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License #L356798 · Center · Licensed
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General: Based on review of documentation, a written plan to reunite children in care with their parent or guardian in the event of an emergency was not available for review at the time of survey. Posted Documentation In Compliance
General: Based on observation, the following was found: Three-to-Five-Year-Old Room 1. Several nap mats had begun to crack at the edges and along seams; rendering them unable to be sanitized properly. Two's Room 1. Several nap mats had begun to crack at the edges and along seams; rendering them unable to be sanitized properly. School-Age Room 1. Several nap mats had begun to crack at the edges and along seams; rendering them unable to be sanitized properly.
General: Based on review of documentation, the enrollment file of one (1) child in care (DOE: 04/25/23) did not contain authorization to procure emergency medical treatment for the child should it be required.
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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, the School-Age Classroom had two (2) areas of water damage to the ceiling. One (1) area was discolored, while the other was drooping with the paint and drywall cracked.
General: Based on observation, the following was found: Rear Playground- Right of Property 1. The fence line was overgrown with vines and grass. 2. Grass and weeds protruded through the mulch. Rear Playground- Left of Property 1. The fence line was overgrown with vines and grass. 2. Grass and weeds protruded through the mulch. Front-Most Playground 1. The fence line was overgrown with vines and grass. 2. Grass and weeds protruded through the mulch.
General: Based on observation, the following was found: Rear Playground- Right of Property 1. The fence farthest right from the entrance was in disrepair and had a dislodged wooden board at the base. Rear Playground- Left of Property 1. The fence line between the two rear-most playground spaces had two (2) distinct areas of disrepair where the chain-link had come away from the fenceposts.
General: Based on interview and review of documentation, one (1) child in care (DOE: 03/28/25) did not have a current immunization certificate nor a medical or religious exemption available for review. It should be noted that the staff in charge contacted the parent to obtain the document during the survey and the parent stated she had already asked her doctor's office to fax the document. The staff in charge asked if it could be emailed and the parent said the doctor's office would not allow that.
General: Based on observation, the following was found: Two's Room 1. Several battery-operated toys were not in working order. School Age Room 1. Several battery-operated toys were not in working order.
General: Based on observation, three (3) children were seated at a table eating breakfast while all three (3) watched a child's television program. Additionally, one (1) of the children had a tablet device. It should be noted that the television was turned off and the tablet was removed before the surveyor exited the classroom.
General: Based on observation and review of documentation, the following was found: 1.) A daily schedule was not posted within the Three-to Four-year-old classroom. 2.) The Statement of Deficiency and corresponding Plan of Correction from the 2023 licensure year was not posted for public inspection. Animals Not Applicable
General: Based on interview and review of documentation, there was no evidence to indicate that lockdown drills had been practiced. The staff-person-in-charge indicated that she was not aware of this drill being practiced at the facility. Posted Documentation Not In Compliance
General: Based on observation, staff member (DOH 12/18/23) did not have proof of being trained in CPR/ First aid administration. A review of ECE-TRIS supports this finding. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report
General: Based on review of documentation, the following was found: 1.) Staff member (DOH 09/10/15) had a Pediatric Abusive Head Trauma training record on ECE-TRIS that exceeded five (5) years, and therefore was no longer current. 2.) Staff member (DOH 03/21/23) had seven (7) hours of Cabinet- approved early care and education training for the 3/21/23-3/20/22 training year recorded on ECE-TRIS. 3.) Staff member (DOH 12/18/23) did not have evidence of completing Cabinet- approved Orientation training. A review of ECE-TRIS supports the above findings. Programming In Compliance Premises Not In Compliance
General: Based on observation, this regulation was not met. During inspection, the children were served grapes and cheese puffs for snack. A snack shall include two (2) of the following components: milk, meat or meat alternative, bread or grain, fruit, vegetable or 100 percent juice. The Surveyor reminded the staff about the two (2) components and they went to look for a grain to serve.
This investigation inspection recorded no violations or advisories.
General: Based on observation, the child care center failed to maintain state regulations regarding the Premises. During the survey, it was found the facility kitchen door was unlocked and open. Upon entering the kitchen, the surveyor found multiple cabinets and drawers unsecured and accessible. One (1) drawer, located to the right of the sink, contained multiple sharp objects including forks, knives, and scissors. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
General: Based on observation, the child care center failed to maintain state regulations regarding Equipment. A green chair in the reading area of the Preschool room was found to have multiple small rips and tears on the outer surface, making the inner padding accessible to children in care.
General: Based on observation, the child care center failed to maintain state regulations regarding the Outdoor Play Area. During the survey of the playground area, it was found the second fenced-off area, near the back chain link fence, had multiple areas of weeds protruding through the mulch. Equipment Not In Compliance
General: Based on observation, the child care center failed to maintain state regulations regarding Equipment. A black flat screen television was unsecured, on the edge of a yellow cubby in the Three's #2 Room. The television posed a potential hazard because of its weight and position, fully accessible to the children in the room. Transportation In Compliance Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance
This investigation inspection recorded no violations or advisories.
General: Based on observation, one fluorescent light within the School-Age space was not in working order. Hygienic Practices Not In Compliance
General: Based on observation, the following was found: 1) A small branch was located on top of the mulch on the playground. The staff person stated that a utility company had trimmed the trees around the area and did not remove the fallen debris. 2) A utility wire was draped off the side of the building and hung above a boat climbing structure on the playground. The wire is within reach of the children utilizing this climbing structure. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report
General: Based on observation, a castle climbing structure was placed within one foot of the chain-link fence on the playground. There was not a sufficient fall zone around this structure that was equal or greater to the height of the equipment.
General: Based on observation, children’s clothing items were stored on hooks within the Preschool classroom, the clothing items overlapped; this method of storage promotes the spread of germs and bacteria. Director Requirements Not In Compliance
This investigation inspection recorded no violations or advisories.
General: Based on review of documentation, three children had immunization certificates that were no longer current as of 5/30/21, 5/30/21, and 6/25/21. Written Documentation Not In Compliance
Based on review of documentation and the Training Records Information System (TRIS), the following was found: 1. A staff member hired 1/18/2021, did not complete the required Orientation I and II courses. This staff member has been employed for more than three months. 2. A staff member hired 9/24/2018 did not have evidence of completing the required 15 hours of cabinet-approved training between 7/1/20 and 6/30/21. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report First Aid/Medication Not In Compliance
General: Based on review of documentation and interview, this regulatory requirement was not met. The facility did not have written documentation indicating that a daily inspection of the facility’s two mini vans were performed during the 2020-2021 school year. The staff person in charge stated that the facility transported a few children to and from local schools during the school year. She indicated that these inspections were conducted; however, she was not able to locate the documentation during the visit. Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 observation and interview, the surveyor entered the one-year-old classroom at 8:50 am, and observed five students placed into bucket seats around a table. The surveyor did not see the children involved in an activity. When asked, the staff person in this classroom indicated the children were just served a snack. The surveyor later entered the classroom at 9:20 am and observed that the children were still seated at the table. The staff person in the classroom was diapering a child, and had provided three farm animal toys to the four children still seated. It is unknown how long the children were placed in this area prior to surveyor entrance. Premises Not In Compliance
General: Based on observation, a current copy of state regulations was not available for viewing. Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance
General: Based on observation, there was a vent in the two- to three-year-old classroom that had an accumulation of dust. Additionally, one bulb in the light fixture of this space was not functioning. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Outdoor Play Area Not In Compliance
General: Based on observation, it was found that there were two (2) torn nap mats in the Twos classroom and five (5) torn nap mats in the Ones classroom. The mats are used by the children at nap time.
General: Based on review of documentation and ECE-TRIS, the surveyor found the child-care center failed to meet this regulation as follows: 1). Three (3) staff (hire dates: 5/25/05, 8/6/07, and 1/15/12) have not renewed the Pediatric Abusive Head Trauma training. 2). Two (2) staff (hire dates: 6/5/18 and 9/24/18) completed orientation training on 3/9/19 which is past the ninety day period. 3). Six (6) staff (hire dates: 5/25/05, 1/15/12, 9/10/15, 4/4/17, 5/25/17, 6/5/18) did not complete fifteen (15) hours of early care and education training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
General: Based on observation, it was found that the electrical cords to two (2) infant swings were plugged into a lower outlet in the classroom. The cords were accessible to the children in care. Employee Records Not In Compliance
General: Based on review of documentation, the surveyor found a staff person hired on 3/25/19 had TB documentation on file dated 4/28/19. Based on the documentation presented for review, the staff person acquired the TB documentation after she was hired. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on Review of Documentation, there was no written staff schedule. Posted Documentation In Compliance Animals Not Applicable
General: Based on Review of Documentation, there was no current emergency evacuation plan on file.
General: Based on Observation, during a tour of the school age room located in building #2 there were three (3) overhead flourescent lights that were not working. Two (2) of the lights were located at the front of the room near the door to enter the front of the building. The third light was located at the back of the room near the back door.
General: Based on Observation, during an inspection of the Toddler playground the following was found: 1) There were three (3) stationary cars that the children can sit on along the back of the fence. There was approximately five (5) inches of space from the nose of two (2) of the cars and a tall plastic Little Tikes climber had been placed near the cars. 2) Towards the front of the playground near the gate there was a stationary red metal train and a green stationary airplane. In between these two (2) pieces of equipment was a red, blue and tan plastic Fort type climber. There was less than three (3) feet between the pieces of equipment. Equipment Not In Compliance
General: Based on Interviews with several staff, it was discovered that one staff used a ruler to hit children as form of punishment. One staff reported observing the staff person hit children on their arms "very forcibly" and named five (5) children who she observed to be hit. She also reported she observed the staff person take a child into the bathroom and then hearing what sounded like the child being struck four or five (4 or 5) times and the child screamed each time she was hit. Another staff person reported she also observed five (5) children being struck with a ruler and overheard the offending staff refer to the ruler as her "paddle". Four (4) children interviewed by the DCBS worker also reported observing this staff person striking children with a ruler. The Director was told about the incident by two (2) staff members, however, no action was taken to remedy the situation. Programming Not In Compliance
General: Based on Interview, while interviewing director, the surveyor heard staff tell child that if he "did not go to sleep she would take away his privileges".
General: Based on Review of Documentation, sufficient evidence was found to indicate that the child care center failed to comply with regulatory requirements regarding policy development. In the application for child care on page 1 it states that if transportation is desired that a release should be signed. On the second page of the application is a signature for the transportation. A parent signed this form for services to begin on October 30, 2017. In addition, the director and the parent stated that arrangements for transportation were discussed the Friday before services were to began. Despite this, the facility did not pick up this child from school.
General: Based on Review of Documentation, one (1) child's file contained an immunization certificate that was no longer current. The immunization certificate was dated 7/31/17 and the child was enrolled 3/27/17.
General: Based on Observation, there were several small tears in the changing pad in the Ones classroom. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
General: Based on Review of Documentation, the Preschool children left the facility and got on a bus provided by the public library. The bus was parked in front of the facility and remained there until the children exited the bus after choosing books. In an interview with the Director it was found that the facility had not obtained field trip permission from the parents of the Preschool children for the children to leave the premises. Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Animals Not In Compliance
General: Based on Observation, the following was found: 1. There was an uncovered electrical outlet in the Quiet Area in the Twos classroom. The oulet was accessible to the children in care. 2. The smoke alarm in the School-age building was chirping. The sound indicates that the batteries in the alarm need replacing.
This change of service inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on Interview, a black Volvo that belonged to the director was used to transport a child to the center from Mary Todd Elementary. A minivan was also used for this school pick up but there were too many children to all fit in the minivan. The child's parent gave verbal permission for the child to be transported in the Volvo. However, the Volvo had not been approved for transportation by the Division of Regualted Child Care. The staff person in charge stated that the Volvo would not be added as an approved vehicle and would not be used again to transport for the center.
This investigation inspection recorded no violations or advisories.
General: Based on Observation and interview, this regulatory requirement was not met. During a tour of the infant classroom, the surveyor observed several area rugs (approximately nine (9) or ten (10) rugs) rolled up and propped up against the back corner of the room. The surveyor also observed four (4) rotating fans sitting on the floor in the same area. The director acknowledged these items and stated, "I know I need to move them".
General: Based on review of documentation and the training records information system (TRIS) the surveyor found the following: (1) One (1) staff person (hire date: 9/10/15) did not complete the required six (6) hour orientation training within the first three (3) months of employment. The staff person completed the training on 2/24/16 which was five (5) months after employment. (2) One (1) staff (hire date: 5/25/05) did not complete fifteen (15) hours of early care and education training.
General: Based on Review of Documentation, the surveyor found that one (1) staff (hire date: 6/15/16) had documentation on file that a criminal records check was requested after the staff person's hire date. The criminal records check was requested on 6/17/16 which is not in accordance with KRS 199.896(19).
General: Based on Observation and interview, this regulatory requirement was not met. During a tour of the two (2) year old classroom the surveyor observed a tube of extra strength Benadryl Itch Stopping Cream in a cubbie directly behind the diaper changing table. This medication was not labeled with a child's name and was not being stored in a locked area. A staff person working in the classroom stated that a parent gave the medication to her with verbal instructions to apply it to her child's mosquito bites; however, stated during interview that she had not applied the medication on the child because she forgot to talk to the director about it. Outdoor Play Area
This investigation inspection recorded no violations or advisories.
General: Based on Review of Documentation and interview, this regulatory requirement was not met. The director identified a male staff person as the main driver and herself as the back-up driver during the visit. A review of the transportation documentation found that these staff had Kentucky driver history documentation on file dated 4/2/14; therefore, it was no longer current. The director stated during interview that she would obtain new records. Transportation
This follow-up inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
This follow-up inspection recorded no violations or advisories.
General: Based on Review of Documentation, it was found that the facility did not have a copy of the most current regulations available for the staff.
General: Based on Review of Documentation, it was found that only twenty-one (21) of the twenty-four (24) children present were signed in. It was also found that the parents were signing the weekly verification of attendance space prior to the end of the week.
General: Based on Observation, it was found that on the two (2) smaller playgrounds, a yellow and red climber/slide/tunnel unit, two (2) sets of swings, a Little Tikes climber/slide combination unit and a metal car-shaped climber were positioned on bare dirt and sparse mulch.
General: Based on Observation, it was found that there were no cultural materials available for the children in the Infant classroom. Cultural activities were not listed on the lesson plan or daily schedule.
General: Based on Review of Documentation, it was found that the earthquake and tornado drill documentation did not include the times that the drills were conducted.
General: Based on Observation, this regulatory requirement was not met. The surveyors pulled into the facility parking lot at 11:57AM and observed a female adult and a school age male child exit building #2, walk along the sidewalk to the front of building #1 and enter the main entrance of building #1. The female adult was observed carrying a large bowl. The surveyors then got out of their cars to enter the facility. Surveyor #1 entered the main entrance (building #1) while surveyor #2 entered building #2. Surveyor #2 entered building #2 and observed one (1) staff person (hire date: 5/21/15) caring for twenty (20) school age children (the youngest child was identified as a five (5) year old). A few seconds after Surveyor #2 entered building #2, the female adult and school age male child that were observed outside, entered building #2. The female adult identified herself as the second staff person working in building #2 with the school age children; therefore, staff-to-child ratios were not in compliance while the staff person was out of the classroom. Surveyor #2 noted during the visit that the distance the female adult and the male child walked from building #2 to building #1 was approximately eighty-five (85) - ninety-five (95) feet. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Employee Records
General: Based on Review of Documentation, two (2) staff (hire dates: 5/21/15 and 6/29/15) did not have educational documentation on file. Food Service
General: Based on Observation, a nine (9) month old child was observed sitting in an Excersaucer while taking his bottle. This is not proper placement for a meal.
General: Based on Observation, there were six (6) tubes of diaper ointment in a box with no lid sitting on a shelf in the Infant classroom. Food Service
General: Based on Observation, when the surveyors first arrived at the center there were seven (7) children in the one (1) year old class with one (1) staff person. The other staff person designated to this classroom stated that she had briefly stepped out of the room to get gloves. While the second staff person was found out of the room the group was over ratio by one (1) child. Also, the one (1) year old class and the two (2) year old class combined on the playground for a total of fourteen (14) children and two (2) staff. The youngest child in the group was one (1) year old. Therefore, the group exceeded maximum group size by two (2) children. Director Requirements
General: Based on Observation, 1. At 9:37 a.m. four (4) infants were observed in cribs in the Infant classroom. None of the infants were sleeping at that time. The surveyor returned to the Infant classroom at 9:43 a.m. and 9:45 a.m. to find the same children in the cribs and still awake. At 9:45 a.m. a staff person removed one of the children from a crib but the other three (3) children remained in the cribs awake until 9:57 a.m. when the surveyor returned to the classroom. At 10:10 a.m. two (2) of the remaing children in the cribs had fallen asleep and the other child had been removed from the crib. 2. A six (6) month old child arrived in the Infant classroom at 9:57 a.m. The child was asleep in a car seat when he arrived. The child remained in the car seat asleep until 10:12 a.m. when a staff person moved the child to a crib. General: Based on Interview, a one (1) year old child was restrained in a high chair during nap time because he was difficult to get to sleep. The staff stated that when this happened it may have been for ten (10) minutes. Also based on interview, a child was placed on a changing table that was still wet with bleach water. The bleach water discolored the pants he was wearing. Employee Records
General: Based on Observation, the surveyors observed fifteen (15) children and two (2) staff in the two (2) year old classroom. The staff stated they had three (3) one (1) year olds in their group and the oldest child in the group was four (4) years old. Therefore, the classroom was over group size by three (3) children. The surveyor asked if the three (3) one (1) year old children had been with them all day. The staff stated that one (1) of the children had been due to his size. They stated the two (2) other children came over from the toddler classroom at approximately 11:30 in order to maintain ratios in the toddler class. File review found that two (2) children were twenty two (22) months old and one (1) child was twenty one (21) months old. The staff person in charge stated the children had a transition plan on file. However, this documentation was not on file for any of the three (3) children. Furthrmore, no programming was taking place during the classroom observation. For example, the surveyors observed a two (2) year old boy climb up a two (2) tier shelving unit that was at least three (3) feet tall and balance himself on the shelf long enough to grab a CD from the VCR that was positioned on top of a televison. Next, the child ran over to some chairs that were stacked and started climbing on them. While this was occurring a two (2) year old girl attempted to climb on top of a high chair while another girl stood up on a table and grabbed at the surveyor's identifcation badge. Other children were observed running around the classroom. As this was occurring one (1) staff person was changing a diaper and the other staff person was going around getting the children off of furniture and trying to get them ready to line up to go outside. The staff did not have any control over the group. 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 Premises
General: Based on Observation, interview, and review of documentation it was found that the facility was providing transportation services although this service had been revoked effective April 14, 2105. The facility had not notified the cabinet of the plan to arrange transportation with another child care center. It was observed on 4/24/15 that children were being transported to the center. There were two (2) vans observed each making two (2) stops at the facility to drop of children. A maroon van dropped children off at 3:27 PM and 3:36 PM. A light blue van dropped children off at 3:34 PM and 3:55 PM. During interview the director gave contradictory statements saying she thought it was ok to arrange the transportation in spite of the revocation and that North Star had nothing to do with the transportation and that Kid's House had made the arrangments with the children's parents. Interview with a staff at Kid's House found that Kid's House had been transporting children from six (6) elementary schools to North Star Academy since the end of February 2015 and planned to continue doing so until May 29, 2015.
General: Based on Observation, interview, and review of documentation the facility was arranging transportation with another child care center even though the center was no longer licensed for the transportation service. The facility's transportation service was revoked effective 4/14/15. It was observed on 4/24/15 that children were being transported to the center. There were two (2) vans observed each making two (2) stops at the facility to drop of children. A maroon van dropped children off at 3:27 PM and 3:36 PM. A light blue van dropped children off at 3:34 PM and 3:55 PM. During interview the director gave contradictory statements saying she thought it was ok to arrange the transportation in spite of the revocation and that North Star had nothing to do with the transportation and that Kid's House had made the arrangements with the children's parents. Interview with a staff at Kid's House found that Kid's House had been transporting children from six (6) elementary schools to North Star Academy since the end of February 2015 and planned to continue doing so until May 29, 2015. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Director Requirements
General: Based on Observation, and interview, on 3/31/15 at 8:00 a.m., the surveyor observed a staff person exit the facility. The staff person stood in front of the facility's door and started talking on her cell phone. At 8:02 a.m., the surveyor started walking toward the facility. As the surveyor approached, the staff person turned and immediately went back inside the facility. The surveyor followed the staff person to the pre-school classroom where thirteen (13) children and one (1) staff were observed. During interviews it was noted there were five (5) one year olds in the group; therefore, the staff person had been left alone, was out of ratio and was over group size. She was over ratio by seven (7) children and over group size by one (1) child. The staff person immediately took the five (5) toddlers to the next room. Employee Records
General: Based on Observation, on 3/31/15 at approximately 8:02 a.m. the surveyor observed thirteen (13) children with one (1) staff person. There were five (5) one year olds in the group; therefore, the staff person was out of ratio and over group size. The staff person stated that some of the toddlers had arrived just before 7:00 a.m. The toddlers had been grouped with the older children for approximately one (1) hour. However, the toddlers were observed wandering around the room while the rest of the children were sitting at a table without anything to do. The surveyor did not see an activity being done with the children nor did the surveyor see many toys/materials that were age appropriate for toddlers. Transportation
This follow-up inspection recorded no violations or advisories.
General: Based on Observation, upon arrival at the facility on 2/3/15 at approximately 7:55 a.m. there were twenty (20) children ages six (6) months old to twelve (12) years old with two (2) staff. Two (2) additional children arrived at 7:59 a.m. Interviews with staff found that all of the children ages infant to school age are combined once they start arriving at 5:30 a.m. until the 8:00 a.m. staff arrive. An interivew with staff also found that from 5:30 a.m.- 7:30 a.m. there is only one (1) staff person present and at 7:30 a.m. an additional staff person arrives. A review of staff time cards found that on 2/2/15 the first staff person clocked in at 5:20 a.m. and another staff person did not clock in until 7:31 a.m. On 2/3/15 the first staff person clocked in at 5:16 a.m. and another staff person did not clock in until 7:37 a.m. A review of attendance sheets documenting the time of arrival and departure of the children found that on 2/2/15 from 5:30 a.m.-6:30 a.m. there were three (3) children ages twenty-three (23) months to ten (10) years old. By 8:00 a.m. there were twenty-four (24) children ages six (6) months to twelve (12) years old. Staff interviews confirmed that all age groups are combined from 5:30 a.m.-8:00 a.m. every morning.
General: Based on Observation, upon arrival at the facility on 2/3/15 at approximately 7:55 a.m. there were twenty (20) children ages eight (8) months old to twelve (12) years old with two (2) staff. Two (2) additional children arrived at 7:59 a.m. All of the children were combined in the middle preschool room. The school age children waited for the van to pick them up in the middle preschool room with the preschool children who are assigned to that room. Interviews with staff found that all of the children ages infant to school age are combined once they start arriving at 5:30 a.m. until the 8:00 a.m. staff arrive. An interivew with staff also found that from 5:30 a.m.- 7:30 a.m. there is only one (1) staff person present and at 7:30 a.m. an additional staff person arrives. A review of attendance sheets documenting the time of arrival and departure of the children found that on 2/2/15 from 5:30 a.m.-6:30 a.m. there were three (3) children ages twenty-three (23) months to ten (10) years old. By 8:00 a.m. there were twenty-four (24) children ages six (6) months to twelve (12) years old. Staff interviews confirmed that all ages group are combined from 5:30 a.m.-8:00 a.m. every morning. The materials in the classroom do not meet the individual and developmental needs of all of the ages of the children in the room.
General: Based on Observation, and interview in the Two-Year-Old room there were fourteen (14) children and two (2) teachers. Three (3) of the children in the group were one (1) year old. The staff stated the children had been combined in the classroom for that entire day. One (1) of these children would be two (2) years old in a few days. The other two (2) would not be two (2) years old for about two (2) more months. There were no transition plans in place for these children.
General: Based on Observation, and interview in the Two-Year-Old room there were fourteen (14) children and two (2) teachers. Three (3) of the children in the group were one (1) year old. Therefore, the group exceeded maximum group size and staff to child ratio by two (2) children. The staff stated the children had been combined in the classroom for that entire day. Programming
General: Based on Observation, and interview, the school age building was not compliant with staff to child ratio. There were twenty-two (22) children in the school age building. One (1) of the staff designated to this group was observed in the main building then running to the school age building when the surveyor arrived. The staff person may have been out of the building for a few minutes to fifteen (15) minutes. Transportation
General: Based on Review of Documentation, the age range of the children in the preschool area was misrepresented. During interview the staff person in charge stated that the youngest children in the group were four years old. However, when asked to sign-in/out sheets for the various classrooms it was found that at least two (2) of the children in this group were listed as three year olds. The staff person then confirmed that the age of the youngest children in the group was three years old. Director Requirements
General: Based on Review of Documentation, there were six (6) school age children who were not signed in on the attendance records. The staff person in charge stated that the children had just arrived and the she did not have time to sign them in.
General: Based on Observation, conducted at the time of the surveyors' arrival there was one (1) staff person supervising a group of fifteen (15) children in the front preschool room. Interview with staff and a review of records found that the youngest children in this groups was three years old making the minimum staff to child ratio one staff to twelve children. Approximately two minutes later another staff person entered the area and indicated that she was also working with that group of children. This staff person indicted that she had been in the kitchen area. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report General Administration
General: Based on Review of Documentation, the facility's transportation policy states that "all vans picking up children will have a monitor on the van, in addition to the driver." However, interviews and documentation regarding the transportation routes involved in this investigation found that only a driver was present with the children on the van.
General: Based on interview and review of documentation, on 8/18/14 at 3:42 PM seven (7) children were picked up from Northern Elementary School in a Dodge Grand Caravan. This is a six (6) passenger minivan. Therefore, one (1) child had to sit in the front seat of the van and two (2) children had to share a seat belt. The child placed in the front seat was nine (9) years and eleven (11) months old. The van was observed and there is a warning located on the driver and passenger side sun visors which states that a child can be killed or seriously injured by the air bag. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Transportation
General: Based on interview and review of documentation, children were dropped off on the front porch of Northern Elementary School and left without supervision to wait for the doors of the school to open. On 8/18/14 there were six (6) children dropped off and on 8/19/14 there were five (5) children dropped off. Both days the drop off time was 7:45 AM. There were school staff entering the building but the school does not accept children until 7:55 AM. Therefore, the children were not under the care of a designated adult for the ten (10) minutes they had to wait for the doors of the school to be unlocked.
General: Based on Review of Documentation and interview, this regulatory requirement was not met. A review of a child's medication form in the infant classroom found that the parent requested Tylenol be administered to their child on 6/27/14; however, the directions written by the parent did not include times for the medication to be administered. There was a space on the form labeled "time"; however, it was left blank. The staff person working in the infant classroom stated that the person dropping the child off on 6/27/14 instructed her to give the medication "every 4 hours" and the staff person stated that she administered Tylenol to the children two (2) times on 6/27/14; however, the staff person stated that she did not document when she administered the medication to the child.
General: Based on Observation, this regulatory requirement was not met. Two (2) bucket seats in the kidney shape toddler table and one (1) high chair were missing the safety straps.
General: Based on Review of Documentation, one child (enrollment date: 9/19/13) had an immunization certificate on file that was no longer current as of 6/27/14.
General: Based on Interview, it was found that a staff person who transports children did not have the headlamps on while transporting the children from school. The staff stated that she just forgot to cut the lights on, on the vehicle.
General: Based on Interview, it was found that a staff person transporting children from school allowed an eleven (11) year old child to sit in the front seat of the vehicle on many different occassions. In an interview with the staff, she stated that she was just so used to the child riding in the front seat that she did not think anything of it. The staff also stated that even thought he child was eleven years old, he looked like an adult. Transportation
General: Based on Interview, it was found that the facility failed to notify the cabinet in writing of the type of vehicle used for transportation. Interview with the staff in charge found that the facility had recently purchased a new vehicle and has been using it for transporting children. The staff in charge stated that she had not notified the cabinet that she had obtained a new vehicle.
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on Observation, an infant was found in a crib drinking from a bottle that was propped up by a blanket.
General: Based on Review of Documentation, staff person hired 4/8/13 did not have evidence of proof of education on file in the facility.
General: Based on Observation, it was found that the drawer of the changing table in the two (2) year old classroom contained several empty plastic bags. The drawer was open and accessible to the children.
General: Based on Review of Documentation, information on the Kentucky Consumer Product Safety Program and the program's website was not posted.
General: Based on Observation, it was found that seven (7) highchairs were missing the safety straps.
General: Based on Observation, there were no provisions to keep the toilet tissue and paper towels sanitary in the two (2) bathrooms in building #2 (school age classroom). Rolls of toilet paper and paper towels were observed sitting on the tanks of the toilets in these two (2) bathrooms.
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on Interview, the facility failed to meet this regulatory requirement. An interview with staff during the investigation found that one (1) child was sent home with signs/symptoms of ringworm on 7/8/13 and a staff person was also found to have the same signs/symptoms. The child was sent home by the staff person in charge at 11:35AM; however, the staff person was allowed to remain at work. The staff person applied a prescription medication that belonged to another staff person to the infected area; however, the area was not properly covered as she continued to work in the infant classroom. Therefore, she was allowed to perform duties that may allow for the transmission of the disease. The child that was sent home on 7/8/13 returned to the facility on 7/9/13 with a doctor's note stating that the child did not have ringworm.
General: Based on Interview, the director stated that she will take her two (2) year old granddaughter into the facility bathroom and spank her if she is not being good. The two (2) year old child is enrolled at the facility. Equipment
General: Based on Observation, staff member was in the classroom bathroom with the door closed while four (4) toddlers were asleep on their mats alone without any supervision. Staffing Requirements
General: Based on Review of Documentation, child enrolled on 02/05/13 did not have a current immunization certificate on file. Written Documentation
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on Observation, building one (1) has a capacity of sixty-three (63). There are six (6) toilets. However, one (1) of those toilets is for "Staff Only". This decreases the capacity. This same toilet is in the one (1) year old room. 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 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 40 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices 188 - Child Personal care/Handwashing 922 KAR 2:120 - Section 3 (4) A child shall; (a) Be helped with personal care and cleanliness; and (b) Wash his or her hands with liquid soap and warm running water: 1. Upon arrival at the center; 2. Before and after eating or handling food; 3. After toileting or diaper change; 4. After handling animals; 5. After wiping or blowing nose; 6. After touching items soiled with body fluids or wastes; and 7. After outdoor or indoor play time. 1) Personal Care/Cleanliness In Compliance 2) Handwashing upon arrival In Compliance 3) Handwashing before eating/handling food and after eating/handling food In Compliance 4) Handwashing after toileting or diaper change In Compliance 5) Handwashing after handling animals In Compliance 6) Handwashing after wiping/blowing nose In Compliance 7) Handwashing after touching soiled item In Compliance 8) Handwashing after outdoor/indoor play In Compliance 189 - Staff Hygiene/Hand Washing 922 KAR 2:120 - Section 3 (5) Staff shall: (a) Maintain personal cleanliness; (b) Conform to hygienic practices while on duty; and (c) Wash their hands with liquid soap and running water: 1. Upon arrival at the center; 2. After toileting or assisting a child in toileting; 3. Before and after diapering each child; 4. After wiping or blowing a child's or own nose; 5. After handling animals; 6. After caring for a sick child; 7. Before and after feeding a child or eating; 8. Before dispensing medication; and 9. If possible, before administering first aid. 1) Personal Cleanliness In Compliance 2) Hygienic practices In Compliance 3) Handwashing upon arrival In Compliance 4) Handwashing after toileting or assisting child In Compliance 5) Handwashing before/after diapering In Compliance 6) Handwashing after wiping nose In Compliance 7) Handwashing after handling animals In Compliance 8) Handwashing after caring for a sick child In Compliance 9) Handwashing before and after feeding a child In Compliance 10) Handwashing before dispensing medication In Compliance 11) Handwashing before administering first aid In Compliance 190 - Staff Communicable Disease 922 KAR 2:120 - Section 3 (6) A staff person suspected of being infected with a communicable disease shall: (a) Not perform duties that may allow for the transmission of the disease until the infectious condition can no longer be transmitted; and (b) Provide a statement from a health professional, if requested. 1) Not perform duties while contagious In Compliance 2) Statement from health professional In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 19 of 40 Web site: http://chfs.ky.gov/ Inspection Report 283 - Diapers/Clean clothing supply 922 KAR 2:120 - Section 10 (6) An adequate quantity of freshly laundered or disposable diapers and clean clothing shall be available. 1) Diapers In Compliance 2) Clean clothing In Compliance 284 - Training Chair 922 KAR 2:120 - Section 10 (7) If a toilet training chair is used, the chair shall be: (a) Emptied promptly; and (b) Sanitized after each use. 1) Emptied promptly In Compliance 2) Sanitized In Compliance 285 - Soiled Diapers/Clothing 922 KAR 2:120 - Section 10 (8) Diapers or clothing shall be: (a) Changed when soiled or wet; (b) Stored in a covered container temporarily; and (c) Washed or disposed of at least once a day. 1) Changed as needed In Compliance 2) Stored in a covered container In Compliance 3) Washed and disposed In Compliance 287 - Diapering equipment/Supervision 922 KAR 2:120 - Section 10 (10) When a child is diapered, the child shall: (a) Not be left unattended; and (b) Be placed on a surface that is: 1. Clean; 2. Padded; 3. Free of holes, rips, tears, or other damage; 4. Nonabsorbent; 5. Easily cleaned; and 6. Free of any items not used for diaper changing. 1) Child not unattended In Compliance 2) Clean surface In Compliance 3) Padded Surface In Compliance 4) Surface free from holes In Compliance 5) Easily cleaned surface In Compliance 6) Free of non-diapering items In Compliance
General: Based on review of documentation, one (1) child had an immunization record on file that was no longer current, the child has been enrolled for more than 30 days. Written Documentation Not In Compliance
General: Based on observation, a portion of chain-link fence on the school-age playground was in disrepair; the top of the metal frame was disconnected. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
General: Based on observation, the following was found: 1.) A red and yellow slide on the school-age playground did not have sufficient protective surfacing; grass was found to be protruding from the sparse mulch. 2.) A grey rock-wall climbing structure on the school-age playground was placed within three feet of the fence, the fall zone was not equal to the height of the equipment.
General: Based on observation, the following was found: 1.) A portion of the wall in the Two-year-old classroom had a patch of dried spackling that had not been sanded. 2.) A rusted metal nail protruded from the brick wall near the baseboard of the Three-year-old classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
General: Based on review of documentation, staff member (DOH 12/18/23) had evidence of living within the States of Texas (2020) and South Carolina (2023). There was no evidence to indicate that an out of state background check, Sex offender registry check, and Child Abuse and Neglect check were completed for these states. Texas and South Carolina do not participate in the National Fingerprint File. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance
General: Based on observation, the child care center failed to maintain state regulations regarding Food Service. One (1) gallon of low fat milk in the kitchen's refrigerator was found to be expired by one (1) day. The Best If Used by date on the outside of the milk container was 6/26/2023; the survey took place on 6/27/2023. 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
General: Based on observation, the child care center failed to maintain state regulations regarding the Premises. During the survey of the School Age Room (building #2) bathroom, a light fixture with a burned out light bulb was found just above the sink. This limited the available lighting for children in care. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
General: Based on observation, the fence on the playground was in disrepair, the bottom portion of the chain-link was unwoven and not flush with the ground. 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
General: Based on review of documentation, regulation copy KAR 922 2:280 was not available for review. Employee Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance
General: Based on observation, a cabinet locking mechanism within the Two-Year-Old classroom was not in working order; the cabinet housed a container with screws and two screwdrivers.
General: Based on observation, the diaper changing pad within the Infant classroom had dirt and debris within the crevices. In addition, there were small holes in the vinyl covering. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
General: Based on observation and interview, this regulatory requirement was not met. During a tour of the outdoor playground, the surveyor observed a hole on the side of the concrete block building that was approximately four to five inches in diameter and approximately 12 inches up from ground level. A metal pipe was accessible inside the hole which had a sharp edge. The hole and metal pipe were accessible to the children. The staff person in charge stated during interview that she has spoken with the owner of the property and requested a protective cover be placed over the hole. Equipment In Compliance Transportation Not In Compliance
General: Based on review of documentation and interview, this regulatory requirement was not met. The facility had written emergency procedures, but no evidence that these procedures are practiced monthly by staff. The staff person in charge stated that the facility transported a few children to and from local schools during the school year.
General: Based on review of documentation, this regulatory requirement was not met. The emergency preparedness plan on file had not been updated since 8/26/19. Posted Documentation In Compliance Animals In Compliance
General: Based on observation, this regulatory requirement was not met. An inspection of the facility’s first aid kit found that it did not contain medical tape. Outdoor Play Area Not In Compliance
General: Based on observation, there were weeds protruding from the mulch under a playground climber. Equipment Not In Compliance
General: Based on observation, 1.) During a tour of the two- to three-year-old classroom, the surveyor observed a cabinet that was fastened with a child-proof lock. The top of the left side handle had become disconnected from the screw holding it into place. The screw was exposed and presented a safety risk. 2.) There were crayon marks drawn on the back of a shelf in the library section of the two- to three-year-old classroom. 3.) There was a plastic doll in the two- to three-year-old classroom that had several areas of what appeared to be food particles on it. Additionally, a plastic, clear tub in this space was cracked through the middle. 4.) A green pillow stored in the book-nook of the school-aged classroom had two large dark stains. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance
General: Based on observation and review of documentation, one child did not have required proof of current immunizations on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report
General: Based on observation and review of documentation, the following was found: 1.) Four children did not have the required, preferred hospital listed in the file. 2.) One child did not have required proof of physycian contact information in the file. Written Documentation Not In Compliance
General: Based on observation, 1.) The surveyor observed three children aged five and under, that had a facial mask on in the classroom. Per 922 KAR 2:400E, Section 7(4), "A child who is five (5) years of age or younger shall not wear a face mask due to increased risk of suffocation and strangulation. 2.) Staff with the hire date of 4/1/2016, did not have proof of reopening training on file or in TRIS, which is required per 922 KAR 2:400E, Section 8. 3.) The four- to five-year-old classroom and the two-year-old classroom had cloth dress-up items available for play. Dress up items should be removed from the classrooms to prevent cross-contamination of germs during the COVID-19 state of emergency. 4.) At approximately 8:47 am, the surveyor observed the staff person in charge and one school-aged child enter the two- to three-year-old classroom to wash the child's hands. The school-aged child was then taken to the school-age building to join her classmates. Classroom spaces should be limited to the child enrolled in the space to prevent cross contamination of germs during the COVID-19 state of emergency. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4
General: Based on observation, it was found that the seat of a plastic riding toy was cracked and broken. The toy was located on the Infant/Toddler playground. The cracked plastic seat left sharp edges and posed a pinching risk to the children. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on Observation, a container of powder formula was sitting in one (1) of the children's cubbies. The surveyor asked the staff in the room if they prepare the children's bottles. The staff person stated that the mother of the child brings in three (3) prepared bottles each day. However, the mother provides a container of powder formula for staff to prepare an additional bottle if needed. The staff person stated that sometimes she has to prepare another bottle which requires her to measure and mix the formula and water. Children's Records In Compliance Written Documentation Not In Compliance
General: Based on Observation, during a tour of the school age room located in building #2 a bottle of Tide Laundry detergent was found in the bottom drawer of a black filing cabinet. The filing cabinet is located in the space where the children play. The cabinet was not locked making the laundry detergent accessible to the children. During a tour of the infant room a bottle of N1-712 Odor Eliminator was found in an unlocked cabinet under the changing table. There was one (1) child present who was able to walk. The odor eliminator was accessible to the children. Both the laundry detergent and odor eliminator had labels with a warning to keep out of the reach of children.
General: Based on Observation, while in the infant room there five (5) cribs were observed. However, there were eight children present ages four (4) months to one-year-old. Seven (7) of those children were under the age of one-year-old. Interviews with staff found that none of the children sleep at the same time. It was also stated that the one-year-old that was present sleeps on a mat and an eleven-month-old that was present also sleeps on a mat. This does not allow for enough cribs for the children who were present and under the age of one-year-old. There was also a crib that had two (2) mattress stacked on top of each other.
General: Based on Interview, it was found that toys mouthed by children in the Toddler II room are put in a pail of warm water and scrubbed with a brush and then rinsed and left to air dry. The staff person then stated this process is done every other day. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report First Aid/Medication Not In Compliance
General: Based on Observation, during a tour of the infant room the following items were found in an unlocked cabinet under the changing table: 1) A tube of Daily Baby lotion, 2) A bottle of Sesame Street lotion, 3) A bottle of Johnson's Baby Shampoo, 4) A bottle of Equate brand Coco Butter hand lotion. None of these items were labeled for an individual and all of these items had a warning to keep out of the reach of children. At the time of the visit there was a child who was walking. These items were accessible to the child due to the cabinet not being locked and in a cabinet that was at the child's level. Employee Records Not In Compliance
General: Based on Review of Documentation, staff hired on 05/22/17 and 04/04/16 did not have the required pediatric abusive head trauma training on file. This information was verified through ECE-TRIS. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report
General: Based on Review of Documentation, the only van driver for the facility did not have a current Kentucky driving record on file. The last one on file was dated 04/27/17. Programming In Compliance Premises Not In Compliance
General: Based on Observation, during a tour of the school age room located in building #2 there several ceiling vents that had an accumulation of dust and spider webs. The ceiling near the back door in the same room was bulging and had water stains and cracks. There was a portion of the ceiling over the television in the same room that had been repaired with drywall mud but had not been sanded or painted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report
General: Based on Observation, at the time of the survey boxes of sytrofoam plates, cups, bowls and spoons and a box of Scooby Graham Cracker snacks were stored in the back right corner of the infant room. An interview with the staff person in charge found that they do not have much storage space which is why these items are stored in the infant room. These items are extra supplies used for meals. In order to retrieve these items the cook or other staff members are required to walk through the infant's play space to get to the supplies and take them out of the room making a general traffic pattern through the infant room. Hygienic Practices Not In Compliance
General: Based on Observation, while in the Toddler II room the staff person wiped a child's nose and then walked across the room to the trashcan and threw the soiled tissue away. The staff person then walked back over to the group of children and continued working with the children without washing her hands.
General: Based on Observation of first aid supplies in building #2 where the school age classroom is located a CPR mouthpiece was not available for use. The supplies are kept in a box in a drawer in a filing cabinet. Outdoor Play Area Not In Compliance
General: Based on Observation, in the infant room there was a swing that had a gray and mint green cloth cover with a lion in the center. The cover had areas that were soiled and stained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Transportation Not In Compliance
General: Based on Observation, it was found that the fifteen (15) passenger 2000 Dodge did not have a CPR mouthpiece and liquid soap as part of the first aid supplies. It was also found that the van had been used the day prior to transport the preschool children on a field trip to the library. Food Service/Food Program In Compliance Food Service Not In Compliance
General: Based on Observation, the following was found: 1. On the Infant/Toddler playground there was a plastic climber that was approximatley four (4) feet tall. The climber was positioned less than two (2) feet from a stationary metal car on one side and less than two (2) feet from the edge of the mulch on the other. 2. On the Preschool playground there was a red and yellow metal slide that was approximatley four (4) feet tall. The mulch surrounding the slide extended only approximately one (1) foot from the slide. Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records Not In Compliance
General: Based on Review of Documentation, two (2) staff members did not complete the fifteen (15) hours of cabinet-approved early care and education training during each year subsequent year of employment, including one and one-half (1.5) hours of pediatric abusive head trauma training completed once every five (5) years. One (1) staff hired on 4/4/16 completed six (6) hours of training during her completed training year (4/04/16 to 4/04/17). Another staff hired on 12/07/06 did not complete any training hours during her completed training year (12/07/15 to 12/07/16). In addition, two (2) staff, hired on 9/10/15 and 4/4/16, did not complete the one and one-half hours of pediatric abusive head trauma training. The ECE-TRIS records and the staff files were reviewed. Programming In Compliance Premises Not In Compliance
General: Based on Observation and record review, two (2) staff were observed working alone during the relicensure survey without the results of the out-of-state criminal background checks. One (1) staff hired on 5/22/17 previously lived in Oregon and Texas within the last five (5) years did not have written evidence on file of the facility submitting on out-of-state criminal background check. This staff member was observed working alone with nine (9) children ranging in age from three to four (3-4) years-old on the library book bus for a few minutes while the other staff went inside the daycare facility. In addition, toward the end of relicensure survey, this staff member was working alone with the preschool children when the other staff member took two (2) of the children to the bathroom. Another staff member hired on 7/28/17 was observed working alone with a group of five (5) toddlers (1 year-old children). The staff member had previously lived in West Virginia within the last five (5) years. The staff member did not have written evidence on file of the facility submitting a out- of-state criminal records check. The staff member indicated in interview that she works alone each day with the toddlers. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance
General: Based on Observation and record review, two (2) staff were observed working alone during the relicensure survey without the results of the out-of-state criminal background checks. One (1) staff hired on 5/22/17 previously lived in Oregon and Texas within the last five (5) years did not have written evidence on file of the facility submitting on out-of-state criminal background check. This staff member was observed working alone with nine (9) children ranging in age from three to four (3-4) years-old on the library book bus for a few minutes while the other staff went inside the daycare facility. In addition, toward the end of relicensure survey, this same staff member was working alone with the preschool children when the other staff member took two (2) of the children to the bathroom. Another staff member hired on 7/28/17 was observed working alone with a group of five (5) toddlers (1 year-old children). The staff member had previously lived in West Virginia within the last five (5) years. The staff member did not have written evidence on file of the facility submitting a out-of-state criminal records check. The staff member indicated in interview that she works alone each day with the toddlers.
General: Based on Observation, a staff person's purse was sitting on a chair in the Preschool classroom. The purse was accessible to the children in care.
General: Based on Observation, the portable sink in the Preschool clasroom was not functioning. No water came out when the knobs were turned. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Hygienic Practices Not In Compliance
General: Based on Observation, there was a fish in the Threes & Fours classroom. In an interview with the Director it was found that written parental consent for the fish had not been obtained.
General: Based on Observation, this regulatory requirement was not met. An inspection of the refrigerator in building #2 (School Age) found an open package of chocolate chip cookies and an inspection of the refrigerator in the one (1) year old classroom found a bowl of peaches sitting on the bottom shelf. There were no provisions to protect the food from contamination.
General: Based on Observation, it was found that the bottom section of a plastic border around a mirror hanging on the wall in the two (2) year old bathroom was broken, leaving sharp edges.
General: Based on Observation, it was found that the gray paint on the back wall of the building was flaking off in multiple places. This wall serves as one of the boundaries for the large playground and is accessible to the children. It was also found that the two (2) smaller playgrounds had excessive weeds growing around the equipment.
General: Based on Review of Documentation, it was found that the facility has yet to update their emergency preparedness plan according to KRS 199.8982. The most recent plan on file was dated 2013.
General: Based on Observation, it was found that the cabinet under the sink in the Infant classroom contained a bottle of Clorox bleach and a bottle of Fabuloso cleaner. The cabinet doors had been secured with velcro that had ceased to function. An eleven (11) month old child was observed to walk over to the cabinet and open and close the door multiple times.
General: Based on Observation, it was found that a three (3) year old child was crying and refusing to line up for a staff person who was covering a break for the regular teacher. This staff person was seen and heard to address the child in a loud, harsh tone of voice and say, "Act like a baby then!" When the regular teacher returned from break, the child stopped crying and lined up with the rest of the class.
General: Based on Observation, it was found that the statements of deficiencies issued and plans of correction submitted for the relicensure survey conducted on 7-1-14, the allegation investigation conducted on 8-20-14 and the follow-up inspection conducted on 1-27-15 were not posted. It was also found that the civil penalty notices issued on 5-13-15 and 7-16-15 were not posted. The staff person in charge stated that she was unaware of the need to post these items.
General: Based on Observation, it was found that a CD had been laid on the changing table in the Infant classroom.
General: Based on Observation, it was found that seven (7) of the eight (8) cribs had sheets on them that were very loose.
General: Based on Review of Documentation, it was found that a staff member hired on 5/25/05 had only completed twelve (12) hours of cabinet-approved early care and education training during her completed training year (5/25/14-5/25/15).
General: Based on Review of Documentation, it was found that a procedure regarding the reporting of child abuse and neglect was not available for review at the time of the survey. The staff person in charge stated that she was unable to find the facility's procedure.
General: Based on Observation, there were four (4) bottles of formula in the refrigerator in the Infant classroom that were not labeled with a child's name.
General: Based on Review of Documentation, a staff person who was rehired with the center on 5/8/15 had a child abuse and neglect check on file dated 6/27/07. A new child abuse and neglect check had not been submitted when this staff was rehired. Programming
General: Based on Interview, one (1) year olds are routinely combined with the two (2) year old class. 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 Interview and review of documentation, one (1) year olds are combined with the two (2) year old class. The transition plan the center had on file did not meet the requirement. The plan did not outline a process for moving the child from one (1) group to another but stated that the staff would do it whenever they felt appropriate and the parent may or may not be informed.
General: Based on Observation, a nine (9) month old child was placed on his stomach in a crib for nap.
General: Based on Observation, 1. There was a soft bar with toys attached to it in the crib with a three (3) month old child in the Infant classroom. The bar appeared to have come from a bouncy seat or a blanket "gym". 2. A ten (10) month old child was observed sleeping with a large fluffy blanket in a crib in the Infant classroom. The blanket was positioned under the child's head and wrapped around close to the child's face. First Aid/Medication
General: Based on Observation, at approximately 2:40 p.m. the surveyors observed a two (2) year old boy climb up a two (2) tier shelving unit that was at least three (3) feet tall and balance himself on the shelf long enough to grab a CD from the VCR that was positioned on top of a televison. Next, the child ran over to some chairs that were stacked and started climbing on them. While this was occurring a two (2) year old girl attempted to climb on top of a high chair while another girl stood up on a table and grabbed at the surveyor's identifcation badge. Other children were observed running around the classroom. As this was occurring one (1) staff person was changing a diaper and the other staff person was going around getting the children off of furniture and trying to get them ready to line up to go outside. The staff did not have any control over the group. Programming
General: Based on Observation, at 3:00 p.m. as the children in the two (2) year old classroom were lining up to go outside, a child used the restroom, flushed the toilet, and then ran out of the restroom to line up with her class. She did not wash her hands after toileting.
General: Based on Observation, and interview, the facility failed to maintain staff-to-child ratios and group size. On 5/7/15 at 2:40 p.m., the surveyors observed fourteen (14) kids in the first classroom and one (1) staff person. The staff person stated the youngest child in the group was three (3) years old. Therefore, the staff person was over ratio by two (2) children. Next, the surveyors observed fifteen (15) children and two (2) staff in the two (2) year old classroom. The staff stated they had three (3) one (1) year olds in their group and the oldest child in the group was four (4) years old. The surveyor asked if the three (3) one (1) year old children had been with them all day. The staff stated that one (1) of the children had been with them all day due to his size. They stated the two (2) other one (1) year old children came over from the toddler classroom at approximately 11:30 in order to maintain ratios in the toddler class. Therefore, the classroom was over group size by three (3) children. Furthermore, the surveyors observed eleven (11) infants and three (3) staff in the infant classroom. The classroom was over group size by one (1) child. Director Requirements
General: Based on Observation, at 3:00 p.m. the children who were in the two (2) year old classroom (ages one (1) to four (4) years old) lined up to go outside with two (2) staff. The children and staff walked through the toddler classroom to exit out the back door to get to the playground. The toddler classroom had five (5) toddlers present; therefore, this was a traffic pattern. Hygienic Practices
Based on Observation, interview, and review of documentation the facility was arranging transportation with another child care center even though the center was no longer licensed for the transportation service. The facility's transportation service was revoked effective 4/14/15.
Based on Observation, interview, and review of documentation the facility was arranging transportation with another child care center even though the center was no longer licensed for the transportation service. The facility's transportation service was revoked effective 4/14/15. Transportation
General: Based on Observation, upon arrival at the facility on 2/3/15 at approximately 7:55 a.m. there were twenty (20) children ages six (6) months old to twelve (12) years old with two (2) staff in one (1) room. Two (2) additional children arrived at 7:59 a.m. At 8:00 a.m. two (2) staff arrived and staff began moving children to their individual classrooms as additional children arrive. Interviews with staff found that all of the children ages infant to school age are combined each day once they start arriving at 5:30 a.m. until the 8:00 a.m. staff arrive. An interivew with staff also found that from 5:30 a.m.- 7:30 a.m. there is only one (1) staff person present and at 7:30 a.m. an additional staff person arrives. A review of staff time cards found that on 2/2/15 the first staff person clocked in at 5:20 a.m. and another staff person did not clock in until 7:31 a.m. A review of attendance sheets documenting the time of arrival and departure of the children found that on 2/2/15 by 7:00 a.m. there were eleven (11) children ages six (6) months to ten (10) years old and only one (1) staff person. A review of the children's documented time of arrival and departure for 2/3/15 found that by 7:00 a.m. there were sixteen (16) children ages six (6) months to ten (10) years old with one (1) staff person. A review of staff time cards found that an additional staff person did not clock in until 7:37 a.m. on 2/3/15. Staff interviews also found that from 5:30 a.m. until 7:30 a.m. it is typical for one (1) staff person to have as many as ten (10) to twelve (12) children ranging from infants to preschool. Director Requirements
Based on observation and staff interview it was found that the director failed to assure compliance with the regulations in assuring there is adequate staff to maintain minimum staff- to-child ratios in the morning hours. Interviews, observation and record review found that minimum staff-to-child ratios were not maintained on many occasions in the morning hours. 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 Programming
General: Based on Observation, of the infant room there were three (3) infants not placed in cribs to sleep. Two (2) infants were observed sleeping in swings. The staff person in the room stated one of the infants was three (3) months old and one (1) was nine (9) months old and they had been asleep about fifteen (15) minutes. Also, there was a nine (9) month old asleep on the floor with his head on a soft pillow. The staff stated he had been asleep about twenty (20) minutes. Programming
General: Based on Observation, at the time of the visit the children in the two (2) year old room were watching a video on the televison. The video was not part of the planned programming and the staff person in the room did not know the title of the movie being played. Written Documentation
General: Based on interview and review of documentation, on 8/18/14 at 3:42 PM seven (7) children were picked up from Northern Elementary School in a Dodge Grand Caravan. This is a six (6) passenger minivan. The second row of seats has two (2) seat belts. Three (3) children were seated in this row. Two (2) children did not have an individual seat or seat belt but had to share.
General: Based on interview and review of documentation, children were dropped off on the front porch of Northern Elementary School and left without supervision to wait for the doors of the school to open. On 8/18/14 there were six (6) children dropped off and on 8/19/14 there were five (5) children dropped off. Both days the drop off time was 7:45 AM as recorded by the driver. The children then had to wait for ten (10) minutes for the doors of the school to open at 7:55 AM. The van driver stated that there were people entering the building so he assumed the children could also enter the building. He did not wait for the children to be inside the building before driving away. Interview with Northern Elementary School personnel confirmed the doors of the school are not open to receive children until 7:55 AM. Director Requirements
General: Based on interview and review of documentaion on 8/18/14 at 3:42 PM seven (7) children were picked up from Northern Elementary School in a Dodge Grand Caravan. This is a six (6) passenger minivan. Therefore, this vehicle is equipped with only six (6) seatbelts (not including the driver). The driver stated that three (3) children were placed in the second row of seats that is equipped with two (2) seat belts. Two (2) children in this row of seats used the same seat belt.
General: Based on Review of Documentation, it was found that the facility is listing sibling groups on the form used for medical information. It was also found that the file for a child enrolled on 6-20-12 did not contain the name of the parent's preferred hospital.
General: Based on Review of Documentation, from a field trip taken on 6/21/13 the following was found. The facility documented the time children were loaded onto the van at the facility (12:00PM) and the time the children returned to the facility (3:17PM); however, they did not document the times children got on and off the vehicle at the field trip location.
General: Based on Review of Documentation, the facility failed to have transportation routes for the children that they transport to and from home.
General: Based on Observation, and interview the facility failed to meet this regulatory requirement. Upon arrival the surveyor entered building #2 (school age room) and noticed a strong odor. Staff working in the classroom acknowledged the odor and indicated that it was due to the carpets being cleaned over the weekend and not allowed to properly air out. The staff person in charge stated during interview that she recently became aware of a water leak in the ceiling and indicated that the carpet in this classroom got wet as a result of the leak.