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Home › KY › London › Kountry Kids Childcare
1070 N. Laurel Road, London KY 40741 · License #L381182 · Center · Licensed
When they operate
Schedule type not published.
Ages served
922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.
General: Based on observation, the survyeor discoved there was dirty debris on the climbing struture and slide located in the Two-Year-Old Classroom.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor discovered that there was insufficient amount of protectived surface (mulch) around the climbing structures.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on review of documentation, the surveyor learned that a staff member (DOH:07/12/19) was listed on the child-cares KARES report as expired; therefore, the staff member did not have a completed eligible background check. The surveyor observed the staff member working alone with seven (7) children age ranging from five to nine (5-9) years old.
Open Not marked corrected in the state record
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
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 10/17/2025 AND AS OF 11/11/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation, the surveyor discovered that the child-care center had a policy that stated all staff would be certified in CPR and First Aid within the first thirty (30) days of employment. After reviewing staff files, the surveyor found that the eight (8) staff members that are employed at the child-care center are not certified in CPR and first aid.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation and review of documentation, the surveyor discovered the following: 1. A staff member's file (DOH: 03/11/13) did not contain a staff evaluation. 2. A staff member's file (DOH: 10/15/18) did not contain a staff evaluation. 3. A staff member's file (DOH: 07/12/19) did not contain a staff evaluation. 4. A staff member's file (DOH: 09/14/22) did not contain a staff evaluation. 5. A staff member's file (DOH: 05/19/22) did not contain a staff evaluation. 6. A staff member's file (DOH: 11/21/22) did not contain a staff evaluation.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, the surveyor witnessed a staff member working alone in the School Age Classroom with seven (7) children present. The children ranged in age from five to nine (5-9) years old. After reviewing documentation of the child-care center's KARES report, the surveyor learned that the staff member (DOH: 07/12/19) had an expired background check.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor learned that a staff member (DOH: 04/28/25) did not have proof of educational documentation in her personnel file; therefore, the surveyor could not determine the staff member's education.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor discovered the following: 1. A staff member's (DOH: 03/11/13) file contained a negative tuberculin (TB skin test) dated for 04/29/22; therefore, the TB verification was no longer current. The surveyor was unable to verify if the staff person was free of active tuberculosis. 2. A staff member's (DOH: 03/11/13) file contained a negative TB skin test dated for 04/29/22; therefore, the TB verification was no longer current. The surveyor was unable to verify if the staff person was free of active tuberculosis. 3. A staff member's (DOH: 10/15/18) file contained a negative TB skin test dated for 04/29/22; therefore, the TB verification was no longer current. The surveyor was unable to verify if the staff person was free of active tuberculosis. 4. A staff member's (DOH: 07/12/19) file contained a negative TB skin test dated for 03/04/22; therefore, the TB verification was no longer current. The surveyor was unable to verify if the staff person was free of active tuberculosis. 5. A staff member's (DOH: 05/19/22) file contained a negative TB skin test dated for 05/21/22; therefore, the TB verification was no longer current. The surveyor was unable to verify if the staff person was free of active tuberculosis. 6. A staff member's (DOH: 11/21/22) file contained a negative TB skin test dated for 11/14/22; therefore, the TB verification was no longer current. The surveyor was unable to verify if the staff person was free of active tuberculosis. 7. A staff member's (DOH: 09/14/22) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative TB skin test results for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor learned that there was no CPR and First Aid coverage during the time of the survey. After reviewing all staff files, there was only one (1) staff member that was certified in CPR and First Aid and that staff member was not present during the time of the inspection.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and ECE-TRIS, the surveyor discovered the following: 1. A staff member (DOH: 03/11/13) completed eleven and one-half (11.5) of the required fifteen (15) hours of cabinet-approved early care and education training completed between July 1 and the following June 30 of each subsequent year of employment. 2. A staff member (DOH: 07/12/19) completed one and one-half (1.5) of the required fifteen (15) hours of cabinet-approved early care and education training completed between July 1 and the following June 30 of each subsequent year of employment. 3. A staff member (DOH: 09/14/22) completed five (5) of the required fifteen (15) hours of cabinet-approved early care and education training completed between July 1 and the following June 30 of each subsequent year of employment.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the surveyor discovered, what appeared to be a round pill, located on the floor of the School-Age Classroom.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor discovered the following: Preschool Restroom: 1. There was dirt and brown debris on the baseboards; therefore, the baseboards were not kept clean. 2. There were areas on the baseboards that were missing; therefore, the baseboards were not in good repair. Two-Year-old: 1. There was food debris located on the floor.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor discovered a live cockroach underneath the changing pad located in the Nursery. During interview, the staff-in-charge stated that the center had been sprayed for pest a few days prior to the inspection.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor discovered the following: Preschool Restroom: 1. There was a black substance on the changing pad; therefore, the changing pad was not clean. One-Year-Old: 1. There was mulch located on the changing pad; therefore, the changing pad was not clean. Two-Year-Old: 1. There was dirt and food debris underneath the changing pad. 2. There were what appeared to be used gloves placed on the changing pad. 3. There was a black and brown substance on the changing pad.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the surveyor discovered the following: Kitchen: 1. There was a black substance on the bottom of the refrigerator; therefore, the refrigerator was not kept clean. Nursery: 1. There was debris on the bottom of the freezer; therefore, the freezer was not kept clean. 2. There was a brown substance on the bottom of the refrigerator; therefore, the refrigerator was not kept clean. One-Year-Old Classroom: 1. There was a white substance on the outside surface of the refrigerator.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor discovered the following: 1. A child's (DOE:09/12/16) file contained an immunization certificate current until 06/17/20. 2. A child's (DOE:09/27/18) file contained an immunization certificate current until 08/31/20. 3. A child's (DOE:08/11/21) file contained an immunization certificate current until 04/01/25. 4. A child's (DOE:04/02/21) file contained an immunization certificate current until 05/23/23. 5. A child's (DOE:08/10/22) file contained an immunization certificate current until 03/01/25. 6. A child's (DOE:08/03/20) file contained an immunization certificate current until 07/26/24. 7. A child's (DOE:07/03/23) file contained an immunization certificate current until 04/24/25. 8. A child's (DOE: 05/04/23) file contained an immunization certificate current until 08/10/23. The eight (8) immunization certificates were not longer current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 31 of 34 Inspection Report
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor discovered the following: 1. A child's (DOE:08/11/21) file did not contain a family physician's name and contact information, along with missing preferred hospital and contact information. 2. A child's (DOE:04/02/21) file did not contain a family physician's name and contact information, along with missing preferred hospital and contact information.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor discovered the following: 1. A staff member's file (DOH: 03/11/13) contained a professional development plan dated for 11/13/18; therefore, there was no completed professional development plan yearly. 2. A staff member's file (DOH: 03/11/13) did not contain a professional development plan. 3. A staff member's file (DOH: 10/15/18) did not contain a professional development plan. 4. A staff member's file (DOH: 07/12/19) did not contain a professional development plan. 5. A staff member's file (DOH: 09/14/22) did not contain a professional development plan. 6. A staff member's file (DOH: 05/19/22) did not contain a professional development plan. 7. A staff member's file (DOH: 11/21/22) did not contain a professional development plan.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor discovered that there was no documentation for fire drills conducted in the month of May 2025. During an interview with staff-in-charge, she stated that she was not sure if a fire drill was completed or not.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, of children's files, the surveyor discovered the following: 1. A child's (DOE: 02/09/2023) file did not contain an immunization certificate. 2. A child's (DOE: 09/25/2022) file did not contain an immunization certificate. 3. A child's (DOE: 09/01/2022) file did not contain an immunization certificate. Staff-in-charge reported that she would have parents bring in an up-to-date immuization certificate for their child.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation, the surveyor discovered the following: 1. A staff member's (DOH: 03/11/13) personnel file contained a written performance evaluation dated 11/12/18. 2. The personnel file for four (4) staff members (DOH: 05/19/22, 07/12/19, 02/02/18, & 11/21/22) did not contain a written performance evaluation. The surveyor was unable to determine if evaluations were completed annually. Staff-in-charge stated that the new evaluations were printed; however, the evaluations had not been completed. Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on review of documentation, the surveyor discovered that no date was entered in ECE-TRIS Individual Training Record report indicating that four (4) staff (DOH: 11/21/22, 01/18/23, 01/26/23 & 02/02/18) had received the training on first aid and cardiopulmonary resuscitation (CPR). During review of the staff member's personnel files, the surveyor did not find documentation indicating that staff had completed the training on first aid and cardiopulmonary resuscitation (CPR); therefore, the child-care center failed to ensure that every staff member has received training on first aid and cardiopulmonary resuscitation (CPR) as required. Staff-in-charge stated that she was unsure if staff had previously received training on first aid and cardiopulmonary resuscitation (CPR). An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor discovered the following: 1. Upon review of ECE-TRIS one (1) staff (DOH: 03/11/13) had completed thirteen (13) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 07/01/22 - 06/30/23. 2. Upon review of ECE-TRIS one (1) staff (DOH: 03/11/13) failed to complete any of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 07/01/22 - 06/30/23. 3. Upon review of ECE-TRIS one (1) staff (DOH: 07/12/19) had completed one (1) hour of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 07/01/22 - 06/30/23. 4. Upon review of ECE-TRIS one (1) staff (DOH: 11/21/22) had completed six (6) hours of the fifteen (15) required hours of cabinet-approved early care and education training for the review period 11/21/22 - 11/21/23. 5. No date was listed on the ECE-TRIS Individual Training Record Report for three (3) staff (DOH: 05/19/22, 07/12/19 & 11/21/22) indicating that the staff completed one and one- half (1 ½) hours of cabinet-approved pediatric abusive head trauma training; during review of employee personnel files, the surveyor did not find documentation indicating that staff completed cabinet-approved pediatric abusive head trauma training; therefore, the surveyor was unable to determine if the staff person completed the PAHT training every five years as required. 6. Based on review of ECE-TRIS, the surveyor discovered that one (1) staff member (DOH:03/11/13) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training (PAHT) on 03/05/18; therefore, the surveyor was unable to determine if the staff person completed the PAHT training every five years as required. 7. Based on review of ECE-TRIS, the surveyor discovered that one (1) staff member (DOH:03/11/13) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training (PAHT) on 03/05/18; therefore, the surveyor was unable to determine if the staff person completed the PAHT training every five years as required. 8. Based on review of ECE-TRIS, the surveyor discovered that one (1) staff member (DOH: 02/02/18) completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training (PAHT) on 11/29/18; therefore, the surveyor was unable to determine if the staff person completed the PAHT training every five years as required. 9. No date was listed on the ECE-TRIS Individual Training Record Report indicating that one (1) staff (DOH: 01/18/23) completed six (6) hours of cabinet-approved orientation training; during review of employee personnel files, the surveyor did not find documentation indicating that staff completed orientation training. 10. No date was listed on the ECE-TRIS Individual Training Record Report indicating that one (1) staff (DOH: 01/26/23) completed six (6) hours of cabinet-approved orientation training; during review of employee personnel files, the surveyor did not find documentation indicating that staff completed orientation training. Therefore, the child-care center failed to ensure that training was completed as required. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the surveyor discovered that the portable sink located between the One’s and Two’s Classrooms was filled with cans of Starbucks drinks; therefore, the personal items were accessible to the children. Staff confirmed through interview that the drinks belonged to staff members. Staff-in-charge stated that drinks belong to the staff. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor discovered the following: Preschool Restroom 1. A stepping stool used for the children to access the restroom's sink had dirt/grime inside the grooves. 2. A layer of dust on the wall above the door. Thus, the premises was not kept clean.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor discovered that a portable sink located between the One's and Two's Classrooms was not working. Staff members working in both classrooms indicated that the sink was not working. Through interview, staff-in-charge confirmed that the sink did not work. The surveyor was unable to determine if the sink was equipped with hot and cold running water that allows for hand washing or if the water temperature was within the required minimum ninety (90) degrees Fahrenheit and maximum one hundred and twenty (120) degrees Fahrenheit. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the surveyor discovered that the portable sink located between the One’s and Two’s Classrooms was filled with cans of Starbucks drinks. Staff working in the One’s and Two’s Classrooms both indicated that the sink was not working and confirmed they were only using hand sanitizer; therefore, the staff were not cleaning the children’s hands with liquid soap and warm water as required. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the surveyor discovered that the portable sink located between the One’s and Two’s Classrooms was filled with cans of Starbucks drinks. Staff working in the One’s and Two’s Classrooms both indicated the sink was not working and that they were only using hand sanitizer; therefore, the staff were not cleaning their hands with liquid soap and warm water as required. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, the surveyor discovered that three (3) cribs in the Nursery were placed end-to-end; therefore, the cribs were not spaced twelve (12) inches apart to allow free and safe movement by a person. 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 Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor discovered the following: 1. A child's (DOE: 06/11/17) immunization certificate was no longer current as of 01/31/19. 2. A child's (DOE: 09/22/14) immunization certificate was no longer current as of 04/20/19. 3. A child's (DOE: 09/12/16) immunization certificate was no longer current as of 06/17/20. 4. A child's (DOE: 07/22/20) immunization certificate was no longer current as of 09/30/20. 5. A child's (DOE: 07/06/23) immunization certificate was no longer current as of 07/20/23. 6. A child's (DOE: 10/04/18) immunization certificate was no longer current as of 08/31/20. 7. A child's file (DOE: 07/18/23) did not contain an immunization certificate. Therefore, the child-care center failed to maintain a current immunization certificate for the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor discovered the following: 1. The personnel files for one (1) staff (DOH: 03/11/13) contained a written annual professional development plan dated for 11/12/18; staff-in-charge could not locate a more recent plan. 2. The personnel file for one (1) staff (DOH: 03/11/13 ) contained a written annual professional development plan that was not dated. 3. The personnel file for four (4) staff (DOH: 05/19/22, 07/12/19, 02/02/18, & 11/21/22 ) did not contain a written annual professional development. Therefore, the surveyor was unable to determine if annual professional development plans were completed as required. Staff-in-charge stated that the plans had been printed; however, the plans were not complete.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview, staff-in-charge stated that the quarterly earthquake and tornado drills were conducted; however, they were not documented. Therefore, the child-care center failed to maintain a written record of the tornado and earthquake drills detailing the dates, times and children who participated in the drills. Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, the surveyor found one (1) staff person caring for nine (9) children in the Two-Year-Old Classroom. During interview, staff reported that all the children in the classroom were two (2) years old. Based on a review of children's records, the surveyor found that one (1) child in the classroom was twenty-three (23) months of age. Therefore, based on the age of the youngest child, the classroom was over the staff-to-child ratio by three (3) children. Staff reported that she did not realize that the child was under twenty-four (24) months old. General Administration Not In Compliance
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 13. Reports.
General: Based on observation, the surveyor found that forty-six (46) children were present during the surveyor’s visit on 08/02/23. Based on review of documentation of the sign in sheets, the surveyor learned that there were at least forty-nine (49) children signed into the center before 12:00 p.m. Therefore, the child-care center was over the maximum building capacity by six to nine (6-9) children. During interview with staff, the surveyor confirmed that the child-care center was over their maximum building capacity of forty (40) children. Staff reported that she has been trying to keep a closer eye on how many children are in the child-care center at one time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation on 08/02/23, the surveyor found the following: 1. There were nine (9) children present in the Two-Year-Old Classroom. Based on DRCC’s facility diagram, the classroom has a measured capacity for six (6) children; therefore, the classroom was over the room capacity by three (3) children. 2. There were fifteen (15) children present in the Preschool Classroom. Based on DRCC’s facility diagram, the classroom has a measured capacity for eleven (11) children; therefore, the classroom was over the room capacity by four (4) children. Staff reported that she did not realize there were forty-six (46) children present in the child-care center and that some of the classrooms were over capacity. Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor discovered the following: 1. A child’s (DOE: 11/09/2021) file did not contain an immunization certificate; therefore, the surveyor was unable to determine if the child was current on their immunizations. 2. A child’s (DOE:08/14/2022) file did not contain an immunization certificate; therefore, the surveyor was unable to determine if the child was current on their immunizations. 3. A child’s (DOE: 08/24/2021) file did not contain an immunization certificate; therefore, the surveyor was unable to determine if the child was current on their immunizations. Staff reported that she would have parents provide the child-care center with the children’s immunization certificates.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, the surveyor found one (1) staff person caring for nine (9) children in the Two-Year-Old Classroom. During interview, staff reported that all the children in the classroom were two (2) years old. Based on a review of children's records, the surveyor found that one (1) child in the classroom was twenty-three (23) months of age. Therefore, based on the age of the youngest child, the classroom was over the staff-to-child ratio by three (3) children. Staff reported that she did not realize that the child was under twenty-four (24) months old. This deficiency was also cited in Inspection #336566, Investigation #231348 as the child care center had two (2) investigations for staffing issues. General Administration Discussed Premises Discussed Children's Records Discussed
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation, the surveyor found the child-care center failed to document that the child-care center conducted staff meetings within the past year. During interview with staff-in-charge, she stated the child-care center did host staff meetings, but she did not document who attended the meetings and did not document what was discussed in the staff meetings.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 03/11/13) file contained an annual written performance evaluation dated for 11/12/18; therefore, the evaluation was not completed annually. 2. Two (2) staff's (DOH: 02/02/18 and 0/7/12/19) files did not contain a written performance evaluation; therefore, the surveyor was unable to determine that the evaluation was completed annually. During interview with staff-in-charge, she stated she begun writing evaluations the day prior; however, the evaluations were not completed. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation, the surveyor found the child-care center did not host at least one (1) parent/family involvement activity for the year 2022. During interview with staff-in-charge, she stated the child-care center did not host an event due to COVID-19. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found two (2) staff's (DOH: 09/20/22 and 11/21/22) files did not contain verification of a high school diploma, GED, or Commonwealth Child Care Credential.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found a staff’s (DOH: 09/14/22) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on review of documentation and ECE-TRIS, the surveyor found that four (4) staff (DOH: 03/11/13, 02/02/18, 05/19/22 and 09/20/22) did not complete the required cabinet approved training in first aid and cardiopulmonary resuscitation (CPR).
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and ECE-TRIS, the surveyor found the following, 1. A staff (DOH: 03/11/13) obtained ten and one-half (10 1/2) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 2. A staff (DOH: 02/02/18) obtained fourteen (14) hours of the required fifteen (15) hours of cabinet-approved early care and education training for the review period 07/01/21 – 06/30/22. 3. A staff’s (DOH: 07/12/19) file did not contain documentation of one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training; therefore, the training was not completed within one (1) year of employment. 4. A staff's (DOH: 07/12/19) file did not contain documentation that the staff completed the six (6) hours of cabinet-approved Orientation I & II training; therefore, the training was not completed within three (3) months of employment. 5. A staff's (DOH: 009/20/22) file did not contain documentation that the staff completed the six (6) hours of cabinet-approved Orientation I & II training; therefore, the training was not completed within three (3) months of employment. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found an orange substance that appeared to be crushed up Cheetos on the blue rug and underneath the table in the One-Year-Old Classroom; therefore, the area was not kept clean. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found the following: 1. Debris on the diaper changing table underneath the diaper changing pad in the Two Year Old Classroom; therefore, the diaper changing surface was not kept clean. 2. Debris on the diaper changing table underneath the diaper changing pad in the Preschool Classroom; therefore, the diaper changing surface was not kept clean. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the surveyor found a white bottle with no covering inside the refrigerator located in the One Year Old Classroom 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
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 04/02/22) file contained an immunization certificate that was no longer current as of 12/03/22. 2. The following children's (DOE: 05/02/22, 01/03/21, 09/25/22, 09/26/22, 09/26/22, 09/26/22, 09/26/22 and 10/19/22) files did not contain an immunization certificate. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found the following: 1. A child's (DOE: 04/02/22) file did not contain an enrollment form; therefore file did not contain contact information to enable a person in charge to contact the child’s parents, the name of each person who is designated in writing to pick-up the child, the name and telephone number of each person to be contacted in an emergency involving or impacting the child, authorization by the parent for the child-care center to seek emergency medical care for the child in the parent’s absence, the names of the child’s preferred hospital and family physician or contact telephone numbers for the child’s preferred hospital and family physician. 2. The following children’s (DOE: 09/25/22, 09/26/22, 09/26/22, 09/26/22 and 09/26/22) files did not contain the name or contact telephone number for the child’s preferred hospital. 3. The following children's (DOE: 05/02/22, 01/03/21 and 10/19/22) files did not contain the contact telephone number for the child's preferred hospital. 4. The following children's (DOE: 09/26/22, 09/26/22, 09/26/22, 09/26/22) files did not contain the contact telephone number for the child's family physician. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor reviewed twenty (20) children signed into the child-care centers on the daily attendance record; however, the surveyor observed thirty-two (32) children present at the child-care center during the surveyors visit.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 03/11/13) file contained a professional development plan dated for 11/12/18; therefore, the plan was not completed annually. 2. The following staff (DOH: 03/11/13, 02/02/18 and 07/12/19) file did not contain a professional development plan; therefore, the surveyor was unable to determine that the plan was completed annually. During interview with staff-in-charge, she stated she had begun working on all professional development plans on the day prior; however, the professional development plans were not completed.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found that the child-care center failed to conduct and document the quarterly required tornado, earthquake and lockdown drills for the year of 2022. During interview, the staff-in-charge stated she could not locate the documentation for the drills. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on review of documentation, the surveyor found the child-care center failed to conduct and document the monthly required fire drills for the year of 2022. During interview, the staff-in-charge stated that she could not locate the documentation for the drills. Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation, the surveyor found the folliwng: 1. The lesson plan in the One Year Old Classroom did not have a month listed and only had the year 2022 at the top of the page. 2. The lesson plan in the School Age Classroom was dated for 07/12/22 - 07/16/22. 3. There was no lesson plan posted in the Two Year Old Classroom. 4. The lesson plan in the Preschool Classroom was dated for May 2022. 5. The lesson plan in the Preschool Overflow Classroom was dated for November 2022. Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on review of documentation, the surveyor found a staff’s (DOH: 05/30/2021) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the staff member was listed as closed-fingerprints not taken; therefore, the staff person was hired prior to clearance for employment. The staff’s file contained a completed Child Abuse/Neglect Background Check (CAN) dated 05/21/2021. A Criminal Records Background Check (CRC) was not in staff’s personnel file. The surveyor observed staff working in the Two Year Old Classroom alone supervising five (5) children. During interview, staff reported she did not realize that the staff's fingerprints were not completed. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation, the surveyor found the following: 1. A staff's (DOH: 02/02/2018) file contained an annual written performance evaluation dated for 11/12/2018; therefore, the staff's evaluation was not completed annually. 2. A staff's (03/11/2013) file contained an annual written performance evaluation dated for 11/12/2018; therefore, the staff's evaluation was not completed annually. 3. A staff's (DOH: 07/12/2019) file did not contain an annual written performance evaluation; therefore, the staff's evaluation was not completed annually. 4. A staff's (DOH: 12/04/2019) file did not contain an annual written performance evaluation; therefore, the staff's evaluation was not completed annually. During interview, staff reported that she would complete the staff's evaluations.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, the surveyor observed a staff (DOH: 05/30/2021) working alone supervising five (5) two-year-old children in the Two Year Old Classroom. Based on review of documentation, the staff's file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the staff member was listed as closed-fingerprints not taken; therefore, the staff person was hired prior to clearance for employment. The staff’s file contained a completed Child Abuse/Neglect Background Check (CAN) dated 05/21/2021. A Criminal Records Background Check (CRC) was not in staff’s personnel file. During interview, staff reported she would have the staff complete her background check. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor discovered the following: 1. A staff's (DOH: 05/30/2021) file did not contain documentation of a high school diploma, GED, or Commonwealth Child Care Credential. 2. Two (2) staff (DOH: 02/07/2022) files did not contain documentation of a high school diploma, GED, or Commonwealth Child Care Credential. Staff reported she would get a copies of the staff's education documentation.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found the following: 1. A staff's (DOH: 05/30/2021) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative tuberculin result for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 2. A staff's (DOH: 07/12/2019) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative tuberculin result for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 3. A staff's (DOH: 12/04/2019) file did not contain a copy of a statement from a health professional stating that the individual was free of active tuberculosis or a copy of a negative tuberculin result for the staff person; therefore, the surveyor was unable to verify if the staff person was free of active tuberculosis. 4. A staff's (DOH: 02/02/2018) file contained a negative tuberculin result dated for 01/31/2018; therefore, the negative tuberculin result was no longer current. Staff reported she would update the staff’s negative tuberculin results for the staff’s files. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and ECE- TRIS, the surveyor found the following: 1. Two (2) staff (DOH: 03/11/2013) completed nine (9) of the required fifteen (15) hours of cabinet-approved early care and education training completed 7/1/2020 through 6/30/2021. 2. Staff (DOH: 02/02/2018) completed nine (9) of the required fifteen (15) hours of cabinet-approved early care and education training between 7/1/2020 through 6/30/2021. 3. Staff (DOH: 07/12/2019) completed nine (9) of the required fifteen (15) hours of cabinet-approved early care and education training between 7/1/2020 through 6/30/2021. 4. Staff (DOH: 12/04/2019) completed nine (9) of the required fifteen (15) hours of cabinet-approved early care and education training between 7/1/2020 through 6/30/2021. 5. Staff (DOH 12/04/2019) did not complete the required six (6) hours of cabinet-approved orientation training within their first three (3) months of employment in a child care program. 6. Staff (DOH 05/30/2021) did not complete the required six (6) hours of cabinet-approved orientation training within their first three (3) months of employment in a child care program. 7. Staff (DOH 07/12/2019) did not complete the required six (6) hours of cabinet-approved orientation training within their first three (3) months of employment in a child care program. 8. Staff (DOH: 07/12/2019) did not complete the required one and one-half (1 ½) hours of cabinet- approved pediatric abusive head trauma training within their first year of employment. 9. Staff (DOH: 12/04/2019) did not complete the required one and one-half (1 ½) hours of cabinet- approved pediatric abusive head trauma training within their first year of employment. Staff reported she thought the staff had completed their required hours of training. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found the following: 1. A rug located in the Two Year Old Classroom contained a dirt like substance; therefore, the rug was not clean. 2. The rainbow rug located in the Preschool Classroom contained a dirt like substance and was soiled; therefore, the rug was not clean. 3. A dirt type substance was in the floor of the School Age Classroom; therefore, the floor was not clean. Staff reported she would have the floors and rugs cleaned.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor discovered multiple holes in the drywall located underneath the window in the Two Year Old Classroom. Staff reported that she would have the wall repaired. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found a yellow substance in the toilet located in the preschool's restroom; therefore, the toilet was not kept clean. Staff reported she would talk to staff about ensuring the toilets are flushed. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found a plastic bag by the fence surrounding the air conditioner unit and a plastic bag on one of the kitchen toys located on the playground. Staff reported she would clean up the playground. Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the surveyor found that there were substances splattered on the refrigerators in the kitchen; therefore, the kitchen was not kept clean. Staff reported she would clean the kitchen.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the surveyor discovered a purple bottle with no covering inside the refrigerator located in the One Year Old Classroom. Staff reported she would have covers for the bottles with no lids. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Children's Records In Compliance Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor discovered that fifteen (15) children signed into the child-care center on the daily attendance record; however, the surveyor observed eighteen (18) children present at the child-care center. Staff reported that parents forget to sign their children into the child care center.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found the following: 1. A staff's (DOH: 03/11/2013) file contained a professional development plan dated for 11/12/2018; therefore, the plan was not completed annually. 2. A staff's (DOH: 02/02/2018) file contained a professional development plan dated for 11/12/2018; therefore, the plan was not completed annually. 3. A staff's (DOH: 03/11/2013) file contained a professional development plan that was not dated; therefore the plan was not completed annually. 4. A staff's (DOH: 07/12/2019) file did not contain a professional development plan; therefore, the plan was not completed annually. 5. A staff's (DOH: 12/04/2019) file did not contain a professional development plan; therefore, the plan was not completed annually. During interview, staff reported she would complete the staff's professional development plans. Posted Documentation In Compliance Animals Not Applicable
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on review of documentation, the surveyor found the following: 1. A staff (DOH: 09/22/20) file did not contain a completed Criminal Records background check. The staff file contained an original Child Abuse/Neglect background check only dated for 10/07/20. During interview, the Director stated that the staff member was a teacher and that the staff member has worked alone with children. The surveyor observed the staff member to be working alone with children in the Two Year Old Classroom. The Director stated that the staff member had a Criminal Records background check completed; however, the documentation was not available for review. Based on review of the Kentucky National Background Check Service, the staff person did not have a completed background check. 2. A staff (DOH: 02/24/20) file did not contain a completed Child Abuse/Neglect background check or Criminal Records background check. During interview, the Director stated that the staff member was a floater and that the staff member has not worked alone with children. The surveyor did not observe the staff member working alone with the children. The Director stated that the staff member submitted to a background check through the Kentucky National Background Check Service; however, the results are pending. Based on review of the Kentucky National Background Check Service, the staff person's background check showed in process. 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
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation, the surveyor found that the center’s liability insurance was no longer current as of 1/11/19. During interview with the Director, the surveyor was informed that the center's insurance is current; however, verification was not presented during the renewal survey.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 03/23/2021 AND AS OF 03/25/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 03/11/13) file contained an annual written performance evaluation dated for 11/12/18; therefore, the evaluation was not completed annually. 2. A staff’s (DOH: 10/20/15) file contained an annual written performance evaluation dated for 11/12/18; therefore, the evaluation was not completed annually. 3. A staff’s (DOH: 02/02/18) file contained an annual written performance evaluation dated for 11/12/18; therefore, the evaluation was not completed annually. 4. A staff’s (DOH: 12/07/19) file did not contain an annual written performance evaluation; therefore, an evaluation was not completed annually. 5. A staff’s (DOH: 07/12/19) file did not contain an annual written performance evaluation; therefore, an evaluation was not completed annually. Through interview with the Director, the surveyor learned the written performance evaluations were not available for review. Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 12/14/20) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. 2. A staff’s (DOH: 09/22/20) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. 3. A staff’s (DOH: 02/24/20) file did not contain verification of a High School Diploma, GED or Commonwealth Child Care Credential. Programming Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, the surveyor found a four-month-old child laying in a crib with a loose blanket. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found the following: 1. The carpet in the One Year Old Classroom contained debris and was stained. 2. The carpet in the School Age Classroom was stained. 3. A rug in the School Age Classroom contained debris and was stained. 4. One (1) round rug and one (1) square rug contained stains in the Four-Five Year Old Classroom. 5. One (1) square rug and one (1) round blue rug contained debris in the Two Year Old Classroom.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found the following: 1. The walls in the One Year Old Classroom contained stains. 2. The walls and baseboards in the Two Year Old Classroom contained stains.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found the following: 1. The toilet seat in the bathroom located between the School Age Classroom and the Four-Five Year Old Classroom moved easily and was not tightly secured to the toilet. 2. The toilet in the bathroom located between the Three-Four Year Old Classroom and the Four-Five Year Old Classroom contained urine inside the toilet bowl; therefore, the toilet was not clean. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on review of documentation, the surveyor was presented with a food service permit with an expiration date of 12/31/19. Through interview with the Director, the surveyor learned that a new food service permit has not yet been received in the mail. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the surveyor found two (2) refrigerators located in the kitchen that contained debris in the bottom shelf of the refrigerators; therefore, the refrigerators were not clean. Children's Records In Compliance Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found the following: 1. A staff’s (DOH: 03/11/13) file contained a professional development plan dated for 11/12/18; therefore, the plan was not completed annually. The surveyor was not presented with an updated professional development plan. 2. A staff’s (DOH: 10/20/15) file contained a professional development plan dated for 11/12/18; therefore, the plan was not completed annually. The surveyor was not presented with an updated professional development plan. 3. A staff’s (DOH: 02/02/18) file contained a professional development plan dated for 11/12/18; therefore, the plan was not completed annually. The surveyor was not presented with an updated professional development plan. 4. A staff’s (DOH: 03/11/13) file contained a professional development plan that was not dated; therefore, it could not be determined that the plan was completed annually. The surveyor was not presented with an updated professional development plan. 5. A staff’s (DOH: 12/07/19) file did not contain a professional development plan; therefore, a plan was not completed annually. The surveyor was not presented with an updated professional development plan. 6. A staff’s (DOH: 07/12/19) file did not contain a professional development plan; therefore, a plan was not completed annually. The surveyor was not presented with an updated professional development plan. Through interview with the Director, the surveyor learned that the professional development plans were not available for review. Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation presented, the surveyor found that the center’s liability insurance was no longer current as of 1/11/19. Director Requirements In Compliance Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation presented for review, the surveyor found: 1. One (1) staff (DOH: 07/12/19) file did not contain proof of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential and was not available for review during the renewal survey. 2. One (1) staff (DOH: 12/04/19) file did not contain proof of education in the form of a high school diploma, GED, or Commonwealth Child Care Credential and was not available for review during the renewal survey. During interview, staff stated that they have requested copies of the two (2) staff’s proof of education. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found the following: 1. One (1) staff (DOH: 03/11/13) file contained a negative tuberculin verification dated 01/19/17, which was no longer current. During interview, staff confirmed that the current documentation was missing. 2. One (1) staff (DOH: 10/14/17) file contained a negative tuberculin verification dated 06/13/17, which was no longer current. During interview, staff confirmed that the current documentation was missing. 3. One (1) staff (DOH: 12/01/18) file contained a negative tuberculin verification dated 03/31/17, which was no longer current. During interview, staff confirmed that the current documentation was missing. 4. One (1) staff (DOH: 12/04/19) file did not contain a copy of a negative tuberculin result or a statement from a health professional that the individual was free of active tuberculosis.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation presented for review and ECE-TRIS, the surveyor found the following: 1. Verification of only ten (10) hours of cabinet-approved early care and education annual training hours was found for staff (DOH: 03/11/13). 2. Verification of only ten (10) hours of cabinet-approved early care and education annual training hours was found for staff (DOH: 03/11/13). 3. Verification of only ten (10) hours of cabinet-approved early care and education annual training hours was found for staff (DOH: 10/20/15). 4. Verification of only ten (10) hours of cabinet-approved early care and education annual training hours was found for staff (DOH: 10/20/16). 5. Verification of only seven (7) hours of cabinet-approved early care and education annual training hours was found for staff (DOH: 02/02/18). 6. Verification of only ten (10) hours of cabinet-approved early care and education annual training hours was found for staff (DOH: 12/01/18). 7. No verification was found for staff (DOH: 07/12/19) had completed the six (6) hours of cabinet-approved orientation training. 8. No verification was found for staff (DOH: 12/01/18) had completed the one and one-half hours of cabinet-approved Pediatric Abuse Head Trauma (PAHT) in the first year of employment. During interview, staff stated that staff had taken trainings; however, they were not showing in ECE-TRIS. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation during a tour of the childcare center, the surveyor found dead bugs in the ceiling light fixture located in the restroom used by the children. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based review of documentation presented, the surveyor found that the center’s food permit number 78171 was outdated as of(12/31/19). During interview, staff stated that they have not received the new food permit. Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation presented, the surveyor found the following: 1. The most recent immunization certificate presented for surveyor review for one (1) child (DOE: 01/26/18) was no longer current after 09/30/18. 2. The most recent immunization certificate presented for surveyor review for one (1) child (DOE: 11/28/18) was no longer current after 06/15/19. 3. The most recent immunization certificate presented for surveyor review for one (1) child (DOE: 06/29/17) was no longer current after 11/04/18. 4. The most recent immunization certificate presented for surveyor review for one (1) child (DOE: 08/02/18) was no longer current after 09/26/19. 5. The most recent immunization certificate presented for surveyor review for one (1) child (DOE: 01/27/20) was no longer current after 02/01/20. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on review of documentation presented, the surveyor found the following: 1. The childcare center has a training policy that states, “You must at least complete 24 hours of training each year”. Upon interview, staff stated that she was not aware that there was training policy stating that and she will remove that information from policy. 2. The childcare center has a transportation clause stating the center would provide transportation in emergencies; however, the center is not approved for transportation of children. During interview, staff stated they would remove this information.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on observation, there were thirty-one (31) children present at the childcare center. However, based on review of documentation, there were only thirteen (13) children signed in on the daily attendance record. During interview, staff confirmed that eighteen (18) children’s arrival times were not documented when they were dropped off at the childcare center on 02/20/2020. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation presented, the surveyor found no written verification that the staff and children practiced a fire drill during January 2020. During interview, staff stated that the drill was not practiced during January.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on review of documentation presented, the surveyor found no written verification that the staff and children practiced a fire drill during January 2020. Staff confirmed through interview that the one (1) fire drill was not conducted. Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 12/04/2019 AND AS OF 12/06/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 12. Reports.
General: Based on observation and interview, the child care center failed to comply with regulatory requirements by failing to report an accident or injury to a child that requires medical care within twenty-four (24) hours from the time of discovery. Staff stated that she did not report the incident. Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
Based on interview with multiple individuals, a one-year-old child sustained unexplained injuries to his nose while at the child care center. The one-year-old child was following a staff person, when the staff person looked at the child, the child’s nose was red, had scratches on it, and was bloody. Due to the unexplained incident, the child’s health, safety, and comfort was compromised. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, the surveyor found the following: 1. A staff’s (DOH: 03/11/13) file contained a copy of a negative tuberculin result that was no longer current as of 01/20/17. 2. A staff’s (DOH: 10/20/15) file contained a copy of a negative tuberculin result that was no longer current as of 01/21/17. Staff stated they were not aware that the tuberculin results were no longer current. Programming Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.
General: Based on observation during a tour of the childcare center, the surveyor found that one (1) staff person was providing care for six (6) children. Through interview with the staff, the surveyor learned that the children were one and two-year-old children and that they had been in the mixed-age group for longer than one (1) hour. The surveyor found that two (2) staff persons were providing care for twelve (12) children. Through interview with the staff, the surveyor learned that the children were two and three year old children and that they have been in the mixed-age group for longer than on(1) hour. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation and interview, the surveyor found the most recent immunization certificate presented for review for one (1) child (DOE: 08/22/19) was no longer current after 04/10/19. Staff stated that the certificate was the most recent received for the child.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, the surveyor found that a staff’s (DOH: 12/1/18) High School Diploma, GED or Commonwealth Child Care Credential was not available for review during the renewal survey.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on review of documentation, the surveyor found that a staff (DOH: 12/1/18) had not submitted fingerprint verification to the National Background Check Program. Interview with the childcare center director confirmed that the staff person was hired prior to clearance for employment. The director stated that the staff person has not worked alone with the children. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation, the surveyor found that the center’s liability insurance was no longer current as of 1/11/19. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 6 Inspection Report Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation during the renewal survey, the surveyor found no verification that the childcare center director conducted staff meetings. Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and ECE-TRIS, the surveyor found the following: 1. No verification was found that a staff (DOH: 10/2/18) has completed six (6) hours of cabinet approved orientation training. 2. The surveyor found verification that a staff (DOH: 10/20/16) completed only fourteen and one-half (14 ½) hours of cabinet approved early care and education annual training. 3. The surveyor found verification that a staff (DOH: 10/9/17) completed only ten (10) hours of cabinet approved early care and education annual training. 4. The surveyor found no verification that a staff (DOH: 10/9/17) has completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 6 Inspection Report Programming Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on review of documentation, the surveyor found the following: 1. On 1/14/19 from 12:09 p.m. until 12:20 p.m., the surveyor found two (2) staff and seventeen (17) children in the Preschool Room. The children had finished lunch and were transitioning to naptime. The children were yelling and running around the classroom. The children jumped on mats that were placed on the floor. There was no programming to redirect the children. 2. The surveyor found that the daily planned program posted in the classroom for the two-year-old children was dated 1/7/19 through 1/11/19. The daily planned program was not current. Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation during a tour of the childcare center, the surveyor found the following: 1. The carpet located in the Preschool Room had dark colored stains and was heavily soiled. 2. Paint was flaking from the green painted walls in the restroom located near the hallway. The paint chips were accessible to the children.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation during a tour of the childcare center, the surveyor found that the baseboard and wall located behind the commode, used by the preschool-age children, was heavily soiled with an unknown white and brown substance. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on interview, staff reported that Clorox Wipes are used to wipe off the mouth contact toys rather than scrubbing the toys in warm soapy water using a brush to reach into crevices, rinse in clean water, submerge in a sanitizing solution for at least two (2) minutes and air dry. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report First Aid/Medication Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on observation during a tour of the childcare center, the surveyor found a rescue inhaler sticking out of the side pocket of a diaper bag. The diaper bag was within reach and accessible to the children. The medication was not kept out of reach of children. Outdoor Play Area In Compliance Equipment Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation during a tour of the Preschool Room at naptime, the surveyor found that six (6) of the children’s mats were less that twelve (12) inches apart. Transportation Not Applicable Food Service/Food Program Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.
General: Based on observation of the Preschool Room, the surveyor found that two (2) children did not receive milk, or any other beverage, with lunch. Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the surveyor found food particles and dried spills on the interior bases of the refrigerator and freezer located in the kitchen. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation contained in ten (10) children’s enrollment files, the surveyor found the following: 1. A child’s (DOE: 8/2/18) file did not contain verification of immunization or notification that the attending physician or the child’s parent objects to the immunization pursuant to KRS 214.036. The childcare Director stated that the immunization certificate was unavailable for review. 2. A child’s (DOE: 7/13/18) file did not contain verification of immunization or notification that the attending physician or the child’s parent objects to the immunization pursuant to KRS 214.036. The childcare Director stated that the immunization certificate was unavailable for review. 3. A child’s (DOE: 9/18/18) file did not contain verification of immunization or notification that the attending physician or the child’s parent objects to the immunization pursuant to KRS 214.036. The childcare Director stated that the immunization certificate was unavailable for review. 4. A child’s (DOE: 6/27/18) file did not contain verification of immunization or notification that the attending physician or the child’s parent objects to the immunization pursuant to KRS 214.036. The childcare Director stated that the immunization certificate was unavailable for review. 5. A child’s (DOE: 7/13/18) file did not contain verification of immunization or notification that the attending physician or the child’s parent objects to the immunization pursuant to KRS 214.036. The childcare Director stated that the immunization certificate was unavailable for review. 6. A child’s (DOE: 7/25/18) file did not contain verification of immunization or notification that the attending physician or the child’s parent objects to the immunization pursuant to KRS 214.036. The childcare Director stated that the immunization certificate was unavailable for review. 7. A child’s (DOE: 10/17/17) file contained an immunization certificate that was no longer current as of 8/30/18. Through interview with the childcare Director, the surveyor learned that updated verification of immunization was not available for review. 8. A child’s (DOE: 1/10/18) file contained an immunization certificate that was no longer current as of 2/22/18. Through interview with the childcare Director, the surveyor learned that updated verification of immunization was not available for review. 9. A child’s (DOE: 1/16/17) file contained an immunization certificate that was no longer current as of 8/31/17. Through interview with the childcare Director, the surveyor learned that updated verification of immunization was not available for review.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation contained in ten (10) children’s enrollment files, the surveyor found the following: 1. One (1) child’s file did not contain information to enable a person in charge to identify or contact the preferred hospital. 2. Four (4) of the children’s files did not contain information to enable a person in charge to contact the preferred hospital. 3. Two (2) children’s files did not contain information to enable a person in charge to contact the family physician or preferred hospital. 4. Ten (10) children’s files did not contain the name and phone number of each person to be contacted in an emergency involving or impacting the child. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on observation during a tour of the childcare center on 1/14/18, the surveyor found that thirty-three (33) children were present at the childcare center. Review of the daily attendance record found that the arrival times of only twenty-four (24) of the children were documented.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found written verification that the staff and children practiced fire, earthquake and tornado drills; however, only one (1) time of day was recorded for all three (3) drills. Posted Documentation In Compliance Animals Not Applicable
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, the following was found: 1. A staff file (DOH: 2/2/18) presented for review did not contain documentation of education in the form of a High School Diploma, GED, or Commonwealth Child Care Credential. 2. A staff file (DOH: 5/14/18) presented for review did not contain documentation of education in the form of a High School Diploma, GED, or Commonwealth Child Care Credential. Upon interview, the Director stated that she thought she had one (1) staff's diploma but had not obtained the diploma for the newest staff member.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, the surveyor found that a staff member (DOH: 2/2/18) had not completed cabinet approved orientation training within the required time frame. Review of ECE-TRIS, revealed that the staff member had not completed the training. Upon interview, the Director stated she thought the staff member had completed the orientation training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 02/23/2018 AND AS OF 03/02/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation and interview, the following were found: 1. There was a significant amount of mice feces under the sink located in the restroom off of the Pre-school Classroom (See Attachment #1). The cabinet door had a child safety lock on it that was not functioning properly; therefore, the children can access the mice feces. 2. There was mice feces located on the kitchen floor in the back right hand corner (See Attachment #2). Staff reported that sticky traps are utilized to catch mice in the center. 3. The electrical outlet under the window in the Two's Classroom did not have a protective covering. Staff stated that they did not have any protective covers to place in the electrical outlet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, review of ECE-TRIS, and interview, the following were found: 1. Upon request the surveyor was not presented with documentation of staff members (DOH: 5/7/13, 3/1/13, 3/1/13, 10/31/15, 10/20/16, 8/1/16) having completed Pediatric Abusive Head Trauma (PAHT) training. Staff-in-charge stated that all staff had recently attended some training sessions but the documentation was not located at time of inspection. Review of ECE-TRIS, revealed that none of the staff referenced above have completed the required PAHT training. 2. Upon request the surveyor was not presented with documentation of staff members (DOH: 5/7/13, 10/31/15, 10/20/16, 8/1/16, 7/2/17, 8/21/17) having completed the state required orientation training. Staff-in-charge stated that all staff had recently attended some training sessions but the documentation was not located at time of inspection. Review of ECE- TRIS, revealed that none of the staff referenced above have completed the six (6) hour state required orientation training. Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation and interview, the following were found: 1. There was a container of Clorox Wipes under the sink in the restroom located off of the School-Age Classroom. The wipes were accesible to children as the child safety locks installed on the cabinet door was not functioning properly. 2. There was a spray can of disinfectant spray under the sink in the restroom off of the Pre-school Classroom. The disinfectant spray was accessible to children as the child safety lock installed on the cabinet door was not functioning properly. Staff were not aware of the items being stored under the sinks. Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation and interview, the surveyor found that the white cabinet under the microwave in the kitchen had a black dusty/grimy substance all over it in addition to a significant amount of food debri. Staff-in-charge was not aware of the issue so the surveyor showed staff-in-charge the soiled cabinet.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation and interview, the surveyor found that a white shelf under the microwave in the kitchen had a black grimey substance all over it as well as a large pink substance that had been spilled on it. There was a crock pot stored on the shelf. Upon interview, staff was not aware of the soiled shelf.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation and interview, the surveyor found that the School-Age Classroom was out of ratio by six (6) chilren for less than one (1) minute. When the surveyor entered the center a staff member was exiting the School-Age Classroom to take some trash outside. Upon entering the School-Age Classroom the surveyor observed there to be sixteen (16) children present with one (1) staff member (DOH: 8/1/16). Upon interview, staff stated that the children ranged in age from two to four years old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 8 Inspection Report General Administration Not In Compliance
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation and interview, the surveyor was not presented with written proof of liability insurance coverage of at least $100,000. Upon interview, the Director stated that the center does have liability insurance coverage. Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, the surveyor found the following: 1. A staff file (DOH: 5/7/13) did not contain an annual evaluation. 2. A staff file (DOH: 3/1/13) did not contain an annual evaluation. 3. A staff file (DOH: 3/1/13) did not contain an annual evaluation. 4. A staff file (DOH: 10/31/15) did not contain an annual evaluation. 5. A staff file (DOH: 10/20/16) did not contain an annual evaluation. 6. A staff file (DOH: 8/1/16) did not contain an annual evaluation. Upon interview, the Director acknowledged that there were no annual evaluations on file.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation and interview, the surveyor found that the health, safety, and comfort of the children was not maintained as the following were found: 1. There was significant amount of mice feces in the cabinet under the sink in the restroom located off of the School-Age Classroom. The cabinet door was not locked; therefore, children had access to the mice feces. Multiple staff reported they had not observed any mice in the center and were not aware of the mice feces under the restroom sink. 2. There was an electrical outlet in the Two's Classroom under the window that did not have protective covering. Staff was unaware that the outlet was uncovered. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation and interview, the surveyor found that a staff file (DOH:7/2/17) presented for review contained a national criminal records checks that was submitted on 7/19/17; therefore, the criminal records check was not submitted timely. Upon interview, the Director was aware that the criminal records check had not been submitted timely.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation and interview, the surveyor found that a staff file (DOH: 10/9/17) did not contain documentation of education in the form of a High School Diploma, GED, or Commonwealth Child Care Credential. Upon interview, the Director was aware that the file did not contain documentation of education. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation and interview, the surveyor found that the center does not have an adequate number of substitutes as the two (2) staff (DOH: 3/1/13 & 7/2/17) named as substitutes did not meet staffing requirements. One (1) substitute (DOH: 3/1/13) did not have an annual evaluation or professional development plan on file. The second substitute (DOH: 7/2/17) had not completed six (6) hours of state approved orientation training. Upon interview, the Director acknowledged that the two (2) substitutes did not meet staffing requirements.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation and interview, the surveyor found that the center does not have qualified substitutes as the two (2) staff (DOH: 3/1/13 & 7/2/17) named as substitutes did not meet staffing requirements. One (1) substitute (DOH: 3/1/13) did not have an annual evaluation or professional development plan on file. The second substitute (DOH: 7/2/17) had not completed six (6) hours of state approved orientation training. Upon interview, the Director acknowledged that the two (2) substitutes did not meet staffing requirements.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, review of ECE-TRIS, and interview, the following were found: 1. Six (6) staff files presented for review (DOH: 5/7/13, 3/1/13, 3/1/13, 3/1/13, 10/31/15, & 10/20/16) did not contain documentation of having obtained Pediatric Abusive Head Trauma Training (PAHT). Review of ECE-TRIS revealed that the staff members had not completed PAHT training. The Director stated that she recently became aware of the PAHT requirement. 2. A staff file (DOH:5/7/13) did not contain documentation of having completed fifteen (15) hours of annual training. Review of ECE-TRIS, revealed that the employee had not completed any annual training. 3. A staff file (DOH:3/1/13) contained documentation of having completed nine (9) of the required fifteen (15) hours of annual training. Review of ECE-TRIS, revealed that the staff member had only completed nine (9) hours of training. 4. A staff file (DOH:3/1/13) contained documentation of having completed nine (9) of the required fifteen (15) hours of annual training. Review of ECE-TRIS, revealed that the staff member had only completed nine (9) hours of training. 5. A staff file (DOH: 10/31/15) contained documentation of having completed nine (9) of the required fifteen (15) hours of annual training. Review of ECE-TRIS, revealed that the staff member had only completed nine (9) hours of training. 6. A staff file (DOH: 10/20/16) did not contain documentation of having completed fifteen (15) hours of annual training. Review of ECE-TRIS, revealed that the employee had not completed any annual training. 7. A staff file (DOH: 8/1/16) did not contain documentation of having completed fifteen (15) hours of annual training. Review of ECE-TRIS, revealed that the employee had not completed any annual training. 8. A staff file (DOH: 7/2/17) did not contain documentation of having completed six (6) hours of state approved orientation. Review of ECE-TRIS, revealed that the staff member had not completed six (6) hours of state approved orientation. 9. A staff file (DOH:10/20/16) did not contain documentation of having completed six (6) hours of state approved orientation. Review of ECE-TRIS, revealed that the staff member had not completed six (6) hours of state approved orientation. Upon interview, the Director reported that she had re-submitted training to TRIS as it was not showing up; however, she did not have documentation of the training she had re- submitted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 Inspection Report Programming Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation and interview, the surveyor found that a lesson plan was not posted in the Two's Classroom. Staff stated they had taken the lesson plan home to be update and failed to bring it back to the center with them. Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation and interview, the following were found: 1. There was a can of disinfectant spray and a can of air freshner on top of the paper towel dispenser in the restroom located off of the School-Age Classroom. The items were accessible to the children. 2. A drawer by the refrigerator in the Nursery Classroom contained non-safety scissors, a screw driver, a bottle of Clear Eyes, and a phone charger. The drawer had a safety latch installed; however, the latch was no longer functioning. The items were accessible to the children. 3. The diaper changing station in the Nursery Classroom has safety lock installed in the cabinet door; however, the lock was not functioning. There was a container of diaper rash cream inside the cabinet that was accessible to children. 4. There was an unlocked utility closet in the Preschool Classroom that contained multiple florescent light bulbs which were accessible to the children. 5. A yellow box containing two (2) cans of disinfectant spray were located on a shelf dividing the School Age Classroom and Preschool Classroom. The disinfectant spray was accessible to the children. Upon interview, the Director stated that the utility closet must have been left unlocked. The Director stated she was not aware that the other items were accessible to the children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, the surveyor found that the center was not kept clean as the door of the utility closet located in the Preschool Classroom had a thick covering of black dust on it. Upon interview, the Director was not aware that the door was not clean. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 Inspection Report
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the surveyor found that there was soiled toilet paper in the floor behind the toilet in the restroom located off of the Preschool Classroom. Staff reported that the restrooms are cleaned at the end of each day and sometimes during nap time.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the surveyor found that the water from the portable sink shared by the One's Classroom and the Two's Classroom did not reach a minimun termperature of ninety (90) degrees fahrenheit as required. The water only reached eighty (80) degrees fahrenheit. Staff were not aware that the water was not reaching the minumum temerature required.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the surveyor found that the toilet located in the restroom off of the Preschool Classroom was not maintained in a clean condition. The base of the toilet had a dried yellow substance as well as a potato chip and dust on it. Staff reported that the toilets are cleaned daily. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the following were found: 1. The changing mat located in the Two's Classroom contained multiple small tears in the vinyl covering which exposed the absorbent filling. Staff stated they were not sure how long the tears had been in the changing mat. 2. The changing mat located in the Two's Classroom had a significant amount of debri on it in the form of mulch and dirt. Staff stated that the changing mat is wiped down and sanitized after each diaper change but it had not been used at all the morning of the inspection. First Aid/Medication Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on observation and interview, the surveyor found that a bottle of clear eyes was stored in an unlocked drawer in the Nursery Classroom. The drawer had a safety latch installed; however, it was no longer functioning. Upon interview, staff were not aware that the safety latch was not working. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report Outdoor Play Area In Compliance Equipment Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation and interview, the following were found: 1. The archway with clear plastic windows in the One's Classroom was significant soiled with children's smeared hand prints. 2. There was a sticky substance on two (2) of the child sized chairs in the One's Classroom. Staff reported that large furniture and toys are supposed to be wiped down daily. Transportation Not Applicable Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation and interview, the surveyor found that the mini refrigerator in the One's Classroom had a dried white substance on the front of the refrigerator door and on top of the refrigerator. Staff stated that the refrigerator is cleaned one (1) time per week. Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the following were found: 1. A child's file (DOE: 6/20/16) did not contain a current immunization certificate. The immunization certificate on file was due to be updated as of 9/10/16. 2. A child's file (DOE: 10/29/15) did not contain a current immunization certificate. The immunization certificate on file was due to be updated as of 10/15/17. 3. A child's file (DOE: 6/29/17) did not contain a current immunization certificate. The immunization certificate on file was due to be updated as of 4/15/17. 4. A child's file (DOE: 9/12/16) did not contain a current immunization certificate. The immunization certificate on file was due to be updated as of 9/17/17. 5. A child's file (DOE: 5/9/16) did not contain a current immunization certificate. The immunization certificate on file was due to be updated as of 6/8/16. The Director was not aware that the immunization certificates were not current. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 2. General.
General: Based on review of documentation and interview, the surveyor was not presented with written job descriptions. Upon interview, the Director stated that the center does have written job descriptions.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the surveyor found the following: 1. A staff file (DOH: 5/7/13) did not contain an annual professional development plan. 2. A staff file (DOH: 3/1/13) did not contain an annual professional development plan. 3. A staff file (DOH: 3/1/13) did not contain an annual professional development plan. 4. A staff file (DOH: 3/1/13) did not contain an annual professional development plan. 5. A staff file (DOH: 10/31/15) did not contain an annual professional development plan. 6. A staff file (DOH: 10/20/16) did not contain an annual professional development plan. 7. A staff file (DOH: 8/1/16) did not contain an annual professional development plan. Upon interview, the Director acknowledged that there were no professional development plans on file.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the surveyor was not presented with written record of earthquake/tornado drills completed for January through March of 2017. Upon interview, the Director could not confirm if an earthquake/tornado drill had been completed for the first quarter.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the surveyor was not presented with written record of fire drills completed for January, February, March, April, June, or July of 2017. Upon interview, the Director could not confirm if a fire drill had been completed for those months.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on review of documentation and interview, the surveyor was not presented with written record of fire drills completed for January, February, March, April, June, or July of 2017. Upon interview, the Director could not confirm if a fire drill had been completed for those months. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on review of documentation and interview, the surveyor was not presented with written record of earthquake/tornado drills completed for January through March of 2017. Upon interview, the Director could not confirm if an earthquake/tornado drill had been completed for the first quarter. Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 2. General.
General: Based on observation and interview, the surveyor found that there were not any plans of correction or deficiency statements posted for the previous year even though the center had been inspected ten (10) times within the past year. Upon interview, the Director reported that she had the documentation in a binder in her office but it had not been posted. Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
Based on observation, the surveyor found that a staff person (DOH: 8/21/17) was supervising six (6) two-year-old children on the playground with no other staff present. A review of the staff person's file revealed that it did not contain a completed criminal records check or a central registry check. The director stated that the background checks had been submitted but had not been returned. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation, of a staff member's (DOH: 8/21/17) file, the criminal background check and child abuse/neglect check was not contained in the file. In an interview with the director the surveyor was told that the background checks were resubmitted on 9/18/17 and were waiting to be returned. Based on observation, the surveyor observed this staff member to have been left alone on the playground with six (6) children ranging from two to four years old. In an interview with the staff member the surveyor was informed that the other staff member on the playground was changing a diaper and she was only left alone for five (5) minutes. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 3/9/14) file did not contain an immunization certificate. 2. A child’s (DOE: 1/16/17) file contained an immunization certificate that is no longer current as of 8/31/17). Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
Based on observation, during the surveyor's visit, the surveyor observed there to be twenty (20) children present at the center. However, only six (6) children had been signed in by a parent or staff.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 12/06/2017 AND AS OF 12/12/2017, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.
General: Based on interview with the director, the surveyor was informed that on 7/3/17 a former staff member (DOH: 10/15/16) hit a child. The director stated she did not witness the incident but was informed of it by school-age children as well as the child the staff member hit. The staff member informed the director that she hit the child because the child had repeatedly hit her. The staff member was terminated and instructed to leave the facility immediately. However, the director did not report the incident to the Department of Community Based Services, the director stated that because she terminated the staff member's employment and handled the situation quickly she did not know that she still needed to report the incident. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation, of a staff member's (DOH: 8/21/17) file, the criminal background check and child abuse/neglect check was not contained in the file. In an interview with the director the surveyor was told that the background checks were resubmitted on 9/18/17. The director also informed the surveyor that the staff member has not been left alone with children. Programming Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation with the director, the surveyor found the following: 1. On 7/3/17, staff member (DOH: 10/15/16) hit a school-age child. The staff member informed the director that the child had repeatedly hit her and that is why the staff member hit the child back. 2. Another staff member admitted to yelling and screaming at the preschool children one (1) day because she has a medical condition and had failed to take her medication that day. Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on observation, the file for a child (DOE: 4/16/13) was not available for review by the surveyor. In an interview with the director, the surveyor was informed that the file could not be located.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 06/16/2017 AND AS OF 06/20/2017, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.
General: Based on observation, there were ten (10) children present in the school-age classroom and there were nineteen (19) children present in the pre-school classroom during the surveyor's visit on 5-31-17. Based on review of documentation, the school-age classroom has a measured capacity of nine (9) children and the pre-school classroom has a measured capacity of seventeen (17) children. The Division of Regulated Child Care (DRCC) had not received a request for a change of space prior to the visit made on 5-31-17. Based on interview, the director stated that the shelf wall that separates the pre-school and the one-year-old classrooms was moved in order to increase the amount of space for the pre-school classroom. The director confirmed that a request for a change of space had not been submitted to the DRCC. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation during the surveyor's visit on 5-31-17, it was found that two (2) children (DOE: 4-29-16 & 12-5-16) were asleep in rocking bouncy seats. Based on interview, staff stated that one (1) child (DOE: 12-5-16) had been asleep for approximately thirty (30) minutes and the other child (DOE: 4-29-16) had been asleep for approximately twenty (20) minutes. Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation of the one-year-old classroom, the following things were found: 1) A McDonald's cup containing a drink was located on top of a shelf wall. 2) An opened bag of Sweet-Tarts candy was located on top of a shelf wall. Both of these items were accessible and within reach of the children in the one-year-old classroom and the pre-school classroom. Based on interview, the items belonged to a staff member. Equipment In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation of children's files, the following things were found: 1) A child's (DOE: 12-5-16) file did not have a current immunization certificate for review, i.e., the immunization certificate present in the file was only current until 4-5-17. 2) A child's (DOE: 4-29-16) file did not contain an immunization certificate for review and the child has been enrolled at the child care center for longer than thirty (30) days.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation of children's files, a child's (DOE: 12-5-16) enrollment information did not contain the name and phone number of the preferred hospital. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation during a tour of the Infant Room on 03/29/17, the surveyor found that seven (7) infants were in attendance and eight (8) cribs were available to meet their needs. Through interview with the provider, the surveyor learned that ten (10) infant children attend the childcare center. While most children attend Monday through Friday, others attend sporadically. It is incumbent upon the childcare center to ensure that each infant in attendance have a crib that meets the safety standards with a firm mattress complete with a tight fitted sheet.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation, a two-year-old child was in the kitchen with a staff member while lunch was being prepared. Therefore, the safety of the child was being compromised. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, a staff member's (DOH: 9/15/16) file did not contain verification that six (6) hours of orientation has been completed. A reveiw of ECE- TRIS provided no additional training documentation for the staff member. The staff member has been employed for longer than three (3) months. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, loose bedding was found in a crib with a four-month-old infant who was sleeping. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, a two-year-old child was being diapered by a staff member on the floor. A padded, cleanable surface was not being used. Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 9/29/15) file did not contain a current immunization certificate. 2. A child’s (DOE: 7/31/16) file did not contain a current immunization certificate. In an interview with the director, the surveyor was informed that she notified the parents by letter two (2) weeks ago of the missing immunization certificates.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 1/16/17) file did not contain a current immunization certificate. 2. A child’s (DOE: 8/2/16) file contained an immunization certificate that is no longer current as of 7/28/16. 3. A child’s (DOE: 7/1/16) file contained an immunization certificate that is no longer current as of 6/1/16. In an interview with the director, the surveyor was informed that the immunization certificates have been requested.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 24 Feb 17 AND AS OF 03 Mar 17, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Programming Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, the surveyor found the following: 1. A six-month-old child (DOE: 10/23/16) was observed to be sleeping in a bouncy seat for approximately thirty (30) minutes. Based on review of documentation, the child’s file did not contain a waiver signed by a healthcare professional stating that the child required an alternate sleeping position. 2. A ten-month-old child (DOE: 7/30/16) was observed to be sleeping in a bouncy seat for approximately thirty (30) minutes. Based on review of documentation, the child’s file did not contain a waiver signed by a healthcare professional stating that the child required an alternate sleeping position. 3. A four-month-old child (DOE: 10/?/16) was observed to be sleeping in a bouncy seat for approximately thirty (30) minutes. Based on review of documentation, the child’s file did not contain a waiver signed by a healthcare professional stating that the child required an alternate sleeping position. 4. A ten-month-old child (DOE: 12/5/16) was observed to be sleeping in a bouncy seat for approximately thirty (30) minutes. Based on review of documentation, the child’s file did not contain a waiver signed by a healthcare professional stating that the child required an alternate sleeping position. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, there were eight (8) infants and four (4) cribs present in the Infant Classroom. Therefore, an individual non-tiered crib that meets the safety guidelines was not provided for the number of children in attendance on the day of the follow-up visit. Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the surveyor found the following: 1. A child's (DOE: 10/16) file was not presented to the surveyor for review. Therefore, there was no immunization certificate available for the child. 2. A child’s (DOE: 10/23/16) file did not contain an immunization certificate. 3. A child’s (DOE: 07/30/16) file did not contain an immunization certificate.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, a child's (DOE: 10/16) file was not available for review. Therefore, a written record for each child is not being maintained.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on interview with the director, she confirmed that she falsified four (4) Report of Tuberculosis Screening forms for staff that were employed at the child care center. Based on review of documentation, the director provided a written statement stating that she had falsified the documents.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, a ten (10) week old child (DOE: 12-19-16) was observed to be sleeping in a bouncy seat for at least twenty (20) minutes. Based on review of documentation, the child's file did not contain a waiver signed by a health professional stating that the child required an alternate sleeping position. Premises In Compliance Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation of the two-year-old classroom, a staff member used the carpeted floor to change a child's diaper; therefore, the child was not placed on a padded, nonabsorbent, and easily cleaned surface. Based on interview, the director stated that staff has a padded mat available for them to use during diaper changes; however, the staff do not use the mat on a regular basis. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation of the infant classroom, an individual non-tiered crib that meets safety guidelines was not provided for the number of children in attendance on the day of the visit, i.e., on 12-20-16, there were eight (8) infants and four (4) cribs present in the infant classroom. Based on interview, staff stated that more than one (1) child will use the same crib; however, the crib sheets are changed in between uses.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation, evaluations have not been completed for staff (DOH: 10/31/15, 5/7/13, 3/1/13, 3/1/13, 5/1/15).
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on review of documentation, the infant, preschool, and school-age classrooms did not contain lesson plans.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation, staff meetings are not been documented. The director confirmed she does not document staff meetings.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation, the following was found: 1. A broom and dust pan were accessible to children in the one year old classroom. 2. In the preschool classroom, a vacuum cleaner was plugged into a wall by an extension cord that was hung over a bookshelf. Children were observed playing in the area where the extension cord was hanging. The extension cord was at the height of the children's throats creating a safety risk for the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 7 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on interview with the director, the following was found: 1. Staff (DOH: 9/15/16) has worked alone with children without a completed CAN Check. 2. Staff (DOH: 5/7/13) has worked alone with children without a completed out of state background check. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation, the following was found: 1. A CAN Check was not completed for staff (DOH: 9/15/16). The director confirmed during interview that staff (DOH: 9/15/16) has worked alone with children. 2. Staff (DOH: 5/7/13) does not have a completed out of state background check. During a review of the Central registry check (CAN), a staff reported previously residing in the states of Tennessee and West Virginia. During interview with the director, it was learned that staff has been a resident of Kentucky since 2012. Staff has been a resident of another state within the past five (5) years. During interview, the director confirmed that staff (DOH: 5/7/13) has been alone working with children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the following was found: 1. Employee (DOH: 10/31/15, 9/15/16, 10/15/16) files did not contain proof of education. 2. Employee (DOH: 10/31/15, 3/1/13) files did not contain a statement from a health professional that the individual is free of active tuberculosis. 3. Employee’s (DOH: 10/31/15) file did not contain a completed CAN Check. The surveyor verified with DCC that a CAN check was completed for this staff person on 11/2/15. 4. Employee’s (DOH: 9/15/16) file does not contain a completed CAN Check. 5. Employee’s (DOH: 10/31/15, 5/7/13, 3/1/13, 3/1/13, 5/1/15) file did not contain annual performance evaluations. 6. Employee's (DOH: 5/7/13) file did not contain an out of state background check. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
Based on review of documentation, the following was found: 1. The staff person's (DOH: 3/1/13) file contained a TB skin test that is no longer current as of 2/27/15. 2. The staff person's (DOH: 5/1/15) file contained a TB skin test that is no longer current as of 9/30/16. 3. The staff person's (DOH: 10/31/15, 3/1/13) file does not have a statement from a health care professional stating they are free of active tuberculosis.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation and ECE-TRIS, the following was found: 1. The staff person's(DOH: 10/31/15, 3/1/13, 3/1/13) files did not contain documentation of fifteen (15) hours of cabinet-approved early care and education training. 2. The staff person's (DOH: 10/31/15, 5/7/13, 5/1/15)file did not contain documentation of six (6) hours of cabinet-approved orientation within the first three (3) months of employment. 3. The staff person's (DOH: 10/31/15, 5/7/13, 3/1/13, 3/1/13, 5/1/15)files did not obtain one-half (1 ½) hours of pediatric abusive head trauma training. Programming Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, one (1) infant was observed sleeping in a crib with a loose blanket. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 Inspection Report Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the carpet in the one year old, preschool, and school-age classrooms are dirty with stains and debris.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the carpet in the one-year-old, preschool, and school-age classroom are dirty with stains and debris.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the following was found: The school-age and preschool bathroom toilets had not been flushed. In the preschool bathroom, dirty toilet paper was on top of the trash can lid. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: A staff person (DOH: 9/15/16) was observed changing a child’s diaper. The staff person did not wash their hands after changing the child’s diaper.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the preschool classroom had two (2) trash cans with no covers that contained dirty diapers.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, a staff person (DOH: 9/15/16) changed a child’s diaper on the floor with no mat underneath the child. Staff reported there was no diaper changing station in the preschool classroom. Staff did not wash their hands after changing the child’s diaper. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report First Aid/Medication Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on observation, the first aid kit did not contain a thermometer or liquid soap. Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the playground had garbage thrown on the ground. Several plastic and paper cups were thrown on the ground. Equipment In Compliance Transportation Not Applicable Food Service Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.
General: Based on observation, flies were in the kitchen where food was being prepared. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.
General: Based on review of documentation, the menu posted had not been updated since 11/14/16. Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, a child's (DOE: 7/1/16) file contained an immunization certificate that is no longer current as of 6/1/16.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, children's (DOE: 4/1/16, 5/26/16, 8/19/16, 8/19/16) files did not have a preferred hospital name or number documented in case of an emergency. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the daily attendance records are not being maintained. On 11/22/16, eight (8) children were signed into the center. During observation of the classrooms, the surveyor found twenty nine (29) children present at the center. The record was not maintained as twenty one (21) children were not signed in.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, staff (DOH: 5/1/15, 3/1/13, 10/31/15, 9/15/16, 10/15/16, 8/1/16, 5/7/13, 3/1/13, 3/1/13) did not have written annual professional development plans. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 2. General.
General: Based on observation, the school-age and infant classrooms did not have daily schedules posted.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation, the school-age and infant classrooms did not have daily schedules posted. Animals Not Applicable
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the surveyor found that staff did not wash the hands of two (2) one-year-old children following diaper changes. First Aid/Medication
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation during a tour of the child care center, the surveyor found that two (2) teachers and a volunteer were providing care for twenty-one (21) two to four- year-old children in the Preschool Room. The maximum group size for two-year-old children is twenty (20) children; therefore, the group size was exceeded by one (1) child. General Administration
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 6. Reports.
General: Based on observation on 06/06/16, the surveyor found that forty-four (44) children were in attendance at the child care program which has an overall capacity of forty (40) children. The child care center staff did not submit written notification to the cabinet for the approval of an increase in capacity before implementing the change. Director Requirements
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation during a tour of the child care center, the surveyor found the following: 1. Two (2) infant children were sitting in high chairs and were not secured with the safety straps. 2. An infant child had been placed in a crib while sucking on a pacifier with a strap attachment. 3. The smoke alarms beeped during the entirety of the investigative visit. Through interview with staff, the surveyor was informed that the smoke detectors are in need of new batteries; however, are connected to the buildings electrical wiring and continously beep. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 5 Web site: http://chfs.ky.gov/ Inspection Report Premises
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation during a tour of the kitchen, the surveyor found the following: 1. The cage and blades of a fan and the vents on an air conditioner were heavily coated with dust. 2. The kitchen was cluttered with cans and boxes of food that were stored on top of the cook stove and on shelves. Empty plastic bags had been piled on the bottom of a shelf and on the floor behind the kitchen door. A carpet cleaner, industrial mop bucket, an upper wooden kitchen cabinet and a small tub containing a space heater, sidewalk chalk and empty plastic bottles had also been stored on the floor and restricted movement.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation during a tour of the kitchen, the surveyor found that the overhead lights were not working. Two (2) pole lamps with two (2) bulbs each were in use at the time of the visit. Staff's estimation of the duration of the disrepair varied from one (1) month, two (2) months, six (6) months and one (1) year. Hygienic Practices
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on interview, the surveyor found that a staff person had taken her medication from the bottles and placed it on a table in the kitchen. The staff person then walked away to perform another task. The kitchen door was not locked; therefore, the medication was not secured in a locked place. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 5 Web site: http://chfs.ky.gov/ Inspection Report Equipment
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation during a tour of the Infant Room, the surveyor found that four (4) infants were present in the classroom along with four (4) cribs. Toys and surplus items had been stored in one (1) of the cribs. The staff person reported that only three (3) of the cribs are utilized and that an eight-month-old infant is placed on a mat on the floor when napping.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation during a tour of the Toddler Room at nap time, the surveyor found that six (6) one-year-old children were sleeping in bouncy seats. Through interview with staff, the surveyor learned that although mats were available to meet the children's needs, staff had not provided them.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation during nap time, the surveyor found that seven (7) of the children’s cots were less than twelve (12) inches apart during nap time in the Preschool Room. Food Service
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation during a tour of the kitchen, the surveyor found the following: 1. The interior sink basins, base and sides of the three-compartment sink was heavily soiled with a thick, gooey, rust-colored substance. The surveyor wiped the area with a paper towel and found that the substance rubbed-off with applied pressure. 2. A clear substance had spilled on the interior bottom base of the refrigerator and a pink-colored substance was dried on the interior door. 3. The interior top, bottom and sides of the broiler oven contained dark stains and the interior of the microwave had dried-on food particles. Written Documentation
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on observation on 06/06/16, the surveyor found that forty-four (44) children were present at the child care center. The child care center had submitted the (17-9) form to the Division of School and Community Nutrition indicating that thirty-seven (37) children were present for meals. Twenty-six (26) children had been signed-in on the Daily Attendance Record and one (1) child's arrival time had been documented on the bottom of the record but a date had not been recorded. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 4 of 5 Web site: http://chfs.ky.gov/
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor was unable to verify that a staff (DOH: 11/17/15) had obtained a High School Diploma, GED or Commonwealth Child Care Credential. A staff person confirmed through interview that proof of education was not available for review. Equipment
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the child care center failed to maintain documentatation reflecting the completion of fire drills on a monthly basis.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 2. General.
General: Based on observation and interview, the child care center failed to post the plan of correction submitted by the child care center during the current licensure year.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation and interview, surveyor found a full sized refridgerator that was not in use in the school age classroom which could pose a safety risk for the children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the child care center director failed to complete an annual performance evaluation for six (6) staff members (DOH: 10/15/13, 5/7/13, 3/1/13, 3/1/13, 5/1/15, 5/7/13).
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation and interview, one (1) staff (DOH: 5/1/15) file presented for review did not contain documented proof of education.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation and interview, the following was found: (1) Negative TB skin test for one (1) staff (DOH 10/15/13) was dated 10/9/13 and not valid after 10/9/15. (2) Negative TB skin test for one (1) staff (DOH 5/7/13) was dated 5/14/13 and not valid after 5/14/15. (3) Negative TB skin test for one (1) staff (DOH 3/1/13) was dated 2/8/12 and not valid after 2/8/14. (4) Negative TB skin test for one (1) staff (DOH 3/1/13) was dated 3/3/13 and not valid after 3/3/15. (5) Negative TB skin test for one (1) staff (DOH 5/7/13) was dated 4/15/13 and not valid after 4/15/15. (6) No record of negative TB skin test presented for review for one (1) staff (DOH 3/1/13).
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, and interview, all of the staff files presented for surveyor review contained a first aid and CPR certification that expired prior to the surveyors visit. Therefore the child care center did not have one (1) staff person with current first aid and CPR certification present and on duty.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, interview, and a review of the ECE-TRIS website: (1) There was no documentation to verify that four (4) staff members (DOH: 10/15/13, 5/7/13, 3/1/13, 5/1/15) has yet completed six (6) hours of cabinet-approved orientation training. (2) There was no documentation to verify that three (3) staff members (DOH: 10/15/13, 5/7/13, 3/1/13) has yet completed fifteen (15) hours of annual cabinet-approved training.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation and interview, the posted lesson plan for the school-age children was not dated and contained no documented plans; therefore, the current lesson plan was not posted and followed with the school-age children as required.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation and interview, surveyor determined there was a disposable plastic cup containing soda which belonged to a staff member on top of the shelving separating the toddler and preschool classrooms; therefore, not inaccessible to children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, surveyor found there was used toilet paper/paper towels on the floor next to the trash can in the restroom located off of the school age room.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the surveyor found multiple children's coats/blankets/personal items bulging out of the designated cubbies and stacked on top of the cubbies that were touching in the preschool room; therefore, this creates the risk of cross contamination.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on observation and interview, the child care center's first aid supplies failed to contain liquid soap. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 27 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, surveyor found plastic cups and cereal bar wrappers on the ground inside the fenced in outdoor play area.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation and interview, the surveyor found two (2) high chairs that did not have safety straps. These chairs were located in the infant classroom; therefore, the high chairs were not in good repair.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation and interview, the surveyor found the refridgerator located in the kitchen did not contain a thermometer.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the files for three (3) children (DOE: 5/25/13, 9/8/15, 9/8/15) presented for surveyor review contained immunization certificates that expired as of 6/3/14, 10/22/15, and 10/12/15 respectively.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the file presented for three (3) children (DOE: 5/25/13, 5/3/15, 6/8/15) did not contain the preferred hospital telephone number.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on review of documentation and interview, the center's Emergency Preparedness Plan had not been updated since 2/12/2013.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on observation and interview, the child care center failed to maintain written annual plan for child-care staff professional development.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, the child care center failed to maintain documentation of the completion of earthquake/tornado drills on a quarterly basis.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the diapering procedure was not posted at the diapering area located in the two (2) year-old classroom. Animals
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, the surveyor found the following: 1. At 12:02 p.m., a preschool-age child left the classroom and entered an empty adjacent classroom unobserved by staff. The child was outside of the scope of the staff's vision for one to two (1-2) minutes. 2. A preschool-age child was observed to walk around a corner and down a hall approximately eight (8) feet to the restroom that is located in the classroom. The child remained unobserved by staff for two to three (2-3) minutes. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 5 Web site: http://chfs.ky.gov/ Inspection Report Staffing Requirements
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, during a tour of the child care center, the surveyor found the following: 1) The surveyor found that two (2) staff was providing care for eighteen (18) children whose ages ranged from two to five (2-5) years in the Preschool Room. A staff person repeatedly left the room to open the front door and to retrieve paper towels and bags. The staff-to-child ratio was exceeded by eight (8) children from two to four (2-4) minutes on four (4) occasions. 2) The surveyor found that one staff and six (6) children were present in the Infants Room whose ages ranged from seven months to five (5) years. The staff-to-child ratio was exceeded by one (1) child. The staff reported that the six (6) year old child had not been in the Infant Room for longer than one (1) hour. Director Requirements
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
Based on review of documentation, the surveyor found that staff failed to implement procedures set forth in the employee handbook to include hygienic and programming policies.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation, the surveyor found the following: 1) An unsecured television had been placed on an approximate five (5) foot high shelf. At 12:04 p.m., a preschool-age child was observed to run and hit the shelf; thus, creating safety risk. 2) The surveyor observed that the children’s blankets had been placed in a pile and stored in a cubby; thus, creating the risk for cross contamination. 3)The surveyor learned that children are being lifted over the classroom partition rather than bringing them through a gate; thus, creating a safety risk. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 5 Web site: http://chfs.ky.gov/ Inspection Report Programming
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on interview with staff, the surveyor learned that a written lesson plan had not been developed for the preschool-aged children. The staff person stated that she and the children “sings songs, color and play outside".
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.
General: Based on observation during a tour of the child care center, the surveyor found that on 05/26/15, one (1) staff person was providing care for two (2) one-year-old children along with four (4) two-year-old children from 9:40 a.m. until 2:35 p.m.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, during a tour of the Infant and Toddler Room, the surveyor found that an infant was sleeping in a bouncy seat. Through interview, the surveyor learned that a waiver from a health professional had not been obtained indicating that the child required an alternate sleeping position.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation during a tour of the Infant Room, the surveyor observed a stuffed toy horse had been placed in the crib with a sleeping infant. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 5 Web site: http://chfs.ky.gov/ Inspection Report Hygienic Practices
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the surveyor found the following: 1) While outside on the playground, a staff person was observed to wipe a child's nose; however, did not wash the child's hands. 2) During a tour of the Toddler Room, the surveyor observed that a staff person wiped a child's nose; however, did not wash the child's hands.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the surveyor found the following: 1) While the children were outside on the playground, a staff person wiped a child's nose; however, did not wash her hands. 2) During a tour of the Toddler Room, the surveyor observed that a staff person wiped a child's nose; however, did not wash her hands. 3) A staff person in the Toddler Room failed to wash her hands following a diaper change.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the surveyor found that a staff person in the Toddler Room did not sanitize the diaper changing surface between diaper changes. Equipment
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation, the surveyor found that a seat was not securely attached to the folding dining table. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 4 of 5 Web site: http://chfs.ky.gov/ Inspection Report Food Service
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.
General: Based on review of documentation and interview, the surveyor found that a weekly menu was not available for review. Written Documentation
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on observation, the surveyor found that twenty-three (23) children were in attendance at the child care center. During review of documentation, the surveyor found that the arrival times of only fourteen (14) children had been documented.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, an employee (DOH 07/01/2013) record did not contain evidence of qualifying education as required by regulations.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation, the following issues were found: 1) An employee (DOH 03/01/13) record presented for review did not contain an annual performance evaluation as required by regulations. 2) An employee (DOH 03/01/13) record presented for review did not contain an annual performance evaluation as required by regulations. 3) An employee (DOH 05/07/13) record presented for review did not contain an annual performance evaluation as required by regulations. 4) An employee (DOH 05/21/13) record presented for review did not contain an annual performance evaluation as required by regulations. 5) An employee (DOH 07/01/13) record presented for review did not contain an annual performance evaluation as required by regulations. 6) An employee (DOH 10/15/13) record presented for review did not contain an annual performance evaluation as required by regulations. During interview, the director stated that she had not completed annual performance evaluations on any staff since opening the child care center.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of observation, several of the children's coats were found stacked directly upon one another on top of a shelf; this presents a health and safety hazard of potential cross-contamination.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the following issues were found: 1) An employee (DOH 03/01/13) record contained evidence of only fourteen (14) hours of cabinet-approved training as verified by ECE-TRIS and the file presented for review. 2) An employee (DOH 07/01/13) record contained evidence of only six (6) hours of cabinet-approved training as verified by ECE-TRIS and the file presented for review. 3) An employee (DOH 05/07/13) record did not contain any hours of cabinet-approved training as verified by ECE-TRIS and the file presented for review. 4) An employee (DOH 05/21/13) record contained evidence of only eight (8) hours of cabinet-approved training as verified by ECE-TRIS and the file presented for review. 5) An employee (DOH 05/07/13) record did not contain evidence of the employee completing six (six) hours of cabinet-approved orientation as verified by ECE-TRIS and the file presented for review. 6) An employee (DOH 07/01/13) record did not contain evidence of the employee completing six (six) hours of cabinet-approved orientation as verified by ECE-TRIS and the file presented for review. 7) An employee (DOH 10/15/13) record did not contain evidence of the employee completing six (six) hours of cabinet-approved orientation as verified by ECE-TRIS and the file presented for review. 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
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation in the Nursery, a four-month-old child was propped on a boppy pillow while sleeping in a crib. According to the director, the child's parent had not provided a waiver from a health professional stating that the infant requires an alternate sleeping position.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the floor in the restroom located near the Pre-School class was not in a clean condition while the surveyor was present. The floor was splattered with a wet substance surrounding the toilet and around the perimeter of the sink.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the toilet room located near the Pre-School class smelled of a strong, urine-like odor and was splattered with a wet substance.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the following issues were found: 1) At least five (5) children from the Pre-School room did not wash their hands after eating food at lunch time as required by regulations. 2) The surveyor observed that a two-year-old child in the Pre-School room had mucous running from his nose to the top of his upper lip at approximately 11:35 AM and was not assisted with personal care for approximately thirty (30) minutes.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.
General: Based on observation, the weekly menu was neither posted in a conspicuous area, nor dated as required by regulations. The director informed the surveyor that the posted menu was located in the kitchen, which is not accessed by parents or easily viewed.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the following issues were found: 1) A child's (DOE 10/13/14) record did not contain an immunization certificate as required by regulations. 2) A child's (DOE 12/22/12) record contained an immunization record valid until 02/20/14, which was no longer current. 3) A child's (DOE 04/21/13) record contained an immunization record valid until 05/12/14, which was no longer current. 4) A child's (DOE 03/05/14) record contained an immunization record valid until 09/30/14, which was no longer current. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 24 of 27 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the following issues were found: 1) A child's (DOE 04/21/13) record did not contain complete preferred physician and hospital contact information required in the event of an emergency. 2) A child's (DOE 11/15/13) record did not contain complete preferred hospital contact information required in the event of an emergency. 3) A child's (DOE 11/15/13) record did not contain complete preferred physician and hospital contact information required in the event of an emergency.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the following issues were found: 1) The employee's (DOH 03/01/13) file did not contain a written annual plan for child-care professional development. 2) The employee's (DOH 03/01/13) file did not contain a written annual plan for child-care professional development. 3) The employee's (DOH 03/01/13) file did not contain a written annual plan for child-care professional development. 4) The employee's (DOH 05/07/13) file did not contain a written annual plan for child-care professional development. 5) The employee's (DOH 05/21/13) file did not contain a written annual plan for child-care professional development. 6) The employee's (DOH 07/01/13) file did not contain a written annual plan for child-care professional development. 7)The employee's (DOH 10/15/13) file did not contain a written annual plan for child-care professional development.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, monthly fire drills were not conducted/documented in September 2014 and October 2014 as required by regulations.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation, the following issues were found: 1) The daily lesson plan of activities posted in the Infant Room was dated 07/01/14-07/31/14; therefore, the lesson plan was no longer current and not maintained weekly. 2) The lesson plan posted in the Toddler Room was not dated as required by regulations. 3) The lesson plan posted in the School Age area was not dated as required by regulations.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on interview, a child's health, safety and comfort were not assured on 3/4/2014 when he was picked up by a staff member resulting in the child sustaining an injury. Differing descriptions of the severity of the injury ranging from a "scratch" to "torn skin" were provided during interviews. Employee Records
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the file presented for review and a review of the ECE-TRIS training record for a staff person (date of hire: 5/7/2013) did not contain documentation of the following: 1) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment. The child-care center was issued a deficiency for this after the renewal application inspection visit on 10/14/2013. The plan of correction submitted to DRCC by the child-care center stated that the staff person would obtain this training on-line. During an interview with the child-care center director, she reported that the staff person had completed orientation training on-line but there had not been an option for them to print out confirmation of this training; and 2) Nine (9) hours of cabinet-approved early care and education training within the first year of employment, including one and on-half (1 1/2) hours of pediatric abusive head trauma training.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation upon entry to the child care center to conduct a follow-up visit on 11/18/13, the surveyor heard a child loudly crying and then heard a staff person yell in a threatening tone "I will teach you not to bite anymore". The surveyor walked through the foyer and observed that the staff person was yelling at a one (1) year old child that had been placed in a high chair for time-out purposes as disciple due to biting another toddler child. Programming
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation upon entry to the child care center to conduct a follow-up visit on 11/18/13, the surveyor observed that a staff person had placed a one (1) year old child in a high chair for time-out purposes as discipline for having bitten another toddler child. The use of the high chair subjected the child to discipline that is associated with food. Premises
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor found that the file for a staff (DOH: 05/21/13) did not contain a copy of a negative tuberculin result or a statement from a health professional indicating that the individual is free of active tuberculosis.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor found that the child care center does not have two (2) qualified substitute staff persons. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 26 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor found that a substitute staff person's file did not contain verification of cabinet-approved orientation training or a High School Diploma, GED or Commonwealth Child Care Credential; therefore, this individual is not a qualified substitute staff person.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor found that two (2) staff (DOH: 05/07/13 and 07/01/13) files did not contain verification that cabinet-approved orientation training had been obtained. 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 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; and (d) Not caused an accident which resulted in the death of a person. Programming
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation during a tour of the School-age Room, the surveyor found numerous empty plastic bags on a shelf, and a can of disinfectant spray and a bottle of hand sanitizer in an unlocked filing cabinet drawer that were within reach and accessible to the children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation, the surveyor found that three (3) staff (DOH: 05/07/13, 05/21/13 and 07/01/013) files did not contain a High School Diploma, GED or Commonwealth Child Care Credential.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on review of documentation, the surveyor found that there was no record that earthquake and tornado drills had been conducted during the third quarter of 2013. Posted Documentation
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on observation during a tour of the child care center, the surveyor found that televisions located in the Toddler and Preschool Rooms had not been safely secured, were easily moved and were accessible to the children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, the surveyor learned that although staff meetings have been conducted at the child care center, they were not documented. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation during a tour of the child care center, the surveyor found the following: 1) A sharp-edged metal strip was loose and protruding outward located on the exterior wall under the door leading to the playground. The metal strip was accessible to the children. 2) The carpet located in the Toddler and Preschool Rooms had dark circular stains and ground-in soil.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.
General: Based on observation, the surveyor found that parents, staff and other children must pass through the Toddler Room to access the Infant Room, kitchen and an exit door to the playground; thus, it is not separate from the general traffic pattern of the child care center.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found that areas of the concrete foundation of the child care center's back porch have sharp edges that extend outward two to three (2- 3) inches from its base. The sharp edges of the concrete present a safety hazard to children playing in the area. 695 - Protective Surface Not Applicable 922 KAR 2:120. Section 4. Premises Requirements. (21) A protective surface shall: (a) Be provided for outdoor play equipment used to: 1. Climb; 2. Swing; and 3. Slide; and (b) Have a fall zone equal to the height of the equipment.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation during a tour of the Infant Room, the surveyor found that a four-month-old infant was sleeping in a bouncy seat rather than a crib.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation during a tour of the Preschool Room, the surveyor found that seven (7) children were sleeping on cots without sheets.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation during a tour of the kitchen, the surveyor found the following: 1) The shelves and the interior base of the refrigerator contained dried on food particles. 2) The oven’s interior, top, sides and bottom contained dark brown stains and baked-on food particles.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the surveyor found the following: 1) The file for a child (DOE: 03/10/13) did not contain an immunization certificate. 2) The file for a child (DOE: 05/09/13) contained an immunization certificate that did not have an expiration date; therefore, the immunization status could not be determined.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the surveyor found no verification that earthquake and tornado drills had been conducted during the third quarter of 2013. Therefore, information detailing the date, time and children that had participated was not available for the months of July, August and September 2013.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)
General: Based on observation during a tour of the playground area, the surveyor found that the bottom of a gate that separates the sewer/water tank from the playground was loose creating an opening for children to enter the off-limits area.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.