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

General: Based on review of documentation, staff members hired 8/1/2019, and 9/1/2018, did not have documentation of negative T.B. results on file that had been obtained within the past two years. 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 In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, Benadryl was found in a medical box in Classroom 2, a permission for administration form could not be located for the child for whom the medication belonged to. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on review of documentation, staff member hired 10/20/2021, had evidence of living in Connecticut within the past five years. There was no evidence that an out of state background check, central registry check, and sex offender registry check had been submitted or completed for this individual. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

922 KAR 2:280 · Correction status not published

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

General: Based on review of documentation, staff members hired 10/20/2021 and 8/9/2021, did not have proof of educational qualifications in their personnel files.

922 KAR 2:090 · Correction status not published

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

General: Based on review of documentation, a staff member hired 10/20/2021, did not have a negative tuberculin skin result, nor a physician’s statement clearing this individual of active tuberculosis in their personnel file. Programming In Compliance Premises In Compliance Hygienic Practices Not In Compliance

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

General: Based on review of documentation, this regulatory requirement was not met. During a tour of the basement classroom currently being used for toddler aftercare (3:00PM - 5:30PM), the surveyor found that hand-washing procedures were posted in the diaper changing area; however, the proper methods of diapering were not posted. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Emergency Regulation In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, this regulatory requirement was not met. A review of staff files during the inspection found one staff person that did not have the date of employment listed in their file. The staff person in charge reviewed information in her files and then verbally identified the date - 8/17/20 as the staff person's hire date. However, the date of hire was not maintained in the personnel 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 Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on observation, this regulatory requirement was not met. A tube of A & D diaper ointment in the toddler aftercare classroom was not labeled with a child's name. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on Review of Documentation, staff with hire date of 08/06/2015 did not have required number of training hours on file or on TRIS. Programming In Compliance Premises Not In Compliance

922 KAR 2:090 · Correction status not published

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

General: Based on Observation, one tile in toddler one room was bowed in a walking area. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment In Compliance Transportation Not Applicable Food Service/Food Program Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

922 KAR 2:120 · Correction status not published

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

General: Based on Observation, it was found that the 3:00 classroom and the Toddler Loft did not have a schedule of daily activities posted. The schedules of daily activities in Classroom 1, Classroom 2 and Classroom 3 were found to not be dated. Animals In Compliance

922 KAR 2:110 · Correction status not published

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

General: Based on Observation, it was found that an unlocked drawer in Classroom 3 contained drill bits, two (2) screwdrivers, needlenose pliers, a hammer and multiple screws. The drawer was located in an area that was accessible to the children.

922 KAR 2:120 · Correction status not published

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

General: Based on Review of Documentation, it was found that the ECE-TRIS records and files for employees hired on 9-2-02 and 10-1-06 contained evidence of only ten (10) and thirteen (13) hours of annual training being completed during the last completed training year. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming In Compliance Premises Not In Compliance

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, it was found that the file for an employee hired on 8-29-16 contained criminal records checks run by Morehead State University and Sentry Link, an online company. The file did not contain a criminal records check that had been requested by the facility. This employee reportedly does not work alone with the children.

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, there was one (1) child's file that did not have a preferred hospital listed. The staff person in charge stated that they implemented a new online form for parents to fill out this information and they were unaware that this one had not been filled out.

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, three (3) staff members had TB skin test documentation from a health care professional dated after their hire dates.

922 KAR 2:110 · Correction status not published

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

General: Based on Review of Documentation, staff member hired on 09/03/13 has lived in New Mexico within the last five years. An out of state background check had not been submitted on that staff person.

922 KAR 2:090 · Correction status not published

922 KAR 2:110 - Section 3

General: Based on Review of Documentation, staff members hired on 08/15/05 and 08/97 did not have a current professional development plan 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 38 Web site: http://chfs.ky.gov/ Inspection Report 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance

922 KAR 2:110 · Correction status not published

922 KAR 2:120 - Section 4

General: Based on Observation, a new separate classroom building was completed for children to use in August 2012 but the cabinet was not notified of this addition of new space. Children and staff are currently utilizing the space. The license capacity is staying the same.

922 KAR 2:120 · Correction status not published

922 KAR 2:110 - Section 4 (1)

General: Based on Review of Documentation, staff members hired on 12/01/09, 09/01, 08/17/10, 08/97 and 09/06 did not have a current evaluation on file.

922 KAR 2:110 · Correction status not published