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

General: Based on review of documentation, a child, enrolled 05/23/22, had an immunization certificate that was valid until 04/04/24. Written Documentation In Compliance Posted Documentation 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 6. License Issuance.

General: Based on interview and review of documentation, the center's general liability insurance was current until 03/30/23. Interview determined the center had current insurance but could not provide documentation. 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 and review of documentation, a staff member hired 10/26/22, completed six (6) hours of orientation training on 03/04/23, which was not within the first three (3) months of employment. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 3. General Requirements.

General: Based on observation and interview, six (6), toddler children did not wash their hands with liquid soap and warm, running water prior to eating lunch in Room C. The children picked up toys from the floor before eating lunch. 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 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 interview and review of documentation, a child enrolled 05/17/23, did not have an immunization certificate on file. In addition, a child enrolled 09/27/21, had an immunization certificate on file that was valid until 02/13/23.

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 interview and review of documentation, a child enrolled 09/27/21, did not have information on file to enable the person in charge to contact the child’s physician. 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 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on observation, interview and review of documentation, the center’s evacuation plan was last reviewed and updated on 03/05/20. 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 8. General.

General: Based on observation and interview, an electric outlet was uncovered in room C. 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 interview and review of documentation, a caregiver, hired 03/09/20, had an annual written performance evaluation on file that was dated 06/25/21. A caregiver, hired 10/06/20, had an annual written performance evaluation that was dated 06/24/21. A caregiver, hired 02/06/20, had an annual written performance evaluation that was dated 06/21/21. A caregiver, hired on 03/09/20, had an annual written performance evaluation on file that was dated 06/23/21. A caregiver, hired on 04/16/21, did not have a written performance evaluation on file. Employee Records 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 7. First Aid and Medicine.

General: Based on interview and review of documentation, a caregiver, hired on 04/19/21, had received CPR/First Aid training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 and interview, a soiled pull-up was stored in an uncovered waste receptacle in the room D. 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 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 observation, a child, enrolled on 08/06/20, had an enrollment form that did not contain the preferred hospital information, family physician and authorization by the parent for the child-care center to seek emergency medical care for the child in the parents' absence. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, twenty-seven (27) children were present on 07/29/2022, but only twenty-five (25) children had a documented arrival time. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, a plastic bowl filled with sliced apples was stored uncovered in the white refrigerator in the kitchen. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, a staff hired 06/17/2020, did not have TB documentation on file. 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 3. General Requirements.

General: Based on observation and interview, a staff member’s black purse was stored on the floor and was accessible to children in the preschool classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, a plastic bag full of wadded up plastic bags was stored on the lower shelf of an unlocked cabinet under the sink in the toddler II classroom. These items were accessible to children and were not part of the planned program of instruction.

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, a toilet was not flushed and had urine visible on the toilet in the school-age classroom. 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 and interview, the diapering changing pad on the changing table had a three inch tear on top and exposed foam in the infants' room. In addition, three (3) tears, each approximately an inch long, were on the diapering changing pad in toddler I classroom. First Aid/Medication In Compliance Outdoor Play Area In Compliance 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

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, a child enrolled 06/11/2020, had an immunization certificate valid until 05/01/2021. In addition, a child enrolled 03/15/21, had an immunization certificate on file from Illinois that did not have a validity date documented.

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 and interview, two (2) children, enrolled on 03/15/21 and 10/13/2020, did not have a preferred hospital listed in their enrollment information. 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 8. General.

General: Based on review of documentation and interview, a volunteer was present at the center on 06/11/2020. An interview determined the center did not have a written policy pertaining to volunteers.

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 and interview, monthly practiced fire drills were conducted in June 2020 through December 2020 and January 2021 through May 2021, but the names of children participants were not documented. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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 observation, a caregiver left nine (9) children, aged two (2) to eight (8) years old, unsupervised in the two-year-olds' room for less than three (3) minutes. The caregiver left the room and went to the director's office. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, a volunteer, start date 08/05/20, was left alone and supervised five (5) children from 9:40 am to 12:30 pm in the nursery and did not have processed name-based background checks. 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 11. Staff Requirements.

General: Based on review of documentation, a staff hired 7/6/20 and 7/8/20, did not have education documentation on 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 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, a thermometer was not in the refrigerator in the infants' room. 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, ten (10) children enrolled 6/22/20, 6/17/20, 6/12/20, 7/7/20, 7/8/20, 6/23/20, 7/1/20, 7/13/20 and 6/29/20, did not have information on file to enable the person in charge to contact the child’s preferred hospital and physician and did not have emergency authorization on file. 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 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: Based on observation, interview and review of documentation, the center failed to assure new staff shall undergo name-based background in accordance with 922 KAR 2:280 and shall not be left alone with children until fingerprint-based background checks are able to be conducted, in accordance with 922 KAR 2:400E Section 9(5). Surveyor observed a volunteer, start date 08/05/20, was left alone and supervised five (5) children from 9:40 am to 12:30 pm in the nursery and did not have processed name-based background checks. In addition, based on interview and review of documentation, the center failed to assure all child care staff, directors, owners and operators complete a new, mandatory training on cleaning, sanitizing, health procedures, and mandatory reporting prior to the date of reopening, in accordance with 922 KAR 2:400E Section 8 (1). Two (2) staff hired on 3/9/20, and two (2) staff hired 6/15/20, failed to complete the mandatory training.

Open Not marked corrected in the state record

Open / not marked corrected.