922 KAR 2:090. Section 8. General.
General: Based on review of documentation, the center did not have a copy of current state regulations for review.
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Home › KY › Ft. Thomas › Moyer Elementary School After School Program
License #L353894 · Center · Licensed
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This renewal application inspection recorded no violations or advisories.
General: Based on review of documentation, the center did not have a copy of current state regulations for review.
General: Based on review of documentation, two (2) children (DOE: 08/15/24 and 09/03/24) did not have a current immunization certificate on file.
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Data synced from Kentucky Cabinet for Health and Family Services, Division of Child Care on Jul 11, 2026 · Source records · Report an error
General: Based on review of documentation, a staff person (DOH: 08/18/20) did not have documentation of negative TB skin test results on file.
General: Based on observation, the first aid kit did not contain a cold pack.
This follow-up inspection recorded no violations or advisories.
General: Based on review of documentation, the menu posted in the facility was for the month of October. The survey was conducted in December. Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
General: Based on observation, the facility did not serve two (2) required components for snack. The children were served bread or grain (Goldfish crackers and Cheez-It) which is a required component, and Welch's Fruit Snack, which is not a required component.
General: Based on observation, it was found that on the day of inspection from approximately 02:55 pm to 03:35 pm, two (2) staff members were alone with thirty-eight (38) children ages six (6) to nine (9), in the cafeteria. At 03:35 pm the third staff member arrived. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration Not In Compliance
General: Based on review of documentation, it was found in the Employee Handbook that Abuse/Neglect Reporting Procedure states that the suspicion of a child abuse or neglect will be reported to Program Director, who will contact Executive Director. It stated that if the Director concurs that there is a suspicion of abuse or neglect the Director may make a report. KRS 620.030 requires anyone who suspects child abuse or neglect to report these allegations to the cabinet or law enforcement. Director Requirements In Compliance Employee Records Not In Compliance
This follow-up inspection recorded no violations or advisories.
General: Based on interview, two (2) staff hired 08/01/22, who were present the day of the inspection did not have a file on site for review.
General: Based on review of documentation, the following was found: 1) There was no written documentation on file that a fire drill had been conducted in December 2022. 2) There were no children's names listed on file who had participated in each fire, tornado, and earthquake drill. Posted Documentation In Compliance Animals In Compliance
General: Based on interview, staff hired 08/01/22, did not have a staff record on file for review. The KARES background check system was reviewed and the surveyor could not locate the staff person in the system. The staff person was not working alone with children at the time of the inspection. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Staffing Requirements Not In Compliance
General: Based on review of documentation, there were no children's immunization records on file for review at the time of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance
This change of space/change in capacity inspection recorded no violations or advisories.
General: Based on review of documentation, staff members hired 6/1/2021, 8/19/2021, and 3/1/2022, did not have proof of educational qualifications in their personnel files.
A PLAN OF CORRECTION WAS DUE ON 04/23/2022 AND AS OF 04/27/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Employee Records Not In Compliance
General: Based on review of documentation, the following was found: 1.) Staff member hired 2/17/2022, did not initiate the KARES background check process until 2/19/2022; this individual was not determined to be eligible until 2/23/2022. 2.) Staff member hired 9/17/2020, did not initiate the KARES background check process until 2/22/2022, this individual was not determined to be eligible for employment until 3/1/2022. 3.) Staff member hired 6/1/2021, did not initiate the KARES background check process until 2/22/2022, this individual was not determined to be eligible until 2/28/2022. 4.) Staff member hired 9/24/2021, did not initiate the KARES background check process until 2/22/2022; this individual was not determined to be eligible until 2/24/2022. It is important to note that a staff member can not be left alone until they have initiated the KARES background check and submitted their fingerprint. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
General: Based on review of documentation, staff members hired 6/1/2021 and 8/19/2021, had evidence of residency in Ohio within the past five years; there was no evidence to support that a child abuse/neglect check and a sexual abuse registry check had been completed for the state of Ohio. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance
Based on review of documentation, the child-care center did not have Fire Marshal documentation available for review.
General: Based on review of documentation, the child-care center failed to have a written staff schedule.
General: Based on observation and interview, the child-care center failed to maintain staff-to-child ratios. At approximately 3:05 p.m., the surveyor observed one staff person with 21 children ages five-to ten-years-old. The staff person stated that he was a substitute who typically works with another staff person. He indicated that he did not know why the other staff person had failed to show up for work. After several minutes, he reached another staff person by phone and asked for assistance. The staff person told him that she was working at another YMCA location. At approximately 3:37 p.m., the surveyor noted that one child left, leaving the staff person with 20 children. General Administration Not In Compliance
General: Based on review of documentation, the child-care center failed to have a staff person on duty and present with the children who is certified in CPR and First Aid. There was no CPR and First Aid documentation available for review. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. A review of the facility's liability insurance documentation on file found that the coverage dates were 1/1/19 through 1/1/20; therefore, the policy was not current.
General: Based on observation, this regulatory requirement was not met. The surveyor observed snack being served to the children during the visit. Children were given the option to choose between a serving of goldfish crackers or pretzels and instructed to get their personal water bottle. This falls short of the required two components for snack. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Food Service Not In Compliance
General: Based on review of documentation, one child’s file/enrollment documentation did not contain information for the family’s preferred hospital. Written Documentation Not In Compliance
General: Based on review of documentation, and the Training Records Information System (TRIS), the following was found: 1. One staff person (hire date: 9/14/20) did not complete the six hours of cabinet-approved training within the first three months of employment. 2. One staff person (hire date: 8/18/18) had a pediatric abusive head trauma training class certificate that was dated 3/24/15; therefore, this training is no longer valid. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program Not In Compliance
General: Based on observation, the Children's/Parent's rights as required by KRS 199.898(3) were not posted in the facility. Animals Not Applicable
General: Based on review of documentation, two children, both enrolled 8/14/19, did not have a current immunization certificate on file in the facility. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation Not In Compliance
General: Based on review of documentation and interview, the child-care facility did not have a current program of activities (lesson plan) posted. The surveyor noted the lesson plan that was posted was dated for the month of November. The staff person in charge stated she could not locate the most current lesson plan. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on review of documentation, the insurance policy presented for review was no longer valid as of 1/1/18. Director Requirements In Compliance Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance
This change of space/change in capacity inspection recorded no violations or advisories.
General: Based on Review of Documentation, it was determined that a staff person hired 9/14/17 did not have evidence of proof of education on file in the facility.
General: Based on Review of Documentation, staff person hired 9/30/15 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
General: Based on Review of Documentation, staff persons hired 8/17/16 and 11/30/16 both had evidence of only seven (7) hours of annual training on file for the last full year of employment. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on Review of Documentation, one (1) child's file was missing the physician's contact phone number. This area was left blank on the enrollment form. Written Documentation Not In Compliance
General: Based on Review of Documentation, three (3) staff members did not complete their TB skin tests prior to employment. A staff hired on 9/30/15 had her TB skin test read on 10/15/15 and two (2) other staff members both hired on 9/16/16 had their TB skin tests read on 9/21/16.
General: Based on Review of Documentation, one (1) staff member hired on 10/04/16 did not have the six (6) hours of cabinet-approved orientation training within the first three (3) months of employment. The ECE-TRIS system was reviewed as well as the staff member's file. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance
General: Based on Review of Documentation, the facility did not have written evidence of the annual submission of the emergency prepardness plan to the local emergency management officials. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance
General: Based on Review of Documentation, staff persons hired 10/26/15 and 10/19/15 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years. The staff person in charge was not aware that current results were not on file.
General: Based on Review of Documentation, staff person hired 10/26/15 did not have evidence of proof of education on file in the facility. The staff person in charge stated that she was not aware that the staff person did not have this documentation on file in the facility.
General: Based on Review of Documentation, 1. Staff persons hired 8/2/15 and 10/19/15 did not have evidence of completing the required orientation training in the first three (3) months of employment. The staff person in charge acknowledged the deficiency during the exit interview. 2. A staff person hired 7/28/07 had evidence of only fourteen (14) hours of annual training on file for the last full year of employment. The staff person in charge stated that she was unaware that this staff person had not met the training requirements. A review of ECE-TRIS records supports the information found during the survey. 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
General: Based on Review of Documentation, there was one (1) child's file that did not contain the preferred hospital for the child. Also, there was one (1) child's file that did not have the child's physician listed.
A PLAN OF CORRECTION WAS DUE ON 19 Jan 15 AND AS OF 09 Feb 15, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.
General: Based on Review of Documentation, the site director's personnel file was not available for review.
General: Based on Review of Documentation, an employee hired on 9/13/14 did not have a copy of their proof of education in their personnel file.
General: Based on Review of Documentation, there were two (2) employees, hire dates of 1/9/13 and 10/22/12, who did not have a current statement from a health professional indicating that they are free of active tuberculosis.
General: Based on Review of Documentation, there were three (3) children enrolled 8/7/13, 8/12/13 and 8/20/13 who had an immunization certificate on file but there was not a date listed to verify that the immunization certificate was current.
General: Based on Review of Documentation, there was not a current copy of the facility's liability insurance on file at the facility.
General: Based on Review of Documentation, there was one (1) staff person with a hire date of 1/9/13 and the results of a criminal records check dated 1/14/13 and an additional staff person with a hire date of 11/11/13 with the results of a criminal records check dated 11/14/13. There was no documentation available for review at the time of the visit to verify that application for the results of the criminal records checks were submitted prior to or in the date of employment.
General: Based on Review of Documentation, there was one (1) staff person with a hire date of 11/11/13. The staff person had documentation from a physician and the results of a chest x-ray dated 12/5/13 which is after the staff person's date of hire.
This renewal application inspection recorded no violations or advisories.
General: Based on Review of Documentation, the facility reported a change of director on July 11, 2012. However, the documentation to assure this individual is qualified to serve as director has not been received.
General: Based on Review of Documentation, there was one child enrolled 8/15/11 who did not have a current immunization certificate on file. 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 36 of 40 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
General: Based on Review of Documentation, there was one (1) staff person hired 1/99 who did not have a professional development plan for 2011 on file. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance
General: Based on review of documentation, a staff member (DOH: 09/01/23), did not have evidence of completing a CPR/First Aid required training on file in the facility. The ECE-TRIS was reviewed and confirmed this finding.
General: Based on review of documentation, the following was found: 1) Four (4) staff members (DOH: 03/01/22, 09/24/21, 03/02/22, 03/16/22) did not have evidence of completing fifteen (15) hours of annual early care and education training on file in the facility. 2) A staff member (DOH: 09/24/21), did not complete the required PAHT training. This staff member has been employed for more than one (1) year. 3) A staff member (DOH: 9/1/23), did not complete the required orientation training. This staff member has been employed for more than three (3) months. The ECE-TRIS was reviewed and confirmed 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 Not Applicable Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Meal Planning/Center Provides Meals Not In Compliance
General: Based on review of documentation, it was found that a child enrolled (08/17/23) did not have a current immunization certificate on file in the facility. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on review of documentation, the following was found: 1) Staff hired 08/19/21, 09/24/21, 09/17/20, 05/18/21, 08/20/21, 08/18/20, 06/10/21, and 09/09/16, did not have the required fifteen (15) hours of cabinet approved training on file. 2) Staff hired 09/24/21, 08/20/21, 06/10/21, and 09/09/16, did not complete the required pediatric abusive head trauma training. These staff members have been employed for more than one (1) year. 3) Staff hired 08/01/22, 08/20/21, and 02/17/22, did not complete the required orientation training. These staff members have been employed for more than three (3) months. The ECE-TRIS system was reviewed and confirmed 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 In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
General: Based on observation, the surveyor arrived at 2:55pm and found one (1) staff person present with thirty four (34) children ranging in age from five (5) to twelve (12) years old. A second staff person did not arrive until 3:12pm. General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance
General: Based on review of documentation, two staff hired 08/01/22, did not have education documentation on file.
General: Based on review of documentation, staff hired 09/24/21, 08/18/20, 05/18/21, and two (2) hired 08/01/22, did not have current documentation on file from a health care professional stating that they were each free of active tuberculosis. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report
General: Based on review of documentation, from approximately 2:55pm until 3:12pm there was one (1) staff person present with the school age children. That staff person did not have a record on file so the surveyor was unable to verify that the staff person was certified in CPR/First Aid. The second staff person who arrived at 3:12pm was certified in CPR/First Aid.
General: Based on review of documentation, there was no documentation on file showing that the emergency preparedness plan had been filed with the Kentucky Emergency Management office for 2022.
General: Based on review of documentation, there were no current professional development plans on file for the staff employed at the facility.
General: Based on review of documentation, staff members hired 09/08/2021, 06/01/2021, and 9/24/2021, did not have a negative tuberculin skin result, nor a physician’s statement clearing these individuals of active tuberculosis in their personnel files.
General: Based on review of documentation, the child-care center did not have staff meeting documentation. Employee Records Not In Compliance
General: Based on interview and review of documentation, the director failed to appoint a staff person to be in charge and carry out the duties of the director during the hours of operation. The surveyor found one staff person present with 21 children ages five-to ten-years-old. The staff person stated that he was a substitute. He only had access to the children's enrollment forms. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report
General: Based on review of documentation, the child-care center did not have an emergency preparedness plan available for review.
General: Based on review of documentation, the child-care center did not have liability insurance available for review. Director Requirements Not In Compliance
General: Based on interview, the child-care center failed to maintain personnel files onsite for each employee. The surveyor found one staff person present who identified himself as a substitute. He stated that he did not know where the employee files were located. It should be noted, this regulatory requirement was cited during an inspection conducted on 3/2/2021.
General: Based on review of documentation, two children's files (DOE: 8/18/2021) contained immunization summary reports that did not include expiration dates; therefore, the surveyor could not determine whether the children’s immunizations were current. One child's file (DOE: 8/18/2021) did not include immunization documentation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Written Documentation Not In Compliance
General: Based on review of documentation, the child-care center failed to have policies and procedures available for review. The staff person gave the surveyor a couple of folders, and a binder containing children’s enrollment information. However, there were no policies or procedures included in the documentation.
General: Based on review of documentation, the child-care center failed to conduct and document monthly fire drills. The surveyor found only one fire drill documented on 8/27/2021. Posted Documentation Not In Compliance
General: Based on interview and review of documentation, the child-care center failed to have the following documents available for inspection: license, each statement of deficiency during the current licensure year, plan of correction submitted to the cabinet during the licensure year, Consumer Product Safety information, current rates, staff-to-child ratios, and a daily planned program (lesson plan). It should be noted, this regulatory requirement was cited during an inspection conducted on 3/2/2021. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report
General: Based on review of documentation, the child-care center did not have a daily schedule. Animals Not Applicable
General: Based on review of documentation, the facility failed to maintain staff files. The following was found: 1. One staff person observed working with the children during the visit did not have a personnel file on site; therefore, his hire date, birthdate, educational documentation, T.B. documentation, and background check information were not available for the surveyor to review. The staff person stated during interview that he started working at the facility on 12/22/20. 2. One staff person did not have a personnel file on site. The staff person in charge stated that this staff person's file was probably at the central office. Therefore, her hire date, birthdate, educational documentation, T.B. documentation, and background check information were not available for the surveyor to review.
A PLAN OF CORRECTION WAS DUE ON 04/02/2021 AND AS OF 04/07/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. A review of the staff meeting documentation revealed that the last documented staff meeting was 3/5/19. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. A review of the facility’s posted items found that a menu was not posted. Children's Records Not In Compliance
General: Based on review of documentation, two children’s files had an immunization certificate that did not have the required information (expiration date); therefore, it could not be determined whether or not the immunization certificate was current.
General: Based on review of documentation, this regulatory requirement was not met. The emergency preparedness plan on file had not been updated since 8/2/19. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance
General: Based on review of documentation and interview, this regulatory requirement was not met. At the time of the survey, it was found that the following documents were not posted: Facility license, statement of deficiencies and plan of correction from a 12/19/19 renewal inspection, information on the Kentucky Consumer Product Safety Program, services/current rates and staff/child ratios. These documents were located in a binder that was being stored inside a bag with various other program documents; therefore, were not available for public inspection. The staff person in charge stated that they used to have a bulletin board; however, indicated that they have not been using it because parents no longer come into the building. Animals Not Applicable Emergency Regulation Not In Compliance
General: Based on review of documentation, observation, and the Training Records Information System (TRIS), this regulatory requirement was not met. The following was found: 1. One staff person (hire date: 9/14/20) did not have evidence of completing the required ECE 202 training class (Requirements for Reopening Child Care in Kentucky). 2. The facility did not have evidence or results of background checks on file for two staff. Neither staff had any paperwork on file for the surveyor to review. One staff person was observed working with the children during the visit. This staff person stated during interview that he started working at the facility on 12/22/20. The second staff person's hire date could not be determined during the visit.
General: Based on Observation, the facility did not have a posted snack menu. Children's Records Not In Compliance
General: Based on Review of Documentation, one (1) child's file contained an immunization certificate that did not have an expiration date. The child had been enrolled in excess of thirty (30) days.
General: Based on Observation, the statement of deficiency and the plan of correction from the relicensure survey conducted on 1/21/16 was not posted in a conspicuous place and made available for public inspection. Animals In Compliance
General: Based on Review of Documentation, a staff person hired 7/28/07 did not have evidence of a professional development plan on file in the facility. The staff person in charge was not aware that the plan was not in the staff person's file.
General: Based on Observation, three (3) of the ten (10) children's file presented for review did not contain a current immunization certificate. The staff person in charge was not aware that the certificates in the children's files were no longer current.
General: Based on Review of Documentation, 1. Staff person hired 8/2/15 did not have the results of or evidence of the application for a criminal background check on file in the facility. The staff person in charge indicated that the check must not have been sent to the facility from their central office. 2. Staff person hired 10/26/15 had the results of a criminal records check dated 11/12/15. There was no evidence on file that the application for the check had been submitted prior to employment as required. The staff person in charge acknowledged the deficiency during the exit interview. 3. Staff person hired 10/26/15 had the results of a CA/N check dated 11/4/15. There was no evidence on file that the application for the check had been submitted within the first five (5) days of employment as required. The staff person in charge acknowledged the deficiency during the exit interview.
General: Based on Review of Documentation, there was no disaster plan presented at the time of the survey that included the requirements listed in KRS 199.895. The staff person in charge could not locate the plan at the time of the survey.
General: Based on Review of Documentation, there was no written schedule of staff hours presented at the time of the survey. The staff person in charge was not aware that a schedule was required.
General: Based on Observation, there was not a menu posted for viewing. 1055 - Breakfast Requirements Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (17) Breakfast shall include: (a) Milk; (b) Bread; and (c)1. Fruit; 2. Vegetable; or 3. 100 percent juice.
General: Based on Review of Documentation, there was one (1) child's record that did not have a current immunization certificate in the file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report
General: Based on Observation, information from the Kentucky Consumer Product Safety Program and its website was not posted.
General: Based on Review of Documentation, there were two (2) staff hired 2/7/11 and 8/30/11 who did not have a high school diploma. GED or other qualifying documentation on file.
General: Based on Review of Documentation, there was one (1) staff person hired 2/7/11 who had a T.B. skin test read on 2/18/11. An additional staff person hired 8/30/11 had a T.B. skin test read on 9/5/11. This does not meet the requirement of the regulation which requires that a T.B. skin test or a statement from a health professional be on file prior to employment. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 Web site: http://chfs.ky.gov/ Inspection Report 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance