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

General: Based on review of documentation, the child care center failed to maintain employee records in accordance with state regulations. One (1) employee with a hire date of 12/01/21, did not complete the required fifteen (15) hours of annual training. As per the Early Care and Education-Training Records Information System (ECE-TRIS) Required Training Hours Report, the aforementioned employee only completed 1.5 hours for the 07/01/23 - 06/30/23 review period. 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 1 of 2 Inspection Report Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's records in accordance with state regulations. One (1) child, with an enrollment date of 05/27/22, did not have an up-to-date immunization certificate. A subsequent interview with the center director found she needed to obtain this information. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The bathroom adjacent to the Preschool C Room contained an unprotected electrical outlet. The outlet was located next to the handwashing sink. Director Requirements In Compliance Employee Records In Compliance 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 4. Premises Requirements.

General: Based on observation, this regulatory requirement was not met. The bathroom located adjacent to the Preschool C Room contained a dusty vent over the toilet. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation 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 8. General.

General: Based on observation, this regulatory requirement was not met. The statement of deficiency and plan of correction was not posted from the renewal survey conducted on 11/29/2021. Animals 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, four staff members (DOH: 8/1/2012, 2/15/2015, 6/1/2017, 8/11/2019) did not have evidence of completing 15 hours of annual early care and education training between 07/01/2020 to 06/30/2021. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. A staff hired on 8/01/2012, did not have a professional development plan on file. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Emergency Regulation 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, this regulatory requirement was not met. The facility's general liability insurance that was on file indicated that the occupancy restrictions for the preschool program is 30 children. The facility's licensed capacity is 35 children. Based on the insurance restrictions that were documented, the facility cannot exceed a capacity of 30 children. 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 observation and review of documentation, this regulatory requirement was not met. A staff hired on 10/01/19, did not have proof of education on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. The following items were found: 1. A substitute staff hired on 8/09/18, did not complete the six-hour cabinet-approved orientation training within the first three months of employment. There was no evidence in the ECE-TRIS system that the staff member completed the orientation training. 2. A substitute staff hired on 6/01/17, did not complete the 15 hours of cabinet-approved early care and education training during her completed training year. The staff did not have any training hours in the ECE-TRIS system. 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, this regulatory requirement was not met. The following was found: 1. The bathroom located between the Preschool A and the Preschool B Room contained a dusty ceiling vent. 2. The gym contained a dusty vent on the wall, near the ceiling.

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, this regulatory requirement was not met. The bathroom located between the Preschool A Room and Preschool B Room contained a toilet with a cracked tank lid. 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 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 observation and review of documentation, this regulatory requirement was not met. One child's enrollment paperwork contained an immunization record that did not list an expiration date. The child was enrolled on 3/04/19. 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 9. Records.

General: Based on review of documentation, it was determined that two (2) files reviewed did not contain current immunization records. A child with a date of enrollment of 08/05/2018, had an immunization record on file which was dated 12/28/2018. A child with a date of enrollment of 08/08/2018, had an immunization record on file which was dated 12/27/2018. The director stated she was aware of the records and would address the matter. 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

Category: health medication. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Observation, at the time of the survey there were seven (7) children ages three to seven (3-7) years old in the preschool room. An interview with staff found that the local public school was closed for the day and the child who was seven years old was present becasue her mother is a staff person at the facility. The facility is not licensed for school age services. Director Requirements In Compliance 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 6. License Issuance.

General: Based on Review of Documentation, there was one (1) staff person with a hire date of 8/29/17 who had the results of a criminal records check dated 9/6/17. There was no documentation to verify that the application for the results of the criminal records check was submitted prior to employment or on the date of hire.

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, there was one (1) staff person with a hire date of 8/29/17 who did not have the results of a T.B. test read until 9/6/17. There was an additional staff person with a hire date of 2/28/17 who did not have the results of a T.B. test read until 3/2/17.

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 a review of ECE-TRIS records, found one (1) staff person hired 3/1/15 who did not have evidence of having completed fifteen (15) hours of training for the 2016-2017 training year nor was there evidence that the staff person had completed one and one-half (1 1/2) hours of pedatric abusive head trauma training. There was an additional staff person with a hire date of 8/9/16 who only had evidence of having completed eleven (11) hours of training for the 2016-2017 training year. 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, at the time of the survey there were seven (7) children ages sixteen-months to two-years-old with six (6) of those children being two-years-old. Interviews with staff found that the sixteen-month-old is enrolled in the classroom with the two-year-old children and stays with the group during all hours of the facility's hours of operation which is 8:00 a.m.-12:00 p.m.. It was also indicated that the child belongs to one (1) of the staff members. 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 3. General Requirements.

General: Based on Observation, in the preschool room a container of Clorox wipes was observed sitting on the counter by the sink where the children wash their hands. The label on the container indicates to Keep Out of the Reach of Children. The Clorox wipes were 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 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, there was one (1) child enrolled 9/14/17 who did not have evidence of a current immunization certificate on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, there was one (1) child enrolled whose enrollment information did not include a preferred hospital. 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 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Review of Documentation, it was found that the documented chain of command was not current and included a staff person no longer employed at the facility.

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, it was found that earthquake and tornado drills are being conducted and documented as one (1) drill and not as two (2) separate drills with the required information documented for each drill. Posted Documentation In Compliance Animals Not Applicable

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 Review of Documentation, it was found that the facility's insurance policy limits the facility to twelve (12) children. At the time of the survey, thirteen (13) children were enrolled. On multiple days during the school year, all thirteen (13) children were present. 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 Review of Documentation, it was found that the files for two (2) eligible employees did not contain evidence of an annual evaluation being completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that in the bathroom in Preschool 2, a toilet brush and plunger were accessible to the children. 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Observation, it was found that an employee rehired on 8-9-16 was working alone with three (3) one-year-old children for approximately thirty (30) minutes during the survey. The file for this employee did not contain a completed criminal records check or central registry check that met the requirements of the regulation. 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 Review of Documentation, it was found that the file for an employee rehired on 8-9-16 did not contain evidence of submission for or a new completed criminal records check or central registry check. The background checks in the employees file were dated 2013. This employee was observed to be working alone with three (3) one-year-old children for approximately thirty (30) minutes during the survey.

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, it was found that the file for an employee hired on 11-30-16 did not contain evidence of a high school diploma, GED or Commonwealth Childcare 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, it was found that the file for an employee hired on 11-30-16 did not contain evidence of a TB skin test or screening being completed. The staff person stated that she would be unable to get a screening until the following day, which does not meet the requirements of the regulation.

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, it was found that the ECE-TRIS record and the file for an employee hired on 9-20-13 contained evidence of zero (0) hours of cabinet- approved training being completed during the last completed training year. The ECE-TRIS records and files for employees hired on 3-1-15, 8-26-15 and 10-31-15 contained evidence of zero (0) hours of cabinet-approved additional training being completed during the first year of employment. In addition, it was found that the ECE-TRIS records and files for employees hired on 3-1-15, 8-26-15 and 10-31-15 did not contain evidence of the cabinet-approved Pediatric Abusive Head Trauma training being completed. 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 2 of 3 Inspection Report 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, it was found that a pair of hanging bars approximately three (3) and four (4) feet tall were located in the grass. A built-in ground slide was found to have only a mat on the exit platform. Both pieces of equipment require an approved playground surfacing to be present to help prevent injury. 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, it was found that only ten (10) of eleven (11) children present were signed in to the facility.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the files for four (4) eligible employees did not contain evidence of an annual professional development plan being completed.

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 Review of Documentation, it was found that the facility was unable to produce evidence of a policy stating that their staff were required to implement what they learned at the six-hour cabinet-approved orientation training. Posted Documentation In Compliance 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 Interview, the director stated that currently there is only one (1) qualified substitute staff person listed for the facility.

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, staff hired on 03/01/15 did not have Orientation I and II on file. 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. Section 3. Records.

General: Based on Review of Documentation, child enrolled on 06/24/15 had an immunization record that had expired. Child enrolled on 08/10/15 had an immunization record on file with no expiration date listed.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, the emergency preparedness plan was not submitted for 2014. The director stated that she was unaware the plan had to be submitted each year.

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 children who were in attendance the day the drill was conducted were not listed on the sheet documenting 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 Observation, the children who were in attendance the day the drill was conducted were not listed on the sheet documenting the fire drill.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, there was no written policy stating the procedures taught in Orientation I and II would be implemented in the classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Observation, there were fish present in the classroom. The director stated that she did not have anything in writing stating that the parents give permission for their child to be present in the classroom with the fish.

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, staff person hired 9/20/13 did not have current documentation of negative T.B. reults on file in the facility

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 facility had only one qualified substitute on file at the facility.

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, a substitute staff person hired 9/20/13 had only six (6) hours of annual training in the last full year of employment.

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, 1). There were eight (8) large toothpicks on a lower shelf in the children's play area in Room B. 2. There was a sensory table in the entryway that contained pea gravel and toy trucks. Pea gravel is not recommended for children under three (3) years of age.

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, there were four (4) tubes of diaper ointment and one (1) tube of flouride toothpaste in a plastic over-the-door organizer. Theses items were not in a locked area. Outdoor Play Area 675 - Fence Requirement Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (a) Except for an after-school child-care program, located on the premises of a public or state-accredited nonpublic school, fenced for the safety of the children; 680 - 60 Square Feet Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (b) A minimum of sixty (60) square feet per child, separate from and in addition to the thirty-five (35) square feet minimum pursuant to subsection (6) of this section; 685 - Playground Clean Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (c) Free from: 1. Litter; 2. Glass; 3. Rubbish; and 4. Flammable materials; An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 26 Web site: http://chfs.ky.gov/ Inspection Report 690 - Playground Conditions Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (d) Safe from foreseeable hazard; (e) Well drained; (f) Well maintained; (g) In good repair; and (h) Visible to staff at all times. 695 - Protective Surface Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (21) A protective surface shall: (a) Be provided for outdoor play equipment used to: 1. Climb; 2. Swing; and 3. Slide; and (b) Have a fall zone equal to the height of the equipment. 700 - Fences Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (23) Fences shall be: (a) Constructed of safe material; (b) Stable; and (c) In good condition. 705 - Infant/Toddler Outdoor Space Not Applicable 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements. (4) If a child-care center provides an outdoor play area for an infant or toddler, the outdoor area shall be: (a) Shaded; and (b) A separate area or scheduled at a different time than an older child. Equipment

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, there were three (3) muffins sitting out on a table, uncovered from 9:34 a.m. until 11:04 a.m. in the children's play area in Room B. The muffins were then srved to the children during lunch.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on Review of Documentation, child enrolled 8/12/13 did not have a current immunization certificate on file in the facility.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, there were four (4) children present but only one (1) child was signed in on the attendance form.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.