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Home › KY › Lexington › Mini Movers Learning Center
License #L359424 · Center · Licensed
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A PLAN OF CORRECTION WAS DUE ON 05/01/2026 AND AS OF 05/04/2026, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.
General: Based on review of documentation, two (2) staff member (DOH: 05/24/21 and 06/14/24) did not have the required cabinet-approved (15) fifteen hours of annual training for the 2024-2025 year. A review of ECE-TRIS verified this information.
General: Based on review of documentation, the following was found: 1. One child (DOE: 04/15/24) did not have a current immunization certificate on file. The certificate on file was dated 12/06/25; therefore, it was no longer current. 2. One child (DOE: 07/27/25) did not have a current immunization certificate on file. The certificate on file was dated 02/06/26; therefore, it was no longer current. 1250 - Enrollment Information Discussed 922 KAR 2:090. Section 9. Records. (1) A child-care center shall maintain: (b) A written record for each child: 1. Completed and signed by the child’s parent; 2. Retained on file on the first day the child attends the child-care center; and 3. To contain: a. Identifying information about the child, which includes, at a minimum, the child’s name, address, and date of birth; b. Contact information to enable a person in charge to contact the child’s: (i) Parent at the parent’s home or place of employment; (ii) Family physician; and (iii) Preferred hospital; c. The name of each person who is designated in writing to pick-up the child; d. The child’s general health status and medical history including, if applicable: (i) Allergies; (ii) Restriction on the child’s participation in activities with specific instructions from the child’s parent or health professional; and (iii) Permission from the parent for third-party professional services in the child-care center; e. The name and phone number of each person to be contacted in an emergency involving or impacting the child; f. Authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence;
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Generated from this facility's specific inspection record
Data synced from Kentucky Cabinet for Health and Family Services, Division of Child Care on Jul 11, 2026 · Source records · Report an error
General: Based on observation and interview, a child in care was wandering the room with a tablet watching a video. Electronic devices should be used for educational purposes and appear in the planned programming. The staff in charge informed the surveyor that the child was a child of a staff member.
General: Based on observation, the trash can in the Infant Classroom used to dispose of diapers did not have a cover.
General: Based on review of documentation, the following was found: 1. One (1) child's enrollment file (DOE: 06/24/21) did not contain contact information for their preferred hospital. 2. One (1) child's enrollment file (DOE: 10/07/24) did not contain contact information for their preferred hospital. Additionally, the file did not contain a physician/contact information for that physician.
General: Based on review of documentation, one (1) staff member (DOH: 08/20/11) had a pediatric abusive head trauma training that had expired as of 10/25/24, and had not been renewed. A review of ECE-TRIS confirmed this finding.
General: Based on review of documentation, a staff member's file (DOH: 02/14/22), included the most recent TB skin test dated 02/15/22, which was no longer current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report
General: Based on review of documentation, a substitute staff member (DOH: 10/29/21) did not have a professional development plan on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation Not In Compliance
General: Based on observation, the following was found: Hallway 1. The women's bathroom, used by the preschool and school-age children, contained an accumulation of dust on the ceiling vent. Kitchen 1. A ceiling vent contained an accumulation of dust. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
General: Based on review of documentation, a staff member (DOH: 05/30/23) has not completed orientation training, which is required within ninety (90) days of employment. A review of ECE-TRIS verified this information. Programming In Compliance Premises Not In Compliance
General: Based on observation and interview, this regulatory requirement was not met. 1. In the Pre-K classroom at approximately 10:55 a.m., the surveyor found a staff person's purse on top of a shelving unit. The purse was within reach of the children in care. Based on interview, the surveyor found the purse belonged to the staff person in charge. 2. In the School-Age classroom at approximately 11:10 a.m., the surveyor found a milk crate on top of a shelving unit (adjacent to the dramatic play unit), that contained two (2) cans of insect killer, a can of Stainless Steele cleaner, a spray bottle of Microban cleaner, two (2) containers of All Purpose Wipes, and a spray bottle of Carpet Cleaner. The items were accessible to the children in care. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. The earthquake, fire, and tornado drill documentation presented for review did not include the time the drills took place.
General: Based on observation and interview, this regulatory requirement was not met. 1. In the Toddler classroom, the surveyor found no art materials available. The staff person stated that she did not have any art materials, and the children have not completed any art activities. 2. In the Pre-K classroom, the surveyor found a Graco bouncy seat and stacked chairs positioned in front of a shelving unit that contained puzzles and manipulatives. The children could not access any of the materials because the bouncy seat and chairs were blocking the shelf. The staff person stated the bouncy seat was not supposed to be in the classroom. Premises Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. A substitute staff member hired on 10/29/2021, did not complete the required Orientation. This staff member has been employed for more than three months. The ECE-TRIS system was reviewed and confirmed this finding. Programming In Compliance Premises Not In Compliance
General: Based on observation and review of documentation, this regulatory requirement was not met. The facility had a posted diagram of evacuation, but not a written plan outlining the course of action in the event of a natural or manmade disaster. Please note, the off-site evacuation plan was posted under the diagram.
General: Based on observation, this regulatory requirement was not met. The posted snack menu indicated on Thursday that the children were served popsicles and water. This does not meet the snack requirements.
General: Based on observation, this regulatory requirement was not met. The women's hall bathroom contained urine in one of the toilets. Each toilet shall be clean. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
General: Based on observation, the surveyor tried to do a follow up on 9/16/2021 but did not gain access to the facility after attempting to knock on several doors. The surveyor also tried calling the number listed as the contact number with no answer.
General: Based on observation at approximately 9:05am, one staff person was alone with eight children ranging in age from four months to nine years. The staff person stated that two other staff were supposed to be present but had not yet showed up to work. General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2
General: Based on observation and interview, this regulatory requirement was not met. The following was found: 1. The surveyor arrived at the facility at 9:00 AM and observed one staff person caring for three children who were eating breakfast. There were no other staff or children present in the building at the time. The surveyor asked the staff person how breakfast was prepared for the children. The staff person responded that she cooked the eggs and sausage in a skillet on the stove in the kitchen and further stated that the three children she had present at the time waited in the front entry way while she was cooking. The front entry way where the children were identified as being is not visible from the stove area in the kitchen; therefore, the staff person was not able to adequately supervise the children. 2. At 9:29 AM, the surveyor observed the only staff person present in the facility escort three children down the hallway from the preschool classroom to the infant classroom. The staff person stated that she was taking the children down the hall to wipe their face from breakfast. One child (five-year-old) remained sitting at the classroom table in the preschool classroom during this time. The distance from the preschool classroom to the infant classroom down the hall was approximately 20 feet. The five-year-old child was not visible from the infant classroom; therefore, adequate supervision was not provided. 3. At 9:33 AM, the surveyor observed the staff person escort the three children from the infant classroom, back through the front entry way, through a door that enters a hallway on the opposite side of the building and into the children's bathroom area. The door that leads into the hallway was closed while the staff person and the children were in the children's bathroom area; therefore, the five-year-old child was not visible from the children's bathroom area and adequate supervision was not provided. The staff person and the three children were in the children's bathroom area approximately four minutes. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report Staffing Requirements Not In Compliance
General: Based on observation and review of documentation, this regulatory requirement was not met. The following items were found: 1. A child’s enrollment paperwork contained an immunization certificate that was no longer current. The immunization certificate was dated 4/28/2020. The child was enrolled on 7/01/19. 2. A child’s enrollment paperwork contained an immunization certificate that was no longer current. The immunization certificate was dated 2/28/2020. The child was enrolled on 7/01/19. 3. A child’s enrollment paperwork contained an immunization certificate that the date was illegible. The year listed on the immunization certificate was unable to be determined. The child was enrolled on 9/26/19.
General: Based on observation and review of documentation, this regulatory requirement was not met. The following items were found: 1. A child’s enrollment paperwork was missing a physician’s name and phone number as well as a preferred hospital. This child was enrolled on 7/01/19. 2. A child’s enrollment paperwork was missing a physician’s name and phone number as well as a preferred hospital. This child was enrolled on 7/01/19. 3. A child’s enrollment paperwork was missing a physician’s name and phone number as well as a preferred hospital. This child was enrolled on 7/01/19. 4. A child’s enrollment paperwork was missing a physician’s name and phone number. This child was enrolled on 4/16/18. 5. A child’s enrollment paperwork was missing a physician’s name and phone number. The child was enrolled on 4/16/18. 6. A child’s enrollment paperwork was missing a physician’s name and phone number as well as a preferred hospital. This child was enrolled on 7/22/19. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance
General: Based on observation, the surveyor found a staff person’s purse on top of a low shelving unit in the preschool classroom. The surveyor later noted that the purse had been removed from the area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report
General: Based on review of documentation, four (4) children's files did not include medical history information and preferred hospital information. Written Documentation In Compliance Posted Documentation Not In Compliance
General: Based on review of documentation, a staff person hired on 7/30/18 did not have proof of education on file.
General: Based on observation, interview and review of documentation, a staff person working at the child-care center has not been fingerprinted according to the regulations. The surveyor entered the child-care center at approximately 9:41 a.m. and observed four (4) children ages three-to-four (3-4) years old, the director, and a staff person. The director stated that she was in the process of completing the staff person’s application for KARES in order for her to be fingerprinted. The staff person stated that she was rehired on 4/8/19. It is important to note this staff person was not working alone with children during the renewal inspection. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance
General: Based on Review of Documentation, staff person hired 10/31/17 did not have evidence of completing the required orientation training in the first three (3) months of employment. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance
General: Based on Review of Documentation, the following was found: 1. Two (2) of the ten (10) children's files presented for review did not contain a written record for the child completed, signed by the child’s parent and retained on file on the first day the child attended the child-care center. 2. Six (6) of the ten (10) children's files presented for review did not contain the preferred hospital for the child as requested by the parent. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation In Compliance Animals Not Applicable
General: Based on Review of Documentation, staff persons hired 3/17/11 and 7/26/11 did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two (2) years.
General: Based on Observation, there was an unlocked closet in the Preschool classroom that contained a large jug of insecticide and several household cleaners. When the surveyor opened the door of the closet, one of the children present pointed to the jug of insecticide that was on the floor of the closet and said, "That's bug spray." These items were accessible to the children in care. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
This follow-up inspection recorded no violations or advisories.
General: Based on Observation, ten (10) children ages 9 months to 5 years were being supervised by one (1) staff member. General Administration Not Inspected
General: Based on Observation, surveyor observed one staff member in one room with seven (7) children. The youngest child was 9 months and the oldest was four (4). General Administration In Compliance
General: Based on Review of Documentation, a staff person hired on 4/10/17 did not have a evidence of their education in their personnel file.
General: Based on Review of Documentation, a staff person with a hire date of 5/8/16 had not completed the required six (6) hours of orientation training. This information was confirmed through the ECE TRIS system as well. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Programming Not In Compliance
General: Based on Observation, there was no daily activities sheets posted in the preschool room, the nursery, or in the school age room. Animals In Compliance
General: Based on Review of Documentation, there were three (3) children's files that did not have a preferred hospital listed for the children to be taken to in case of an emgergency. Also, one of those files was missing the information for the child's physician as well. A parent's signature was also missing for one of the children's emergency authorization on the application. Written Documentation Not In Compliance
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on Interview, the director stated that she currently does not have any substitute staff working at the facility.
General: Based on Review of Documentation, staff hired on 07/09/15 did not have the results of a criminal records check on file. The staff person was working alone in the preschool classroom. The director acknowledged this finding.
General: Based on Review of Documentation, staff hired on 07/09/15 did not have the results of a criminal records check on file. The staff person was working alone in the preschool classroom. The director acknowledged this finding.
General: Based on Review of Documentation, a child enrolled on 11/04/14 had an expired immunziation record on file. The director acknowledged this finding. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report
General: Based on Review of Documentation, the emergency section of the enrollment form stated, "In case of an emergency, my child's physician (list name) at (list phone number) may be called to examine and/or treat my/our child at any hospital within city limits of Lexington, KY." There is no preferred hospital listed for any of the children.
General: Based on Observation, upon arrival at 10:55am the children were just finishing up lunch. According to the daily schedule lunch should not be served until 11:45am for the toddlers and 12:00pm for the preschool and school age children. Outdoor Play Area
General: Based on Interview, children were served a turkey sandwich, goldfish and orange juice for lunch the day of the follow up. This does not meet the required daily lunch component.
General: Based on Observation, there was no daily schedule posted in the One (1) year old classroom.
General: Based on Review of Documentation, there was no written annual professional development plans on file.
General: Based on Interview, a staff member took an infant on a walk in a stroller and was gone approximately thirty (30) minutes. The surveyor asked if the parent had given written permission for a walking field trip and the staff member stated that she did not have documentation allowing for her to leave the property. Written Documentation
General: Based on Observation, there was one (1) infant present at the time of the survey. During the survey she was either carried around or placed in a high chair with nothing to do. At one point a staff member pulled the child around in the high chair while she was getting paperwork for the surveyor. The infant was taken on a walk for approximately twenty (20) minutes and then was brought back inside and was found in the church auditorium with the staff member with no activities for the child. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 9 of 27 Web site: http://chfs.ky.gov/ Inspection Report
General: Based on Observation, it was found that a staff wiped a child's nose and did not wash her own hands after wiping the child's nose. Outdoor Play Area
General: Based on Observation, it was found that the staff person in the infant classroom was observed to be playing a game on her cell phone all while having three (3) infants present in the classroom. Programming
General: Based on Observation, it was found that the one (1) year olds, two (2) year olds and three (3) year old children were grouped together in the one (1) and two (2) year old classroom. Hygienic Practices
General: Based on Observation, it was found that a staff wiped a child's nose and did not wash the child's hands. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report
General: Based on Review of Documentation, it was found that there was no evidence of staff policies and procedures.
General: Based on Review of Documentation, it was found that three (3) staff files out of four (4) staff files reviewed did not have evidence of a current TB skin test. The staffs' dates of hire were 07/26/2011, 07/26/11 and 03/04/2012.
General: Based on Review of Documentation, it was found that there was no evidence of conducted staff meeting. 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
General: Based on Review of Documentation, it was found that there were no cultural, art, dramatic play, music, science, and tactile materials available for the school age children nor were any of these activities listed on the lesson plan. It was also found that there were no cultural materials available to children in the preschool classroom, infant classroom and one and two year old classroom. There were also no activities listed on the lesson plan. It was also found that there were no dated lesson plans in the preschool, infant, school age and one and two year old classroom.
This follow-up inspection recorded no violations or advisories.
General: Based on Observation, there was no information from the Kentucky Consumer Product Safety Program as specified in KRS 199.897 posted in the facility.
General: Based on Review of Documentation, there was no current professional development plan presented at the time of the survey.
General: Based on Review of Documentation, there was no documentation of current staff meetings presented at the time of the survey. There was record of one (1) staff meeting dated 4/4/12.
General: Based on Review of Documentation, there was no disaster plan presented at the time of the survey that included the requirements listed in KRS 199.895.
General: Based on Observation, there were five (5) cribs in the infant classroom and one crib (1) that was being stored in a conference room that were manufactured July, 2010. These cribs did not meet the revised Federal Safety Guideline outlined in CPSC 16CFR 1220.
This follow-up inspection recorded no violations or advisories.
Infant Classroom: Based on Observation, the surveyor noted that a four (4) month old child was sleeping in an infant swing. The staff person stated that the infant had been asleep for approximately thirty (30) minutes.
General: Based on Review of Documentation, one (1) child (enrollment date: 3/9/12) did not have an immunization certificate on file. Two (2) children (enrollment dates: 10/9/11 and 8/28/11) had immunization certificates that were no longer current as of 5/7/12 and 4/30/12.
One Year old classroom: Based on Observation, the surveyor found that the handwashing and diapering procedures were not posted. Animals 319 - Animal Requirements Not Applicable 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised Not Applicable 2) Vaccinated Not Applicable 321 - Prohibited Animals Not Applicable 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated Not Applicable 2) Wild Not Applicable 3) Exotic Not Applicable C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected 2) Partnership statement Not Inspected
General: Based on observation, a purse belonging to a staff member was on the floor, behind a chair, accessible to children in care.
General: Based on review of documentation, a substitute staff member (DOH: 10/29/21) did not have an evaluation on file. Employee Records Not In Compliance
General: Based on review of documentation, a staff member (DOH: 05/30/23) has not completed CPR and First Aid training. A review of ECE-TRIS verified this information.
General: Based on observation, a countertop, located in the area outside of the kitchen, contained a stack of jackets, bags, and back-packs that were touching each another. These were the personal belongings of the children. Director Requirements Not In Compliance
General: Based on observation, the Infant Room contained three (3) cribs with loose fitting sheets that were on the mattresses.
General: Based on observation, the Preschool/ School-Age Room contained a wooden refrigerator, freezer, and stove set in the dramatic play area. The handles that open the refrigerator, freezer, and oven were mounted on the inside of the unit, not on the outside where the children can open the doors to play with the piece of equipment. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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
General: Based on review of documentation, two (2) children's files did not contain a physician's phone number. This area was left blank on the enrollment forms. These children were both enrolled on 09/26/22. Written Documentation Not In Compliance
General: Based on interview and review of documentation, the staff in charge indicated that approximately twenty-one (21) children are receiving Child Care Assistance (CCAP) that attend the center. The facility was not using the CCAP attendance forms (DCC-94E) to sign the children in and out. The child-care center shall maintain the DCC-94E attendance records in accordance with 922 KAR 2:160, Section 13, if a child receives services through the Child Care Assistance Program.
General: Based on observation and interview, the following was found: Preschool/ School-Age Room 1. There was no posted lesson plan for this classroom. Based on interview, the preschool children use this room in the morning and the school-age children use this room in the afternoon. Infant Room 1. The posted lesson plan in this classroom was no longer current. The posted lesson plan was dated 05/31 to 06/15. Toddler Room 1. The posted lesson plan in this classroom was no longer current. The posted lesson plan was dated 05/31 to 06/15. Animals In Compliance
General: Based on observation and interview, this regulatory requirement was not met. The surveyor found a dramatic play stove unit, but no play dishes or play food available. The staff person stated that she did not have any dramatic play dishes or food. In addition to the dramatic play stove unit, the surveyor observed two (2) dolls. There was not an adequate amount of dramatic play materials available to the children in care.
General: Based on review of documentation and ECE-TRIS, three (3) staff hired on 8/20/2011, 5/24/2021, and 10/29/2021, did not complete fifteen (15) hours of cabinet-approved early care and education training during the 7/1/2021-6/30/2022 training year. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming Not In Compliance
General: Based on observation and interview, this regulatory requirement was not met. The surveyor observed a ladder and two (2) gutter extension tubes positioned within the parameters of the playground space. The pastor of the church stated the fence was recently repaired, and the ladder and gutter tubes were left by the contractors. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance
General: Based on observation, this regulatory requirement was not met. The surveyor found excessive of tape residue on the children's cubbies located in the Pre-K classroom. Additionally, the surveyor found excessive tape residue on shelving units located in the Toddler classroom.
General: Based on observation and interview, this regulatory requirement was not met. In the Toddler classroom, the surveyor found several cause-and-effect and sensory toys including Fisher Price toys, Alphabet Phonics, and a Barney book, that did not work because of dead batteries. Therefore, the toys were not in good working condition, and did not meet the developmental needs or interests of the children in care. The staff person stated that she would replace the batteries. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance
General: Based on interview, this regulatory requirement was not met. The staff person in charge stated they have yet to complete a shelter-in-place/lockdown drill. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted Documentation In Compliance Animals Not Applicable
General: Based on observation and review of documentation, this regulatory requirement was not met. The posted menu contained several dates written on the top (some marked out and others still visible) and it was not clear what the correct dates were for the menu. The menu was posted in the kitchen only, and not in a conspicuous place for review. Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance
General: Based on observation, this regulatory requirement was not met. A faucet, (located on the lower part of the wall) in the women's hall bathroom, was missing the metal plate cover that goes around the valve in the wall. The faucet was located on the wall adjacent to the hand washing sinks. The plate cover was observed on the floor below the faucet.
General: Based on observation, this regulatory requirement was not met. The Preschool/School-Age Room contained a bottle of Febreze Air freshener and a bottle of Sanitize Those Hands hand sanitizer. These bottles were labeled "Keep Out of Reach of a Child" and were located on the bottom shelf of a shelving unit, within reach of a child.
General: Based on review of documentation, this regulatory requirement was not met. Three staff files did not have documented hire dates. The staff in charge verbally gave the surveyor the hire dates for these staff members.
General: Based on review of documentation, this regulatory requirement was not met. A substitute staff hired on 10/29/2021, did not have written evidence of completing CPR/First Aid training. The ECE-TRIS system was reviewed and confirmed this finding. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report
General: Based on observation, this regulatory requirement was not met. The overhead florescent lights in the Infant Room were very dim, causing the Infant Room to be poorly lit.
General: Based on observation, this regulatory requirement was not met. The men's hall bathroom contained a drywall patch on the lower wall around a facet handle. The drywall patch was not smooth. Walls shall be smooth and easily cleanable. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report
General: Based on observation, this regulatory requirement was not met. The Preschool/School-Age Room contained a wooden shelf with a hole in the back of the unit. The shelf was storing coloring books and other paperwork. Transportation Not Applicable Kitchen Requirements Not In Compliance
General: Based on observation, this regulatory requirement was not met. The kitchen refrigerator contained three bottles that were not labeled with a child's name. Food Service In Compliance Meal Planning/Center Provides Meals Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. The facility did not have written evidence of the submission of the emergency preparedness plan to the local emergency management officials as specified in KRS 199.895 and 42 U.S.C. 9858c.
General: Based on review of documentation, this regulatory requirement was not met. The facility did not have a written staff schedule documenting the staff members working hours. Posted Documentation Not In Compliance
General: Based on observation and review of documentation, this regulatory requirement was not met. The Preschool/School-Age Room did not have a posted daily schedule of activities.
General: Based on observation, this regulatory requirement was not met. The men's hall bathroom did not have the proper steps for diapering or hand-washing posted. This bathroom contained a diaper changing table. Animals In Compliance
General: Based on review of documentation, observation, and interview, this regulatory requirement was not met. The following was found: 1. One staff person (hire date: 3/10/20) did not have evidence of completing the required ECE 202 training class (Requirements for Reopening Child Care in Kentucky). The ECE- TRIS system was reviewed. 2. One staff person (hire date: 4/19/21) did not have evidence or results on file of a criminal records check (CRC). 3. One staff person (hire date: 4/5/21) had a copy of a child abuse and neglect check (CAN) that had been submitted for processing on 4/2/21; however, the results had not yet been obtained. This staff person was observed working alone with children when the surveyor arrived at the facility at 9:00 AM and continued to work alone until the staff person in charge arrived at approximately 9:40 AM. The staff person stated that she had worked alone the entire morning (7:00 AM - 9:40 AM). 4. Upon arrival (9:00 AM), the surveyor noted that the staff person working in the preschool classroom was not wearing a mask or any type of face covering. The staff person did not put on a face mask until the staff person in charge arrived at approximately 9:40 AM. 5. The surveyor did not observe children and adults being screened for fever and/or contagious symptoms upon entry into the child-care program during the inspection. The staff person in charge stated that she stopped conducting temperature checks when Fayette County Public Schools announced that they were no longer doing this.
General: Based on review of documentation, this regulatory requirement was not met. The Statement of Deficiency/Plan of Correction from the 2017 renewal inspection was posted; however, the Statement of Deficiency/Plan of Correction from the most recent renewal inspection (7/1/20) was not posted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report
General: Based on observation, this regulatory requirement was not met. A child who arrived at the facility at 9:18 AM did not have their hands washed with soap and warm running water prior to being allowed to play with the other children. First Aid/Medication Not In Compliance
General: Based on observation and interview, the facility failed to provide protective surfacing for equipment used to climb and slide. During a tour of the outdoor play area, the surveyor observed a plastic climber/slide structure (approximately two feet tall). A black weed cloth was observed visible around most of the structure with sparse mulch on top; therefore, this did not provide sufficient fall zone cushioning for the children. The staff person in charge stated during interview that she was in process of purchasing new mulch for the playground. Equipment In Compliance Transportation Not Applicable Food Service/Food Program Not In Compliance
General: Based on review of documentation and observation, this regulatory requirement was not met. One staff person (hire date: 4/5/21) had a copy of a child abuse and neglect check (CAN) that had been submitted for processing; however, the results had not yet been obtained. This staff person was observed working alone with children when the surveyor arrived at the facility at 9:00 AM and continued to work alone until the staff person in charge arrived at approximately 9:40 AM. The staff person stated that she had worked alone the entire morning (7:00 AM - 9:40 AM) An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report Employee Records Not In Compliance
General: Based on observation, this regulatory requirement was not met. The following was found: 1. An inspection of the facility's first aid kit found that it contained medication (Neosporin + Pain Relief cream, Benadryl itch stopping cream and two small packets of Tylenol). The first aid kit was unlocked; therefore, medication was not properly stored. 2. The surveyor observed a tube of Boudreaux Butt Paste and a tube of sunscreen positioned on top of plastic storage containers in the preschool classroom throughout the entire inspection. These tubes of medication were accessible to the children and they were not labeled with a child's name. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 Inspection Report Outdoor Play Area Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. A review of the facility's licensing binder with the staff person in charge found that the facility did not have a copy of the most recent regulations made available to staff.
General: Based on review of documentation and interview, this regulatory requirement was not met. A review of staff files during the inspection found two staff that did not have the date of employment listed in their file. After speaking with the two staff in question and an administrative staff person, the staff person in charge verbally identified the dates 4/19/21 and 4/5/21 as the hire dates.
General: Based on observation, this regulatory requirement was not met. The surveyor observed one staff person sitting at the table with three children that were eating breakfast. The surveyor observed the staff person feed scrambled eggs to the children and herself repeatedly with the same plastic spoon and out of the same bowl during the mealtime. Furthermore, the staff person used her fingers to place bites of sausage in the children's mouth. This type of meal service did not protect the food from contamination.
General: Based on observation and interview, this regulatory requirement was not met. The surveyor arrived at the facility at 9:00 AM and observed one staff person caring for three children who were eating breakfast. There were no other staff or children present in the building at the time. The surveyor asked the staff person how breakfast was prepared for the children. The staff person responded that she cooked the eggs and sausage in a skillet on the stove in the kitchen and further stated that the three children she had present at the time waited in the front entry way while she was cooking. General Administration Not In Compliance
A PLAN OF CORRECTION WAS DUE ON 05/27/2021 AND AS OF 05/28/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.
General: Based on observation, this regulatory requirement was not met. The following was found: 1. During a tour of the children's bathrooms, the surveyor observed a toilet cleaning brush and a plunger positioned beside the toilet in both the girls' and the boys' bathrooms and they were accessible to the children. This manner of storage is not sanitary and promotes the spread of germs. 2. At 9:29 AM, the surveyor observed a two-year-old child drinking from a sippy cup while walking down the hallway with her group. The child dropped the sippy cup on the hallway floor and a one-year-old child walking behind her picked up the cup and starting drinking from it. The staff person then took the cup from the child and told her that it was not hers. Children drinking from the same cup is considered a health hazard. Director Requirements Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. A review of the staff meeting documentation revealed that the last documented staff meeting was in 2019.
General: Based on review of documentation, one staff person (hire date: 4/5/21) did not have educational documentation on file.
General: Based on review of documentation, observation, and interview, this regulatory requirement was not met. At the time of the survey, it was found that only one staff out of six was certified in infant/child CPR and infant/child first aid. This staff person (hire date: 5/1/19) is currently on medical leave; therefore, no one was on duty at the facility on 4/23/21, who was certified in CPR or First Aid. The staff person in charge stated that the staff person started medical leave approximately two weeks prior. The staff person in charge stated that she/herself was certified; however, a review of the certification card in her file found that it was no longer valid as of 3/2021. It is also important to note that the staff person in charge did not arrive at the facility until approximately 9:40 AM.
General: Based on review of documentation and the Training Records Information System (TRIS), a staff member hired 3/10/20, did not complete the required Orientation I and II courses and did not complete the required PAHT training. This staff member has been employed for more than one year. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 Inspection Report Premises Not In Compliance
General: Based on observation, this regulatory requirement was not met. The surveyor observed two window screens that were in disrepair. The screen in the preschool classroom window contained a large hole and the screen in the kitchen was torn all the way across the bottom and no longer attached to the frame. Hygienic Practices Not In Compliance
General: Based on observation and interview, this regulatory requirement was not met. During a tour of the playground, the following was found: 1. A long metal pipe (approximately three - four feet long) was observed lying on the ground in the grassy area. The end of the pipe was broken and contained rusty sharp edges. The staff person in charge stated that she was not aware of the metal pipe being on the playground and further stated that it must belong to the church. 2. A concrete step containing green indoor/outdoor carpet was found in disrepair. The carpet was split open down the middle and was curling up which created a trip hazard. All staff and children use this step to enter and exit the playground area.
General: Based on observation, this regulatory requirement was not met. The surveyor arrived at 9:00 AM and observed one staff person sitting at the table with three children that were eating breakfast. The surveyor observed two bowls of scrambled eggs, one bowl of sausage and one sippy cup with milk sitting on the table throughout the entire mealtime. The staff person identified the ages of the children as a one-year-old and two-year-old twins. One of the twins was observed drinking from the sippy cup of milk. The additional two children were not provided with a drink during the meal; therefore, the food requirements for breakfast were not met. Food Service Not In Compliance
General: Based on observation and interview, this regulatory requirement was not met. During a tour of the facility, the surveyor observed two sippy cups containing milk lying inside of two cribs in the infant classroom. No children were observed present in the classroom at the time of the visit. Staff stated during interview that the infant classroom had not been used to care for children since the previous day (4/22/21) during naptime; therefore the cups of milk were spoiled and unsafe for human consumption. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report
General: Based on observation, this regulatory requirement was not met. The surveyor arrived at 9:00 AM and observed one staff person sitting at the table with three children that were eating breakfast. The surveyor observed two bowls of scrambled eggs, one bowl of sausage and one sippy cup with milk sitting on the table throughout the entire mealtime. Individual utensils and plates were not provided to the children present and an individual serving of food was not prepared for them.
General: Based on review of documentation, this regulatory requirement was not met. The facility's posted menu was a four week rotation; however, the weeks were not dated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report Children's Records Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. The following was found: 1. Two of the children’s files did not contain the child's medical history. The staff person in charge reviewed the files and stated that the "medical form" was missing from these two files. 2. One child had an enrollment packet on file; however, it was not signed by the child’s parent. Authorization for emergency medical care had not been obtained for this child, along with physician contact information and information for the family's preferred hospital. Written Documentation Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. A review of the policies and procedures found that the facility did not have a current chain of command. The chain of command had two staff names listed that are no longer employed at the facility. Posted Documentation Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. The facility had a diagram posted; however, it did not include a written emergency plan. Animals Not Applicable Emergency Regulation Not In Compliance
General: Based on observation and review of documentation, this regulatory requirement was not met. The front School-age/Preschool Room did not contain a posted lesson plan. The Infant Room also did not contain a posted lesson plan. Both classrooms were occupied with children during the renewal survey. Premises Not In Compliance
General: Based on observation and review of documentation, this regulatory requirement was not met. A substitute staff member hired on 3/01/2020, did not have proof of education on file. Programming Not In Compliance
General: Based on observation and review of documentation, this regulatory requirement was not met. The following items were found: 1. Three staff members did not have hire dates listed in their personnel files. The staff in charge verbally indicated that one staff was hired on 05/01/19, a second staff was hired on 6/28/19, and the third substitute staff was hired on 3/01/2020. 2. Four staff members did not have written evidence of a completed criminal background check on file in accordance with 922 KAR 2:280. These staff members were hired on 8/20/11, 5/01/19, 6/28/19, and 3/01/2020 (substitute staff). 3. A personnel file was not located for a substitute staff member hired on 3/01/2020. The staff in charge located the substitute staff members TB skin test. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report
General: Based on observation, this regulatory requirement was not met. The following items were found: 1. The front School-age/Preschool Room contained two sections of carpet that were torn and in disrepair. 2. The open area in front of the kitchen contained a long section of carpet that was torn and in disrepair. 3. The Nursery Room, which is currently used for diaper changing, contained a tear in the drywall next to the closet. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
General: Based on observation, this regulatory requirement was not met. The outdoor play area contained areas of weeds that were growing through the mulch. In addition, mushrooms were observed growing in the mulch in the outdoor play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance
General: Based on observation, this regulatory requirement was not met. The front School-age/Preschool Room contained a plastic storage container with a cracked drawer. The storage unit contained some blankets. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance
General: Based on observation and review of documentation, this regulatory requirement was not met. The facility did not have written evidence of the submission of the emergency preparedness plan in accordance with KRS 199.895. The last documented emergency preparedness plan on file was dated 4/10/17. Posted Documentation In Compliance Animals Not Applicable
General: Based on observation and interview, the surveyor found bottle preparation is not completed by parents. The surveyor observed a can of powdered formula on the counter. The infant staff person told the surveyor that parents pre-measure the water, but not the formula. Children's Records Not In Compliance
General: Based on review of documentation, the surveyor found documentation of the Fire Marshal's inspection of the child-care center dated 6/9/15. The director stated the Fire Marshal conducted an inspection last year; however, there was no documentation presented for the surveyor to verify the visit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Director Requirements Not In Compliance
General: Based on observation, the surveyor entered the child-care center at approximately 9:41 a.m., and found an infant lying in a bouncy seat that was placed on top of a table. The surveyor noted the infant was strapped in the bouncy seat and a staff person was sitting next to the table. However, the child’s placement on top of the table is not considered safe. Additionally, the surveyor observed several toys stored inside of two (2) cribs designated for two (2) infants who were present during the renewal inspection. It is important to note this was cited during a renewal inspection conducted on 4/27/17. Employee Records Not In Compliance
General: Based on review of documentation, a staff person hired on 9/10/18 had TB documentation on file dated 4/18/19. The TB screening was not completed prior to hire.
General: Based on review of documentation and ECE-TRIS, a staff person hired on 7/30/18 did not complete orientation training within ninety days of hire. The staff person completed the training on 4/23/19. Additionally, a staff person hired on 9/10/18 has not completed the orientation training. Programming In Compliance Premises Not In Compliance
General: Based on observation, the surveyor noted three (3) blown light bulbs over the hand-washing sink located in the restroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
General: Based on observation, a blue and red colored metal climber that was disassembled was observed on the ground next to the playground. The director stated the structure was too large to use on the playground and the structure was going to be hauled away soon. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance
General: Based on review of documentation, one (1) child's file (enrollment date: 8/27/18) contained immunization documentation that was no longer current as of 4/15/19. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report
General: Based on review of documentation, the statements of deficiency/plans of correction that were found posted were from inspections conducted on 5/5/17 and 10/12/17. The statement of deficiencies issued during the renewal inspection conducted on 4/26/18 and the plan of corrections addressing the deficiencies were not posted.
General: Based on observation, the surveyor found the proper steps for hand-washing document was not posted at the hand-washing sink in the infant classroom. Animals Not Applicable
General: Based on Observation, there was a plastic climber/slide unit on the playground that was approximately five (5) feet tall. The unit was positioned less than three (3) feet from the wooden fence. Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance
General: Based on Review of Documentation, children enrolled 9/9/17, 1/30/18 and 4/21/14 did not have a current immunization certificate on file in the facility.
General: Based on Observation, there was a gallon of 2% milk in the refrigerator that was used during breakfast for the children. There was also a gallon of 1% milk but it was unopened and had not been used. The staff person in charge stated that someone else had done the shopping and had picked up the wrong milk. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Children's Records Not In Compliance
General: Based on Observation, there was no daily schedule posted in the after school classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report
General: Based on Review of Documentation, there was an employee who did not have an evaluation completed for their previous year of employment.
General: Based on Observation, there were two (2) cribs in the Nursery Room that were filled with toys. Both cribs are used for napping.
General: Based on Review of Documentation, a staff person hired on 4/10/17 did not have copies of their chile abuse check or criminal records check in their personnel file. There was no evidence on file that the applications for either of these checks had been completed. The staff person in charge stated that they had sent off the documentation but did not keep records of it at the facility. This staff person was observed working alone for the duration of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance
General: Based on Review of Documentation, a staff person hired on 4/10/17 did not have copies of their chile abuse check or criminal records check in their personnel file. There was no evidence on file that the applications for either of these checks had been completed. The staff person in charge stated that they had sent off the documentation but did not keep records of it at the facility. This staff person was observed working alone for the duration of the survey.
General: Based on Review of Documentation, a staff person with a hire date of 5/8/16 did not have copies in their personnel file indicating they are free of TB.
General: Based on Observation, upon entering the facility, this surveyor observed the preschool teacher sitting on a couch on her phone. The children were in the corner of the room playing. The daily schedule stated that circle time was scheduled during this period of time. Additionally the after school room did not contain any supplies for the curriculum areas of music, dramatic play, books, science, blocks, tactile and cultural. The items were not seen stored in any other area of the facility to indicate that they are brought out when the school age children arrive. The staff person in charge stated that they have to share the space with the church so they have to remove some of the items that are in that room each day for before the children arrive. Premises Not In Compliance
General: Based on Observation, there was a cabinet in the preschool area that had a child safety lock on the inside, but when pulled the cabinet opened and the lock was not working. There was a can of Lysol spray inside the cabinet that was accessible to the children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance
General: Based on Review of Documentation, there was one (1) child's file that contained an expired immunization form. The child's immunizations had expired on 3/23/17.
General: Based on Review of Documentation, there was no staff schedule available to view during this survey. The staff person in charge stated that they were in the process of redoing it and did not have a completed one with the new information available.
General: Based on Review of Documentation, a staff person with a hire date of 7/9/15 did not have a professional development plan completed for their past year of employment. Posted Documentation Not In Compliance
General: Based on Review of Documentation, the names of the children who participated in the August and September 2015 fire drill were not documented. The director stated that she was uncertain why they were not listed for those two (2) months.
General: Based on Observation, the changing pad in the infant classroom was torn. The director stated that she has a new one that she will replace the torn one with.
General: Based on Review of Documentation, there were no annual evaluations on file for staff at the facility. The director acknowledged this finding. 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
General: Based on Review of Documentation, a current food service permit could not be located at the time of the inspection. The director stated that she is certain she paid to renew the service but she was uncertain where the certificate was.
General: Based on Observation, there were several tears in the plush climbing equipment in the one (1) year old classroom. The foam padding was exposed underneath the tears. The director acknowledged this finding.
General: Based on Observation, the preschool children were lined up in the hallway next to the bathrooms and a teacher could be heard yelling, "Stop acting a fool" and "Be quiet". The director stated that she would address this with the teacher.
General: Based on Interview, the director was unable to locate written documentation of staff meetings conducted at the facility.
General: Based on Observation, there was an outlet uncovered in the hallway next to the two (2) year old classroom.
General: Based on Review of Documentation, staff hired on 04/24/14 did not have education documentation on file. This staff person was cited for this definciency during the 2015 relicensure survey.
General: Based on Review of Documentation, staff hired on 07/09/15 has not completed Orientation I and II. Staff hired on 04/24/14 has not completed the Pediatric Abuse Head Trauma class required by the cabinet within the first year of employment. All findings were verified through ECE-TRIS.
General: Based on Observation, the preschool teacher and children were sitting at a table together. The staff person had her purse sitting next to her on top of the table. The purse was accessible to the children. There was a sharp pair of scissors sitting out on a cart in the hallway next to the two (2) year old classroom. These scissors were accessible to the children. The director removed the scissors from the cart. There was a box of Texture my Way Herbal Conditioning Treatment for hair sitting on a low cart shelf in the hallway accessible to the children. The box stated, "keep out of reach of children". There was a bottle of Windex, baby powder and two (2) knives found in unlocked cabinets in the children's eating area. These items were accessible to the children. There was a clear spray bottle with a green substance in it sitting on top of a cabinet in the eating area with no label on it. A preschool child grabbed the bottle and began to spray it around the other children who were lined up to go to the bathroom. A teacher got the bottle from the child and placed it back on top of the cabinet where it came from. It could not be determined what was inside the bottle.
General: Based on Observation, there was a large section of blue crayon color on the wall in the hallway next to the two (2) year old classroom. The director acknowledged this finding. The carpet was torn in several areas in the one (1) year old classroom and in the hallway. The director stated that she would address this with the church.
General: Based on Observation, there was a large section of sharp metal sitting on the ground on the playground. The director acknowledged this finding and stated it would be removed.
General: Based on Observation, there was a bottle of milk sitting out on a counter in the eating area. There were two (2) bottles in the refrigerator that were not labeled. The director stated that there was only one (1) infant present so it had to be her milk.
General: Based on Review of Documentation, the emergency preparedness plan could not be located at the time of the survey. The director stated that she had submitted the paperwork to the local emergency office but she could not locate the documentation.
General: Based on Interview, the director was unable to locate a copy of the policies and procedures for the facility.
General: Based on Review of Documentation, there were thirteen (13) children present the day of the survey but only ten (10) of the children were signed in on the daily attendance sheets.
General: Based on Review of Documentation, there were no current professional development plans on file for the staff at the facility. The director acknowledged this finding.
General: Based on Review of Documentation, staff members hired on 04/15, 04/24/14, 02/02/14 and 05/08/15 did not have education documentation on file.
General: Based on Observation, there was one (1) infant present at the time of the survey. During the entire survey she was either carried around or placed in a high chair with nothing to do. The surveyor was at the facility from 8:30am to 10:40am. At one point the staff member pulled the child around in the high chair while she was getting paperwork for the surveyor. The infant was then taken on a walk for approximately thirty (30) minutes and then was brought back inside and was found in the church auditorium with the staff member with no activities for the child.
General: Based on Observation, there was a great deal of rocks, debris and pieces of paper were found in the shower basin in the boys' bathroom that the children use.
General: Based on Review of Documentation, the staff person in charge could not locate the policies and procedures for the facility.
General: Based on Review of Documentation, staff member hired on 04/15 did not have a child abuse and neglect check on file or any documentation showing that the check had been submitted. This staff member was working alone with the children at the time of the survey.
General: Based on Observation, during the survey, ten (10) preschool children went out to the playground space adjacent to the building. The surveyor measured the space and there is space for no more than six (6) children at a time. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 16 of 27 Web site: http://chfs.ky.gov/ Inspection Report
General: Based on Review of Documentation, the two (2) subsititute staff members did not meet the staff requirements of the administrative regulation. Staff hired on 02/02/14 did not have TB skin test or education documentation on file. Staff hired on 05/08/15 did not have a criminal records check, child abuse and neglect check, TB skin test or education documentation on file. Neither staff were present at the time of the survey.
General: Based on Review of Documentation, the names of the children who participated in the earthquake/tornado drills was not documented.
General: Based on Review of Documentation, the names of the children who participated in the fire drills was not documented.
General: Based on Observation, at 9:35am the surveyor observed a preschool child leave the bathroom area where her teacher and other children were and come into the eating area alone to retrieve a step stool to take back to the bathroom. For approximately thirty (30) minutes the preschool teacher wore headphones while interacting and working with the children. It is not certain if he had music on at the time but he was heard raising his voice several times with the children.
General: Based on Observation, the surveyor found a staff member and an infant in the church auditorium with the lights off. The staff member was sitting in a chair with the child standing next to her. There were no activities for the child and this area is not licensed space. It could not be determined how long they were in the unlicensed space.
General: Based on Review of Documentation, there were no written annual evaulations completed on any staff member.
General: Based on Review of Documentation, staff member hired on 04/15 did not have a child abuse and neglect check on file or any documentation showing that the check had been submitted. This staff member was working alone with the children at the time of the survey. Staff member hired on 10/06/14 had a criminal records check dated 11/14/14. Substitute staff member hired on 05/08/15 did not have a criminal records check or child abuse and neglect check on file. She was not present the day of the survey.
General: Based on Review of Documentation, staff members hired on 02/02/14 and 05/08/15 did not have documentation from a health care professional stating they were free of active tuberculosis. Staff member hired on 10/06/14 had a TB skin test on file dated 10/21/14.
General: Based on Review of Documentation, staff members hired on 10/06/14 and 02/02/14 did not have Orientation I and II certificate on file. Staff members hired on 02/02/14 and 03/17/11 did not have the annual fifteen (15) hours of cabinet approved training on file. 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. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 27 Web site: http://chfs.ky.gov/ Inspection Report Programming
General: Based on Observation, numerous cleaning products were found in an unlocked base cabinet in the eating area accessible to the children. A bottle of AirWick spray was found in the girls' bathroom accessible to the children.
General: Based on Observation, the children did not wash their hands after they were finished eating breakfast.
General: Based on Observation, the diaper changing pad in the Infant room was torn.
General: Based on Observation, there is a section of the playground directly behind the facility that had broken glass, a large section of rolled up chain link fencing and broken pieces of wood on the ground. The staff member stated that the children never go to the back of the playground but it is still accessible to the children. On the side of the playground where the children mainly play there was a broken bucket, paint and a rusted metal For Sale sign all accessible to the children.
General: Based on Observation, an outlet cover was broken in the two (2) year old classroom. A blue bench in the two (2) year old classroom had a tear across the top and blue duct tape was covering the tear.
General: Based on Observation, there was no gross motor toys/equipment for the children on the outdoor playground.
General: Based on Observation, the only menu posted in the facility was found in the kitchen. Upon arrival to the facility the children were having sausage pancakes on a stick and milk to drink. The menu for breakfast that day stated toast, apples and orange juice would be served. When asked what the children would be served for lunch a staff member stated pizza rolls and tater tots. The surveyor looked in the freezer and there were no pizza rolls or tater tots. The menu for lunch that day stated chicken alfredo, peas, wheat bread and milk would be served for lunch.
General: Based on Observation, upon arrival to the facility, the children were eating sausage pancakes on a stick and had milk to drink. There was no fruit, vegetable or 100% juice served. The meal component was not met.
General: Based on Review of Documentation, the emergency preparedness plan was not on file.
General: Based on Review of Documentation, it was found that the facility was not following the conditions of their zoning permit. The facility was found to be operating at 6:30am. The zoning permit states that the facility can not being operating its daycare until 7:00am.
General: Based on Observation, it was found that the facility was not providing 1% milk for the children ages twenty-four (24) months to school age. There were obsered to be several cartons of 2% milk in the refridgerator.
General: Based on Observation, it was found that the infant teacher left three (3) infant children unsupervised in the infant classroom for approximately five (5) minutes while she walked up to the front of the building.
General: Based on Review of Documentation, it was found that one (1) child's file out of ten (10) children's files reviewed did not have evidence of a current immunization certificate. The child's date of enrollment was 01/03/2012.
General: Based on Review of Documentation, it was found that none of the four (4) staff had completed the required 15 hours of annual 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
General: Based on Review of Documentation, it was found that two (2) staff files out of four (4) staff files reviewed did not have evidence of a current staff evaluation
General: Based on Review of Documentation, it was found that there was no evidence of family involvement activity. Employee Records
General: Based on Interview, it was found that there was only two (2) staff present at the facility when surveyors arrived. Interview with a staff person found that while the other staff was preparing breakfast. One (1) staff person was left to supervise eight (8) children ranging from 9 months to four (4) years of age. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 26 Web site: http://chfs.ky.gov/ Inspection Report
General: Based on Interview, it was found that there was only two (2) staff present at the facility when surveyors arrived. Interview with a staff person found that while the other staff was preparing breakfast. One (1) staff person was left to supervise eight (8) children ranging from 9 months to four (4) years of age. The staff to child ratio for the yougest child in care is one (1) staff to five (5) children.
General: Based on Interview, it was found that there was only two (2) staff present at the facility when surveyors arrived. Interview with a staff person found that while the other staff was preparing breakfast. One (1) staff person was left to supervise eight (8) children ranging from 9 months to four (4) years of age. The staff to child ratio for the yougest child in care is one (1) staff to five (5) children.
General: Based on Observation, it was found that the infant and toddler children were mixed together in the preschool school classroom with the preschool children.
General: Based on Observation, it was found that there were several areas of chipped paint and dents on the walls in the school age classroom.
General: Based on Observation, it was found that there was a tear in the diaper changing pad in the infant classroom.
General: Based on Observation, it was found that the facility does not have an outdoor or indoor play ground area and has been using unapproved green space across the street from the facility. There is no fencing around this area. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 26 Web site: http://chfs.ky.gov/ Inspection Report
General: Based on Observation, it was found that the facility does not have an outdoor or indoor play ground area and has been using unapproved green space across the street from the facility. 685 - Playground Clean Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall be: (c) Free from: 1. Litter; 2. Glass; 3. Rubbish; and 4. Flammable materials;
General: Based on Observation, it was found that the facility does not have an outdoor or indoor play ground area and has been using unapproved green space across the street from the facility. There is no fencing around this area.
General: Based on Observation, it was found that the facility does not have an outdoor or indoor play ground area and has been using unapproved green space across the street from the facility. There was observed to be a slide placed in this area with no protective surfacing. 700 - Fences Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (23) Fences shall be: (a) Constructed of safe material; (b) Stable; and (c) In good condition.
General: Based on Observation, it was found that the facility does not have an infant/toddler outdoor or indoor play ground area and has been using unapproved green space across the street from the facility. Equipment
General: Based on Observation, it was found that the refrigerator in the infnat classroom was broken and unable to be used.
General: Based on Review of Documentation, it was found that the facility did not have evidence of a current food service permit.
General: Based on Review of Documentation, it was found that three (3) children's files out of ten (10) children's files reviewed did not have evidence of any enrollment information in their files. Their dates of enrollment were 11/09/2012, and the other two were unknown enrollment dates. It was also found that all ten (10) children's files reviewed did not have evidence of a preferred hospital listed.
General: Based on Review of Documentation, it was found that all four (4) staff files reviewed did not have evidence of a current professional development plan.
General: Based on Review of Documentation, staff person hired 7/26/11 did not have evidence of current negative T.B. results on file in the facility.
General: Based on Observation, there was a bottle of infant ibuprofen, a tube of hydrocortizone, a tube of sunscreen and a tube of diaper ointment being stored in unlocked plastic bins in the Ones classroom. Outdoor Play Area
General: Based on Review of Documentation, staff person hired 7/26/11 did not have evidence of a high school diploma, GED or CCCC on file in the facility.
General: Based on Observation, a four (4) month old was observed in a bouncy seat that had been placed on a table in the Threes classroom. The manufacturer's instructions indicate that the bouncy seat not be placed on a raised surface while in use. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 25 Web site: http://chfs.ky.gov/ Inspection Report
General: Based on Review of Documentation, there were no annual staff evaluations presented at the time of the survey.
General: Based on Review of Documentation, 1. Two (2) staff persons hired 7/26/11 had evidence of only six (6) hours each of annual training on file for the last full year of employment. 2. Staff person hired on 3/14/12 did not have documentation of any hours of annual training during the last full year of employment. 3. Staff person hired on 3/14/12 did not have documentation of the required orientation 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 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; and (d) Not caused an accident which resulted in the death of a person. Programming
General: Based on Observation, a four (4) month old child was placed in a crib on her stomach in the infant classroom. The child was not sleeping but stayed in the crib on her stomach for more than ten (10) minutes. The child was not able to roll over on her own.
General: Based on Observation, there was a loaf of white bread and a loaf of wheat bread observed in the kitchen that were to be served to the children. The wheat bread's first ingredient was enriched bleached flour, not whole or enriched grain.
General: Based on Review of Documentation, 1. Two (2) children that were siblings were both listed on one (1) enrollment form. Each child did not have an individual enrollment form. 2. Two (2) children enrolled 5/13/12 and 10/15/12 did not have authorization by the parent for the child care center to seek emergency medical care for the child in the parent's absence. 3. Three (3) children enrolled 11/9/12 and one (1) child enrolled 10/15/12 did not have the name and phone number of a person to be contacted in case of an emergency.
General: Based on Observation, the methods of diapering and handwashing were not posted in the changing area in the Ones classroom. Animals 1175 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 13. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1185 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 13. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity lead by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.
General: Based on Review of Documentation, two (2) staff (hire dates: 5/21/12 and 3/14/12) did not have evidence of a high school diploma, G.E.D. or Commonwealth Child Care Credential.
Infant Classroom: Based on Observation, the surveyors noted that there was a four (4) month old infant grouped with the preschool and school age children at approximately 9:21 a.m. The infant was signed in at 6:40 a.m. Furthermore, the surveyors noted that there was a two (2) year old grouped with the one (1) year olds. The staff person stated that the two (2) year old is in the one (1) year old classroom all day.
Preschool: Based on Observation, the surveyor found one (1) uncovered outlet in the classroom. One Year old classroom: Based on Observation, the surveyor noted that there was one (1) uncovered outlet. Infant Classroom: Based on Observation, the surveyor found that there was a dirty white crib sheet that was not form fitting to the mattress. The sheet was loose and was bunched up in places. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 42 Web site: http://chfs.ky.gov/ Inspection Report 7) Personal belongings of staff In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance
Infant Classroom: Based on Observation, the surveyor noted at approximately 9:55 a.m., the infant staff person left her classroom to go to the restroom. During this time the one (1) year old staff person had taken her four (4) children that she was caring for to the infant classroom so that the infant staff person could go to the restroom. The infant classroom's capacity is licensed for no more than three (3) children due to the square footage. Therefore, the infant classroom was over capacity by two (2) children for a couple of minutes. 205 - Floors, walls, Ceilings 922 KAR 2:120 - Section 4 (8) Floors, walls, and ceilings shall be smooth, in good repair, and constructed to be easily cleaned. 1) Floors smooth/good repair In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 42 Web site: http://chfs.ky.gov/ Inspection Report 2) Walls smooth/good repair In Compliance 3) Ceilings smooth/good repair In Compliance 4) Floors easily cleaned In Compliance 5) Walls easily cleaned In Compliance 6) Ceilings easily cleaned In Compliance 212 - Building Temperature 922 KAR 2:120 - Section 4 (15) The temperature of the inside area of the premises shall be: (a) Sixty-five (65) to seventy-five (75) degrees Fahrenheit during the winter; or (b) Sixty-eight (68) to eighty-two (82) degrees Fahrenheit during the summer months. 1) Winter Temperature sixty-five to seventy-five In Compliance 2) Summer Temperature sixty-eight to eighty-two In Compliance 233 - Infant/Toddler indoor space 922 KAR 2:120 - Section 5 Infant and Toddler Play Requirements. (1) Infant and toddler inside areas shall: (a) Be separate from an area used by an older child; (b) Not be an exit or entrance; and (c) Have adequate crawling space for an infant or toddler away from general traffic patterns of the center. 1) Separate from older children In Compliance 2) Not Exit/ Entrance In Compliance 3) Adequate crawling space In Compliance 4) Traffic Pattern In Compliance 239 - Cots/ Mats Location Restrictions 922 KAR 2:120 - Section 6 (4) If cots or mats are used, floors shall be free from: (a) Drafts; (b) Liquid substances; (c) Dirt; and (d) Dampness. 1) No drafts In Compliance 2) No liquid substances In Compliance 3) No dirt In Compliance 4) Not damp In Compliance 279 - Toilet Room 922 KAR 2:120 - Section 10 (2) A toilet room shall: (a) 1. Be provided for each gender; or 2. A plan shall be implemented to use the same toilet room at separate times; (b) Have a supply of toilet paper; and (c) Be cleaned and sanitized daily. 1) Provided for each gender/plan to use separately In Compliance 2) Toilet Paper In Compliance 3) Clean/Sanitized In Compliance 280 - Sink 922 KAR 2:120 - Section 10 (3) A sink shall be; (a) Located in or immediately adjacent to toilet rooms; (b) Equipped with hot and cold running water that allows for hand washing; (c) Equipped with hot water no more than 110 degrees Fahrenheit; (d) Equipped with liquid soap and single use disposable hand drying material; (e) Equipped with an easily cleanable, covered waste receptacle; and (f) Immediately adjacent to a changing area used for infants and toddlers. 1) Located in or immediately adjacent to toilet rooms In Compliance 2) Equipped with hot running water that allows for hand washing In Compliance 3) Equipped with cold running water that allows for hand washing In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 14 of 42 Web site: http://chfs.ky.gov/ Inspection Report 4) Equipped with hot water no more than 110 degrees Fahrenheit In Compliance 5) Equipped with liquid soap and single use disposable hand drying material In Compliance 6) Equipped with an easily cleanable, covered waste receptacle In Compliance 7) Immediately adjacent to a changing area used for infants and toddlers In Compliance 281 - Toilet 922 KAR 2:120 - Section 10 (4) Each toilet shall: (a) Be kept in clean condition; (b) Be kept in good repair; (c) Be in a lighted room; and (d) Have ventilation to outside air. 1) Clean In Compliance 2) Good repair In Compliance 3) Lighted Room In Compliance 4) Ventilated In Compliance General Premises 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 4) Plastic bags In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 192 - Guns/Ammunition storage 922 KAR 2:120 - Section 3 (8) Guns and ammunition shall be stored separately in a locked area outside of the designated child care area. 1) Separate storage Not Applicable 2) Locked Not Applicable 193 - Smoking Protocol 922 KAR 2:120 - Section 3 (9) Smoking shall: (a) Be permitted in accordance with local ordinances; (b) Be allowed only in outside designated areas; and (c) Not be permitted in the presence of a child. 1) Local Ordinance In Compliance 2) Outdoor Designated Area In Compliance 3) Not in the presence of children In Compliance 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 42 Web site: http://chfs.ky.gov/ Inspection Report 3) Good repair In Compliance 4) Land-line phone accessible In Compliance
General: Based on Observation, the surveyor noted that there were dead limbs and brush that was hanging over the fence.