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

General: Based on observation, the surveyor discovered the following: 1. There was no protective surface for a fall zone around the slide/climbing structure that was equal to the height of the equipment. 2. There was no protective surface for a fall zone around the balance beam structure that was equal to the height of the equipment. 3. There was no protective surface for a fall zone around the teeter-totter that was equal to the height of the equipment.

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, the surveyor found one (1) staff’s (DOH: 03/09/22) file did not contain an annual staff evaluation; therefore, the surveyor could not verify if the staff had an evaluation completed annually. Staff-in-charge could not provide an annual evaluation for this staff member. Employee 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 11. Staff Requirements.

General: Based on review of documentation, the surveyor found one (1) staff’s (DOH: 4/01/2014) file contained a negative tuberculin (TB) skin test that was was dated 08/18/2022; therefore, the TB skin test was no longer current. 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 review of documentation and ECE-TRIS, the surveyor found the following: 1) One (1) staff (DOH: 05/20/24) completed the required six (6) hours of cabinet-approved orientation on 09/04/24; therefore, this staff did not complete the required orientation training within the first three (3) months of employment. 2) One (1) staff (DOH: 08/19/22) completed the required one and one-half (1 ½) hours of cabinet-approved Pediatric Abusive Head Trauma (PAHT) training on 03/14/24; therefore, this staff did not complete the required PAHT training within one (1) year of employment. 3) One (1) staff (DOH: 03/09/22) completed eleven and one-half (11 ½) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period of 7/01/23-6/30/24. 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 an uncovered garbage bin that contained soiled diapers next to the diaper changing station inside the Infant Classroom; therefore; the soiled diapers were not stored in a covered container temporarily until being disposed of once a day.

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 dirt and debris underneath and on the bottom surface of the diaper changing pad in the Infant Classroom; therefore, the diaper changing station was not clean. 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 Meal Planning/Center Does Not Provide Meals In Compliance 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

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the surveyor found one (1) staff’s (DOH: 03/09/22) file did not contain a written professional development plan; therefore, the surveyor could not verify if a written professional development plan was completed annually. Staff-in-charge could not provide the staff's professional development plan for review during the surveyor's visit. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, the surveyor discovered the following: 1. A staff's (DOH:03/09/2022) evaluation was signed and dated for 03/09/2022; however, the evaluation was not complete. 2. A staff's (DOH: 05/25/2022) file did not contain the staff's evaluation; therefore, the surveyor was unable to verify if the staff's evaluation was completed annually. Staff reported that she would work with the staff members to complete their staff evaluations. Employee 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 11. Staff Requirements.

General: Based on review of documentation, the surveyor discovered that a staff's (DOH: 04/17/2023) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential; therefore, the surveyor was not able to verify the staff's proof of education. Staff reported that she would get the staff to bring in a copy of her high school diploma. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, staff's (DOH: 12/01/2020) file did contain a copy of a negative tuberculin result (TB skin test) dated for 11/25/2020; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. Staff reported that she would have staff get an updated TB skin test.

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 discovered the following: 1. A staff (DOH: 09/01/2020) did not receive training on first aid and cardiopulmonary resuscitation (CPR). 2. A staff (DOH: 09/21/2022) did not receive training on first aid and CPR. Staff reported that she would have the staff complete the training.

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 observation and review of documentation and ECE-TRIS, the surveyor discovered a staff (DOH: 03/09/2022) 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 03/09/2022 through 03/08/2023. Staff reported that she would have the staff complete their required trainings. 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 discovered the following: 1. There was milk spilled on the floor by the restroom door in the School Age Classroom. 2. There were what appeared to be dead bugs in two (2) of the light fixtures located in the School Age Classroom. 3. There was a light that appeared to flicker overtop the eating area in the School Age Classroom. Staff reported that she would talk to staff about cleaning and that she would have the light repaired. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

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 observed the following: 1. There was a small area of exposed drywall located in the Nursery Two Classroom; therefore, the wall was not in good repair. 2. There were multiple areas on the wall underneath the window that exposed drywall located in the Nursery Two Classroom; therefore, the wall was not in good repair. 3. There was peeling paint on the wall ledge under the window in the Preschool Classroom. 4. There was a small area of exposed drywall located in the Preschool Classroom; therefore, the wall was not in good repair. Staff reported that she would have the areas mentioned above repaired.

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 observed the following: 1. There was what appeared to be feces inside the toilet bowl located in the restroom near the School Age Classroom. 2. There was a yellow substance on the toilet seat located in the second restroom. Staff reported that she would talk to staff about making sure the toilets are flushed and cleaned after each use. 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 observed a brown substance on the diaper changing pad located in the first restroom. Staff reported that she would have the diaper changing pad replaced. 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 Not Applicable 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 that a child's (DOE: 06/04/2019) immunization certificate was dated 05/14/2023; therefore, the immunization certificate was no longer current. Staff reported that she would get an updated immunization certificate for the child. 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

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 discovered the following: 1. A staff's (DOH:03/09/2022) professional development plan was signed and dated for 03/09/2022; however, the professional development plan was not completed. 2. A staff's (DOH: 05/25/2022) file did not contain a professional development plan; therefore, the surveyor was not able to verify if the staff's professional development plan was completed annually. Staff reported that she would work with the staff members to complete their professional development plans. 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 interview, the surveyor discovered the following: 1. A staff person grabbed a three-year-old child with a firm grip then carried the child to the dress up play area. The child was placed on the floor by the staff person. The health, safety, and comfort of the child was compromised. 2. The children in the Preschool Classroom witnessed a staff member yelled at another staff member; therefore, the comfort of the children in the classroom was compromised. Staff reported that the staff member that grabbed the child and yelled at the staff has separated her employment from the child-care center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

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 interview, the surveyor learned that a staff member used a loud tone with a three-year-old child in the Preschool Classroom. The same staff person also yelled at another staff person in the presence of children in the classroom. Staff reported that the staff member has separated her employment from the child-care center.

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 toilet seat was not securely tightened to the toilet in Restroom Three. Staff reported she would have the toilet seat repaired. Hygienic Practices 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, the survey was not presented with a staff's (DOH: 09/21/2022) high school diploma, GED, or Commonwealth Child Care Credential; therefore, the surveyor was unable to verify the staff's proof of education. Staff reported she would have the staff bring in their education 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

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 thick coating of dust and paper debris was located on a blue rug in the Nursery Classroom. 2. A thick coating of dust and paper debris was located on a rug with numbers in the School Age Classroom. 3. A thick coating of dust was located on the exhaust vent in Restroom One. 4. A thick coating of dust was located on two (2) air intake vents in the hallway of the child care center.

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. A substance that appeared to be white paint was peeling off the ceiling above a window in the Preschool Classroom. 2. A brown substance was observed on a ceiling tile in the School Age Classroom. Staff reported she would have the ceiling repaired.

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 rips in the diaper-changing pad located in Nursery Two Classroom; therefore, the diaper-changing pad was not free from rips, tears, or other damage. Staff reported that she would have the changing pad replaced. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment 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. Toys and Furnishings.

General: Based on observation, the surveyor found the following: 1. Rips were observed in the blue vinyl couch located in the Nursery Classroom; therefore, the blue vinyl couch was not in good repair. 2. An adult recliner was missing pieces of what appeared to be leather from the seat located in the Nursery Two Classroom; therefore, the adult recliner was not in good repair. 3. A blue plastic adult chair contained two (2) cracks on the seat located in the Nursery Two Classroom; therefore, the blue plastic adult chair was not in good repair. 4. Holes were observed on the red vinyl couch located in the Preschool Classroom; therefore, the red vinyl couch was not in good repair. Staff reported she would have the items mentioned above replaced or repaired.

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 discovered that one (1) of the teeter-totter plastic seats was broken where the bolt secures the seat. Staff reported she would have the teeter-totter repaired. 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 Not Applicable 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on interview, the surveyor found the that two (2) staff (DOH: 8/28/20 and 3/3/21) did not complete six (6) hours of cabinet-approved orientation training. During interview, staff stated that the training has been completed; however, there has been an issue with getting TRIS updated. Staff stated that they are working with TRIS to get the trainings updated. Documentation was not provided during the surveyor’s visit to verify that the two (2) staff had obtained orientation training. Based on review of documentation in the personnel file of a staff (DOH: 8/28/20), the surveyor was unable to locate verification that the staff had completed fifteen (15) hours of cabinet-approved early care and education training. Upon reviewing ECE-TRIS for the timeframe of 07/01/20 – 06/30/21, the surveyor learned that the staff had not completed six (6) hours of the fifteen (15) required hours of cabinet-approved early care and education training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 4. Premises Requirements.

General: Based on observation, during a tour of Bathroom #1, the surveyor found brown specks located inside the toilet bowl of the toilet; therefore, the toilet 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 that the water to the sink in the Two-Year Old Classroom was turned off at the valve under the sink. Staff stated that staff turn the water off at the valve due to the children turning the faucet on. Staff stated that she would advise staff to leave the valve turned on. Hygienic Practices In Compliance 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 In Compliance 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 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 08/09/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the determination status showed as ‘in process’ and fingerprints had not been taken for the staff person; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge confirmed that the staff person’s fingerprints had not been taken as of the date of inspection and that she was unaware that the staff person had to submit to fingerprints prior to employment. Staff-in-charge stated that the staff person has not worked alone with children. The surveyor did not observe the staff person working alone with children. The staff’s file did not contain a completed Child Abuse/Neglect Background Check or Criminal Records Background Check. Staff-in-charge confirmed that a Child Abuse/Neglect Background Check and Criminal Records Background Check were not completed for the staff person due to a background check being submitted through the Kentucky National Background Check Service. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Staffing Requirements Not In Compliance

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 observation, the surveyor found one (1) staff person providing care for sixteen (16) children in the School Age Classroom. Staff stated that the children were between the ages of five (5) – nine (9) years old; therefore, the classroom exceeded the staff-to-child ratio by one (1) child. General Administration Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 11/22/20) file did not contain a completed Child Abuse/Neglect Background Check. The staff’s file contained a completed Criminal Records Background Check only dated 02/01/21. During interview, staff-in-charge stated that the Child Abuse/Neglect Background check was completed; however, she was unable to locate the documentation. Staff-in-charge stated that the staff person has not worked alone with children. The surveyor did not observe the staff person working alone with children. Based on review of the Kentucky National Background Check Service, the staff person did not have a completed background check. 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, the surveyor found that a staff's (DOH: 05/12/21) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff person was free from active tuberculosis. During interview, staff-in-charge confirmed that the staff person did not have a TB skin test. Staff-in-charge stated that she was unsure if the staff person needed a TB skin test due to being a volunteer. 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 and review of documentation, the surveyor found that the daily attendance record for the School Age Classroom for 08/09/21 had fourteen (14) children's arrival times documented; however, sixteen (16) children were present 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation in the Nursery I Classroom, the surveyor discovered that the lesson plan was dated for October 3rd, 2020. Therefore, the lesson plan was not current. Staff reported that the lesson plan should have been changed. 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found paper towels located in the sink of the school-age children’s restroom. Staff reported that a child had just washed their hands in that restroom.

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 urine in the toilet of the school-age children’s restroom. Staff reported that a child had just used that restroom. 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 2 of 3 Inspection Report 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 the following: 1. The refrigerator located in the kitchen did not contain a thermometer; therefore, the surveyor was unable to determine if the refrigerator temperature was at forty (40) degrees Fahrenheit or below. 2. The refrigerator located in the Nursery 1 Classroom did not contain a thermometer; therefore, the surveyor was unable to determine if the refrigerator temperature was at forty (40) degrees Fahrenheit or below. During interview, the staff stated that she would place thermometers in the refrigerators.

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 in the Nursery 2 Classroom, the surveyor found two (2) bottles in the refrigerator that did not contain lids; therefore, the bottles were not covered while not in use. During interview, the staff stated that the bottles would be covered. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable 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, the surveyor found the following: 1. The staff person caring for children in the Two and Three Year Old Classroom was wearing a face mask over her mouth; however, the staff person did not have the face mask over her nose. Therefore, the Personal Protective Equipment was not being utilized properly. 2. There were two (2) staff caring for children in the Nursery 2 Classroom that were wearing a face mask over their mouth; however, the two (2) staff did not have their face mask over their nose. Therefore, the Personal Protective Equipment was not being utilized properly. This deficiency was cited due to the following E-Reg: 922 KAR 2:405E Section 8. Personal Protective Equipment (PPE) Requirements. (1) Each adult, including parents and guardians at drop-off and pick-up, shall wear a facemask while inside a child care center: (a) Unless doing so would represent a serious risk to their health or safety and they are able to present a medical statement stating this; (b) Except during planned staff breaks and lunch away from children in care and other staff.

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, the surveyor found the following: 1. A can of Mt. Dew soda was observed on a shelf in the Preschool Room. Through interview, the surveyor learned that the soda belonged to a staff person. The soda was within reach of the children. 2. A cell phone charging cord was within reach of the children in the classroom for the two- and three-year-old children. 3. A toilet brush and plunger were observed in an unlocked storage room. The toilet brush and plunger were accessible to the children. 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 11. Staff Requirements.

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 1/23/19) completed six (6) hours of cabinet-approved orientation training on 6/22/19; thus, it was not within the first three (3) months of employment. 2. Verification of only eleven (11) hours of cabinet-approved early care and education annual training was found for a staff (DOH: 4/1/14). 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 3. General Requirements.

General: Based on observation during a tour of the childcare center, the surveyor found the following: 1. A bottle of hand sanitizer was on top of a two and one-half to three (2 ½ - 3) foot shelf located in the Preschool Room. The hand sanitizer was within reach and accessible to the children. 2. A purse was stored on a hook above a desk located in the Preschool Room. The purse was within reach and accessible to the children. Through interview, the surveyor confirmed that the purse belonged to staff in the classroom. 3. A storage room door was unlocked and open. The surveyor observed that a purse was on a child size seat near the door. Through interview, the surveyor found that the purse belonged to a staff person. The purse was within reach and accessible to the children. 4. Three (3) cans of paint and a staff’s personal items were observed in an unlocked room adjacent to the School-age Room. Through interview, the surveyor learned that the room is used by a staff person that sometimes stays overnight at the childcare center. The items 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 4. Premises Requirements.

General: Based on observation, the surveyor found that the spigot emitted only a small stream of cold water at the sink located in the restroom used by the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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 tears in the vinyl covering on the diaper changing pad located in the Infant Room.

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 interview, the surveyor found the following: 1. Staff in the classroom for the one-year-old children stated that they soak the mouth contact toys in bleach water for two to three (2-3) minutes and air dry. The staff confirmed this is the only step used to sanitize the mouth contact toys. 2. Staff in the Infant Room stated that they sanitize the mouth contact toys by spraying them with soapy water and then spraying them with bleach water or a solution of Virex; they then air dry. The staff confirmed this is the only step used to sanitize the mouth contact toys. 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 the following: 1. During a tour of the Afterschool Room, the surveyor found that five (5) Lidocaine patches were stored in an unlocked refrigerator. The medication was within reach and accessible to the children. The medication was not stored in a locked area. 2. During a tour of the Preschool Room, the surveyor observed a purse hanging on a hook in the classroom. A bottle of medication was sticking up from the top of the unzipped purse. Through interview, the surveyor learned the purse belonged to a staff person. The medication was not stored in a locked area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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, the surveyor found no protective surface around or under two (2) slides located on the playground. Equipment In Compliance Transportation Not Applicable 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on observation during a tour of the childcare center, the surveyor observed that a six (6) seater toddler buggy was outside the center locaated near the building. Through interview, the surveyor learned that staff take the toddlers for rides around the center’s parking lot. Staff confirmed that they had not obtained written parental consent for the children to be in unapproved space. Written 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 9. Records.

General: Based on review of documentation, the surveyor found that staff documented the arrival and departure times of the children on a sheet of paper. Through interview, the surveyor confirmed that the childcare center receives childcare subsidy for some of the children. At the time of the renewal survey, the center was not using the correct daily attendance record for children receiving funds from the Child Care Assistance Program. 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation and interview, the following were found: 1. A staff file (DOH: 4/1/14) did not contain an annual performance evaluation completed within the past year. 2. A staff file (DOH: 4/17/17) did not contain an annual performance evaluation completed within the past year. 3. A staff file (DOH: 5/25/18) contained an annual performance evaluation that was not valid as it was not signed by the staff, supervisor, and was not dated. 4. A staff file (DOH: 4/24/17) did not contain an annual performance evaluation. The Director stated that she thought all annual performance evaluations had been completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that a box fan was located on top of the cubbies in the Preschool Classroom. The fan was in use and was not secured to the shelf in any way to prevent it from falling off and possibly hitting a child. Staff stated that the air conditioning does not adequately cool one (1) side of the room so the fan is used to help circulate the cool air around the room. 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 and interview, the surveyor found that a staff file (DOH: 2/26/18) did not contain documentation of a High School Diploma, GED, or Commonwealth Child Care Credential as required. The Director stated that she thought she had obtained documentation of education from the staff member.

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 interview, the following were found: 1. A staff file (DOH: 5/23/18) did not contain documentation of a negative tuberculin skin test being completed within in the past two (2) years. The Director stated that she thought the staff member had obtained a tuberculin skin test. 2. A staff file (DOH: 5/25/18) did not contain documentation of a negative tuberculin skin test being completed within in the past two (2) years. The Director stated that she thought the staff member had obtained a tuberculin skin test. 3. A staff file (DOH: 4/4/14) contained documentation of a negative tuberculin skin test being completed on 2/24/16; therefore, a tuberculin skin test had not been obtained every two (2) years as required. The Director stated that the staff member had not obtained an updated tuberculin skin test. 4. A staff file (DOH: 4/17/17) contained documentation of a negative tuberculin skin test being completed on 5/6/16; therefore, a tuberculin skin test had not been obtained every two (2) years as required. The Director stated that the staff member had not obtained an updated tuberculin skin test. Programming Not In Compliance

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 observation and interview, the surveyor found that a lesson plan was not posted in the Preschool Classroom for the current week. The lesson plan posted in the classroom was for 6/11 - 6/15. Staff stated they did not have an updated lesson plan. 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 3. General Requirements.

General: Based on observation and interview, the following were found: 1. A bottle of hand sanitizer was located on top of the cubbies where it was accessible to the children in the Preschool Classroom. The label on the hand sanitizer states it should be "Kept Out of Reach of Children". Staff stated that the hand sanitizer is supposed to be stored on a higher shelf in the closet storage area. 2. The unlocked laundry closet in the School-Age Classroom had a container of laundry detergent pods stored on a lower shelf next to the washer. The laundry pods were accesssible to the children. The Director stateds she was aware that the closet should be locked or the laundry pods should be stored in a different location.

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 that the restroom located across from the Preschool Classroom did not contain a supply of toilet paper. Staff stated that there is additional toilet paper and that the restroom just had not been replenished with toilet paper since the last roll was used. 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 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 and interview, the following were found: 1. A staff file (DOH: 4/1/14) contained an annual professional development plan that was last updated in January or 2017; therefore, an annual professional development plan had not been completed annually. 2. A staff file (DOH: 4/24/17) did not contain an annual professional development plan. The Director stated that she thought all staff's professional development plans had been updated. 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 4. Director Requirements and Responsibilities.

General: Based on review of documentation, the surveyor found that two (2) staff (DOH: 5/31/16, 6/6/14) did not have completed annual written performance evaluations. Employee Records Not In Compliance

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, the surveyor found that the staff's (DOH: 3/3/17) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential. Through interview, staff confirmed a copy of their credentials was not obtained for the 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation, the surveyor found that two (2) staff (DOH: 5/31/16, 6/6/14) do not have a current copy of negative tuberculin results in their file. Staff reported they both had an appointment on the date of the surveyor's visit to the center to update their tuberculin result.

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: 4/1/14) obtained two (2) of the required fifteen (15) hours of cabinet - approved early care and education training. (2.) Staff (DOH: 3/17/14) obtained one (1) of the required fifteen (15) hours of cabinet - approved early care and education training. (3.) Staff (DOH: 4/1/14) obtained none of the required fifteen (15) hours of cabinet - approved early care and education training. (4.) Staff (DOH: 6/6/14) obtained fourteen (14) of the required fifteen (15) hours of cabinet - approved early care and education training. (5.) Staff (DOH: 3/15/15) obtained one and one-half (1 1/2) of the required fifteen (15) hours of cabinet - approved early care and education training. 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 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 8. Kitchen Requirements.

General: Based on observation, the surveyor found that the freezer's thermometer had a temperature reading of fifteen (15) degrees fahrenheit. This temperature reading is above the recommended zero degrees fahrenheit or below. Children's Records In Compliance Written Documentation Not In Compliance

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, the surveyor found that two (2) staff (DOH: 5/31/16, 6/6/14) did not have completed written annual plans for child - care professional development. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation, the staff files did not contain individual evaluations for staff members. The center’s policy states that all employees will have semi-annual evaluations completed. During an interview with the owner, the surveyor was informed that the employee evaluations had been taken home to be updated and were not available for review.

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 the following: 1. A staff member’s (DOH: 03/17/14) file did not contain documentation of the educational requirements. 2. A staff member’s (DOH: 04/04/16) file did not contain documentation of the educational requirements.

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 the following: 1. A staff member’s (DOH: 04/01/14) file did not contain documentation that the staff member has completed six (6) hours of orientation training. A review of ECE-TRIS showed no orientation training documentation for the staff member. 2. A staff member’s (DOH: 11/18/14) file did not contain documentation that the staff member has completed one and a half (1.5) hours of pediatric abuse head trauma (PAHT) training. A review of ECE-TRIS showed no PAHT training documentation for the staff member. 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 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.

General: Based on observation, the freezer in the kitchen read at a temperature of eight (8) degrees Fahrenheit. Therefore, the frozen food was not kept at a temperature of zero (0) degrees Fahrenheit or below.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on observation during a tour of the nursery classroom, the surveyor found the first and last names of the children enrolled in the class posted on the wall.

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 and interview, the child care center provided documentation to verify only one (1) staff meeting.

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 nursery classroom, the surveyor observed one (1) child reach into the trash recepticle and pull out soiled items. The staff went to the child and sat him in a different area; however, the child's hands were not washed after touching the soiled items in the trash recepticle.

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) During a tour of the school age outdoor play area, the surveyor found a lawn mower placed inside the fenced in area of the playground accessible to the children. (2) During a tour of the preschool outdoor play area, the surveyor found two (2) nails protruding out of a wooden support beam for a large play structure. (3) During a tour of the preschool outdoor play area, the surveyor found that the large play structure was unstable and easily shakeable. 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

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 during a tour of the infant/toddler outdoor play area, the surveyor found one (1) climbing and sliding structure that did not contain a protective surface; the structure was placed on the centers wooden porch.

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, one (1) bottle located in the refrigerator was not properly labeled with the child’s name.

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 most recent immunization certificate presented for surveyor review for one (1) child (DOE: 3/6/15) was no longer current after 5/30/15. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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, the child care center failed to maintain a written record for one (1) child (DOE: 1/1/1900) that contained the child's date of enrollment, the parent's contact information, preferred hospital, the name of each person who is designated in writing to pick-up the child, the general health status and medical history, the name and phone number of each person to be contacted in an emergency situation involving or impacting the child, and authorization by the parent for the child care center to seek emergency medical care for the child. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation

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 high school diploma, GED or Commonwealth Child Care Credential was not presented for review for a staff member (date of hire - 6/6/14).

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 child care center has two (2) substitute staff members. However, a high school diploma, GED or Commonwealth Child Care Credential was not presented for review for one (1) substitute staff member (date of hire - 6/6/14). Therefore, only one (1) substitute staff member met the staff requirements of this administrative regulation.

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 following were found: 1) An immunization certificate that was not valid after 4/30/14 was presented for review for a child. 2) An undated immunization certificate obtained from another state was presented for review for a child.

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, contact information to enable a person in charge to contact the preferred hospitals for two (2) children was not presented for review.

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, a record of a fire drill conducted on 6/16/14 was presented for review. However, the record did not detail the children who participated.

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, a record of a fire drill conducted in 4/14 was not presented for review. Staff stated during interview that a fire drill was not conducted during that month.

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, records of earthquake and tornado drills conducted quarterly and documented were not presented for review. Staff stated during interview that these drills were not conducted as required. 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.

General: Based on review of documentation, a daily schedule was not posted in the Nursery.

Open Not marked corrected in the state record

Open / not marked corrected.