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License #L359427 · Center · Licensed
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General: Based on review of documentation, a staff member (DOH: 11/17/25) did not have evidence of completing a CPR/First Aid required training on file in the facility. A review of ECE-TRIS system verified this information.
General: Based on review of documentation, a staff member (DOH: 08/01/18) did not have a current TB test or statement from a health professional on file in the facility. The TB test on file expired on 02/21/26.
General: Based on review of documentation, a staff member (DOH: 11/17/25), did not complete the required cabinet-approved orientation training. This staff member has been employed for more than three (3) months. A review of ECE-TRIS system verified this information.
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Generated from this facility's specific inspection record
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 member (DOH: 08/10/22) did not have documentation of education on file at the facility at the time of inspection.
General: Based on review of documentation, the following was found during inspection: 1.) Three (3) children (DOE : 08/14/24, 08/05/24, and 08/14/24 ) did not have an immunization record on file at the time of inspection. 2.) A child (DOE: 08/01/24) did not have an up-to-date record of immunizations on file at the time of inspection. The record on file expired on 08/08/24.
General: Based on review of documentation, a staff (DOH: 08/10/22) did not have a current professional development plan on file at the facility.
General: Based on review of documentation, there was no evidence at the time of survey of a written abuse/neglect policy.
General: Based on review of documentation, there was only a record of one (1) staff meeting being held during the current licensure year; therefore, there was not evidence of recurring staff meetings onsite.
General: Based on observation, the center did not have a current copy of the 922 KAR 2:120 and 922 KAR 2:280 regulations at the time of inspection.
General: Based on review of documentation, the following was found during inspection: 1.) A staff member (DOH: 08/08/23) had TB results on file at the facility; however, the results were dated 08/15/23 which is after the staff was hired. 2.) A staff member (DOH: 08/14/23) did not have documentation of a negative TB test or a statement from a health care professional stating that the staff is free from active tuberculosis on file at the facility at the time of inspection. 3.) A staff member (DOH: 08/13/24) had TB results on file at the facility; however, the results were dated 08/16/23 which is after the staff was hired. 4.) A staff member (DOH: 08/01/23) did not have up-to-date documentation of a negative TB results on file at the facility. The document on file expired on 12/29/24. 5.) A staff member (DOH: 11/29/22) did not have up-to-date documentation of a negative TB results on file at the facility. The document on file expired on 12/07/24.
General: Based on review of documentation, one (1) staff with (DOH 02/13/23) did not have proof of completion of First Aid/CPR training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
General: Based on review of documentation, two (2) staff persons (DOH 08/23/75 and 08/12/2018) did not have documentation of negative TB results on file in the facility that had been obtained within the past two (2) years.
General: Based on review of documentation, three (3) staff, (DOH 08/10/22, 01/20/23, and 08/11/22) did not complete the required fifteen (15) hours of annual training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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, the following was found: 1) Ten (10) children's files with enrollment dates (07/27/23, 07/25/23, 08/23/23, 8/23/23, 4/28/23, 05/29/23, 4/24/23, 4/26/23, 4/28/23, 7/15/22, 05/05/23) did not have a preferred hospital listed. 2) One (1) child with enrollment date 08/23/23 did not have name and contact information of primary physician. Written Documentation Not In Compliance
General: Based on review of documentation, staff hired 08/11/21 and 08/10/22 respectively did not complete the required one (1) hour CPR/First Aid training. These staff members have been employed for more than three (3) months. ECE-TRIS was reviewed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
General: Based on review of documentation, staff hired respectively on 07/19/21 and 01/25/22 did not have the required fifteen (15) hours of cabinet approved training on file. ECE- TRIS was reviewed. 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 In Compliance Written Documentation Not In Compliance
General: Based on review of documentation, there were no current staff evaluations on file. Employee Records Not In Compliance
General: Based on review of documentation, there were no current professional development plans on file.
General: Based on review of documentation, regulation copies 922 KAR 2:090 and 922 KAR 2:280 were not available for review. Employee Records Not In Compliance
General: Based on observation, a flashlight and first aid instruction book were not present at the facility. 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 review of documentation, a staff member hired 2/15/2022, did not have proof of educational qualifications in their personnel file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
General: Based on review of documentation, a staff member hired 8/12/17, completed Pediatric Abusive Head Trauma training on 12/13/16; this training record exceeds five years and is no longer valid. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication Not In Compliance
General: Based on review of documentation, two employees both hired 8/11/2021, one hired 8/10/2021 and one hired 8/15/2021 did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file at the facility.
General: Based on review of documentation, a staff person hired 8/10/2021, did not have documentation of negative T.B. results or a physician's statement on file at the facility that had been obtained within the past two years. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
This renewal application inspection recorded no violations or advisories.
This renewal application inspection recorded no violations or advisories.
This renewal application inspection recorded no violations or advisories.
General: Based on Review of Documentation and interview, the facility failed to submit background checks in accordance with KRS 199.896 (19) which requires criminal records checks to be requested prior to or on the staff person's date of hire. Based on interview, the surveyor found that all the staff with the exception of the director were all re-hired due to renewal of staff contracts. As a result the following was found: twelve (12) staff hired: (6/2/16, 6/7/16, 6/8/16, 6/10/16, (2) 6/10/16, 7/1/16 (3) 8/10/16, and 8/30/16) had the results of criminal records checks dated after their dates of hire. The office staff person stated that the criminal records checks were requested on their date of hire. However, there was no documentation presented in order for the surveyor to verify that the criminal records checks were requested in accordance with KRS 199.896 (19). Additionally, two (2) staff rehired on 6/21/16 and 7/1/16 had Child Abuse/ Neglect checks on file that were requested on 7/11/16 and 8/1/16. This is not in accordance with 922 KAR 1:470 which requires CA/N checks to be requested within five (5) days of hire. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
General: Based on Review of Documentation, a staff person hired on 9/15/16 did not have proof of education on file.
General: Based on Review of Documentation and ECE-TRIS, a staff person hired on 6/8/16 did not have documentation of completing the required six (6) hour orientation training course. The staff person in charge stated that this staff person was a "floater." 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 Not In Compliance
This follow-up inspection recorded no violations or advisories.
General: Based on Review of Documentation, it was found that the facility did not have evidence of the abuse/neglect report procedure. The staff acknowledged this.
General: Based on Observation, it was found that a school age child had left his classroom in the gym and walked up the ramp and around the corner to go to the restroom. The child was not supervised by any staff and was gone for approximately two (2) to three (3) minutes. The staff in charge stated that her staff know that the children are supposed to be supervised and stated that she would discuss supervision with the staff.
General: Based on Review of Documentation, it was found that the facility did not have an orientation procedure. The staff in charge acknowledged this.
General: Based on Review of Documentation, it was found that four (4) staff files out of sixteen (16) staff files reviewed did not have evidence of proof of education. The dates of hire for the staff were 08/13/2015, two staff with a hire date of 11/01/2015 and a staff person with a hire date of 02/17/2015. The staff in charge acknowledged this.
This change of space/change in capacity inspection recorded no violations or advisories.
General: Based on Review of Documentation and interview, it was found that the hire dates for three (3) employees were not available in the files. The staff person in charge stated that they all started on the first day of school and then identified 8/13/14 as the hire date for all three (3) staff.
General: Based on Review of Documentation, the facility failed to meet this regulatory requirement. Two (2) children (both enrolled 8/2014) had immunization certificates on file that were no longer current as of 9/2014 and 9/30/14.
General: Based on Review of Documentation, the following was found: 1. Three (3) staff files (hire dates: 4/4/13, 11/25/13 and 8/13/14) did not contain evidence of the six (6) hours of cabinet-approved training being completed within the first three (3) months of employment. 2. Four (4) staff files (all hired on 8/11/11) did not contain the required fifteen (15) hours of training.
General: Based on Interview, the facility failed to meet this regulatory requirement. At the time of the survey the staff person in-charge identified herself as the director and stated that the previous director is now a substitute staff person. The staff person in-charge stated that the change was effective 8/2014. This change was not reported to the cabinet.
General: Based on Review of Documentation, the facility did not have a written policy specifying that the procedures that were taught at the orientation training be implemented by each child care staff person.
General: Based on Review of Documentation, the facility did not have this specific written procedure for staff. 195 - Requirements for Nontraditional Care Not Applicable 922 KAR 2:120. Section 2. Child Care Services. (11) If nontraditional hours of care are provided: (a) Including time spent in school, a child shall not be permitted to spend more than sixteen (16) hours in the child-care center during one (1) twenty-four (24) hour period; (b) At least one (1) staff member shall be assigned responsibility for each sleeping room; (c) A child present for an extended period of time during waking hours shall receive a program of well-balanced and constructive activity that are developmentally appropriate for the child; (d) A child sleeping three (3) hours or more shall sleep in: 1. Pajamas; or 2. A nightgown; (e) If a child attends school from the child-care center, the child shall be offered breakfast;
General: Based on Review of Documentation, the following was found: 1. Information on the Kentucky Consumer Product Safety Program and the program's website was not posted. 2. The statement of deficiencies and plan of correction form a 3/27/13 relicensure inspection was not posted.
General: Based on Review of Documentation, a staff person hired on 8/1/11 did not have a professional development plan on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 40 Web site: http://chfs.ky.gov/ Inspection Report 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 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; 3) Previous State of Residence Not Applicable 4) Current State other than KY Not Applicable
General: Based on Review of Documentation, two (2) staff hired on 2/25/13 did not have on file evidence of being free of tuberculosis. 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 Not In Compliance Findings: General: Based on Review of Documentation, there was no documentation on file that a staff person with CPR was present with the children on Mondays and Wednesdays. Also, from 2:30 PM to 3:00 PM on Tuesdays, Thursdays, and Fridays. 2) First Aid Not In Compliance Findings: General: Based on Observation, there was no documentation on file that a staff person with first aid was present with the children on Mondays and Wednesdays. Also, from 2:30 PM to 3:00 PM on Tuesdays, Thursdays, and Fridays. 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 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 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 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 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
General: Based on Review of Documentation, it was found that the files for two (2) employees hired on 8-11-11 contained the results of negative TB skin tests that were read on 8-15- 11. This date is not prior to date of hire as required. In addition, the file for another employee hired on 8-11-11 did not contain the results of a negative TB skin test. 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 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 Not In Compliance Findings: General: Based on Review of Documentation, it was found that nine (9) employees hired on 8-11-11 did not complete the six (6) hours of cabinet-approved orientation training until 2- 25-12. Four (4) other employees hired on 8-11-11 did not complete the six (6) hours of cabinet-approved orientation training until 3-10-12. These dates are not within the ninety (90) day timeframe required by the regulation. 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. 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 41 Web site: http://chfs.ky.gov/ Inspection Report 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
General: Based on review of documentation, the following was found during inspection: 1.) A staff member (DOH: 08/13/24) did not complete the required orientation training and has been employed for more than three (3) months. 2.) A staff member (DOH: 05/15/22) last completed pediatric abusive head trauma (PAHT) training on 12/12/19; however, did not renew the training due 12/12/24. 3.) Two (2) staff members (DOH: 08/08/23 and 08/01/24) did not have the required fifteen (15) hours of annual training. A review of ECE-TRIS confirmed these findings.
General: Based on review of documentation, there was not an updated written chain of command presented at the time of inspection.
General: Based on observation, the center license, ratios, child and parent rights, and information on the Kentucky Consumer Product Safety Program were not posted for review at the facility at the time of inspection.
General: Based on review of documentation, the required monthly fire drill was not completed for month of December. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation In Compliance Animals Not Applicable
General: Based on review of documentation, the following was found: 1) There were no children's names listed who participated in each drill. 2) There were no fire drills conducted between August and October of 2022. 3) According to the facility documentation, there was no earthquake or tornado drill conducted during July-September 2022. Posted Documentation In Compliance Animals Not Applicable
General: Based on review of documentation, two children enrolled on 9/2/21 and 10/27/21, had immunization records in their files that were no longer current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance
General: Based on review of documentation, evidence indicating that the emergency preparedness plan had been submitted to the proper emergency management authority was not available for review for the 2022 school year. Posted Documentation Not In Compliance
General: Based on observation and review of documentation, the statement of deficiency and corresponding plan of correction from the renewal inspection conducted on 08/24/2021, was not posted for public inspection. Animals In Compliance
General: Based on Review of Documentation, the statement of deficiencies/ plan of corrections dated 2/24/16 was not posted. The staff person in charge posted the document during the inspection. Animals Not Applicable
General: Based on Review of Documentation, three (3) staff had TB documentation on file that was completed after their date of hire as follows: One (1) staff hired on 8/1/16 had TB documentation dated 8/11/16 and two (2) staff hired on 6/10/16 had TB skin documentation dated 8/8/16 and 8/1/16.
General: Based on Review of Documentation, one (1) child (enrollment date: 8/10/16) had immunization documentation on file that was no longer valid as of 8/30/16. A second child (enrollment date: 8/10/16) had immunization documentation on file that did not have a date; therefore, the surveyor could not determine if the child's immunizations were current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report
General: Based on Review of Documentation, out of ten (10) children's files reviewed, one (1) child's enrollment information did not include the child's physician contact information or the parent's preferred hospital information. Written Documentation Not In Compliance
General: Based on Review of Documentation and interview, the facility did not have an emergency evacuation plan in accordance with KRS 199.895. The facility had documentation of an emergency policy set forth by the public school system. However, the documentation did not include an alternate location in case of needing to evacuate the premises or a date of when it was submitted to a local emergency management official. Posted Documentation Not In Compliance
General: Based on Review of Documentation, it was found that three (3) staff files with hire date of 08/13/2015 and two (2) with hire dates of 11/01/2015 did not have evidence of a child abuse and neglect check or records that one had been requested. It was also found that five (5) staff files all with the same hire date of 08/13/2015 did not receive a completed child abuse and neglect check until 09/29/2015. These instances are not in accordance with 922 KAR 1:470 which states that a request for a central registry check must be submitted within five (5) working days after the date of employment of an individual. It was found that two (2) staff files with hires dates of 02/17/2015 and 11/01/2015 did not have evidcne of a criminal records check. It was also found that a staff person with a hire date of 08/13/2015 did not receive a completed criminal records check until 11/20/2015. These instances are not in accordance with KRS 17.165 which requires that application for the criminal record of a probationary employee be made no later than the date probationary employment begins. The staff in charge acknowledged this. None of these staff were observed to be working alone.
General: Based on Review of Documentation, it was found that three (3) staff files did not have evidence of the six (6) hours of cabinet-approved orientation training within the first three (3) months of employment. The dates of hire for the staff were two with the hire date of 08/13/2015 and one with a hire date of 11/01/2015. It was also found that four (4) staff files did not have evidence of the fifteen (15) hours of cabinet-approved early care and education training during each subsequent year of employment. The dates of hire for the staff were 08/14/2013 and three (3) staff with a hire date of 08/11/2011. A review of ECE-TRIS confirmed this. The staff in charge also acknowledged this. 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, it was found that four (4) staff files reviewed did not have evidence of an annual written performance evaluation. The staff in charge acknowledged this.
General: Based on Review of Documentation, it was found that the facility did not have evidence of liability insurance. The staff in charge acknowledged this.
General: Based on Review of Documentation, it was found that one (1) staff file did not have evidence of a professional development plan. The staff in charge acknowledged this.
General: Based on Review of Documentation, it was found that four (4) staff files out of sixteen (16) staff files reviewed did not have a completed TB skin test. The dates of hire for the staff were 08/13/2015, 11/01/2015, 08/11/2011 and 08/14/2013. It was also found that one (1) staff file did not obtain a TB skin test until 09/11/2015. The date of hire for the staff person was 08/13/2015. The staff in charge acknowledged this.
General: Based on Review of Documentation, it was found that there were no musical materials available for the children in the after school program and musical activities was not listed on the lesson plan.
General: Based on Review of Documentation, it was found that the facility did not have evidence of a current evacuation plan. The staff in charge acknowledged this.
General: Based on Review of Documentation, it was found that the facility did not have a chain of command. The staff in charge acknowledged this.
General: Based on Review of Documentation, the facility failed to meet this regulatory requirement. Thirteen (13) staff records were reviewed. Seven (7) staff members eligible for an annual performance review did not have documentation of a current review on file.
General: Based on Review of Documentation, and interview, the following was found: 1. Two (2) staff files (both hired on 8/13/14) did not contain evidence or results of a criminal records check (CRC). The staff person in charge stated that this documentation was at their central office location. 2. One (1) staff file (hire date: 8/13/14) did not contain evidence or results of a child abuse/neglect check (CAN). The staff person in charge stated that this documentation was at their central office location. The staff person in charge stated that all three (3) of these staff (herself included) work with groups of children alone and indicated that this occurs towards the end of the day when the number of children present drops.
General: Based on Review of Documentation, and interview, the following was found: 1. Two (2) staff files (both hired on 8/13/14) did not contain evidence or results of a criminal records check (CRC). The staff person in charge stated that this documentation was at their central office location. 2. One (1) staff file (hire date: 8/13/14) did not contain evidence or results of a child abuse/neglect check (CAN). The staff person in charge stated that this documentation was at their central office location. The staff person in charge stated that all three (3) of these staff (herself included) work with groups of children alone and indicated that this occurs towards the end of the day when the number of children present drops.
General: Based on Observation, and interview, the facility failed to meet this regulatory requirement. At the time of the visit the surveyor observed a basket of Nutri-grain bars and pitchers of water sitting out on a table in the cafeteria. The staff person in charge identified these two (2) items as the food and drink that was served to the children on the day of the inspection. This falls short of the required two (2) components for snack.
General: Based on Review of Documentation, the facility failed to meet this regulatory requirement. Thirteen (13) staff records were reviewed. Seven (7) staff members did not have evidence of a current staff professional development plan on file in the facility.
General: Based on Review of Documentation, the following was found: 1. Four (4) employee files (hire dates: 2/25/13 and 3 on 8/11/11) contained results of a negative T.B. test that was no longer current. The tests were dated 7/26/11, 8/5/11, 8/8/11 and 3/24/09 which exceeds the two (2) year time frame. 2. One (1) employee did not have evidence of a negative TB skin test or physician's statement documenting he/she was free from tuberculosis prior to employment. The employee was hired on 8/14/13; however, did not have a TB skin test until 7/16/13.
A PLAN OF CORRECTION WAS DUE ON 09 Apr 14 AND AS OF 28 Apr 14, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.
General: Based on Interview, the facility failed to meet this regulatory requirement. The staff person in charge stated that she had not obtained a current copy of the regulations.
General: Based on Review of Documentation, the following was found: 1. Three (3) staff files (hire dates: 4/4/13, 11/25/13 and 8/14/13) did not contain evidence of the six (6) hours of cabinet-approved training being completed within the first three (3) months of employment. 2. Seven (7) staff files (all hired 8/11/11) did not contain the required fifteen (15) hours of 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
General: Based on Review of Documentation, it was found that the files for two (2) children enrolled on 8-11-11 contained immunization certificates that expired on 8-30-11 and 11-1- 11.