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

General: Based on review of documentation in staff personnel files, the surveyor discovered the following: 1. A staff member's (DOH: 08/12/2022) 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) results for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 2. There were two (2) staff members' (DOH: 08/01/2024) files that 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 TB skin test results for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. Staff-in-charge reported that she would inform the director of the missing test results.

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 in staff members' personnel files and ECE-TRIS, the surveyor discovered there were two (2) staff members (DOH: 08/01/2024) that did not have record of receiving training on first aid and cardiopulmonary resuscitation (CPR). Staff-in-charge reported that she would inform the director of the staff member not having first aid and CPR training. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation in staff personnel files and ECE-TRIS, the surveyor discovered there were two (2) staff members (DOH: 08/01/2024) that did not complete the required six (6) hours of cabinet-approved orientation within the first three (3) months of employment in a child-care program. Staff-in-charge reported that she would let the director know that the staff member did not complete the orientation training. 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 surveyor discovered there was a brown substance on seventeen (17) ceiling tiles in the cafeteria. Staff-in-charge stated that there was someone in the cafeteria working on the ceiling tiles earlier that day.

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 discovered the toilet seat was not securely tightened to the toilet bowl in the fourth stall of the boys' restroom. Staff-in-charge stated that she would let the school know about the toilet seat being loose. 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 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 in the children's files, the surveyor discovered there were two (2) children's (DOE: 09/05/2024) files that contained a list of immunization shots; the surveyor was unable to determine if the immunizations met the requirement. Staff-in-charge reported that she would let the director know the children only have a list of their immunization shots. 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 in the children's records, the surveyor discovered the following children's (DOE: 08/05/2024, 08/14/2024, 06/12/2024, 08/6/2024, 06/26/2024, 04/24/2024, 01/14/2025, 01/14/2025, 09/05/2024, and 09/05/2024) 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. Staff-in-charge reported that the director said that the child-care center did not need authorization, since they do not transport the children. 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 in a staff member's personnel file, the surveyor discovered that a staff member's (DOH: 12/06/2022) file did not contain a professional development plan. Staff-in-charge reported that she would let the director know that a professional development plan was missing from the files. 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 ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 10/28/22) obtained six (6) hours of cabinet-approved orientation training on 02/24/23; therefore, the training was not completed within the first three (3) months of employment. 2. A staff (DOH: 07/11/23) did not obtain the cabinet-approved orientation training; therefore, the training was not completed within the first three (3) 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 4. Premises Requirements.

General: Based on observation, the surveyor found approximately three (3) ceiling tiles in the Cafeteria located on the side wall that contained what appeared to be water stains. The surveyor observed a brown residue running down the wall under the ceiling tiles. Therefore, ceiling and wall were not kept clean or in good repair. 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 6. License Issuance.

General: Based on review of documentation, the surveyor found the liability insurance on file at the child-care center did not list an amount for each occurrence; therefore, the surveyor was unable to determine if the liability insurance coverage was for at least $100,000 per occurrence.

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 a piece of equipment that contained a cable, ratchet, and hook/clip on the end placed in a black crate in the Gym. The equipment had an orange warning label that read, "Use of this product involves the hazard of bodily injury or property damage." The equipment was observed to be accessible to the children; therefore, the health, safety, and comfort of the children was compromised. During interview, staff-in-charge stated she did not allow the children to go around the area the equipment was located. 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 review of documentation, the surveyor found no documentation of recurring staff meetings. Through interview with staff-in-charge, the surveyor learned the documentation was not available for review. 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, the surveyor found that a staff’s (DOH: 03/21/23) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. Through interview with staff-in-charge, the surveyor learned the documentation for the staff mentioned was not available for review.

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. A staff’s (DOH: 12/06/22) file contained documentation of a TB skin test dated 11/18/21; therefore, the staff’s file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff was free from active tuberculosis. 2. A staff’s (DOH: 03/21/23) file did not contain documentation of a TB skin test; therefore, the staff’s file did not contain documentation of a current TB skin test or a statement from a health professional stating that the staff was free from active tuberculosis. Through interview with staff-in-charge, the surveyor learned the documentation for the staff mentioned was not available for review.

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 that the hot water temperature in the sinks in the girls' restroom located beside the Gym measured at a temperature of approximately 125 degrees Fahrenheit; therefore, the sink was not equipped with hot water at a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 degrees Fahrenheit. 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 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 that the following children’s (DOE: 08/18/23, 08/14/23, 08/15/23, 07/20/23, 08/14/23, 09/29/23, 07/20/23, 07/10/23, 11/01/23, and 08/21/23) files did not contain the name and contact telephone number of the child’s preferred hospital, the contact telephone number for the child’s preferred family physician, and authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. 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 8. General.

General: Based on review of documentation, the surveyor was not presented with an Employee Handbook or Parent Handbook during the visit. During interview, staff-in-charge stated she did not have the items mentioned.

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 that a staff’s (DOH: 12/06/22) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. Through interview with staff-in-charge, the surveyor learned that the documenation for the staff mentioned was not available for review.

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, the surveyor found no documentation of a completed fire drill for October 2023. During interview, staff-in-charge stated that the fire drill may not have been 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 9. Records.

General: Based on interview, the surveyor learned that a staff's (DOH: 01/06/2023) personnel file could not be located on the premises of the child-care center; therefore, the file was not available for the surveyor to review. Staff reported the staff's name, address, date of birth, and date of hire to the surveyor.

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, the surveyor learned that the personnel file for a staff (DOH: 01/06/2023) could not be located on the premises of the child-care center; therefore, the surveyor was unable to verify if the staff had a high school diploma, GED, or Commonwealth Child Care Credential. 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 interview, the surveyor learned that the personnel file for a staff (DOH: 01/06/2023) could not be located at the child-care center. The surveyor was not presented with a statement from a health professional stating the individual was free of active tuberculosis or a current negative TB skin test; therefore, the surveyor was unable to verify if the staff person was free of 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 observation, the surveyor found there was only one (1) staff present at the child-care center on 02/16/2023. The staff was caring for six (6) children. During interview, the surveyor learned that the staff's (DOH: 01/06/2023) personnel file could not be located at the child-care center. Staff did not report if the staff was certified in cardiopulmonary resuscitation (CPR) and/or first aid; therefore, the surveyor was unable to verify if the staff person was certified in CPR and/or first aid.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of ECE-TRIS, the surveyor discovered that a staff (DOH: 09/26/2022) had not received training on first aid and cardiopulmonary resuscitation (CPR). Staff reported she would let the director know that the staff had not received the training.

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 ECE-TRIS, the surveyor discovered that a staff (DOH: 09/26/2022) had not completed the required six (6) hours of cabinet-approved orientation within the first three (3) months of employment at a child-care center. Staff reported she would inform the director that the staff had not received the training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 08/23/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check; therefore, the staff person was hired prior to clearance for employment. During interview, staff stated that the staff person transferred from another child-care facility and has a completed background check; however, staff stated that she was unable to obtain the documentation. Staff stated that the staff person has worked alone with children. The surveyor did not observe the staff person working alone with children. The staff’s file did not contain a completed Child Abuse/Neglect Background Check or a completed Criminal Records Background Check. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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 11. Staff Requirements.

General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 10/19/18) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training on 11/21/16; therefore, the training was not completed within the last five years. 2. A staff (DOH: 10/19/18) obtained zero (0) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/20 – 06/30/21. Programming In Compliance Premises 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 8. General.

General: Based on observation and review of documentation, the surveyor found the following: 1. A staff’s (DOH: 10/04/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the staff member had a completed background check with an eligibility date of 10/12/21; therefore, the staff person was hired prior to clearance for employment. During interview, staff stated that she was not aware of the staff person working alone with children. The staff’s file did not contain a completed Child Abuse/Neglect Background Check or completed Criminal Records Background Check. 2. Approximately five (5) backpacks and three (3) coats/jackets that were touching and placed on the floor beside the entrance door in the Cafeteria. Through interview with staff, the surveyor learned that the backpacks and coats/jackets belonged 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 review of documentation, the surveyor was not presented with an up-to-date fire marshal report. During interview, staff-in-charge stated that she was not aware if the fire marshal had been to the child-care center in the last two (2) years. 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, the surveyor found that a staff’s (DOH: 10/19/18) file contained an annual written performance evaluation dated for 10/22/20; therefore, the evaluation was not completed annually.

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, the surveyor found that a staff’s (DOH: 08/23/21) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the staff member did not have a completed background check; therefore, the staff person was hired prior to clearance for employment. During interview, staff stated that the staff person transferred from another child-care facility and has a completed background check; however, staff stated that she was unable to obtain the documentation. Staff stated that the staff person has worked alone with children. The surveyor did not observe the staff person working alone with children. The staff’s file did not contain a completed Child Abuse/Neglect Background Check or a completed Criminal Records Background Check. 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 no verification of a High School Diploma, GED or Commonwealth Child Care Credential for a staff (DOH: 01/24/22). Based on interview with staff, the surveyor learned that the staff person did not have a file at the child-care center. Staff stated that the staff person works mostly at the Berea location. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.

General: Based on interview with staff, the surveyor found that the Type I child-care center has only one (1) qualified substitute staff person; therefore, the child-care center did not have the required two (2) qualified substitute staff persons for a Type I child-care center.

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 that approximately fourteen (14) ceiling tiles in the Cafeteria contained what appeared to be water stains; therefore, the ceiling tiles were not kept in good repair. One (1) of the ceiling tiles located above a bulletin board was observed to contain a darker substance that appeared to be mold.

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 that the hot water temperature in the girls' restroom measured approximately 125 degrees Fahrenheit; therefore, the hot water was not a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 degrees Fahrenheit.

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 that the toilet seat moved easily and was not tightly secured to the toilet in the sixth stall of the girls’ restroom; therefore, the toilet was not kept in good repair. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance

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 child’s (DOE: 08/18/21) file contained an immunization certificate that was no longer current as of 12/31/21. 2. A child’s (DOE: 09/21/21) file did not contain an immunization certificate; therefore, the surveyor was unable to determine if the certificate was up-to-date. 3. A child’s (DOE: 01/19/22) file did not contain an immunization certificate; therefore, the surveyor was unable to determine if the certificate was up-to-date.

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 the following children’s (DOE: 08/18/21, 08/04/21, 09/21/21, 08/18/21, 08/18/21, 08/04/21, 01/19/22, and 01/23/20) files did not contain the contact telephone number 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 observation, the surveyor found that a staff’s (DOH: 10/19/18) file did not contain a professional development plan; therefore, the surveyor was unable to determine if the plan was completed annually. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

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 fire drill was not documented for the month of December 2021. During interview, staff-in-charge stated that she was not sure if the fire drill was completed for December 2021 and was unable to locate the documentation. 2. A list of the children who participated in a fire drill was not documented for the following months of 2021: May, June, July, August, September, October, November, and December. 3. A list of the children who participated in a fire drill was not documented for the months of January and February 2022. 4. A list of the children who participated in a tornado drill was not documented during the second and third quarters of 2021. 5. A list of the children who participated in an earthquake drill was not documented during the second, third, and fourth quarters of 2021. 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 11. Staff Requirements.

General: Based on review of documentation presented, the surveyor found that only one (1) of the center’s staff possessed current certification in CPR/First Aid. During interview, staff stated she was aware of this and staff have been scheduled for this training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 presented, the surveyor found the following: 1. The most recent immunization certificate presented for surveyor review for one (1) child (DOE: 12/04/20) was no longer current after 05/25/2020. 2. The file for a child (DOE: 10/19/2020) did not contain an immunization certificate. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the surveyor found a child did not have their mask above the nose; therefore, the child did not properly wear a facemask while inside the childcare center. The surveyor did not find any exceptions to the E-Reg. in the child’s file. Based on interview, staff stated that they would speak with staff on the proper way for children to wear masks. Based on review of documentation presented, the surveyor found that one (1) staff member (DOH:01/29/21) did not have a name-based criminal background check conducted.

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 surveyor found the child care center’s evacuation plan was last updated on 9/13/18; therefore, the evacuation plan has not been updated annually.

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, the surveyor found a staff’s (DOH: 6/18/14) file contained an annual written performance evaluation that was last updated 9/14/17; therefore, the evaluation has not been updated 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 and ECE – TRIS, the surveyor found the following: (1.) Staff (DOH: 8/22/18) obtained seven and one-half (7 ½) of the required fifteen (15) hours of cabinet-approved early care and education training. (2.) Staff (DOH: 10/30/19) has not obtained the required six (6) hours of cabinet-approved orientation within the staff’s first three (3) months of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 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, the surveyor found the following: (1.) Staff’s (DOH: 6/2/15) file contained a written annual plan for professional development that was last dated for 11/5/18; therefore, the professional development plan has not been updated annually. (2.) Staff’s (DOH: 6/18/14) file did not contain a written annual plan for professional development. 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 documentation and interview, the following were found: 1. A staff file (DOH: 10/3/17) contained documentation that the KARES background check and fingerprints were not submitted until 10/10/18. 2. A staff file (DOH: 8/22/18) contained documentation that the KARES background check and fingerprints were not submitted until 10/4/18. The fingerprints were not submitted by the required deadline. Staff stated that they were aware the fingerprints were not submitted timely. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 review of documentation and interview, the surveyor found the following: 1. A staff file (DOH: 10/3/17) did not contain an annual evaluation. 2 A staff file (DOH: 6/18/14) contained an annual evaluation that was last updated on 9/14/17. The Director stated that she is working on evaluations.

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, observation, and interview, the surveyor found that a staff member (DOH: 5/1/18) had submitted fingerprints for the KARES background check on 9/21/18; however, an eligibility date had not been returned. The staff member was observed working alone with seven (7) children in the cafeteria on 10/29/18 while the Director stepped out of the cafeteria into the hallway for less than one (1) minute. Upon interview, the Director confirmed that the staff member had worked alone with the children. 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 and interview, the surveyor found that the center does not have adequate substitutes as the two (2) staff (DOH: 10/3/17 & 8/22/18) named as substitutes by the Director did not meet the requirements of a staff member. Staff (DOH: 10/3/17) had not completed any of the training requirements. Staff (DOH: 8/22/18) did not have an eligibility date returned from her KARES background check.

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, review of ECE-TRIS, and interview, the following were found: 1. A staff file (DOH: 10/3/17) did not contain documentation of Pediatric Abusive Head Trauma (PAHT) training. 2. A staff file (DOH: 10/3/17) did not contain documentation of having completed six (6) hours of cabinet approved orientation training. 3. A staff file (DOH: 10/3/17) did not contain documentation of any annual training for 10/3/17 - 10/2/18. 4. A staff file (DOH: 6/2/15) did not contain documentation of having completed any annual training for 6/2/17 - 6/1/18. 5. A staff file (DOH: 6/18/14) did not contain documentation of having completed any annual training for 6/18/17 - 6/17/18. 6. A staff file (DOH: 6/18/14) contained documentation that PAHT training was completed on 10/24/13; therefore, it had not been completed every five (5) years as required. Review of ECE-TRIS confirmed the descrepancies in training. The Director was not aware of the training descrepancies. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report First Aid/Medication 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 observation and interview, the surveyor found that a tube of triple anitbiotic cream was located in an unlocked first aid kit that is stored on top of a cabinet in the hallway outside the cafeteria doors. Staff stated that the cabinet would not lock so they tried to store the first aid kit out of reach of 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 and interview, the following were found: 1. A child's file (DOE: 9/6/18) did not contain an immunization certificate. 2. A child's file (DOE: 9/12/18) did not contain an immunization certificate. Staff was aware of the missing immunization certificates and stated that one (1) child had not been attending due to his parent being on maternity leave. 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 and interview, the following were found: 1. A staff file (DOH: 10/3/17) did not contain an annual professional development plan. 2. A staff file (DOH: 6/2/15) did not contain an annual professional development plan. 3. A staff file (DOH: 6/18/14) did not contain an annual professional development plan. Upon interview, the Director was aware that the files did not contain professional development plans. Posted Documentation In Compliance Animals 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, a child's (DOE: 8/15/17) file did not contain an 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 4. Director Requirements and Responsibilities.

General: Based on review of documentation, there was no verification on site to show that at least two (2) staff meetings have been conducted within the last year. In an interview with the director, the surveyor was informed that the staff meeting verification was located at the main office.

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, a staff member's (DOH: 6/2/15) file did not contain a staff 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, there was no verification to show that at least one (1) parent involvement activity has been conducted within the last year. 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, the surveyor found the following: 1. The criminal records check for a staff member (DOH: 8/8/17) was submitted on 8/14/17. Therefore, the criminal records check was not submitted timely as it was not submitted on or before the staff member’s hire date. 2. The criminal records check and child abuse/neglect check for a staff member (DOH: 10/3/17) have not been returned. In an interview with the director, the surveyor was informed that the staff member has not been left alone with children. 3. The criminal records check and child abuse/neglect check for a staff member (DOH: 10/3/17) were both submitted on 10/11/17. Therefore, the criminal records check and child abuse/neglect check was not submitted timely as it was not submitted on or before the staff member’s hire date. 4. The child abuse/neglect check for a staff member (DOH: 5/15/17) did not have a date or signature showing that the background check had been completed. In an interview with the director, the surveyor was informed that the staff member is a substitute and has not been used as a substitute for this school year.

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 surveyor found the following: 1. There was no documentation to show that a staff member (DOH: 6/2/15) completed fifteen (15) hours of cabinet approved training during the training year of 6/2/16 through 6/1/17. A review of ECE-TRIS showed the staff member has completed one (1) hour of cabinet approved training during the training year of 6/2/16 through 6/1/17. 2. There was no documentation to show that a staff member (DOH: 5/15/17) completed six (6) hours of orientation within three (3) months of the hire date. A review of ECE-TRIS provided no additional information. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication 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 observation, the surveyor found that there was no themometer located in the first aid kit. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 9/21/17) file did not contain a preferred physician or the physicians phone number. 2. A child’s (DOE: 8/15/17) file did not contain a preferred physician or the physicians phone number. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation, a staff member's (DOH: 6/2/15) file did not contain a professional development plan. Posted Documentation In Compliance Animals 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, the surveyor found that a staff's (DOH: 04/06/15) file did not contain an annual written performance evaluation that had been completed during the review period. 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, the surveyor found no verification that the monthly practiced fire drills from January 2016 through May 2016 had been conducted.

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, the surveyor found no verification that the monthly practiced fire drills from January 2016 through May 2016 had been conducted.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the criminal records background check contained in a staff’s (DOH: 08/12/15) file was dated 09/01/15. The background check had not been submitted prior to or on the date of hire. Through interview, the surveyor learned that the staff person had not been left alone with the children. 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

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the two (2) individuals, identified by the Type I child care center as substitutes, are not qualified staff based on the lack of annual training hours.

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 surveyor found that the two (2) individuals, identified by the Type I child care center as substitutes, are not qualified staff based on the lack of annual training hours.

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 surveyor found that earthquake and tornado drills had not been practiced during the second quarter of 2016.

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 ECE-TRIS, the surveyor found the following: 1. A staff ‘s (DOH: 08/12/15) file contained verification that six (6) hours of cabinet-approved orientation training had been completed on 11/18/15; therefore, it had not been obtained within the first three (3) months of employment. 2. Two (2) staff’s (DOH: 06/02/15 and 08/12/15) files contained verification of only six (6) hours of cabinet-approved early care and education annual training during the review period. 3. Two (2) staff’s (DOH:04/06/15 and 08/12/15) files did not contain verification that pediatric abusive head trauma training had been obtained within the first year 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 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation during a tour of the child care center, the surveyor found that a sink was not equipped with running water located in the girls’ restroom. 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 found that the children did not wash their hands before or after snack. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 surveyor found that the first-aid kit lacked a working flashlight, thermometer and first aid book.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the surveyor found that a bottle of rubbing alcohol had been placed on a table by the sink located in the Computer Lab. The alcohol was within reach of the children. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation contained in ten (10) children’s files, the surveyor found the following: 1. A child’s (DOE: 08/10/08) did not contain an immunization certificate. 2. A child’s (DOE: 04/06/16) did not contain an immunization certificate. 3. A child’s (DOE: 08/10/16) did not contain an immunization certificate. 4. A child’s (DOE: 09/16/16) did not contain an immunization certificate. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 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 3. Records.

General: Based on review of documentation contained in ten (10) children’s files, the surveyor found the following: 1. Two (2) of the children’s files did not contain information to enable a person in charge to identify or contact the family physician. 2. One (1) child’s file did not contain information to enable a person in charge to identify or contact the preferred hospital. 3. One (1) child’s file did not contain information for the name of each person designated in writing to pick-up the child. Written Documentation 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 review of documentation, the surveyor found that earthquake and tornado drills had not been practiced during the second quarter of 2016. 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, the surveyor found that the fire marshal certificate on file at the after school program was for Glenn Marshall Elementary School rather than Kirksville Elementary School. Through interview, the surveyor learned that the correct fire marshal certificate was not available for review.

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 review of documentation, the surveyor found that the fire marshal certificate on file at the after school program was for Glenn Marshall Elementary School rather than Kirksville Elementary School. Through interview, the surveyor learned that the correct fire marshal certificate was not available for review and compliance with the fire marshal requirements could not be verified.

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 surveyor found that the file for a staff (DOH: 08/08/14) did not contain an annual written performance evaluation. Through interview with a staff person, the surveyor learned that documentation was not available for review at the time of the renewal inspection.

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 surveyor found that a substitute staff’s file did not contain a criminal records background check. Through interview with a staff, the surveyor learned that the substitute has not yet worked with the children and documentation was not available to verify regulatory 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, the child care center did not maintain a complete personnel file for the following staff: 1. The file for a staff (DOH: 06/02/15) did not contain a Child Abuse/Neglect and criminal records background checks. Through review of the previous survey, the surveyor found that the staff did have completed background checks; however, they were not present at the child care center for review. 2. The file for a staff did not contain the date of hire or the front page of the Child Abuse/Neglect background check. Through interview with a staff, the surveyor learned that the documentation was not available for review. 3. The file for a staff did not contain the date of hire, criminal records background check or a copy of a negative tuberculin result or a written statement from a health professional that the individual is free of 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 review of documentation, the surveyor was unable to verify that a staff (DOH: 04/06/15) had obtained a High School Diploma, GED or Commonwealth Child Care 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, two (2) staff’s (DOH: 04/06/15 and 07/22/15) files did not contain the copy of a negative tuberculin result or a written statement from a health care professional that the individual is free of active tuberculosis. Based on interview with a staff person, the surveyor learned that documentation was not available at the time of the renewal survey to verify regulatory compliance.

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 surveyor found that the individuals identified as substitute staff do not meet the qualifications based on lack of the following: Dates of hire, criminal records background check and a copy of a negative tuberculin result or a written statement from a health professional that the individual is free of 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 review of documentation, the surveyor found that the individuals identified as substitute staff do not meet the qualifications based on lack of the following: Dates of hire, criminal records background check and a copy of a negative tuberculin result or a written statement from a health professional that the individual is free of 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 review of documentation and ECE-TRIS, the surveyor found verification that a staff (DOH: 08/08/14) has not obtained pediatric abusive head trauma training within the first year of employment and has completed only six (6) hours of cabinet-approved early care and education annual training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming

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 that a container of Lysol Disinfecting Wipes had been placed on a cafeteria table near the children. The label on the container of wipes indicated that it was "hazardous to humans and domestic animals".

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 after-school program, the surveyor found that toilet seats were not securely attached to the toilet bowls located in the girls’ and boys' restrooms. Hygienic Practices

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 surveyor found that the first-aid kit did not contain a flashlight. Through interview with a staff person, the surveyor learned that a flashlight was not available in the case of need.

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 surveyor found that four (4) of the children’s (DOE: 07/15/15, 08/05/15, 08/11/15 and 08/12/15) files did not contain immunization certificates. Based on an interview with a staff person, the surveyor confirmed that the immunization certificates were not available for review. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 28 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 contained in a child’s (DOE: 08/05/15) enrollment file, the surveyor was unable to verify the following information: 1. The name of each person designated in writing to pick-up the child. 2. The name and phone number of each person to be contacted in an emergency situation involving or impacting the child.

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 surveyor found that the Emergency Preparedness Plan presented at the time of the renewal survey did not contain the following components: 1. A designated relocation site and evacuation route. 2. Procedures for notifying parents of the relocation and ensuring family reunification. 3. Procedures to address the needs of individual children including children with special needs. 4. Instruction relating to the training of staff or the reassignment of staff duties, as appropriate. 5. Coordination with local emergency management officials. 6. A program to ensure that appropriate staff is familiar with the plan’s components. 7. Update the plan by December 31 each year. 8. Retain an updated copy of the plan for evacuation, provide an updated copy to appropriate local emergency management officials and provide a copy to each parent at the time of enrollment and when updated.

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 surveyor found that a staff's (DOH: 08/08/14) file did not contain an annual written plan for professional development. Through interview with a staff person, the surveyor learned that documentation was not available at the time of the renewal survey to verify regulatory 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, the surveyor found no verification that the quarterly practiced earthquake and tornado drills had been conducted. Through interview with a staff person, the surveyor learned that documentation was not available for review at the time of the renewal survey.

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 surveyor was unable to determine that the monthly practiced fire drills has been conducted. Through interview with a staff person, the surveyor learned that documentation was not available to verify regulatory compliance at the time of the renewal survey.

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 surveyor was unable to verify that the child care center had 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 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on review of documentation, the surveyor was unable to determine that the monthly practiced fire drills has been conducted. Through interview with a staff person, the surveyor learned that documentation was not available to verify regulatory compliance at the time of the renewal survey.

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, the surveyor found no verification that the quarterly practiced earthquake and tornado drills had been conducted. Through interview with a staff person, the surveyor learned that documentation was not available for review at the time of the renewal survey. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.