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

General: Based on review of documentation, it could not be verified that one (1) staff member (DOH: 08/25/25) had proof of education via a high school diploma, Commonwealth Child Care Credential, GED or an equivalent.

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, it could not be verified that two (2) staff members (DOH: 01/27/25 and 08/25/25) were free from active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) It could not be verified that three (3) staff members (DOH: 08/30/23, 08/22/23, and 06/05/23) completed fifteen (15) hours of annual training. 2) It could not be verified that one (1) staff member (DOH: 08/30/23) completed pediatric abusive head trauma training (PAHT).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, it could not be verified that two (2) children (DOE: 08/15/25 and 08/15/25) had current immunizations.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, one child's file (DOE: 08/15/25) did not contain an identified physician or physician contact information.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on a review of documentation, the following information was found: 1. Three (3) children's records (DOE: 08/15/24, 08/21/23, and 10/17/23) contained expired immunization certificates. 2. A child's enrollment record (DOE: 08/12/24) did not contain an immunization certificate.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on a review of documentation, the following was found: 1. Three (3) children's records (DOE: 08/21/23, 08/12/24, and 08/12/24) did not contain a preferred hospital. 2. One (1) child's record (DOE: 08/12/24) did not contain emergency authorization.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on the interview and review of documentation, daily planned activities were not posted in the Pre-K and Preschool classrooms. The staff member in charge acknowledged this deficiency.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, current verification of compliance with the fire marshal was not available as the most current fire marshal visit was dated 12/11/2017. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification of recurring staff meetings. Based on the interview, there was one meeting dated 08/28/2023 recorded. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 11. Staff Requirements.

General: Based on interview and review of documentation, two (2) staff members (DOH: 08/01/2022 and 08/30/2023) did not have evidence of educational qualifications in their personnel file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, one (1) staff member (DOH: 08/16/2021) had negative tuberculin skin results on file that exceeded two years, and therefore were no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the following was found: 1. The staff in charge was unable to provide verification that two (2) staff members (DOH: 09/18/1998 and 08/16/2021) had meet the requirement of fifteen (15) hours of cabinet- approved early care and education training during each subsequent year of employment; 2. One (1) staff member (DOH: 09/18/1998) had not updated their Pediatric and Head Trauma training, 3. Verification of six (6) hours of cabinet-approved orientation, completed in the first three (3) months of employment, was not presented for review for two (2) staff members (DOH: 08/30/2023 and 06/05/2023). 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's 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 9. Records.

General: Based on interview and review of documentation, the files for three children (DOE: 01/03/2024, 09/20/2023, and 08/18/2023) listed a non-existent hospital, Kosair Children's Hospital, as their preferred hospital. 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 6. License Issuance.

General: Based on review of documentation, there was not a current copy of the liability insurance available for review. The insurance on file had expired. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the staff person in charge was unable to locate any documented staff meetings. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, staff hired 08/16/2021, did not complete the required CPR/First Aid training. The staff member has been employed for more than three months. The ECE-TRIS system was reviewed and confirmed this finding. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) Staff hired 08/16/2021, did not complete the required orientation training. The staff member has been employed for more than three months. 2) Staff hired 08/06/12, 09/18/98, and 08/16/21, did not have the required fifteen (15) hours of cabinet-approved training on file. 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 In Compliance Written Documentation 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 5. Evacuation Plan.

General: Based on review of documentation, the emergency preparedness plan was not submitted to the local Kentucky Emergency Management office for the 2023 year.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the staff person in charge was unable to locate any of the fire, tornado, and earthquake drills conducted at the facility. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation during a tour of the playground, the surveyor found that the mulch was very thin and dirt could be easily seen through the mulch. 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

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation presented, the surveyor found the following: 1. A staff member's (DOH: 09/18/1998) latest evaluation was dated 09/15/2020. During interview, it was confirmed the file did not contain an updated evaluation. 2. A staff member's (DOH: 05/29/2019) file did not contain an annual written performance evaluation. During interview, it was confirmed that the file did not contain an evaluation. 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 11. Staff Requirements.

General: Based on review of documentation presented, the surveyor found the following: 1. A staff member’s (DOH: 08/06/2013) file did not contain an updated statement from a health professional that the individual was free of active tuberculosis or an updated copy of negative tuberculin results. Staff member’s latest statement on file was dated 08/14/2019. 2. A staff member’s (DOH: 05/29/2019) file did not contain an updated statement from a health professional that the individual was free of active tuberculosis or an updated copy of negative tuberculin results. Staff member’s latest statement on file was dated 05/13/2019. 3. A staff member’s (DOH: 09/03/2019) file did not contain an updated statement from a health professional that the individual was free of active tuberculosis or an updated copy of negative tuberculin results. Staff member’s latest statement on file was dated 09/27/2019.

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 provided and review of ECE-TRIS, the surveyor found the following: 1. A staff file (DOH: 09/18/1998) did not contain documentation of the completion of fifteen (15) hours of annual training for 07/01/2020 through 06/30/2021. Review of ECE-TRIS, revealed that only fourteen (14) hours of annual training had been completed. 2. A staff file (DOH: 09/03/2019) did not contain documentation of the completion of fifteen (15) hours of annual training for 07/01/2020 through 06/30/2021. Review of ECE-TRIS, revealed that only seven and a half (7.5) hours of annual training had been completed. During interview, it was confirmed the training was not completed. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation during a tour of the playground, the surveyor found the following garbage and debris outside of and on the playground: 1. Three (3) masks were on the outside of the playground fence in the walking path. 2. A water bottle was on the ground, by the fence, in the walking path. 3. An empty Squeeze-it drink container was on the ground, by the fence, in the walking path. 4. Seven (7) face masks were found on the playground. 5. A plastic water bottle and a plastic straw were found on the playground. 6. A plastic container of organic apple juice was found on the playground. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. The file for a child (DOE: 08/19/2021) did not contain an immunization certificate or a medical exemption form (IMM-2) from their physician or local health department. 2. The file for a child (DOE: 08/20/2021) did not contain an immunization certificate or a medical exemption form (IMM-2) from their physician or local health department. 3. The file for a child (DOE: 08/18/2021) did not contain an immunization certificate or a medical exemption form (IMM-2) from their physician or local health department. 4. The file for a child (DOE: 08/19/2021) did not contain an immunization certificate or a medical exemption form (IMM-2) from their physician or local health department. 5. The file for a child (DOE: 08/20/2021) did not contain an immunization certificate or a medical exemption form (IMM-2) from their physician or local health department. During interview, staff verified that there were no certificates or exemptions found in the children’s files.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation presented, one (1) child’s file (DOE: 08/15/2021) did not contain the name of each person who was designated to pick-up the child. During interview, staff verified that there were no persons listed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation presented, the surveyor found the following: 1. A staff member's (DOH: 09/18/1998) file contained a professional development plan dated 09/15/2020. During interview with staff, it was confirmed that the file did not contain an updated professional development plan. 2. A staff (DOH: 08/06/2013) member’s file contained a professional development plan dated 09/12/2020. During interview, it was confirmed the file did not contain an updated professional development plan. 3. A staff member's (DOH: 05/29/2019) file did not contain an annual professional development. interview confirmed the file did not contain an annual professional development plan. 4. A staff member's (DOH: 09/03/2019) file contained a professional development plan dated 09/15/2020. During interview, it was confirmed the file did not contain an updated professional development plan.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation presented, the surveyor found no verification that the staff and children practiced earthquake, fire, and tornado drills during 2021. During interview, staff stated they were done; however, no documentation was completed and on file.

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 presented, the surveyor found the 2020 fire drills were not documented. During interview, staff stated they were conducted done but documentation was not completed. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that more than one (1) staff meeting had been conducted and documented in writing within the last year. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present verification that the record for the employee with the hire date of 08/25/2020 contained a copy of a High school diploma, GED or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not present for review verification that the daily activity of programming that was posted in writing had been updated to reflect the current week and included the activities that are individualized and developmentally appropriate for classroom 2. Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the back wall in classroom 2 had several areas where the paint had peeled and the paint was flaking. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.

General: Based on interview and review of documentation, the staff in charge did not present verification that the child care center had a current food service permit. The permit was dated for 2019. Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on interview and review of documentation, the staff in charge did not provide verification that the records for three(3) children enrolled on 8/26/2020 contained a current immunization certificate. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on interview and review of documentation, the staff in charge did not present verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been submitted to the local emergency management team within the last year. The plan presented was dated for 2012. Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation, the center failed to comply with the regulatory requirements specific to the storage of personal bedding as established in 922 KAR 2:405e. There were several blankets located in classroom 2 that were overlapping in their individual bins touching another child's personal belongings.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulations for background checks. Upon review of presented staff files and the KARES surveyor report revealed a staff member with the hire date of 10/10/2017 did not contain a determination of clearance from the National Background Check Program (NBCP). It was observed that this aforementioned staff member was working alone in the in the reading area with eleven (11) three-and-four-year-old children on the date of survey for an undetermined amount of time. Interview with the staff in charge revealed the National Background Check Program, (NBCP) had not been initiated for the aforementioned staff member. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulations for background checks. Review of presented staff files and the KARES surveyor report revealed the file for a staff member with the hire date of 10/10/2017 did not contain a determination of clearance from the National Background Check Program, (NBCP). It was observed that this aforementioned staff member was working alone in the in the reading area with eleven (11) three and four-year-old children on the date of survey for an undetermined amount of time. Interview with the staff in charge revealed the National Background Check Program (NBCP) had not been initiated for the aforementioned staff member. Supervision Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to comply with regulations for supervision. Upon entry into the child care center a four-year-old child opened the stairwell door. Observation revealed the four-year-old child was alone with no supervision in the hallway. A staff member acknowledged that the four-year-old walked away from the group outside of the classroom into the hallway. Staffing Requirements In Compliance General Administration Discussed Director Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to comply with regulations for background checks. Upon review of presented staff files and the KARES surveyor report revealed a staff member with the hire date of 10/10/2017 did not contain a determination of clearance from the National Background Check Program, (NBCP). It was observed that this aforementioned staff member was working alone in the in the reading area with eleven (11) three and four-year-old children on the date of survey for an undetermined amount of time. . Interview with the staff in charge revealed the requested documentation was unavailable at the time of survey. Further interview revealed the staff in charge acknowledged that the National Background Check Program, (NBCP) had not been initiated for the aforementioned staff member. Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed two (2) staff members with the hire dates; 10/10/2017 and 9/18/2018, failed to have record of a tuberculin results or a statement from a health professional that the individual is free of active tuberculosis on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the child care center failed to comply with regulations regarding programming. Interview with multiple sources revealed a staff member was loud and on occasion did yell at children for discipline. Written Documentation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory requirements regarding background checks. Review of the KARES database revealed a staff member with a hire date of 10/10/17 was listed as an active employee. Interview with the staff member in charge revealed that the aforementioned staff member was no longer used as a substitute. The staff member in charge acknowledged that the employment status of the aforementioned staff member was not changed to "separated" upon the decision to no longer use the staff member as a substitute. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to assure compliance with regulatory requirements. Upon request, the staff member in charge did not present verification that an annual written performance evaluation had been conducted for a staff member with a hire date of 10/27/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 11. Staff Requirements.

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that the files for staff members with hire dates of 5/29/19 and 8/12/19 contained a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that the files for staff members with hire dates of 10/27/17 and 5/29/19 contained a current statement from a health professional that the individuals are free of active tuberculosis; or a copy of negative tuberculin results. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. Upon request, the staff member in charge did not present verification that the file for a child with an enrollment date of 8/19/19 contained a preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 10/22/96 whose file did not contain a current signed annual evaluation. Upon request, the director did not present the documentation at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center director failed to assure compliance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 10/10/18 with a PPD Skin Test document that was visibly aligned with a PPD Skin Test document for another staff member with hire date 10/27/18. Review of the PPD Skin Test documents revealed two (2) tuberculin skin test certificates that if aligned one on top of the other appear to be exact duplicates. Continued review of both certificates revealed the typed and hand-written information on both certificates appears to be the exact same with the exception of one of the certificates lists “Time” as 1:00pm. Further review of the document revealed that the second box under “Ask Patient Following Questions Before PPD Placement” was drawn on the form. Interview with a representative from The Little Clinic on 8/20/18 revealed the PPD Skin Test for the staff member with hire date 10/10/18 was invalid. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 11. Staff Requirements.

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 10/10/18 with a PPD Skin Test document that was visibly aligned with a PPD Skin Test document for another staff member with hire date 10/27/18. Review of the PPD Skin Test documents revealed two (2) tuberculin skin test certificates that if aligned one on top of the other appear to be exact duplicates. Continued review of both certificates revealed the typed and hand-written information on both certificates appears to be the exact same with the exception of one pf the certificates lists “Time” as 1:00pm. Further review of the document revealed that the second box under “Ask Patient Following Questions Before PPD Placement” was drawn on the form. Interview with a representative from The Little Clinic on 8/20/18 revealed the PPD Skin Test for the staff member with hire date 10/10/18 was invalid.

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 and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 8/13/98 whose file did not contain documentation to verify completion of the required fifteen (15) hours of cabinet approved training. Review of ECE-TRIS verified that the staff member did not complete the fifteen (15) hours of cabinet approved training. Upon request, the director did not present training documentation for the aforementioned staff member at the time of the survey. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. The toilet located in the first stall in the bathroom would not flush at the time of the survey. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed children with enrollment dates 8/12/18 and two (2) with the same enrollment date of 8/16/18 whose files did not contain a current immunization certificate. Upon request, the director did not present current immunization certificates for the aforementioned children at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the presented children’s records revealed children with enrollment dates 5/11/18 and three (3) with the same enrollment date of 8/16/18 whose files did not contain the name of the preferred hospital. Upon request, the director did not present the documentation for the aforementioned children at the time of the survey. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the child care center failed to post documentation in accordance with regulatory requirements. A description of services provided by the child care center including current rates for child care and each service charge separately and in addition to the basic rate for child care was not posted in a conspicuous place at the time of the survey. Animals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on review of documentation and interview, the child care center failed to comply with regulatory requirements regarding animals. Review of the presented children’s records revealed three (3) children with the same enrollment date of 8/16/18 whose files did not contain a written parental consent for the fish. Upon request, the director did not present written parental consent for the aforementioned children at the time of the survey.

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 child care center director failed to assure compliance with regulatory requirements. Review of presented documentation and interview revealed there was not documentation of staff meetings in writing.

Open Not marked corrected in the state record

Category: recordkeeping. 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 child care center director failed to assure compliance with regulatory requirements. Review of staff files and interview revealed the center failed to have a current annual written performance evaluation on file at the time of survey for a staff member with the hire date 10/22/96.

Open Not marked corrected in the state record

Category: recordkeeping. 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 child care center director failed to assure compliance with regulatory requirements. Review of presented staff files revealed a criminal record check that was submitted and completed on 10/27/17 for a staff member with the hire date 8/18/17; therefore, the criminal record check was not submitted by the first day of employment. Continued review of presented staff files revealed a child abuse and neglect check (CAN) that was submitted on 10/4/17 and completed on 10/23/17 for the staff member with the hire date 8/18/17; therefore, the CAN check was not submitted within five (5) working days after the hire date. Interview with the staff member revealed during the time before both background checks were returned to the child care center with no findings she had occasionally been alone with children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed a criminal record check that was submitted and completed on 10/27/17 for a staff member with the hire date 8/18/17; therefore, the criminal record check was not submitted by the first day of employment. Continued review of presented staff files revealed a child abuse and neglect check (CAN) that was submitted on 10/4/17 and completed on 10/23/17 for the staff member with the hire date 8/18/17; therefore, the CAN check was not submitted within five (5) working days after the hire date. Interview with the staff member revealed during the time before both background checks were returned to the child care center with no findings she had occasionally been alone with children. Review of presented staff files revealed a criminal record check that was submitted and completed on 10/27/17 for a staff member with the hire date 8/16/17; therefore, the criminal record check was not submitted by the first day of employment. Continued review of presented staff files revealed a child abuse and neglect check (CAN) that was submitted on 10/4/17 and completed on 10/23/17; therefore, the CAN check was not submitted within five (5) working days after the hire date. Interview with the staff member revealed she had never been alone with children until the return of the background checks.

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 child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files, ECE TRIS and interview revealed a staff member with the hire date 8/1/96 did not have written documentation confirming Fifteen (15) hours of cabinet-approved early care and education training had been completed at the time of the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the playground revealed a yellow slide and a blue slide with places where the ground was exposed; therefore, there was insufficient protective surfacing at the time of the survey. Equipment In Compliance Transportation In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Children's Records Not In Compliance

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 child care center failed to maintain children’s records in accordance with regulatory requirements. Review of children’s files and interview revealed there was not on file a current immunization certificate for three (3) children with the enrollment dates 8/22/17, 8/23/17 and 8/24/17 at the time of the survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of ten (10) children’s files and interview revealed a child’s file that did not contain the parents preferred hospital, the child’s family physician information, the child’s general health status and medical history, and the name and phone number of each person to be contacted in an emergency situation involving the child. Written Documentation Not In Compliance

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 child care center failed to maintain written documentation in accordance with regulatory requirements. Review of presented staff files and interview revealed a staff member with the hire date 10/22/96 file did not contain an annual professional development plan.

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 child care center failed to maintain written documentation in accordance with regulatory requirements. Review of earthquake and tornado drills revealed the child care center failed to have written documentation of the drills for 2017. Interview with the director revealed the drills had been conducted but not documented with the date, time and children who participated.

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 child care center failed to maintain written documentation in accordance with regulatory requirements. Review of fire drills revealed the child care center failed to have written documentation of the drills for 2017. Interview with the director revealed the drills had been conducted but not documented with the date, time and children who participated. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center director failed to comply with regulatory requirements . Based on a review of documentation, a record verifying the director had conducted, managed and documented staff meetings was unavailable at the time of the survey. Employee Records In Compliance Programming 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, the child care center failed to comply with regulatory requirements. Based on a review of the submitted insurance policy, the policy had expired on 07/01/16.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements. Based on a review of documentation, the child care center failed to request a change in services, specifically regarding transportation. Based on a review of documentation, a field trip was conducted in October for a trip to Huber's. Based on further review, transportation services had not been approved prior to the trip. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements regarding programming. Based on a review of documentation in the school age room, a daily planned program failed to be posted in a conspicuous place with each age group and followed : of activities that are individualized and developmentally appropriate for each child served, that provides experience to promote the individual child's physical, emotional, social and intellectual growth and well-being and offers a variety of creative activities including: art, music, dramatic play, stories and books, science, block building, tactile activity, culture, indoor and outdoor activities, and a balance of quiet and active play. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to comply with regulatory requirements regarding medication. Based on observation, medication including an 18 ounce aerosol container of Ventolin HFA, and a 4 ounce bottle of Children's Allergy Relief failed to be stored in a locked place and out of the reach of children. Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation, seventeen (17) children were observed in a Pre-School room napping, with mats touching, failing to be spaced 12 inches apart to allow for free and safe movement by a person. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on Observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Based on observation, a wooden lid to a sand table had a corner which was observed to be damaged, causing the wood to splinter and be in disrepair. Transportation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Based on a review of documentation, the child care center failed to be licensed and approved by the cabinet prior to transporting a child, and have a written plan that details the type of transportation, staff schedule, transportation schedule, and transportation route, and have written policies and procedures including emergency procedures practices monthly by staff that transports children.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Based on a review of documentation, the child care center failed to notify the cabinet or its designee in writing of the type of transportation offered and the type of vehicle used for transportation, prior to transporting a child.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Based on a reivew of documentation, the child care center failed to notify the cabinet prior to transporting a child, a plan for ensuring staff perform duties relating to transportation properly.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the child care center failed to assure compliance with regulatory requirements regarding transportation. Based on a review of documentation, the child care center failed to provide documenation revealing full insurance coverage. Based on further review of the document revealed the insurance had expired in 03/15/16 (which was prior to the trip in October 2016.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Based on a review of documentation, the child care center failed to notify the cabinet, policies and procedures relating to an emergency plan for evacuating the vehicle. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the child care center failed to assure compliance with regulatory requirements regarding transportation. Based on a review of documentation, the child care center failed to notify the cabinet of the center's safety procedures for: transporting a child, loading and unloading a child, and providing adequate supervision of a child.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, the child care center failed to assure compliance with regulatory requirements regarding transportation. Based on a review of documentation, the child care center failed to record in writing the first and last name of the child transported; and the time each child gets on and off the bus, and be completed by a staff member other than the driver and be kept for 5 years. Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. Based on a review of ten (10) children's files, five (5) of the files failed to contain a current immunization certificate.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. Based on a review of documentation, ten (10) children's files were reviewed. Review of the files determined that none of the files contained documentation of the child's date of enrollment or a preferred hospital listed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on Review of Documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of documentation, the center failed to have a written evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care in accordance with KRS 199.895

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Based on a review of documenation, a policy stating the procedures that were taught during the orientation training would be implemented by the child care center's staff members was not available for review at the time of the survey. Posted Documentation In Compliance Animals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.

General: Based on Observation, and review of documentation, the child care center failed to comply with regulatory requirements regarding animals. Based on observation, a very large fish aquarium was observed in the hallway leading to all of the classrooms. Based on a review of ten (10) children's files, signed parental permission slips for the children to be in the presence of the fish aquarium was not present in any of the files.

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, the child care center failed to comply with written documentation regulatory requirements. Review of documentation revealed three (3) employees (DOH: 9/7/10, 9/17/13, 8/26/13) did not have a written annual plan for professional development on file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with general administration regulatory requirements. Review of documentation revealed there was no documentation from the State Fire Marshal on file.

Open Not marked corrected in the state record

Category: physical safety. 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 child care center failed to comply with director regulatory requirements. Review of documentation revealed there was no documentation of staff meetings. Interview with the director revealed she had conducted staff meetings but was not able to locate the documentation. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center director failed to comply with director regulatory requirements. Review of documentation revealed three (3) employees (DOH: 9/7/10, 9/17/13, 8/26/13) did not have an annual written performance evaluation on file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with employee records regulatory requirements. Review of documentation revealed an employee with the hire date of 9/18/98 did not have documentation from a health professional to verify that the individual was free from active Tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2. General.

General: Based on Review of Documentation and interview the child care center failed to comply with written documentation regulatory requirements. Review of documentation revealed there were no staff policies on file. Interview with the director revealed she was not able to locate the aforementioned documentation.

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 child care center failed to comply with written documentation regulatory requirements. Review of documentation revealed there were no written records of quarterly practiced earthquake drills and tornado drills detailing the date, time, and children who participated. Interview with the director revealed she was not able to locate the aforementioned documentation.

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 child care center failed to comply with written documentation regulatory requirements. Review of documentation revealed there was no written record of practiced fire drills conducted monthly detailing the date, time, and children who participated. Interview with director revealed she was not able to locate the aforementioned documentation.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with written documentation regulatory requirements. Review of documentation revealed the following was not on file: written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to comply with written documentation regulatory requirements. Review of documentation revealed there was no documentation of any monthly fire drills. Interview with the director revealed she was not able to locate the aforementioned documentation.

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 child care center failed to comply with written documentation regulatory requirements. Review of documentation revealed there was no documentation of quarterly earthquake and tornado drills. Interview with the director revealed she was not able to locate the aforementioned documentation. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to comply with general administration requirements. Review of documentation revealed the center did not have any documentation on file stating the center was in compliance with State Fire Marshal requirements. Interview with the director revealed that the documentation could not be located at the time of inspection.

Open Not marked corrected in the state record

Category: physical safety. 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 director failed to comply with staff evaluation requirements. Review of documentation revealed ten (10) staff members did not have an annual written performance evaluation on file. The aforementioned staff members hire dates are: 10/22/96, 8/1/96, 8/6/13, 9/7/10, 9/18/98, 9/18/13, 11/1/06, 8/26/13, 6/1/98, and 8/11/10. Interview with the director revealed that the aforementioned staff members have not had an annual written performance evaluation.

Open Not marked corrected in the state record

Category: recordkeeping. 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 child care center failed to maintain staff background checks. Review of documentation revealed a staff hired on 8/26/13 had an out of state address listed on her child abuse/neglect check form but did not have an out of state criminal records check on file. Continued review of documentation revealed the aforementioned staff member's schedule documents that she is the only staff assigned to the afterschool school age children. Interview with the director revealed the staff hired on 8/26/13 works alone with the school age children every day and that this staff member currently lives out of state and that an out of state criminal records check was never processed by the center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview the child care center failed to maintain staff background checks. Review of documentation revealed a staff member hired on 9/18/13 did not have a child abuse or neglect check on file at the time of inspection. Continued review of documentation revealed a staff hired on 8/26/13 had an out of state address listed on her child abuse/neglect check form but did not have an out of state criminal records check on file. Further review of documentation revealed the aforementioned staff's (DOH: 8/26/13) schedule documents that she is the only staff assigned to the afterschool school age children. Interview with the director revealed the staff hired on 9/18/13 works part-time and does not work alone with the children. Further interview with the director revealed the staff hired on 8/26/13 works alone with the school age children every day and that this staff member currently lives out of state and that an out of state criminal records check was never processed by the center.

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, the child care center failed to comply with employee records requirement. Review of documentation revealed an employee with the hire date of 8/26/13 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection.

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, the child care center failed to maintain TB verifications. Review of documentation revealed two (2) employees with the hire dates of 8/1/96 and 8/6/13 did not have documentation from a health professional to verify that the individuals was free from active Tuberculosis. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 26 Web site: http://chfs.ky.gov/ 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, the child care center failed to comply with CPR/First Aid requirements. Review of the staff schedule revealed that the center does not have a staff person on duty that is certified in CPR/First Aid from 5:30pm-6:00pm Monday-Friday.

Open Not marked corrected in the state record

Category: health medication. 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 child care center failed to comply with employee records requirements. Review of documentation revealed four (4) staff members did not have fifteen (15) hours of cabinet-approved early care and education training on file. The aforementioned staff members are as follows: staff hired on 8/13/98 had thirteen (13) hours of training on file; staff hired on 9/7/10 had three (3) hours of training on file; staff hired on 9/18/13 had four (4) hours of training on file; staff hired on 6/1/98 had one and a half (1.5) hours of training on file; and staff hired on 8/11/10 did not have any training on file. Continued review of documentation revealed a staff member (DOH: 8/26/13) did not have documentation of six (6) hours of cabinet-approved orientation on file. Interview with the director revealed the aforementioned staff members have not completed the required training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, the child care center failed to comply with children's records requirements. Review of documentation revealed two (2) children with the same enrollment dates (7/2/14) did not have an immunization certificate on file at the time of inspection. Continued review of documentation revealed a child with an enrollment date of 7/2/14 had an immunization certificate on file that expired as of 2/20/14.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, and interview the child care center failed to comply with written documentation requirements. Review of documentation revealed ten (10) staff members did not have an annual written professional development plan on file. The aforementioned staff members hire dates are: 10/22/96, 8/1/96, 8/6/13, 9/7/10, 9/18/98, 9/18/13, 11/1/06, 8/26/13, 6/1/98, and 8/11/10. Interview with the director revealed that the aforementioned staff members do not have an annual written professional development plan.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, the child care center failed to comply with written documentation requirements. Review of documentation revealed the child care center did not have a written policy that specifies that the procedures that were taught at the orientation training shall be implemented by each child-care center staff member.

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, the earthquake and tornado drill logs did not contain the names of the children who participated in the drill.

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, the fire drill logs did not contain the names of the children who participated in the drill.

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 Interview, fire drills are practiced monthly, however, for the months of May, June and July the fire drills were not documented.

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 Observation, tornado and earthquake drills are practiced monthly, however, drills were not documented the second quarter of 2013. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110. Section 2 General.

General: Based on Review of Documentation, the center does not have the most recent version of state regulations available for staff review.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, an employee with the hire date of 08/26/2013 did not have a Criminal Record Check (CRC) available for review, therefore, the center did not submit the CRC request on the initial date of hire. Further review of documentation revealed that the same employee with the hire date of 08/26/2013 had no Child Abuse and Neglect (CAN) Check available for review, therefore, the center did not abide by 922 KAR 1:470 by submitting a CAN Check within five days of hire. Interview with director revealed that the employee without the background checks has never worked alone with children.

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 Interview, a substitute with the hire date of 08/26/2013 does not have a personnel file available for review at the center.

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, an employee with the hire date of 09/07/2010 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection.

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, an employee with the hire date of 09/18/1998 did not have documentation from a health professional to verify that the individual was free from active Tuberculosis.

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 Interview, the center has only one substitute available on staff.

Open Not marked corrected in the state record

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922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, the center does not have an updated staff schedule available for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, all posted classroom daily activities end at 11:35 A.M., however, there is an extended program that does not end until 6:00 P.M.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)

General: Based on review of documentation, staff with the hire date 9/28/10 failed to have current TB documentation present in her file. No furhter documentation was presented. 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 2) Type II In Compliance 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 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. 3) 15 hours annually Not In Compliance Findings: General: Based on review of documentation, Staff with the hire dates of 8/13/98, 8/1/96, 9/18/98, and 8/3/07, failed to have completed 15 hours of annual child development training. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report 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

Open Not marked corrected in the state record

Open / not marked corrected.