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Home › KY › Hopkinsville › Hopkinsville Child Development Center
686 North Drive, Brickyard Plaza, Hopkinsville KY 42240 · License #L358935 · Center · Licensed
When they operate
Ages served
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on interview and review of documentation, the child-care center did not have written policy to ensure all staff members take precautions to prevent shaken baby syndrome and child maltreatment.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 03/02/2026 AND AS OF 03/03/2026, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 03/18/2026 AND AS OF 03/19/2026, 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 10. Director Requirements and Responsibilities.
General: Based on interview and review of documentation, the following was found: 1. Four (4) staff members (DOH: 02/02/21, 01/31/22, 11/18/23, and 03/27/24) did not have an annual written performance evaluation on file. 2. Two (2) staff members (DOH: 01/31/22 and 11/20/23) each had an annual written performance evaluation on file that was dated 04/26/24. 3. A staff member (DOH: 08/17/20) had an annual written performance evaluation on file that was dated 08/18/21.
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 in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on interview and review of documentation, a staff member (DOH: 08/18/25) was not CPR/First Aid trained.
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 interview and review of documentation, the following was found: 1. A staff member (DOH: 08/10/09) completed one and a half (1 ½) hours of training during the subsequent year of employment. 2. A staff member (DOH: 08/27/21) completed seven (7) hours of training during the subsequent year of employment. 3. A staff member (DOH: 01/31/22) completed eleven (11) hours of training during the subsequent year of employment. 4. A staff member (DOH: 11/08/23) completed six (6) hours of training during the subsequent year of employment. 5. A staff member (DOH: 11/08/23) completed the one and a half (1 ½) hours of pediatric abusive head trauma training on 04/03/25, which was not in the first year of employment. 6. A staff member (DOH: 08/18/25) did not complete the six (6) hours of cabinet approved orientation training within the first three (3) months of employment. A review of ECE-TRIS verified the training hours.
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, a dark brown stain was on a ceiling tile in the one-year-olds' room. The stain was approximately three (3) inches long.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, child, enrolled on 06/04/25, had an immunization certificate that was in provisional status and was valid until 01/27/26.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, a staff member (DOH: 08/10/09) had an annual professional development plan on file that was dated 10/06/24.
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 interview and review of documentation, a monthly, practiced fire drill was not conducted in November and December 2025.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 12/17/2025 AND AS OF 12/22/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Findings: A PLAN OF CORRECTION WAS DUE ON 01/06/2026 AND AS OF 01/07/2026, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the following were found: 1. A staff member (DOH: 11/08/24) had TB documentation on file dated 11/06/23. 2. A staff member (DOH: 03/27/24) had TB documentation on file dated 11/16/23. 3. A staff member (DOH: 11/22/23) had TB documentation on file dated 11/20/23. 4. A staff member (DOH: 01/31/22) had TB documentation on file dated 11/06/23. 5. A staff member (DOH: 08/27/21) had TB documentation on file dated 11/06/23.
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, and review of documentation, the center’s Kentucky Applicant Registry and Employment Screening (KARES) report was reviewed on 09/29/25 and indicated a staff member (DOH: 08/18/25) was listed as pending employees and the determination status was in process. Interview determined the staff member began working on 08/22/25 but was not left alone.
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 interview and review of documentation, and review of documentation, the center’s Kentucky Applicant Registry and Employment Screening (KARES) report was reviewed on 09/29/25 and indicated one (1) staff member was eligible and listed as a current staff member. Interview determined the staff member was no longer employed by the center as of 09/26/25, but the staff member’s status was not updated to separated employes on the center’s KARES report. Supervision In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 11/04/2025 AND AS OF 11/10/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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, a staff member (DOH: 08/18/25) did not have documentation of education on file. Interview determined the staff member was a student; however, there was no documentation on file to indicate the staff member was enrolled in secondary 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, a staff member (DOH: 08/18/25) did not have TB documentation on file.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on observation, a staff member (DOH: 08/26/24) supervised thirteen (13) children, aged four and five-years-old, alone for less than a minute when a second staff member left the preschool four room to dispose of trash. A review of the center's Kentucky Applicant Registry Employment System (KARES) report determined the staff member (DOH: 08/26/24) was not listed on the center's KARES report. Therefore, the staff member did not complete required background checks and be found to have no disqualifying offense prior to becoming a child care staff member.
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 center’s Kentucky Applicant Registry Employment System (KARES) report was reviewed on 06/09/25, and two (2) staff members were listed as current staff. However, the two (2) staff members were not currently employed at the center. Therefore, the center’s KARES report was not maintained to reflect the correct staff members that were employed. The staff member in charge was aware the staff members were listed under center’s the KARES's report. Supervision In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 07/31/2025 AND AS OF 08/04/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 08/19/2025 AND AS OF 08/20/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 observation, a staff member (DOH: 08/26/24), supervised thirteen (13) children, aged four and five-years-old, alone for less than a minute when second staff member left the preschool four room to dispose of trash. The staff member (DOH 08/26/24) did not have processed background checks on file. The staff member in charge was aware the staff member supervised thirteen (13) children alone. 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, two (2) staff members (DOH: 8/26/24 and 5/30/25) did not have education documentation on file. The staff member in charge was aware education was not on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report
Open Not marked corrected in the state record
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: 05/27/25), did not have TB documentation on file. The staff member in charge was aware TB documentation was not on file.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview and review of documentation, the following was found: 1. A volunteer (DOH: 05/05/09) had a TB document dated 02/07/19. 2. A volunteer (DOH: 05/15/17) did not have TB documentation on file. 3. A staff member (DOH 01/07/25) did not have TB documentation on file.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on observation, a staff member (DOH: 03/27/24) was present at the center. A review of the center's Kentucky Applicant Registry Employment System (KARES) report determined the staff member was not listed on the center's KARES report. Therefore, the staff member did not complete required background checks and be found to have no disqualifying offense prior to becoming a child care staff member. Review of the KARES report and individual applicant history report verified the background check.
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 interview and review of documentation, the center’s Kentucky Applicant Registry Employment System (KARES) report was reviewed on 01/14/25 and determined seven (7) staff members were eligible and listed as current staff. Interviewed revealed the seven (7) staff members were no longer employed by the center but were not changed to separated employees on the centers’ KARES report. Review of the KARES report verified the current staff. Supervision In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 02/27/2025 AND AS OF 03/03/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 31 Inspection Report
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 following was found: 1. Three (3) staff members (DOH: 01/22/22, 11/08/23, and 11/22/23) did not have an annual written performance evaluation on file. 2. A staff member (DOH: 08/03/20) had an annual written performance evaluation on file dated 08/04/21. 3. A staff member (DOH: 08/17/20) had an annual written performance evaluation on file dated 08/18/21. 4. A staff member (DOH: 08/27/21) had an annual written performance evaluation on file dated 10/18/23.
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 interview and review of documentation, the following was found: 1. A staff member (DOH: 08/10/19) completed three (3) hours of training during the subsequent year of employment. 2. A staff member (DOH: 02/02/21) did not complete any training hours during the subsequent year of employment. 3. A staff member (DOH: 01/31/22) completed eight (8) hours of training during the subsequent year of employment. 4. A staff member (DOH: 11/08/23) did not complete the one and one half (1 1/2) hours of cabinet approved pediatric abusive head trauma within the first year of employment. 5. A staff member (DOH: 11/22/23) completed one and one half (1 1/2) hours of cabinet approved pediatric abusive head trauma on 09/22/17 and did not complete pediatric abusive head trauma again within five (5) years. 6. Two staff members (DOH: 09/02/24) did not complete the six (6) hours of cabinet approved orientation training within the first three (3) months of employment. Review of ECE-TRIS verified the 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 and interview, dead bugs were in a light shield in the room EHS-B.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, a toilet was not operable in the restroom between rooms EHS-B and EHS-C. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation and interview, a staff member did not wash her hands with liquid soap and warm running water before and after she diapered three (3) children in the one-year-old room.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, a staff member wore gloves and diapered three (3) children in the one-year-olds room. The staff member did not disinfect the diapering surface and change and dispose the gloves after each child was diapered.
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 interview and review of documentation, the center's food service permit was valid until 12/31/24. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 24 of 31 Inspection Report
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on interview and review of documentation, the center provided volunteer service but did not have policies pertaining to volunteers. An interview determined volunteers were required to have a background check and TB documentation.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, the following was found: 1.A staff member (DOH: 08/03/20) had an annual professional development plan dated 10/06/23. 2. A staff member (DOH: 08/17/20) had an annual professional development plan dated 10/11/23. 3. A staff member (DOH: 01/31/22) had an annual professional development plan dated 10/05/22. 4. A staff member (DOH: 02/02/21) had an annual professional development plan dated 10/18/23. 5. A staff member (DOH: 11/08/23) had an annual professional development plan dated 11/18/23.
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 the center’s Kentucky Applicant Registry Employment System (KARES) report the following was found: 1) Five (5) staff members (DOH: 08/10/09, 09/02/17, 05/15/17, 01/31/22, and 05/05/09) determination status indicated “Eligible – Expired”. 2) A staff member (DOH: 11/22/23) was not listed on the center’s KARES report. 3) A staff member (DOH: 05/04/09) determination status indicated “In Process”. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 06/03/2024 AND AS OF 06/04/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on review of documentation, the last fire marshal inspection was dated 02/25/20. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Director Requirements Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on interview and review of documentation, there were no documented staff meetings on file.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation, the following was found: 1) Three (3) staff members (DOH: 08/27/21, 08/11/21, and 02/02/21) had an annual performance evaluation dated 02/01/2022. 2) A staff member (DOH: 01/31/22) did not have an annual performance evaluation on file. 3) A staff member (DOH: 08/17/20) had an annual performance evaluation that was not dated. 4) A staff member (DOH: 11/02/20) had an annual performance evaluation dated 08/04/21. 5) A staff member (DOH: 09/02/17) had an annual performance evaluation dated 01/20/22. 6) A staff member (DOH: 05/15/17) had an annual performance evaluation dated 01/24/22. 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 following was found: 1) A staff member (DOH: 11/22/23) failed to provide a copy of negative tuberculin results or a health professional’s statement documenting that the adult is free of tuberculosis. 2) A staff member (DOH: 08/10/09) had a TB skin test dated 03/28/22.
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: 11/22/23) did not complete orientation training within the first three (3) months of employment. 2) A staff member (DOH: 02/28/18) last completed Pediatric Abusive Head Trama (PAHT) training on 02/28/18. 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 items were accessible to children in the cabinet in the restroom of the two-year-old room: 1) A three (3) ounce spray can of RID Home Lice, Bedbug, and Dust Mite Spray 2) A spray bottle of Febreze Air Mist 3) A spray can of Air Wick Air Freshener 4) Two (2) cans of Sure Scents Air Freshener An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, a hole, approximately an inch in diameter, was in the wall next to the restroom in the two-year-old room.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the sink was not equipped with a hand-drying blower or single use disposable hand drying material in the two-year-old room and the kitchenette area beside the two-year-old room
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 no handle to flush the toilet located closest to the two-year-old room in the shared restroom between the one-year-old room and two-year- old room. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, a child failed to wash their hands with soap and warm, running water after eating breakfast in the toddler 2 room.
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 diaper changing mat had nine (9) tears, ranging from one half (1/2) inch to four (4) inches, and foam was exposed in the restroom closest to the one-year-old room. 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 4 of 5 Inspection Report Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, a child enrolled 07/21/22 did not have a preferred hospital on the enrollment form. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the following was found: 1) A staff member (DOH: 01/31/22) had a professional development plan dated 10/05/22. 2) A staff member (DOH: 08/17/20) had a professional development plan dated 08/18/21. 3) A staff member (DOH: 05/15/17) had a professional development plan dated 10/07/22. Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.
General: Based on interview, staff member hired 07/26/23, was no longer employed at the center. Review of the National Background Check Program (NBCP) determined the staff member was listed as a current staff. The NBCP was not maintained. Staffing 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 interview and review of documentation, a staff member hired 07/26/23, did not have a TB skin test or a physician statement on file. Written Documentation 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, five (5) children were unsupervised for approximately two (2) minutes in the two-year-olds' room. The caregiver, who was responsible for supervising the children, was in the restroom with two (2) other children. Therefore, the five (5) children were not within the caregiver's scope of vision. Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview and review of documentation, a caregiver, hired on 2/2/21, did not complete six (6) hours of cabinet approved orientation training within the first three (3) months of employment. However, the orientation training was completed on 2/23/22. A caregiver, hired on 6/27/21, did not complete six (6) hours of cabinet approved orientation training within the first three (3) months of employment. However, the orientation training was completed on 10/8/22. A caregiver, hired on 8/7/21, did not complete six (6) hours of cabinet approved orientation training within the first three (3) months of employment. However, the orientation training was completed on 3/31/22. A caregiver, hired on 5/31/22, did not complete six (6) hours of cabinet approved orientation training within the first three (3) months of employment. However, the orientation training was completed on 11/18/22. A caregiver, hired on 8/10/09, completed seven (7) hours of early child care training between July 1 and June 30 of a subsequent year of employment. A caregiver, hired on 8/17/20, completed fourteen (14) hours of early child care training between July 1 and June 30 of a subsequent year of employment. A caregiver, hired on 8/3/20, completed three (3) hours of early child care training between July 1 and June 30 of a subsequent year of employment. A caregiver, hired on 10/2/20, complete one (1) hour of early child care training between July 1 and June 30 of a subsequent year of employment. A caregiver, hired 8/11/21, completed seven and one half (7 1/2) hours of early child care training during the first year of employment. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, a loose plastic bag was in a yellow tote on a brown shelf and was accessible to children in the one-year-olds' room. The plastic bag was not a part of the planned program of instruction. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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 and interview, there was no thermometer in the black refrigerator in the infants’ room where milk was stored. 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
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation and interview, a purple bottle was not covered in the refrigerator in the infants’ room. 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 and interview, a mason jar that contained an infants’ formula was prepared by a parent but was not labeled in the refrigerator in the infants’ room. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, three (3) children, enrolled on 9/2/21, 3/11/22 and 6/7/22, did not have a preferred hospital listed on their enrollment form. A child, enrolled on 9/2/21, enrollment form did not contain contact information to enable the person in charge to contact the child’s physician, allergy information, and authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.
General: Based on observation, interview and review of documentation, a caregiver hired 01/19/22, a caregiver hired 12/06/21, a caregiver hired 10/15/21, a caregiver hired 08/27/21, a caregiver hired 08/11/21, a caregiver hired 05/11/21, a caregiver hired 02/02/21, a caregiver hired 10/02/2020, a caregiver hired 08/17/2020, a caregiver hired 08/03/2020, a caregiver hired 09/27/19, and a caregiver hired 08/21/19, each did not submit background checks through the National Background Check Program (NBCP). 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, a caregiver hired 10/02/2020, a caregiver hired 08/17/2020, a caregiver hired 09/27/19, and a caregiver hired 05/15/17, each did not have an annual written evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview and review of documentation, a caregiver hired 10/15/21, did not have TB documentation on file. A caregiver hired 08/21/19, had TB documentation on file that was dated 08/26/19.
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, a caregiver hired 08/27/21, and a caregiver hired 05/11/2021, did not have information on file to verify they were trained in first aid and CPR.
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, a caregiver hired 10/02/2020, did not complete one and one half (1 1/2) hours of cabinet approved pediatric abusive head trauma within the first year of employment. A caregiver hired 09/27/19, and a caregiver hired 08/21/19, each did not have documentation to verify one and one half (1 1/2) hours of cabinet approved pediatric abusive head trauma training was completed. A caregiver hired 08/03/2020, completed one and one half (1 1/2) hours of cabinet approved pediatric abusive head trauma on 04/29/16 and did not complete pediatric abusive head trauma again within five (5) years. A caregiver hired 02/02/21, a caregiver hired 08/27/21, a caregiver hired 05/11/21, and a caregiver hired 10/02/2020, did not complete six (6) hours of cabinet approved orientation training within the first three (3) months of employment. A caregiver hired 08/17/2020, completed fourteen (14) hours of early child care training between July 1 and June 30 of a subsequent year of employment. A caregiver hired 08/21/19, completed six (6) hours of early child care training between July 1 and June 30 of a subsequent year of employment. A caregiver hired 08/10/09, completed two and one half (2 1/2) hours of early child care training between July 1 and June 30 of a subsequent year of employment. A caregiver hired 08/03/2020, a caregiver hired 05/30/17, and a caregiver hired 05/15/17, each completed eight (8) hours of early childcare training between July 1 and the following June 30 of subsequent year of employment. A caregiver hired 02/02/21, completed two and one half (2 1/2) hours of early childcare training during the first year of employment. A caregiver hired 10/02/2020, did not complete any hours of early childcare training within first year of employment. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Hygienic Practices 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 caregiver did not wash her hands with liquid soap and warm running water before she diapered two (2) children in the toddlers' room.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, two (2) tears were in the surface of the diapering mat in the restroom located between the two-year-olds' room and preschool room. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.
General: Based on interview and review of documentation, a staff member hired 10/08/21, had name-based background checks on file but did not initiate the process to obtain background checks through the National Background Check Program (NBCP). Supervision In Compliance Staffing Requirements In Compliance 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 11. Staff Requirements.
General: Based on interview and review of documentation, staff hired 10/08/21, did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview and review of documentation, a staff hired 10/08/21, did not have a TB documentation on file.
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, a small hole was in the diapering mat in the infants’ room.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on interview with staff members, a copy of the regulations was not provided.
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 record review, five (5) staff members, hired 05/05/09, 11/07/18, 07/08/19, 10/21/19 and 09/27/19, did not have an annual written evaluation on file. Also, a staff hired 08/15/16 had a written evaluation on file dated 2016. A staff hired 05/30/17 had a written evaluation on file dated 2016. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on record review, two (2) staff members, hired 8/12/19 and 09/27/19, did not complete pediatric abusive head trauma training. Also six (6) staff members, hired 10/21/19, 09/27/19, 08/12/19, 08/17/20, 12/28/20 and 10/02/20, did not complete six (6) hours of orientation training. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, plastic bags were stored in two (2) large, clear plastic containers, accessible to children in the preschool children's restroom.
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, there was an approximate one-inch hole in the ceiling of the men's restroom. 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 3. General Requirements.
General: Based on observation, one (1) staff member discarded the used gloves and put on clean gloves but did not wash hands before and after a diaper change in the early head start room. The staff member washed hands after the second diaper change. Also, a caregiver did not wash her hands before and after she diapered a child in the toddlers' room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, a small hole was in the diaper changing mat in the one-year-olds' restroom. 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 11. Toys and Furnishings.
General: Based on observation, there was an accumulation of dust on the vent in the men's restroom. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, a child enrolled on 6/16/20 had an immunization certificate valid until 02/22/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, a child enrolled on 08/26/20 did not list a hospital and physician contact information on the enrollment form. Also a child enrolled on 06/16/20 did not list medical and allergy information on the enrollment form. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on record review, four (4) staff members hired 05/05/09, 11/07/18, 07/08/19, and 10/21/19, did not have a annual written professional development plan on file. Also, a staff hired 08/15/16 had a professional development plan dated 2016 and a staff hired 05/30/17 had a professional development plan dated 2017.
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, a fire drill was not documented for July 2020. Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.
General: Based on observation, doll clothing was available to children in the preschool room. In accordance with 922 KAR 2:415 6(3), machine washable items should not be used. Also, children's bedding was on cots and the cots were stacked on top of each other which caused the bedding to touch in the preschool and school age rooms. Based on interview, laundry was done the day of the survey. In accordance with KAR 2:415E Section 6(5)(b), bedding should be separated and stored in labeled bins without touching another child's bedding. In addition, eight (8) staff members hired 05/05/09, 08/17/20, 11/30/20, 02/02/21, 12/28/20, 10/02/20, 08/03/20 and 05/04/09 did not complete the required reopening training.
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, four (4) staff, hired 12/24/2019, 06/10/2019, 08/21/2019 and 09/27/2019 had not submitted for the background checks through the National Background Check Program (NBCP).
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.
General: Based on review of documentation and interview, a staff member, hired 12/24/19, did not submit an out-of-state criminal records check (CRC) or a child abuse/neglect (CA/N) check to Mexico, a previous state of residence. A staff member, hired 08/12/19, did not submit an out-of-state criminal records check (CRC) or a child abuse/neglect (CA/N) check to Texas, Florida or Puerto Rico, previous states of residence 2016 through 2018. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 02/13/2020 AND AS OF 02/21/2020, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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, four (4) staff members hired 08/15/16, 06/05/09, 06/05/17, and 05/30/17 did not have an annual written performance evaluation on file.
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 one (1) staff member hired 12/24/2019, had not initiated the process for the National Background Check Program (NBCP). Observation on 01/13/2020 determined a staff, hired 12/24/2019, supervised a one-year-old child, alone, in the diaper changing room, located between the one-year-old room and two-year-old room. The staff member supervised the child, alone, in the diaper changing room for approximately five (5) minutes. 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, one (1) staff hired 05/17/17 had TB skin test documentation, on file, that was dated 06/05/17. One (1) staff hired 08/10/09, had TB skin test documentation, on file, that was dated 02/08/17. In addition, three (3) staffs, hired 10/21/19, 11/04/09, and 12/24/19, did not have their TB documentation on file.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, four (4) staff members hired 08/21/19, 09/27/19, 07/08/19, and 04/26/19 had no proof they completed six (6) hours of orientation training with in the first three (3) months of their employment. In addition, one (1) staff member hired on 06/05/09, had not completed the fifteen (15) hours of cabinet- approved early care and education training during their subsequent year of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 3. General Requirements.
General: Based on observation and interview, a staff’s personal cellphone was placed on top of the children's cubbie storage unit, accessible to the children, in the four-to-five-year- old’s classroom. 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, a staff member hired 12/24/2019, did not disinfect the diapering surface after she changed a child’s diaper in the one-year-olds’ diaper changing room. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation and interview, one (1) child enrolled 09/27/19, had an immunization certificate valid until 11/01/19. One (1) child enrolled 12/16/2018, had an immunization certificate valid until 03/19/19.
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, a child enrolled 12/16/2018, enrollment form did not contain contact information to enable the person in charge to contact the child’s physician. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on review of documentation and interview, the center's written course of action plan for evacuation did not include an evacuation route diagram to the designated relocation site in accordance with KRS 199.895.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on observation, review of documentation and interview, fifty-six (56) children were present on 01/13/2020 but forty-nine (49) children had a documented arrival time. In addition, three (3) parents had signed the DCC-94 attendance record on 01/13/2020, for the week ending 01/17/2020.
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 and interview, five (5) staff members hired 08/15/16, 06/05/09, 06/05/17, 08/10/09 and 05/30/17, did not have a written professional development plan on file for review. 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 review of documentation and interview, each statement of deficiency and the plan of correction submitted by the child-care center to the cabinet during the current licensure year were not posted. In addition, the current rates for child care was not posted. The center's license was not posted and made available for public inspection.
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, review of documentation and interview, a written daily schedule was not developed and posted in the toddlers' room and the PreK-three room. Animals Not Applicable
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 caregiver hired on 5/30/17, had a TB skin test on file dated 4/3/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on observation and review of documentation, a caregiver hired on 5/30/17, had not completed the Pediatric Abusive Head Trauma Training.
Open Not marked corrected in the state record
Category: recordkeeping. 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 07/05/2019 AND AS OF 07/18/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 08/02/2019 AND AS OF 08/08/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on review of documentation and interview, a caregiver hired 02/21/18; a caregiver hired 09/11/17; a caregiver hired 05/30/17; a caregiver hired 05/15/17; a caregiver hired 08/15/16; the director hired 08/10/09, a caregiver hired 06/05/09, did not submit to and complete background checks in the NBCP prior to 09/30/18. Also, per the center's volunteer policy, a volunteer/cook (start date: 05/05/09), did not submit to and complete background checks prior to 09/30/18.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.
General: Based on observation, a caregiver hired 01/15/19; a caregiver hired 11/17/18, and a caregiver hired 08/06/18, worked with children. Review of documentation and interview determined the center had not initiated the background checks process for these staff members. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 03/02/2019 AND AS OF 03/05/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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, observation and interview, an infant wore a bib as she slept in the crib in the infants' room. The center had a Safe Sleep Practice Policy which stated the following: "No additional items; such as pillows, blankets or toys will be allowed in the infant's crib." Therefore, the director failed to ensure staff implemented the center's Safe Sleep Practice Policy. Also, a volunteer/cook (start date: 05/05/09) did not have a new background check and a current TB skin test on file. The center had a volunteer policy which stated the following: Long-term volunteer was required to show proof of a current (within six (6) months) negative TB test and submit to a KY Child Care Background Check. Therefore, the director failed to ensure the volunteer/cook who was present daily followed the volunteer policy.
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 review of documentation, a caregiver hired 09/11/17; a caregiver hired 05/30/17; a caregiver hired 05/15/17, and a caregiver hired 08/15/16, did not have a written annual performance evaluation.
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, a radio cord hung down and was accessible to the children in the two-year-olds' room. Two (2) cords, connected to an extension cord, were accessible to the children in the two-year-old and three-year-olds' room. There were multiple cords which hung down accessible to the children in the preschool room. There were four (4) cords which hung down accessible to the children in the three-year-olds' room. Three (3) electrical outlets located on the extension cord did not contain safety plugs in the two-year-old and three-year-old room. One (1) electrical outlet located on the extension cord did not contain a safety plug in the preschool room. 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 caregiver hired 05/07/18, did not have her education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, a caregiver hired 11/17/18, and a caregiver hired 08/06/18, did not have a TB skin test or a physician statement on file. A caregiver hired 08/15/16, had a TB skin test dated 08/17/16. Per the center's volunteer policy a volunteer (start date: 05/05/09), had a TB skin test dated 11/27/16.
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 caregiver hired 06/05/09, completed fourteen (14) hours of annual training. A caregiver hired 08/15/16, completed thirteen (13) hours of annual training. A caregiver hired 05/07/18; a caregiver hired 02/21/18, and a caregiver hired 05/30/17, did not complete orientation training. A caregiver hired 05/30/17, did not complete pediatric abusive head trauma training. 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 6. Sleeping and Napping Requirements.
General: Based on observation, an infant child slept with her bib around her neck 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, a bottle of hand sanitizer set on the desk by a box of facial tissues. This sanitizer was accessible to the children in the two-year-old and three-year- olds room. Two (2) caregivers' purses/bags were on the floor, accessible to the preschool children. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, a set of toddler twins did not wash their hands when they arrived. These twins also did not wash their hands before they ate breakfast. A toddler child did not wash her hands after she ate breakfast. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the infant/toddler caregiver wore gloves but did not wash her hands before she diapered two (2) toddler children.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and review of documentation, the infant/toddler caregiver used Assured Antibacterial travel wipes to clean the diaper changing mat after she changed a toddler child's diaper. These wipes were not a disinfectant. 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, a tube of healing ointment was on a shelf in the adjoining restroom between the two-year-olds' room and the infant/toddlers' room. Outdoor Play Area In Compliance Equipment Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation and interview, the ceiling tile had a large brown stain in the preschool room. Interview revealed there was a leak but the leak was fixed. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report 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, a child enrolled 06/30/18, did not have an immunization certificate on file. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, a caregiver hired 09/11/17; a caregiver hired 05/30/17; a caregiver hired 08/15/16, and a caregiver hired 08/10/09, did not have their annual written professional development plan.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview, fire drills, earthquake and tornado drills for 2018 were practiced, but the names of the children who participated, times and dates were not documented and maintained.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on interview, fire drills, earthquake and tornado drills for 2018 were conducted but not documented. 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 civil penalty notices issued by the cabinet dated 07/11/18 and 05/04/18, were not posted. Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on Review of Documentation, a child enrolled on 10/10/17, did not have a physician's name listed on their enrollment form.
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, a child enrolled on 8/10/18, had an immunization certificate valid until 8/14/18; a child enrolled on 8/6/18, had an immunization certificate valid until 10/15/18, and a child enrolled on 4/24/18, had no immunization certificate on file.
Open Not marked corrected in the state record
Category: health medication. 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 12/25/2018 AND AS OF 01/04/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 01/20/2019 AND AS OF 01/30/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 hot water registered one hundred thirty-nine (139) degrees Fahrenheit at two (2) sinks located in a restroom between Preschool Room #3 and Preschool Room #4, and at a sink located in Preschool Room #4. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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, a half (1/2) inch tear was in a diaper changing pad located in the men's restroom. 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 11. Toys and Furnishings.
General: Based on Observation, a black cloth chair had a six (6) inch tear and exposed foam in the toddlers' room. Children's Records 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, male children, from the four-year and five-year-olds' preschool room, were unsupervised in the restroom between the three-year-olds' classroom and the four-year and five-year-olds' classroom on 05/02/18. The restroom was separated from both rooms on each side by a four (4) foot tall half (1/2) door. One (1) caregiver in the four- year and five-year-olds' preschool room sat on the floor with other children; therefore, the boys were not with her scope of vision. A 2nd caregiver, in the four-year and five-year-olds' room, was approximately thirty (30) feet from the restroom and had her back towards the restroom. One (1) of the two (2) boys left the restroom and entered the empty three-year- olds' room to play at a table, but when the boy observed the surveyor in the room, he immediately returned to the restroom. The supervising caregivers were unaware of the boy's actions. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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 director answered the front door on 04/24/18 at 11:11 am. Observation in the classroom and interview determined the director was the 2nd caregiver in a classroom of nine (9) infants. The director left the caregiver, hire date 06/06/09, alone to supervise the nine (9) infants while she answered the front door. 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 14. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 06/08/2018 AND AS OF 06/14/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 Observation, a caregiver hired on 01/08/18, supervised twelve (12) children alone, in the three-year-olds' room, from the beginning of her shift at 7:30 am until 12:30 pm when the surveyor departed, on 04/24/18. Interview determined the same staff member supervised children, alone, in the three-year-olds’ room, from 12:45 pm until 5:00 pm, on 04/23/18. A review of documentation and interview determined the aforementioned caregiver was originally hired 08/06/10 but quit in 2014 to return to school. A second visit was conducted on 05/02/18. Observation and interview determined the aforementioned caregiver, hire date 01/08/18, supervised children in the three-year-olds' room from 7:30 am until a second staff member arrived at 10:30 am on 05/02/18.
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 a review of documentation, a caregiver with the hire date of 05/30/17 had a child abuse/neglect (CA/N) check which appeared to be altered or falsified. The results section of the CA/N check indicated the "date of substantiated finding: 06/08/17", and a check mark was observed in the box for "no reportable incident found in accordance with 922 KAR 1:470." The results indicated the "check conducted on 06/08/2017" with initials documented. This information was submitted as part of the renewal plan of correction received on 04/18/18. A follow-up visit to the center on 05/02/18 determined two (2) additional CA/N check copies were on file for the aforementioned caregiver hired 05/30/17. These CA/N checks indicated there was no reportable incidents found, and had a completion date of 05/21/17. Information received from the Division of Child Care stated the last completed CA/N check for this caregiver, hire date 05/30/17, was in 2015, with no substantiations. The 2015 CA/N check was submitted to the Division of Child Care by a local college and not from this licensed childcare center. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service 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 9. Food and Meal Requirements.
General: Based on observation and interview, a volunteer with the start date 5/5/09, prepared the center's lunch at his home and transported the food to the center. Per interviews, the volunteer prepared the food approximately three (3) times per week at his home which was not an approved source. Posted 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 8. General.
General: Based on observation and interview, each statement of deficiency, plan of correction and civil penalities received by the center, during the current licensure year, was not posted.
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, a small black refrigerator, located in the kitchenette, did not have an indicating thermometer.
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 03/28/2018 AND AS OF 04/03/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 Observation, two (2) staff members, hired 1/8/18 and 2/15/18, supervised sixteen (16) children, alone, in the two-year-olds' room from 7:40 am to 12:00 pm on 02/22/18. A review of documentation determined the staff member hired 1/8/18, did not have a completed child abuse/neglect check on file, and staff hired 2/15/18, did have a criminal records check and a child abuse/neglect check on file. Also, staff member hired 5/30/17, child abuse/neglect check did not include a process date. Staff hired 2/13/18, did not have a child abuse/neglect check and a criminal records check on file. These two (2) staffs, hired 5/30/17 and 2/13/18, supervised seven (7) children, alone, in the one-year-olds' room, from 8:00 am to 12:00 pm, on 2/22/18. 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, two (2) staff members, hired 2/15/18 and 2/22/18, did not have TB documentation on file.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on Review of Documentation, the center did not have a staff person present and on duty with the childen who had current infant and child CPR and first aid certification. CPR and first aid documentation on file was valid until 1/31/18.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on Review of Documentation, staff members hired 5/15/17, 9/11/17, 7/31/17 and 5/30/17, did not complete six (6) hours of orientation training within the first three (3) months of their employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.
General: Based on Review of Documentation, the center failed to maintain vehicle insurance. The vehicle insurance on file was dated 10/12/17.
Open Not marked corrected in the state record
Category: transportation. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.
General: Based on Review of Documentation, the center transported twenty-six (26) preschool children on a field trip to Jackson Orchard on 9/26/17; transported twenty-one (21) preschool children to Christian Way Farms on 10/17/17, and transported thirty (30) preschool children to Pennyrile Allied Community (PAC) Service Center and Chic-fil-A on 12/18/17, but failed to document the time each child got on and off the vehicle. Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance
Open Not marked corrected in the state record
Category: transportation. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on Observation, two (2) kitchen freezers did not have a temperature measuring device in order to verify the freezers were maintained at zero degrees Fahrenheit. 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 Observation, a child enrolled 10/31/16, immunization certificate did not include a date of expiration. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on Observation, a caregiver supervised ten (10) children, aged one and two years old, for approximately twenty (20) minutes, in the one and two year olds’ room. An interview with the director revealed an additional caregiver was scheduled to be present in the one and two year olds' room but did not show up at the scheduled time of 11:00 am. In addition, a caregiver supervised fourteen (14) children, aged three years old, for approximately thirty (30) minutes in the three year olds’ room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 9. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 06/15/2017 AND AS OF 06/19/2017, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 6. Sleeping and Napping Requirements.
General: Based on Observation, an infant, who did not have a signed waiver on file from a physician stating the child required an alternate sleep position, slept in a rocker seat for thirty (30) minutes in the infants’ room. An interview with the infant's caregiver revealed the infant slept in the rocker seat for approximately two (2) hours prior to the surveyor's observation. An interview with the infant's second caregiver, who was also present in the room, revealed the infant slept in the rocker seat for approximately twenty (20) to thirty (30) minutes prior to the surveyor's observation. 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. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 21 Mar 17 AND AS OF 23 Mar 17, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation and a review of documentation, a seven (7) month old infant wore a bib as they slept in their crib with a yellow and blue blanket across his/her face and a cloth diaper underneath his/her head for approximately five (5) minutes in the younger infant/toddler room. The yellow and blue blanket was not tucked in on three (3) sides of the mattress. The center had a SIDS/Safe Sleep Policy which stated the following: If a blanket must be used, the infant will be placed with his/her feet touching the bottom of the crib, the blanket will be tucked in at the bottom and on each side, and the blanket will go no higher than the infant's chest; the infant's head shall remain uncovered during sleep; and no additional items such as pillows, blankets, or toys will be allowed in the infant's crib. Therefore, the director failed to ensure staff implemented the center's SIDS/Safe Sleep Policy.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on interview, there was no documentation of staff meetings available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on a Review of Documentation, a caregiver hired 5/4/09, did not have a written annual performance evaluation on file.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Observation, a caregiver hired on 9/19/16, supervised ten (10), three (3) year old children alone. Also, two (2) caregivers hired on 1/9/17 and 8/15/16, cared for six (6) children in the younger infant/toddler room. A review of documentation determined the caregiver hired 9/19/16 did not have a completed criminal records check on file. The caregiver hired 1/9/17, did not have documentation of a submitted child abuse and neglect check and a criminal records check on file. The caregiver hired on 8/15/16, had no documentation of a criminal records check from Kentucky and background check from Puerto Rico. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on Review of Documentation, a caregiver hired on 9/19/16, did not have a criminal records check on file and supervised ten (10) children, alone, in the three (3) year olds room. This caregiver surpassed the ninety (90) days probationary period. A caregiver hired on 1/9/17, had no documentation of a submitted child abuse and neglect check and a submitted criminal records check. A caregiver hired 8/15/16, had no documentation of a completed criminal records check from Kentucky and a background check from Puerto Rico on file. During interview it was determined this caregiver had lived in Kentucky for seven (7) months. This caregiver surpassed the ninety (90) days probationary period. A substitute hired 11/28/16, had no documentation of a completed criminal records check on file. A caregiver hired on 8/9/16, had no documentation of a processed child abuse and neglect check, a completed criminal records check, and a background check from New Mexico on file. During interview it was determined this caregiver had lived in Kentucky for four (4) years. This caregiver surpassed the ninety (90) days probationary period.
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 a Review of Documentation, a caregiver hired 8/9/16, did not have a high school diploma, GED or qualifying documentation available for review.
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 a Review of Documentation, a caregiver hired 5/4/09, did not have current TB documentation on file. A substitute hired 12/8/16, had no documentation of a TB skin test available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 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 record review, a substitute hired 12/8/16 had no TB documentation on file. Also, a substitute hired on 11/28/16, did not have documentation of a criminal records check on file. Therefore, the center did not have two (2) qualified substitutes.
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 a Review of Documentation, a caregiver, hired 8/10/09, completed nine (9) hours of training during her subsequent year of employment. In addition, a caregiver, hired 8/15/16, failed to complete six (6) hours of orientation training within the first three (3) months of employment. 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 6. Sleeping and Napping Requirements.
General: Based on Observation, a seven (7) month old infant was asleep in a crib. The infant wore a bib, had a yellow and blue blanket across his/her face, and a cloth diaper underneath his/her head. 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 following items were on a table and accessible to children in the girls' restroom: a can of Puricit Odor Eliminator, Secret Clinical Strength Deodorant, two (2) tubes of lotion, one (1) bottle of body spray, a bottle of Ion Leave On Condition, a plastic container of Ampro Styling Gel, and a Walgreens Multipurpose Solution No Rub. Interview with director determined the items belonged to a staff member.
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, three (3) ceiling tiles were stained in the indoor gross motor room. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report 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 3. General Requirements.
General: Based on Observation, a caregiver hired on 8/15/16, changed an infant’s diaper in the restroom adjacent to the younger infant/toddler room. Although the caregiver wore gloves during the diaper change, she failed to wash her hands with liquid soap and water after removing her gloves First Aid/Medication Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on Observation, a tube of Comforts Diaper Rash Ointment was not labeled with the name of the owner. The ointment was stored in a storage cubby, above a diaper changing table, in the restroom adjacent to the younger infant/toddler room. Outdoor Play Area In Compliance Equipment Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on Observation, three (3) loose fitted sheets, each on mattresses in the younger infant/toddler room. Also, a two (2) inch long yellow stain was on a fitted sheet in a crib in the younger infant/toddlers room. Transportation 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 center posted a Food Service Permit from a caterer which showed an expiration date which appeared to be altered to indicate expiration was 12/31/17. Interview with a representative from the caterer determined a 2017 Food Service Permit was not given to the center and per the representative, the last meal prepared for the center was on 4/29/16. Interview with a volunteer, start date 5/5/09, determined he prepared the meal and brought it to the center on 1/27/17. The director stated lunch was only prepared by the volunteer on 1/27/17 and other lunch meals were prepared by the caterer. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 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 9. Food and Meal Requirements.
General: Based on Observation, and interview, the center's lunch was prepared and brought to the center by a volunteer, start date 5/5/09. Interview with the director determined lunch was prepared by the volunteer for 1/27/17 only, and other times lunch was prepared by the caterer. However, a representative from the caterer stated the last lunch provided by them was on 4/29/16. Children's Records Not In Compliance
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 a Review of Documentation, two (2) children enrolled on 1/19/17 and 10/3/16, did not have a preferred hospital listed in the enrollment information. A child enrolled 2/18/16, did not have a preferred hospital listed, the name of a physician and contact information, and did not have emergency authorization from a parent for medical care. Also, a child enrolled on 9/19/16, did not have a preferred hospital listed, the name of a physician and the physician's contact information. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on Interview, the center's evacuation plan was mailed to an emergency management official located in Hopkins County and not the county the center was located in.
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 a Review of Documentation, eight (8) parents' signatures were missing from daily attendance records dated 10/3/16 - 10/7/16. Also, four (4) parents' signatures were missing from daily attendance records dated 10/10/16 - 10/14/16. These families received services from the child-care center through the Child Care Assistance Program.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on Review of Documentation, a caregiver hired on 5/4/09, had a professional development plan on file dated 1/28/15. A caregiver hired on 6/5/09, did not have a professional development plan on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report
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 Interview, there was no written record of practiced earthquake and tornado drills, which detailed the date, time, and participants, that was conducted during the third and fourth quarters of 2016.
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 Interview, there was no written record of practiced fire drills, which detailed the date, time, and participants, conducted between September 2016 and November 2016.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on Interview, there was no documentation of a practiced fire drill conducted September - November 2016.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on Interview, there was no documentation of practiced earthquake and tornado drills conducted during the third and fourth quarters of 2016. Posted Documentation In Compliance Animals Not Applicable
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 hot water temperature registered one hundred twenty-six (126) degrees Fahrenheit at two (2) sinks in the girls' restroom and at two (2) sinks in the boys' restroom. Equipment In Compliance 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, a caregiver hired on 6/5/09, opened the center's door for the surveyor at 10:00 a.m. and for a volunteer at 10:05 a.m. This caregiver left six (6) preschool children unsupervised in the preschool room each time she opened the center's door.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Observation, a bottle warmer was placed two (2) inches away from a diaper changing table in the toddlers' room.
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 and record review, a caregiver hired on 10/5/15, was left alone with four (4) children, ages eleven (11) months old to thirty-four (34) months old, in the infants' room from 10:00 a.m. to 2:10 p.m. This caregiver did not have a criminal records check and child abuse/neglect check available for review.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Review of Documentation, a caregiver hired on 8/10/09, had a falsified TB document dated 2/2/15; a caregiver hired on 5/4/09, had a falsified TB document dated 2/2/15, and a volunteer start date 5/5/07, had two (2) falsified TB documents dated 5/29/12 and 2/19/15. Interview determined each of the TB documents did not have an invoice completed to indicate the caregivers and the volunteer were seen at the local health department on the dates indicated on the TB documents.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on Review of Documentation, a caregiver hired on 9/22/14, had a child abuse/neglect check signed by the caregiver on 9/29/14, and processed on 2/11/15. Therefore, the child abuse/neglect check was processed after the caregiver's ninety (90) day probationary period. Two (2) caregivers hired on 10/5/15 and 10/30/15, did not have a criminal records check and child abuse/neglect check available for review. The caregiver hired on 10/5/15, was left alone with four (4) children, ages eleven (11) months old to thirty- four (34) months old, in the infants' room, from 10:00 a.m. to 2:10 p.m. Also, a caregiver hired on 7/13/15, had no criminal records check on file.
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, a caregiver hired on 7/13/15, had no TB documentation on file. Also, a caregiver hired on 6/5/09, had a TB document dated 10/27/12. Two (2) caregivers hired on 5/4/09 and 8/10/09, and a volunteer start date 5/5/07, had falsified TB documents on file. Therefore, these caregivers and volunteer did not have valid TB documentation on file.
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, a caregiver hired on 7/13/15, had no criminal records check on file. Therefore, the center only had one (1) qualified substitute. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 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, a caregiver hired on 8/10/09, lacked thirteen (13) hours of training and a caregiver hired on 9/22/14, lacked six (6) hours of training. Three (3) caregivers hired on 8/10/09, 9/22/14, and 6/5/09, had not completed the Pediatric Abusive Head Trauma 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, a light fixture was not shielded and did not have shattered proof bulbs in the infants' room.
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, a portable sink was not equipped with water to allow for hand washing in the toddlers' room. Also, the hot water measured at eighty-eight (88) degrees Fahrenheit at a sink located in the restroom outside of the preschool room.
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 ventilation system was inoperable located in a restroom located adjacent to the preschool room. Hygienic Practices
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, two (2) red and blue mats were torn at the end and were placed on a shelf, in a restroom, outside of the preschool room.
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, a five and a half (5 1/2) foot long area was broken and splintery on a wooden divider on the outdoor play area.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.
General: Based on Review of Documentation, seventeen (17) children were transported on 5/28/14. The center did not record each child's time on and off the vehicle.
Open Not marked corrected in the state record
Category: transportation. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on Observation, there was no thermometer in a refrigerator located in the toddlers' room.
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 no thermometer in the freezer located in the kitchen. Therefore, it could not be determined if frozen foods were kept at zero degrees Fahrenheit.
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, a child enrolled on 2/4/13, had an immunization certificate valid until 11/8/15, and a child enrolled on 7/6/15, had an immunization certificate valid until 12/14/15. Also, a child enrolled on 9/18/15, had an immunization certificate without a validity 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 3. Records.
General: Based on Review of Documentation, a child enrolled on 9/18/15, did not have a physician's name and contact information on file.
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, four (4) children's parents did not sign the daily attendance records dated 11/2/15 - 11/6/15. Also, ten (10) children's parents did not sign the daily attendance records dated 11/9/15 - 11/11/15.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on Review of Documentation, a caregiver hired on 8/10/09, had a professional development plan on file dated 7/24/12. A second caregiver hired on 6/5/09, had a professional development plan on file dated 1/9/13, and a third caregiver hired on 9/22/14, had an incomplete professional development plan on file.
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, there was no posted information and website information for the Kentucky Consumer Product Safety Program.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.
General: Based on interview, a weekly menu was not prepared, dated and posted in the center.
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 review of documentation, the center could not provide a food service permit. Interview with the local environmentalist determined the center is required to either cater food from an approved establishment or have a food service permit for the center.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, a caregiver hired 6/5/09, supervised sixteen (16) children, ages three (3) to four (4) years old from 9:00 a.m. to 10:00 a.m. on 1/23/15. Interview with the director confirmed a caregiver hired 9/22/14, left the center at 8:45 a.m.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation and interview, caregivers hired 2/18/14, 9/22/14 and 12/31/14, did not have proof a child abuse/neglect check was submitted timely. Caregivers hired 2/18/14 and 9/22/14 had exceeded the ninety day probationary period.
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, three (3) caregivers hired 2/18/14, 9/22/14 and 12/31/14, did not have education verification available for review.
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, caregivers hired 2/18/14 and 9/22/14, did not have TB documentation on file. A caregiver hired 8/10/09, had TB documentation dated 2/17/11, and two (2) caregivers hired 5/4/09 and 5/5/09, had TB documentation dated 5/29/12.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, two (2) caregivers hired 5/4/09 and 6/5/09, lacked fifteen (15) hours of traiining. Also, a caregiver hired 2/18/14, had not completed six (6) hours of oreintation training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the restroom, located next to the preschool classroom, did not have ventilation to the outside air. Hygienic Practices
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, a changing pad had a half inch (1/2) tear at the end of the pad located in the infants' room.
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 review of documentation, the food service permit posted was dated 12/31/14.
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, two (2) children, enrolled 2/1/13 and 10/30/13, did not have the preferred hospital included in enrollment information.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on interview, the director stated she could not locate the center's evacuation plan.
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, the daily schedule of activity was not dated in the infants' room, toddlers' room, preschool room and the school age room.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.
General: Based on observation, a fish was in an aquarium in the hallway. The children present did not have written parental consent to be in the presence of fish.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on review of documentation, the emergency evacuation plan was not available for review.
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, a bottle of Germ-X was on a shelf accessible to children in the toddlers' room. Also, a bottle of Off Family Care Insect Repellent was in a plastic wall file holder, accessible to children, in the hallway near the restrooms.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation, two (2) caregivers, hired on 8/16/10 and 5/4/09, did not have an annual written performance evaluation on file. 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
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation, a caregiver, hired on 3/19/13, did not have a criminal records check on file. Interview determined this staff member only submitted an out-of-state criminal records check. Also, a caregiver hired on 7/14/13, did not have a criminal records check on file.
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, a caregiver, hired on 3/19/13, did not have documentation of education on file.
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, a caregiver hired on 8/16/10, had TB documentation dated 8/27/11.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, two (2) caregivers, hired on 3/19/13 and 7/14/13, did not have six (6) hours of orientation training. Also, a caregiver hired on 8/16/10 lacked fifteen (15) hours of annual training; a caregiver hired on 8/10/09 lacked five (5) hours of annual training; a caregiver hired on 10/4/12 lacked two and a half (2 1/2) hours of annual training; a caregiver hired on 5/4/09 lacked ten (10) hours of annual training, and a caregiver hired on 6/5/09 lacked ten (10) hours of annual training.
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 daily planned program of activities was dated for the week of August 14th and October 14th 2013, in the toddlers' room. Also, there was no daily planned program of activities posted in the infants' room.
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 water registered at sixty-five (65) degrees Fahrenheit at the sink in the infants' room.
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, a changing pad had a half inch (1/2) tear at the end of the pad located in the 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 11. Toys and Furnishings.
General: Based on observation, a ceiling vent had an accumulation of dust in two (2) restrooms. Also, a ceiling vent had an accumulation of dust in the preschool room.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.
General: Based on observation, eighteen (18) children were served white bread during the lunch meal.
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 center did not record the children's arrival and departure time on the Child Care Attendance Record in accordance with 922 KAR 2:160, Section 13.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, a caregiver hired 8/16/10, had a professional development plan dated 2/21/12, and a second caregiver hired 7/24/12, had a professional development plan dated 7/24/12.
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 of fire drills conducted from February through November 2013.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on review of documentation, there was no written documentation for an earthquake drill conducted during the second quarter of 2013. Also, there was no documentation of earthquake and tornado drills conducted during the third quarter of 2013. Posted Documentation
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 center had not posted the statement of deficiencies (SOD)/plan of corrections (POC) for 2013. The center only posted the SOD letter that was dated 2/6/13.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.
General: Based on observation, a fish was in an aquarium in both the toddlers' room and in the preschoolers' room. The children who were present did not have written parental consent to be in the presence of a the fish.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 2
Toddlers: Based on observation, staff hired 7/25/11, supervised twelve (12), one (1) and two (2) year old children at 8:00 a.m. on 2/6/12. Interview with staff hired 8/10/09, confirmed staff hired 7/25/11 arrived for work at 7:00 a.m., and staff hired 2/21/12, was scheduled to arrive at 8:00 a.m.; therefore, ratio was not maintained for approximately one hour. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff In Compliance
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 5 Staff Requirements.
General: Based on review of documentation, staff hired 5/5/09, did not have education verification on file.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 6
Preschool: Based on observation, two (2) nap mats were torn and had foam exposed. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 27 of 40 Web site: http://chfs.ky.gov/ Inspection Report 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)
General: Based on review of documentation, the director failed to complete an annual written performance evaluation for two (2) staff members (DOH: 1/1/11 and 6/5/09).
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 3
General: Based on review of documentation, two (2) staff (DOH: 1/1/11 and 5/4/09) did not have a professional development plan on file. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY 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, two (2) staff (DOH: 7/25/11 and 6/27/11) did not have education documentation on file.
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, a staff (DOH: 6/5/09) did not have TB documentation on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 43 Web site: http://chfs.ky.gov/ Inspection Report 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 2) 9 hours-first year In Compliance 3) 15 hours annually In Compliance 317 - Driver requirements 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 In Compliance 2) Background checks In Compliance 3) Drivers license In Compliance 4) No convictions for vehicle operation In Compliance 5) No accident causing death In Compliance 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 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; 2) Followed Not Applicable
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 10
Toddler Room: Based on interviews, toothpaste was dispensed directly from the tube onto the toothbrush of each child.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 8
General: Based on review of documentation, and interview with the director determined the food service permit for the catering service expired on 12/31/11. 255 - Food preparation utensils 922 KAR 2:120 - Section 8 (4) Convenient and suitable sanitized utensils shall be: (a) Provided; and (b) Used to minimize handling of food during preparation. 1) Sanitized In Compliance 2) Provided In Compliance 3) Used to Minimize Handling of Food In Compliance 256 - Refrigerator 922 KAR 2:120 - Section 8 (5) A cold-storage facility used for storage of perishable food in a nonfrozen state shall: (a) Have an indicating thermometer or other appropriate temperature measuring device; (b) Be in a safe environment for preservation; and (c) Be forty-five (45) degrees Fahrenheit or below, or 140 degrees Fahrenheit or above. 1) Thermometer In Compliance 2) Safe environment In Compliance 3) 45 degrees or below In Compliance 257 - Frozen Food 922 KAR 2:120 - Section 8 (6) Except when being thawed for preparation or use, frozen food shall be: (a) Kept at a temperature of zero degrees Fahrenheit or below; and (b) If potentially hazardous: 1. Thawed at refrigerator temperatures; 2. Thawed under cool, potable running water; 3. Quick thawed as part of the cooking process; or 4. Thawed by another method in accordance with the Department of Public Health's food safety standards and permits, established in KRS Chapter 217. 1) Kept at zero degrees or below In Compliance 2) Thawed at refrigerator temperatures In Compliance 3) Thawed under water In Compliance 4) Quick thawed In Compliance 5) Thawed according to food safety standards In Compliance 258 - Food Contact Items 922 KAR 2:120 - Section 8 (7) Equipment, utensils, and surfaces contacting food shall be: (a) Smooth; (b) Free of breaks, open seams, cracks, and chips; (c) Accessible for cleaning; and (d) Nontoxic. 1) Equipment smooth, free from breaks, open seams, cracks and chips, accessible for cleaning, and In Compliance nontoxic 2) Utensils smooth, free from breaks, open seams, cracks and chips, accessible for cleaning, and In Compliance nontoxic 3) Food contact surfaces smooth, free from breaks, open seams, cracks and chips, accessible for In Compliance cleaning, and nontoxic An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 36 of 43 Web site: http://chfs.ky.gov/ Inspection Report 259 - Kitchen Equipment clean and sanitary 922 KAR 2:120 - Section 8 (8) The following shall be clean and sanitary: (a) Eating and drinking utensils; (b) Kitchenware; (c) Food contact surfaces of equipment; (d) Food storage utensils; (e) Cooking surfaces of equipment; and (f) Nonfood contact surfaces of equipment. 1) Eating and drinking utensils In Compliance 2) Kitchenware In Compliance 3) Food contact surfaces of equipment In Compliance 4) Food storage utensils In Compliance 5) Cooking surfaces of equipment In Compliance 6) Nonfood contact surfaces of equipment In Compliance 264 - Meals Required 922 KAR 2:120 - Section 9 (3) The child-care center shall serve: (a) 1. Breakfast; or 2. A mid-morning snack; (b) Lunch; (c) A mid-afternoon snack; and (d) Dinner. 1) Breakfast In Compliance 2) Mid-morning snack In Compliance 3) Lunch In Compliance 4) Mid-afternoon snack In Compliance 264 - Meals Required 922 KAR 2:120 - Section 9 (3) The child-care center shall serve: (a) 1. Breakfast; or 2. A mid-morning snack; (b) Lunch; (c) A mid-afternoon snack; and (d) Dinner. 5) Dinner Not Applicable 265 - Menu 922 KAR 2:120 - Section 9 (4) A weekly menu shall be: (a) Prepared; (b) Dated; (c) Posted in advance in a conspicuous place; (d) Kept on file for thirty (30) days; and (e) Substitutions to a posted weekly menu shall be noted on the day the meal is served. 1) Prepared In Compliance 2) Dated In Compliance 3) Posted In Compliance 4) On File In Compliance 5) Substitutions noted In Compliance 266 - Breakfast Requirements 922 KAR 2:120 - Section 9 (5) Breakfast shall include: (a) Milk; (b) Bread; and (c)1. Fruit; 2. Vegetable; or 3. 100 percent juice. 1) Milk In Compliance 2) Bread In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 37 of 43 Web site: http://chfs.ky.gov/ Inspection Report 3) Fruit/Vegetable/Juice In Compliance 267 - Snack Requirements 922 KAR 2:120 - Section 9 (6) A snack shall include two (2) of the following: (a) Milk; (b) Protein; (c) Bread; or (d)1. Fruit; 2. Vegetable; or 3. 100 percent juice. 1) Milk ** Must select two from the list In Compliance 2) Protein ** Must select two from the list In Compliance 3) Bread ** Must select two from the list In Compliance 4) Fruit/Vegetable/Juice ** Must select two from the list In Compliance 268 - Lunch/Dinner Requirements 922 KAR 2:120 - Section 9 (7) Lunch and dinner shall include: (a) Milk; (b) Protein; (c) Bread; and (d) 1. Two (2) vegetables; or 2. A fruit and one (1) vegetable. 1) Milk In Compliance 2) Protein In Compliance 3) Bread In Compliance 4) 2 Vegetables or Fruit and Vegetable In Compliance 269 - Food Requirements 922 KAR 2:120 - Section 9 (8) Food shall be: (a) Clean; (b) Free from: 1. Spoilage; 2. Adulteration; and 3. Misbranding; (c) Safe for human consumption; (d) Withheld from service or discarded if the food is hermetically sealed, nonacidic, or low-acidic food that has been processed in a place other than a commercial food-processing establishment; (e) Obtained from a source that is in compliance with the Department of Public Health's food safety standards and permits, established in KRS Chapter 217; (f) Acceptable if from an established commercial food store; (g) Served in a quantity reflecting the developmental stage of the child with additional portions provided upon request of the child; and (h) Protected against contamination from: 1. Dust; 2. Flies; 3. Rodents and other vermin; 4. Unclean utensils and work surfaces; 5. Unnecessary handling; 6. Coughs and sneezes; 7. Flooding; 8. Drainage; and 9. Overhead leakage. 1) Clean In Compliance 2) Free from Spoilage In Compliance 3) Free from Adulteration In Compliance 4) Free from Misbranding In Compliance 5) Safe for human consumption In Compliance 6) No homemade food In Compliance 7) Source approved by Public Health In Compliance 8) Commercial Food Store In Compliance 9) Appropriate quantity/Additional portions In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 38 of 43 Web site: http://chfs.ky.gov/ Inspection Report 10) Protected from contamination In Compliance 270 - Food Storage 922 KAR 2:120 - Section 9 (9) Food shall be stored on: (a) Clean racks; (b) Clean shelves; (c) Other clean surfaces; or (d) If maintained in a sanitary condition, food in nonabsorbent containers may be stored on the floor. 1) Food stored on clean racks, shelves, or other clean surfaces In Compliance 2) Food stored in nonabsorbent containers on the floor if maintained in a sanitary condition In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.