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

General: Based on review of documentation, the child care center failed to maintain state regulations. At the time of survey, the document outlining rights for children in care and their parents was not presented for review or posted for public inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and review of documentation, the child care center failed to maintain state regulations. One (1) employee (DOH: 06/01/23) had a background check noted as "Closed- Fingerprints Not Taken" per a review of KARES. Therefore, this employee did not obtain a status of "Eligible for Hire" prior to their hire date. It should be noted the employee was working at the time of survey, though not directly with children in care. Additionally, the staff in charge stated KARES had been contacted about this previously and told her it was acceptable for the employee to work. Supervision In Compliance Staffing Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain state regulations. At the time of survey, four (4) children were in the facility and related to the staff in charge. These children were not enrolled in the program or included in staff-to-child ratios. It should be noted that the staff in charge stated the children were only present for the fall break; they are not routinely present. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 6. License Issuance.

General: Based on review of documentation, the child care center failed to maintain state regulations. The liability insurance for the facility had expired on 07/01/2024 and therefore was not current. Director Requirements In Compliance 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 child care center failed to maintain state regulations. During the survey, the following was observed: 1.) One (1) employee (DOH: 06/21/23) had completed the cabinet-approved orientation training after the deadline of the first ninety (90) days of employment. 2.) One (1) employee (DOH: 09/01/17) had completed only seven (7) hours of the required fifteen (15) hours of training for the dates 07/01/23 to 06/30/24. 3.) One (1) employee (DOH: 06/01/22) had completed only nine and one half (9.5) hours of the required fifteen (15) hours of training for the dates 07/01/23 to 06/30/24. 4.) One (1) employee (DOH: 02/21/24) had not yet completed the cabinet-approved orientation training which is required within the first ninety (90) days of employment. 5.) Two (2) employees (DOH: 06/21/23 and 06/01/23) had not yet completed the pediatric abusive head trauma training which is required within the first (1st) year of employment. 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 child care center failed to maintain state regulations. The first aid kit presented for inspection did not contain a cold pack or sterile gloves. Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain state regulations. During the survey, the following was found: 1.) One (1) child (DOE: 08/14/24) had an enrollment form that did not contain medical history. 2.) One (1) child (DOE: 08/14/24) had an enrollment form that did not contain a preferred physician. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain state regulations. Two (2) employee files (DOH: 09/01/17 and 06/01/22) did not contain proof of an annual professional development plan. 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 2:120 · 922 KAR 2:120. Section 3. General Requirements.

General: Based on review of documentation, the child care center failed to maintain state regulations. During the survey, the following was observed: 1.) For the third (3rd) quarter of 2024, no earthquake drill documentation was presented for review. 2.) For the third (3rd) quarter of 2024, no tornado drill documentation was presented for review. 3.) For the third (3rd) quarter of 2024, no lockdown drill documentation was presented for review. 4.) For the months of August 2024 and September 2024, no fire drill documentation was presented for review. 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, the documentation presented for a substitute staff member (DOH: 06/01/22), included the most recent TB skin test dated 09/24/21, which was no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, a staff member (DOH: 06/21/23) was listed on the KARES background check surveyor report as provisional, in process. This staff member's employment status was not current in the KARES background check system. The staff member was not working with children during the renewal survey. Supervision In Compliance Staffing Requirements In Compliance 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 6. License Issuance.

General: Based on interview and review of documentation, the last fire marshal inspection for the facility was conducted on 08/28/20. The staff in charge did not have documentation of emailing or contacting the fire marshal to request an inspection.

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 facility did not have a current copy of the general liability insurance on file. The copy of general liability insurance on file was dated 07/01/22 to 07/01/23. 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, a staff member (DOH: 09/01/17), completed only ten (10) hours of early care and education training during the training year 07/01/22 to 06/30/23. A review of ECE-TRIS verified this information. 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 following was found: Bathroom in Room 116 (Preschool Room) 1. Three (3) ceiling tiles were missing by the door in the bathroom. Pipes were exposed where the ceiling tiles were missing. 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: physical safety. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.

General: Based on review of documentation, the facility arranges transportation with the Spencer County School System. The facility did not have a third party transportation contract on file for this service. Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Meal Planning/Center Provides Meals Not In Compliance

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

922 KAR 2:120 · 922 KAR 2:120. Section 10. Meal Planning Requirements for a Center that Provides Meals.

General: Based on observation, the facility did not have a posted menu. The facility serves all three (3) meals (breakfast, lunch, and snack) to the children. 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 following was found: 1. A child enrolled on 11/28/22, had an immunization certificate on file that was no longer current. The immunization certificate was dated 01/16/23. 2. A child enrolled on 08/28/23, did not have an immunization certificate on file. 3. A child enrolled on 11/27/23, had an immunization certificate on file that was no longer current. The immunization certificate was dated 12/15/23. 4. A child enrolled on 07/09/22, did not have an immunization certificate on file. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on interview and review of documentation, the facility did not have an emergency preparedness plan on file for 2023. The staff in charge was unaware of having to complete an emergency preparedness plan.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, two (2) staff members (DOH: 06/01/22 and 09/01/17), did not have current professional development plans on file. Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following staff's (DOH: 01/27/20, 08/22/22 and 02/06/23) files did not contain documentation 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 6. License Issuance.

General: Based on review of documentation, the surveyor found the child-care center could not provide documentation of a liability insurance policy that was current. The documentation provided during the surveyor’s visit showed the liability insurance was no longer current as of 07/01/2022; therefore, the child-care center did not meet the regulatory requirements. Director Requirements In Compliance 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 9. Records.

General: Based on review of documentation, the surveyor found that a staff’s (DOH: 02/06/2023) personnel file could not be provided during the surveyor’s visit. The surveyor was unable to determine the staff person's date of birth, obtain proof of the staff’s education, documentation to verify if the staff was free of tuberculosis, or obtain information about the staff person including name, address and person to contact in case of an emergency. 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 found the following staff's (DOH: 08/05/05, 07/03/17, 01/27/20, 09/13/21, 08/22/22, 08/22/22 and 02/06/23) files did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:090 · 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: 07/03/17) obtained six (6) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 2. A staff (DOH: 01/27/20) obtained six (6) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 3. A staff (DOH: 09/13/21) obtained eight and a half (8.5) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 09/13/21 – 09/12/22. 4. A staff's (DOH: 01/27/20) file did not contain documentation of completing the six (6) hours of cabinet-approved Orientation I & II training; therefore, the training was not completed within three (3) months of employment. 5. A staff's (DOH: 09/13/21) file did not contain documentation of completing the six (6) hours of cabinet-approved Orientation I & II training; therefore, the training was not completed within three (3) months of employment. 6. A staff's (DOH: 08/22/22) file did not contain documentation of completing the six (6) hours of cabinet-approved Orientation I & II training; therefore, the training was not completed within three (3) months of employment. 7. A staff’s (DOH: 09/13/21) file did not contain documentation of one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training; therefore, the training was not completed within one (1) year of employment. 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 review of documentation, the surveyor found a child’s (DOE: 11/28/22) file contained an immunization certificate that was no longer current as of 01/16/23.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. The following children's (DOE: 08/19/22, 08/19/22 and 11/28/22) files did not contain the contact telephone number for the child’s preferred hospital. 2. A child’s (DOE: 11/28/22) file did not contain the contact telephone number for the child’s family preferred physician. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to comply with regulatory requirements. A review of documentation failed to reveal current liability insurance. Interview with staff in charge revealed the documentation was not available at the time of the survey. 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, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the Preschool Bear Care room revealed staff members' purses and backpacks sitting on the floor and desks allowing accessibility to the 9 children ranging in age from 3 years to 5 years attending in the classroom. Personal belongings were also observed accessible to the 4 children in the Under 8 Bear Care room. Interview revealed the children in the Under 8 Bear Care room ranged in age from 7 years to 9 years. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain children's files in accordance with regulatory requirements. A review of documentation failed to reveal a current immunization certificate for a child enrolled on 7/1/2020. Interview with the provider revealed the documentation was not available at the time of the survey.

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 child care center failed to maintain children's records in accordance with regulatory requirements. A review of documentation failed to reveal a preferred hospital for a child enrolled on 7-1-2020. Interview with the provider revealed the documentation was not available at the time of the survey. Written Documentation In Compliance Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain regulatory posting requirements. A review of documentation failed to reveal the most current statement of deficiency issued by the cabinet and plan of correction submitted by the provider. Interview with the staff in charge revealed the documentation was not in the building at the time of the survey, but in her office in another building. Animals In Compliance Emergency Regulation 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 childcare center failed to maintain employee records in accordance with regulatory requirements. A review of staff files failed to reveal documentation of eligible for employment status in the file for an employee with the hire date of 9/28/17. Interview with the staff in charge revealed the status was not contained in the file. Review of a KARES report revealed the employee was eligible for employment.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff records revealed three (3) files for staff with the hire dates of 9/20/10, 7/3/17 and 09/28/17 failed to have written documentation from a health care professional to verify that the individual was free from active TB at the time of the survey. Interview with the staff in charge revealed the documentation was not contained in the files. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff in charge did not present verification that two (2) staff members with hire dates of 07/03/17 and 9/28/17 had completed Pediatric Abusive Head trauma training within the last five years. Upon request, the staff in charge did not present verification that two (2) staff members with hire dates of 09/20/10 and 9/28/17 had completed the required fifteen (15) annual hours of cabinet approved early care and education training. A review of an ECE-TRIS report could not verify that the training had been completed. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals 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 review of documentation, and interview, the child care center director failed to assure compliance with regulatory requirements. A review of documentation revealed a copy of regulations from 07/2017, thereby failing to provide a current copy of the regulation of 2018. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Employee Records Not In Compliance

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files failed to reveal negative results from a tuberculin test, or a written statement from a health professional stating the individual is free of tuberculosis for a staff member with a hire date of 4/30/13. Interview with the staff in charge revealed the documentation was not available at the time of the survey. 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, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of documentation failed to reveal 15 hours of cabinet approved child care training for staff members with hire dates of 8/24/14, 7/3/17, 8/8/05, 9/20/10, and 4/30/13. A staff member with a hire date of 7/2/18 failed to have documentation verifying that orientation training had been received within three (3) months from the start of employment. Documentation received from provider on 10/19/18 revealed the orientation training had not been scheduled for said employee as of that date. A staff member with a hire date of 7/3/17 failed to have documentation verifying completion of Pediatric Head Trauma training. A review of ECE-TRIS also failed to reveal the completed training. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the child care center failed to maintain the outdoor play area in accordance with regulatory requirements. Observation revealed two (2) large posts holding a canopy. Further observation revealed the posts were held in place by globs of concrete, which had not been smoothed or flattened. The concrete was clumpy, rough and sharp to the touch. Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirerments. A review of ten (10) children's files revealed a child with an enrollment date of 08/15/18 failed to have a current immunization certificate contained in the file. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted 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 8. General.

General: Based on review of documentation, and interview, the child care center failed to post documentation in accordance with regulatory requirements. A review of postings failed to reveal the most current statement of deficiency issued by the cabinet and the plan of corrections submitted by the provider for the most current year. Interview with the provider revealed the documentation was not available at the time of the survey. Animals In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and observation, the child care center director failed to assure compliance with regulatory requirements associated with assuring the health, safety and comfort of all children in care. According to staff members, children attending the child care program during the school year are sleeping on the floor and are not sleeping on a two inch mat or cot in the early mornings. During the summer, the children are required to have an afternoon rest time and they are not provided with a two inch thick mat or cot and are falling asleep during rest time. Observation and interviews revealed that in the under age eight (8) classroom, there were not any sleeping mats available for the children. The children were asking staff members if they could use foam ABC puzzle pieces during rest time that were observed to not be two inches thick or manufactured for sleeping.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance to regulatory requirements. Upon request, the director did not present a completed CAN check for staff member with the hire date 8/1/06. The director stated that the staff member is currently on medical leave and has not worked alone with children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present current TB verification for staff member with hire date 8/1/06. Review of documentation revealed the last TB documentation was read on 4/28/11. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the child care center failed to maintain children's records in accordance with regulatory requirements. All children files presented for review by the director did not contain a preferred hospital. The child's file with the enrollment date 8/9/16 also failed to contain physician contact information. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable

Open Not marked corrected in the state record

Open / not marked corrected.