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

General: Based on review of documentation presented, the surveyor found one (1) child’s (DOE: 09/18/19) enrollment information did not contain the general health status and medical history, or the authorization by the parent for the childcare center to seek emergency medical care for the child in the parent’s absence. During interview, staff stated that they will ask the parent to fill out the information immediately. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 12. Reports.

General: Based on observation and interview, the surveyor found that the center is providing care to children age two (2) through five (5) years. The center is not licensed to provide care to two-year-old children who are defined as toddlers per regulations. Upon interview, the Director was not aware that the center needed to be licensed for Toddlers and stated she was not aware that two-year-olds were now defined as toddlers. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, review of ECE-TRIS, and interview, the surveyor foun the following: 1. A staff file (DOH: 11/1/10) did not contain documentation of the completion of fifteen (15) hours of annual training for 11/1/17 - 10/31/18. Review of ECE-TRIS, revealed that only thirteen and a half (13.5) hours of annual training had been completed. Staff stated they thought they had completed fifteen (15) hours of training. 2. A staff file (DOH: 7/11/11) did not contain documentation of the completion of fifteen (15) hours of annual training for 7/11/17 - 7/10/18. Review of ECE-TRIS, revealed that only six and a half (6.5) hours of annual training had been completed. Upon interview, the Director stated that she was aware that the staff member had not completed the require number of annual training hours. 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 5. Infant and Toddler Play Requirements.

General: Based on observation and interview, the surveyor found that children ages two (2) through five (5) were being combined for the entire day. Upon interview, the Director stated she was not aware that two-year-old children could not be combined with the older children for over an hour per day without a transition plan. The Director stated that the two- year-old children did not have transition plans completed and that she was not aware the two-year-old children were now defined as toddlers per regulation. 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 In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the following was found: 1. A staff file (DOH: 3/10/16) presented for review contained an annual evaluation dated for 8/11/16; therefore, that annual evaluation had not been updated annually as required. 2. A staff file (DOH: 7/11/11) presented for review contained an annual evaluation dated for 8/11/16; therefore, that annual evaluation had not been updated annually as required. 3. A staff file (DOH: 9/8/15) presented for review contained an annual evaluation dated for 8/11/16; therefore, that annual evaluation had not been updated annually as required. The Director stated she was aware that the annual evaluations had not been updated as required. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that a staff file (DOH: 9/8/2015) presented for review did not contain an out of state criminal records check for a state that the staff member has previously resided in within the past five (5) years. The Director reported that the staff member had transferred from another center that is under the Monroe County Board of Education and she was unsure if an out of state criminal record check had been previously completed.

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 interview, the surveyor found that a staff file (DOH: 9/28/17) presented for review did not contain documentation of education in the form of a high school diplome, GED, or Commonwealth Child Care Credential. Upon interview, the Director confirmed that she has not yet obtained documentation of education for the staff member.

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 interview, the surveyor found that a staff file (DOH: 9/28/17) presented for review did not contain record of a negative tuberculin skin test within the past two (2) years. The Director reported that the staff member had not obtained a tuberculin skin test yet but is scheduled to do so on 12/12/17.

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 interview, the surveyor found that the center does not have adequate substitutes. The two (2) staff members (DOH: 11/1/10 and 9/8/15) named as substitutes by the Director, did not meet the minimum staff qualifications as follows: 1. Staff member (DOH: 11/1/10) has not completed Pediatric Abusive Head Trauma (PAHT) training every five (5) years as required and their annual professional development plan was not up to date. 2. Staff member (DOH: 9/8/15) did not have an up to date annual evaluation or professional development plan, was missing an out of state criminal records check, and had only completed six (6) hours of annual training for 9/8/16 - 9/7/17.

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 interview, the surveyor found that the center does not have qualified substitutes. The two (2) staff members (DOH: 11/1/10 and 9/8/15) named as substitutes by the Director, did not meet the minimum staff qualifications as follows: 1. Staff member (DOH: 11/1/10) has not completed Pediatric Abusive Head Trauma (PAHT) training every five (5) years as required and their annual professional development plan was not up to date. 2. Staff member (DOH: 9/8/15) did not have an up-to-date annual evaluation or professional development plan, was missing an out of state criminal records check, and had only completed six (6) hours of annual training for 9/8/16 - 9/7/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, review of ECE-TRIS, and interview, the following were found: 1. A staff file (DOH: 11/1/10) contained documentation of having last completed Pediatric Abusive Head Trauma (PAHT) training on 4/21/12. Review of ECE-TRIS, confirmed this to be accurate. Therefore, PAHT has not been completed every five (5) years as required. 2. A staff file (DOH: 7/11/11) contained documentation of having last completed Pediatric Abusive Head Trauma (PAHT) training on 4/21/12. Review of ECE-TRIS, confirmed this to be accurate. Therefore, PAHT has not been completed every five (5) years as required. 3. A staff file (DOH: 9/8/15) did not contain documentation of annual training completed for 9/8/16 - 9/7/17. Review of ECE-TRIS, revealed that the staff member had only completed six (6) of the required fifteen (15) hours of annual training for 9/8/16 - 9/7/17. The Director stated she was aware that staff had not completed the PAHT training every five (5) years. The Director reported that that all staff should have all annual training hours as they had transferred from other centers under the Monroe Co. Board of Education. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not Applicable Equipment In Compliance Transportation Not Applicable 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 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on review of documentation and interview, the surveyor was not presented with a written organization chart/chain of command for review. Upon interview, the Director reported she did not have the chain of command documented at the center location but it could be at her office location. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation and interview, the following were found: 1. A staff file (DOH: 11/1/10) presented for review contained a professional development plan that was last updated on 8/11/16; therefore, the professional development plan was not updated annually as required. 2. A staff file (DOH: 3/10/16) presented for review contained a professional development plan that was last updated on 8/11/16; therefore, the professional development plan was not updated annually as required. 3. A staff file (DOH: 7/11/11) presented for review contained a professional development plan that was last updated on 8/11/16; therefore, the professional development plan was not updated annually as required. 4. A staff file (DOH: 9/8/15) presented for review contained a professional development plan that was last updated on 8/11/16; therefore, the professional development plan was not updated annually as required. The Director stated that she was aware that professional development plans had not been updated.

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, the surveyor was not presented with documentation of monthly fire drills for October and November of 2017. Upon interview, staff reported that the drills had not been conducted.

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 and interview, the surveyor was not presented with documentation of monthly fire drills for October and November of 2017. Upon interview, staff reported that the drills had not been conducted. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.