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

General: Based on review of documentation, the surveyor found there was no documentation for review of recurring staff meetings. During interview, staff-in-charge stated these were not kept at her center’s location and were located at the main YMCA location.

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 interview and review of documentation, the surveyor found one (1) staff’s (DOH: 11/01/23) file did not contain an evaluation; therefore, the surveyor was unable to determine if the staff’s evaluation was completed annually as required. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the surveyor found there were no employee files to review for two (2) (DOH: unknown) staff who were listed on the childcare center’s KARES roster as current employees and who were observed by the surveyor working with children the day of the inspection. Surveyor review of individual applicant history on KARES revealed permanent hire dates of 08/01/24 and 09/04/24. However, during interview, staff-in-charge stated she was unsure of the dates of hire for these staff and could not locate the personnel files for these staff on site for surveyor to review. Therefore, the childcare center failed to maintain a current personnel file for these staff which included name, address, date of birth, and date of employment; proof of educational qualifications; documentation of compliance with tuberculosis screening; and the results of background checks in accordance with regulations.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the surveyor found: 1. One (1) staff (DOH: 8/11/22) file that contained a tuberculin (TB) skin test that was no longer current, the TB skin test was dated for 8/17/22. During interview, staff-in-charge stated this staff member works at the main office as an assistant and is a substitute at her location, and she will advise this staff member to submit an updated TB skin test. 2. One (1) staff (DOH: unknown) file contained no documentation of a tuberculin skin test or statement from a health professional; therefore, the surveyor was unable to verify that this staff had provided this documentation prior to employment as required. Staff-in-charge stated she would have this staff provide a copy for her 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, review of ECE-TRIS, the surveyor found the following: 1. One (1) staff (DOH: 11/01/23) completed orientation on 01/28/25; therefore, the staff did not complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment as required. 2. One (1) staff’s (DOH: 08/09/24) file contained no documented date of orientation completion; therefore, the surveyor was unable to verify that this staff had completed orientation within the first three (3) months of employment as required. 3. One (1) staff’s (DOH: unknown) file contained no documentation of orientation completion. This staff had a determination date of 09/09/24 on the center’s KARES roster; however, staff-in-charge was unable to provide a date of hire. The surveyor’s search of ECE-TRIS found no individual account information for this staff. Therefore, the surveyor was unable to verify that this staff completed six (6) hours of cabinet-approved orientation within the first three (3) months of employment. 4. One (1) staff’s (DOH: unknown) file contained no documentation of orientation completion. This staff had a determination date of 08/01/24 on the center’s KARES roster; however, staff-in-charge was unable to provide a date of hire. Therefore, the surveyor was unable to verify that this staff completed six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the surveyor found two (2) children’s (DOE: 07/31/24 and DOE: 08/05/24) files did not contain an immunization certificate. Therefore, the childcare center failed to maintain a current immunization certificate for these children. During interview, staff-in-charge stated she would ask the parents to provide a current immunization certificate for these children.

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 and review of documentation, the surveyor found the following: 1. Ten (10) children’s files (DOE: 05/24/24, DOE: 05/24/24, DOE: 04/29/24, DOE: 08/06/24, DOE: 06/13/24, DOE: 09/09/24, DOE: 07/31/24, DOE: 08/12/24, DOE: 12/12/24, and DOE: 08/05/24) lacked a written record signed by the parent and lacked signed authorization by the parent for the childcare center to seek emergency medical care for the child in the parent’s absence. During interview, staff-in-charge stated that staff entered enrollment information in an electronic system, and a hard copy of the form was included in the child’s record; however, she could not locate documentation of parent signatures for these children’s files to verify at the inspection. 2. One (1) child’s (DOE: 07/31/24) file contained no contact phone number for the child’s preferred hospital. 3. One (1) child’s (DOE: 08/05/24) file contained no contact number for the child’s preferred hospital. 4. One (1) child’s (DOE: 08/12/24) file contained no contact phone number for the child’s preferred hospital. 5. One (1) child’s (DOE: 09/09/24) file contained no name or phone number for the child’s physician, and no contact phone number for the preferred hospital. 6. Two (2) children’s (DOE: 05/24/24 for both children) files did not contain a contact phone number for the preferred hospital. Therefore, the childcare center failed to maintain a complete written record for these children containing the above-mentioned information. 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 interview and review of documentation, the surveyor found two (2) staff’s (DOH: 12/06/22 and DOH: 11/01/23) files did not contain a professional development plan. During interview, staff-in-charge stated these may be available at the main office, but she was unable to locate these documents for the surveyor to review. Therefore, the surveyor was unable to determinate that professional development plans were completed for these staff annually as required. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the surveyor found that documentation of liability insurance coverage of at least $100,000 was not provided during the surveyor's visit. Staff reported the insurance documentation was on file; however, was not available for the surveyor to review. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found: Classroom 1: 1. A black unlocked cabinet contained Lysol wipes and Fabuloso cleaner. Both bottles stated “Keep out of reach of children” on the label. Staff reported the cleaning supplies would be moved. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation and interview, the surveyor found: Classroom 1: 1. A vent on the wall near the restroom had layers of dust; the vent also had a loose wire hanging down and touching the floor. Classroom 2: 1. A vent on the wall had layers of dust. 2. The wall near the black refrigerator had a hole near the baseboard with four (4) wires sticking out. 3. The baseboard underneath the window was separated and peeling from the wall. 4. The windowsill was cracked and contained a hole. Staff reported the vents would be cleaned and the wall repairs would be ordered.

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, interview, and review of documentation, the surveyor found: Classroom 2: 1. The restroom had a food wrapper, hair, debris, and yellow stains on the floor. The staff's daily cleaning log had not been utilized since 09/11/23. Staff acknowledged the bathroom had not been cleaned after closing the previous day and had not bee cleaned prior to the children arriving on the present day. Staff reported the cleaning is typically completed daily without using the cleaning log. Staff reported the restroom would be cleaned.

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 and interview, the surveyor found: Classroom 1: 1. The restroom's toilet had a loose toilet seat. Classroom 2: 1. The restroom had a toilet with a yellow substance in the bowl. Staff reported the loose toilet seat would be tightened and the toilet bowl would be cleaned. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation and interview, the surveyor found: Classroom 1: 1. A metal cabinet near the entrance marked “DO NOT OPEN!!!” was broken; metal shelves began falling forward when the unlocked door was opened. 2. A child’s metal chair had peeling paint and contained what appeared to be rust. Classroom 2: 1. A metal cabinet had shelves with peeling paint. Staff reported the cabinet in Classroom 1 was broken, not being used, and would be removed. The cabinet in Classroom 2 would be repaired. Staff reported the chair would be replaced. 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 interview and review of documentation, the surveyor found: 1. A child’s (DOE: 08/15/23) file did not contain an immunization certificate. 2. A child’s (DOE: 07/24/23) file did not contain an immunization certificate; the file contained a shot record without an expiration date. 3. A child’s (DOE: 07/24/23) file did not contain an immunization certificate; the file contained a shot record without an expiration date. Staff reported the immunization certificates would be obtained. 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 2:090 · 922 KAR 2:090. Section 9. Records.

General: Based on interview and review of documentation, the surveyor found: 1. A child’s (DOE: 07/10/23) file 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, or the contact information for the child’s preferred hospital. 2. A child’s (DOE: 07/10/23) file 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, or the contact information for the child’s preferred hospital. 3. A child’s (DOE: 07/18/23) file 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, or the contact information for the child’s preferred hospital. 4. A child’s (DOE: 08/15/23) file 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, or the contact information for the child’s preferred hospital. 5. A child’s (DOE: 08/15/23) file 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, or the contact information for the child’s preferred hospital. 6. A child’s (DOE: 08/14/23) file 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, or the contact information for the child’s preferred hospital. 7. A child’s (DOE: 07/24/23) file 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, or the contact information for the child’s preferred hospital. 8. A child’s (DOE: 07/24/23) file 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, or the contact information for the child’s preferred hospital. 9. A child’s (DOE: 08/07/23) file 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, or the contact information for the child’s preferred hospital. 10. A child’s (DOE: 08/11/23) file 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, or the contact information for the child’s preferred hospital. Staff reported the missing information was available in the computer system; however, the information was not on the documents in the children's files. Staff reported the electronic enrollment documents would be corrected to include the missing information. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the surveyor found: 1. The written evacuation plan was not provided. Staff reported the evacuation plan was on file; however, the documentation was not available for review during the surveyor's visit. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered a child's (DOE: 11/1/22) file did not contain the name or telephone number for the family physician; therefore, the child-care center failed to maintain children's records. 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 interview, with the staff-in-charge, the surveyor discovered that the personnel file of one (1) staff (DOH: 12/16/21 ) did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered that a staff’s personnel file (DOH: 12/16/21) contained a negative tuberculin result that was no longer current as of 11/26/21; therefore, the child-care center failed to provide verification that the employee was free of active tuberculosis or provide a copy of a negative tuberculin result. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor discovered the following: 1. No date was listed on the ECE-TRIS Individual Training Record Report for one (1) staff (DOH: 8/11/22) indicating that the staff completed six (6) hours of cabinet-approved orientation training. 2. Upon review of the ECE-TRIS Required Training Hours Report for the timeframe of 11/23/21 thru 11/22/22, the surveyor discovered that one (1) staff (DOH: 11/23/21) had completed one and one-half (1 1/2) hours of the fifteen (15) required hours of cabinet-approved early care and education training. Therefore, the child-care center failed to ensure that training was completed as required. 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 the following: 1. The area in front of the toilet in a classroom's restroom contained a dirty black substance on the floor. 2. Food crumbs, a plastic wrapper from a cheese stick, and various beads were in the floor of the classroom. Therefore, the premises was not kept clean.

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 following: 1. While attempting to check the hot water temperature in the classroom's restroom, the surveyor discovered that no water came out of the faucet when the surveyor turned the knob for the hot water; therefore, the surveyor was unable to determine if the hot water temperature for the sink fell within the required minimum ninety (90) degrees Fahrenheit and maximum one hundred and twenty (120) degrees Fahrenheit. Staff-in-charge stated she thought the hot water heater was being worked on and the children could wash their hands in the sink that is located in the classroom. 2. The sink in the classroom's restroom was not equipped with a hand-drying blower. The surveyor did not observe single use disposable hand drying materials in the restroom.

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 that the toilet bowl of the toilet located in the classroom's restroom was yellow in color; thus, the child-care center failed to keep the toilet in clean condition. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 discovered the following: 1. A child's (DOE: 8/4/22) immunization certificate was no longer current as of 11/10/19. 2. A child's (DOE: 7/29/22) immunization certificate was no longer current as of 1/2/22. 3. The file presented to the surveyor for a child (DOE: 8/10/22) did not contain an immunization certificate. 4. The file presented to the surveyor for a child (DOE: 8/1/22) did not contain an immunization certificate. Therefore, the child-care center failed to maintain a current immunization certificate for the children.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a staff’s (DOH: 08/23/2021) file did not contain a completed Child Abuse/Neglect Background Check or a completed Criminal Records Check. The staff member is under the age of eighteen (18) and has not been entered into the Kentucky National Background Check Service. The surveyor did not observe the staff working alone with children. During interview, staff confirmed that the staff member was under the age of eighteen (18). Staff did not know if a Child Abuse/Neglect Check was completed on the staff member. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 and ECE-TRIS, the surveyor found the following: 1. Staff (DOH: 08/13/2014) obtained zero (0) of the required fifteen (15) hours of cabinet-approved early care and education training. 2. Staff (DOH: 08/13/2014) last obtained the one and one-half (1 ½) hours of pediatric abusive head trauma training on 11/21/2016; therefore, the staff has not completed the training once every five (5) years. 3. Staff (DOH: 05/10/2019) obtained eight (8) of the required fifteen (15) hours of cabinet-approved early care and education training. 4. Staff (DOH: 07/12/2021) obtained six (6) of the required fifteen (15) hours of cabinet-approved early care and education training. 5. Staff (DOH: 01/06/2021) obtained zero (0) of the required fifteen (15) hours of cabinet-approved early care and education training. During interview, staff confirmed the staff did not obtain the required training hours. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records 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 presented, the surveyor found a child's (DOE: 08/18/2021) file contained an immunization certificate that was no longer current as of 02/07/2022. During interview, staff reported this was the most recent immunization certificate that was provided to the center. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 10. Director Requirements and Responsibilities.

General: Based on review of documentation, the surveyor found the following: (1.) A staff's (DOH: 8/13/14) file did not contain an annual written performance evaluation. (2.) A staff's (DOH: 11/29/18) file did not contain an annual written performance evaluation. (3.) A staff's (DOH: 8/1/18) file did not contain an annual written performance evaluation. (4.) A staff's (DOH: 4/9/19) file did not contain an annual written performance evaluation. Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance

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 presented for review and interview, the surveyor learned that two (2) high school students participate with staff in the classrooms. The students have direct contact with the children but are never alone with them. They do not assist in meeting the staff-to-child ratio. During interview, staff confirmed that the students do not have background checks. Based on review of documentation presented for review and interview, the surveyor found that two (2) staff (DOH: 10/08/19 and 09/30/19) had not submitted fingerprint verification to the National Background Check Program. During interview, staff confirmed that the two (2) staff were hired prior to clearance for employment. Staff verified that the two (2) staff have not worked alone with the 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 presented, review of ECE-TRIS, and interview, the surveyor found the following: 1. A staff file (DOH: 08/10/17) did not contain documentation of the completion of fifteen (15) hours of annual training for 08/01/18 through 07/31/18. Review of ECE-TRIS, revealed that only seven and one half (7½ ) hours of annual training had been completed. Staff stated they thought they had completed fifteen (15) hours of training. 2. A staff file (DOH: 11/29/18) did not contain documentation of the completion of fifteen (15) hours of annual training for 11/29/18 through 11/28/19. Review of ECE-TRIS, revealed that zero (0) hours of annual training had been completed. Upon interview, the Director stated that she was aware that the staff member had not completed the require number of annual training hours. 3. A staff file (DOH: 08/01/18) did not contain documentation of the completion of fifteen (15) hours of annual training for 08/01/18 through 07/31/19. Review of ECE-TRIS, revealed that zero (0) hours of annual training had been completed. Upon interview, the Director stated that she was aware that the staff member had not completed the require number of annual training hours. 4. Based on review of documentation and ECE-TRIS, the surveyor found that staff (DOH: 10/07/19) has not obtained the six (6) hours of cabinet - approved orientation; therefore, the training was not obtained during the staff's first three (3) months of employment. During interview, staff stated that they were aware that training requirements were not met. 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 and interview, the surveyor found that the sinks in all three restrooms in the classroom were not equipped with hot water at a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of one hundred twenty (12) degrees Fahrenheit; all 3 sinks registered at sixty (60) degrees Fahrenheit. During interview, staff stated they were not aware of the water temperature and would have someone adjust it.

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 and interview, the surveyor found the following: 1. The toilet located on the right side of the classroom contained urine and had not been flushed; therefore, the toilet was not kept in clean condition. 2. The toilet located on the left side of the classroom contained urine and had not been flushed; therefore, the toilet was not kept in clean condition. During interview, staff stated they were not aware of the toilets not being flushed and they would advise staff to check after students leave the restroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.

General: Based on review of documentation and the National Background Check Program, the surveyor found the following: 1. The surveyor found no verification that a staff (DOH: 11/29/18) has completed the National Background Check. The surveyor found that the childcare center has submitted an inked copy of the staff’s fingerprints to determine eligibility on 1/15/19. Therefore, the childcare center employed the staff prior to clearance. Interview with staff found that the staff has not been alone with the children. 2. The surveyor found no verification that a staff (DOH: 11/19/18) has completed the National Background Check. The surveyor found no verification that the childcare center has submitted an inked copy of the staff’s fingerprints to determine eligibility. Interview with staff found that the staff has not been alone with the children. 3. The surveyor found no verification that a staff (DOH: 12/3/18) has completed the National Background Check. The surveyor found no verification that the childcare center has submitted an inked copy of the staff’s fingerprints to determine eligibility. Interview with staff found that the staff has not been alone with the 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 that a staff’s (DOH: 8/13/14) personnel file contained a copy of a negative tuberculin result that was no longer current as of 10/31/18.

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. The surveyor found no verification that a staff (DOH: 8/13/14) completed any hours of cabinet-approved annual training. 2. The surveyor found no verification that a staff (DOH: 2/23/15) completed any hours of cabinet-approved annual training. 3. The surveyor found no verification that a staff (DOH: 8/10/17) completed any hours of cabinet-approved annual training. 4. The surveyor found no verification that a staff (DOH: 10/2/17) completed any hours of cabinet-approved annual training. 5. The surveyor found verification of only seven (7) hours of cabinet-approved annual training for a staff (DOH: 10/2/17). 6. The surveyor found no verification that a staff (DOH: 10/2/17) completed six (6) hours of cabinet-approved orientation training. 7. The surveyor found no verification that a staff (DOH: 10/2/17) completed one and one-half (1½) hours of cabinet-approved pediatric abusive head trauma training. 8. The surveyor found that a staff (DOH: 4/19/18) completed six (6) hours of cabinet-approved orientation training on 10/13/18; thus, not within the first three (3) months of employment. 9. The surveyor found that a staff (DOH: 4/25/18) completed six (6) hours of cabinet-approved orientation training on 10/13/18; thus, not within the first three (3) months of employment. 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 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. Transportation.

General: Based on interview, the surveyor found that the children went on a field trip on 6/29/18. Review of documentation found that staff did not document the time that the children departed the bus at the field trip destination and the time the children boarded the bus on the trip back to the childcare center. Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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

General: Based on review of documentation contained in ten (10) children’s enrollment information, the surveyor found the following: 1. A child’s (DOE: 8/21/18) file contained an immunization certificate that was no longer current as of 12/28/17. 2. A child’s (DOE: 8/21/18) file contained an immunization certificate that had no expiration date. The child’s immunization status could not be determined.

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 contained in ten (10) children’s enrollment information, the surveyor found the following: 1. A child’s (DOE: 8/21/18) enrollment information did not have documentation of the child’s general health status or medical history. 2. A child’s (DOE: 8/21/18) enrollment information did not have documentation of each person’s name and phone number to be contacted in an emergency involving or impacting the child. 3. A child’s (DOE: 8/31/18) enrollment information did not have documentation of each person’s name and phone number to be contacted in an emergency involving or impacting the child. 4. A child’s (DOE: 8/20/18) enrollment file did not contain written information to enable a person in charge to identify or contact the family physician or preferred hospital. 5. A child’s (DOE: 8/21/18) enrollment file did not contain written information to enable a person in charge to identify or contact the family physician or preferred hospital. 6. A child’s (DOE: 8/23/18) enrollment file did not contain written information to enable a person in charge to identify or contact the family physician or preferred hospital. 7. A child’s (DOE: 8/31/18) enrollment file did not contain written information to enable a person in charge to identify or contact the family physician or preferred hospital. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that two (2) staff (DOH: 2/23/15, 6/18/14) files did not contain evaluations. During interview, staff reported the evaluations may be located at the main office. A copy of the evaluations could not be provided during the surveyor's visit. 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 6. License Issuance.

General: Based on review of documentation, the surveyor found that the staff (DOH: 5/15/17) file did not contain a completed Child Abuse and Neglect check. Staff reported the staff is a substitute and has not worked on-site with children since being employed. Staff confirmed during interview that a Child Abuse and Neglect check had not been completed. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.

General: Based on review of documentation, the surveyor found that two (2) staff (DOH: 10/4/17, 9/8/17) files did not contain a high school diploma, GED, or Commonwealth Child Care Credential. During interview, staff reported a copy of their educational requirements may be on file at the main office. The documentation could not be found during the surveyor's visit.

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.) Five (5) staff (DOH: 9/8/17, 5/15/17, 8/11/17, 8/8/17, 8/10/17) did not obtain the six (6) hours of cabinet - approved orientation within their first three (3) months of employment. (2.) One (1) staff (DOH: 8/11/17) obtained the six (6) hours of cabinet - approved orientation on 11/19/17. This was not completed within the staff's first three (3) months of employment. (3.) Staff (DOH: 6/18/14) obtained none of the required fifteen (15) hours of cabinet - approved early care and education training. (4.) Staff (DOH: 2/23/15) obtained one (1) of the required fifteen (15) hours of cabinet - approved early care and education training. (5.) Staff (DOH: 8/13/14) obtained one and one - half (1 1/2) of the required fifteen (15) hours of cabinet - approved early care and education training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance 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 liquid soap and a flash light were missing from the first aid supplies. During interview, staff reported the items were misplaced. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: 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.) Five (5) children's (DOE: 7/17/17, 8/15/17, 8/14/17, 7/31/17, 8/15/17) did not contain a preferred hospital's telephone number. (2.) Five (5) children's (DOE: 8/16/17, 8/16/17, 8/14/17, 9/5/17, 8/17/17) files did not contain information for a preferred hospital. (3.) One (1) child's (DOE: 8/16/17) file did not contain information for a preferred physician. 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, the surveyor found that two (2) staff (DOH: 2/23/15, 6/18/14) files did not contain a written plan for child - care professional development. During interview, staff reported the professional development plans may be located at the main office. The professional development plans could not be provided during the surveyor's visit.

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 a fire drill was not documented for November 2017. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the children and staff were seen boarding a school bus for a field trip during the surveyor's visit on 7-14-17. Based on review of documentation, the child care center is not currently licensed for transportation services. Based on interview, staff stated they have taken the children on several field trips this summer as well as last summer. Through interview with the director, it was learned that the child care center transports the children on a Madison County School Bus and the driver is an employee of the Madison County Board of Education. Therefore, the child care center failed to provide written notification to the cabinet for a change in services prior to implementing transportation for the children. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 following things were found: 1) A staff's (DOH: 6/26/17) file did not contain a child abuse and neglect (CA/N) background check. 2) A staff's (DOH: 1/19/16) file did not contain a criminal records check (CRC). 3) A staff's (DOH: 1/19/16) file did not contain a completed CA/N background check, i.e., the CA/N form was present in the file but the results section was not completed. 4) The CRC was not submitted timely for staff member with DOH: 5/22/17, i.e., the CRC was submitted on 6/20/17. 5) The CRC was not submitted timely for staff member with DOH: 6/26/17, i.e., the CRC was submitted on 6/29/17. 6) A staff (DOH: 1/19/16) indicated on their CA/N check that they had resided in the state of Texas within the last five (5) years; however, an out-of-state background check was not in the file for review. Based on interview, the surveyor learned that the CA/N check for staff with DOH: 6/26/17, the CRC for staff with DOH: 1/19/16, and the out-of-state background check for staff with DOH: 1/19/16 had never been completed or submitted for completion. The surveyor further learned that none of the staff members have been left alone with children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the following things were found: 1) A staff’s (DOH: 2/23/15) file contained a copy of a negative tuberculin results dated 3/2/15; therefore, the result was no longer complaint with regulatory requirements. 2) A staff hired on 5/22/17 did not have written documentation on file from a health care professional that they were 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 interview, the surveyor found that the file for one (1) staff (DOH: 08/13/14) contained a copy of tuberculin skin test results that were no longer current as of 09/10/15 as the test had been interpreted on 9/10/13. Upon interview, staff was not aware that a current tuberculin skin test result was not in the file.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that three (3) staff files presented for review (DOH: 08/10/15, 08/12/15, and 02/23/15) did not contain the annual performance evaluation. Staff in charge was not aware that the annual performance evaluations were not in the file and explained that some documentation may be stored at their main office. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found that three (3) personnel files presented for review (DOH: 08/10/15, 08/12/15, and 02/23/15) did not contain record of annual performance evaluations. Staff in charge related that some documents may be stored in the main office at a separate location.

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, interview, and ECE-Tris, the surveyor found the following: 1. The surveyor found verification that three staff had not obtained fifteen (15) hours of cabinet-approved early care and education annual training as required. One (1) staff (DOH: 08/10/15) had obtained zero (0) hours of cabinet-approved early care and education annual training. One (1) staff (DOH: 08/12/15) had obtained only six (6) hours of cabinet- approved early care and education annual training. One (1) staff (DOH: 08/13/14) had obtained only four (4) hours of cabinet-approved early care and education annual training. Upon interview, staff in charge stated that they thought everyone had completed their training hours but was unable to provide additional training documentation at the time of the survey. 2. The surveyor found no verification that one (1) staff (DOH: 08/10/15) had obtained six (6) hours of cabinet-approved orientation training within the first three (3) months of employment. Upon interview, staff in charge was not aware that the staff member had not completed the required orientation training. 3. The surveyor found no verification that three (3) staff (DOH: 08/10/15, 08/12/15, and 08/13/14) had completed Pediatric Abusive Head Trauma training within the first year of employment. Staff in charge stated that the three (3) staff members had not completed the Pediatric Abusive Head Trauma training yet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Programming Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that there was not a current lesson plan posted in a conspicious location. Staff in charge stated they did have a lesson plan; however, she was not able to located the current lesson plan at the time of the inspection. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that the center's first aid kit did not contain medical tape or a thermometer as required. Staff in charge stated the items may have been taken out to be used and not replaced; however, she was unable to locate either items at the time of the inspection. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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 and interview, the surveyor found the following: 1. Files for two (2) children (DOE: 08/04/16 and 08/08/16) did not contain valid immunization certificates. 2. The file for one (1) child (DOE: 08/13/14) contained an immunization certificate; however, the copy was too dark to read the expiration date of the child's immunizations. Staff reported they are still working on organizing the children's files and some paperwork for the files was at their main office location.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation and interview, the following was found: 1. Ten (10) of the ten (10) children’s records reviewed did not contain the name or contact information of the family’s preferred hospital. The children’s dates of enrollment are as follows: 6/8/16, 8/8/16, 8/4/16, 8/13/14, 8/10/16, 8/10/16, 8/6/16, 8/8/16, 8/8/16, and 8/8/2016. 2. One (1) of the children’s (DOE: 8/8/16) files did not contain information to enable a person in charge to identify or contact the family physician. Staff reported they were aware that the hospital information was missing from the children's enrollment forms. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found no written record of quarterly earthquake or tornado drills for January 2016 through July 2016. Staff in charge reported the drills had been completed; however, the documentation may have been filed at the main office at a separate location.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found no written record of monthly fire drills for June and July 2015, January 2016 through July 2016, or September 2016. Staff in charge reported the drills had been completed; however, the documentation may have been filed at the main office at a separate location. 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

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found no written record of monthly fire drills conducted for June and July 2015, January 2016 through July 2016, or September 2016. Staff in charge reported the drills had been completed; however, the documentation may have been filed at the main office at a separate location.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation and interview, the surveyor found no written record of quarterly earthquake or tornado drills conducted for January 2016 through July 2016. Staff in charge reported the drills had been completed; however, the documentation may have been filed at the main office at a separate location. Posted 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 2. General.

General: Based on observation and interview, the surveyor found that the 2015 deficiency statement and plan of correction for the center were not posted in a conspicious location. Upon interview, staff in charge attempted to locate the items unsuccessfully. 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 was presented with only one (1) documented staff meeting within the last year. The date of the staff meeting that was reviewed was dated for November 2015.

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.

Based on review of documentation and interview, there was one (1) staff (DOH: 8/22/15) file that did not contain documentation of a complete criminal records check (CRC). The surveyor observed the staff person (DOH: 8/22/15) exit the classroom at 4:22 p.m. to take a child to the restroom, the staff person returned to the classroom with the child at 4:24 p.m. The director also stated that the staff (DOH: 8/22/15) had worked alone with children at the child care center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, there was one (1) staff (doh: 8/22/15) file that did not contain documenation of a complete criminal records check (CRC). The director stated that she thought the CRC had been complete; however, when the director reviewed the staff person's file, she reviewed the incomplete CRC check. The surveyor observed the staff person (doh: 8/22/15) exit the classroom at 4:22 p.m. to take a child to the restoom, the staff person returned to the classroom with the child at 4:24 p.m. The director also stated that the staff (doh: 8/22/15) had worked alone with children at the child care center.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, during a review of staff records, ECE-TRIS training record, and interview the following was found: 1. There was one (1) staff (DOH: 8/13/14) file with only twelve (12) hours of cabinet approved training within the staff person last year of employment. 2. There was one (1) staff (DOH: 8/25/14) file with zero (0) hours of cabinet approved training within the staff person last year of employment. 3. There was one (1) staff (DOH: 8/6/15) file that did not contain documentation of completed orientation. The staff person has been employed at the child care center for more than ninety (90) days. 4. There were two (2) staff (DOH: 8/13/14 and 8/25/14) files that did not contain documentation of complete pediatric abusive head trauma training (PAHT). The director stated during interview that the two (2) staff had not completed the PAHT. 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 2:110 · 922 KAR 2:110. Section 3. Records.

General: Based on review of documentation, there were two (2) children's (DOE: 12/29/14 and 5/6/15) files that did not contain documentation of the child's immunizations. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1. There were two (2) children's (DOE: 12/29/14 and 5/6/15) files that did not contain the information for each child's preferred hospital in case of an emergency. 2. There was one (1) child's (DOE: 5/8/14) file that did not contain documentation of the child's medical history, emergency authorization, pick-up authorization, and the family physician.

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 presented with documentation of conducted earthquake and tornado drills; however, the time for the August 2015 and November 2015 earthquake and tornado drills were not documented separately.

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 presented with documentation of completed fire drills; however, the fire drill conducted in January 2015 did not have the time in which the drill was conducted.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, none of the ten (10) children's files presented for surveyor review contained the child's preferred hospital and preferred hospital telephone number.

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 and interview, the center's first aid kit failed to contain a flashlight.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation during a tour of the center, the surveyor found multiple children's coats and backpacks stored on the floor.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that the child care center's posted menu was not dated.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview, the center does not have a copy of the most recent licensed child care regulations.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, the criminal records check presented for surveyor review for one (1) staff member (DOH: 8/13/14) was submitted on 9/16/14, which was not within the time frame required by KRS 199.896. Based on interview, the staff member was not left alone with children until a completed criminal records check was returned to the center.

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 during a tour of the center, the surveyor found a roll of plastic garbage bags stored on a cart in the classroom accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the tornado drill conducted on 9/8/14 failed to contain the time the drill was conducted and the names of the children that participated in the drill.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the fire drill conducted on 9/8/14 failed to contain the names of the children that participated in the drill.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, verification of the monthly fire drill for the month of October 2014 was not presented for surveyor 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 3. General Requirements.

General: Based on review of documentation, verification of an earthquake drill for the quarterly months of July thorugh September 2014 was not presented for surveyor review. Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.