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

General: Based upon review of ECE-TRIS the surveyor discovered the following: 1. One (1) staff member (DOH:10/25/21) had completed fourteen (14) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 07/01/22 - 06/30/23. 2. One (1) staff member (DOH:08/31/23; first year start date: 08/23/20) completed three (3) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 07/01/22 - 06/30/23. Therefore, the child-care center failed to ensure that trainings were completed as required. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records 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 9. Records.

General: Based on review of documentation, the surveyor found that a staff member's (DOH: 08/16/99) file did not contain a professional development plan that contained a date; therefore, the surveyor was unable to determine if the 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, the surveyor found the following: 1. A staff member's (DOH: 08/21/96) file contained an annual written performance evaluation dated for 05/18/22. 2. A staff member's (DOH: 05/01/01) file contained an annual written performance evaluation dated for 05/13/22. 3. A staff member's (DOH: 10/25/21) file contained an annual written performance evaluation dated for 05/18/22. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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: recordkeeping. 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 the child-care center failed to document the quarterly required tornado, earthquake and lockdown drills for the 2nd quarter of 2023. During interview with staff-in-charge, she stated that the child-care center completed the drills with the children but the child-care center did not document the drills; therefore, the child-care center failed to maintain documentation of the required quarterly drills. 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 8. General.

General: Based on observation, the surveyor found the following: 1. A tall black mini refrigerator placed on top of a small brown table in front of the window in Classroom B and did not appear to be secured. A microwave was observed to be placed on top of the mini refrigerator. 2. A small white mini refrigerator placed close to the edge on a gray shelf that was located in front of the window in Classroom A and did not appear to be secured. The mini refrigerator was observed to be turned to its side on the gray shelf and exposing the back part of the refrigerator that contained wires/cables. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview with staff-in-charge, the surveyor found that the Type I child-care center had documentation for only one (1) qualified substitute staff person. Staff-in- charge stated that the the child-care center does have another substitute staff person; however, staff-in-charge stated that she did not have the documentation for the staff person. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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

Open / not marked corrected.

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

General: Based on observation, the surveyor found the grass on the playground appeared tall and to need mowing; therefore, the playground was not well maintained. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the toilet in Classroom A does not flush properly, has stains in the toilet bowl, and has been leaking around the base of the toilet; therefore, the toilet was not kept in good repair. Staff-in-Charge reported that a work order has been submitted to fix the toilet. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance 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 4. Premises Requirements.

General: Based on observation, the surveyor found that the sandbox located on the playground was not covered while not in use; thus, the sandbox contained water and weeds. Staff-in-Charge reported that the playground has not been in use due to the center operating virtually. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not 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 interview and review of documentation, the surveyor was not presented with documentation that a volunteer (DOH: 05/29/2009) had submitted to a Criminal Records Check or a background check through the Kentucky National Background Check Program. The volunteer had an original Child Abuse/Neglect background check on file dated for 06/18/09. Staff-in-Charge reported that the volunteer has not worked alone with children. The surveyor did not observe the volunteer working alone with children during the visit on 01/19/21. Through interview, the surveyor learned that the documentation was not available for review. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: (1.) A child’s (DOE: 09/25/20) file contained an immunization certificate that was no longer current as of 12/01/20. (2.) A child’s (DOE: 08/17/20) file contained an immunization certificate that was no longer current as of 07/27/20. (3.) A child’s (DOE: 08/20/20) file contained an immunization certificate that was no longer current as of 08/12/20. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor was presented with a child's (DOE: 08/17/20) file that did not contain the name of a preferred family physician. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of both classroom A and classroom B's restroom, the surveyor found a soiled mop located beside the sink accessible to the children.

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 (2) two of the children's records that were reviewed did not contain a list of persons who are designated to pick the children up from the center.

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 there was no documentation of an earthquake and tornado drill during the calendar quarter of January through March 2014. Based upon interview, the surveyor discovered that students were only in attendance (2) two days during the month of January.

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 no earthquake and tornado drill was conducted during the calendar quarter of January through March 2014. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 2

General: Based on observation, the children's names and dates of birth were posted on a birthday chart on a wall in Head Start A.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)

Head Start B: Based on observation, the children's jackets were hanging on hooks. Seven (7) jackets were touching, thus promoting cross-contamination of germs. Head Start A: Based on observation, the children's jackets were hanging on hooks. Ten (10) jackets were touching, thus promoting cross-contamination of germs. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 2) Clean Not In Compliance Findings: Head Start A: Based on observation, the ceiling vent cover in the restroom was dusty. 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 42 Web site: http://chfs.ky.gov/ Inspection Report 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 5) Clean Light Fixtures Not In Compliance Findings: Head Start A: Based on observation, one (1) light fixture contained dead insects. 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows Not Applicable 2) Doors Not Applicable 3) Stoves Not Applicable 7) Stairs Not Applicable 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 7

Head Start B: Based on review of documentation, the parent of a child (DOE: 08/29/11) had not given written permission to administer an inhaler to the child. Staff interview revealed that the inhaler would be administered only in the event of need. 248 - Nonprescription medication protocol Not Applicable 922 KAR 2:120 - Section 7 (5) Nonprescription medication: (a) May be given to a child only with the written daily request of the: 1. Parent; or 2. Person exercising custodial control of the child; and (b) Shall be administered according to the instructions on the label. 1) Written daily request Not Applicable 2) Administered according to label Not Applicable 249 - Administration Record Not Applicable 922 KAR 2:120 - Section 7 (6) The child-care center shall keep a written record of the administration of medication, including: (a) Time; (b) Date; (c) Amount; and (d) Name of staff person giving the medication. 249 - Administration Record 922 KAR 2:120 - Section 7 (6) The child-care center shall keep a written record of the administration of medication, including: (a) Time; (b) Date; (c) Amount; and (d) Name of staff person giving the medication. 1) Time In Compliance 2) Date In Compliance 3) Amount In Compliance 4) Staff name In Compliance 250 - Medication Storage Not Applicable 922 KAR 2:120 - Section 7 (7) Medication, including refrigerated medication, shall be: (a) Stored in a separate and locked place, out of the reach of a child; (b) Kept in the original bottle; and (c) Properly labeled. 250 - Medication Storage 922 KAR 2:120 - Section 7 (7) Medication, including refrigerated medication, shall be: (a) Stored in a separate and locked place, out of the reach of a child; (b) Kept in the original bottle; and (c) Properly labeled. 1) Separate and locked In Compliance 2) Original Bottle In Compliance 3) Labeled In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 7

Head Start B: Based on observation, the ProAir inhaler located inside the medication box for a child (DOE: 08/29/11) had an expiration date of November 2011. Staff interview revealed that the inhaler would be administered only in the event of need. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 42 Web site: http://chfs.ky.gov/ Inspection Report Outdoor Play Area - Staffing Requirements 117 - Cooking/Cleaning Staffing 922 KAR 2:110 - Section 4 (1) (k) Assure that additional staff are available during cooking and cleaning hours, if necessary, to maintain staff-to-child ratios pursuant to 922 KAR 2:120; 1) Cooking In Compliance 2) Cleaning In Compliance 135 - Adequate Adults/Qualified Staff 922 KAR 2:110 - Section 5 (10) The minimum number of adult workers in a child-care center shall be sufficient to ensure that: (a) Minimum staff-to-child ratios in accordance with 922 KAR 2:120 are followed; (b) Each staff person under eighteen (18) years of age and each student trainee are under the direct supervision of a qualified staff person who meets the requirements of this section; and (c) Unless providing care with a qualified staff person, a person under the age of eighteen (18) shall not be counted as staff for the staff-to-child ratio. 1) Ratio Compliance In Compliance 135 - Adequate Adults/Qualified Staff 922 KAR 2:110 - Section 5 (10) The minimum number of adult workers in a child-care center shall be sufficient to ensure that: (a) Minimum staff-to-child ratios in accordance with 922 KAR 2:120 are followed; (b) Each staff person under eighteen (18) years of age and each student trainee are under the direct supervision of a qualified staff person who meets the requirements of this section; and (c) Unless providing care with a qualified staff person, a person under the age of eighteen (18) shall not be counted as staff for the staff-to-child ratio. 2) Under 18 directly supervised Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.