922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 09/09/2025 AND AS OF 09/22/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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, and review of documentation, the center did not have an approved director according to the regulatory requirement. It was reported that the named director was no longer employed in the center. Documentation was submitted for a new director but was incomplete. Complete documentation to approve a new director was not submitted within the required time frame.

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 review of documentation, a fire drill for the month of November 2024 was completed on 11/02/24 but was not documented with the required information.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on review of documentation, this regulatory requirement was not met. An individual identified as the facility cook did not have a background check on file during the inspection process. The surveyor completed a name-based search for this individual via the KARES portal which yielded no results. An interview with staff-in-charge found the staff member is employed and is identified as the cook; however, the center does not prepare dinner on-site, as it is catered. Snacks are prepacked. It should be noted she was not alone with children at the time of the survey and is listed on the schedule as the cook. Supervision 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, this regulatory requirement was not met. At approximately 3:20 p.m., a school-age child exited the multipurpose room and walked to the end of the hallway where the restrooms are located. At 3:21 p.m. a staff member entered the hallway and watched the child walk back from the restroom. The child was not within line of sight or range of voice for approximately one (1) minute. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, an employee who was identified as the facility cook did not have a negative tuberculin skin test to verify that they were free of active tuberculosis on file.

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 member (DOH: 07/01/19) completed zero (0) out of fifteen (15) hours of cabinet- approved early care and education training for the 07/01/23--06/30/24 training year. A review of ECE-TRIS supports this finding. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, one (1) toilet in the Girls restroom was not in working order. The staff person-in-charge indicated that the toilet overflows and was in need of repair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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 review of documentation, the catering agreement with Food Bank Catering expired on 08/31/23. A current catering agreement and food service permit was not presented for review. Food Service Not In Compliance

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 Drink Requirements for All Child-Care Centers.

General: Based on observation, children were served chocolate milk with their dinner. Only pasteurized unflavored low fat one (1) percent or fat-free skim milk for children ages twenty-four (24) months to school-age. 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

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, children were served 1% juice lemonade during snack time. A serving of juice must be 100% juice. Meal Planning/Center Provides Meals 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. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, this regulatory requirement was not met. A snack menu was not posted for public inspection. 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

Open / not marked corrected.

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

General: Based on review of documentation, one (1) staff member (DOH: 07/01/19) had a professional development plan on file that was not dated. The surveyor was unable to determine whether the plan was current.

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, there was no written evidence to document that a fire drill had been practiced during the months of August and September of 2024.

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 roster of fire, earthquake, tornado, and lock down drills was not available for the months of March, April, or May of 2024. 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, a staff member (DOH October 2023) did not have proof of educational qualifications in their personnel file.

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 observation and review of documentation, a staff member identified as beginning employment in October of 2023 did not have a background check on file at the facility. The surveyor completed a name-based search via the KARES background check portal and found that a background check had not been completed for this individual. This individual had escorted the children to the restroom without a qualified staff member. Supervision 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 following was found: 1.) At 3:43 pm a female child entered the office of the facility where the surveyor was reviewing paperwork. The child searched for a bracelet and then returned to the cafeteria. The child was not within line of sight of range of voice of a staff member. 2.) At 3:54 pm and 4:00 pm the surveyor observed two children enter the hallway and go to the restroom down the hall. The children were not within line of sight or range of voice of a staff member. 3.) At 4:30 pm the surveyor entered the hallway and observed four children in the hallway alone, while the remaining students were lining up within the cafeteria. The students were not within line of sight or range of voice of a staff member. Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report General Administration Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, several children’s coats were stacked upon each other. This method of storage promotes the spread of germs and bacteria. 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 observation and review of documentation, a staff member identified as beginning employment in October of 2023 did not have a background check on file at the facility. The surveyor completed a name-based search via the KARES background check portal and found that a background check had not been completed for this individual. This individual had escorted the children to the restroom without a qualified staff member. 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 9. Records.

General: Based on observation and interview, an individual was observed caring for children on the day of the survey. The staff person in charge stated that this individual was hired in October of 2023. This staff member did not have a file present at the facility that documented date of hire, tuberculin status, educational qualifications, or background check information.

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, three (3) staff members (DOH 07/01/19, 09/08/21, and 07/01/19) had negative tuberculin skin results on file that exceeded two years and therefore are no longer current. Additionally, a staff member (DOH October of 2023) did not have a personnel file with a physician’s statement clearing them of active tuberculosis, nor a negative tuberculin skin result. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 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, there was not a staff member present or employed that held a valid CPR/ First aid administration certification.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, 1.) One (1) staff member (DOH 09/08/21) completed one out of fifteen (15) hours of Cabinet- approved early care and education training for the July 1, 2022 – June 30th, 2023, training year. 2.) One (1) staff member (DOH 07/01/19 did) not have evidence of completing Cabinet- approved Orientation training. This training is required within the first 90 days of employment. A review of ECE-TRIS supports these findings. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals 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 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, children were served Kool-Aid Jammers with their snack; this drink is considered flavored water and not considered 100% juice. Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one (1) child’s file had an immunization record that was not current and had been enrolled for more than 30 days.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, one children’s file reviewed did not contain a physicians’ contact number. 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, there was no evidence to indicate that the Emergency Preparedness plan had been submitted to the proper emergency management authority in 2022 for the 2023 year.

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 review of documentation, there was no written evidence to indicate that lockdown drills had been practiced in 2023. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and review of documentation, the following was found: 1.) The Statement of Deficiency and corresponding Plan of Correction from the 2022 Inspection was not posted for public inspection. 2.) A daily schedule was not posted or available for review. 3.) A lesson plan was not posted or available for review. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, arrival times for the children were not documented for several of the students present during the survey process.

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, staff member hired 7/1/19 did not have a professional development plan available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.

General: Based on review of documentation, the following was found: 1.) Staff member hired 9/8/21 had evidence of living in the states of Ohio and New York within the last five years. There was no documentation presented of a child abuse/neglect (CA/N) check or a sex offender registry check from both Ohio and New York for this staff member. 2.) A staff member hired 9/11/2020 had evidence of living in New York and Pennsylvania within the past five years. There was no documentation presented of a CA/N check and a sex offender registry check from New York and a criminal records check, CA/N check, and sex offender registry check from Pennsylvania for this staff member. 3.) A staff member hired 7/1/2019 had evidence of living in the state of Ohio within the past five years. There was no documentation indicating that a CA/N check or sex offender registry check had been completed for the state of Ohio. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Supervision 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 following was found: 1.) At 3:22 p.m. the surveyor observed seven (7) school-aged children in the computer lab area of the facility, which is across the hallway from the Multi-purpose room. The only staff member present at this time was preparing snack in the Multi-purpose room. The seven (7) children were not within line of sight or range of voice until snack was served at 3:28 p.m. when they rejoined their peers. 2.) At 3:26 p.m. a six-year-old child wandered the hallway for approximately two (2) minutes without a staff member present. 3.) At 3:47 p.m. a school-aged child walked down the hallway from the Multi-purpose to the restroom. The child was not within line of sight or range of voice of a staff member. Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on review of documentation, staff member hired 7/1/2019 did not have a staff evaluation available for review. 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, staff member hired 9/8/2021 did not have proof of educational qualifications in their personnel file.

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 following was found: 1.) Staff members hired 7/1/2019 and 9/11/2020 did not have proof of completing Pediatric Abusive Head Trauma, Orientation training, or 15 hours of cabinet-approved early care and education training for the 2021-2022 training year. 2.) Staff member hired 7/1/2019 had zero out of fifteen hours of early care and education training recorded on ECE-TRIS for the July 1, 2021 – June 30, 2022, training year. 3.) Staff member hired 9/8/2021 did not have evidence of completing Pediatric Abusive Head Trauma training. This training is due within the first 90 days of hire. A review of ECE-TRIS supports these findings. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, several children were observed utilizing the facility computers to access websites such as Youtube, Fall Guys (game), and Google. There was no indication that the electronic devices were used for educational purposes or a part of the daily planned programming.

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, an internet monitoring device was not applied to the computers used by the children in care. The staff person in charge stated that a firewall was in place, however, the surveyor was able to connect to websites not listed on the approved website list for the children to use. Premises In Compliance 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 3. General Requirements.

General: Based on observation, children were served snack after arrival and several of the children did not wash their hands prior to being served. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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 interview, the staff person in charge stated that the facility has dinner catered by Fresh Store Food Bank; however, a catering contract or agreement and food service permit for this entity were not available for review. Food Service In Compliance Meal Planning/Center Provides Meals Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, a menu of snacks provided by the facility and dinner provided by the catering entity was not available for review. Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) children’s files reviewed did not contain a physician's contact number. Written Documentation 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 review of documentation, an orientation procedure outlining that staff members will implement what was taught within Orientation 1 and 2 in the classrooms was not available for review. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, parent rights were not posted for public inspection. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5

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, a staff member hired 09/08/2021, did not have an evidence of completed KARES Background Check on file at the facility. This staff member was present during the inspection and was left alone at times during the survey. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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 and observation, a staff member hired 09/08/2021, did not have an evidence of completed KARES Background Check on file at the facility. This staff member was present during the inspection and was left alone at times during the survey. It should be noted that due to the length of time this staff person has been employed they may have worked alone with the children at other time, however this could not be determined at the time of survey. 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 9. Records.

General: Based on review of documentation, three staff members (two hired on 7/1/2019 and one on 9/11/2020) did not have evidence of an annual evaluation on file at the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a staff member hired on 9/8/2021 did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file at the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, no evidence was found that any staff members at the facility are currently certified in CPR/First Aid. Therefore, the facility does not have one staff member on duty and present at all times who is certified in CPR/First Aid.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1.) Three staff members (two hired on 7/1/2019, and one on 9/11/2020) did not have evidence of completing 15 hours of annual early care and education training on file in the facility. 2.) Two staff members (7/1/2019 and 9/11/2020) did not complete the required Orientation. These staff members have been employed for more than three months. 3.) Two staff members (7/1/2019 and 9/11/2020) did not complete the required PAHT training. These staff members have been employed for more than one year. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on observation, the surveyor found the following items were missing from the First Aid kit: First Aid book and working flashlight. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, the surveyor found fat free chocolate milk in the kitchen fridge. The milk was being served to the children in care. 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

Open / not marked corrected.

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

General: Based on review of documentation, three staff members (two hired on 7/1/2019 and one on 9/11/2020) did not have evidence of a professional development plan on file at the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was no evidence of an orientation procedure for staff on file at the facility. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

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, two (2) staff members did not have a current staff evaluation on file. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, there was no current liability insurance paperwork on file. The insurance on file expired 01/01/2021. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not 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 following was found: 1) A volunteer with a start date of 06/28/2021 did not have written proof on file that a background check had been submitted for her. The volunteer was not working alone at the time of the inspection. 2) Staff member hired on 09/11/2020 did not have written proof on file that a background check had been submitted for the staff person. This staff person was not present the day of the inspection. Supervision In Compliance Staffing Requirements In Compliance General Administration 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 following was found: 1) Staff member hired on 07/01/2019 did not have documentation on file showing that he had ever taken Orientation I and II or Pediatric Abusive Head Trauma. This was also verified through ECE-TRIS. 2) Staff member hired on 09/11/2020 did not have documentation on fiile showing that he had ever taken Orientation I and II. This was also verified through ECE-TRIS. 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 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 9. Food and Meal Requirements.

General: Based on observation, there was not a menu posted in a conspicuous place at the time of the inspection. 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, out of ten (10) children's records reviewed, only two (2) children's records had current immunization records on file. Six (6) children had immunization records on file that had expired immunization dates listed and two (2) children's files had no immunization record at all on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview, after the surveyor did a head count of the children in attendance, the staff person in charge stated that her own child was not part of the summer program but was just hanging out with the other children until his own virtual camp started. The staff person in charge stated that she did not have a current enrollment form on the child. The surveyor stated that the child would have to be counted in the total number because he was in attendance and was in licensed space. 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, there were seventeen (17) children present the day of the inspection but only fifteen (15) children were 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, three (3) staff members did not have current professional development plans on file.

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 following was found: 1) The fire, tornado and eartquake drills were conducted on the same day and at the same time. The procedures to conduct these drills are all different and therefore cannot be conducted at the same time. 2) There were no children's names listed who participated in each of the drills. 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 12. Reports.

General: Based on observation and interview, the director listed with the Cabinet left the child care facility in June 2019. According to the staff person in charge, a new director has been named but a change of director has not been reported to the Cabinet. Director Requirements In Compliance Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) staff hired on 07/01/19 did not have education documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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, two (2) staff hired on 07/01/19 did not have documentation on file from a health care professional stating they were free of active tuberculosis. 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 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, children enrolled on 08/20/19, 09/04/19, 09/21/19 and 08/26/19 did not have current immunization records on file. Written Documentation 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 3. General Requirements.

General: Based on review of documentation, the following was found: 1) There was no written documentation showing the names of the children who participated in the monthly fire drills. 2) There was no documented fire drill for the month of October 2019. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.