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License #L359348 · Center · Licensed
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General: Based on observation, the diaper changing pad in the Two's Room had a small tear, it was stained and had some food particles on it.
General: Based on review of documentation, two (2) children (DOE: 05/01/22 and 06/12/25) did not have physician information listed in their file in the facility.
General: Based on observation, the half-door in the Three's Classroom had a broken latch; therefore, the door could not be closed/locked.
General: Based on review of documentation, the television was on in Preschool 1 Room, but it was not noted on the posted daily schedule nor on a daily planned program of activities (lesson plan).
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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, in the Three's Room there was a spot of chipped paint and an area that was not painted by the white wall vent.
General: Based on observation, in the Three's Room, the cabinet under the changing table was not locked. There was a tube of Hydrocortisone Cream and Aquaphor healing ointment, which were accessible to the children in care. Outdoor Play Area In Compliance
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on observation, in the Overflow Room, the climbing structure did not have protective surface around it. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
General: Based on review of documentation, the following was found: 1) A staff member (DOH: 03/01/24) did not obtain a TB test or statement from a health professional until 03/05/24. 2) A staff member (DOH: 02/21/24) did not obtain a TB test or statement from a health professional until 02/24/24. 3) A staff member (DOH: 06/17/24) did not obtain a TB test or statement from a health professional until 07/03/24. 4) A staff member (DOH: 08/04/22) had a TB test that expired on 03/28/24 but did not obtain a new TB test or statement from a health professional until 06/21/24. 5) A staff member (DOH: 09/27/19) had a TB test that expired on 11/05/23 but did not obtain a new TB test or statement from a health professional until 06/21/24. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
General: Based on review of documentation, a child enrolled (09/07/23) did not have a current immunization certificate on file in the facility. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
This renewal application inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on observation and review of documentation, the center failed to maintain current and accurate attendance records to reflect the time of arrival of each child who was present. Forty-one (41) children were observed at the child care center; however, the time of arrival for only twenty-two (22) children was documented.
General: Based on observation, the outdoor play area was not free from foreseeable hazards. There were hand-size pieces of broken glass lying inconspicuously in the grass near the wooden fence line of the outdoor play area, on the outside of the enclosed area.
General: Upon the DRCC representatives' arrival, one (1) unqualified staff member was the sole caregiver of sixteen (16) children, ranging in age from five (5)-years-old to ten (10)- years-old. Therefore, the minimum staff to child ratio was exceeded by one (1) child. General Administration Not In Compliance
General: Upon the Division of Regulated Child Care (DRCC) representatives' arrival, one (1) staff member was the sole caregiver with sixteen (16) school age children. The youngest child was five (5)-years-old. The staff member's date of hire was 07/20/2022. Review of the center's Kentucky Applicant Registry and Employment Screening (KARES) report revealed the staff member's background check was initiated on 07/29/2022, and still in process. Therefore, the staff member did not have a determination of eligibility documented on the report and the staff member's employment began prior to the center obtaining the final results of the background check.
General: Based on observation, two tears were found on the changing pad in the Two's classroom. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance
General: Based on observation, posted documentation in the Two's and Three's classrooms did not include a daily schedule. Animals In Compliance
General: Based on observation, the carpet in the Two's classroom was not found in good repair due to a cut out in the carpet under the sink and carpet was heavily soiled in another area of this classroom. Also, duct tape was found to cover seams in carpet in the Toddler and Pre-K classrooms. In the after school classroom, the roof had previously leaked and had a large water stain on a portion of the ceiling. Hygienic Practices Not In Compliance
General: Based on review of documentation, there was no documentation of lockdown drills being performed on file at the facility. Posted Documentation Not In Compliance
General: Based on observation, there were two uncovered bottles, located in the one-year-old classroom refrigerator. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance
General: Based on review of documentation, staff member hired 8/5/11, last completed cabinet-approved Pediatric Abusive Head Trauma training on 12/13/13. This training is to be completed every five years, and therefore would have been due to be retaken in December of 2018. A review of ECE-TRIS supports this finding. Programming In Compliance Premises Not In Compliance
General: Based on observation, during a tour of the five to six-year-old classroom and the four to five-year-old classroom, the surveyor observed staff members' purses to be accessible to the children in care. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
General: Based on observation, the following was found: 1.) An area of drywall was exposed in the boys’ restroom, above the toilet paper dispenser. 2.) Several areas of the carpet were frayed in the two to three-year-old classroom. Hygienic Practices Not In Compliance
This investigation inspection recorded no violations or advisories.
General: Based on review of documentation, child enrolled on 03/06/17, did not have a hospital preference documented on file. Written Documentation Not In Compliance
General: Based on observation, a bottle of conditioning shampoo was found in an unlocked sink cabinet in the two-year-old classroom. This bottle was accessible to the children. Employee Records Not In Compliance
General: Based on observation, there was an observation sheet posted in each classroom which stated, "Morning Health Checks". Each sheet had an area to list a childs name and next to the name were the words, "Eyes, ears, nose, mouth, skin, swelling/bruises, coughing/sneezing, breathing difficulty, sores/spots/rashes, itchy head, unusual behavior and low activity level". The observation sheet also stated to put an X in the box indicating the areas of concern, then notify parent and document. It also stated to put a check mark in the box indicating the areas without visible concerns. This information was accessible to any person who entered the classroom. Posted Documentation In Compliance Animals In Compliance
General: Based on observation and interview, the staff person in charge stated that the facility bought a new van a few months ago for transporting the children. The DRCC surveyor asked the staff person in charge if she had notified the Cabinet of that change and she stated that no notification was given to the Cabinet. Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance
General: Based on observation, tape residue was located on the green half-door inside the one (1) year-old room. In addition, the boys' bathroom in the main building contained a dusty vent in the ceiling.
General: Based on observation, a large wooden desk in the school-age room (in the school-age building) contained splintered wood on the surface. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance
General: Based on observation, the following items were not in good repair: 1) An area of chipped paint was observed on the half-wall behind the desks in the school-age building; 2) A patch was observed on the wall in the boys' bathroom in the main building; 3) A small hole was also observed on the wall in the boys' bathroom in the main building; 4) A small hole was observed in the drywall under the giraffe picture in the two (2) year-old room. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
General: Based on review of documentation, one (1) staff did not have proof of education on file. This staff was hired on 8/20/18.
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on Review of Documentation, this regulatory requirement was not met. A review of the 4/10/18 attendance records during the visit found thirty-seven (37) children were present in the facility; however, only thirty-three (33) of them had an arrival time documented. Posted Documentation Not In Compliance
General: Based on Review of Documentation, the following was found: 1. The one (1) year old classroom and the preschool classroom did not have a schedule of daily activities posted. 3. The Pre-K Classroom and the infant classroom had a schedule of daily activities posted that was dated March 5 - 9, 2018; therefore, they were no longer current.
General: Based on Observation and interview, this regulatory requirement was not met. The surveyor observed the rolls of paper towels that the staff and children use in the two (2) - three (3) year old classroom and the toddler classroom areas were stored in an unsanitary manner, sitting on the side of the sink. This method of storage promotes germs due to each person handling the roll to obtain a paper towel. The staff person in charge stated during interview that these two (2) rooms had paper towel holders at one time; however, indicated that they were broken. Employee Records Not In Compliance
General: Based on Review of Documentation, two (2) children did not have a physician contact listed in their file, their enrollment dates were 1/11/16 and 10/31/16. One (1) child did not have the authorization by the parent for the child care center to seek emergency medical care for the child in their file, their enrollment date was 10/18/12. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance
General: Based on Observation, in the school age bathroom, there are two (2) light fixtures without covers. The bulbs did not indicate they were shatterproof. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
General: Based on Observation, there were approximately seven (7) mats that had small tears exposing the foams which could not be sanitized. There was a Winnie-the-Pooh chair that has several dirty stains on it. There was also a grey pillow on the floor that had dirty stains on it. Transportation In Compliance Food Service In Compliance Children's Records Not In Compliance
General: Based on Review of Documentation, one (1) staff did not have verification of education in their file. The hire date was 6/19/17. Programming In Compliance Premises Not In Compliance
This investigation inspection recorded no violations or advisories.
This change of space/change in capacity inspection recorded no violations or advisories.
General: Based on Observation, during an inspection of first aid supplies located inside the building it was found that the flashlight was not working.
General: Based on Review of Documentation, there were three (3) children's enrollment information that did not contain information regarding a preferred hospital. Written Documentation In Compliance Posted Documentation Not In Compliance
General: Based on Observation, during a tour of the school age area a ladder was leaned against the wall at the back of the room near a door with the word exit. The ladder was accessible to the children. Upon arrival at the facility at approximatley 9:10 a.m., a two (2) month old child was observed sitting in a bouncy seat that had been placed inside the child's crib. The surveyor went back into the room a few minutes later and the child had been removed but was then placed back in the bouncy seat which was still sitting in the infant's crib. A few minutes later the staff person took the child out of the bouncy seat again and removed the bouncy seat from the crib. Employee Records Not In Compliance
General: Based on Observation, upon arrival at the facility at approximately 9:10 a.m. all of the children were eating breakfast in the eating area. The kitchen is located off of the eating area and the surveyor observed that the kitchen door was propped open while the children were eating. The kitchen door remained propped open after the children left the area. The surveyor entered the kitchen and found an unlocked cabinet under the sink. Inside the cabinet there was a can of WD 40, a can of Comet cleaner, a bottle of Clorox bleach, a bottle of Magic Power Cleaner with bleach, three (3) gallons of paint, three (3) cans of spray paint, a bottle of soap scum remover, four (4) small cans of paint, a bottle of Totally Awesome All Purpose cleaner, a bottle of carpet cleaner, a bottle of Mr. Clean and a bottle of Fabuloso Cleaner. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report
This change of location inspection recorded no violations or advisories.
This follow-up inspection recorded no violations or advisories.
Based on observation and interview, the facility failed to provide adequate supervision. On 3/7/16 at 2:48PM the surveyor observed eight (8) school age children enter the front door of the facility with a male staff person. The surveyor entered the facility at 2:50PM, walked through the preschool classroom and into the hallway where the girls' and boys' restrooms are located. The male staff person was observed caring for six (6) school age children that were putting their personal belongings away, using the restroom and washing their hands. The surveyor proceeded down the hallway, walked through the infant/toddler classroom and into a small room used as an eating area that is adjacent to the infant/toddler classroom and the kitchen. The surveyor observed two (2)boys sitting at a table with no staff person present. This HSS looked in the kitchen for a staff person; however, did not see anyone. This HSS alerted the staff person working in a nearby two (2) year old classroom to the situation. The staff person identified the two (2) boys as school age children and stated that they were supposed to be with the male staff person. The two (2) boys got up at that time, ran through the empty infant/toddler classroom and down the hallway to re-join their group. The staff person in charge stated that the boys must have ran into the eating area after they finished going to the bathroom instead of staying with their group. The boys were separated from their group and unsupervised approximately one (1) - two (2) minutes. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 3 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements
General: Based on Review of Documentation and interview, this regulatory requirement was not met. During the visit, the surveyor requested written staff schedules for the current week (2/29/16 - 3/4/16) and the previous week (2/22/16 - 2/26/16) due to the allegations listed in the complaint. The staff person in charge was not able to provide this information to the surveyor during the visit and stated, "My staff do not clock-in and out. I just know what hours they work and key it in for them when it's time to do payroll".
This follow-up inspection recorded no violations or advisories.
General: Based on Observation of the two (2) year old room there was areas of chipping/peeling paint on the wall in the dramatic play area and divider wall. There was also peeling paint on the ceiling in the back hallway. In the diaper changing area the caulking on the wall behind the sink was cracked. In the girls' bathroom the linoleum was coming up from the floor in areas where the caulking at the edges had cracked. Also, in the girls' bathroom the cauliking behind the sink was not smooth and had dirt built up in the crevices. In the boys' bathroom the wall behind the working unrinal was damaged. The paint was flaking and there was a brown stain.
General: Based on Observation and interview, the two (2) year old room was over ratio by two (2) children. There were eight (8) children and one (1) staff person in the group. There was one (1) child in the group who was one (1) year old. The staff person in charge stated that the toddler was combined with the two (2) year olds because she was the only toddler present.
General: Based on Observation, the toddler room did not have art or science materials available. The daily activity plan posted for that week had art activities listed for three (3) days.
General: Based on Observation and interview, there was one (1) toddler included in the two (2) year old class. The toddler was fourteen (14) months old. The director stated that there is usually a toddler room open but she was in that group because there were no other toddlers present and a staff person was out the morning of the inspection.
General: Based on Interview, on 01/09/15, the preschool staff person was in the kitchen cleaning up while the children laid down for nap. The staff person stated that a four (4) year old child was running around with other children and fell hitting the back of her head. The staff person did not see the incident occur but when she went back into the classroom the child was crying and had blood on her hands. The child had a large gash to the back of her head. The staff person did not know what caused the gash to her head. The kitchen is approximately nine (9) feet away from the preschool classroom. The classroom is not visible from the kitchen. Staffing Requirements
General: Based on Interview, on 01/09/15, the preschool staff person was in the kitchen cleaning up while the children laid down for nap. The staff person stated that a four (4) year old child was running around with other children and fell hitting the back of her head. The staff person did not see the incident occur but when she went back into the classroom the child was crying and had blood on her hands. The child had a large gash to the back of her head. The staff person did not know what caused the gash to her head. The kitchen is approximately nine (9) feet away from the preschool classroom. The classroom is not visible from the kitchen.
General: Based on Review of Documentation, it was found that the file for a substitute employee did not contain evidence of an annual professional development plan being completed.
General: Based on Observation, it was found that a smoke detector was beeping in the back hallway, indicating a low battery. It was also found that the blue paint was peeling away from the window panes of the windows in the school age classroom. The dark blue paint on the bottom two (2) feet of the outside of the building was found to be peeling in multiple places. The outside walls of the building form two (2) sides of the boundary for the playground used by the younger children.
General: Based on Review of Documentation, it was found that the file for a substitute employee did not contain evidence of an annual evaluation being conducted.
General: Based on Review of Documentation, it was found that the file for one (1) employee did not contain evidence of training hours being completed during the last completed training year.
General: Based on interview and review of documentation, four (4) children and one (1) staff person left Champs Skating Rink on 6/17/14 because one of the children had injured her wrist. The staff person did not take the other three (3) children back to day care but instead took them with her to the hospital where they remained for approximately two (2) hours. The children did not have permission trip forms signed by their parents permitting them to go to the hospital.
General: Based on interview and record review, four (4) children and one (1) staff person left Champs Skating Rink on 6/17/14 because one of the children had injured her wrist. The staff person stated that instead of taking the other three (3) children back to the day care, they all accompanied her to the hospital. She stated they arrived at the hospital at approximately 2:15 p.m. and left the hospital at approximately 4:15 p.m. She stated the child's mother arrived at the hospital at 4:15 p.m. The children had to wait approximately two (2) hours at the hospital which is not developmentally appropriate. Children's Records
General: Based on Review of Documentation, and interview, the surveyor found that a staff person who had been rehired on 5/31/13 did not have a current criminal records check on file. The criminal records check on file was dated 10/21/11. The staff person in charge was unaware that a new criminal records check was required to be processed if a staff person has been rehired.
General: Based on Observation, the surveyor observed chipped and peeling paint around the window sill located in the infant/ toddler classroom.
General: Based on Observation, and interview, it was noted that the infant classroom only had one (1) soft block available to the children in care.
General: Based on Review of Documentation, the surveyor found that two (2) staff (hire dates: 7/30/12 and 12/17/12) did not take the Orientation training class within the required ninety (90) day timeframe. Both staff completed the training on 5/11/13. One (1) staff (hire date: 5/11/13) only completed twelve (12) hours of early care and education training.
This investigation inspection recorded no violations or advisories.
This renewal application inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on observation, in the Pre-K Room, the smoke detector was not attached to the ceiling and was hanging down by the wires. Director Requirements In Compliance Employee Records Not In Compliance
General: Based on review of documentation, the following was found: 1) A staff member (DOH: 10/03/22) did not complete the required PAHT training. This staff member has been employed for more than one year. 2) A staff member (DOH: 01/24/11) completed PAHT training on 05/06/19; however, did not renew the training due 05/06/24. 3) A staff member (DOH: 08/22/14) completed PAHT training on 05/16/19; however, did not renew the training due 05/16/24. 4) A staff member (DOH: 02/21/24) did not take Orientation within three months of employment. The course was taken 05/28/24. 5) A staff member (DOH: 03/01/24) did not take Orientation within three months of employment. The course was taken 06/07/24. A review of ECE-TRIS system verified this information. Programming In Compliance Premises Not In Compliance
General: Based on observation and interview, in the Pre-K Room, there was no visible books available, and the staff member stated that they do not have books in the room for children. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
General: Based on observation and review of documentation, a daily planned program of activities (lesson plan) was not posted in the Overflow Room.
General: Based on observation and review of documentation, schedule of daily activities was not posted in the Infant/Toddler Room and Pre-K Room. Animals Not Applicable
General: Based on observation, the mat on the changing table in the One's room contained a small hole; exposing the inner absorbent material. Therefore, the mat was no longer non-absorbent and could not be properly cleaned/sanitized. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
General: Upon the DRCC representatives' arrival, a written plan of daily activities (lesson plan) was not posted in a conspicuous place in the Toddler room, One's room, Preschool room, and Afterschool room. The posted plan of activities in the Pre-K room was dated for May 23-May 27; therefore, it was no longer current. Animals Not Applicable
General: Review of ten (10) children's files revealed one (1) file contained an expired immunization certificate. The immunization certificate presented for review expired on 05/01/2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report
General: Based on observation, the integrity of the large picture window located in the Afterschool room was jeopardized as it contained a break that was covered with duct tape on both sides of the window. The director acknowledged the condition of the window and verbally referenced the building manager's responsibility for fixing it. Additionally, the intake vent in the Pre-K room was heavily covered with dust and the ceiling vent/light fixture in two (2) bathrooms within building two were covered with dust. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report
General: Based on observation, a nine-month-old, sleeping infant was moved from a bouncer seat to a crib and placed on his/her stomach. Therefore, the infant was not placed on his/her back to sleep.
General: Based on review of documentation, the documentation of conducted fire drills, earthquake drills, tornado drills, and lockdown drills that was submitted for review for the past year failed to include the names of the children who participated. Posted Documentation Not In Compliance
General: Upon the Division of Regulated Child Care (DRCC) representatives' arrival, one (1) staff member was the sole caregiver with sixteen (16) school age children. The youngest child was five (5)-years-old. The staff member's date of hire was 07/20/2022. Review of the center's Kentucky Applicant Registry and Employment Screening (KARES) report revealed the staff member's background check was initiated on 07/29/2022, and still in process. Therefore, the staff member did not have a determination of eligibility documented on the report and the staff member's employment began prior to the center obtaining the final results of the background check. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Employee Records Not In Compliance
General: Based on observation, interview, and review of documentation, the health, safety, and comfort of children were jeopardized in the following occurrences: 1. The staff member in the afterschool classroom was unaware of the number of children in her care. She verbally stated that there were twelve (12) children in her care; however, sixteen (16) children were observed present in the room. 2. The carpet in the Toddler room was raveled, creating a tripping hazard to the children in the classroom. 3. A television was sitting on a low shelf, propped against a wall in the Preschool room. The television was not anchored or secured. 4. In the Infant room, a nine-month-old infant was sitting in a bouncer seat without being secured with the seat's safety restraint straps and buckles. 5. In the Infant room, a child safety gate was used to block the entrance of room; the gate was not secured and was leaning and unstable. Director Requirements Not In Compliance
General: Based on interview and review of documentation, two (2) staff members who are no longer employed with the center were listed on the center's KARES report as current employees. Therefore, the staff roster in KARES was not updated to reflect an accurate list of current staff members. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Staffing Requirements Not In Compliance
General: Upon request, current documentation from a medical professional verifying that a staff member hired on 06/22/2014, was free of active tuberculosis was not presented for review. The documentation presented was from 2019. Programming Not In Compliance
General: Based on observation, a nine-month-old infant was sleeping in a crib with a bib around his/her neck, a pacifier clipped to his/her clothing, and a blanket draped over him/her. Premises Not In Compliance
General: Based on observation, the following items were accessible to the school age children as the items were located in the storage room that was between the school age classroom and the restroom: 1. Miracle Grow; 2. Resolve Carpet cleaner; 3. Clorox Wipes; 4. Fabuloso cleaner; and 5. Kilz interior primer. The items were near the entrance door of the storage area, causing them to be in very close proximity to the children who entered the area to access the restroom.
General: Based on observation, the following was found: 1. There were small holes in the wall near the bucket table in the One's room that consisted of peeling paint. 2. The carpeted baseboard cover in the Pre-K room was pulling away from the wall, exposing a gap between the floor and the wall. 3. The walls in Afterschool classroom's restroom were soiled.
General: Based on observation, the urinal in Afterschool classroom's restroom was not functioning properly. Attempts to flush the urinal resulted in loud noises from the pipes and the urinal did not sufficiently flush. Hygienic Practices Not In Compliance
General: Based on observation, the arched climber and the slide failed to have fall zones that were equal to the height of the equipment. Both pieces of play equipment were sitting in close proximity to the fence and play area border, failing to allow a distance between the equipment and the fence that was equal or greater than the height of the equipment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report
General: Based on observation, a large nail was protruding from the fence on the side facing the child care center. Equipment Not In Compliance
General: Based on observation, the following equipment was not clean, safe, or in good repair: 1. The throw rug in the Toddler room was soiled. 2. Multiple highchairs throughout the center failed to have the protective mat on the seat or the safety restraint straps. 3. One (1) of three (3) bucket seats in the bucket seat table in the One's room failed to have the safety restraint straps. In addition, all three (3) of the bucket seats in the bucket seat table in the Infant room failed to have the safety straps. 4. A wooden shelf in the Pre-K room was missing a section of pressboard near a screw on the top shelf. 5. The smoke detector in the Afterschool room was not functioning properly, evidenced by continual beeping that indicated a low battery. Transportation Not In Compliance
General: Based on interview and review of documentation, the transportation records included times children loaded and unloaded the vehicle; however, the names of the children were not documented. Interview with the staff in charge confirmed the names of children who were transported were not documented as the children entered or exited the vehicle. 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: Review of ten (10) children's files, found that two (2) files did not contain a preferred hospital. Written Documentation Not In Compliance
General: Based on observation, a container of vaseline was found on top of the changing table in the Two's classroom. The item was not labeled with a child's name. Director Requirements Not In Compliance
General: Based on review of documentation, there was no evidence on file at the facility of any family involvement activities being conducted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance
General: Based on review of documentation, four staff members did not have the results of the KARES background check on file showing that each staff is eligible for employment. The staff members were listed on the KARES report as cleared, but the facility did not have the written evidence in each of the staff member's file.
General: Based on review of documentation, one staff did not have documentation of a negative TB on file at the facility.
General: Based on review of documentation, four staff did not have documentation of the required CPR/FA training on file at the facility.
General: Based on review of documentation, two staff persons hired on 9/27/19 and 5/10/21 did not have documentation of completing the required Orientation training within the first three months of employment. Both staff have been employed more than three months. One staff person did not complete the required 15 hours of annual training. A review of ECE- TRIS confirms this finding.
General: Based on review of documentation, two of the staff designated as drivers for the facility did not have evidence of an annual driving record on file at the facility. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Premises Not In Compliance
General: Based on observation, there was a rip approximately two inches in length on the diaper-changing pad, located in the two to three-year-old classroom. The rip renders the pad unable to be properly sanitized. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
General: Based on observation, during a tour of the playground, there was a merry-go-round with three out of four seats cracked down the middle. The staff person in charge stated that she had ordered the new parts, but had not yet applied them to the piece of equipment. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance
General: Based on observation, a child in the one-year-old classroom opened the classroom refrigerator and removed a bottle. The child walked around the classroom and drank from the bottle. The staff member stated that the bottle belonged to the child.
General: Based on observation, there is a large open grass space between the back of the facility and where the fenced-in playground starts. This open green space is not completely fenced-in and the back of an existing house sits partially in that space. The part of the green space that is not fenced in leads out to a street. DRCC surveyor noted that in that open green space was a basketball goal attached to the side of the facility building. The staff person in charge stated that the children do use the grass space to play basketball and to run around. This open space has not been approved by the cabinet. 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 review of documentation, staff hired on 07/23/18, did not have education documentation on file.
General: Based on review of documentation, staff hired on 09/17/19, did not have education documentation on file.
General: Based on review of documentation, staff hired on 02/04/19, has not completed Orientation I and II. This information was verified through ECE-TRIS. Programming In Compliance Premises Not In Compliance
General: Based on observation, the following was found: 1) The bottom section of the screen door leading into the school age building was coming loose and was partially covered with gray duct tape. 2) A smoke detector was beeping in the school age building indicating a low battery. 3) An outlet plate cover was broken in the school age building near the dramatic play area.
General: Based on observation, there was a great deal of duct tape covering frayed carpet edges throughout both buildings. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Outdoor Play Area Not In Compliance
General: Based on observation, there was a plastic bottle and several pieces of paper found on the playground.
General: Based on observation, a house was located on the open grass space the children have been using to play basketball and run around. Staff person in charge stated that no one is currently living in the home. It was noted that at the back of the house there were overgrown weeds, a wood pallette on the ground, an HVAC system, a metal bar, sections of carpet, broken pieces of wood and a set of stairs leading up to the house all accessible to the children. This grass space had not been approved by the Cabinet. Equipment Not In Compliance
General: Based on observation, there was a strip of gray duct tape covering a sink cabinet door in the two-year-old classroom. Transportation Not In Compliance
General: Based on observation and review of documentation, there was no written documentation showing that an emergency procedure drill had been conducted for the month of September 2019.
General: Based on review of documentation, two (2) staff did not have negative TB documentation on file prior to employment. These staff were hired on 8/20/18 and 8/13/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
General: Based on review of documentation and interview, a van driver hired on 8/15/11 did not have current CPR or first aid training and he transports children alone in the afternoons. Based on interview he picks up children around 2:35 PM and transports them back to the child care facility. Programming In Compliance Premises Not In Compliance
General: Based on observation, the facility did not have posted the statement of deficiency and plan of correction from the relicensure conducted on 8/31/17. Animals In Compliance
General: Based on Review of Documentation, this regulatory requirement was not met. One (1) staff person (hire date: 4/2/18) did not have T.B. documentation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance
General: Based on Review of Documentation, this regulatory requirement was not met. During the relicensure survey it was found that the facility license, the statement of deficiencies/plan of correction from the 8/31/17 relicensure inspection, information on the Kentucky Consumer Product Safety Program and the staff-to-child rations were posted in a room labeled "Teacher's Break Room". There was an additional sign posted that stated, "Teachers Only Beyond This Point" and a curtain was hanging in the doorway which blocked access to the area. Therefore, these documents were not posted in a conspicuous place for public inspection.
General: Based on Review of Documentation and interview, this regulatory requirement was not met. On 4/10/18 the surveyor arrived at the facility at 9:00AM to investigate allegations regarding understaffing at the facility on 3/5/18. Staff-to-child ratios were found to be in compliance during the investigation; however, an interview with the staff person in charge revealed that there were a couple of incidents on 3/5/18 which caused brief non-compliance with regulatory requirements. The staff person in charge stated that two (2) staff and nine (9) children were present in the toddler classroom on 3/5/18. Sometime between 9:00AM - 12:00PM, one (1) of the teachers exited the classroom to get a roll of paper towels, which left one (1) staff person with all nine (9) children. The youngest child in the group was a one (1) year old, making the minimum staff to child ratio one staff person for six (6) children. The facility exceeded the staff/child ratio by three (3) children while the second staff person was out of the classroom. The staff person in charge explained the second incident by stating, "Two (2) staff and six (6) infants were present in the infant classroom on 3/5/18. I was told that one (1) of the staff left the room to get supplies but I don't know specifics. I was in the kitchen cooking that day and everybody was just so nervous, it threw me off. Staff know not to leave their rooms; I don't know why they did that". The youngest child in the group was a one (1) year old, making the minimum staff to child ratio one staff person for five (5) children. The facility exceeded the staff/child ratio by one (1) child while the second staff person was out of the classroom. Director Requirements Not In Compliance
General: Based on Review of Documentation, this regulatory requirement was not met. One (1) staff person (hire date: 4/2/18) did not have educational documentation on file.
General: Based on Observation, after lunch was served, the staff placed the full trash bags in front of the backdoor causing the fire exit to be blocked. The director indicated the trash would be taken out as soon as lunch was over however during this time, the door was blocked. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
General: Based on Observation, the steps for the correct hand washing methods was not posted in the boys' bathroom. Animals In Compliance
General: Based on Observation, during an inspection of first aid supplies located on the vehicle used to transport children it was found that there was not a flashlight, liquid soap, first aid book or a thermometer. Food Service Not In Compliance
General: Based on Review of Documentation, there was one (1) staff person with a hire date of 8/22/11 and another staff person with a hire date of 8/15/11 who had the results of a T.B. test dated 8/18/14. This exceeds the two (2) year time frame for a T.B. skin test. In addition there was a staff person with a hire date of 1/11/16 who had the results of a T.B. skin test dated 2/3/16. This does not meet the requirement that the results of a negative T.B. skin test or a statement from a health professional indicating the individual is free from the symptoms of T.B. should be obtained prior to employment. During an interview with the staff person in charge found that this staff person had a current T.B. test when the staff person was hired. However, the staff person's previous employer would not give the staff person a copy of the T.B. test.
General: Based on Interview, it was found that the parents provide the formula for their child. Further interview found that the parents bring in a premeasured container of formula but staff measure the amount of water needed to prepare the bottle. The staff person in charge indicated during interview that extra baby formula is kept on hand if a parent forgets to bring formula or they run out of formula. Children's Records Not In Compliance
General: Based on Observation during an inspection of the outdoor play area, the area smelled of moth balls. Further inspection of the outdoor play area found ninety-one (91) moth balls scatterd in various areas around the playground. During an interview with staff person in charge it was found that there was some type of bug observed on the playground and she contacted an exterminator and was told to place moth balls in the area. However, the moth balls had been placed on the playground on Tuesday of that week and the children had not been taken outside to play since that day. The staff person in charge stated further that gorss motor activities were conducted in the chilren's classrooms. The facility does not have an indoor gross motor area. Equipment In Compliance Transportation Not In Compliance
General: Based on Review of Documentation, there was one (1) staff person with a hire date of 1/11/16 who had the results of a criminal records check dated 2/23/16. Futher review of records found that the application for the results of the criminal records check was not submitted until 2/22/16. There was an additional staff person with a hire date of 11/19/15 who had the results of a criminal records check dated 12/1/15. A further review of records found that the application for the results of the criminal records check was not submitted until 11/30/15. The application for the results of a criminal records check should be submitted prior to employment or on the date of hire. The submission date of the application for the results of these criminal records checks was submitted after the staff person's date of hire. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report
General: Based on Review of Documentation and ECE-Tris records, there was one (1) staff person with a hire date of 1/24/16 who only had evidence of having completed one (1) hour of cabinet - approved early care and education training for 2015-2016. There was an additional staff person with a hire date of 7/12/11 who only had evidence of having completed ten (10) hours of cabinet-approved early care and education training for 2015-2016. Programming Not In Compliance
General: Based on Observation, a two (2) month old child was observed sleeping in a crib with a thick blanket and a stuffed animal that was laying against the rails of the crib. An interview with the staff person in charge found that the animal was attached to the end of the child's pacifier. Premises Not In Compliance
General: Based on Observation, during an inspection of the bathroom located on the school age side there was an uncovered lightbulb. The lightbulb was not shatterproof. Hygienic Practices In Compliance First Aid/Medication Not In Compliance
General: Based on Observation, during an inspection of first aid supplies located inside the facility two (2) tubes of Triple Antibiotic Ointment were found in the first aid kit. The tubes of ointment were not labled for an individual. The first aid kit was also unlocked and was stored on top of the refrigerator located in the children's eating area. During an inspection of first aid supplies stored on the vehicle used to transport children a bottle of Hydrogen Peroxide and a tube of Triple Antibiotic Ointment were observed inside a locked container. However, these items were not labeled for an individual. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Outdoor Play Area Not In Compliance
General: Based on Observation, there was an unlabeled bottle in the refrigerator located in the infant room.
General: Based on Review of Documentation, there were two (2) children's immunization certificates that did not have a date to verify that the immunization certificate was current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report
General: Based on Observation, a diagram outlining the course of action in the event of a natural or manmade disaster However, the written plan was not posted. Animals Not Applicable
Based on observation and interview, the facility failed to maintain staff-to-child ratios. On 3/7/16 at 2:50PM the surveyor toured the facility and observed one (1) staff person caring for eight (8) children in the two (2) year old classroom. The staff person identified the youngest child in her group as a five (5) month old; therefore, was not in compliance. The staff person stated that an infant and a one (1) year old child was added to her group "about an hour ago". The director arrived at the facility during the visit and stated that the understaffing occurred because one (1) staff person left at 1:00PM on her lunch break and did not return to the facility or call. Employee Records
General: Based on Review of Documentation and interview, this regulatory requirement was not met. The hire date for one (1) staff person was not available in her employee file. The staff person in charge looked at a calendar during the visit and then stated, "She started sometime in November 2015, but I don't know the exact date".
General: Based on Observation, there was a container of Clorox wipes sitting on a table accessible to children in the diaper changing area just outside the two (2) year old room.
General: Based on Observation, in the school age room there was an empty light socket that had wires hanging from it. Also, in the boys' bathroom the light above the urinal did not work. In the hall way there were two (2) vents that were coated with a layer of dust.
General: Based on Observation, a urinal in the boys' bathroom was not in working order and was covered with a plastic bag. Hygienic Practices
General: Based on Observation, the smoke detector in the school age room was hanging from the ceiling, attached by only by wires. Also, in the girls bathroom the finish on the sink vanity was peeling off and the step stool shaped like a dog had dirt built up on the textured surface.
General: Based on Observation, it was found that there was an uncovered light bulb above the toilets in the boys' bathroom.
General: Based on Observation, it was found that several of the stick-on tiles on the floor of the girls' bathroom were loose and out of place.
General: Based on Observation, it was found that a Dixie Dozer climber/slide combination unit and a Little Tikes climber/slide combination unit did not have any protective surfacing beneath or around them. These units are located on the grass of the smaller playground.
General: Based on Observation, the surveyor observed a slide on the playground that did not have any protective surfacing around it.
General: Based on Review of Documentation, the surveyor found that one (1) child (enrollment date: 2/1/13) had an immunization certificate on file that was no longer valid as of 8/14/13.