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

General: Based on interview and review of documentation, it was found that the last Fire Marshal inspection was conducted on 09/22/21 and an updated inspection was not requested prior to the survey according to the staff in charge. 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 review of documentation, there was no documentation of staff meetings being conducted during the current licensure year presented 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, a staff member hired on 10/18/19, did not have evidence of an annual evaluation on file in the facility. 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, two (2) staff members hired respectively on 09/20/22 and 01/20/23 did not have a current TB test or statement from a health professional on file.

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 review of documentation, three (3) staff members hired on 01/20/23, 09/20/22, and 10/18/19 did not have evidence of completing a CPR/First Aid required training on file in the facility. A review of ECE-TRIS records supports the information found during 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 11. Staff Requirements.

General: Based on review of documentation, the following was found: 1.) A staff member hired on 10/18/19 did not complete the required Orientation. This staff member has been employed for more than three (3) months. 2.) A staff member hired on 10/18/19 did not complete the required PAHT training. This staff member has been employed for more than one (1) year. 3.) A staff member hired on 10/18/19 did not have evidence of completing 15 hours of annual early care and education training on file in the facility. The ECE-TRIS system 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 In Compliance Kitchen Requirements In Compliance Food Service 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 9. Food and Drink Requirements for All Child-Care Centers.

General: Based on observation, it was found that chocolate low fat milk was served to the children during the survey. 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 2 of 3 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 8. General.

General: Based on review of documentation, there were no program policies and procedures presented at the time of the survey.

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, it was found that a staff member hired on 10/18/19 did not have a current Professional Development Plan on file in the facility. 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 interview and review of documentation, it was found that the provider's License was not posted, and staff in charge could not find it at the facility. Animals Not Applicable

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 child care center failed to maintain the regulations. Review of staff files found the center failed to have a high school diploma, GED, or Commonwealth Child Care Credential on file for three (3) staff members hired 10/29/22, 9/24/22, and 3/24/17.

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 child care center failed to maintain the regulations. Review of staff files found a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results was not presented for review at the time of survey for one (1) staff member hired 3/24/2017. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, the child care center failed to maintain state regulations in regards to employee records. Review of staff files and the Early Care and Education Training Records Information System (ECE-TRIS) found one (1) staff member hired 3/24/17, failed to complete fifteen (15) hours of cabinet approved training for the training year. 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 4. Premises Requirements.

General: Based on observation, the child care center failed to maintain state regulations. The girl's restroom contained one (1) sink that was separating from the wall because of a large crack in the caulk line, resulting in the sink being movable when pushed or pressed upon.

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, the child care facility failed to maintain state regulations. The boy's restroom contained the following: 1. There were sections of peeling paint above and beside a urinal. 2. There was a crack in a ceiling tile above a stall. 3. An area containing a black, sticky substance on the wall beneath a hand-dryer. 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: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain the regulations. Review of ten (10) children’s files found one (1) child with an enrollment date of 8/10/2022, did not contain a preferred hospital. 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 comply with regulatory requirements. In the After School area (cafeteria), the daily planned program (lesson plan) did not contain a date; therefore, it could not be determined if the plan was current. Animals 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 observation and review of documentation, this regulatory requirement was not met. The following was found: 1. A staff member hired on 8/14/2014, did not complete the fifteen hours of cabinet-approved early care and education training between 7/01/2020 and 6/30/2021. The staff member completed three hours of training. The ECE-TRIS system was reviewed. 2. A staff member hired on 10/17/2016, did not complete the fifteen hours of cabinet-approved early care and education training between 7/01/2020 and 6/30/2021. The staff member completed 8.50 hours of training. The ECE-TRIS system was reviewed. Programming In Compliance Premises In Compliance 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 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation and review of documentation, this regulatory requirement was not met. The facility did not have an orientation policy stating that the staff will implement the procedures taught in the orientation training. 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 9. Records.

General: Based on observation and review of documentation, this regulatory requirement was not met. A staff member hired on 10/18/2019, did not have the results of the KARES background check on file. The finger-print page was in the staff members file but the results of the background check indicating that the staff was eligible for employment was not on site. 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 observation and review of documentation, this regulatory requirement was not met. The facility did not have a posted lesson plan for school-age children. The staff in charge located a lesson plan in a binder and it was dated December 2020. The lesson plan shall be posted in writing in a conspicuous location with each age group. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on observation and review of documentation, this regulatory requirement was not met. The facility did not have a posted snack menu. The weekly menu shall be prepared in advance, posted in a conspicuous place, and dated. 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 observation and review of documentation, this regulatory requirement was not met. A child's file contained an immunization certificate that did not have an expiration date. This area was left blank on the immunization certificate. The child had been enrolled in excess of thirty days. 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 9. Records.

General: Based on observation and review of documentation, this regulatory requirement was not met. Two staff members did not have current professional development plans on file. Professional development plans are to be conducted annually and documented.

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 observation and review of documentation, this regulatory requirement was not met. The only documented fire drill on site was from October of 2020. Fire drills shall be conducted monthly and documented. Posted Documentation 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 9. Records.

General: Based on observation and review of documentation, this regulatory requirement was not met. The facility did not have a posted written plan outlining the course of action in the event of a natural or manmade disaster. The facility had a diagram posted, but no written evacuation plan was posted with the diagram indicating where to go in the event of a fire, tornado, or earthquake. Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on observation and review of documentation, this regulatory requirement was not met. A substitute staff member did not have written evidence of completing the ECE 202 Requirements for Reopening Child Care training course. ECE-TRIS and the staff file were both reviewed.

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, it was found that on 3/4/2020, a staff person made a comment referring to two children as “terrible”. The staff person was speaking to another staff person and the two children were present. The staff person received a written reprimand regarding the comment.

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 observation and review of documentation, this regulatory requirement was not met. A staff hired on 8/10/17, did not have a current evaluation on file. The evaluation on file was dated 9/22/17. 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, this regulatory requirement was not met. The following was found: 1. A staff hired on 4/15/19, did not have written evidence of completing orientation training. 2. A staff hired on 10/10/16, completed three hours of training during the completed training year. 3. A staff hired on 8/10/17, completed 13 hours of training during the completed training year. The ECE-TRIS system was reviewed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. Two children did not have immunization certificates on file. Both of these children were enrolled on 8/14/19.

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, this regulatory requirement was not met. A child enrolled on 8/14/19, did not have a physican's name or phone number on file. 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, this regulatory requirement was not met. The facility did not have written documentation on file indicating that they submitted the emergency prepardness plan to the local emergency management officials. The emergency management plan must be submitted annually to the local emergency management officials. 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 9. Records.

General: Based on observation and review of documentation, this regulatory requirement was not met. The facility did not have posted a written plan outlining the course of action in the event of a natural or manmade disaster that is posted in a prominent place. The facility had an evacuation diagram posted. Animals Not Applicable 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 11. Staff Requirements.

General: Based on Observation, staff with hire date of 08/05/2018 did not have required proof of education on 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 Review of Documentation, staff with hire date of 08/05/2018 TB skin test results exceeded the required two years. 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

Open / not marked corrected.

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

General: Based on Review of Documentation, staff with hire date of 10/17/2016 did not have required training hours in file or on TRIS. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance 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 Observation, children with enrollment dates of 08/13/18 and 07/27/2018 did not have proof of current immunization records.

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 Observation, child with enrollment date of 05/25/2018 did not have preferred hospital listed. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

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, it was found that the facility's liability insurance policy on file expired on 7-1-17. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the file for one (1) eligible employee did not contain evidence of an annual evaluation being completed. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, it was found that the file for one (1) employee did not contain a hire date. It was also found that the file for the listed director was not available on site for review.

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, it was found that the file for an employee hired on 9-1-17 did not contain evidence of a high school diploma, GED or Commonwealth Childcare Credential.

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, it was found that the file for an employee hired on 9-1-17 did not contain evidence of a TB skin test or screening being completed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that there was not a staff person on duty and present with the children that was certified in first aid and cardiopulmonary resuscitation (CPR). The staff schedule and interview found that the same three (3) staff have been working with the children since 8-16-17. The listed director was found to be certified in first aid and CPR, however, she rarely works in the facility. 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: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the ECE-TRIS record and file for an employee hired on 8-14-14 contained evidence of only seven (7) hours of training being completed during the last completed training year. It was also found that the ECE-TRIS records and files for employees hired in February 2017 and on 3-8-17 did not contain evidence of the six-hour cabinet-approved orientation training being completed. 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 3. General Requirements.

General: Based on Observation, it was found that a bottle of Windex multi-surface cleaner and a tub of Meijer antibacterial wipes were being stored in a cubby in Room 148. An aerosol can of Febreze Air Effects was found to be stored on top of the cubbies. All of these containers bore the label, "Keep Out of Reach of Children." Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on Observation, it was found that the posted snack menu was for the month of August. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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, it was found that nine (9) children's files out of ten (10) children's files reviewed did not contain authorization for emergency medical care. One (1) child's file did not contain information regarding the parent's preferred hospital. 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, it was found that several parents were signing the end of the week verification box prior to the child's week of attendance being completed. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that a schedule of daily activities was not posted. Animals Not Applicable

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 Observation and interview, the staff person in charge was unable to locate their copy of the state regulations. The staff person in charge stated that they were normally located on the bulletin board, but they were not there during this survey. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 17 Oct 16 AND AS OF 09 Nov 16, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff person did not have a completed annual evaluation in their file for the past year. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, one (1) staff person with a hire date of 8/14/14 had not completed the required fifteen (15) hours of annual training. This was confirmed through the ECE-Tris system as well. Additionally, another staff person with a hire date of 2/21/16 had not completed the six (6) hour orientation training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 3. General Requirements.

General: Based on Observation, there was a can of Raid and a bottle of furnitrure polish located on a table at the front of the cafeteria. These items were accessible to the children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a staff person hired on 08/14/2014 did not have any evidence of an annual staff evaluation. The director acknowledged the missing evaluation.

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, it was found that three (3) staff files out of five (5) staff files reviewed did not have evidence of a TB skin test. The dates of hire for the staff were, 08/10/2014, 08/12/2014 and 08/14/2014. The director stated that she would send in the new TB skin test.

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, it was found that staff persons hired on 08/14/2014 and 10/20/2014 did not have evidence of the nine (9) hours of cabinet-approved early care and education training within the first year of employment. The director stated that she was confused on when the staff were supposed to get their training hours.

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 Observation, it was found that there was no mouthpiece for the first aid kit. The director acknowledged this.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the facility did not have evidence of staff policies. The director acknowledged this and stated that she would get the policies together.

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, it was found that there was no Consumer Product Safety form posted. The director acknowledged that she did not have the form.

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 facility did not have a file for the current director. The staff in charge indicated that the director is changing within a few days.

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, one (1) staff did not have proof of education on file. This staff was hired on 10/20/14.

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, one (1) staff did not have negative TB documentation on file. This staff member was hired on 10/20/14.

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, it was found that the facility did not have written evidence of staff meetings.

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, one (1) staff did not have written evidence of completing a CAN or criminal records check. This staff was hired on 10/20/14. This staff member was not observed working alone with the children during the relicensure survey and was not scheduled to work alone with the children.

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 based on observation the children began to arrive in the cafeteria at 2:45 PM for the after-school progam. The site director was the only staff with current CPR and first aid and she did not arrive until 3:00 PM. The facility did not have anyone with current CPR and first aid for approximately fifteen (15) minutes.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on Observation, the facility did not have a weekly snack menu posted in advance in a conspicuous place.

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, three (3) children's files did not contain immunization certificates. All three (3) children had been enrolled in excess of thirty (30) days. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

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, one (1) child did not have any enrollment paperwork on file. The child's file was missing identifying information, medical information including any allergies or restrictions, preferred hospital, contact information for the family physican, authorization by the parent for the child-care center to seek emergency medical care, and the names of each person who is designated in writing to pick-up the child. The staff in charge indicated that the child's parent took the enrollment forms home and has not yet returned them to the facility. The child had been enrolled since the second week of August 2014. Another child's file was missing the physician contact number and a preferred hospital. This child was enrolled 8/13/14.

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, it was found that the facility did not have a written policy that specfies that the procedures that were taught at the orientation training will be implemented by each child care staff member.

Open Not marked corrected in the state record

Open / not marked corrected.