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

General: Based on interview and review of documentation, this regulation was not met. On 09/21/23, as class #2 was returning from the playground, a three-year-old child was left outside alone for approximately two (2) minutes. Another adult who was at the center to pick up a child, heard the child screaming and crying. The adult followed the cries up the side ramp and found the child alone. She then entered the side door where she found two teachers with children in the hallway. The teachers were unaware that the child was left outside. Video footage was obtained and confirmed the child was left outside. Staffing Requirements 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 8. General.

General: Based on review of documentation and interview, the statement of deficiency issued by the cabinet on 12/15/2021, and the plan of correction addressing the statement of deficiency, was not posted, or made available for public review. The staff person in charge stated that she did not have a copy of the document. 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 and ECE-TRIS, two (2) staff members hired on 9/30/2002, and 10/10/2016, did not complete fifteen (15) hours of cabinet-approved early care and education training during the 7/1/2021-6/30/2022 training year. 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 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 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 8. General.

General: Based on observation, there was one uncovered electrical outlet by the bathroom in Classroom #1. 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, the following was found: 1.) There was chipping paint in the bathroom and a hole in the wall by the thermostat in Classroom #1. 2.) The baseboard was pulling away from the wall by the circle time rug in Classroom #2. 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 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 main climbing structure was in disrepair as it was missing a handrail, which is a hazard to the children. The structure also had noticeable areas of rust. This playground is shared with the public and did have caution tape on the handrail that had been moved prior to survey. 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 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, one child who was enrolled on 6/26/21, did not have an immunization record on file at the facility. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation and review of documentation, this regulatory requirement was not met. None of the staff files, except one, a new staff member, contained documented hire dates. The staff in charge verbally gave the surveyor the staff hire dates.

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 8/17/17, did not have a current TB skin test on file. The TB skin test on file was dated 8/11/17, and was no longer current. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, this regulatory requirement was not met. The following items were found: 1. The boy’s bathroom, in Room #1, contained a strike plate on the bathroom door frame that was not attached properly. The strike plate was barely attached by one screw. 2. The sink handles in the girl’s bathroom, in Room #1, were not secured properly. The handles (fixture) moved when the water was turned on and off at the sink.

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 boy's bathroom in Room #1 contained urine inside the toilet. 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, this regulatory requirement was not met. The tan and green climber with a slide located in the outdoor play area did not have enough mulch at the base and around the apparatus. The ground and tree roots were exposed at the base of the slide. The climber was approximately 4.5 feet tall. 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 11. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. The following was found: 1. Room # 1 contained a wooden shelf with tape residue on the surface. The shelf contained blocks. 2. Room #1 contained a grey shelf with chipped paint on the surface. The shelf contained stuffed animals and books. 3. Room #1 contained a handle on the homeliving kitchen set that was broken. The handle was not attached at the bottom. 4. Room #2 contained a wooden shelf with tape residue on the surface. A fish bowl was sitting on the shelf. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance 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 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation, it was found that on 3/21/19 a four year old child was removed from the classroom and allowed to be taken in the hall for a visit with her paternal grandmother. The child's father's girlfriend was also present during the visit in the hallway. According to staff the grandmother and the girlfriend visited with the child in the hallway for ten (10) to fifteen (15) minutes. A review of the child's file found that there was an Order of Protection regarding domestic violence against the child's father. The child was listed as a protected minor. Further, neither the grandmother nor the father's girlfriend were listed as authorized pick-ups or contacts in the child's file. The facility did not notify the child's mother about the visit until she picked the child up that afternoon. The mother disenrolled the child from the facility as a result of the incident.

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, it was determined this regulatory requirement was not met. 1. The classroom closest to the main entrance had several ceiling tiles that were in need of repair. The tiles above the shelf, near the thermometer on the right side of the building, were loose and the metal framework was observed to be loosely hanging. The ceiling tile above the shelf on the left side of the same wall was bowed outward and not fitting properly against the ceiling. 2. In the second classroom, near the door in the back of the room, the ceiling tiles were dusty and cobweb like dust matter could be seen hanging from the ceiling around the area. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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 Not Applicable

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, in Room # 2 several of the overhead lights were dim. Staff in the room indicated that they are in the process of replacing all of the bulbs in both classrooms 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 4. Premises Requirements.

General: Based on Observation, the tile floor in the indoor gross motor space had an accumulation of dirt and grime and numerous scuff marks. Hygienic Practices In Compliance First Aid/Medication 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 7. First Aid and Medicine.

General: Based on Observation, in the first aid kit located in the unlocked overhead compartment by the driver's seat on the bus used to transport children there was a tube of Neomycin Antibiotic cream and a packet of burn cream. Neither of these items was labeled for an individual child and the medications were not in a locked container or area. Outdoor Play Area 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 4. Premises Requirements.

General: Based on Observation, on the outdoor playground the mulch was very sparse under the swings revealing the dirt and numeorus tree roots underneath. 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 11. Toys and Furnishings.

General: Based on Observation, in Room # 1 the doors on the blue cabinets mounted to the walls had an accumulation of dirt and grime. In Room # 2 the top of a wall mounted heating unit had an accumulation of dust on top. Transportation 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. Transportation.

General: Based on Observation, it was found that the vehicle used to transport children to and from the facility did not have first aid supplies that included a thermometer, flashlight and CPR mouthpiece. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, out of ten (10) children's files reviewed there was one (1) child's enrollment information that did not have a preferred hospital listed. There were two (2) children's files whose enrollment information did not list the name of the child's physician and phone number. 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 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on Interview with the staff person in charge it was found that they have a volunteer who started volunteering at the facility on 12/2/15. A review of records found that the application for the results of a criminal records check had been filled out and signed by the volunteer but had not been submitted. It was also found that this volunteer recently moved from Michigan. An application for the results of a criminal records check from the state of Michigan had not been submitted. Further interview with the staff person in charge found that until the results of all required records checks are on file this volunteer will only be doing maintenance work and will not be with the children.

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, it was found that the facility has a parent volunteer who started volunteering as a bus monitor the week prior. A review of records found that there was not a copy of a high school diploma or GED or other qualifying documentation on file.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Observation, during an inspection of the first aid supplies on the van it was found that there were no scissors or thermometer.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, it was found that past documented daily inspections of the facility vehicle were not available for review. An interview with the staff person in charge found that the documentation is sent to their central office at the end of each month.

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, there was a copy of a written evacuation plan on file at the facility with 2015-2016 written at the top of the plan. However, there was no date on the documentation as to when the plan had been submitted for approval in accordance with KRS 199.895. An interview with the staff person in charge found that she had an email where it had been submitted but she was unable to find the information 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 2. General.

General: Based on Observation, it was found that the statement of deficiencies from a relicensure survey conducted on 11/3/14 and issued by the cabinet for the current licensure year and the plan of correction submitted by the facility was not posted.

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 a volunteer helping in the preschool classroom with twelve(12) three (3) to five (5) years olds did not have evidence of a child abuse and neglect check or a criminal records check. The staff in charge stated that the volunteer has been volunteering for the past three (3) years. A specific date was not given as to when the individual first started volunteering.

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 a volunteer who has been helping at the center for approximately three (3) years did not have evidence of a TB skin test. The staff in charge stated that the facility requires that their volunteers have a TB skin test.

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 three (3) children's files out of ten (10) children's files reviewed did not have evidence of contact information to enable a person in charge to contact the preferred hospital.

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, and interview a volunteer began coming to the center about two (2) months ago and comes about four (4) days a week. This individual did not have evidence of a criminal records check or a child abuse and neglect check on file at the center. She was not left alone with children.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the drivers did not have the required annual driving record on file at the center. Programming

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, one (1) staff person (hire date: 10/18/11) did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential in their file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, two (2) employees eligible for an annual evaluation did not have one on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, employees with the hire dates of 10/18/11 and 8/19/11 did not have evidence of a high school diploma, GED or CCC 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 (1)

General: Based on Review of Documentation, employee hired 10/18/11 did not have results of a negative T.B. test until 10/27/11. Employee hired 8/19/11 did not have evidence of a negative T.B. test on file in the facility. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 Web site: http://chfs.ky.gov/ Inspection Report 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.