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Home › KY › Burkesville › Learning Tree Kids Zone Inc
66 David Williams Lane, Burkesville KY 42717 · License #L359205 · Center · Licensed
When they operate
Schedule type not published.
Ages served
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, the surveyor was only presented with one (1) substitute staff file. During interview with staff in charge, she stated that the child care center currently only has one (1) substitute staff person.
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 from KY-TRIS, there were four (4) staff without the required training: 1. Staff (DOH: 07/01/10) obtained only five (5) hours of annual training for review period 07/01/24 – 06/30/25. 2. Staff (DOH: 12/29/21) obtained only five (5) hours of annual training for review period 07/01/24 – 06/30/25. 3. Staff (DOH: 11/28/22) obtained only six (6) hours of annual training for review period 07/01/24 – 06/30/25. 4. Staff (DOH: 06/21/23) obtained only twelve (12) hours of annual training for review period 07/01/24 – 06/30/25 and this staff member did not complete orientation.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation in the Two-Year-Old Classroom, the surveyor found a bottle of Germ-X had been placed on the counter near the sink. The bottle was accessible to children and contained a label that read Keep Out of Reach of Children.
Open Not marked corrected in the state record
Generated from this facility's specific inspection record
Data synced from Kentucky Cabinet for Health and Family Services, Division of Child Care on Jul 11, 2026 · Source records · Report an error
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation in the One-Year-Old Classroom, the surveyor found the sink to be dirty with grime and an unknown white substance.
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 in the One-Year-Old Classroom, the surveyor found that the diaper changing pad was ripped in multiple areas.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, there was a kiddie pool located on the playground. During interview, staff in charge stated that the pool did not belong to the child care center and she believed that the wind blew the pool onto the child care center's property.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, there were multiple areas of the playground where the mulch was depleted, exposing the landscape fabric. There were also multiple climbing structures that had been placed on grass with no protective surface. During interview, staff in charge stated that she has already informed the owner that the playground needed mulch.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the surveyor found the following: Infant Classroom 1. There were two (2) bottles located on the counter. The bottles were not labeled with a child's name. 2. There was one (1) bottle located on the counter that was not covered with a lid. The bottle appeared to have contained milk. One Year Old Classroom 1. There was a child's bottle located on a climbing structure, with a slide, in the classroom. The bottle was not covered, and it appeared to have contained milk. Food Service 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 of thirteen (13) children's files, none of the files contained contact information for the preferred hospital. The children's enrollment packets did not have a place on the form that requested the preferred hospital information. During interview with staff in charge, she stated that she would check the children's enrollment packets for the missing information.
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 review of documentation, there were six (6) children that had allergies posted in their classrooms; however, none of the postings contained an allergy care plan for the children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, the surveyor discovered a six-week-old infant to be placed on his side in the crib while asleep. During interview with staff, the surveyor was informed that the child’s mom requested for him to be put on his side due to stomach issues. Based on review of documentation, there was not a signed note from the child’s pediatrician on file documenting a side sleeping position. Therefore, an alternate sleeping position was not permittable. Food Service 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, In the Two-Year-Old Room: 1) The lesson plan in the classroom was dated for January. Staff advised that this was the only lesson plan available.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.
General: Based on observation and interview, In the Two-Year-Old Room there were nine (9) children with one (1) staff member supervising. The staff member stated that the youngest child in the room was twenty-four (24) months old and the oldest child in the room was five (5) years old. Staff advised that this class would be combined all day and that these children are combined everyday due to staffing. Staff advised that there is no transitional plan for the youngest three (3) children that are twenty-four (24) months old.
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, In the Two-year-Old Room: 1) The blue rug was covered in dirt and debris. In the One-Year- Old Room: 1) The green rug was covered in dirt and debris.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, In the Preschool Room: 1) The purple door had marker markings all over it. In the Two-Year-Old Room: 1) The paint was chipped on the blue wall. 2) The paint was chipped on the peach wall. In the Infant Room: 1) The floors were covered in dirt and debris and had a sticky substance on it. In the One-Year-Old Room: 1) The floor was missing floor tiles in spots. 2) The floor was covered in dirt and debris and had a sticky substance on it.
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, 1) The mirror in the Two-Year-Old Restroom was dirty.
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, 1) The toilet in the Two-Year-Old Restroom was dirty. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, In the Two-Year-Old Room: 1) The changing table mat was dirty with an unknown brown substance. In the Infant Room: 1) The changing table mat was torn.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, 1) The outdoor play area had grass that was over grown and growing through the play equipment and mulch, therefore the playground was not well maintained. 2) The underlayment was exposed under the mulched area.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation and interview, 1) The surveyor observed a child asleep in a bouncer seat. Staff advised that the child was seven (7) months old and had been asleep in the bouncer seat for about thirty (30) minutes.
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, 1) The surveyor found that a child's (DOE: 01/13/25) enrollment files contained an immunization certificate that had no expiration date, therefore the children’s immunization status could not be determined. 2) The surveyor found that a child’s (DOE: 04/04/25) enrollment file contained written verification of immunization that was no longer current as of 07/15/25.
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 observation and interview, In the Two-Year-Old Room: 1) The surveyor observed a schedule posted that was dated for April. Staff advised that this was the only schedule available. Therefore, the daily schedule was not updated or current.
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, this surveyor found that a six-month-old child left unsupervised in the Infant Classroom for an undetermined amount of time. The Infant Classroom staff member was in the One-Year-Old Classroom talking to another staff member, the classrooms were divided by a half wall. The staff member informed the surveyor that the child was six (6) months old. Therefore, the child was out of the scope of vision of the staff member who was in charge of the One-Year-Old Classroom. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the surveyor found the following: Infant Classroom: 1) There was a container of Clorox Disinfectant Wipes located on a table in the classroom. The disinfectant wipes were within reach and accessible to the children in the classroom. 2) A purse had been placed on the bottom shelf of a bookcase. The purse was within reach and accessible to children in the classroom. During interview, the staff in the classroom stated that the purse belonged to her. School Age Classroom: 1) There was a pest glue trap located behind the School Age Classroom door. The trap was within reach and accessible to the children in the classroom.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found the following: 1) The door in the Two-Year-Old Room has a hole in it and the door appeared to contain a brown substance. 2) The paint on the School Age Room was chipping and the door also contained a brown substance. 3) The rug in the Infant Room contained debris. 4) There was a brown substance located in one (1) of the toilets located in the boy's restroom.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found the following: 1) The School Age Room walls have chipping paint. 2) The One-year-Old Room walls have chipping paint. 3) The Infant Room has tape residue on the walls. 4) The paint was chipping on the walls located in the boy's restroom. 5) The paint was chipping on the walls located in the girl's restroom. 6) The door to the girl's restroom had paint chipping. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment 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 6. Sleeping and Napping Requirements.
General: Based on observation in the Infant Classroom, the surveyor found a child was asleep in a bouncer seat for an unknown amount of time. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on interview and review of documentation, the surveyor found a staff member's (DOH: 07/01/10) KARES background check determination status was Eligible- Expired. The KARES report also indicated the staff member's background check was Closed-Fingerprints Not Taken. The staff member's file had a receipt for fingerprints dated 05/08/23 that was stapled to an Employment Authorization Form dated 08/18/23 and the Employment Eligibility Status was Eligible-Expired. Staff began a new application for background checks in KARES. Supervision In Compliance Staffing Requirements In Compliance Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on interview and review of documentation, the surveyor found a staff member witnessed a child hit another child in the face leaving a red mark that later turned into a bruise on the child's face. The child’s parent was not contacted and an incident report was not completed per the child-care center's program policy. Staff acknowledged during interview that the parent was not contacted per policy and an incident report was not completed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, interview and review of documentation, the surveyor found a staff member (DOH: 07/10/10) was working alone with an expired background check in the Two Year Old's Classroom with four (4) two-year-old children. Staff member confirmed through interview the age of the children inside the classroom. The staff member's KARES background check determination status was Eligible-Expired. The KARES report also indicated the staff member's background check was Closed-Fingerprints Not Taken. The staff member's file had a receipt for fingerprints dated 05/08/23 that was stapled to an Employment Authorization Form dated 08/18/23 and the Employment Eligibility Status was Eligible- Expired. Staff began a new application for background checks in KARES. 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 interview and review of documentation, the surveyor found a staff member’s (DOH: 07/01/10) file had a copy of negative tuberculin result dated 12/10/21; therefore, the negative tuberculin result was no longer current. Staff member reported an updated tuberculin result would be obtained for the staff member's file.
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 with staff-in-charge, the surveyor discovered a child's (DOE:3/28/2023) file did not contain an immunization certificate; therefore, the child-care center failed to maintain a current immunization certificate for the child. 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 review of documentation, the surveyor discovered that the child-care center's emergency preparedness plan was not signed and dated; therefore, the surveyor was unable to verify if the plan had been reviewed or revised within the past year. During interview with staff, staff could not confirm that the emergency preparedness plan had been reviewed or submitted to the local emergency management annually.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on review of documentation, the surveyor discovered the following: 1. Based on review of the Kentucky Applicant Registry and Employment System's (KARES) background check determination status for one (1) staff member (DOH: 6/22/2022) indicated “eligible no longer valid” for the staff. 2. Based on review of the Kentucky Applicant Registry and Employment System (KARES), a background check for a staff member (DOH: 11/28/2022) was not submitted through KARES. The employee’s personnel file did not contain documentation of background checks submitted through KARES. Staff-in-charge stated that the background checks for employees are typically completed by another staff member at a different center's location. Staff-in-charge contacted the other staff member; however, the staff member was unable to print the employment authorization forms to reflect the employee's eligibility date.
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 review of documentation, the surveyor discovered that eight (8) separated staff appeared on the Kentucky Applicant Registry and Employment System (KARES) Surveyor Report; therefore, the child-care center failed to maintain the employment status of each child-care staff member who has submitted to a fingerprint based criminal background check by reporting the status using the NBCP web-based system as required. 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 2 of 4 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview with the staff-in-charge, the surveyor discovered that a staff member's file (DOH: 6/21/2023) did not contain documentation of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential. 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 4. Premises Requirements.
General: Based on observation, the surveyor discovered that there were twelve (12) children present in the School Age Classroom. The School Age Classroom measures for a maximum capacity of ten (10) children. The classroom capacity was exceeded by two (2) children; therefore, the child-care center failed to maintain the thirty-five (35) square feet of space per child as required. Staff-in-charge stated that she was not aware that the classroom's capacity is ten (10) children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor discovered four (4) small slides/climbing toys placed on the grass of the playground area; therefore, the child-care center failed to ensure that the slides/climbing toys had a protective surface with a fall zone equal to the height of the equipment. Equipment In Compliance Transportation Not Applicable Kitchen 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 8. Kitchen Requirements.
General: Based on observation, the surveyor observed a green liquid substance under the refrigerator drawers inside the refrigerator; therefore, the child-care center failed to keep the refrigerator clean. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor discovered that the personnel files for three (3) staff members (DOH: 6/22/2022, 7/1/2010 and 12/29/2021) did contain written annual professional development plan; however, the written professional development plans were not dated. Posted Documentation In Compliance Animals 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, the surveyor found that there was a blue vinyl couch that had a hole in the arm; therefore, the vinyl couch was not in good repair. Staff reported that she would have the vinyl couch repaired.
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 review of documentation, the surveyor discovered at least five (5) staff that have separated from the child-care center that are still listed as employed on KARES. Staff reported that she would have someone update KARES. Supervision Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, the surveyor observed a child leave the Bigger Playground and go to the Little Playground twice without their teacher. Staff reported that she would talk to staff about supervising the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 9 Inspection Report Staffing Requirements Not In Compliance
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, the surveyor observed fourteen (14) children on the Bigger Playground. During interview, staff reported that the age range of the children was three (3) through eight (8); therefore, the class ratio is twelve (12) children per one (1) staff member. Staff reported that she did not realize that the class was out of ratio. General Administration 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 8. General.
General: Based on observation, the surveyor observed the following: 1. There was a PVC piping close to "Zone 4" that came apart from the connecting PVC piping, causing about an inch gap in-between the pipes; therefore, the health, safety, and comfort of the children was compromised by a child having the ability to stick their hand/fingers in the gap. Staff reported that she would have the gap in-between the PVC piping repaired. 2. There was a pacifier placed on the floor of the Infant Classroom. Staff reported that she would make sure staff knows to keep pacifiers off the floor. Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation, the surveyor found that a staff's (DOH: 12/20/2019) file did not contain a staff evaluation; therefore, the surveyor was unable to verify if a staff evaluation was completed annually. Staff reported that she would completed staff's evaluations. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 9 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found that a staff's (DOH: 07/29/2021) file did not contain proof of education documentation; therefore, the surveyor was unable to verify staff's education. Staff reported that she would get staff to bring in proof of education.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, The surveyor found the following: 1. A staff's (DOH: 07/29/2021) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative tuberculin (TB skin test) results for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 2. A staff's (DOH: 06/22/2022) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative TB skin test results for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 3. A staff's (DOH: 03/12/2020) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative TB skin test results for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 4. A staff's (DOH: 12/20/2019) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative TB skin test results for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 5. A staff's (DOH: 07/08/2019) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative TB skin test results for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. Staff reported that she would have staff complete a TB Skin test.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 07/08/2019) did not receive the required training on first aid and cardiopulmonary resuscitation (CPR). 2. A staff (DOH: 12/20/2019) did not receive the required training on first aid and CPR. Staff reported that she would have staff complete the first aid and CPR training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 9 Inspection Report
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and ECE- TRIS, the surveyor found the following: 1. A staff (DOH: 12/29/2021) did not complete the required six (6) hours of cabinet-approved orientation within the first three (3) months of employment. 2. A staff (DOH: 04/15/2022) did not complete the required six (6) hours of cabinet-approved orientation within the first three (3) months of employment. 3. A staff (DOH: 03/12/2020) completed fourteen (14) of the required fifteen (15) hours of cabinet-approved early care and education training completed between July 1 and the following June 30. 4. A staff (DOH: 12/20/2019) completed three and one-half (3 1/2) of the required fifteen (15) hours of cabinet-approved early care and education training completed between July 1 and the following June 30. 5. A staff (DOH: 07/01/2010) completed one (1) of the required fifteen (15) hours of cabinet-approved early care and education training between July 1 and the following June 30. Staff reported that she would have staff complete trainings. 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, the surveyor observed the Pre- K classroom on the playground at 10:04 am. During review of documentation, the daily activity log showed 8:45-9:45 was outside time and the children did not return inside the building until about 10:45am. Staff reported that she would talk to staff about following daily activities. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 9 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.
General: Based on observation, the surveyor observed fourteen (14) children on the Bigger Playground. During interview, staff reported that the age range of the children was three (3) through eight (8) years old and that the children were mixed together for longer than an hour. Staff reported that she will work on not mixing the children for longer than an hour.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, the surveyor observed four (4) infants in four (4) different cribs covered with blankets. Staff reported that she was unaware the children could not have blankets while in the crib. 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 surveyor found the following: 1. There was a 7 Up can in the sink located in the Two Year Old Classroom; the children had access to the 7 Up can. 2. There was a coke bottle placed on the counter that the children had access to located in the Infant Classroom. Staff reported that she will talk to staff about having drinks in undefined cups. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 9 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, the surveyor found the following: 1. There was what appeared to be food debris on the floor in the Two Year Old Classroom. 2. There was what appeared to be a plastic wrapper placed on the floor by the rocking chair in the Two Year Old Classroom. 3. There was what appeared to be a cobweb on the air vent located by the restroom of the Two Year Old Classroom. 4. There was heavy dust on the intake vent located in the Two Year Old Classroom. 5. There was what appeared to be a sucker stick and candy debris placed on the floor in the Pre-K Classroom. 6. There was what appeared to be food debris placed on the floor of the Pre-K Classroom. 7. There was heavy dust on the air vent located in the Pre-K Classroom. 8. There appeared to be a paper substance on the floor of the girl's restroom. 9. There was heavy dust on the exhaust vent located in the Girl's Restroom. 10. There was what appeared to be a paper substance on the floor of the boy's restroom. 11. There was heavy dust on the exhaust vent located in the Boy's Restroom. 12. There was dirt debris on the pond rug located in the One Year Old Classroom. 13. There were at least three (3) spiders above the door of the One Year Old Classroom. 14. There were spiders by the emergency light located in the One Year Old Classroom. 15. There were at least two (2) spiders above the navy rug located in the One Year Old Classroom. 16. There was heavy dust on the exhaust vent located in the One Year Old Classroom. 17. There was what appeared to be dirt and food debris on the floor of the One Year Old Classroom. 18. There was what appeared to be a white soiled area on the navy rug located in the One Year Old Classroom. 19. There was heavy dust on the fan blades located over the One Year Old Classroom area. 20. There were at least six (6) spiders above the changing table located in the Infant Classroom. 21. There was what appeared to be a cob web above the refrigerator located in the Infant Classroom. 22. There was heavy dust on the intake vent located in the Infant Classroom. 23. There appeared to be a substance all over the black refrigerator located in the Infant Classroom. 24. There was heavy dirt and food debris on the hopscotch rug located in the Infant Classroom. 25. The navy rug was frayed located in the Infant Classroom. 26. There was at least one (1) spider over the crib by the closet located in the Infant Classroom. 27. There was what appeared to be food debris in front of a crib located in the Infant Classroom. 28. There were at least three (3) spiders over the crib placed by the the exit door. 29. The baseboard was missing underneath the window in the Infant Classroom. Staff reported that she would work on the issues listed above. Staff stated that the exterminator was at the child-care center a few days ago and sprayed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 9 Inspection Report
Not marked corrected in the state record
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found the following: 1. There was what appeared to be a yellow substance and bowel movement in the toilet bowl located in the restroom off from the Two Year Old Classroom. 2. There was a bowel movement in the toilet bowl of the second stall located in the Girl's Restroom. Staff reported that she would have staff ensure the toilets are flushed after each use. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor observed that one (1) of the changing tables in the Infant Classroom contained two (2) blankets folded. During interview, staff reported that the changing table is used multiple times a day with just blankets. Staff reported that she would replace the blankets with a changing pad. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found the following: 1. There were at least three (3) Styrofoam cups placed on the ground of the Large Playground. 2. There was a Styrofoam cup placed on the ground of the Smaller Playground. 3. There appeared to be a paper type substance on the ground of the Smaller Playground. 3. There was what appeared to be a plastic popsicle packaging placed on the ground of the Smaller Playground. Staff reported that she would have the playgrounds cleaned up. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 9 Inspection Report
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found the following: 1. There was a PVC piping close to "Zone 4" that came apart from the connecting PVC piping causing about an inch gap in-between the pipes. 2. There were multiple areas that the grass appeared to be about calf high on the Large Playground; therefore, the grass had not been maintained properly. Staff reported that she would have the playground cleaned up. Equipment 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 13. Toys and Furnishings.
General: Based on observation, the surveyor found the following: 1. There was what appeared to be a plastic picnic table that was apart, placed in a play house located on the Smaller Playground. 2. There was a playhouse door placed on the ground of the Smaller Playground. 3. There was a large piece of plastic by the building's door. During interview, staff reported that it was a piece of a picnic table. Staff reported that she would have the playgrounds cleaned up. Transportation Not Applicable Kitchen 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 8. Kitchen Requirements.
General: Based on observation, the surveyor observed the off white freezer had what appeared to be a black substance on the rubber seals on the door and rubber seal on the ice machine. Staff reported that new appliances are supposed to be delivered Friday 07/15/2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 8 of 9 Inspection Report
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the surveyor discovered nine (9) bottles uncovered on the counter located in the infant classroom. Staff reported that she would talk to staff about covering the bottles when not in use. Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Drink Requirements for All Child-Care Centers.
General: Based on observation, the surveyor discovered about half of a gallon of milk left on the shelf at 10:04 in the Pre-K Classroom. During interview, staff reported that the children had not been in the classroom since about 9:30am; therefore, the milk had been left out for at least thirty (30) minutes. Staff reported that she would talk to staff about ensuring milk is stored properly. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor discovered that twenty-four (24) children were signed in to the child-care center. During a tour of the child-care center the surveyor observed twenty-six (26) children in the child-care center. Staff reported that she will ensure that parents sign-in and sign-out the children at the child-care center.
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 discovered the following: 1. A staff's (DOH: 12/20/2019) file did not contain a professional development plan; therefore, the surveyor was unable to verify if a professional development plan was completed annually. 2. A staff's (DOH: 07/01/2010) file contained a professional development plan dated 05/11/2019; therefore, the professional development plan was not completed annually. Staff reported that she would have staff complete a professional development plan. Posted Documentation In Compliance Animals Not Applicable
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.
General: Based on interviews, the surveyor learned that the center failed to report to the Cabinet the accident or injury to the child that required medical care initiated by the child-care center or the child’s parent; i.e., a five (5) month old child was sunburned while outside at the child care center from approximately 9:15 a.m. to 1:00 p.m. on 04/30/21. The child was taken to a doctor by the parent; however, the child care center failed to report to DRCC that the child was taken for medical attention. 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 8. General.
General: Based on interviews, the surveyor determined that the health, safety, and comfort of a five (5) month old child was compromised on 04/30/2021 when a staff member had the child outside from approximately 9:15 a.m. to 1:00 p.m. The child was sunburned on 04/30/21 and taken to the doctor for medical treatment. Programming Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on review of documentation, the surveyor found that the daily planned programming for 04/30/2021 did not have outdoor activity from 09:15 a.m. through 1:00 p.m.; therefore, the daily planned program was not correct. During interview, staff stated that the children are usually outside for approximately one (1) hour during the day. Staff stated that outside play will be monitored.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, the surveyor discovered the following: 1. Staff member's (DOH:3/12/20) file did not contain a staff evaluation. 2. Staff member's (DOH:7/1/10) file did not contain an up-to-date staff evaluation. Staff's evaluation in file was date for 5/11/19. 3. Staff member's (DOH: 7/8/19) file did not contain an up-to-date staff evaluation. Staff's evaluation in file was date for 9/18/19. 4. Staff member's (DOH:12.20/19) file did not contain an up-to-date staff evaluation. Staff's evaluation in file was date for 12/30/19. Staff stated that she would make sure all staff has a staff evaluation completed. Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found a foul odor in the boy's restroom. Therefore, the restroom was not kept in clean condition. Staff stated that she would have the rest room cleaned and speak to staff about ensuring it does not have an odor in the future.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found the following: 1. The restroom located in the Two Year Old Classroom had a yellow color substaince on the toilet seat. Therefore, the toilet was not kept in clean condition. 2. The second (2nd) toilet in the boy's restoom had a yellow color substaince in the toilet. Therefore, the toilet was not kept in clean condition. 3. The second (2nd) toilet seat located in the girl's restroom was loose. Therefore, the toilet was not in good repair. Staff stated that she would talk with staff members about keeping the toilets in clean condtions. Staff stated that she would have the toilet seat in the girl's restroom repaired. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found the following: 1. The changing pad located in the Two Year Old Classroom restroom had a hole in it. 2. The changing pad located in the Nursery Classroom had a rip in it. 3. The changing pad located in the School-age Classroom had a hole in it. Staff stated that she would replace the changing pads with new ones. Staff stated that the changing pad in the School-age Classroom was being stored in there for the time being. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. 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 several items missing from the center's First Aid Kit. The following were missing: 1. Cold Pack 2. First Aid Book 3. CPR Mouth Piece Staff stated that she was not sure what items needed to be in the First Aid Kit. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation and observation, the surveyor found there were eleven (11) children signed in on the daily attendance logs; however, there were only seven (7) children present at the center. Staff stated that four (4) children were picked up by the head start bus at 7:20 am. The children will return to the center at 12:15 pm.
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 discovered the following: 1. Staff member's (DOH3/12/20) file did not contain a Professional Development Plan. 2. Staff member's (DOH:7/1/10) file did not contain an up-to-date Professional Development Plan. Staff's Professional Development Plan in file was date for 5/10/19. 3. Staff member's (DOH: 7/8/19) file did not contain an up-to-date Professional Development Plan. Staff's Professional Development Plan in file was date for 9/18/19. 4.Staff member's (DOH:12.20/19) file did not contain an up-to-date Professional Development Plan. Staff's Professional Development Plan in file was date for 12/30/19. Staff stated that she would make sure all staff has a Professional Development Plan in their file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation, the surveyor found the following: 1. The One Year Old Classroom Lesson Plan was not up-to-date. The Lesson Plan was dated for March 29th-2nd. 2. The Preschool Classroom Lesson Plan was not up-to-date. The Lesson Plan was dated for March 29th-2nd. 3. The Two Year Old Classroom Lesson Plan was not up-to-date. The Lesson Plan was dated for March 29th-2nd. Staff stated that she would make sure Lesson Plan's are updated weekly. Animals Not Applicable Emergency Regulation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.
General: Based on observation, the temperature of the surveyor was not taken before the surveyor was permitted entry into the child care center. Based on interview, the staff stated that they have been screening individuals; however, they did not think of screening the surveyor upon entrance to the center. This deficiency was cited due to the following E-Reg: 922 KAR 2:415E Section 7. Screening and Illness Requirements. (1) Children and adults shall be screened for fever and contagious symptoms upon entry into the child care 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 childcare center, the surveyor found the following: 1. Sanitizing hand wipes had been placed on the bottom shelf of the changing table located in the restroom of the Two Year Old Classroom. The label on the wipes container indicated that the wipes should be kept out of the reach of children. The wipes were within reach and accessible to the children. 2. A soiled broom and dustpan were located next to the Two Year Old Classroom door; therefore, the broom and dustpan were accessible to the children. 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation during a tour of the childcare center, the surveyor found the following: 1. The ceiling air vent located in the girls’ restroom, which is located in the hallway, had a thick layer of dust. 2. The sink that is located in the School Age room had a green “pea” substance around the drain area. 3. The ceiling fan located in the Preschool room had a thick layer of dust on the blades. Therefore, the premises were not kept clean. 4. Each classroom had window blinds that were broken on the bottom of the blind; therefore, the window blinds were not in good repair. Hygienic Practices 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 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation during a tour of the childcare center, the surveyor found tears in the vinyl covering of the diaper changing pad located in the Infant Classroom and the Two Year Old Classroom; therefore, the pads could not be properly sanitized. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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 8. Kitchen Requirements.
General: Based on observation, the surveyor found that there was not a thermometer located in the refrigerator located in the kitchen; therefore, the surveyor was not able to determine if the refrigerator was maintained at forty (40) degrees Fahrenheit or below.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, there was not a thermometer located inside the freezer that was in the kitchen. Therefore, the surveyor was unable to determine if the food stored in the freezer was maintained at zero (0) degrees Fahrenheit or below. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation during a tour of the childcare center, the surveyor found loose and baked-on food particles on the bottom of the oven located in the kitchen. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.
General: Based on observation and interview, the temperature of the surveyor was not taken before the surveyor was permitted entry into the child care center. Based on interview, the staff stated that they have been screening individuals; however, they did not think of screening the surveyor upon entrance to the center. The surveyor's temperature was not taken during the visit. This deficiency was cited due to the following E-Reg: 922 KAR 2:400E Section 6. Screening and Illness Requirements. (1) Children and adults shall be screened for fever and contagious symptoms upon entry into the child care center.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, the surveyor found the following: (1.) On 7/12/19, at approximately 11:20 a.m., the surveyor observed a four-year-old child open the Preschool Classroom door to enter the hallway where no staff was present. The four-year-old child closed the classroom door behind her and continued to walk down the hallway toward the girl’s restroom. The child entered the restroom alone. The child exited the restroom at approximately 11:22 a.m. returning to the Preschool Classroom. The child was not within scope of vision and range of voice; therefore, adequate supervision was not provided. (2.) On 7/12/19, at approximately 11:33 a.m., a three-year-old child opened the Preschool Classroom door where she entered the hallway where no staff was present. The three- year-old child shut the classroom door where she walked down the hallway entering the restroom alone. At 11:35, the child exited the restroom alone and returned back to the Preschool Classroom. The child was not within scope of vision and range of voice; therefore, adequate supervision was not provided. (3.) On 7/12/19, at approximately 11:37 a.m., the surveyor observed a five-year-old child exit the Preschool Classroom where she entered the hallway alone. The child shut the classroom door behind her where she continued to walk down the hallway to the restroom. The child entered the restroom alone. At approximately 11:40 a.m., the child exited the restroom and returned to the preschool class with no staff present. During this time, the child was not within scope or vision or range of voice; therefore, adequate supervision was not provided. The surveyor confirmed the ages of the children through interview with staff from the Preschool Classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Staffing Requirements Not In Compliance
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, the surveyor found the following: (1.) The surveyor observed seven (7) one-year-old children inside the Toddler Classroom with one (1) staff present; therefore, the classroom exceeded the staff-to-child ratio by one (1) child. Staff confirmed through interview that all the children inside the classroom were one-year-old. (2.) The surveyor observed six (6) infant children inside the Infant Classroom with one (1) staff present. Staff reported the age of the youngest child inside the classroom was three- months-old and the age of the oldest child was eleven-months-old; therefore, the classroom exceeded the staff-to-child ratio by one (1) child. General Administration In Compliance Director Requirements 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 10. Director Requirements and Responsibilities.
General: Based on review of documentation, the surveyor found the following: (1.) Staff’s (DOH: 7/1/10) file contained a written annual performance evaluation that was dated 5/11/18, therefore, the evaluation was not completed annually. (2.) Staff’s (DOH: 3/27/17) file contained a written annual performance evaluation that was dated 3/28/18, therefore, the evaluation was not completed annually. (3.) Staff’s (DOH: 9/18/17) file contained a written annual performance evaluation that was dated 5/11/18, therefore, the evaluation was not completed annually. (4.) Staff’s (DOH: 3/27/18) file contained a written annual performance evaluation that was dated 5/11/18; therefore, the evaluation was not completed annually.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, the surveyor found a crib with wheels being used as a baby gate to separate the Infant Room and the Toddler Room. An eleven-month-old child was pulling herself up to a standing position by holding onto the crib. The wheels of the crib were causing the crib to move back and forth while the child was holding onto the crib. This creates a safety issue for the child. Staff confirmed through interview that they were utilizing the crib as a baby gate stating the baby gate was broken. Staff reported the child’s age was eleven-months-old. Employee Records In Compliance 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
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on review of documentation, the surveyor found the following: (1.) The lesson plan for the Toddler Classroom was dated 6/17/19 through 6/21/19. Staff confirmed through interview that this was the most recent lesson plan. (2.) The lesson plan for the Infant Room was dated 5/20/19 through 5/24/19. Staff confirmed through interview that this was the most recent lesson plan.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, the surveyor found an infant child asleep inside of a crib. The child was propped up on a boppy pillow. Staff confirmed through interview that the child does not have a waiver that states the infant requires an alternate sleeping position.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, the surveyor found the following: (1.) A infant child was asleep inside of a crib with a loose blanket. (2.) An infant child was asleep inside of a crib with a stuffed animal. Staff did not know there was an issue with the loose blanket or the stuffed animal being inside of the crib. 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 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found the following: (1.) The toilet seat on a toilet located in the girl’s restroom was broken; therefore, the toilet was not in good repair. Staff was not aware of the issue. (2.) A toilet in the boy’s restroom would not flush; therefore, the toilet was not in good repair. (3.) A toilet in the boy’s restroom contained a large amount of feces; therefore, the toilet was not kept in a clean condition. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found the plastic underneath the mulch was visible throughout several areas of the playground. The exposed plastic creates a fall risk for the children; therefore, the playground was not safe from foreseeable hazards.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found the following: 1. A large climbing structure with two (2) slides that did not have an adequate fall zone. Staff reported that the rain had washed the mulch away. 2. A small Little Tykes slide did not have an adequate fall zone. Staff reported rain washed the mulch away. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the surveyor found three (3) bottles sitting on the counter inside the Infant Room. The bottles were not labeled. The bottles were not being used and were not covered. Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found a child’s (DOE: 2/9/18) file contained an immunization certificate with no date; therefore, the surveyor could not verify that the child’s immunizations are current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found the following: (1.) Staff’s (DOH: 8/8/17) file contained a professional development plan that was dated 11/15/17; therefore, the plan was not completed annually. (2.) Staff’s (DOH: 3/27/17) file contained a professional development plan that was dated 5/10/18; therefore, the plan was not completed annually. (3.) Staff’s (DOH: 9/18/17) file contained a professional development plan that was dated 5/11/18; therefore, the plan was not completed annually. (4.) Staff’s (DOH: 3/27/18) file contained a professional development plan that was dated 5/11/18; therefore, the plan was not completed annually. Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 10/10/2018 AND AS OF 10/12/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 12. Reports.
Based on interview with multiple staff, the surveyor learned that staff suspected abuse of children by another staff member; however, they did not report the incidents to the cabinet. Some of the staff stated that they reported the suspected abuse to the child care center director. The staff also stated that there were no visible injuries because of the incidents. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on interview with multiple staff members, the surveyor learned the following: 1. A staff person has spanked multiple children on several different occasions. 2. A staff person has smacked a child for taking his shoes off. 3. A staff person has yelled at multiple children on several different occasions. 4. A staff person has told children to “shut up”. The staff also stated that the children did not have any visible injuries because of the incidents. 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. The most recent immunization certificate presented for surveyor review for one (1) child was no longer current after 10/01/17. 2. The most recent immunization certificate presented for surveyor review for one (1) child was no longer current after 05/03/18.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on observation and interview, the surveyor found that a staff member (DOH: 3/27/18) was working alone in the One's Classroom with four (4) one-year-old children prior to the completion of required background checks. Upon interview, the staff in charge stated she had not yet submitted the staff member's background checks. The staff in charge explained that she thought the staff member working in the Infant Classroom next to the One's Classroom would be considered supervising staff since the classrooms were only separated by cubbies and a gate. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, the surveyor was not presented with documentation of staff meetings completed within the past year. Upon interview, the staff in charge reported that she had not been documenting any staff meetings since she started at the center in August of 2017 and she had not found any documentation of previous staff meetings completed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, the following was found: 1. A staff file (DOH: 7/1/10) presented for review did not contain record of an annual evaluation. 2. A staff file (DOH: 3/27/17) presented for review did not contain record of an annual evaluation. 3. A staff file (DOH: 8/3/16) present of review did not contain record of an annual evaluation. 4. A staff file (DOH: 7/1/10) presented for review did not contain record of an annual evaluation completed within the past years. The only evaluation on file was from December of 2016. Upon interview, the staff in charge stated she was not aware that the annual evaluations had not been completed.
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 observation and interview, the surveyor found that a staff member (DOH: 3/27/18) was working alone in the One's Classroom with four (4) one-year-old children. Upon interview, the staff in charge stated she had not yet submitted the staff member's background checks. The staff in charge explained that she thought the staff member working in the Infant Classroom next to the One's Classroom would be considered supervising staff since the classrooms were only separated by cubbies and a gate.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, the surveyor was not presented with documentation of any parent/family involvement activities that occurred within the past year. The Director stated that she did not keep any documentation of family involvement activities completed on file. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, the surveyor found the following: 1. A staff file (DOH: 9/18/17) presented for review did not contain documentation of education. 2. A staff file (DOH: 3/27/18) did not contain documentation of education. The staff in charge was aware that the files were missing documentation of education.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, the surveyor found that a staff file (DOH: 3/27/18) presented for review did not contain documentation of a negative tuberculin skin test. Upon interview, the staff in charge stated that she had not yet had the staff member obtain a tuberculin skin test. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, the surveyor found that the center does not have adequate substitutes. The staff member identified as the center's only substitute (DOH: 3/27/18) did not have documentation of education, a negative tuberculin skin test, or record of background checks submitted on file. The staff in charge reported that it was the staff member's first day of 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 review of documentation, review of ECE-TRIS, and interview, the following was found: 1. A staff file (DOH: 7/1/10) presented for review did not contain documentation of any training completed between 7/1/16 - 6/30/17. Review of ECE-TRIS, revealed that the staff member had only completed eight (8) hours of annual training. The staff in charge stated that the staff member was not currently working due to having surgery. 2. A staff file (DOH: 3/27/17) presented for review did not contain documentation of any training completed between 3/27/17 - 3/26/18. Review of ECE-TRIS, revealed that the staff member had only completed seven and a half (7.5) hours of annual training. The staff in charge stated she was aware of this training discrepancy. 3. A staff file (DOH: 7/1/10) presented for review only contained documentation for twelve (12) hours of annual training. Review of ECE-TRIS, confirmed that only twelve (12) hours of annual training were completed for 7/1/16 - 6/30/17. The staff in charge stated that she was aware of this training discrepency. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation and interview, the surveyor found that an unlocked storage closet in the School-Age Classroom contained a can of paint. The paint was accessible to children. Staff reported that the classroom is only used for approximately one (1) hour each day.
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 following was found: 1. The sink located in the School-Age Classroom was soiled with a brown ring around the basin. The staff in charge was not aware that the sink was soiled. 2. The closet where the nap mats are stored in the School-Age Classroom was cluttered and emitted a strong foul odor out into the classroom when opened. Upon interview, staff were not aware of the odor. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report
Open Not marked corrected in the state record
Category: physical safety. 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 that there were multiple light bulbs that were not functioning in the School-Age Classroom making the classroom poorly lit. The staff in charge was aware of the blown light bulbs.
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 that the paint was peeling off of the walls through out the center; therefore, the walls were not in good repair. The staff in charge stated that she was aware of the peeling paint.
Open Not marked corrected in the state record
Category: physical safety. 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 wall next to the toilet in the restroom located off of the Two's Classroom was soiled with brown smears and splatters. Upon interview, staff were not aware that the wall in the restroom was soiled. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the surveyor found that the diapering mat in the Two's Classroom contained a large tear exposing the padding; therefore, the mat could not be properly sanitized. Staff were not aware of how long the tear had been in the diapering mat. First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, the surveyor found that the mulched protective surface around the climbing equipment was depleted and exposed the plastic liner. The staff in charge stated she was aware of the depleted mulch. 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 6. Sleeping and Napping Requirements.
General: Based on observation and interview, the surveyor found that two (2) cribs located in the Infant Classroom had soiled sheets on them. One (1) sheet had mulch on it and the other sheet had a piece of loose dry pasta on it. Staff stated that the cribs with the soiled sheets had not been used since the previous day when pasta was served for lunch.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation and interview, the surveyor found that the nap mats stored in the closet in the School-Age Classroom were not in good repair as they contain numerous tears and holes in the vinyl covering. Staff confirmed that the nap mats are utilized for the Three's and Four's Classroom.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation and interview, the following was found: 1. The Little Tykes playhouse climber located on the playground had a door that was cracked exposing sharp points and edges. 2. The lid to the boat sandbox located on the playground was cracked on top exposing sharp points and edges. The staff in charge was not aware of the damaged equipment on the playground. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation and interview, the surveyor found that a child's file (DOE: 9/22/17) presented for review did not contain an immunization certificate as required. The file did contain an immunization record. The staff in charge stated that the child is from out of state and she was not sure if the other state provides the same type of immunization certificate as Kentucky.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation and interview, the following was found: 1. A child's file (DOE: 9/22/17) did not contain the preferred hospital name or contact information. 2. A child's file (DOE: 7/25/17) did not contain the preferred hospital name or contact information. 3. A child's file (DOE: 3/1/18) did not contain the preferred hospital name or contact information. 4. A child's file (DOE: 3/26/17) did not contain the preferred hospital name or contact information. 5. A child's file (DOE: 3/1/18) did not contain the preferred hospital name or contact information. 6. A child's file (DOE: 3/1/18) did not contain the preferred hospital name or contact information. 7. A child's file (DOE: 10/23/18) did not contain the preferred hospital name or contact information. 8. A child's file (DOE: 11/20/17) did not contain the preferred hospital name or contact information. 9. A child's file (DOE: 10/23/18) did not contain the preferred physician name or contact information. Upon interview, the staff in charge was not aware that the information was missing from the files. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on review of documentation and interview, the surveyor was not presented with a written emergency preparedness plan. Upon interview, the staff in charge stated she had just started working at the center in August of 2017 and it was not brought to her attention that an emergency preparedness plan was required until the week prior to this inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation and interview, the following was found: 1. A staff file (DOH: 3/27/17) did not contain record of an annual professional development plan. 2. A staff file (DOH: 8/3/16) did not contain record of an annual professional development plan completed within the past year. The only professional development plan on file was dated for 8/10/16. The staff in charge was not aware that the professional development plans were missing.
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 and interview, the following was found: 1. The surveyor was not presented with documentation of quarterly earthquake drills completed within the past year. 2. The surveyor was not presented with documentation of any quarterly tornado drill for July - September of 2017 or October - December of 2017. 3. The surveyor was not presented with documentation of monthly fire drills for July 2017 - February 2018. The staff in charge reported that the drills had not been completed. Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation and interview, the surveyor found that the recent plans of correction were posted in the office and were not in a conspicious location where parents have easy access to review them. The staff in charge stated that this was where they were posted when she started working at the center. 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 review of documentation, the surveyor found the following: 1. A staff member’s (DOH: 8/3/16) file contained a Criminal Records Check (CRC) that was returned on 10/26/16. There was no documentation in the file to verify the CRC had been submitted on or before the staff members hire date. 2. A staff member’s (DOH: 1/30/17) file contained a Criminal Records Check (CRC) that was returned on 2/2/17. There was no documentation in the file to verify the CRC had been submitted on or before the staff members hire date. In an interview with the director, the surveyor was informed that the Criminal Records Checks had been submitted before the staff members hire date. The surveyor was also informed that neither of the staff members were left alone with children before the Criminal Records Checks were received. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, there was no written record detailing the date, time and children who participated in an earthquake drill in the last quarter. The last earthquake drill completed was dated 11/30/16.
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, there was no written record showing that an earthquake drill had been completed during the last quarter. The last completed earthquake drill was dated for 11/30/16. 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, the information on the Kentucky Consumer Product Safety Program and the programs website was not posted in a conspicuous place or available for public inspection. In an interview with the director, the surveyor was informed that the information must have been accidentally removed because it was normally posted on the parent board at the entrance. Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on observation, review of documentation, and interview, the surveyor found the center did not have any staff on duty with proof of current CPR/First Aid certification. Upon review of staff files, only one (1) staff file (DOH: 5/7/12) contained proof of CPR/First Aid certification and that staff person was not observed at the center at the time of the survey. Upon interview, staff in charge reported that all staff had completed CPR/First Aid certification in December of 2015, however, they had not recieved their certification cards.
Open Not marked corrected in the state record
Category: health medication. 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 a broom and dust pan next to the infant classroom door on the playground which would be accessible to children utilizing the playground. Upon interview staff in charge was not aware of the broom and dust pan being on the playground.
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 that the restroom in the two's classroom was not equipped with single use disposable hand towels or a hand dryer. Upon interview staff was not aware the restroom was out of hand towels.
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 diaper changing mat in the two's restroom to have multiple tears in the top surface area. Upon interview the staff in charge was not aware the diaper mat was in need of being replaced.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, the surveyor found the playground was not free of forseeable hazard as the plastic ground covering under the mulch was visible throughout the mulched area creating a tripping hazard. Upon interview staff in charge acknowledged the playground was in need of additional mulch to cover the plastic.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation and interview, the surveyor found five (5) nap mats located in the One's classroom that contained multiple tears. Therefore, the mats were not in good repair. Upon interview staff acknowledged the tears being present in the nap mats.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation and interview, the surveyor found the train table located in the pre-school classroom to have a significant amount of paint scratched off of the base and the top; therefore, the train table was not in good repair. upon interview staff in charge acknowledged the train table was in need of repair or replacement.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation and interview, the surveyor found three (3) Little Tikes climbers located on the playground to have sharp edges/points as the result of cracks in the plastic. Upon interview staff in charge confirmed they were aware of the damage to the equipment.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation and interview, the surveyor found the thermometer in the kitchen freezer located above the refrigerater to read eight (8) degrees Fahrenheit. Therefore, the frozen food was not maintained at a temperature of zero (0) degrees fahrenheit or below. Upon interview, staff in charge was not aware the thermometer was not showing the correct temperature.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, one (1) child's file presented for review (DOE: 12/5/15) did not contain valid documentation of current immunizations. Upon interview staff confirmed the only record of immunization for the child was the doctor's report from 3/17/16 which did not provide an expiration date.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation and ECE-TRIS, the surveyor found that two (2) staff members did not have the required minimum number of training hours for their last full year of employment as follows: 1. One (1) employee, date of hire 5/8/12, had one and one-half (1.5) hours of cabinet approved training for the period of 5/8/13 to 5/8/14. 2. One (1) employee, date of hire 4/25/13, had thirteen and one-half (13.5) hours of cabinet approved training for the time period of 4/25/13 to 4/24/14.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the surveyor found a gel air freshener located on top of a paper towel holder in the girl's restroom near the front entry. The air freshener was within reach of children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found that the diaper changing pad, located in the girl's restroom near the entry, had tears in the vinyl covering.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, the surveyor found a fitted sheet that was placed on a cot to be in poor condition. The loops located on the corners of the fitted sheet were torn and the sheet only covered approximately half of the cot.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation, the surveyor found that one (1) slide/climbing structure, located on the outdoor playground, had a crack in the plastic on the top of the slide. This equipment is yellow, green, blue, purple, and the slide is red.
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) children, dates of enrollment 12/15/14 and 10/18/12, did not have dated immunization records. There was no date noted by the healthcare professional to determine when the next immunizations are due. 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 surveyor found that six (6) children's enrollment information did not include the family's preferred hospital or contact information for the hospital. Dates of enrollment are as follows: 8/28/12, 10/18/12, 10/21/14, 3/12/14. 12/5/14, and 10/29/13. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation
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 observation during a tour of the school-age classroom, the surveyor found one (1) television that was not secured and was moved easily placed on an approximate one and a half (1 1/2) foot tall plastic table. The television was accessible to the children and creates a safety risk for the children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ 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 most recent negative TB skin test result presented for review for a staff member (DOH: 12/26/12) was dated 1/23/12 and was no longer current after 1/23/14.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation and a review of the ECE-TRIS website, a staff member (DOH: 4/25/13) completed orientation training on 8/21/13, which was not within the first three (3) months of employment as required. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on review of documentation, the posted lesson for the preschool classroom was dated "Week of February". There was no posted lesson plan for the school-age children. Therefore, current lesson plans were not posted and followed with each age group as required.
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 Two's classroom, the surveyor found multiple empty plastic bags placed in an unlocked cabinet accessible to the children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation during a tour of the infant classroom, the surveyor found tears in the vinyl covering on the diaper changing pad; therefore, the diaper changing pad was not in good repair.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, landscape fabric installed under the mulch was exposed in many areas and created a safety hazard to the children.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, one (1) climbing and sliding structure in the outside play area did not contain a protective surface; the structure was placed on grass.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation, the following was found: (1) During a tour of the infant classroom, the surveyor found one (1) high chair that had the safety straps removed; therefore, the high chair was not in good repair. (2) During a tour of the One's classroom, the surveyor found two (2)high chairs with the safety straps removed; therefore, the high chairs were not in good repair.
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, the following was found: (1) The child care center failed to post the statement of deficiency issued by the cabinet during the current licensure year. (2) The child care center failed to post the plan of correction submitted by the child care center during the current licensure year.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)
Preschool: Based on observation, there was an unsecured television located on a shelf in the classroom. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 39 Web site: http://chfs.ky.gov/ Inspection Report 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 3
Nursery Classroom: Based on observation, there was a child sleeping on a boppy pillow that had been placed on the floor.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)
Nursery Classroom: Based on observation, the surveyor found the following: 1) The cabinet doors in the Nursery classroom were being held shut with cloth strings and elastic pony tail holders. 2) The children from the Toddler classroom were on the outside playground and when they came into the child care center, they entered the center through the back door that enters into the Nursery classroom. The Toddler children were playing with the infants' toys before they washed their hands. There was one (1) Toddler child that picked up an infant's pacifier and the Toddler child had not washed his hands. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 39 Web site: http://chfs.ky.gov/ Inspection Report 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)
General: Based on observation, there were tall weeds and grass growing around the fence row of the playground and along the walkway behind the center that went to the playground.
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
General: Based on review of documentation, there were four (4) children's (DOE: 01/18/12, 01/25/12, 12/27/11, and 10/11/11) files that contained immunization certificates that were no longer current.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
Category: physical safety. Open / not marked corrected.