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

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 11/15/22) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis.

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, based on review of ECE-TRIS, the surveyor found that the following staff (DOH: 05/16/18, 06/18/24, 06/20/24 and 06/26/24) had not completed the required cabinet approved training in first aid and cardiopulmonary resuscitation (CPR). An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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 surveyor found the following: 1. Based on review of ECE-TRIS, one (1) staff person (DOH: 10/16/22) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 04/25/18; therefore, the training was not completed within the last five years. 2. Based on review of ECE-TRIS, one (1) staff person (DOH: 10/20/23) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 04/18/19; therefore, the training was not completed within the last five years. 3. Based on review of ECE-TRIS, one (1) staff person (DOH: 08/28/23) file did not contain documentation of one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training; therefore, the training was not completed within one (1) year of employment. 4. Based on review of ECE-TRIS, the following staff (DOH: 06/18/24, 06/20/24 and 06/26/24) did not have documentation that Orientation was completed within the first three (3) months of hire. 5. Based on review of ECE-TRIS, one (1) staff person (DOH: 10/16/22) completed nine (9) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/23 - 06/30/24. 6. Based on review of ECE-TRIS, one (1) staff person (DOH: 08/28/23) completed twelve (12) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 08/28/23 - 08/28/24. 7. Based on review of ECE-TRIS, one (1) staff person (DOH: 10/10/23) completed seven and a half (7.5) hours of the required fifteen (15) hours of cabinet-approved early care and education training completed between 10/10/23 - 10/10/24. 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 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the following: Room 2: 1. The classroom restroom did not have a supply of toilet paper. Room 3: 1. The classroom restroom did not have a supply of toilet paper.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the following: Room 2: 1. The toilet seat moved easily and was not tightly secured to the toilet located in the classroom restroom. Room 3: 1. The toilet seat moved easily and was not tightly secured to the toilet located in the classroom restroom. Room 7: 1. The toilet seat moved easily and was not tightly secured to the toilet located in the classroom restroom. Room 8: 1. The toilet seat moved easily and was not tightly secured to the toilet located in the classroom restroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices 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. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the following: Room 4: 1. There was debris on two (2) different diaper changing tables underneath the diaper changing pads; therefore, the diaper changing surfaces was not kept clean. Room 9A: 1. The diaper changing pad contained a rip; therefore, the diaper changing surface was not free of holes, rips, tears, or other damage. First Aid/Medication In Compliance Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation, the surveyor found a large piece of wood on the Toddler Playground that contained exposed nails; therefore, the playground was not safe from a foreseeable hazard. During interview with staff-in-charge, she stated that the wood was going to be used for a raised garden bed. 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 3 of 4 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 surveyor found that a child's (DOE: 09/16/24) file did not contain the name or contact telephone numbers for the child’s preferred family physician or hospital. The surveyor reviewed the documentation and found that the parent had written "pending" for both the name for the physician and the hospital name and had written in the phone number as "123456789." During interview with staff-in-charge, she stated that the child had moved to the area in September and the parent had not established medical care for the child when filling out the paperwork for enrollment. 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 8. General.

General: Based on interview, the surveyor found that a staff person inappropriately handled several children in the classroom that she worked in while employed at the child-care center. The surveyor learned through multiple interviews and through documentation provided by the director, that the staff person had acted in the following manner: grabbed a three-year-old child by the arm to bring him back into the classroom, at this time, his feet dangled off the floor, she also pushed a two-year-old down onto a cot and held the child down, to keep her onto the cot during nap time, and the staff person restrained a two-year-old child while on the playground by using her legs for approximately one (1) to two (2) minutes; therefore, the health, safety and comfort of the children was compromised. During interview with staff-in-charge, she stated that the staff person mentioned had been terminated from her job as of 10/25/24.

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 review of documentation, the surveyor discovered the following: 1. Based on review of the Kentucky Applicant Registry and Employment System (KARES), background checks for one (1) staff member (DOH: 06/12/23) had not been submitted through KARES. The staff member's file did not contain documentation of background checks submitted through KARES. The surveyor did not observe staff member working alone with children. Staff-in-charge did not indicate that staff member has worked alone with children. 2. Based on review of the Kentucky Applicant Registry and Employment System (KARES), background checks for one (1) staff member (DOH: 05/08/23) had not been submitted through KARES. The staff member's personnel file did not contain documentation of background checks submitted through KARES. The staff member's personnel file contained a completed Child Abuse/Neglect Background Check dated 05/03/23. The surveyor did not observe staff member working alone with children. Staff-in-charge did not indicate that the staff member has worked alone with children. Staff-in-charge stated that the staff member was seventeen (17) when hired; however, the previous director must have failed to submit the staff member to KARES once the staff member turned eighteen (18). Staff-in-charge stated that she was not aware that the employees had not been entered into KARES and would correct the issue immediately. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report 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, the surveyor observed a child from Room Seven leave the room and walk through an area that connects with Room Eight. The child entered Room Eight at 12:01 pm. The child walked from Room Eight back into the adjoining area and attempted to play in the sink. The child then returned to Room Eight and was playing around a small play structure. The surveyor observed the staff member from Room Seven enter Room Eight to retrieve the child and return with the child to Room Seven at 12:04 pm. The surveyor estimates that the staff member left the remaining six (6) children unsupervised for approximately thirty (30) to forty-five (45) seconds while retrieving the child from Room Eight. Therefore, the child-care center failed to provide adequate supervision by ensuring the children were within scope of vision and range of voice at all times. During the initial walk-through, the staff member indicated that the children ranged in age from two-years-old to three-years-old. Staffing Requirements In Compliance General Administration 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 8. General.

General: Based on observation, the surveyor discovered the following: All Classrooms: 1. Children's coats/backpacks were hanging on hooks and were touching; thus, there was potential for cross-contamination. Room One 1. A toilet bowl brush used to clean the toilet was placed on the floor by the toilet. Room Two 1. One (1) electrical outlet was missing one (1) outlet cover. Room Seven 1. One (1) electrical outlet was missing one (1) outlet cover. Room Nine A 1. One (1) electrical outlet was missing one (1) outlet cover. Room Nine A Restroom 1. A plunger was placed on the floor by the toilet. Therefore, the items were accessible to the children and caused a potential health and safety issue for the children. 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 with staff-in-charge, the surveyor discovered that the personnel files for three (3) staff members (DOH: 09/14/22, 05/16/18, & 10/16/22) did not contain written performance evaluations. 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 with the staff-in-charge, the surveyor discovered that the staff member's personnel files for four (4) staff (DOH: 10/03/23, 05/08/23, 05/31/23, & 09/05/23) did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 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 surveyor discovered the following: 1. The staff member's personnel files for six (6) staff (DOH: 10/10/23, 07/11/23, 10/03/23, 10/09/23, 09/05/23, & 09/12/22) did not contain a statement from a health professional that the individuals were free of active tuberculosis or a copy of negative tuberculin results. 2. A staff member's personnel file (DOH: 07/24/23) contained a negative tuberculin result that was no longer current after 08/06/23. 3. A staff member's personnel file (DOH: 05/16/18) contained a negative tuberculin result that was no longer current after 10/05/23. Therefore, the child-care center failed to show proof that the staff members were free of active tuberculosis or provide a copy of a negative tuberculin result.

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, the surveyor discovered that no date was entered in ECE-TRIS indicating that two (2) staff members (DOH: 10/16/22 and 11/15/22 ) had received the training on first aid and cardiopulmonary resuscitation (CPR). During review of the staff member's personnel files, the surveyor did not find documentation indicating that staff members had completed the training on first aid and cardiopulmonary resuscitation (CPR); therefore, the child-care center failed to ensure that every staff member has received training on first aid and cardiopulmonary resuscitation (CPR) as required. Staff-in-charge stated that she was unsure if the staff members had previously received training on first aid and cardiopulmonary resuscitation (CPR).

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 surveyor discovered the following: 1. Upon review of ECE-TRIS one (1) staff member (DOH: 09/14/22) had completed two (2) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 09/14/22-09/13/23. 2. Upon review of ECE-TRIS, one (1) staff members (DOH: 09/14/22) had completed four (4) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 09/14/22-09/13/23. 3. Upon review of ECE-TRIS, one (1) staff member (DOH: 09/03/18) had completed eleven (11) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 07/01/22 - 06/30/23. 4. Upon review of ECE-TRIS, one (1) staff member (DOH: 05/16/18) had completed four (4) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 07/01/22 - 06/30/23. 5. Upon review of ECE-TRIS, one (1) staff (DOH: 10/16/22; first year start date 10/05/22) failed to complete any of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 10/05/22-10/04/23. 6. Upon review of ECE-TRIS, one (1) staff member (DOH: 06/22/22; first year start date: 06/13/22) had completed five (5) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 06/13/23 - 06/30/23. 7. No date was listed on ECE-TRIS indicating that seven (7) staff members (DOH: 06/12/23, 06/05/23, 07/12/23, 05/08/23, 06/12/23, 09/14/22 & 11/15/22) completed six (6) hours of cabinet-approved orientation training; during review of employee personnel files, the surveyor did not find documentation indicating that staff completed orientation training. 8. No date was listed on ECE-TRIS for three (3) staff members (DOH: 09/12/22, 08/16/22, & 09/14/22) indicating that the staff completed one and one-half (1 ½) hours of cabinet- approved pediatric abusive head trauma training (PAHT); during review of employee personnel files, the surveyor did not find documentation indicating that staff completed PAHT. 9. The date listed on ECE-TRIS for one (1) staff member (DOH: 10/16/22) indicated that the staff completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training (PAHT) on 04/25/18; during review of employee personnel files, the surveyor did not find documentation indicating that staff completed cabinet-approved pediatric abusive head trauma training after 04/25/18, the surveyor was unable to determine if the staff person completed the PAHT training every five years as required. Therefore, the child-care center failed to ensure that trainings were completed as required. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report Premises Not In Compliance

Not marked corrected in the state record

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

General: Based on observation, the surveyor discovered a pair of scissors placed in an unlocked drawer in the connecting area between Room Seven and Room Eight. The drawer was located on the edge of the wall near Room Eight. The surveyor observed a child from Room Seven enter the connecting area to enter Room Eight while being unsupervised for approximately three (3) minutes; therefore, the item was accessible to the child.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor discovered the following: Nine A Restroom 1. No liquid soap was available. 2. No hand-drying blower or single use disposable hand drying material was available. Nine B Restroom 1. No liquid soap was available. 2. No hand-drying blower or single use disposable hand drying material was available. Staff-in-charge stated that staff remove the items to prevent the children from making messes while in the restroom. Staff-in-charge stated that she had previously discussed with staff that they should not be removing the hand soap and towels from the restrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor discovered a black ring in the toilet bowl; therefore, the toilet was not kept in clean condition. Hygienic Practices Not In Compliance

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, the surveyor observed staff in Room Six A fail to wash a child’s hands after changing the child’s diaper; therefore, the staff failed to clean the child's hands with liquid soap and warm water as required. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report

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, the surveyor observed the following: Room Four 1. Staff failed to wash her hands after changing a child’s diaper. Room Six A 1. Staff failed to wash her hands after changing a child’s diaper. Therefore, the staff failed to clean their hands with liquid soap and warm water after diapering a child as required.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor discovered the following: Room Seven 1. The diaper changing pad had a worn/torn area. Room Nine A 1. Tears in the diaper changing pad. 2. Dirt and debris under the diaper changing pad. Therefore, the diaper changing surface was not kept clean and free of holes, rips, tears, or other damage as required.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor observed staff member in the Room Four fail to disinfect the diapering surface after diapering a child. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation, the surveyor discovered that a piece of outdoor play equipment with balancing pedals was placed directly on the grass and did not have a protective surface or have a fall zone equal to the height of the equipment; therefore, the child-care center failed to ensure that a protective surface for outdoor play equipment used to climb was provided. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

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, the surveyor discovered the following: 1. A child's (DOE: 08/16/23) immunization certificate was no longer current as of 10/29/23. 2. A child's (DOE: 08/16/23) immunization certificate was no longer current as of 09/11/23. Therefore, the child-care center failed to maintain a current immunization certificate for the children. 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 interview, with staff-in-charge, the surveyor discovered that the personnel files for two (2) staff members (DOH: 05/16/18 & 10/16/22) did not contain a written annual professional development plans. Staff-in-charge stated that she was not sure if plans were completed for the two (2) staff; therefore, the surveyor was unable to determine if annual professional development plans were completed as required. Posted Documentation In Compliance Animals In Compliance

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 review of KARES, the surveyor found that a staff (DOH: 07/11/22) submitted to fingerprints on 07/12/22 and became eligible for hire on 07/12/22; therefore, the staff person was hired prior to clearance for employment. During interview, staff-in-charge stated that the staff person did not work alone with children until the staff person became eligible for hire. Staff-in-charge stated that she was not the director when the staff person was hired, and she was not aware that the staff person was hired prior to clearance to employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 multiple interviews with staff, the surveyor learned that a one-year-old child exited the playground through an opening at the bottom of the playground fence. Approximately one-minute after the child exited the playground, the child was found by a witness who returned the child to staff inside the child care center. During interview, the surveyor learned that on 05/02/23, there were three (3) staff members and twenty-two (22) children ranging in age from one to two (1-2) years old on the playground. The staff members went inside the building individually to put out cots for nap time while the other staff remained on the playground. One (1) staff person went inside the building at approximately 11:18 a.m. - 11:20 a.m. to put out cots and take a child to the restroom, leaving two (2) staff on the playground with the remaining twenty-one (21) children. The staff person did not return to the playground until approximately 11:39 a.m. Based on review of documentation and interview with staff, the surveyor found that the staff person logged a diaper change on Brightwheel at 11:20 a.m. During the timeframe of the staff person being inside, another staff person went inside the building, the exact time was unknown, to take a child to the restroom, leaving one (1) staff person with the remaining children on the playground. Through interview with staff, the surveyor learned that the staff person left on the playground was going to log the diaper change for the other staff person; however, the staff person found that a one-year-old child had recorded a video on her phone. At 11:27 a.m., the staff person posted that video of the child on Brightwheel. During this time, the same one-year-old child exited the playground through an opening under the playground fence. Through interview with staff, the surveyor learned that the staff person on the playground did not witness the one-year-old child escape. The surveyor learned that a video, of the staff person on the playground, was taken by a witness at approximately 11:28 a.m. The witness also found the one-year-old child standing on the other side of the playground fence. Based on review of the video footage, the one-year-old child was standing in the grassy area in front of a vinyl privacy fence. The staff person was sitting under a child sized yellow canopy on the playground and was looking down during the video. Based on review of pictures taken of the opening under the fence, the surveyor found that the opening measured approximately twenty-nine (29) inches long and was higher on one (1) end and lower on the other end of the opening. The highest point of the opening measured approximately six and three-fourths (6 3/4) inches and the lower point of the opening to measure approximately four (4) inches. During the surveyor's visit, the surveyor observed concrete blocks to be placed under the fence to fill the opening. Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

General: Based on multiple interviews with staff, the surveyor learned that on 05/02/23, there were three (3) staff members and twenty-two (22) children ranging in age from one to two (1-2) years old on the playground. The staff members individually went inside the building to put out cots for nap time while the other staff members remained on the playground with the children. One (1) staff person went inside the building at approximately 11:18 a.m. - 11:20 a.m. to put out cots and take a child to the restroom, leaving two (2) staff on the playground with the remaining twenty-one (21) children. The staff person did not return to the playground until approximately 11:39 a.m. Based on review of documentation and interview with staff, the surveyor found that the staff person logged a diaper change on Brightwheel at 11:20 a.m. During the timeframe of the staff person being inside, the exact time was unknown, another staff person went inside the building to take a child to the restroom, leaving one (1) staff person on the playground with the remaining twenty (20) children. Therefore, due to the youngest child being one (1) year old, the staff-to-child ratio was exceeded by fourteen (14) children. General Administration Discussed 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

Category: ratio. Open / not marked corrected.

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

General: Based on observation during a walk-through of the child care center, the surveyor found a child in Classroom 6A sleeping in a sleep sack in a crib at approximately 1:27 p.m. The child was sleeping on its back and the child's arms were observed to be covered inside the sleep sack; therefore, the child's arms were not free. Through interview with staff, the surveyor learned that the child had been asleep since 12:55 p.m. according to Brightwheel and the child was four (4) months old. During interview, staff-in-charge stated that she was not aware they could not use the sleep sacks that cover the children's arms.

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, the surveyor found the following: 1. A staff’s (DOH: 09/02/21) file contained documentation of background checks submitted through the Kentucky National Background Check Service on 09/08/21. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check prior to being hired by the child-care center; therefore, the staff person was hired prior to clearance for employment. 2. A staff’s (DOH: 10/06/21) file contained documentation of background checks submitted through the Kentucky National Background Check Service on 10/12/21. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check prior to being hired by the child-care center; therefore, the staff person was hired prior to clearance for employment. Staff-in-charge stated that both employees did not work alone with children until the results of the fingerprints were released to the child-care center. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report General Administration 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 surveyor found the following: 1. In Room One’s restroom, a toilet brush was placed beside the toilet and was accessible to the children. 2. In Room Two’s restroom, a toilet brush was placed beside the toilet and was accessible to the children. 3. An electrical outlet was missing a protective cover beside a television in Room Two. 4. In Room Seven’s restroom, a plunger and toilet brush were placed beside the toilet and was accessible to the children. One (1) electrical outlet was missing a protective cover in Room Seven’s restroom. 5. In Room Seven, there was two (2) electrical outlets missing protective coverings and a loose cord hanging from a mounted television. Based on the observations above, the health, safety, and comfort of the children were compromised. 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 observation, the surveyor found the following: 1. A staff’s (DOH: 01/02/19) file contained an annual written performance evaluation dated for 12/20/20; therefore, the evaluation was not completed annually. 2. A staff's (DOH: 12/08/20) file contained an annual written performance evaluation that did not have a date; therefore, the surveyor was unable to determine if the evaluation was completed annually. 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, the surveyor found two (2) staff's (DOH: 11/05/21 and 07/18/22) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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 and review of ECE-Tris, the surveyor found the following: 1. The following staff (DOH: 12/08/20, 03/05/21, 04/19/21 and 01/18/21) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 2. A staff (DOH: 01/02/19) obtained two (2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 - 06/30/22. 3. A staff (DOH: 09/03/18) obtained seven (7) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 - 06/30/22. 4. The following staff (DOH: 01/02/19 and 11/11/20) obtained seven and one-half (7 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 - 06/30/22. 5. A staff (DOH: 04/12/21) obtained eight and one-half (8 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 - 06/30/22. 6. A staff (DOH: 05/16/18) obtained nine and one-half (9 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 - 06/30/22. 7. A staff (DOH: 01/07/19) obtained ten (10) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 - 06/30/22. 8. A staff (DOH: 09/25/20) obtained thirteen (13) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 - 06/30/22. 9. A staff (DOH: 10/19/20) obtained fourteen and one-half (14 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 - 06/30/22. 10. The following staff (DOH: 12/08/20 and 04/19/21) file did not contain documentation of one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training; therefore, the training was not completed within one (1) year of employment. 11. Two (2) staff (DOH: 08/02/21 and 03/07/22) did not complete the required orientation training within their first three months of employment. 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, the surveyor found the following: 1. A large bag of Miracle Grow Potting Mix was underneath a sink in Room One. The Miracle Grow Potting Mix had a label that read “Keep Out of Reach of Children.” 2. A container of Lysol was placed on the ground beside the trash can in Room One’s restroom. The Lysol had a label that read “Keep Out of Reach of Children.” The items listed above were accessible to the children.

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 surveyor found two (2) ceiling tiles located in Room Four that contained water stains; therefore, the ceiling was not kept in good repair. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the following: 1. Room One’s restroom had toilet paper with one (1) dead bug placed on the floor; therefore, the restroom was not kept clean. 2. Room Two’s restroom did not have toilet paper. 3. Room Seven’s restroom did not have toilet paper. Hygienic Practices 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. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the surveyor found the following: 1. Debris on two (2) diaper changing tables underneath the diaper changing pads in Room One. 2. Debris on the diaper changing table underneath the diaper changing pad in Room Two. 3. Debris on two (2) diaper changing tables underneath the diaper changing pads in Room Three. 4. Debris on the diaper changing table underneath the diaper changing pad in Room Four. 5. Debris on two (2) diaper changing tables underneath the diaper changing pads in Room Five. 6. Debris on two (2) diaper changing tables underneath the diaper changing pads in Room Six Coral. 7. Debris on the diaper changing table underneath the diaper changing pad in Room Seven. 8. Debris on the diaper changing table underneath the diaper changing pad in Room Nine Yellow. 9. Debris on the diaper changing table underneath the diaper changing pad in Room Nine Coral. Therefore, the diaper changing surfaces were not kept clean. First Aid/Medication In Compliance Outdoor Play Area 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 4. Premises Requirements.

General: Based on observation, the surveyor found the following: 1. A torn plastic bag with garbage on top of the bag in the back right corner of the large playground. 2. Beside a yellow play structure, there was an empty McDonalds cup placed on the ground. 3. Beside the gate located in between the two (2) playgrounds, there was an empty Starbucks cup, one (1) empty bag of Cheez-It's and one (1) Strawberry Breakfast Bar wrapper placed on the ground. Therefore, the playground was not kept in a clean condition. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

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 surveyor found the following: 1. On the large playground, there was two (2) loose water hoses on the back patio; therefore, the playground was not safe from a foreseeable hazard. 2. On the small playground, there was two (2) black swings with loose chains and two (2) blue metal poles laying on the ground beside the shed; therefore, the playground was not safe from a forseeable hazard. 3. On the small playground, there was a loose water hose on the ground; therefore, the playground was not safe from a foreseeable hazard. 4. On the small playground, there was a large hole in the ground that was holding approximately one (1) inch of water; therefore the playground was not well drained and not safe from a foreseeable hazard. 5. On the large playground, on the blue play structure area, the surveyor found four (4) tree limbs coming through the black liner underneath the mulch; therefore, the playground was not well maintained. Staff-in-charge stated that the playground is not used for the children because they are too small for the playground. Staff-in-charge has requested for the play structure to be removed, however the building is own by the City of Richmond and they will not have it removed. 6. An uncovered water table on the small playground that contained standing water; therefore, the equipment was not kept safe from hazard.

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 surveyor observed the large playground fence to have tree limbs coming through the fence, tree limbs coming over the fence, and brush sticking through the fence; therefore, the fence on the large playground was not kept in good condition. 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 5 of 6 Inspection Report 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, the surveyor found the following: 1. Two (2) children's (DOE: 03/28/22 and 08/17/21 ) files did not contain authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. 2. A child's (DOE: 03/28/22) file did not contain the name or contact telephone numbers for the child’s preferred hospital. 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, the surveyor found the following: 1. A staff’s (DOH: 09/02/14) file contained a professional development plan dated for 06/15/21; therefore, the plan was not completed annually. 2. A staff’s (DOH: 05/16/18) file contained a professional development plan dated for 01/03/21; therefore, the plan was not completed annually. 3. Two (2) staff's (DOH; 01/02/19 and 12/08/20) files contained a professional development plan with no date; therefore, the surveyor was unable to determine if they were completed annually. 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 11. Staff Requirements.

General: Based on review of documentation, the surveyor found the following: 1. Staff's (DOH: 08/09/2021) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative tuberculin (TB skin test) result; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 2. Staff's (DOH: 08/02/2021) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative tuberculin (TB skin test) result; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 3. Staff's (DOH: 11/05/2021) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative tuberculin (TB skin test) result; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 4. Staff's (DOH: 10/04/2019) file contained a negative tuberculin result dated 07/24/2019; therefore, the negative tuberculin result was no longer current; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. Staff reported that she would copies of the staff’s negative tuberculin results for the staff’s files. 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 and ECE- TRIS, the surveyor found the following: 1. Staff (DOH: 09/02/2014) obtained zero (0) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/2020 through 06/30/2021. 2. Staff (DOH: 10/14/2019) obtained zero (0) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/2020 through 06/30/2021. 3. Staff (DOH: 05/16/2018) obtained thirteen (13) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/2020 through 06/30/2021. 4. Staff (DOH: 07/13/2018) obtained three (3) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/2020 through 06/30/2021. 5. Staff (DOH: 01/02/2019) obtained thirteen and one-fourth (13 1/4) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/2020 through 06/30/2021. 6. Staff (DOH: 11/11/2020) obtained three (3) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 11/11/2020 through 11/10/2021. 7. Staff (DOH: 09/25/2020) obtained ten and one-half (10 1/2) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 09/25/2020 through 09/24/2021. 8. Staff (DOH: 07/02/2018) obtained fourteen and one-half (14 1/2) of the required fifteen (15) hours of cabinet-approved early care and education training completed between 07/01/2020 through 06/30/2021. 9. Staff (DOH: 05/03/2021) did not obtain the required six (6) hours of cabinet-approved orientation training to be completed within their first three (3) months of employment. 10. Staff (DOH: 10/14/2019) did not obtain the required one and one half (1 1/2) hours of cabinet approved pediatric abusive head trauma training. 11. Staff (DOH: 09/02/2014) last completed pediatric abusive head trauma training on 07/26/2016; therefore, the training was not completed once every five (5) years. Staff reported that the staff would complete trainings to be compliant for the 2022 survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

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 surveyor found a staff's (DOH: 6/26/2020) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential. During interview, staff confirmed the staff's educational documentation had not been obtained for the staff's file. 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 In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

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 review of documentation, the surveyor found a staff’s (DOH: 9/23/19) file did not contain a background check. The child care center KARES report did not have the staff’s name or information. Staff confirmed through interview that the background check process had not been started for the staff prior to the staff’s start date with the child care center. The staff was observed working in the Nursery Classroom with children with one (1) additional staff present. Staff confirmed that the staff has not worked alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

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 surveyor found the following: (1.) Staff’s (DOH: 8/12/19) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential. Staff confirmed through interview that the documentation was not in the staff’s file. (2.) Staff’s (DOH: 9/23/19) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential. Staff confirmed through interview that the documentation was not in the staff’s file. (3.) Staff’s (DOH: 9/17/19) file did not contain a high school diploma, GED, or Commonwealth Child Care Credential. Staff confirmed through interview that the documentation was not in the staff’s 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, the surveyor found the following: (1.) Staff’s (DOH: 5/16/18) file contained a copy of a negative tuberculin result dated 8/6/17; therefore, the tuberculin test was no longer current. (2.) Staff’s (DOH: 8/19/19) file did not contain a negative tuberculin result or a statement from a health professional stating that the individual is free of active tuberculosis. Staff confirmed during interview that the tuberculin test was not in the staff’s file. (3.) Staff’s (DOH: 9/2/19) file did not contain a negative tuberculin result or a statement from a health professional stating that the individual is free of active tuberculosis. Staff confirmed during interview that the tuberculin test was not in the staff’s file. (4.) Staff’s (DOH 9/23/19) file did not contain a negative tuberculin result or a statement from a health professional stating that the individual is free of active tuberculosis. Staff confirmed during interview that the tuberculin test was not in the staff’s file. (5.) Staff’s (DOH: 9/17/19) file did not contain a negative tuberculin result or a statement from a health professional stating that the individual is free of active tuberculosis. Staff confirmed during interview that the tuberculin test was not in the staff’s 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 and ECE – TRIS, the surveyor found the following: (1.) Staff (DOH: 8/17/18) completed six (6) hours of cabinet – approved orientation on 5/8/19; therefore, the training was not obtained during the staff’s first three (3) months of employment. (2.) Staff (DOH: 1/2/19) completed six (6) hours of cabinet – approved orientation on 5/2/19; therefore, the training was not obtained during the staff’s first three (3) months of employment. (3.) Staff (DOH: 3/18/19) completed six (6) hours of cabinet – approved orientation on 6/24/19; therefore, the training was not obtained during the staff’s first three (3) months of employment. (4.) Staff (DOH: 1/7/19) completed six (6) hours of cabinet – approved orientation on 5/1/19; therefore, the training was not obtained during the staff’s first three (3) months of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 surveyor found the following: (1.) The toilet seat was loose in the restroom located in the Three’s #1 Classroom. (2.) The toilet seat bracket was broken on one side of the toilet located in the restroom in the Three’s #2 Classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found no verification that a staff (DOH: 06/04/15) had completed any cabinet-approved early care and education annual training for the review period of 06/04/17 through 06/03/2018. Through interview, the surveyor learned that the staff has completed college credit hours; however, verification of the college credit hours was not available for review at the time of the renewal visit. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 during a tour of the classroom for the three-year-old children, the surveyor found the following: 1. A purse was stored in an unlocked cabinet within reach of the children. Through interview, the surveyor learned that the purse belonged to a staff person. 2. A sharp-pointed screwdriver was stored in an unlocked cabinet drawer. The screwdriver was within reach of the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation during a tour of the childcare center, the surveyor found that water had pooled in the floor as a toilet was leaking in the restroom used by the children. The toilet was not in good repair. 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 during a tour of the childcare center, the surveyor found a tube of Aquaphor Ointment in an unlocked drawer in a restroom used by the children. The unlocked drawer was approximately eighteen (18) inches from the floor; therefore, the medication was accessible to the children. 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: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that a child’s (DOE: 06/04/18) file contained an immunization certificate that was no longer current as of 08/28/18. 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 review of documentation, the surveyor found the following: 1. Eight (8) children were present in the Two to Three-Year-Old Classroom. Review of the Daily Attendance Record found that parent’s nor staff had documented the arrival time for one (1) child. 2. Ten (10) children were present in the classroom for the one-year-old children. Review of the Daily Attendance Record found that parent’s nor staff had documented the arrival times for two (2) children. 3. Seven (7) children were present in the Infant Classroom. Review of the Daily Attendance Record found that parent’s nor staff had documented the arrival times for four (4) children. 4. Eleven (11) children were present in the Studio Room. Review of the Daily Attendance Record found that parent’s nor staff had documented the arrival time for one (1) child. 5. Six (6) children were present in the classroom for the two-year-old children. Review of the Daily Attendance Record found that parent’s nor staff had documented the arrival time for one (1) child. 6. Eight (8) children were present in the classroom for preschool-age children. Review of the Daily Attendance Record found that parent’s nor staff had documented the arrival times for two (2) children.

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, the surveyor found that on 08/01/18, the staff and children practiced earthquake and tornado drills. However, only one (1) time of day was recorded for both drills. Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.