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License #L355266 · Center · Licensed
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General: Based on interview and review of documentation, there was no statement of deficiency and corresponding plan of correction posted from the renewal survey conducted in 2025.
General: Based on review of documentation, one (1) staff member (DOH: 02/24/20) only completed two (2) of the required fifteen (15) hours of annual training for the year dated 07/01/23 to 06/30/24. A review of ECE-TRIS confirmed this finding.
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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 review of documentation, one (1) staff member (DOH: 02/24/20) had a background check that had expired as of 02/27/25. At the time of survey, the renewal process had not been started. It should be noted that the staff member was not working on-site.
General: Based on review of documentation, of the ten (10) children's enrollment files presented for inspection, zero (0) of those files contained a contact telephone number for their preferred hospital.
General: Based on review of documentation, this regulation was not met. The center must maintain employment status of the employees listed in KARES. There was several staff listed in KARES that no longer work at this center and none of the staff working at this location were listed in KARES under this license. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records In Compliance 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 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation Not In Compliance
General: Based on review of documentation, there was no documentation of the facility's Emergency Preparedness Plan for review on the day of inspection. Posted Documentation In Compliance Animals Not Applicable
This renewal application inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on review of documentation, this regulatory requirement was not met. Four staff did not have current evaluations on file. These staff were hired on 8/17/2017, 8/23/2020, 8/22/2020, and 2/10/2021. Employee Records In Compliance 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 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. Three staff did not have current professional development plans on file. These staff were hired on 8/17/2017, 8/22/2020, and 2/10/2021. Posted Documentation Not In Compliance
General: Based on observation, this regulatory requirement was not met. The statement of deficiency and plan of correction from the renewal inspection conducted on 8/18/2021, was not posted for public view. Animals In Compliance
General: Based on review of documentation and the Training Records Information System (TRIS), one staff person (hire date: 8/14/19) did not complete the required 15 hours of cabinet-approved training hours between 7/1/2020 and 6/30/21. 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 Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. A letter from the DRCC office stating the facility had submitted an acceptable plan of correction and would be recommended for relicensure was posted; however, the statement of deficiency and plan of correction from the 3/9/20 renewal inspection was not posted. Animals Not Applicable
General: Based on interview and review of documentation, one staff member with an unknown date of hire did not have a personnel file available for review. The staff person stated that she believes that her file is kept at the YMCA Central office. The following documents were not maintained at the facility for this individual: date of employment, proof of educational qualifications, documentation of compliance with tuberculosis screening, and results of National background check. The surveyor searched this individual on the KARES portal and noted that the application was withdrawn on 12/11/2019, after clearing the Kentucky and National Sex Offender search as well as the Kentucky Child Abuse Network Registry. The surveyor did not see any evidence that the staff member’s fingerprints had been submitted to the National Background Check Service for analysis. The surveyor did not observe this staff member to be working alone.
General: Based on interview and review of documentation, there was no written documentation of staff meetings available for review. The staff person in charge stated that the staff meetings had been conducted, but she did not have the documentation at the facility.
General: Based on observation, interview and review of documentation, one staff member with an unknown date of hire did not have evidence of submitting fingerprints for the National Background Check Program. The individual had cleared the Kentucky and National Sex Offender screening, but the KARES portal reflects that the application was withdrawn on 12/11/19. There was no evidence in the employee's file, nor reflected on the KARES portal that this individual had submitted fingerprints for the National Background Check service. The surveyor did not observe this staff member working alone. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements Not In Compliance
General: Based on observation and review of documentation, the emergency preparedness plan was last updated 09/26/2017.
General: Based on observation and review of documentation, two children with an enrollment date of 08/15/2018 did not have required proof of current immunization or exemption on file.
General: Based on observation and review of documentation, staff with hire dates of 12/27/2018 and 09/04/2018 did not have required proof of education on file. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Children's Records Not In Compliance
General: Based on observation and review of documentation, child with enrollment date of 08/15/2018 did not have required physicians contact information on file. Child with enrollment date of 03/182019 did not have preferred hospital listed in file. Written Documentation Not In Compliance
General: Based on Review of Documentation, staff hired 05/18 was working alone in the gymnasium with eight (8) school age children. There was no background check paperwork on file for her at the facility and no indication on the Kentucky National Background Check Service website that paperwork had been submitted on her. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Staffing Requirements In Compliance Director Requirements In Compliance Employee Records Not In Compliance
General: Based on Observation, staff hired 05/18 was working alone in the gymnasium with eight (8) school age children. There was no background check paperwork on file for her at the facility and no indication on the Kentucky National Background Check Service website that paperwork had been submitted on her.
General: Based on Review of Documentation, staff hired on 05/03/18 did not have education documentation on file.
General: Based on Review of Documentation, staff hired on 02/09/17 did not have the required fifteen (15) hours of cabinet approved training on file. Staff hired on 10/30/17 and 10/18/17 did not have the required Orientation I and II on file within ninety (90) days of employment. This informatin was verified through 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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, staff person hired on 10/30/17 had a child abuse and neglect check on file showing that it was submitted on 10/26/17 but there were no results on file. This staff person took a child to the bathroom at 3:15pm and returned at 3:25pm. 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 Review of Documentation, staff hired on 10/30/17 had a child abuse and neglect submitted on 10/26/17 but no results were found in the file. This staff member did take a child to the bathroom alone during the survey. Staff hired on 02/09/18 had a child abuse and neglect check submitted on 02/08/18 but no results were found in the file. This staff person was not present the day of the survey. Supervision Not In Compliance
General: Based on Observation, it was found that during the survey one (1) staff person was left alone with thirty-one (31) children ages five to eleven (5-11)years. The classroom was out of ratio and over group size for approximately two (2) minutes. In addition, during the survey, two (2) staff were observed to be supervising thirty-two (32) children ages five to eleven (5-11)years. The classroom was out of ratio and over group size for approximately one (1) minute. General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance
General: Based on Observation, it was found that the posted menu was for the last week of April 2017. Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on Review of Documentation, it was found that the file and ECE-TRIS record for an employee hired on 11-16-15 did not contain evidence of the cabinet approved six- hour orientation training being completed. In addition, the file and ECE-TRIS record for this same employee contained evidence of zero (0) hours of training being completed during the first year of employment. 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 Not In Compliance
General: Based on review of documentation and the training records information system (TRIS), the surveyor found that three (3) staff (hire dates: 8/25/15, 9/22/15, and 11/9/15) have not completed the required six (6) hour orientation training. (2) A staff person hired on 11/11/14 only completed 13.5 hours of training. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming
General: Based on review of documentation and interview, the surveyor found that a staff person was hired 10/2/14 but left employment months later. The staff person stated that she was re-hired but could not remember the date of re-hire. File review found that this staff person has lived out of state within the past five (5) years. New background checks were completed (CRC-9/2/15 and CA/N- 8/26/15);however, a new out of state background check was not completed. The out of state background check that was on file was dated 9/24/14. It is important to note that this staff person was not working alone during the inspection.
This renewal application inspection recorded no violations or advisories.
This follow-up inspection recorded no violations or advisories.
General: Based on Observation, the facility failed to ensure that a child not be required to stand or sit for a prolonged period of time during an activity or while waiting for and activity to start. At the time of survey, thirty-six (36) children were required to sit at tables from approximately 2:50 p.m. until 4:00 p.m. while waiting for activities or afternoon snack. The surveyor did not observe any planned programming during this time frame. The surveyor did observe bowls of grapes and several bags of pretzels on a table behind the groups of children. The staff member in charge stated that the children would work on homework, and then wash their hands before snack. The surveyor observed groups of ten (10) to eleven (11) children walk to the toilet room to wash their hands. The surveyor observed that the groups of children were escorted to the toilet room individually, and then escorted back to the tables located in the space used for child care. The surveyor did not observe any type of activity provided to the children while waiting to wash their hands, or while waiting for the designated homework time to end. The surveyor only observed one (1) child in a group of thirty-six (36) work on homework. The surveyor observed children hitting one another, crawling under the tables, and yelling. The surveyor did not observe the afternoon snack being served to the children during the time frame of 2:50 p.m. and 4:00 p.m. Premises
General: Based on Observation, the facility failed to maintain a minimum of thirty-five (35) square feet of space per child. At the time of survey, thirty-six (36) children were confined to a hallway space of approximately 432 square feet. The minimum square footage of space needed for thirty-six (36) children would be 1,260 square feet. The space used for child care measured twelve (12) feet in width and thirty-six (36) feet in length. In this space were three (3) rectangle spaced table with attached seating. Thirty-two (32) of the children in care were required to sit at the rectangular shaped tables, while four (4) of the children in care sat in the floor behind the tables. In the area where the tables met directly across from each other, there was only approximately six (6) inches of walking space between the two (2) tables. Children and staff were observed climbing across the chairs of the tables to access space behind the tables. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report
General: Based on Observation, ten (10) children failed to wash their hands with liquid soap and warm running water upon arrival into the after school program space.
General: Based on Review of Documentation, staff member with hire date 03/25/2013 failed to complete six (6) hours of cabinet approved orientation within the first three (3) months of employment. The staff member completed Orientation I and II on 10/30/2013. Based on review of documentation, staff member with hire date 09/09/2013 could not present evidence of completing Orientation I and II. 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 Observation, the facility failed to provide two (2) components to two (2) children during afternoon snack. The posted menu listed turkey and bread as the snack for 03/11/2014. The facility ran out of turkey before serving two (2) children an afternoon snack. The facility served one (1) breadstick to each of the children. A serving of milk, protein, fruit, vegetable, or 100% juice was not served to the children. 1065 - Lunch/Dinner Requirements Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (19) Lunch and dinner shall include: (a) Milk; (b) Protein; (c) Bread; and (d)1. Two (2) vegetables; 2. Two (2) fruits; or 3. One (1) fruit and one (1) vegetable. Children's Records
This renewal application inspection recorded no violations or advisories.
This renewal application inspection recorded no violations or advisories.
General: Based on review of documentation, one staff member with an unknown hire date did not have proof of educational qualifications available for review.
General: Based on review of documentation, three children did not have an immunization record on file.
General: Based on review of documentation, one staff member with an unknown date of hire did not have evidence of submitting fingerprints for the National Background Check Program. The individual had cleared the Kentucky and National Sex Offender screening, but the KARES portal reflects that the application was withdrawn on 12/11/19. There was no evidence in the employee's file, nor reflected on the KARES portal that this individual had submitted fingerprints for the National Background Check service. The surveyor did not observe this staff member working alone.
General: Based on observation, the children placed their personal belongings into laundry baskets lined against a wall; several of the children’s coats and jackets protruded from the baskets and touched one another. This method of storage promotes cross contamination of germs. Employee Records Not In Compliance
General: Based on review of documentation, one staff person with an unknown date of hire did not have an employee file available for review. The facility was unable to present a physician’s statement clearing this individual of active tuberculosis, or a negative tuberculin skin result. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report
General: Based on review of documentation, one staff member completed one out of fifteen hours of cabinet-approved early care and education training for the last full year of employment. A review of ECE-Tris supports this finding. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication Not In Compliance
General: Based on observation, the first aid kit did not contain a flashlight, cold pack, or a first aid instruction booklet. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance
General: Based on review of documentation, there was not a menu posted or available for review detailing the food components served. 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, one child did not have enrollment information available for review including: parent contact, family physician contact, preferred hospital, authorized pick-up, medical history, permission to seek emergency care, and identifying information. The surveyor was unable to verify if the child had been enrolled more than 30 days, and therefore would be required to maintain an immunization record. The child was present at the facility during the inspection. Written Documentation Not In Compliance
General: Based on review of documentation, the evacuation plan reviewed was not dated and did not have evidence of being submitted to the local emergency management authority. Additionally, the form was incomplete. Posted Documentation Not In Compliance
General: Based on observation and interview, the facility license was not posted or available for review. The staff person in charge stated that she believes that the original is located at the YMCA central office. Animals In Compliance
General: Based on observation and review of documentation, a current copy of state regulations was not in file or available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted Documentation Not In Compliance
General: Based on observation and review of documentation, the most recent statement of deficiencies, plan of correction and license were not posted as required. Animals Not Applicable
General: Based on Observation, there were two (2) staff present in the cafeteria with twenty seven (27) children ranging in age from five to twelve (5-12) years of age on the day of the survey. At 3:18pm one (1) of the staff took a child to the bathroom leaving the other staff person alone with twenty six (26) children. The staff person returned to the cafeteria with the child at 3:25pm. General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance
General: Based on Review of Documentation, the director's file was not present the day of the survey. An interview with the site director stated that it was not available for review. The director was not present at the time of the survey.
General: Based on Review of Documentation, child enrolled on 08/17/17 had no immunization expiration date listed on file. Child enrolled on 07/26/17 had no immunization record on file. Child enrolled on 08/01/17 had an expired mmunization record on file. Written Documentation Not In Compliance
General: Based on Review of Documentation, staff hired on 02/09/17 did not have a professional development plan on file.
General: Based on Review of Documentation, there was no documentation on file showing a fire drill was conducted for September, October, November, December of 2017 or for January or March of 2018. There was no documentation on file showing that an earthquake and tornado drill had been conducted at all for 2017. Posted Documentation In Compliance Animals In Compliance
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. Employee Records Not In Compliance
General: Based on Review of Documentation, it was found that the file for an employee hired on 1-31-17 contained evidence of submission for a central registry check, however, the results had reportedly not yet been received. In addition, this employee reported that she lived in California as recently as June 2016. Her file did not contain evidence of submission for or a completed background check from California. This employee reportedly does not work alone with children. She has been employed at the facility for more than ninety (90) days. The file for an employee hired on 7-1-16 contained evidence of a criminal records check being completed, however, the second page of the report was missing, therefore the results could not be reviewed. This employee does not work alone with the children.
General: Based on Interview, it was found that the program gets its snack from the Fayette County Public School Nutrition Program. A food service permit for this entity was not available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report
General: Based on review of documentation and interview, two (2) staff (hire dates: 3/19/16 and 8/25/15) did not have proof of education on file at the time of the investigation. The staff person in charge indicated that the documentation may be on file at the YMCA central office.
General: Based on review of documentation, three (3) staff (hire dates: 11/9/15, 1/8/16, and 2/11/16) did not have TB skin documentation on file; therefore, the surveyor could not verify if the staff were free of active tuberculosis. (2) A staff person hired on 9/22/15 had TB skin documenation oon file that was dated 10/5/15. The TB skin test was not completed prior to hire.
General: Based on Observation, the facility failed to provide a daily planned program that offers a variety of creative activities including art, music, dramatic play, stories and books, science, block building, tactile activity, and culture. At the time of survey, thirty-six (36) children were observed playing with one (1) spider man puzzle, three (3) toy wrestling figurines, and two (2) Ninja Turtle figurines. Several children were observed without any offering of activity from approximately 2:50 p.m. until 4:00 p.m. The staff member in charge reported that the programming materials had been placed into storage by James Lane Allen Elementary personnel, and that the programming materials were inaccessible to the child care program.
General: Based on Interview, the facility failed to make necessary provisions within Kentucky Child Care Regulations to avoid interference with the child care program. At the time of survey, the cafeteria area of James Lane Allen Elementary school, used for licensed child care space was inaccessible to the child care program. The staff member in charge reported that the James Lane Allen Elementary school was utilizing the cafeteria area for a family event held after school hours, but during child care operation hours. The cafeteria area had been inaccessible to the child care program on 04/09/2014 as well. The staff member in charge reported that the cafeteria area would remain inaccessible to the child care program until 04/17/2014 or 04/18/2014. The reporting staff stated that the James Lane Allen Elementary school informed the program that the cafeteria area would be inaccessible to the child care program on 04/07/2014. At the time of survey, the child care program had been operating in a hallway space outside of the cafeteria area. The space in use by the child care program failed to meet the minimum square footage requirements for the number of children present. The staff member in charge also reported that the programming materials used for the child care program had been placed into storage by the James Lane Allen Elementary school and were inaccessible to the child care program.
General: Based on Observation, the facility failed to follow a program of activities. During the time of survey, the surveyor observed the children were provided with an assortment of books for approximately thirty (30) minutes. The books were the only activity provided to the children. The surveyor observed that the majority of the children were not reading the books. The surveyor observed children running around tables, sitting on tables, hitting one another, and yelling. The surveyor observed that from 2:35 p.m. until 5:00 p.m. the following activities were not provided to the children of the younger group: art, music, dramatic play, science, block building, tactile activity, culture, or quiet activity. The surveyor observed that from 2:35 p.m. until 5:00 p.m., the following activities were not provided to the children of the older group: art, music, dramatic play, block building, tactile activity, culture, or quiet play.
General: Based on Observation, the facility failed to post information on the Kentucky Consumer Product Safety Program and the program's website.
TYPE B CITATION: Based on Observation, the facility failed to provide supervision at all times. The surveyor observed one (1) child flip over a chair and leave the cafeteria area. The child was unsupervised for approximately one (1) minute. The staff members did not observe the child leave the space. The surveyor informed the staff member in charge that a child had left the cafeteria. Once the child left the cafeteria, the child was no longer within scope of vision or range of voice.
General: Based on Observation, the facility failed to ensure that the outdoor play area shall be safe from foreseeable hazard. At the time of survey, the surveyor observed an orange construction fence separating the playground from a construction area on the school property. The fence had fallen, leaving the construction area accessible to children using the outdoor play area. The fence had been posted by approximately twelve (12) metal dowels sticking out from the ground. The dowels were posted in the ground along the proximity of the outdoor play area and presented a potential hazard to the children. The following items were located near the outdoor play area: rusted, metal wire fencing, plastic debris, and pieces of metal pipes. These items were located on the construction site, however, were accessible to children using the outdoor play area.
General: Based on Observation, the facility failed to ensure that a child shall not be required to sit for a prolonged period of time while waiting for an activity to start. The surveyor observed children in the younger age group were required to wait for approximately ten (10) minutes between afternoon snack and transition outside. The children were not given an activity while waiting. The surveyor observed children in the older group were required to wait approximately ten (10) to fourteen (14) minutes in between afternoon snack and a planned activity to begin. The children were not given an activity while they waited. The children were observed running around tables, sitting on tables and hitting one another.
General: Based on Observation, the facility failed to ensure that the following items were inaccessible to children enrolled in the program: one (1) pressure washer machine was located along the cafeteria wall, two (2) floor buffer machines were located along the cafeteria wall, one (1) roll of green trash bags located on the top of a cooler, two (2) staff purses located on a stack of black mats, one (1) bottle of PortionPac Gemicidal Detergent with a manufactory label that read “Keep out of reach of children” was located on a rolling cart in the middle of the cafeteria, two (2)bottles of SFSPac Sanitizer wth a manufactory label that read “Keep out of reach of children” located behind the podium at the back of the cafeteria, four (4) used mop heads with debris within the fabric, one (1) bottle of GermX Hand sanitizer with a manufactory label that read “Keep out of reach of children” was located on a short file cabinet in the stage area, two (2) paper cutting tools located on the stage area, one (1) die cut machine located on the stage area. At the time of survey, the surveyor observed approximately three (3) children access the stage area. At the time of survey, the surveyor observed two (2) children playing with one (1) of the floor cleaner machines. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 10 of 26 Web site: http://chfs.ky.gov/ Inspection Report
General: Based on Observation, the facility failed to ensure the premises of the cafeteria and stage area were clean. At the time of survey, the surveyor observed a thin layer of dirt accumulated on the top of equipment and furnishings. These furnishings include: one (1) piano, one (1) cooler, one (1) filing cabinet, a stack of black mats, and one (1) table located at the back of the cafeteria.
General: Based on Observation, the facility failed to ensure that the walls of the cafeteria area were smooth and in good repair. The surveyor observed two (2) pieces of plywood, nailed to the side wall of the cafeteria. The wall was located near the front exit. The surveyor observed that the top section of plywood had broken at the bottom, left corner. The break had caused sharp pieces of plywood to be exposed. Also, the surveyor observed four (4) holes on the side of the bottom concrete step of the stage. The holes were approximately six (6) inches by five (5) inches in size. The holes contained exposed pipes and wires.
General: Based on Review of Documentation, the facility failed to maintain a current immunization certificate for a child enrolled on 08/18/2013. The child's immunization certificate expired on 01/17/2014.
General: Based on Observation, the facility failed to post a schedule of daily activities that include dates the activities were to be conducted with the children in the program. The facility did post a program of daily activities, however, it was not dated. 1170 - Diapering/Handwashing Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (9) The proper methods of diapering and hand-washing shall be posted at each diaper changing area. Animals