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Home › KY › Lexington › Trinity Hill Child Care Center
License #L352894 · Center · Licensed
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This investigation inspection recorded no violations or advisories.
General: Based on observation, it was found that three (3) sleeping mats had tears in the vinyl exposing the padding in the Two-Year-Old Classroom.
General: Based on observation, the following was found: Two-Year-Old Classroom 1) The paint on the changing table was chipped. Toddler Classroom 1) The vinyl on one (1) of the highchairs was ripped exposing the padding. Playground 1) Several pieces of playground equipment had areas with layers of dirt.
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Generated from this facility's specific inspection record
Data synced from Kentucky Cabinet for Health and Family Services, Division of Child Care on Jul 11, 2026 · Source records · Report an error
General: Based on observation, the following was found: Bathroom connected to the Infant Classroom 1) There was a buildup of urine around the base of the toilet, which resulted in an odor of urine. 2) The toilet bowl was dirty and had a buildup of stains. Big Room Girl's Bathroom 1) A buildup of urine was around the base of the toilet, which resulted in an odor of urine. Hygienic Practices Not In Compliance
General: Based on review of documentation, a staff member (DOH: 05/02/25) did not have proof of educational qualifications in their personnel file.
General: Based on review of documentation, a staff member (DOH: 05/19/25) did not have documentation of a negative TB skin test or a statement from a health professional stating they were free of active TB on file during the inspection.
Based on observation, in the bathroom connected to the Two-Year-Old Classroom, an area of paint, approximately two and one half (2 1/2) by three (3) inches, had paint that was chipped back to the sheetrock.
Based on observation, the mat on the changing table in the Two-Year-Old Classroom was worn and ripped, exposing the interior padding.
This investigation inspection recorded no violations or advisories.
General: Based on observation, the child care center failed to maintain state regulations. During the survey of the Four's Room, the staff member's personal cell phone was laying on top of a wooden cubby in the front of the room, accessible to children in care.
General: Based on observation, the child care center failed to maintain state regulations. The overhead air fan/vent in the Two's bathroom was not working at the time of the survey. It should be noted the surveyor toggled the on/off switch multiple times in an attempt to engage the fan/vent. 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 child care center failed to maintain Employee Records in accordance with state regulations. One (1) staff (DOH 03/07/22) did not complete the required fifteen (15) hours of annual training. A review of ECE-TRIS confirmed these findings. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance
General: Based on observation and interview, the child care center failed to maintain state regulations. During the survey of the Three's Room, it was found that multiple books used by the children were in severe disrepair; many had torn covers, loose binding, and pages missing. A subsequent interview with the staff-in-charge found she was aware of the issue and needed to purchase new books for the classroom. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on review of documentation and ECE-TRIS, two (2) staff hired on 12/9/2019, and 9/15/2020, did not complete fifteen (15) hours of cabinet-approved early care and education training during the 7/1/2021-6/30/2022 training year. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance
General: Based on interview and review of documentation, this regulatory requirement was not met. The State Fire Marshal documentation presented for review was dated 7/29/2020. The staff person in charge stated the State Fire Marshal has been contacted, but could not provide evidence of this. Director Requirements In Compliance Employee Records Not In Compliance
General: Based on observation, this regulatory requirement was not met. The surveyor observed bottles of formula in the refrigerator located in the kitchen. The surveyor noted that there was not an indicating thermometer or other temperature measuring device in the refrigerator. Therefore, the surveyor could not determine the temperature of the refrigerator. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
This follow-up inspection recorded no violations or advisories.
General: Based on observation, in the two-to-three-year-old room the diaper changing table is set up against the wall next to the bathroom. When a staff member changes a diaper their back is turned towards the classroom and they cannot adequately supervise the children. Staffing Requirements In Compliance General Administration Not In Compliance
General: Based on review of documentation, the following was found: 1.) A staff member hired on 1/24/2022, did not complete the required Orientation training. This staff member has been employed for more than three months. 2.) A staff member hired on 9/15/2020, did not complete the required PAHT training within the first year of employment. The course has not been taken as of the day of the survey. 3.) A staff member hired on 3/10/2003, completed PAHT training on 4/24/2017; however, did not renew the training due 4/24/2022. 4.) Three staff members hired on 6/7/2021, 3/10/2003, and 9/15/2020, did not have evidence of completing 15 hours of annual early care and education training on file. A review of ECE-TRIS records supports the information found during the survey. Programming Not In Compliance
General: Based on observation, the surveyor walked into the toddler room and said "Hello" and no one answered. The surveyor observed three toddlers in the room. When no one answered the surveyor made a few steps into the room and observed a teacher sitting behind the shelf looking at her phone. The teacher did not see nor acknowledge that someone was in the room. The surveyor stood next to the shelf looking at the teacher to make an eye contact but she did not notice the surveyor. After waiting for approximately one minute the surveyor "Hello" again. The teacher looked up, then the surveyor introduced herself. The teacher then got up and put her phone away. The staff member was not engaged with the children and was not paying attention to the children in her care. This could pose a potential safety risk to the children. 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 review of documentation, staff persons hired 8/13/2019, 6/7/2021, and 2/23/2021, did not have documentation of negative T.B. results on file in the facility that had been obtained within the past two years.
General: Based on observation and review of documentation, the following was found: 1. A staff person hired 7/20/2020, did not have the results of or evidence of the application for a criminal background check on file in the facility. The staff person was observed alone in a classroom with a group of seven three-year-old children. 2. Staff persons hired 2/8/2021 and 2/23/2021, did not have the results of or evidence of application for criminal background checks on file in the facility. The staff persons were observed caring for six children in the Infant classroom. There was no other qualified staff in the classroom. Employee Records Not In Compliance
General: Based on observation, the following was found: 1. There was an area of chipping paint under the dry-erase board in the Twos classroom. The chipping left exposed dry wall material accessible to the children. 2. The door frame at the entrance of the Twos classroom had numerous areas of chipping paint, dirt and scuff marks. 3. There were four stained ceiling tiles in Room 108 and three stained ceiling tiles in Room 109.
This investigation inspection recorded no violations or advisories.
This follow-up inspection recorded no violations or advisories.
General: Based on observation, it was found that the infants are diapered in a room located off the infant classroom. Due to the infants being changed in a separate room, the infant teacher cannot properly supervise the remaining infants in care. The staff in charge stated that the teacher in the toddler classroom would supervise the toddler and infant classrooms while the infant teacher is diapering a child by standing in the doorway of both classrooms, which are connected by a door. The staff in charge also reported that if the toddler teacher cannot supervise both during an infant diaper change, a floating teacher would come into the classroom to assist. Having the toddler teacher supervise both rooms does not provide adequate supervision when each child must be within sight and sound. If there is no floating teacher available, then supervision of both classrooms is compromised. Staffing Requirements In Compliance
This investigation inspection recorded no violations or advisories.
General: Based on observation, the following was found: 1.) In the two-year-old classroom, there were numerous areas througout the room where the walls were dirty, missing paint, and had scuff marks on them. In addition, there was an area in the corner of the room where it appeared that the wall was cracking, which left paint and the inside of the wall exposed. Also, there was one ceiling tile that was cracked in the corner and was starting to break away from the rest of the tile. 2.) In the diaper changing room, there were areas of missing/chipped paint on the walls, as well as some scuff marks. 3.) In the infant classroom, there were areas where there were scuff marks on the wall. In addition, there was an area of the wall that appeared to have been drywalled, but was not painted over. This area was where the baby gate is located. Also, there were numerous ceiling tiles that were starting to tear and rip. 4.) In the toddler classroom, there were areas of missing/chipped paint on the wall, as well as some scuff marks. In addition, the sprinklers in the ceiling were extremely dusty. 5.) In the four-year-old classroom, there were areas of missing/chipped paint on the walls throughout the classroom. Also, there were some holes starting to form in the walls. 6.) In the pre-k room, there were several stained ceiling tiles.
General: Based on observation, it was found that in the two-year-old classroom, there was a carton of almond milk sitting out on a shelf. During the exit conference, the staff in charge reported that the children had just had breakfast and the milk had not been put back in the refrigerator yet. Children's Records In Compliance Written Documentation Not In Compliance
General: Based on review of documentation, the staff person in charge did not ensure that the center policies and procedures were implemented. The surveyor was provided with a copy of the staff policies, including a section under discipline which reads, “Do not subject children to harsh or physical discipline, Abusive language will NOT be used, nor will any method of discipline that is frightening. Do not associate discipline with rest or food.” The job description for a Teacher reads, “Responsible for supervision of a group in the bathroom.” Further, the policies state that mistreatment of a child at the center is grounds for immediate dismissal of a staff member. Multiple staff members reported going to the staff in charge about concerns regarding a staff person’s actions towards the children. Staff reported seeing this person handle children harshly and speak to them inappropriately. The procedures outlined in the policies were not implemented.
General: Based on observation and interview, the center did not maintain staff-to-child ratios in compliance with state regulations. The surveyor visited the facility on 2/26/2020, and observed 13 students with one staff member. The surveyor asked what ages the children were, and the staff person in charge of this group stated that the youngest in the group was age four years. The surveyor observed two children who appeared to be younger, and asked for their names. The surveyor determined through file review that the two children in question were age three years. The classroom was over ratio by one student. It was determined through staff interviews that the one-year-old classroom staff would have the infant room staff supervise both classrooms at one time, while diaper changes occurred in the adjacent diaper changing room. The staff member stated that the infant room staff would be responsible for up to ten children while diaper changes occurred. The infant room teacher would be out of ratio by up to five children while the one-year-old classroom staff completed the diapering. Several staff report that the center does not maintain staff-to-child ratios while staff take lunch breaks. Additionally, it was reported that on 2/25/2020, that two children were removed from the four-year-old classroom and “hidden” in the toddler bathroom to maintain the appearance of staff-to-child ratio compliance while a DCBS worker was present in the building. Staff members report that children are moved into classrooms for an age they have not met, however; the ratios for the youngest child in the group are not maintained. General Administration Not In Compliance
General: Based on observation, staff with hire dates of 10/14/2018, 07/21/2018, 02/04/2019, 03/18/2019 did not have required proof of education on file.
General: Based on observation and review of documentation, staff with hire date of 10/14/2018 did not complete required orientation training until 03/16/2019 making it past the 90 days requirement. Staff with hire date of 03/23/2018 did not have required training hours proof in their file or on ECE-TRIS. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance
General: Based on observation and review of documentation, staff with hire date of 02/04/2019 did not have required health professional's statement or proof of being TB free. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
General: Based on observation and review of documentation, children with enrollment dates of 10/24/2018 and 03/31/2016 did not have required preferred hospital on file. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on Review of Documentation, it was found that the files for employees hired on 5-23-17 and 4-17-18 did not contain evidence of a high school diploma, GED or Commonwealth Childcare Credential.
General: Based on Review of Documentation, it was found that the file for one (1) eligible employee did not contain evidence of an annual evaluation being completed. 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, it was found that the changing area for infants and toddlers was located in a room that does not have a sink. The hand washing sink is located in the bathroom next to the room. There is a closed door between the two (2) areas. 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, it was found that there were two (2) stained ceiling tiles in Room 108. There was one (1) stained ceiling tile in the hall outside of Room 108.
This investigation inspection recorded no violations or advisories.
General: Based on Review of Documentation, it was found that a staff person with a hire date of 04/17/2017 had no proof of education.
General: Based on Review of Documentation, it was found that a staff person with a hire date of 04/17/2017 had no documentation in their file showing they were free of TB. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
General: Based on Review of Documentation, it was found that the facility did not have documentation of an orientation procedure. Posted Documentation Not In Compliance
General: Based on Review of Documentation, it was found through a review of ten (10) children's files that four (4) children's files did not contain information for the preferred hospital. It was also found through a reviw of ten (10) children's files that three (3) children's files did not contain physician contact information. Written Documentation Not In Compliance
General: Based on Interview, it was found that the toys in the infant classroom are just cleaned with a bleach water solution. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
General: Based on Review of Documentation, staff rehired on 05/02/16 did not have the results of a child abuse and neglect check on file. The staff person was found working with children alone in the classroom. The director stated that the results should be back any day now.
General: Based on Observation, there was a section of duct tape covering a carpeted area of the infant classroom. A ceiling plastic light cover was broken, there was an area of water stains on the ceiling and a section of the rubber baseboard was missing in the Big Room. The director stated that the church is supposed to repair or replace that area of carpet soon. The director stated that the church is planning on replacing or repairing that section of carpet in the infant classroom. The director also stated that the churches baptismal is directory above where the water stains were found and the church is getting ready to replace the section of baseboard that is in disrepair.
General: Based on Review of Documentation, staff hired on 10/30/14, 07/31/06 and 03/28/15 did not have the fifteen (15) hours of required cabinet approved training on file. Staff hired on 08/23/99, 07/31/06, 05/22/12, 08/26/94, 08/19/02, 09/04/84 and 04/18/13 did not have the required pediatric abusive head trauma class. This information has been confirmed through ECE-TRIS. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming
General: Based on Review of Documentation, one (1) staff file (hire dated: 4/27/15) has resided in the State of Ohio within the past year. There was not an out-of-state background check on file at the time of the inspection.
General: Based on Observation, at approximately 8:45 a.m. the surveyor observed the infant staff person leave the classroom area two (2) times to put away a diaper bag and a bottle. She went into the diaper changing area that is separated from the classroom by a half door. The staff person bent down for a few seconds to put away a bottle and had her back turned for a couple of seconds to put away the diaper bag. The staff person left five (5) infants ages six (6) months to twelve (12) months unattended in order to put away a child's belongings in the next room (diaper changing area). The surveyor asked the staff person how she manages diaper changes. She stated she peaks over the door to check on the other kids as she changes diapers. It is important to note the hand- washing sink is located in a restroom that is adjacent to the diaper changing area. The staff person would not be able to see the children at all when washing children's hands after diaper changes. She stated an additional staff person comes in to help her at noon. The staff person in charge stated there are typically two (2) people in the infant classroom but one of the staff called in sick. The staff person in charge put an additional staff person in the infant classroom during the inspection.
General: Based on Review of Documentation, two (2) staff (hire dates: 3/31/15 and 5/11/15) did not have proof of eduation on file.
This investigation inspection recorded no violations or advisories.
General: Based on Interview, it was found that on 6/9/14 (at approximately 7:40 AM) a staff member was informed by the parent of a three (3) year-old child that the child hurt her arm on the playground (the child told the parent this information) and the child was favoring the arm over the weekend so they were going to pick the child up from the daycare in the afternoon and take her to the doctor to have her arm checked. The cabinet was not contacted within twenty-four (24) hours from the time of discovery. Director Requirements
This investigation inspection recorded no violations or advisories.
General: Based on Review of Documentation, staff members hired on 04/14/14 and 01/06/14 did not have proof of submission of the child abuse and neglect check on file. Staff member hired on 01/06/14 did not have proof of submission of the criminal records check on file. Neither staff was working the day of the survey.
General: Based on Observation, several mats were torn in the two (2) year old classroom.
General: Based on Review of Documentation, children enrolled on 02/08/10, 02/01/10 and 11/11/11 did not have a current immunization record on file.
General: Based on Review of Documentation, there was no Orientation Training Policy on file.
General: Based on Review of Documentation, staff members hired on 04/14/14 and 01/06/14 did not have documentation of education requirements on file.
General: Based on Review of Documentation, staff person hired 4/29/13 did not have evidence of negative T.B. results on file in the facility prior to employment. The results on file were dated 5/2/13.
General: Based on Review of Documentation, the weekly plan of activities in the Infant classroom was not current. The activities listed were specific to Mother's Day which was May 12th.
General: Based on Review of Documentation, 1. Staff person hired 5/22/12 had the results of a CA/N check dated 7/2/12. 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. 2. Staff person hired 8/8/12 had the results of a CA/N check dated 10/15/12. 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. 3. Staff person hired 5/22/12 had the results of a criminal records check dated 5/25/12. There was no evidence on file that the application for the check had been submitted prior to employment as required. 4. Staff person hired 8/8/12 had the results of a criminal records check dated 9/6/12. There was no evidence on file that the application for the check had been submitted prior to employment as required.
General: Based on Review of Documentation, it was found that three (3) staff files out of sixteen (16) staff files did not have evidence of a current TB skin test. It was also found that one (1) staff obtained their TB skin test late. The staff person's hire date was 01/10/2012 but did not obtain a TB skin test until 02/28/2012. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, it was found that twelve (12) staff files out of sixteen (16) staff files did not have evidence of the required 15 hours of annual training. 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 40 Web site: http://chfs.ky.gov/ Inspection Report Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted Not In Compliance Findings: 4 Year old: Based on Observation, it was found that there was not a current lesson plan in the four (4) year old classroom. Toddler Classroom: Based on Review of Documentation, it was found that there was no current lesson plan posted in the toddler classroom. 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 2) Followed In Compliance
General: Based on review of documentation, it was found in the four-year-old room during the time of the visit there were 10 children but every shelf was turned around and no materials were accessible to the children. The teacher was doing a weather report with the children. Two of the children were trying to turn the shelf to access the materials but they were unable to turn the shelf around. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Premises Not In Compliance
Based on observation, it was found that the daily planned program of activities (lesson plan) posted in the infant and toddler rooms were no longer current. The posted daily planned program of activities was dated for previous week. Animals Not Applicable
General: Based on observation, a staff's purse was found in the bathroom/diaper changing area used by two-to-three-year-old, infant, and toddler rooms. This purse was accessible to the children using this bathroom/changing area.
General: Based on review of documentation, two staff members (hire dates: 1/24/2022 and 3/7/2022) did not have evidence of a high school diploma, GED, or Commonwealth Child Care Credential on file at the facility.
General: Based on review of documentation, three staff members (hire dates: 6/7/2021, 1/24/2022, and 7/20/2020) did not have evidence of completing the required CPR/First Aid training on file at the facility. A review of ECE-TRIS records supports the information found during the survey.
General: Based on observation, the following was found: 1.) There was chipped paint and dirty walls in the toddler room and bathroom of the two-to-three-year-old room. 2.) The ceiling tiles were stained in the four-year-old room and the big room eating area. Hygienic Practices Not In Compliance
General: Based on observation, the diaper changing pad in the two-to-three-year-old room contained a tear in it. This leaves the changing pad unable to be properly cleaned and sanitized. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
General: Based on observation, in the corner of the toddler playground, there is a gap between the metal fence and broken piece of wood that was at the bottom of the fence. The gap is big enough for a child to get an arm or a leg stuck. Equipment Not In Compliance
General: Based on observation, three crib sheets in the infant room were dirty with stains. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report
General: Based on observation, the paint was chipped on the shelves in the two-to-three-year-old room. Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance
General: Based on observation, upon entering the facility it was found that the door leading outside to the Toddler playground was being propped open. Their was no barrier in place to effectively protect against the entrance of vermin.
General: Based on review of documentation, the following was found: 1. Staff members hired on 12/9/2019 and 8/13/2019, did not complete the required PAHT training. These staff members have been employed for more than one year. The ECE-TRIS system was reviewed. 2. A staff member hired on 8/19/2002, did not complete the required PAHT renewal training within five years. The last training on file was completed 6/1/2016. The ECE-TRIS system was reviewed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Programming Not In Compliance
General: Based on observation and review of documentation, the following was found: 1. A staff person hired 5/18/2021, had addresses in Maryland and Delaware as a previous residence in the past five years. There was no evidence of a background check, CA/N check or a check of the state’s sex offender registry from Maryland or Delaware on file in the facility. 2. A staff person hired 8/13/2019, had listed an address in Illinois as a previous residence in the past five years. There was no evidence of a background check, CA/N check or a check of the state’s sex offender registry from Illinois on file in the facility. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration Not In Compliance
General: Based on review of documentation, staff persons hired 7/20/2020, 9/15/2020, 2/23/2021, 2/8/2021, 5/18/2021 and 5/24/2021, did not have the results of or evidence of the application for a criminal background check on file in the facility. Director Requirements Not In Compliance
General: Based on review of documentation, an employee hired 2/8/2021, did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file in the facility.
General: Based on observation, two 10-month-old children were observed sleeping in swings in the Infant classroom at 10:21 a.m. The same children were observed sleeping in the swings at 10:40 a.m. At 10:55 a.m. one of the children was still sleeping in the swing and the other had been removed from the swing. Premises Not In Compliance
General: Based on observation, there was a brown substance inside the toilet bowl in the bathroom in the Twos classroom. It could not be determined what the substance was at the time of the survey. Hygienic Practices Not In Compliance
General: Based on observation, there was a small tear in the changing pad in the Twos classroom. This left exposed foam that can not be properly sanitized between uses. First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Equipment Not In Compliance
General: Based on observation, there were two nap mats in the Toddler classroom and five nap mats in the Twos classroom that had several tears on the corners of the mats. This left exposed foam that can not be properly sanitized between uses. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance
General: Based on review of documentation, a child enrolled 6/6/2016, did not have information for a preferred hospital signed by the parent on file in the facility. Written Documentation In Compliance Posted Documentation Not In Compliance
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. The schedule of activities posted was from April 2021; however, the inspection was conducted in June 2021. Animals Not Applicable
General: Based on observation, it was found that the yellow/blue changing pad in the changing room was scuffed up and had small tears starting to form. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
General: Based on review of documentation, it was found that three staff members did not have proof of education on file at the facility. The dates of hire for these staff are: 01/20/2020, 03/04/2020, and 07/15/2020. Programming In Compliance Premises Not In Compliance
General: Based on observation, it was found that in the two-year-old classroom there were two iced coffees sitting on top of a shelf. These were within reach of the children. 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.) There was urine in the toilet of the bathroom located in the two-year-old classroom. 2.) The light was not working in the girls bathroom located in the hallway leading to the four-year-old classroom. Hygienic Practices Not In Compliance
General: Based on observation, the following was found: 1.) In the two-year-old classroom, there was a blue shelf that was worn and missing paint. This resulted in the wood being exposed. 2.) In the Pre-K classroom, there was a cabinet that had a lot of wear on it. It appeared that things had been taped to it and when they were taken down, the tape left residue and may have even taken some of the surfacing off of it. 3.) In the two-year-old classroom, there was cubby that was in disrepair. The backing of the cubby appeared to be a particle board type material which had broken and had been repaired with yarn or string. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance
General: Based on review of documentation, the following was found: 1.) There have been no quarterly earthquake or tornado drills conducted at the facility in 2020. 2.) There was no fire drill conducted in July of 2020. Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance
General: Based on interviews it was determined that the children in the two-year-old classroom would be left unsupervised while the staff member in this classroom completed diaper changes in the diaper changing room. The children were not visible to the staff person responsible for their care. Additionally, the surveyor conducted an on-site visit on 2/26/2020, and observed a staff member in the infant classroom changing a child’s diaper. There were four infants in the classroom who were not in this staff member’s line of sight while the diaper change occurred. Further, on 2/26/2020, the surveyor observed the three-year-old classroom children to be playing in the Art room, the Transportation room, and the Reading room. The staff member in charge of this group had positioned herself in the Art room, but was unable to view the all of the children in the two adjoining spaces. On 3/3/2020, the surveyor visited the facility at approximately 1:00 pm, and observed that the one-year-old classroom and the two-year-old classrooms were too dark to properly supervise the children as they slept. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Staffing Requirements Not In Compliance
General: Based on interview, the childcare center did not notify the cabinet that a child required medical attention on an unknown date in February. The child obtained an injury to their arm and was later taken to the doctor by a parent and determined to have nursemaids elbow. A review of DRCC records confirmed the incident was not reported. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Director Requirements Not In Compliance
General: Based on observation, several electrical outlets throughout the facility did not have outlet covers. Programming Not In Compliance
General: Based on interview, it was determined that a staff member hired 8/26/1994, used corporal physical discipline as well as humiliating and abusive language with the children in the two-year-old classroom. It was reported that the staff member would grab the children in an aggressive manner, mock the children with speech impediments, and roll the children into their mats at naptime while placing her leg across them to prevent the child from moving. This staff member forced a child to pick their feces off from the floor, and taunted the child afterward.
General: Based on Review of Documentation, it was found that during the survey, an employee hired on 4-17-18 was working with another employee in the Toddler classroom. The staff person in charge stated that they had not yet initiated the process to obtain this employee's background check. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance
General: Based on Review of Documentation, it was found that the file for an employee hired on 4-17-18 did not contain evidence of a TB skin test or screening being completed.
General: Based on Review of Documentation, it was found that the ECE-TRIS record and file for an employee hired on 8-26-94 contained evidence of only twelve (12) hours of training being completed during the last completed training year. In addition, it was found that the ECE-TRIS record and file for an employee hired on 10-5-16 contained evidence of only one and a half hours of training being completed during the first full year of employment. Programming In Compliance Premises Not In Compliance
General: Based on Observation, it was found that the children in the Toddler classroom were playing on the floor immediately before being placed in high chairs for breakfast. Their hands were not washed with running water and soap prior to food being served to them. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
General: Based on Observation, it was found that five (5) highchairs in the Toddler classroom were not equipped with the manufacturer required safety straps. Transportation Not Applicable Food Service/Food Program Not Applicable Food Service In Compliance Children's Records Not In Compliance
General: Based on Review of Documentation, it was found that out of ten (10) children's files reviewed, three (3) of the files did not contain information regarding the parent's preferred hospital. Two (2) of the files listed "closest" and one (1) of the files was blank for this information. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance
General: Based on Review of Documentation, it was found that the files for two (2) eligible employees did not contain evidence of an annual professional development plan being completed. Posted Documentation Not In Compliance
General: Based on Observation, it was found that the schedule of daily activities posted in the Toddler classroom was not dated. Animals Not Applicable
General: Based on Review of Documentation, it was found that a staff person with a hire date of 03/10/2003 did not have evidence of pediatric abusive head trauma training or the fifteen (15) hours of cabinet-approved early care and education training. A review of ECE-TRIS confirmed this. This staff person was observed to be caring for ten (10) three (3) year olds. It was also found that a staff person with a hire date of 04/19/2016 had no evidence of pediatric abusive head trauma training. A review of ECE-TRIS confirmed this. Programming In Compliance Premises Not In Compliance
General: Based on Observation, it was found that there were several black stains on the carpets in the Math and Science room, in the Block room and in the Big room. It was also found that trim was missing around the wall in several areas in the Big room. There was observed to be chipped paint on the walls in the Big room, Infant room and in the Reading room. There was observed to be a hole in the corner of the wall in the Reading room. The green wall in the Big rom was observed to contain several scuff marks all along the wall. Hygienic Practices Not In Compliance
General: Based on Observation, it was found that a slat was broken on the white fence leading to the playground. Equipment In Compliance Transportation Not Applicable Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance
General: Based on Review of Documentation, it was found through a review of fourteen (14) staff files that three (3) staff files did not have documentation of a annual professional development plan.
General: Based on Observation, it was found that the civil penalty issued by the cabinet during the current licensure year was not posted. Animals Not Applicable
General: Based on Review of Documentation, staff hired on 10/30/14 did not have a current evaluation on file. The director acknowledged the finding.
General: Based on Review of Documentation, staff rehired on 05/02/16 did not have the results of a child abuse and neglect check on file. The staff person was found working with children alone in the classroom. The director stated that the results should be back any day now.
General: Based on Review of Documentation, staff hired on 05/02/16 and 04/19/16 did not have education documentation on file. The director acknowledged this finding.
General: Based on Observation, there were two (2) bottles with no labels in the refrigerator in the infant classroom. The director acknowledged this finding.
General: Based on Review of Documentation, staff hired on 07/31/06 did not have a current professional development plan on file. The director acknowledged the finding.
Based on review of documentation, the time of the drill was not included on the Earthquake and Tornado drill documentation.
Based on review of documentation, the time of the drill was not included on the Fire drill documentation.
General: Based on Observation, there were several torn books in the Two (2) year old classroom.
General: Based on Review of Documentation, staff member hired on 04/18/13 did not have the required nine (9) hours of cabinet approved training on file. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming
General: Based on Review of Documentation, the child abuse and neglect policy was not on file. 195 - Requirements for Nontraditional Care Not Applicable 922 KAR 2:120. Section 2. Child Care Services. (11) If nontraditional hours of care are provided: (a) Including time spent in school, a child shall not be permitted to spend more than sixteen (16) hours in the child-care center during one (1) twenty-four (24) hour period; (b) At least one (1) staff member shall be assigned responsibility for each sleeping room; (c) A child present for an extended period of time during waking hours shall receive a program of well-balanced and constructive activity that are developmentally appropriate for the child; (d) A child sleeping three (3) hours or more shall sleep in: 1. Pajamas; or 2. A nightgown; (e) If a child attends school from the child-care center, the child shall be offered breakfast;
General: Based on Review of Documentation, a current copy of the state licensing regulations were not on file. The copy at the facility was dated 2009.
General: Based on Review of Documentation, staff hired on 04/14/14 and 08/26/94 had TB skin tests on file that exceeded the two (2) year time frame.
General: Based on Review of Documentation, there was no disaster plan presented at the time of the survey that included the requirements listed in KRS 199.895.
Infants: Based on Review of Documentation, it was found that there was no hand washing procudure posted in the infant/toddler bathroom used for hand washing. Animals 319 - Animal Requirements Not Applicable 922 KAR 2:120 - Section 13 (1) Animals shall be: (a) Supervised by an adult if in the presence of a child in care; and (b) Certified as properly vaccinated against rabies. 1) Supervised Not Applicable 2) Vaccinated Not Applicable 321 - Prohibited Animals Not Applicable 922 KAR 2:120 - Section 13 (3) Except if used as planned program activity in the control of an animal specialist, an animal that is considered undomesticated, wild, or exotic shall not be allowed at a child-care center. 1) Undomesticated Not Applicable 2) Wild Not Applicable 3) Exotic Not Applicable C.O. 13 - Corporation/ LLC/ Partnership 922 KAR 2:090 - Section 4 (3) If the applicant for licensure is a: (a) Corporation or a limited liability company, the application shall include a current certificate of existence or authorization from the Secretary of State; or (b) Partnership, the application shall include a written statement from each partner that the partnership is current and viable. 1) Corporation/LLC statement Not Inspected 2) Partnership statement Not Inspected
Infants: Based on Observation, it was found that the play pens used for napping were less than twelve (12) inches apart.
General: Based on Review of Documentation, it was found that three (3) staff files out of sixteen (16) staff files reviewed did not have evidence of proof of education. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 40 Web site: http://chfs.ky.gov/ Inspection Report
General: Based on Review of Documentation, it was found that one (1) child's file out of ten (10) reviewed, did not have evidence of a current immunization certificate.