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Home › KY › Lexington › Puddle Jumpers Learning Center
License #L383506 · Center · Licensed
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General: Based on observation, there was a light in the School-Age Classroom that was not in working order on the day of inspection.
General: Based on observation, the School-Age Classroom bathroom did not have the diapering steps posted in or around the changing table area. It should be noted that the children from the Two’s classroom have their diapers changed in this bathroom. In addition, the Toddler Classroom located downstairs did not have the diaper changing steps posted in or around the changing table area. Animals Not Applicable 1335 - Animals in the Presence of Children Not Applicable 922 KAR 2:120. Section 15. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. 1345 - Prohibited Animals Not Applicable 922 KAR 2:120. Section 15. Animals. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center unless the animal is: (a) A part of a planned program activity led by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082.
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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, a sink in the School-Age Classroom was not draining properly at the time of inspection.
General: Based on observation, there was a container of Clorox wipes and a spray bottle with an unknown liquid inside it on the back of the toilet in Toddler Classroom. These items were accessible to the children in care.
General: Based on observation, the Preschool Classroom had a rug that was rolling up at one (1) corner and along the edge that poses a potential safety hazard for the children in care.
General: Based on observation, the Two's Classroom had the children's coats hanging together without a barrier between them. This method of storage promotes the spread of germs and bacteria.
General: Based on review of documentation, the center did not have a current copy of the regulations at the time of inspection.
General: Based on observation, the Preschool Classroom had multiple areas of chipping paint around the baseboard.
General: Based on observation, the changing pad in the Toddler Classroom had a tear on the surface making it unable to be properly cleaned and sanitized.
General: Based on observation, cots in the Two's and Toddler Classrooms were not in good repair and contained tears.
General: Based on review of documentation, a child (DOE: 04/07/24) did not have an up-to-date record of immunizations on file at the time of inspection. The record on file expired on 05/27/25.
General: Based on review of documentation, one (1) staff member (DOH: 08/28/24) had not completed the mandatory orientation training as of the surveyor’s visit on 04/17/25. This training is required to be completed within ninety (90) days of hire. It should be noted that an ECE-TRIS record could not be located for the staff member through name variation or date of birth search. Premises In Compliance
General: Based on interview and review of documentation, one (1) staff member (DOH: 08/28/24) did not have an eligible for hire background check status as of the surveyor’s visit on 04/17/25. The surveyor identified the date of hire through interview with the staff member. It should be noted, the Director later told the surveyor, via telephone, that the staff member had been hired 04/03/25, but had not begun working until 04/16/25, and at no point was alone with children in care. The surveyor informed the Director that while she had been present in the facility the morning of 04/17/25, the staff member had been alone with children in care. Furthermore, the surveyor reviewed a photo of an incident involving a child’s pants being damaged by the staff persons usage of cleaning supplies that was dated 02/27/25. The KARES database was reviewed and identified the staff member to have an “in process” determination status as of 04/14/25 and a final determination of eligible on 04/23/25. Supervision Not In Compliance
General: Based on interview and review of documentation, one (1) staff member (DOH: 08/28/24) did not have a negative TB skin test or letter from a medical professional available for review as of the surveyor’s visit on 04/17/25. Interview with the Director revealed the staff member was scheduled to complete this task on 04/19/25. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report
General: Based on observation, an infant child was observed sleeping in a swing during the inspection of the Infant room at 10:35 am. The surveyor returned at 10:41 am and the child found to be sleeping in the swing still. The child was not moved to a crib.
General: Based on observation, four crib sheets were loosely fitted to the mattresses within the Infant classroom and posed a suffocation hazard. Premises Not In Compliance
General: Based on observation and review of documentation, the lesson plan posted within the Three-year-old classroom was not current, the posted plan was dated 4/29/2024. Animals In Compliance
General: Based on review of documentation, 1.) Staff member (DOH 01/20/20) had two out of fifteen hours of Cabinet- approved early care and education training recorded on ECE-TRIS for the July 1, 2022 – June 30th, 2023, training year. The staff member indicated that they had completed several training courses via “Universal Class”, however, these were not reflected on ECE-TRIS. 2.) Staff member (DOH 03/30/23) completed zero out of fifteen hours of Cabinet- approved early care and education training for the 03/30/23 – 03/29/24 training year. 3.) Staff member (DOH 03/30/23) did not have evidence of completing Cabinet- approved early care and education training. This training is required within the first 90 days of employment. 4.) Staff member (DOH 03/30/23) did not have evidence of competing Pediatric Abusive Head Trauma training, this training is required within the first year of employment. A review of ECE-TRIS supports these findings. Programming Not In Compliance
General: Based on observation, the child care center failed to maintain state regulations. An uncovered smoke detector that exposed the inner components was found on the ceiling in the upstairs Pre-K Room. The smoke detector did not appear to be in working order. 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 Not Applicable
General: Based on review of documentation, the child care center failed to comply with regulatory requirements. A current report from the State Fire Marshal was not presented for review at the time of survey, as the last one on file was dated 04/22/2021. A subsequent interview with the center director found she had not attempted correspondence with the State Fire Marshall to inquire about an inspection.
General: Based on observation, the child care center failed to maintain state regulations. During the survey of the center, the following was found: 1.) Unprotected electrical wall outlets were found in the Pre-K Room, One's Room, and Two's Room. 2.) An electrical outlet, located on the back light blue wall, was loose to the touch and separating from the wall. 3.) Jackets, backpacks, and other personal items belonging to children were found hanging on hooks and freely touching each other in the upstairs Pre-k Room. This method of storage is not sanitary and promotes the spread of germs/bacteria. Director Requirements In Compliance 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, this regulatory requirement was not met. During a tour of the facility, the surveyor observed an oven turned on in the kitchen and both doors used to enter the kitchen were propped open. One door is used to enter the kitchen from the main hallway and the second door is used to enter the kitchen from the school-age classroom. Therefore, the kitchen and the hot stove were accessible to the children. Director Requirements In Compliance Employee Records Not In Compliance
General: Based on observation, this regulatory requirement was not met. The surveyor observed numerous mouse droppings in a cabinet under the small sink in the kitchen.
General: Based on observation and interview, this regulatory requirement was not met. During a tour of the Two-Year-Old classroom, the surveyor observed a diaper changing mat and the children's diapering supplies being stored in the classroom. The staff person working in the classroom stated that she changes the children's diapers on the mat on the floor. There is not a sink in the classroom; therefore, staff and children have to exit the room and enter the bathroom down the hall to access a sink after diaper changes. Hygienic Practices In Compliance First Aid/Medication Not In Compliance
General: Based on observation, several mats stored in the school-age classroom had torn edges.
General: Based on observation, there were numerous mouse droppings found in a base cabinet beneath the kitchen sink. There was also a large spider in a web found inside that same cabinet.
General: Based on observation, the cabinet underneath the right side of the sink was in disrepair. The base of the cabinet was bowed upwards and broken away from the trim. There were several brown spots located on the base of the cabinet, along with mouse droppings and a large spider in the middle of the cabinet in a web. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance
General: Based on observation, the following was found: 1) There were numerous pieces of paper, trash and dust found in the large floor return vent in the preschool classroom. 2) The quarter round in the two-year-old classroom had numerous areas of chipping paint. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Outdoor Play Area Not In Compliance
General: Based on observation, the following was found: 1) In the preschool classroom, there was an area of pencil marks on the wall in the back left corner of the classroom. In addition, there were areas of missing/chipped paint on the baseboards all around the classroom. Also, there were two holes in the wall underneath where the pineapple art was on the wall. 2.) In the school age classroom, numerous holes and marks were found on the wall. Also, there were areas of missing/chipped paint on the baseboards. 3.) In the infant classroom, the closet door in the first classroom had areas of missing/chipped paint. 4.) In the classroom located upstairs, there were areas of missing/chipped paint, and a hole in the wall to the left of the closet. Also in this classroom, the hardwood floors were very worn and in disrepair.
General: Based on observation, the following was found: 1.) In the downstairs restroom, there was a container of bleach being stored next to the washer and dryer. During the walkthrough of the restroom, the baby gate was not engaged; therefore, this was accessible to the children. 2.) In the storage closet upstairs, there were numeous gallons of paint, as well as toilet bowl cleaner. This closet was unlocked at the time of the inspection and accessible to children. 3.) In the broom closet located on the main level, there were several different cleaning supplies such as bleach, soap, hand sanitizer, and trash bags being stored. This closet was unlocked, leaving all items accessible to the children in care. 4.) In the upstairs classroom, there was a window air conditioning unit that was plugged into the wall. The cord to this unit was hanging down and not secured properly to ensure it was out of reach of the children.
General: Based on observation, this regulatory requirement was not met. An inspection of first aid supplies located on the van used to transport children found that a working flashlight and liquid soap were not available. The cold pack located with the materials appeared to have burst. There was not another cold pack on the vehicle.
General: Based on observation, this regulatory requirement was not met. 1) The cord from a Home Medics brand radio was observed plugged into the wall by a crib in the sleeping area used for infants and toddlers. The cord was loose and accessible to the children. 2) In a laundry room/bathroom area located off of the sleeping area used for infants and toddlers, a toilet brush and toilet plunger were observed on the floor by the toilet. There is not a door or gate to assure children do not enter this area making these items accessible to the children. 3) In the room used for activities for the infants and toddlers, there were five (5) chairs stacked on top of a low table. Children ages one to two (1-2) years old were observed playing in this room at the time of the survey. This is a safety hazard for the children. 4) In the preschool room located on the middle floor of the facility, there was an electrical outlet that was missing a plug cover. The outlet was located beside the blue sensory table making the uncoverd receptacle accessible to the children.
General: Based on observation, this regulatory requirement was not met. Upon arrival at the facilty a tour of the facility was taken. In the infant/toddler play area two (2) children who are one-year-old were observed sleeping in a swing. The children were not placed in a crib or on mat to sleep. In the infant/toddler sleeping area there were three (3) cribs. Each of these cribs had sheets that were loose fitting and did not fit tightly over the mattress.
General: Based on Interview, the director stated that she did not have transportation records documenting the times children are on and off of the van. Therefore, the surveyor was unable to verify the times children are transported to and from the child care center. Food Service/Food Program In Compliance Food Service Not In Compliance
General: Based on Observation, the surveyor noted the window in the bathroom was opened. Although the window was screened, the surveyor noted there were several dead moths, flies and a cobweb in the window sill.
General: Based on Interview, the director stated the public school bus drops off five (5) school-age children at the end of the school day at the facility when school is in session and then those five (5) children are transported by her in a 2001 Windstar mini-van to the owner's other day care facility located on Cambridge Drive which is 0.7 miles away. She stated the school bus does not make a stop at the day care located on Cambridge Drive and that is why she has to transport the children to that location. The director stated she does not complete pre-trip daily inspections of the vehicle prior to using it to transport children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report
General: Based on review of documentation and interview with the director, the facility did not have a written professional development plan for staff. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Posted Documentation Not In Compliance
This investigation inspection recorded no violations or advisories.
General: Based on Review of Documentation, it was found that a staff person hired on 07/28/2017 did not have a child abuse and neglect check in her file nor was there evidence that one had been applied for. This staff person was observed to be working alone with nine (9) preschool aged children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2
A PLAN OF CORRECTION WAS DUE ON 10/05/2017 AND AS OF 11/14/2017, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records Not In Compliance
General: Based on Observation, there was a four-month-old child in a crib in the Infant/Toddler classroom. The sheet in the crib was very loose and not tight fitting. The sheet was stained and dirty. Transportation In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance
General: Based on Review of Documentation, three (3) of the six (6) personnel files presented for review did not include a date of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report
General: Based on Observation, the smoke detector in the empty front room was chirping. The chirping indicates that the detector's battery is low and/or the unit is not operating properly. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report
General: Based on Review of Documentation, there was no documentation of earthquake or tornado drills being conducted prior to 2/17/17 during the current licensure year presented at the time of the survey. Posted Documentation Not In Compliance
General: Based on Observation and interview, a twenty-three (23) month old child was observed walking around the Toddler classroom while drinking a bottle. The child was not seated for a meal. The Director stated that the child's mother requested that the child have a bottle with her at all times.
General: Based on Review of Documentation, 1. Two (2) children, both enrolled 3/1/16, did not have the name and contact information for a physician or the name of a preferred hospital listed in their file. 2. A child enrolled 3/11/16 did not have the name and contact information for a physician, the name of a preferred hospital listed or permission for emergency medical care signed by the parent on file. The Director was not aware that the children's enrollment forms had not been filled out completely by the parents.
General: Based on Observation, it was found that the youngest child in the Toddler room was thirteen (13) months old and the oldest was twenty-seven (27) months old. In an interview with the Director it was stated that these children are grouped together all day.
General: Based on Observation, the changing mat in the Toddler classroom and the changing pad in the Infant classroom had several tears and exposed foam that can not be properly sanitized. The Director acknowledged the deficiency during the exit interview.
General: Based on Review of Documentation and interview, a two (2) year-old child fell while climbing on a metal ladder for a slide on the playground. Based on record review a staff member was on the playground looking at her phone when a two (2) year-old child climbed up a metal ladder for a slide and slipped and fell. Based on record review the two (2) year-old child was crying and walking around like she may have been injured immediately after the fall. The two (2) year-old child sustained a vaginal skin tear, but it could not be determined if that injury occurred from the fall on the playground. Equipment
General: Based on Review of Documentation, the facility has a phone policy in their policies and procedures manual for the staff that states: "At New Life Creations LLC the teachers' primary resposibility is to the children, therefore, no personal calls will be made or received while in a classroom. Messages will be taken and given to the teacher. Emergencies will be dealt with on a case-by-case basis. Cell phones are to be kept in the director's office and turned off or set on vibrate mode." Based on interviews a staff member had her cell phone out on 3/16/16 while she was on the playground supervising a group of children. A two (2) year-old child fell while climbing on a metal ladder for the slide. Based on interviews the staff member had her cell phone out when the accident occurred.
General: Based on Observation, a plastic slide with metal ladder rails was on the playground where the 2 year-old children play. This slide was approximately 5 feet and four and half inches tall. This slide was not developmentally appropriate for use with the two (2) year-old children. On 3/16/16 a two (2) year-old child climbed up the metal ladder steps and slipped and fell.
This initial application inspection recorded no violations or advisories.
General: Based on observation and review of documentation, one (1) staff member (DOH: 08/28/24) was present in the Preschool One classroom with four (4) children in her care while the surveyor was on-site. This staff member did not have an eligible for hire background check status as of the visit date of 04/17/24 and therefore could not be deemed a “qualified staff person” who may supervise children in care. Staffing Requirements In Compliance
General: Based on interview and review of documentation, the health, safety, and comfort of a child in care was not maintained when a staff member exposed them to an incorrectly diluted cleaning solution that damaged the child's clothing. Interview with the staff member, staff in charge, and Director revealed the staff member had discussed the concern and made appropriate changes to her cleaning schedule from that point on to protect the health, safety, and comfort of children in care. Employee Records Not In Compliance
General: Based on observation and review of documentation, a daily schedule was not posted within the Three-year-old classroom.
General: Based on review of documentation, one child had an immunization record on file that was no longer valid.The child had been enrolled for more than 30 days. Written Documentation In Compliance Posted Documentation Not In Compliance
General: Based on observation, there was one container of Aquafor within the Infant classroom that was not labeled with a child’s name. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance 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, the following was found: 1.) A diaper changing pad used within the One-year-old classroom had several small tears in the protective vinyl covering, this renders the pad unable to be properly sanitized. 2.) The diaper changing pad used within the Infant classroom had a clothe covering, only non-absorbent material should be used in the diaper changing area to prevent the spread of germs and bacteria. First Aid/Medication Not In Compliance
General: Based on observation, there was one uncovered electrical outlet within the Three-Year-Old classroom. Director Requirements In Compliance 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, the following was found: 1.) Areas of tape residue were found behind a crib in the Infant classroom, the tape residue had started to accumulate dirt and grime. 2.) A portion of the wall within the Three-year-old classroom had chipping paint and drywall. 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, the child care center failed to maintain state regulations. A flickering ceiling light was found in the Two's Room directly above a small table near the back of the room that children in care used. The light's flickering was constant and was observed by the surveyor for three minutes.
General: Based on observation, the child care center failed to maintain state regulations. During the survey of the Two's Room, the following was found: 1.) A staff member's cell phone and coffee cup were found on a small wooden cubie along the right wall, in reach of children. 2.) A Glade Plug-In was found in the front right corner of the room in an outlet that was within reach of children. It should be noted that the surveyor conducted research and found that packaging on Glade Plug-Ins contain a warning to keep the item out of reach of children and pets.
General: Based on observation, the child care center failed to maintain state regulations. A rusting, peeling light switch cover was found in the Two's Room, directly beside the back exit door that leads to the playground area.
General: Based on observation, the child care center failed to maintain state regulations. During the survey of the center, the following was found: 1.) The right wall in the One's Room, that was painted light blue, had multiple brown and black marks/steaks on the surface. The marks/streaks were also on the white baseboard that ran along the bottom of the wall. 2.) Peeling white paint was found on the wooden frame around the door leading to the playground in the Two's Room. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Outdoor Play Area Not In Compliance
General: Based on observation, the child care center failed to maintain state regulations. Multiple areas of wild plant growth and weeds were found protruding up through the black mulch on the outside playground.
General: Based on observation, the child care center failed to maintain state regulations. During the survey of the outdoor playground, a blue climbing apparatus was found to not have an adequate fall zone. It measured three feet tall, but the fall zone on the side next to the privacy fence only measured two feet in length. In order to be in compliance, the fall zone must be equal to or exceed the measured height of the structure. Equipment Not In Compliance
General: Based on observation, this regulatory requirement was not met. During a tour of the kitchen, the surveyor observed a large, sharp knife being stored in a drawer beside the stove. Both kitchen doors were propped open during the inspection, making the area accessible to the children.
General: Based on review of documentation and interview, this regulatory requirement was not met. A review of staff files during the inspection found one staff person that did not have the date of employment listed in their file. The staff person in charge reviewed information on her computer and then verbally identified the date 2/10/22, as the hire date. However, the date of hire was not maintained in the personnel file. 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, this regulatory requirement was not met. A tour of the Two-Year-Old classroom found two bottles of sunscreen being stored in the children's personal bags. These bags were observed hanging on low-mounted hooks in the classroom; therefore, the sunscreen bottles were in reach of the children. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements Not In Compliance
General: Based on observation, this regulatory requirement was not met. The cabinet underneath the right side of the sink was in disrepair. The board on the base of the cabinet was crumbling and no longer attached to the trim. A black mat had been placed on top of the brown spots located on the base of the cabinet. A review of Division of Regulated Child Care files found that this regulatory violation was previously issued as a result of the renewal inspection conducted on 5/10/21. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. The following was found: 1. Two children (enrollment dates: 12/5/21 and 3/14/22) had immunization certificates that were no longer current as of 3/30/22, and 6/23/22. 2. One child had an immunization certificate on file that was no longer current. The certificate had the word "expired" written in the space where the expiration date of the certificate is typically listed. Written Documentation Not In Compliance
General: Based on review of documentation, observation, and interview, this regulatory requirement was not met. A review of the children's attendance record for 6/30/22, in the Two- Year-Old Classroom found that three children were signed in with arrival times documented; however, there were five children present in the classroom at the time of the visit. The staff person working in the classroom stated that she only documents arrival and departure times for children enrolled in the Child Care Assistance Program and indicated that the staff person in charge might have attendance records for children that are "private pay". The staff person in charge stated during interview that she uses a check mark system to record attendance for the "private pay" children; therefore, arrival and departure times are not documented for them. Posted Documentation In Compliance Animals In Compliance
General: Based on observation, a fence plank on the playground was broken towards the bottom near the grass. Equipment Not In Compliance
General: Based on observation, the following was found: 1) There was a large amount of black duct tape found around the base of the basketball goal along with a blue screw sticking out through the duct tape. 2) The seat to a plastic bench was broken in half. 3) There was a great deal of chipping paint found on the metal climb through tunnel. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance
General: Based on observation, there were numerous Cherrios found inside a base cabinet located in the kitchen. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report
General: Based on observation, it was found that the handwashing procedure was not posted in the bathroom of the preschool classroom. This bathroom is used by the children in this classroom, as well as the children from the school age classroom. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4
General: Based on observation, it was found that there was one uncovered electrical outlet in the preschool classroom, as well as in the bathroom downstairs. Employee Records Not In Compliance
General: Based on review of documentation, it was found that one staff member did not have evidence of an annual performance evaluation on file at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report
General: Based on review of documentation, it was found that two staff members did not complete orientation training within the required ninety day timeframe. The dates of hire for these staff are 05/01/2019, and 04/24/2019. A review of ECE-TRIS confirmed these findings. Programming In Compliance Premises Not In Compliance
General: Based on observation, it was found that there was urine in both of the toilets in the bathrooms of the preschool classroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance
General: Based on observation, the following was found: 1.) The rug in the preschool classroom was very dirty and stained. 2.) The rug in the school age classroom was very dirty and stained. Also, in the school age classroom, there was a metal cabinent that was in disrepair. One of the handles was missing and the other handle did not appear to be in working condition. 3.) In the kitchen, the handle of the freezer was broken and not fully attached. 4.) In the upstairs classroom, the rug was very dirty and stained. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance
General: Based on observation during a tour of the smaller playground, where infants and toddlers were located, one of the infants was in a bumbo seat and there was a bottle sitting next to her on the table. This bottle did not have any kind of covering and was not being consumed by the child at the time the surveyor was outside. Children's Records Not In Compliance
General: Based on review of documentation, it was found that one child's file did not have a physician contact listed on the enrollment paperwork. Written Documentation In Compliance Posted Documentation Not In Compliance
General: Based on review of documentation, this regulatory requirement was met. Out of ten (10) children's files reviewed, it was found that two (2) children's enrollment information did not include individuals who have been designated to pick up the child. At the time of the survey, the surveyors also asked the director for the file of an additional child that had not been pulled for review. This was done to determine the age of the child. However, the director was unable to produce a file or any type of identifying information for this particular child. Written Documentation Not In Compliance
General: Based on interview, this regulatory requirement was not met. An interview with staff in the infant/toddler room found that toys are sanitized daily by putting the toys in bleach water, then rinsing them off and allowing them to air dry. This method of sanitizing toys used by children not toilet trained does not meet the requirement as described in this regulation. First Aid/Medication Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. A review of nine (9) staff files found the following: 1) A staff person hired 5/1/19 did not have a current T.B. test or statement from a heatlh professional indicating the individual is free from the symptoms of T.B. 2) A staff person hired 4/24/19 did not have a current T.B. test or statement from a heatlh professional indicating the individual is free from the symptoms of T.B. 3) A staff person hired 4/29/19 had the results of a T.B. test read on 5/3/19. The T.B. test was completed after the staff person's date of hire and not prior to employment. 4) A staff person hired 5/7/19 had the results of a T.B. test read on 5/19/19. The T.B. test was completed after the staff person's date of hire and not prior to employment.
General: Based on observation, this regulatory requirement was not met. At the time of the survey a group of seven (7) three-year-old children were moved from the preschool classroom located on the middle floor of the facility to another room located on the top level of the facility. The room is located at the end of the hallway and is L shaped. The bathroom is located to the right as you come up the steps. The staff person in the room was observed helping a child in the bathroom while leaving the remaining six (6) children unsupervised in the classroom area. The children in the classroom could not be seen by the staff person who was inside the bathroom helping the child. Staffing Requirements In Compliance General Administration Not In Compliance
General: Based on observation, this regulatory requirement was not met. 1) In a laundry room/bathroom located off of the infant/toddler sleeping area, a gallon jug of Pro Force floor stripper was located on the back of the toilet. 2) A twenty-four pack of Coke was observed on the floor inside the doorway. There was not a door or gate blocking entry into this area making these items accessible to the children. 3) In the preschool room located on the middle level of the facility, a staff person's purse was observed on top of the sensory table. The purse was accessible to the children.
General: Based on review of documentation, this regulatory requirement was not met. A review of records noting the names of the children transported on the van found there were eight (8) children documented as having gotten on and off the van at the same time. It should be noted that the van only has seating for seven (7) people which includes the driver who is the director. During the exit conference the director stated she transports the school age children to their other location located on Cambridge Drive. She stated she does not transport all eight (8) children at the same time and stated she makes two (2) trips. The director indicated in interview she put the same time on and off for all of the children and did not think about putting a different time for the children she transported on the second trip. Food Service/Food Program In Compliance Food Service Not In Compliance
General: Based on observation, this regulatory requirement was not met. In the infant/toddler play area two (2) cans of infant formula were observed in one (1) of the children's cubbies. An interviw with staff in the room found the facility provides formula for those parents who choose to use the brand they offer. However, there is one (1) child that requires a different type of formula than what is provided by the facility. The staff person stated that they prepare the child's bottle by measuring the water and powdered formula. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Children's Records Not In Compliance
General: Based on interview, this regulatory requirement was not met. An interview with the director found she is the staff person who drives the van. A review of records found that there was not a current driver history through the trasnporation agency that issued the driver's license on file at the facility . Programming Not In Compliance
General: Based on observation and review of documentation, this regulatory was not met. 1) A review of staff files and KARES found a staff person hired 4/24/19 had a background check that was still in process. This staff person was observed caring for five (5) children ages one to two years old alone. This was observed when the surveyors first arrived at the facililty. There were three (3) other staff including the director sitting at a table in the preschool room located on the middle floor of the facility. As the surveyors walked in the door of the facility at approximately 8:55 a.m., one (1) of the staff got up from the table and quickly ran downstairs to the room where this staff pesron was caring for children alone. The director stated that the staff person who quickly ran downstairs was giving her information regarding a child who had been ill. It could not be determined as to how long the staff person was left alone. 2) A review of records also found that a staff person hired 4/29/19 did not have their fingerpints taken until 5/7/19. An interview with the director found that this staff person worked one (1) week at the facility before having their fingerprints taken. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report Supervision Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. The Division of Regulated Child Care (DRCC) records were reviewed prior to the survey to determine the named director and any other changes and deficencies the facility had documented two (2) years prior. A review of the KARES system found that the staff person documented in DRCC records was listed as having seperated employment. There was no documentation in DRCC records of a new director being named. At the time of the survey, a staff person identified herself as the new director. Further interview with this individual found that the previous director left employment at the facility sometime in November 2018 and she was then named as director by the owners of the facility. She stated further that she did not realize until April 2019 that a request for a change of director had not been submitted. The director provided an email sent to personnel in in Frankfort on 4/17/19 indicating the request for a change of director. The new director also stated she is the director of another facility owned by the same entity. Director Requirements Not In Compliance
General: Based on observation, this regulatory was not met. A review of staff files and KARES found a staff person hired 4/24/19 had a background check that was still in process. This staff person was observed caring for five (5) children ages one to two years old alone. This was observed when the surveyors first arrived at the facililty. There were three (3) other staff including the director sitting at a table in the preschool room located on the middle floor of the facility. As the surveyors walked in the door of the facility at approximately 8:55 a.m., one (1) of the staff got up from the table and quickly ran downstairs to the room where this staff pesron was caring for children alone. The director stated that the staff person who quickly ran downstairs was giving her information regarding a child who had been ill. It could not be determined as to how long the staff person was left alone. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report Employee Records Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. A review of nine (9) staff files found the following: 1) A staff person hired 5/1/19 did not have a copy of a high school diploma, GED or other qualifying document on file at the facility. The director stated this staff person had lived in El Salvador and graduated from a high school in that country. 2) A staff person hired 4/24/19 did not have a copy of a high school diploma, GED or other qualifying document on file at the facility. The director stated this staff person had lived in Guatamaula and graduated from a high school in that country. 3) A staff person hired 5/7/19 did not have a copy of a high school diploma, GED or other qualifying document on file at the facility. The director stated this staff person had lived in El Salvador and graduated from a high school in that country. 4) A staff person hired 4/29/19 did not have a copy of a high school diploma, GED or other qualifying document on file at the facility. The director stated this staff person is a retired school teacher and will have the required documentation. 5) A staff person hired 5/1/19 did not have a copy of a high school diploma, GED or other qualifying document on file at the facility. The director stated this staff person had lived in Mexico and graduated from a high school in that country.
General: Based on review of documentation and ECE Tris records, this regulatory requirement was not met. A review of nine (9) staff files found the following: 1) A staff person hired 11/14/18 did not have documentation to verify the completion of six (6) hours of cabinet approved orientation training within the first three (3) months of employment. 2) A staff person hired 2/28/16 had taken pediatric abusive head trauma training on 12/10/13. There was no evidence to verify this staff person had completed this training once every five (5) years. 3) A staff person who is the director and had a hire date of 2/25/16 had taken pediatric abusive head trauma training on 9/30/13. There was no evidence to verify this staff person had completed this training once every five (5) years. An interview with the director found she was not aware the pediatric abusive head trauma training had to be taken every five (5) years. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report
General: Based on observation, this regulatory requirement was not met. Upon the surveyor's arrival at the facility, a group of twelve (12) children ages three to five (3-5) years old were watching the cartoon Angry Birds. A review of the daily schedule found that television viewing was not listed as part of the daily plan of activities. A review of the posted lesson plan found that the viewing of Angry Birds was not listed as part of the planned curriculum. Premises Not In Compliance
General: Based on observation, this regulatory requirement was not met. 1) In the infant/toddler play area there were several areas on the walls that contained tape residue with an accumulation of dirt and grime. 2) In the preschool room located on the middle floor of the facility, there was an accumulation of dirt and dust along the baseboard under the pull down diaper changing station. 3) In the bathroom located in the preschool room located on the middle level of the facility, there was an area on the wall in front of the toilets where the paint had peeled away from the surface. 4) In the preschool room located on the middle level of the facility, there were several area rugs that were soiled and stained.
General: Based on observation, this regulatory requirement was not met. In the bathroom located in the preschool room on the middle level of the facility, water was observed on the floor next to the toilet located at the far end of the bathroom. It appeared that the water was coming from the toilet bowl. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report Hygienic Practices Not In Compliance
General: Based on observation, this regulatory requirement was not met. In the bathroom located on the upper level of the facility, a first aid kit was observed in an unlocked cabinet under the sink in the bathroom. The bathoom is used by the children in the Three-Year-Old room. The first aid kit was accessible to the children.
General: Based on observation, this regulatory requirement was not met. In the infant/toddler play area, a tube of Equate brand sunscreen and a tube of Desitin diaper ointment were observed in a child's cubby. Neither of these items were labled for an individual child. Some of the children in the room are two-years-old and mobile and are tall enough to reach these items. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report Equipment Not In Compliance
General: Based on observation, this regulatory requirement was not met. In the preschool room located on the middle level of the facility, a blackboard was observed mounted on one (1) of the walls. The lower corner of the blackboard was missing a large section of the wooden frame on one (1) side. Transportation Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. A review of documents provided for review found that 2/22/16 was the last date documented as having sumbitted for approval an emergency evacuation plan in accordance with KRS 199.895 and 42 U.S.C. 9858c(c)(2)(U).
General: Based on observation and review of documentation, this regulatory requirement was not met. At the time of the survey there were eighteen (18) children present. However, only four (4) children had a documented time of arrival. Posted Documentation In Compliance Animals Not Applicable
General: Based on Observation, the surveyor observed the following: (1) A roll of toilet paper was observed on the bathroom floor. The director stated the children struggle to reach the toilet paper when it is placed on the toilet paper holder. (2) Two (2) outlets located next to the sensory table in the preschool classroom did not contain outlet protectors. Four (4) outlets located in the school-age classroom did not contain outlet protectors. (3) A vacuum cleaner was observed in the dramatic play area accessible to the children in care in the school-age classroom. (4) A small crockpot that was turned on used to warm bottles was observed on a low chair in front of the hand-washing sink in the diapering area of the infant/ toddler classroom. The crockpot was plugged into an extension cord that was extended to the chair from the wall outlet. The director stated there was no other place to plug in the crockpot. (5) A large Kobalt adjustable wrench was observed on a shelving unit located in the entryway of the facility. The surveyor observed children pass through the area as they were being dropped off by their parents. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report
General: Based on Observation at approximately 8:25 a.m., the surveyor observed two (2) staff in the preschool classroom supervising, directing, and caring for seven (7) children. File review found one staff present was a qualified staff person per the regulations who was hired on 5/3/17. The second staff person present did not have a personnel file for the surveyor to review. The director stated this individual was a volunteer who started in March 2018. She stated this person assists her with the Spanish speaking clientele that attend the facility. She stated the volunteer works from 7:30 a.m. until 10:30 a.m. on Tuesdays, Wednesdays, and Fridays. It is important to note the volunteer was observed leading circle time and small group activities during the inspection. She was acting as the lead caregiver in the classroom during the observation. It is also important to note at approximately 8:45 a.m. the qualified staff person left the classroom to retrieve a trash bag leaving the “volunteer” alone for a brief moment with seven (7) children. During the exit interview, the director stated today was the volunteer's last day because she was going on maternity leave. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report
General: Based on Review of Documentation, the emergency preparedness plan presented for review had not been updated since 2/22/16. The documentation listed the former director as the contact.
General: Based on Review of Documentation, the surveyor found a staff person hired on 5/16/18 has yet to apply for background checks through the Kentucky National Background Check Program "NBCP" as set forth by 922 KAR 2:280. It is important to note this staff person was not observed working alone with children. This person was paired with a qualified staff person in the infant/ toddler classroom during the observation conducted at approximately 9:40 a.m. The only documents in this person's personnel file presented for review were: proof of education and a TB skin screening. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance
General: Based on Review of Documentation, the facility's liability insurance policy presented for review was no longer valid as of 2/25/18. Director Requirements Not In Compliance
General: Based on Interview, the director stated staff meetings had been conducted; however, she could not locate the documentation during the inspection.
General: Based on Review of Documentation and interview, the surveyor found two (2) staff eligible for a performance evaluation had not had one completed by the director.
General: Based on Observation, at approximately 8:25 a.m., the surveyor observed two (2) staff in the preschool classroom supervising, directing, and caring for seven (7) children. File review found one staff present was a qualified staff person per the regulations who was hired on 5/3/17. The second staff person present did not have a personnel file for the surveyor to review. The director stated this individual was a volunteer who started in March 2018. She stated this person assists her with the Spanish speaking clientele that attend the facility. She stated the volunteer works from 7:30 a.m. until 10:30 a.m. on Tuesdays, Wednesdays, and Fridays. It is important to note the volunteer was observed leading circle time and small group activities during the inspection. She was acting as the lead caregiver in the classroom during the observation. It is also important to note at approximately 8:45 a.m. the qualified staff person left the classroom to retrieve a trash bag leaving the “volunteer” alone for a brief moment with seven (7) children. During the exit interview, the director stated today was the volunteer's last day because she was going on maternity leave. Employee Records Not In Compliance
General: Based on Review of Documentation, interview, and a review of ECE-TRIS, the surveyor found staff hired on 2/6/17, (2) 2/25/17, and 5/3/17 did not complete the required fifteen (15) hours of cabinet approved early care and education training during their first year of employment. Additionally, a staff person hired on 5/3/17 did not complete the six (6) hour orientation training required within ninety (90) days of hire and the pediatric abusive head trauma training required within the first year of hire. Programming In Compliance Premises Not In Compliance
General: Based on Observation, the surveyor observed a black sitcky substance on a light switch in the toddler classroom.
General: Based on Observation, the surveyor found the light fixture in the infant/ toddler diaper changing area over the hand-washing sink only had one (1) working light bulb. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report
General: Based on Observation, the surveyor observed standing water on the bathroom floor next to the first toilet. It appeared the water was coming from the base of the toilet. Additionally, the second toilet contained an abundance of toilet tissue. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
General: Based on Observation, the surveyor observed three (3) area rugs that were stained. The director stated she recently had the rugs professionally cleaned. Transportation Not In Compliance
General: Based on Interview, the director stated she transports children. She stated she had not practiced monthly emergency procedures.
General: Based on Review of Documentation, the insurance policy for the 2001 Ford Windstar van that was presented for review was no longer valid as of 2/25/18.
General: Based on Observation, the surveyor observed a carton of eggs in the refrigerator that had an expiration date of April 14, 2018. Children's Records Not In Compliance
General: Based on Review of Documentation, found one (1) child enrolled on 3/11/16 had immunization documentation that was no longer valid as of 1/5/18. Written Documentation Not In Compliance
General: Based on Review of Documentation, a civil monetary penalty notice issued by the cabinet on 9/19/17 was not posted.
General: Based on Review of Documentation, a daily of schedule of activities was not posted in the pre-school classroom. The director stated the classroom had recently been painted and the schedule had been taken down. Animals Not Applicable
General: Based on Review of Documentation, it was determined that a staff person hired 5/22/17 did not have evidence of proof of education on file in the facility.
General: Based on Observation, there were discarded Cheerios in the drain of one of the sinks used for handwashing in the children's bathroom in the Preschool classroom. Hygienic Practices Not In Compliance
General: Based on Review of Documentation, there was no documentation of staff meetings being conducted during the current licensure year presented at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report
General: Based on Review of Documentation, the following was found: 1. Staff person hired 5/22/17 did not have the results of or evidence of the application for a criminal background check on file in the facility. 2. Staff person hired 5/22/17 had the results of a criminal records check dated 5/26/17. There was no evidence on file that the application for the check had been submitted prior to employment as required. 3. Staff person hired 2/6/17 had the results of a criminal records check dated 2/21/17. There was no evidence on file that the application for the check had been submitted prior to employment as required. 4. Staff person hired 5/23/16 had the results of a criminal records check dated 5/8/17. There was no evidence on file that the application for the check had been submitted prior to employment as required. 5. Staff person hired 5/23/16 had the results of a CA/N check dated 3/22/17. There was no evidence on file that the application for the check had been submitted within the first five (5) of employment as required. 6. Staff person hired 5/3/17 had the results of a criminal records check dated 5/26/17. There was no evidence on file that the application for the check had been submitted prior to employment as required. 7. Staff person hired 5/3/17 had the results of a CA/N check dated 5/17/17. There was no evidence on file that the application for the check had been submitted within the first five (5) days of employment as required. 8. Staff person hired 5/3/17 had listed an address in New York as a previous residence in the past five (5) years. There was no evidence of a background check from New York for the staff person on file in the facility. The staff person was observed alone while supervising five (5) infants/toddlers for the duration of the survey.
General: Based on Review of Documentation, the following was found: 1. Staff person hired 5/23/16 did not have evidence of completing the required orientation training in the first three (3) months of employment. A review of ECE-TRIS records supports the information found during the survey. 2. Staff person hired 5/23/16 did not have evidence of completing the Pediatric Abusive Head Trauma training within the first year of employment. A review of ECE-TRIS records supports the information found during the survey. 3. Staff person hired 2/25/16 had evidence of only seven (7) hours of annual training on file for the last full year of employment. A review of ECE-TRIS records supports the information found during the survey. 4. Staff persons hired 5/23/16 and 2/25/16 did not have evidence of any annual training on file for the last full year of employment. A review of ECE-TRIS records supports the information found during the survey.
General: Based on Observation, a four-month-old child was in a crib in the Infant/Toddler classroom. There was a large fluffy blanket in the crib with the child. The blanket was loose and not tucked in under the mattress. Premises Not In Compliance
General: Based on Review of Documentation, there was no documentation made available at the time of the survey regarding current liability insurance.
General: Based on Interview, it was found that the director on file was no longer employed at the facility. The staff person in charge indicated that the named director left the facility on 5/3/17 and that she had taken over as director. As of the date of the survey the facility had not notified DRCC of a change of director. Director Requirements Not In Compliance
General: Based on Review of Documentation, staff persons hired 2/25/16, 5/23/16 and 2/25/16 did not have evidence of an annual evaluation on file in the facility.
Based on observation and review of documentation, staff person hired 5/3/17 had listed an address in New York as a previous residence in the past five (5) years. There was no evidence of a background check from New York for the staff person on file in the facility. The staff person was observed alone while supervising five (5) infants/toddlers for the duration of the survey. Employee Records Not In Compliance
General: Based on Review of Documentation, the staff person designated as a van driver for the facility did not have evidence of an annual driving record on file in the facility. Programming Not In Compliance
General: Based on Observation, the door leading to the outside playground was propped open in the School-age classroom. There was no screen or barrier in place to protect against the entrance of vermin.
General: Based on Observation, there was a black sticky substance on the carpeted stairs that lead to the Infant/Toddler classroom. In an interview with the staff person in charge it was found that a runner had been removed from the stairs and a glue residue was left on the carpeted stairs.
General: Based on Observation, there were several blankets and pillows lying together on a ledge in the Preschool classroom. The items were not being stored seperately and were touching. The blankets and pillows are used by the children during nap time. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
General: Based on Review of Documentation, staff persons hired 2/25/16, 5/23/16 and 2/25/16 did not have evidence of a prefessional develpoment plan on file in the facility.
General: Based on Review of Documentation, there was no documentation of earthquake or tornado drills being conducted prior to 2/17/17 during the current licensure year presented at the time of the survey.
General: Based on Observation, there was no documentation of fire drills being conducted prior to 2/17/17 during the current licensure year presented at the time of the survey.
General: Based on Review of Documentation, there was no documentation of fire drills being conducted prior to 2/17/17 during the current licensure year presented at the time of the survey.
General: Based on Observation, a current schedule of daily activities, including lists and dates of activities to be conducted with the children was not posted in the Infant classroom. Animals Not Applicable
General: Based on Observation, there were several nap mats in the Threes classroom that were torn on the corners, leaving exposed foam. In an interview, Director stated that the facility owner was in the process of ordering new nap mats.