. 2. A loose cord hanging down the wall from a wall mounted television and plugged into an outlet in the Three Year Old Classroom. 3. A loose cord hanging down the wall from a television and plugged into an outlet in the Two Year Old Classroom. 4. Disinfecting Wipes that stated "Store in original container in areas inaccessible to children" on the back label located on the sink in the One Year Old Classroom. 5. Dawn Platinum dish soap that stated "Keep out of the Reach of Children" on the back label and a bottle of Dial Antibacterial Soap that stated "Keep Out of the Reach of Children" on the back label located on the sink in the One Year Old Classroom. 6. Two (2) brooms and two (2) dust pans located behind the exit door in the One Year Old Classroom. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 03/13/18) obtained eight (8) 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. 2. A staff (DOH: 04/09/18) obtained thirteen (13) 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. 3. A staff (DOH: 09/26/19) obtained zero (0) 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 the following: 1 A square alphabet rug that was soiled with dark spots in the School Age Classroom; therefore, the rug was not kept clean. 2. Debris scattered on the floor in the School Age Classroom; therefore, the floor was not kept clean. 3. Small debris/dust on two (2) brown shelves located beside the window in the School Age Classroom; therefore, the shelves were not kept clean. 4. The sink contained what appeared to be a light layer of buildup in the One Year Old Classroom; therefore, the sink was not kept clean. 5. The front facing of the cabinet below the sink contained chipping paint in the restroom located beside the One and Two Year Old Classrooms; therefore, the cabinet was not kept in good repair. 6. A green substance behind the faucet on the sink in the Infant Classroom; therefore, the sink was not kept clean.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the following: 1. The hot water temperature in the restroom located beside the One and Two Year Old Classrooms measured approximately 130 degrees Fahrenheit; therefore, the hot water was not a minimum temperature of ninety (90) degrees Fahrenheit or a maximum of 120 degrees Fahrenheit. 2. The hot water temperature at the sink located in the Infant Classroom measured approximately 130 degrees Fahrenheit; therefore, the hot water was not a minimum temperature of ninety (90) degrees Fahrenheit or a maximum of 120 degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 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 beside the sink in the restroom located beside the One and Two Year Old Classrooms. 2. The base of the toilet where the toilet connects to the floor and around the toilet seat hinges contained what appeared to be dust particles in the restroom located beside the One and Two Year Old Classrooms. The toilet was located beside the diaper changing pad table in the restroom. 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 underneath 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 railings around the diaper changing pad in the One Year Old Classroom; therefore, the diaper changing surface was not kept clean. 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 the following: 1. No protective surface around a small plastic pink/green/blue play structure with two (2) slides; therefore, the play structure did not have an adquate fall zone. 2. The protective surface around a blue metal swing set on the playground was depleted exposing the white liner underneath as well as grass. 3. The protective surface around a play structure on the playground was depleted exposing the white liner underneath as well as grass. 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 tears in the front of a blue child sized sofa in the Infant Classroom; therefore, the sofa was not kept in good repair. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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: 02/01/21) file contained an immunization certificate that was no longer current as of 11/17/21. 2. A child’s (DOE: 08/02/21) file contained an immunization certificate that was no longer current as of 10/18/21.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 11/15/21) file did not contain a contact telephone number for the child’s preferred hospital. 2. A child’s (DOE: 12/06/21) file did not contain the name of the child’s preferred hospital or contact telephone number. 3. A child’s (DOE: 11/12/21) file did not contain the contact telephone number for the child’s family physician. 4. A child’s (DOE: 08/02/21) file did not contain the name and telephone number of each person to be contacted in an emergency involving or impacting the child. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on review of documentation, the surveyor found that the written evacuation plan was last updated on approximately 01/25/18; therefore, the plan needs to be updated. Staff-in-charge stated that the emergency preparedness plan was updated; however, she did not have the documentation.

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 that a fire drill was not documented for the month of November 2021. During interview, staff stated that the fire drill was completed; however, she was unable to locate the documentation. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, 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.

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. In the One Year Old Classroom, two (2) ceiling tiles located above the highchairs had brown stains on them. Staff reported that the ceiling tiles have been reported to the owner for repairs. 2. In the Pre-K Classroom, there was a play diaper on the floor located behind the kitchen play area and behind a fold up chair. Staff reported that the children in the room must have forgot to pick up the play diaper. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. In the Schoolage Classroom, there was not a Lesson Plan posted. Staff reported that she will make sure an updated Lesson Plan is put in the classroom. 2. In the One Year Old Classroom, the Lesson Plan was dated for week 2, Jan. Staff stated that she will make sure an updated Lesson Plan will be put in the classroom. Animals Not Applicable 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 temperature of the surveyor was not taken before the surveyor was permitted entry into the child care center. Based on interview, the staff stated that they have been screening individuals; however, they did not think of screening the surveyor upon entrance to the center. 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.

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 a staff's (DOH: 10/14/15) file contained a negative tuberculin result dated 1/31/18; therefore, the test was no longer current. Staff confirmed this was the most recent copy of a negative tuberculin result that had been obtained for the staff's file. Staff reported an updated negative tuberculin test had been completed; however, a copy had not been obtained for the staff's file. 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/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation In Compliance Animals In Compliance

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 observation and review of documentation, and the National Background Check Program, the surveyor found the following: 1. A staff’s (DOH: 10/14/15) fingerprints were collected on 1/15/19 and eligibility for hire returned on 1/17/19. The childcare center did not submit to and complete the background check process prior to 9/30/18. 2. A staff’s (DOH: 7/31/17) fingerprints were collected on 1/2/19 and eligibility for hire returned on 1/10/19. The childcare center did not submit to and complete the background check process prior to 9/30/18. 3. A staff’s (DOH: 4/19/18) fingerprints were collected on 6/28/18 and eligibility for hire returned on 7/19/18. The staff began employment prior to clearance for hire as evidenced by ECE-TRIS. ECE-TRIS verifies that the staff obtained training as employed by the childcare center on 4/24/18. 4. A staff’s (DOH: 2/26/18) personnel information contained verification of a criminal records check completed on 2/26/18 and a Child Abuse and Neglect background check completed on 3/6/18. The surveyor found no verification of the National Background Check nor was it presented to the surveyor during the renewal survey. Review of the National Background Check Program found no verification that the background check has been completed. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 observation during a tour of the childcare center, the surveyor found the following: 1. Upon arrival to the childcare center, the surveyor and the staff-in-charge heard a staff in the preschool room yell in a loud and demanding voice for a child to get out of an activity center. The surveyor stepped into the classroom to find that the staff was yelling at children whose ages ranged from two to five-years-old. The staff-in-charge asked the staff to lower her tone of voice. 2. The surveyor found that a staff person diapered an infant child and washed her hands in a sink that contained a child’s bowl and spoon. The staff person then proceeded to rinse out the bowl and spoon using a brush and running water. Through interview, staff identified that the dishes are stored in a plastic container located on a shelf for reuse by the children. The staff stated that the dishes are not rewashed, sanitized or placed in a dishwasher; thus, creating the risk of cross contamination. 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: The surveyor was not presented with documentation of six (6) hours of cabinet-approved orientation training for the following staff: 1. (DOH: 3/13/18) 2. (DOH: 5/14/18) 3. (DOH: 7/25/18) 4. (DOH: 9/20/18) 5. (DOH: 10/8/18) 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 3. General Requirements.

General: Based on observation during a tour of the classroom for the two-year-old children, the surveyor found that the children were watching the movie “Chicken Little”. Review of documentation found that the movie was not documented as part of the children’s planned program of activities. The staff person reported that the children had watched the movie for approximately twenty (20) minutes.

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, during a tour of the childcare center, the surveyor found that two (2) staff were providing care for a two-year-old child along with children whose ages ranged from three-years-old to five-years-old. Through interview, the surveyor learned that the child remains in the classroom all day and that a transition plan had not been completed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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, the surveyor observed brown circular stains on the ceiling tiles located in the Infant Room. Hygienic Practices 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found that a staff person diapered an infant child. The staff person then opened a window and placed the soiled diaper in an uncovered trash can located on the ground outside the childcare center. 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 no protective surface under or around the swings and four (4) slides located on the playground. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance 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 8. Kitchen Requirements.

General: Based on observation, the surveyor found that the interior temperature of the refrigerator located in the Infant Room was fifty (50) degrees Fahrenheit. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

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 surveyor found a staff's (DOH: 11/14/17) file did not contain 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. Staff Requirements.

General: Based on review of documentation and ECE - TRIS, the surveyor found the following: (1.) Staff (DOH: 3/6/17) obtained six (6) hours of cabinet - approved orientation on 6/9/17; therefore, the training was not obtained during the staff's first three (3) months of employment. (2.) Staff (DOH: 10/14/15) obtained ten and one - half (10 1/2) of the required fifteen (15) hours of cabinet - approved early care and education training. (3.) Staff (DOH: 6/27/16) obtained ten and one - half (10 1/2) of the required fifteen (15) hours of cabinet - approved early care and education training. 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 review of documentation, the surveyor found the nursery's lesson plan was last updated on 12/11/17. Staff confirmed that the lesson plan needed to be updated. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on observation, the surveyor found one (1) container of A + D Diaper Rash Creme in a low lying cubby beside the diaper changing table. The surveyor observed children walking inside the classroom and the creme was within reach of the children. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service 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 3. General Requirements.

General: Based on observation, the surveyor observed one (1) infant bottle feeding herself in a walker inside the nursery. Staff was not aware that the child needed to be held while bottle feeding.

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 refrigerator located in the one's classroom contained multiple areas of a dried substance that needed to be cleaned on the shelves inside the refrigerator. Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found there were six (6) children present inside the nursery with the arrival times of only two (2) children documented on the daily attendance record. Staff reported parents forget to sign the children in on the daily attendance record. 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 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 06/28/2017 AND AS OF 07/07/2017, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

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, the surveyor found one (1) staff (DOH: 5/30/17) working alone with five (5) one-year-old children in the Younger Infants Classroom. Through interview, it was confirmed that the staff (DOH: 5/30/17) did not have a completed child abuse/neglect check or a completed criminal records check. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found one (1) staff (DOH: 5/30/17) working alone with five (5) one-year-old children in the Younger Infants Classroom. It was confirmed through interview that the staff (DOH: 5/30/17) did not have a completed child abuse/neglect check or a criminal records check. The director reported submitting both the criminal records check and the child abuse/neglect check on 5/30/17. Proof of the submission of both of the checks could not be provided at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the staff's (DOH: 5/30/17) file did not contain a criminal records check or a child abuse/neglect check. 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 3. General Requirements.

General: Based on observation, the surveyor found a large bottle of hand sanitizer propping the gate open at the top of the staircase. The hand sanitizer was accessible to the children as they enter and exit the second floor. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found that the Nursery's diaper changing pad had a tear on the top side of the pad. Food Service In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, a staff member (DOH: 10/8/15) did not complete a total of nine (9) hours of approved training as required. A review of ECE-TRIS found that the staff member had obtained one and one half (1 1/2) hour of training during the annual training year of 10/8/15-10/8/16. A review of the staff member's file found no additional training documentation. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. 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 classroom the surveyor observed a partially empty, plastic bottle of Dr. Pepper brand soda to be sitting on top of the children’s cubbies. The soda was accessible to the children. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found an earthquake drill, completed on 10/20/16 at 10:00am, that did not include the names of the children who participated in the drill.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the recorded date, time, and names of children who participated in monthly fire drills from January 2016 through November 2016 were not available for review.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on review of documentation, there were no records available for review to verify that fire drills had been completed monthly from January 2016 through November 2016. Posted Documentation In Compliance Animals 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. Animals.

General: Based on review of documentation of children’s files, there were no parental consent forms contained in the files giving permission for their child to be in the presence of animals. The preschool classroom has a beta fish in a small container sitting on top of a toy shelf in the classroom. 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 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on observation and interview, the following were found: (1) The surveyor found loose plastic bags in an unlocked drawer on the changing table in the restroom between the toddler room and infant room, the plastic bags were accessible to children. (2) The surveyer found a mop and mop bucket sitting behind the door to the restroom located between the toddler room and infant room, the mop and bucket were accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the surveyor found the diaper changing pad in the infant classroom had a tear on the surface.

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 and interview, the surveyor found there were no straps in the high chair located by the door in the toddler room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that ten (10) children's files presented for review (DOE: 12/9/15, 9/29/15, 11/17/15, 11/11/15, 11/25/15, 10/28/15, 10/5/15, 11/25/15, 10/19/15, 11/2/15) did not contain the preferred hospital telephone number or the emergency authorization.

Open Not marked corrected in the state record

Open / not marked corrected.