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Home › KY › Frankfort › Capital Day School
120 Deepwood Drive, Frankfort KY 40601 · License #L354697 · Center · Licensed
When they operate
Schedule type not published.
Ages served
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on interview, the center failed to maintain a functioning doorbell system that allowed parents entry into the facility. On the day in question, the doorbell system was not operating properly, which prevented parents from gaining timely access without requiring staff to leave the classroom. Since that time, the center has taken corrective action to address the doorbell issue and has obtained a new phone system for the classroom to ensure parents can be granted access without staff leaving the classroom.
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, a staff member (DOH: 04/28/25) was not listed as currently employed on the center KARES list. It should be noted that the surveyor confirmed the staff member did have an eligible for hire status. Supervision 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.
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
General: Based on interview and review of documentation, two (2) staff members (DOH: 08/18/25 and 08/25/25) did not have a recorded dates of hire in their personnel files. The staff in charge dictated the dates of hire to the surveyor verbally.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, a staff member (DOH: 08/18/25) did not have proof of educational qualifications available for review at the time of survey.
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 following was found: 1. A staff member (DOH: 08/13/21) had a TB skin test available for review that had expired as of 07/31/25. 2. A staff member (DOH: 12/04/23) had a TB skin test available for review that had expired as of 09/08/25. 3. A staff member (DOH: 08/25/25) did not obtain a negative TB skin test, nor a statement from a medical professional stating they were free from an active tuberculosis infection until 08/29/25, after their date of hire. 4. A staff member (DOH: 08/27/25) did not obtain a negative TB skin test, nor a statement from a medical professional stating they were free from an active tuberculosis infection until 10/15/25, after their date of hire. 5. A staff member (DOH: 09/23/25) did not obtain a negative TB skin test, nor a statement from a medical professional stating they were free from an active tuberculosis infection until 10/05/25, after their date of hire. 6. A staff member (DOH: 09/03/25) had a TB skin test available for review that had a date of placement, but did not have a date that the test had been read and therefore was not valid.
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 following was found: 1. A staff member (DOH: 02/15/06) completed seven (7) of the required fifteen hours of training for the year dated 07/01/24 to 06/30/25. 2. A staff member (DOH: 12/04/23) completed one (1) of the required fifteen hours of training for the year dated 12/05/24 to 06/30/25. 3. A staff member (DOH: 08/02/24) completed six (6) of the required fifteen hours of training for the year dated 08/02/24 to 08/02/25. Additionally, this staff member had not completed the pediatric abusive head trauma training as of the date of survey, which was due to be completed on or before 08/02/25. 4. A staff member (DOH: 08/15/24) completed seven and one half (7.5) of the required fifteen hours of training for the year dated 08/15/24 to 08/15/25. 5. A staff member (DOH: 12/01/24) completed seven and one half (7.5) of the required fifteen hours of training for the year dated 12/01/24 to 12/01/25. 6. A staff member (DOH: 01/06/25) completed fourteen and one half (14.5) of the required fifteen hours of training for the year dated 01/06/25 to 01/06/26. A review of ECE-TRIS confirmed these findings.
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, in the Montessori Primary Classroom there was a large stain on the ceiling above the television in the rearmost part of the room. Additionally, there was one (1) floor tile with a large piece missing.
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 Montessori Primary Classroom, the restroom toilet had been used and remained unflushed. 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's Classroom, the diaper changing pad had a tear in it, rendering it unable to be properly sanitized. Additionally, a clipboard was observed propped against the changing pad.
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, in the Preschool Classroom in a quiet corner a large green pillow was soiled.
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, in the Montessori Pre-K Classroom a beige trashcan near a set of French doors was soiled.
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 the ten (10) children's enrollment files reviewed by the surveyor, zero (0) contained a contact telephone number for their respective preferred hospitals.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, two (2) staff members (DOH: 08/18/22 and 08/02/24) did not have current professional development plans available for review at the time of survey.
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, a record of quarterly shelter-in-place drills being conducted for the third and fourth quarters of 2025 was not available for review at the time of survey.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, staff members (DOH: 08/13/24, 08/15/24, 09/10/24, and 12/18/24) did not have proof of education on file or available for review.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the following was found: 1) A staff member hired on 09/10/24, did not have TB documentation on file or available for review. 2) A staff member hired on 06/03/24, had TB documentation on file that was no longer valid as of 01/11/25. 3) A staff member hired on 07/01/24, had TB documentation on file that was no longer valid as of 01/15/25. 4) A staff member hired on 07/31/24, did not have TB documentation on file or available for review.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, and ECE-TRIS the following was found: 1) Staff members (DOH: 02/15/06, 09/07/21, and 08/18/22) did not complete 15-hours hours of cabinet approved early care and education training during the 07/01/23-06/30/24, training year. 2) A staff member hired on 06/03/24, has not completed the six (6) hour cabinet approved orientation training.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the following was found: Two-Year-Old Classroom 1) A section of peeled paint next to the toilet paper dispenser in the restroom. Traditional Preschool #1 1) Water stain around a ceiling exhaust vent in the restroom. Traditional Preschool #2 1) Water stain around a ceiling exhaust vent in the restroom.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, two (2) children's files (DOE (2) 8/13/24) contained immunization documentation that was no longer valid as of 12/22/24 and 01/13/25.
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 review of documentation, fifteen (15) staff members did not have copies of their evaluations on file or any proof that evaluations were completed. Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
Based on review of documentation, two (2) staff files for current employees were found to be missing dates of hire. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, one (1) staff member (DOH 09/28/23) is under eighteen (18) years old and is a student. There was no documentation provided to prove she was enrolled in school. Further review of files found two (2) two staff members with no dates of hire listed did not have 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 observation, a staff member (DOH 11/04/20) did not have verification of a negative TB test.
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, three (3) staff members (DOH 10/07/22, 02/15/06, 08/05/16, and 11/11/21 did not have the required fifteen (15) hours of annual. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the playground was missing a protective surface around the slide. Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on review of documentation, an emergency plan was not updated and submitted in 2022 for the 2023 calendar year. Posted Documentation In Compliance Animals Not Applicable
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation, the facility's liability insurance was not current. The policy on file expired on 09/01/2022. 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, one (1) staff member hired on 11/04/2020, did not have an annual, written performance evaluation on file at the facility. 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, three (3) staff members did not have a high school diploma, GED, or Commonwealth Child Care Credential on file at the facility. The respective dates of hire for these staff member are 10/07/2022, 09/26/2022, and 08/18/2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the following was found: 1.) Three (3) staff members had TB documentation on file that was no longer valid, as it exceeded the two (2) year time frame. These staff members were hired respectively on 11/04/2020, 02/15/2006, and 10/25/2021. 2.) One (1) staff member did not have TB documentation on file at the facility prior to being hired. The staff person was hired on 08/18/2022, and the TB documentation was dated for 12/05/2022.
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, one (1) staff member hired on 08/05/2016, did not complete the required fifteen (15) hours of cabinet-approved training during the July 2021 to June 2022 training year. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the following was found: 1.) Within the Montessori #2 classroom, there was a staff member's cell phone accessible on a green rack by the desk in the classroom. In addition, there were a staff member's car keys and sunglasses accessible on the sink countertop. There was also a bag of potting soil accessible to the children in care. This bag was located on a table next to the mini- refrigerator. 2.) Within the Traditional #1 classroom, there were two (2) staff members' cups accessible to the children in care. One (1) of the cups was located on the teacher's desk, and the other cup was located on the sink countertop. 3.) Within the Traditional #2 classroom, there was a teacher's cup located on the teacher's desk, accessible to the children. In addition, another teacher's cup and cell phone were accessible to the children. These items were located on the sink countertop.
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, there was a large amount of used paper towels on the floor around the trash can in the bathroom located within the Traditional #2 classroom. Therefore, the bathroom was not kept clean. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 playground did not have an adequate amount of protective surfacing material. The mulch was sparse, leaving dirt exposed. Equipment Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.
General: Based on observation, a blue step stool located in the bathroom within the Traditional #2 classroom was dirty with stains and grime. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the following was found: 1.) Two (2) children's enrollment files did not contain a preferred hospital. One (1) child's paperwork listed "contact parent" rather than the name of a hospital. The second child's paperwork listed "nearest" rather than the name of the hospital. 2.) Two (2) children's enrollment files did not contain a signature authorizing the facility to obtain medical treatment for the child in the event of an emergency. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation, a plunger was stored on the floor, beside the toilet in the children’s bathroom in the Traditional Preschool One room. Director Requirements In Compliance Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, a staff member hired 8/15/2017, did not have a current TB test or statement from a health professional on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the following was found: 1.) A staff member hired 9/7/2021, did not complete the required Orientation. This staff member has been employed for more than three months. 2.) A staff member hired on 11/10/2020, did not complete the required Pediatric Abusive Head Trauma training. This staff member has been employed for more than one year. 3.) A staff member hired on 2/15/2006, did not have evidence of completing 15 hours of annual early care and education training. A review of ECE-TRIS records supports the information found during the survey. 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, a teacher’s personal bag was found on the floor in the Traditional Preschool Two room. This was accessible to the children in care.
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, a spider web with dead insects was found above the postings in the Hallway.
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 following was found: 1.) In the Traditional Preschool One room and bathroom, and Traditional Preschool Two room and bathroom, the floors and walls were stained and dirty. 2.) In the Traditional Preschool One room there was a water stain on the ceiling. 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 13. Toys and Furnishings.
General: Based on observation, a shelf in the Traditional Preschool One room had several spots of peeled paint. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.
General: Based on observation, a dirty step stool was found in the Traditional Preschool Two bathroom. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the following was found: 1.) A child enrolled at the center did not have a preferred hospital listed in their file. Their enrollment date is 8/16/2021. 2.) A child enrolled at the center did not have physician contact listed in their file. Their enrollment date is 1/4/2022. 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, it was found that evacuation plan had not been updated nor submitted to emergency management services since 9/30/2020.
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 no written evidence of completed Tornado or Earthquake Drills since March of 2020. The staff person in charge stated that school made a decision not to practice those drills due COVID-19, as children would have to be close together in the small space. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.
Based on review of documentation, staff person hired 9/11/2020, had listed an address in Florida as a previous residence in the past five years. There was no evidence of the results of or the application for a background check, CAN check and sexual abuse registry check from Florida for the staff person on file in the facility. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, one child did not have a current immunization certificate on file in the facility. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.
General: Based on review of documentation, the following was found: 1. Staff persons hired 6/22/2020 and 11/4/2020, did not have the results of or evidence of the application for a criminal background check or a CAN check on file in the facility. 2. Staff person hired 9/11/2020, did not have the results of or evidence of the application for a criminal background check on file in the facility.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on review of documentation and interview, this regulatory requirement was not met. A review of staff files during the inspection found that one staff person had a completed background check on file dated 10/22/18; however, a review of the Kentucky National Background check service (KARES) found this staff person listed as a separated employee. The staff person in charge stated that the staff person was a rehire and indicated that she just found out that she needed to submit a new background check for this staff person. The staff person in charge identified the staff person's original hire date as 1/3/18 and stated that she worked at the facility until 11/9/18. This staff person was re-hired on 8/15/19. The staff person was not employed at the facility from 11/9/18 - 8/15/19; therefore, a new background check is required. This staff person was not present during the inspection; however, the staff person in charge stated that she has been working daily since she was hired.
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 and interview, the facility failed to maintain accurate records of staff employed in the childcare center. A review of the Kentucky National Background Check Service (KARES) and an interview with the staff person in charge found the following: 1. One staff person was listed as a "Separated Employee"; however, she has been employed at the facility since 8/15/19. 2. One staff person was listed as "Eligible Not Employed"; however, she has been employed at the facility since 11/25/19. Therefore, the information in KARES is not accurate. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation and interview, this regulatory requirement was not met. A review of staff files during the inspection found two staff that did not have the date of employment listed in their file. The staff person in charge consulted with the main school office and then verbally identified the dates - 8/15/19 and 11/25/19 as the hire dates. However, the dates of hire were not maintained in the personnel files.
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, this regulatory requirement was not met. Two staff files (hire dates: 8/15/08 and 8/15/19) contained results of negative T.B. tests that are no longer current. The tests were dated 10/31/17 and 12/29/17, which exceeds the two year time frame.
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 the Training Records Information System (TRIS), one staff person (hire date: 8/15/17) did not complete the required fifteen hours of training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, this regulatory requirement was not met. One child's file/enrollment documentation did not contain information for the family’s preferred hospital. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on review of documentation, this regulatory requirement was not met. The emergency preparedness plan on file had not been updated since 1/26/18. Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on Review of Documentation, the facility failed to request background checks (criminal records check (CRC) and child abuse/neglect check (CA/N) in accordance with KRS 199.896(19) and 922 KAR 1:470 as follows: (1) A staff person hired on 8/15/17 had the results of a CRC on file dated 9/8/17. Documentation presented for review revealed the criminal records check was requested on 8/30/17 which was after the staff person's date of hire. This staff person also had a CA/N check on file that was requested on 8/30/17 which was not requested within the five (5) days of hire time-frame. (2) A second staff person hired on 8/15/17 had the results of a CRC on file dated 8/25/17. Documentation presented for review revealed the criminal records check was requested on 8/17/17 which was after the staff person's date of hire. This staff person also had a CA/N check on file that was not requested until 11/2/17. The Director stated the reason this staff person’s CA/N check was completed so late was due to the original paperwork being lost and a new CA/N check had to be submitted. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation Not Applicable Food Service In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on Review of Documentation, the surveyor found one (1) child's file (enrollment date: 7/24/17) contained immunization documentation that was no longer valid as of 11/27/17. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.
General: Based on Observation and interview, the Montessori classroom was providing kindergarten for three (3) children in addition to serving preschool age children. The program was not licensed for school age services. The staff person in charge stated that these three (3) children are considered enrolled in kindergarten and will go into the first grade following this school year.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on Review of Documentation and interview, a staff person hired 8/1/15 had a criminal records check dated 1/13/16. The staff person in charge stated that the original criminal records check was lost had had to be resubmitted.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Review of Documentation and interview, a staff person hired 11/15/15 did not have evidence of meeting the education requirement on file. The staff person in charge stated that she knows she the staff person has a high school diploma and she will have her bring in a copy.
Open Not marked corrected in the state record
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922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Review of Documentation and interview, a staff person hired 11/15/15 did not have evidence of being free of TB on file. The staff person in charge stated that she knew she had had the TB skin test completed and she would have her bring in a copy. A staff person hired 8/1/15 had a TB skin test dated 8/14/15, not prior to employment, Also, a staff person hired 9/1/14 had a TB skin test dated 10/11/13, not within the past two (2) years.
Open Not marked corrected in the state record
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922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on Observation, there was not a planned program of activities posted in the extended care room used from 3:00 - 5:30 p.m.
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 Interview, it was found that children may bring their lunch or order a meal from Adelia's Bakery and Cafe and sometimes Papa John's Pizza. A review of documentation found that the permit for Adeilia's Bakery and Cafe expired 12/31/14. Further interview with the director found that the facility has not received the current permit from Papa John's Pizza.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 2. General.
General: Based on Observation, it was found that a daily schedule was not posted in the room used for extended care. The room is used from 3:00-5:30 p.m. A review of the daily schedule posted in the other classrooms found that the daily schedule ends at 3:00 p.m.
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, it was found that a classroom used for extended care did not have a daily schedule posted with dates, times and activities to be conducted. The classroom is used from 3:00 -5:30 p.m. 1170 - Diapering/Handwashing Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (9) The proper methods of diapering and hand-washing shall be posted at each diaper changing area. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)
General: Based on Review of Documentation, staff member hired on 08/07 and 08/06 had TB skin test results on file that were more than two (2) years old. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 38 Web site: http://chfs.ky.gov/ Inspection Report 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, staff members hired on 08/07, 08/86 and 08/96 did not have a total of fifteen (15) hours of cabinet approved training on file. 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)
General: Based on Review of Documentation, there was one (1) staff person hired 8/15/11 who did not have the results of a current T.B. skin test or statement from a health professional indicating they are free from the symptoms of T.B. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 39 Web site: http://chfs.ky.gov/ Inspection Report 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed 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 Review of Documentation, there was not a high school diploma, GED or other qualifying documentation on file for a staff person hired 8/15/11.
Open Not marked corrected in the state record
Open / not marked corrected.