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 member (DOH: 2/22/23) completed zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period of 2/23/24-6/30/24. 2. One (1) staff member (DOH: 10/07/11) completed two (2) 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. 3. One (1) staff member (DOH: 10/07/11) completed one (1) hour 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. 4. One (1) staff member (DOH: 9/13/18) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma (PAHT) training on 8/21/18; therefore, the training was not completed every five (5) years as required. 5. One (1) staff member (DOH: 9/13/18) completed one (1) hour 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. 6. One (1) staff member (DOH: 6/08/20) completed zero (0) 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. 7. One (1) staff member (DOH: 3/26/12) completed one (1) hour 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. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation of the outside playground area, the surveyor found the following: 1. A nail protruding from a wooden board on the front porch of the church play structure; therefore, the playground was not safe from foreseeable hazards. 2. An exposed metal downspout with sharp edges at the corner of the building and multiple pieces of a plastic downspout extender with jagged edges discarded in a milk crate; therefore, the playground area was not in good repair or safe from foreseeable hazards. Equipment In Compliance Transportation In Compliance Kitchen Requirements 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 8. Kitchen Requirements.

General: Based on observation, the surveyor found the following in the kitchen: 1. Areas on the lower kitchen cabinets that appeared to be dried splattered food. 2. Dark areas around the metal kitchen sink which appeared to be accumulated food or rust. Therefore, those areas in the kitchen was not clean. 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 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 9. Records.

General: Based on review of documentation, the surveyor found the following: 1. One (1) staff member's (DOH: 5/17/22) file did not contain a professional development plan. 2. One (1) staff member's (DOH: 10/07/11) file contained a professional development plan dated for 2022. 3. One (1) staff member's (DOH: 3/26/12) file contained a professional development plan dated for 2022. 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 8. General.

General: Based on observation, the surveyor found the following: 1. A bottle of hand sanitizer that read, "Keep Out of the Reach of Children," on the label were located in an unlocked cabinet under the sink in the Infant Classroom. Through interview with staff, the surveyor learned that the children in the classroom ranged in age from one (1) month old to eleven (11) months old. 2. Several toy items, some that were placed in plastic bags, stacked on top and placed underneath a red/blue table located by the exit door to the playground. Therefore, the health, safety, and comfort of children was compromised. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report 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 review of documentation, the surveyor found the following: 1. A staff’s (DOH: 09/13/28) file contained an annual written performance evaluation dated 06/12/22; therefore, the evaluation was not completed annually. 2. A staff’s (DOH: 06/08/20) file contained an annual written performance evaluation dated 06/12/21; therefore, the evaluation was not completed annually. 3. A staff’s (DOH: 10/21/21) file did not contain an annual written performance evaluation; therefore, the surveyor was unable to determine that the evaluation was completed annually. 4. A staff’s (DOH: 05/17/22) file did not contain an annual written performance evaluation; therefore, the surveyor was unable to determine that the evaluation was completed annually. Through interview with staff-in-charge, the surveyor learned that the up-to-date written performance evaluations were not available for review for the staff mentioned. 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 that a staff’s (DOH: 06/13/19) file contained documentation of a TB skin test dated 07/15/21; therefore, the staff’s file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff was free from active tuberculosis. Through interview with staff- in-charge, the surveyor learned that a current TB skin test for the staff mentioned was not available for review.

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 ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 10/07/11) obtained four and one-half (4 ½) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/22 – 06/30/23. 2. A staff (DOH: 09/13/18) obtained three (3) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/22 – 06/30/23. 3. A staff (DOH: 06/08/20) obtained five (5) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/22 – 06/30/23. 4. A staff (DOH: 03/26/12) obtained five and one-half (5 ½) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/22 – 06/30/23. 5. A staff (DOH: 10/21/21) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 10/22/22 – 06/30/23. 6. A staff (DOH: 05/17/22) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 05/18/23 – 06/30/23. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 3. General Requirements.

General: Based on observation, the surveyor found the following: 1. One (1) purse was observed hanging down the wall from a wall shelf in the Preschool Classroom. The purse was observed to be accessible to the children. Through interview with staff, the surveyor learned that the purse belonged to a staff person. 2. Three (3) purses were observed hanging down the wall from a wall shelf in the School Age Classroom. The purses were observed to be accessible to the children. Through interview with staff, the surveyor learned that the three (3) purses belonged to staff. 3. One (1) bottle of Disinfectant Spray located in an unlocked bottom cabinet under the sink in the Infant Classroom. Through interview with staff, the surveyor learned that the children ranged in age from one (1) month old to eleven (11) months old.

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 red rug in the Preschool Classroom that was fraying along the edges; therefore, the rug was not kept in good repair. 2. A green rug in the Preschool Classroom that contained a rip/tear along the edge; therefore, the rug was not kept in good repair. 3. A baby gate located at the entrance of the One Year Old Classroom was observed to be broken and held up by string/rope; therefore, the baby gate was not kept in good repair. 4. A rocking chair in the One Year Old Classroom was missing one (1) arm piece; therefore, the rocking chair was not kept in good repair. 5. The rubber wall base in the girls' restroom was observed to be pulling away from the wall; therefore, the wall base was not kept in good repair. Hygienic Practices In Compliance First Aid/Medication In Compliance 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 surveyor found three (3) small pieces of plastic debris placed on the ground by the gate entrance on the playground; therefore, the playground was not free from litter and rubbish. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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 found the following: 1. Two (2) bags of garbage located next to the exit door on the walk to the playground. During interview, staff-in-charge stated that she had just took the garbage outside and was going to put it in the trash. 2. One (1) gutter downspout that contained a sharp edge at the bottom of the gutter located on the edge of the child-care center building on the playground. The plastic downspout was observed to not be attached and placed on the ground beside the gutter. The plastic was observed to be ripped/torn. 3. The flat end of two (2) nails slightly sticking out from a piece of wood located on the bottom of the porch on the play house. A slight gap was observed between the two (2) pieces of wood where the nails were located. Therefore, the playground was not safe from foreseeable hazards or well maintained.

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 a small child sized slide placed on the porch of a playhouse located on the playground; therefore, the slide did not have an adequate fall zone. 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 13. Toys and Furnishings.

General: Based on observation of the playground, the surveyor found the following: 1. Two (2) pink cozy coupe cars that were missing the roofs and doors; therefore, the cars were not in good repair. 2. Two (2) small ride on toys that contained broken plastic with a sharp edge; therefore, the toys was not in good repair. 3. A small plastic broken slide located inside a play house; therefore, the slide was not in good repair. 4. A green teeter totter that contained broken plastic on the seats; therefore, the teeter totter was not in good repair. 5. A broken red frisbee located near the side fence roll; therefore, the frisbee was not in good repair. 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 4 of 5 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 9. Records.

General: Based on review of documentation, the surveyor found that the daily attendance record for 07/31/23 had twenty (20) children’s arrival times documented; however, twenty- two (22) children were present. During interview, staff-in-charge stated that two (2) of her own children were not signed in on the daily attendance record.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 10/07/11) file contained a professional development plan dated 2022 only; therefore, the surveyor was unable to determine that the plan was completed annually. 2. A staff’s (DOH: 09/13/18) file contained a professional development plan dated 2021 only; therefore, the surveyor was unable to determine that the plan was completed annually. 3. A staff’s (DOH: 06/08/20) file contained a professional development plan dated 2022 only; therefore, the surveyor was unable to determine that the plan was completed annually. 4. A staff’s (DOH: 03/26/12) file contained a professional development plan dated 2022 only; therefore, the surveyor was unable to determine that the plan was completed annually. 5. A staff’s (DOH: 10/21/21) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. 6. A staff’s (DOH: 05/17/22) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. 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 6. License Issuance.

General: Based on interview, the surveyor found a fire marshal report was not available for review during the surveyor’s visit. Staff-in-charge presented the surveyor with emails that were sent to the fire marshal on 9/13/2021 and 9/29/2021. The emails were requesting that the fire marshal conduct a visit. Staff-in-charge stated the fire marshal did not conduct a visit at the child-care center after the emails were sent to him. Therefore, the child-care center failed to provide documentation that the child-care center is in compliance. Director Requirements In Compliance Employee Records 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 review of documentation and ECE-TRIS, the surveyor discovered a staff (DOH: 10/07/2011) had not obtained training on first aid and cardiopulmonary resuscitation (CPR). A date was not entered into TRIS to verify that the staff had obtained the training. The staff’s file did not contain documentation showing that the staff had completed the training; therefore, the child-care center failed to ensure the requirement that every staff member will obtain training on first aid and cardiopulmonary resuscitation (CPR). Staff-in-charge thought the staff had completed the training; however, she was unable to provide the documentation to verify during the surveyor’s visit. 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

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 the following: 1. Upon review of ECE-TRIS for the timeframe of 7/1/21 thru 6/30/22, one (1) staff (DOH: 10/7/2011) completed fourteen (14) hours of the fifteen (15) required hours of cabinet- approved early care and education training. 2. Upon review of ECE-TRIS for the timeframe of 7/1/21 thru 6/30/22, one (1) staff (DOH: 10/7/2011) completed zero (0) of the fifteen (15) required hours of cabinet-approved early care and education training. 3. Upon review of ECE-TRIS for the timeframe of 7/1/21 thru 6/30/22, one (1) staff (DOH: 9/13/2018) completed thirteen (13) hours of the fifteen (15) required hours of cabinet- approved early care and education training. 4. Upon review of ECE-TRIS for the timeframe of 7/1/21 thru 6/30/22, one (1) staff (DOH: 3/26/2012) completed seven and one-half (7.5) hours of the fifteen (15) required hours of cabinet-approved early care and education training. 5. Upon review of ECE-TRIS, one (1) staff (DOH: 10/7/2011) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 8/17/2017; therefore, the pediatric abusive head trauma training was not completed every five years as required. Staff-in-charge stated that pediatric abusive head trauma has not been completed by the staff since 8/17/2017. 6. Upon review of ECE-TRIS, one (1) staff (DOH: 3/26/2012) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 5/3/2016; therefore, the pediatric abusive head trauma training was not completed every five years as required. Staff-in-charge stated that pediatric abusive head trauma has not been completed by the staff since 5/3/2016. Therefore, the child-care center failed to ensure that training was completed as required. 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 toilet paper on the floor next to the toilet in the girl's restroom; therefore, the premises 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 the following: 1. The toilet bowl of the toilet located in the girl’s restroom was filled with toilet paper. 2. Urine was on the toilet seat of the toilet located in the boy’s restroom. Therefore, the child-care center failed to keep the toilets in a clean condition. 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 2 of 3 Inspection Report Kitchen 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 8. Kitchen Requirements.

General: Based on observation, during a tour of the kitchen, the surveyor found the thermometer located in the refrigerator indicated a temperature reading of forty-eight (48) degrees Fahrenheit; therefore the temperature was not maintained at forty (40) degrees Fahrenheit or below as required. 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the surveyor discovered a box of Frito Lays potato chips, a box of Fla-Vor-Ice ice pops and a crate of individual boxed juices placed on the floor in the kitchen; therefore the items were not stored at a minimum of (6) six inches above the floor as required. 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: nutrition. Open / not marked corrected.

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

General: Based on observation, the surveyor was unable to locate a posting of the Children and Parent Rights at the child-care center. Staff-in-charge stated she thought she had all the documentation posted; however, she was unable to locate the posting of the Children and Parent Rights. Staff-in-charge stated she would contact Child Care Aware and obtain a copy to post. Thus, the child-care center failed to post information on Children and Parent Rights as required. Animals 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, the surveyor found that the center’s liability insurance was no longer current as of 04/29/21. During interview, staff stated the center's insurance was current; however, the documentation of the center's current insurance was not provided during the surveyor's visit.

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, the surveyor found a plunger was on the floor beside a toilet in the girl’s restroom. The plunger was accessible to the children; therefore, the health, safety, and comfort of the children were compromised.

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 review of documentation, the surveyor found the most recent State Fire Marshal report was dated 9/7/16. Staff stated a fire marshal report has not been completed since 9/7/16. Staff reported that staff has attempted to make telephone contact with the fire marshal; however, no one answers the telephone. Director Requirements In Compliance 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

Category: physical safety. 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 a staff’s (DOH: 5/31/19) file contained a negative tuberculin result that was no longer current after 3/23/21; therefore, the child-care center failed to provide documentation showing that the employee is free of active tuberculosis or provide a copy of a current negative tuberculin result.

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 following: 1. One (1) staff (DOH: 6/8/20) did not complete six (6) hours of cabinet-approved orientation training. Documentation was not provided during the surveyor’s visit to verify that the staff had obtained orientation training. Information regarding the staff's training record is not entered into ECE-TRIS. 2. Staff (DOH: 6/8/20) did not complete the one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training. During interview, staff confirmed that the staff did not complete pediatric abusive head trauma training. Information regarding the staff's training record is not entered into ECE-TRIS. 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, the surveyor found liquid hand soap placed on the sink located outside of the Girls Restroom stated on the label "Keep Out of Reach of Children"; thus, the liquid hand soap was 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 sink was very slow to drain; therefore, the sink drain was not in good repair. During interview, staff-in-charge stated that they would check on the drain. 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 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

Category: physical safety. 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. Food particles under the stovetop burners. 2. Food particles inside of the oven. 3. A brown liquid on the bottom shelf of the refrigerator. 4. A red substance in the freezer. During interview, staff-in-charge stated that a popsicle had busted in the freezer. Therefore, the child-care center failed to keep the areas clean and sanitary. 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 9. Records.

General: Based on review of documentation, the surveyor found that the file presented for review for a child (DOE: 8/22/18) did not contain the name or telephone number for the preferred hospital; therefore, the child-care center failed to maintain children's records. 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, the surveyor was unable to find verification that a written annual professional development plan was completed for staff (DOH: 6/8/20 and 5/31/19) . During interview, staff-in-charge stated that the professional development plans were probably not completed. The surveyor found that the professional development plans for staff (DOH: 4/14/16, 9/13/18, 3/26/12, 10/7/11 and 10/7/11) were not dated, and only had 2019 written at the top. During interview staff stated that the 2020 professional development plans probably had not been completed due to chaos related to COVID-19; therefore, the surveyor was unable to verify that the professional development plans had been completed annually, as required. Posted Documentation In Compliance Animals 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 interview and review of documentation presented, the surveyor found there was no fire drill documented for the month of November 2020. During interview, staff confirmed the drill was not conducted. Posted Documentation In Compliance Animals In Compliance Emergency Regulation 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 10. Director Requirements and Responsibilities.

General: Based on interview and review of documentation presented, the surveyor found the following: 1. The surveyor was not presented with documentation of a current staff evaluation for staff member (DOH: 05/31/19). 2. The surveyor was not presented with documentation of a current staff evaluation for staff member (DOH: 04/14/16). 3. The surveyor was not presented with documentation of a current staff evaluation for staff member (DOH: 07/07/11). 4. The surveyor was not presented with documentation of a current staff evaluation for staff member (DOH: 09/13/18). During interview, staff confirmed that updated evaluations had not been completed for all staff. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation presented, the surveyor found no verification that a fire drill was practiced during November 2020. During interview, staff confirmed that no fire drill was practiced in November 2020.

Open Not marked corrected in the state record

Category: physical safety. 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.) Staff (DOH: 3/26/12) obtained none of the required fifteen (15) hours of cabinet – approved early care and education training. (2.) Staff (DOH: 4/14/16) obtained none of the required fifteen (15) hours of cabinet – approved early care and education training. (3.) Staff (DOH: 6/1/17) obtained none of the required fifteen (15) hours of cabinet – approved early care and education training. (4.) Staff (DOH: 9/13/18) obtained eight and one – half (8 ½) of the required fifteen (15) 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, the surveyor found a large rug located in the Three and Fours Classroom contained large stains. Staff reported the rugs are typically cleaned with a steamer.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following in the boy’s restroom: (1.) The toilet seat was broken. (2.) Dried areas of yellow stains were located underneath the toilet seat. 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 debris located underneath the diaper changing pad in the Nursery. Staff were not aware of the issue. 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 In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that a staff file (DOH: 3/26/12) contained documentation of a negative tuberculin skin test completed on 6/2/16; therefore, the tuberculin skin test had not been completed every two (2) years as required. The Director stated she thought the staff member had obtained a new tuberculin skin test. 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, review of ECE-TRIS, and interview, the following were found: 1. A staff file (DOH: 3/26/12) contained documentation of only completing fourteen (14) hours of annual training for 03/26/17 - 03/25/18. Review of ECE-TRIS, confirmed that only fourteen (14) hours of training had been completed. 2. A staff file (DOH: 4/14/16) contained documentation of only completing seven (7) hours of annual training for 04/14/17 - 04/13/18. Review of ECE-TRIS, confirmed that only seven (7) hours of annual training were completed. 3. A staff file (DOH: 6/1/17) contained documentation of completing zero (0) hours of annual training for 06/1/17 - 05/31/18. Review of ECE-TRIS, confirmed that zero (0) hours of annual training were completed. The Director stated that she thought all staff had acquired the required number of annual training hours. 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 and interview, the following were found: 1. There were five (5) cans of Lysol Disinfectant Spray located on top of a box that was sitting in the floor of the Three's and Four's Classroom. Staff stated she was aware that the Lysol should not be accessible to the children. 2. The sink cabinet in the Nursery was not locked and contained glass cleaner and Hot Shot Flea, Tick, & Lice Spray. The items were accessible to the children. Staff stated they were aware the items should not be 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation and interview, the surveyor found the following: 1. The pink restroom was not in a clean condition as the wall next to the toilet was soiled with brown splatters. 2. The light switch plate in the blue restroom and the wall around it were soiled with brown/black smudges. Staff stated that the restrooms are cleaned daily. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 and interview, the following were found: 1. The highchair located in the Nursery had dried green food smeared on the clothe seat cover and on the tray. Staff stated they had not used the high chair yet the day of the inspection. 2. The Little Tikes slide located in the Nursery had dried green food smeared over the surface of the slide. 3. The exersaucer located in the Nursery had a tray that was soiled with dried milk. 4. A crib in the Nursery had dry finger print smudges all over the plastic window at the foot of the bed. Staff stated large toys and furnishings are wiped down and cleaned daily.

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 and interview, the following were found: 1. One (1) trike located on the playground had a broken/busted plastic seat; therefore, it was not in good repair and had exposed sharp edges. 2. One (1) of the playhouses located on the playground had two (2) broken plastic shutters: therefore, it was not in good repair and had exposed sharp edges. 3. The wood picnic table located on the playground had a broken board on the table top that was splintered thus exposing sharp points. Upon interview, staff was not aware of the damaged equipment on the playground. 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 review of documentation and interview, the surveyor found that a child's file (DOE: 6/4/12) did not contain the preferred hospital name or telephone number. The Director was not aware that the information was missing from the file. 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 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on review of documentation and interview, the surveyor found that the emergency preparedness plan had not been updated since 2016. The Director stated that she thought she had updated the plan in 2017.

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 surveyor found that a staff file (DOH: 6/1/17) did not contain an annual professional development plan. The Director stated that she thought all staff's professional development plans had been completed. Posted Documentation In Compliance Animals 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 during a tour of the kitchen, the surveyor found that a cabinet located under the sink top contained spiders webs.

Open Not marked corrected in the state record

Category: nutrition. 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 interior top, sides and bottom of the oven had baked-on food particles and dark stains. The kitchen equipment was not maintained in a sanitary condition.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation during a tour of the Infant Room, the surveyor found that a nine-month-old child was sucking on a pacifier that had a strap attachment. The strap attachment presents a safety risk to the child. Employee 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 5. Staff Requirements.

General: Based on review of documentation, the surveyor found that the Type I childcare center has only one (1) qualified substitute staff person. The second substitute staff person does not meet qualification based on the lack of cabinet-approved annual training hours.

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 the Type I childcare center has only one (1) qualified substitute staff person. The second substitute staff person does not meet qualification based on the lack of cabinet-approved annual training hours. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 10/07/11) obtained only six (6) hours of cabinet-approved early care and education annual training hours for the review period of 10/07/15 through 10/06/16. 2. A staff (DOH: 03/26/12) obtained only twelve (12) hours of cabinet approved early care and education annual training hours for the review period of 03/26/16 through 03/25/17. 3. A staff (DOH: 10/07/11) obtained no cabinet-approved early care and education annual training during the review period of 10/07/15 through 10/06/16. 4. A staff (DOH: 04/11/16) obtained six (6) hours of cabinet-approved orientation training on 01/26/17; thus, not within the first three (3) months of employment. 5. A staff (DOH: 04/14/16) obtained six (6) hours of cabinet-approved orientation training on 01/30/17; thus, not within the first three (3) months of employment. 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, the surveyor found that numerous empty plastic bags were stored inside another plastic bag. The plastic bag was hanging on the exterior kitchen door handle. The empty plastic bags were accessible to the children in the adjacent classroom.

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 ants were crawling on the interior bottom-cabinet base located near the kitchen sink.

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 during a tour of the childcare center, the surveyor found that urine was pooled in the floor on the far side of the commode located in the boys’ restroom. 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 11. Toys and Furnishings.

General: Based on interview, staff reported that they spray the mouth contact toys with a bleach solution and dry them with a towel. The proper method for sanitizing mouth contact toys is as follows: Scrub in warm soapy water using a brush to reach into crevices, rinse in clean water, submerge in a sanitizing solution for at least two (2) minutes and air-dry. 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 during a tour of the playground, the surveyor found that an area of the playground has a small trench that is approximately two to three (2 -3) feet long. Through interview, the surveyor learned that the children dug the hole while playing in the dirt; however, it also creates a fall hazard for children running in the area. Equipment In Compliance Transportation Not Applicable Food Service 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 9. Food and Meal Requirements.

General: Based on interview, the surveyor found that staff measures and mixes the formula and water for the infant’s bottles. Interview with the Director found that the childcare center does not purchase the infant’s formula and does not participate in the food program. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the surveyor found that the children received milk, chicken noodle soup with crackers and a chicken patty on a bun for lunch. The children did not receive the food components of a fruit and vegetable or two (2) fruits or two (2) vegetables. 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 contained in ten (10) children’s files, the surveyor found that two (2) files did not contain the following: 1. Information to enable a person in charge to identify or contact the family physician. 2. Information to enable a person in charge to identify or contact the preferred hospital. 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 review of documentation, the surveyor found the following: 1. A staff member’s (DOH: 4/11/16) criminal records check was not completed until 5/4/16. Based on an interview with the director the staff member was not left alone with the children before the criminal records check was received. 2. A staff member’s (DOH: 4/14/16) criminal records check was not completed until 5/26/16. Based on an interview with the director the staff member was not left alone with the children before the criminal records check was received. 3. A staff member’s (DOH: 4/8/16) criminal records check was not completed until 5/4/16. Based on an interview with the director the staff member was not left alone with the children before the criminal records check was received. 4. A staff member’s (DOH: 4/8/16) criminal records check was not completed until 5/4/16. Based on an interview with the director the staff member was not left alone with the children before the criminal records check was received.

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 staff member's (DOH: 4/8/16) file did not contain current verification of negative TB skin test results.

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. The file for a staff member (DOH: 10/7/11) did not contain documentation that fifteen (15) hours of approved training has been completed. A review of ECE-TRIS revealed that the staff member has only completed twelve (12) hours of approved training from 10/7/14-10/6/15. 2. The file for a staff member (DOH: 3/26/12) did not contain documentation that fifteen (15) hours of approved training has been completed. A review of ECE-TRIS found no additional training documentation for the staff member. 3. The file for a staff member (DOH: 10/7/11) did not contain documentation that fifteen (15) hours of approved training has been completed. A review of ECE-TRIS revealed that the staff member has only completed twelve (12) hours of approved training 10/7/14-10/6/15.

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, the surveyor found that a vacuum cleaner had been placed against the wall in the school-age area. The vacuum cleaner was accessible to children.

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 that a pair of wet underpants had been placed in a plastic bag and placed in the floor of the boys’ restroom. In an interview with a staff member the surveyor was informed that the children had been playing in water and a child was changed prior to nap time but the bag had not yet been put away.

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 observation, the surveyor found that the children were sitting on the floor as none of the classrooms had tables and chairs. Through interview, the surveyor learned that the dining tables are used for art activities; however, table and chairs are not utilized in the classrooms to prevent children from climbing and to give unobstructed space. Transportation 775 - Maintain Records Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (l) A written record of transportation services provided in accordance with 922 KAR 2:120, Section 12. 780 - Transportation Compliance Not Applicable 922 KAR 2:120. Section 12. Transportation. (1) A center shall document compliance with KRS Chapter 186 and 603 KAR 5:072 pertaining to: (a) Vehicles; (b) Drivers; and (c) Insurance. 785 - Requirements for Transportation Services Not Applicable 922 KAR 2:120. Section 12. Transportation. (2) A center providing or arranging transportation service shall: (a) Be licensed and approved by the cabinet or its designee prior to transporting a child; (b) Have a written plan that details the type of transportation, staff schedule, transportation schedule, and transportation route; and (c) Have written policies and procedures, including emergency procedures practiced monthly by staff who transports children. 790 - Transportation Notification/Type and Vehicle Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (a) Type of transportation offered; (b) Type of vehicle used for transportation; 795 - Transportation Notification/Plan for Ensuring Staff Duties Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (c) Plan for ensuring staff perform duties relating to transportation properly; 800 - Transportation Notification/Full Coverage Insurance Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (d) Full insurance coverage for each vehicle; 805 - Transportation Notification/Policy & Procedures Regarding Emergency Plan for Evacuation Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (e) Agency policy and procedures relating to an emergency plan for evacuating the vehicle; 810 - Transportation Notification/Third Party Contracts Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (f) Contracts, agreements, or documents detailing arrangements with any third party for services; 815 - Transportation Notification/Safety Procedures - Transporting, Loading/Unloading and Supervision Not Applicable 922 KAR 2:120. Section 12. Transportation. (3) Prior to transporting a child, a center providing transportation services of a child shall notify the cabinet or its designee in writing of the: (g) Safety procedures for: 1. Transporting a child; 2. Loading and unloading a child; and 3. Providing adequate supervision of a child. 820 - Vehicle Equipment Not Applicable 922 KAR 2:120. Section 12. Transportation. (4) A vehicle used to transport children shall be equipped with: (a) A fire extinguisher; (b) First aid supplies as described in Section 7 of this administrative regulation; (c) Emergency reflective triangles; and (d) A device to cut the restraint system, if necessary. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 26 Web site: http://chfs.ky.gov/ Inspection Report 825 - Transit/School Bus Not Applicable 922 KAR 2:120. Section 12. Transportation. (5) Transportation provided by licensed public transportation or a school bus shall comply with subsections (1) and (2) of this section. 830 - Vehicle Inspection Documentation Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (a) A twelve (12) or more passenger vehicle shall display a current certification of inspection from the Transportation Cabinet on the designated window. 835 - Vehicle Requirements/Traffic Stop During Loading/Unloading Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (b) A vehicle that requires traffic to stop while loading and unloading a child shall be equipped with a system of: 1. Signal lamps; 2. Identifying colors; and 3. Cautionary words. 840 - Seatbelts for Each Occupant Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (c) A vehicle shall be equipped with seat belts for each occupant to be individually secured. 845 - No Hazardous Materials Not Applicable 922 KAR 2:120. Section 12. Transportation. (6) A vehicle used to transport children shall meet the following requirements: (d) A vehicle shall not transport children and hazardous materials at the same time. 850 - Car Seats Not Applicable 922 KAR 2:120. Section 12. Transportation. (7) The appropriate car safety seat meeting federal and state motor vehicle safety standards in 49 C.F.R. 571.213 and KRS 189.125 shall be used for each child. 855 - Pre-trip Inspection Not Applicable 922 KAR 2:120. Section 12. Transportation. (8) A daily inspection of the vehicle shall be performed and documented for the following: (a) Tires; (b) Lights, signals, mirrors, gauges, and wiper blades; (c) Safety restraints; (d) Fuel; and (e) Free of debris. 860 - Ratios Not Applicable 922 KAR 2:120. Section 12. Transportation. (9)(a) The staff-to-child ratios set forth in Section 2(2) of this administrative regulation shall apply to vehicle transport, if not inconsistent with special requirements or exceptions in this section. (b) An individual who is driving with a child in the vehicle shall supervise no more than four (4) children under the age of five (5). 865 - Seating Not Applicable 922 KAR 2:120. Section 12. Transportation. (10) Each child shall: (a) Have a seat; (b) Be individually belted or harnessed in the seat; and (c) Remain seated while the vehicle is in motion. 870 - Child Unattended Not Applicable 922 KAR 2:120. Section 12. Transportation. (11) A child shall not be left unattended: (a) At the site of aftercare delivery; or (b) In a vehicle. 875 - Pre-arranged Plan Not Applicable 922 KAR 2:120. Section 12. Transportation. (12) If the parent or designee is unavailable, a prearranged written plan shall be completed to designate where the child can be picked up. 880 - Unaccompanied Child Crossing Street Not Applicable 922 KAR 2:120. Section 12. Transportation. (13) A child shall not be picked up or delivered to a location that requires crossing the street or highway unless accompanied by an adult. 885 - Vehicle Headlamps Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 26 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:120. Section 12. Transportation. (14) A vehicle transporting a child shall have the headlamps on. 890 - Refueling Not Applicable 922 KAR 2:120. Section 12. Transportation. (15) A vehicle shall be refueled when not being used to transport a child. If emergency refueling or repair is necessary during transporting, all children shall be removed and supervised by an adequate number of adults while refueling or repair is occurring. 895 - Driver Not In Seat Not Applicable 922 KAR 2:120. Section 12. Transportation. (16) If the driver is not in the driver's seat, the: (a) Engine shall be turned off; (b) Keys shall be removed; and (c) Emergency brake shall be set. 900 - Children's Transportation Records Not Applicable 922 KAR 2:120. Section 12. Transportation. (17) Transportation services provided shall: (a) Be recorded in writing and include: 1. The first and last name of the child transported; and 2. The time each child gets on and the time each child gets off; (b) Be completed by a staff member other than the driver; and (c) Be kept for five (5) years. 905 - Hazardous Items Not Applicable 922 KAR 2:120. Section 12. Transportation. (19) Firearms, ammunition, alcohol, or illegal substances shall not be transported in a vehicle transporting children. 907 - Parent Transport during Field Trip Not Applicable 922 KAR 2:120. Section 12. Transportation. (21) A parent may use the parent’s vehicle to transport the parent’s child during a field trip. Food Service

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, the surveyor found that at 10:35 a.m., a one-year-old child exited his classroom through a gated entry and went into the classroom with ten (10) three and four-year-old children. The child remained in the classroom from two to three (2-3) minutes without the staff's knowledge.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, the surveyor found that at 10:35 a.m., a one-year-old child exited his classroom through a gated entry and went into the classroom with ten (10) three and four-year-old children. The staff-to-child ratio was exceeded by four (4) children for two to three (2-3) minutes.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. The classroom doorways are minimally secured with adjustable sliding gates. The gates are propped between the sides of the doorways as they are too large to fit the narrow openings. The gates present a risk of falling on the children and are easily moved allowing the opportunity for a child to exit the classroom. 2. During a tour of the playground, the surveyor found that a mop had been leaned against the wall of the child care center and was accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found that the two (2) individuals identified as substitute staff persons do not meet the qualifications based on the lack of cabinet-approved annual training 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 and ECE-TRIS, the surveyor found that the two (2) individuals identified as substitute staff persons do not meet the qualifications based on the lack of cabinet-approved annual training requirements. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 26 Web site: http://chfs.ky.gov/ 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 and ECE-TRIS, the surveyor found the following: 1. The files for three (3) staff (DOH: 10/07/11) contained no cabinet-approved early care and education annual training. 2. The files for three (3) staff (DOH: 03/26/12, 04/24/12 and 04/12/13) contained only twelve (12) hours of cabinet-approved early care and education annual training. 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 6. Sleeping and Napping Requirements.

General: Based on observation during a tour of the child care center, the surveyor found that at 10:35 a.m. and again at 12:35 p.m. two (2) infant children were sleeping in bouncy seats. Through review of documentation contained in the children's files, the surveyor found no documentation from a health professional indicating that either child required an alternate sleeping position.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that large cans of green beans, fruit and Flavor-Ice had been stored on the floor in the pantry.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation, the surveyor found the following: 1. Four (4) containers of disinfectant wipes and a bottle of Banana Boat Sun Block had been placed on a half-wall located between the two and three-year-old children's classroom and the Preschool Room. The half-wall was approximately three (3) feet high; therefore, the disinfectant wipes were accessible to the children. 2. A bottle of hand sanitizer was observed to have been clipped to a diaper bag that had been placed on an approximate three foot high shelf located between the five and six-year- old children’s classroom and the Preschool Room. The hand sanitizer was accessible to the children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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 that the toilet seat was loose and was not securely attached to the toilet bowl in boys’ restroom. Hygienic Practices

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 interview with staff, the surveyor learned that the mouth contact toys are washed with a rag, dried and " bleached on Fridays". First Aid/Medication

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 that teething tablets had been stored in a child's diaper bag located in the Infant Room. The teething tablets had not been stored in a separate and locked place. Outdoor Play Area

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 that a broken wooden box had been placed on the ramp that leads from the child care center to the playground. The broken box was accessible to the children.

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 observation, the surveyor found that the clear plastic panels located on a baby crib was heavily smeared with an unknown substance.

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 baked-on food particles and dark stains on the interior top, sides and bottom of the oven that is used to prepare the children's meals.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation during lunch, the surveyor found that three (3) one-year-old children were served pasteurized fat-free skim milk rather than pasteurized whole milk.

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: 6/12/13) was no longer current after 6/26/13.

Open Not marked corrected in the state record

Category: health medication. 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 child care center director failed to complete an annual performance evaluation for one (1) staff member (DOH: 4/12/13). An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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, the following was found: (1) During a tour of the infant classroom, the surveyor found one (1) infant child sitting in a bouncy seat while not properly strapped into the seat. (2) During a tour of the infant classroom, the surveyor found one (1) prescription rescue inhaler labeled Ventolin stored in an unlocked cabinet 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 3. General Requirements.

General: Based on observation, the following was found: (1) During a tour of the one's classroom, the surveyor found a paper bag filled with trash placed on a child's cot accessible to the children. (2) During a tour of the infant classroom, the surveyor found one (1) can of Lysol disinfectant and one (1) can of disinfecting wipes located in an unlocked cabinet under the diaper changing table accessible to the children. (3) During a tour of the nursery, the surveyor found one (1) empty garbage bag located on the classroom floor 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 6. Sleeping and Napping Requirements.

General: Based on observation, one (1) crib in the infant classroom contained a sheet that had multiple dark soiled areas on the sheet, so the child's bedding was not immediately changed when soiled.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on observation during a tour of the two's classroom, the surveyor found that two (2) of the children’s blankets located on a shelf were touching; therefore, the children's bedding was not stored in a sanitary manner.

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 during a tour of the infant classroom, the surveyor found two (2) bottles that were not properly labeled.

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 interview, the child care center director failed to assure compliance with regulatory requirements, i.e., the director is permitting one child to bring in breakfast from fast food restaurants while the other children must eat what is served by the child care center. In doing so, the comfort of the children in the provider's care is being compromised as they are unable to have those same fast foods. Staff confirmed that this child is offered the same foods as all other children, but prefers what her mother purchases commercially each day. Programming

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain food service in accordance with regulatory requirements, i.e., the second group of children seated for lunch are not being served a meal within two (2) to three (3) hours as required. The posted daily schedule regarding meals reads as follows: 8:00-8:15 (AM) Breakfast, 11:00- 11:20 (AM) One (1)/Two (2) year old Lunch and 11:20-11:45 (AM) Lunch other children, 2:00-2:15 (PM) Snack. No morning snack is served. Based upon interviews, all staff stated that the first group of younger children are not usually seated until 11:30 (AM) each day and the second group of older children are seated once the first group is finished.

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 review of documentation and interview, the center does not have a copy of most recent child day care administrative regulations which were effective on 3/8/13.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.

General: Based on review of documentation, the child abuse and neglect check for a staff member (DOH: 9/21/12) was submitted for completion on 10/8/12, which was not within the time frame required by 922 KAR 1:470. Also, the criminal records check for this staff member was submitted for completion on 10/10/12, which was not within the time frame required by KRS 199.896.

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 and interview, an out-of-state background check has not been completed for a staff member (DOH: 9/21/12) who currently resides in Tennessee.

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 the ECE-TRIS website, the following was found: (1) There was no documentation to verify that a staff member (DOH: 10/7/11) has yet completed six (6) hours of cabinet-approved orientation training. Also, the staff member did not complete nine (9) additional hours of cabinet-approved early care and education training within the first year of employment as required. (2) A staff member (DOH: 9/21/12) completed orientation training on 1/28/13, which was not within the first three (3) months of employment as required. 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 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; 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 2. Child Care Services.

General: Based on review of documentation, the posted lesson for the infants was dated "May - Week 3". The posted plans for the one-year-olds, two-year-olds, and three- and four- year-olds were dated 5/27/13-5/31/13. There was no posted lesson plan for the school-age children. Therefore, current lesson plans were not posted and followed with each age group as required.

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) Three (3) rugs in the Nursery had several dark-colored stains. (2) Two (2) rugs in the One Year Old classroom had several dark-colored stains.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the toilet in the boys' restroom had brown stains in the interior of the toilet bowl. Hygienic Practices

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the toddler, preschool, and school-age children were served 2% milk at lunch time. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk shall be prepared, labeled, and provided by the parent.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the posted daily schedule for the preschool children indicated that breakfast is served from 8:00 a.m. until 8:15 a.m. and lunch is served from 11:20 a.m. until 11:45 a.m. Therefore, there is a three (3) hour and five (5) minute lapse between breakfast and lunch for the preschool children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 22 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, verification of fire drills for the months of December 2012 and January-April 2013 was not presented for surveyor review.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the diapering procedure was not posted at the diapering area located in front of the girls' restroom. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: (1) The menu for 5/16/13 indicated that poptarts and milk were served for breakfast on this date. (2) The menu for 5/14/13 indicated that cereal bars and milk were served for breakfast on this date. Therefore, breakfast on both of these dates lacked lacked a fruit, vegetable, or 100% juice.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: (1) The menu for 5/13/13 indicated that popcorn and water were served for snack on this date. Popcorn does not meet one (1) of the required components. (2) The menu for 5/15/13 indicated that fruit cups and water were served for snack on this date. Therefore, snack on these dates did not include two (2) required components.

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 observation, the surveyor found a carpet shampooer on the infant room floor, accessible to the children. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 41 Web site: http://chfs.ky.gov/ Inspection Report 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 11

Nursey: Based on interview, the center sanitizes the mouth contact toys by wiping them with Clorox wipes. First Aid/Medication 244 - First aid supplies 922 KAR 2:120 - Section 7 (3) If a child becomes ill while at the center: (a) The child shall be placed in a supervised area isolated from the rest of the children; (b) The parent shall be contacted immediately; and (c) Arrangements shall be made to remove the child from the child-care center as soon as practicable. 1) Availability In Compliance 2) Storage In Compliance 3) Inventoried In Compliance 4) Sanitized, if reusable In Compliance 5) Maintained in sanitary manner In Compliance 6) Liquid soap In Compliance 7) Adhesive bandages In Compliance 8) Sterile gauze In Compliance 9) Medical tape In Compliance 10) Scissors In Compliance 11) Thermometer In Compliance 12) Flashlight In Compliance 13) Cold pack In Compliance 14) First aid book In Compliance 15) Disposibale gloves In Compliance 16) Cardiopulmonary resuscitation mouthpiece protector In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)

General: Based on observation, of the playground, the surveyor found a depression in the ground approximately twelve (12) inches deep and approximately five (5) inches wide with a parially protruding tree stump sticking upward which posed a hazard to the children.

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 (18)

General: Based on observation of the playground area, the surveyor found that a toddler child (DOE: 09/22/11) was sitting on a small plastic picnic bench. The surveyor observed that two (2) staff were around the corner of the building attending to other children; therefore, the toddler child was outside of the line of sight of the staff persons. 223 - Protective Surface Not Applicable 922 KAR 2:120 - Section 4 (19) 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. 1) To climb Not Applicable 2) To swing Not Applicable 3) To slide Not Applicable 4) Fall Zone Not Applicable 225 - Fences 922 KAR 2:120 - Section 4 (21) Fences shall be: (a) Constructed of safe material; (b) Stable; and (c) In good condition. 1) Constructed of safe material In Compliance 2) Stable In Compliance 3) In good condition In Compliance 235 - Infant/Toddler outdoor space 922 KAR 2:120 - Section 5 (3) 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. 1) Shaded In Compliance 2) Separate In Compliance Outdoor Play Area - Equipment

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 3

General: Based on review of documentation of ten (10) children's files, the surveyor found that the immunization certificate for a child (DOE: 04/29/11) was no longer current as of 05/31/12 and an immunization certificate for a child (DOE: 10/21/11) was no longer current as of 04/30/12. 99 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110 - Section 3 The following records shall be maintained at the child-care center for five (5) years: (4) Permission forms for each trip off the premises signed by the parent; An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 37 of 41 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation 93 - Policies and Procedures 922 KAR 2:110 - Section 2 (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation. 1) Writing In Compliance 2) Staff Policies In Compliance 3) Job Description In Compliance 4) Organization Chart In Compliance 5) Chain of Command In Compliance 6) Other Procedures-a) Rights for Children b)922 KAR 2:090 c) 922 KAR 2:110 d)922 KAR 2:120 In Compliance 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 1) Arrival In Compliance 2) Departure In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.