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Home › KY › Louisville › Holy Spirit Child Care
3308 Richard Avenue, Louisville KY 40206 · License #L353245 · Center · Licensed
When they operate
Ages served
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation, a written performance evaluation was not presented for two staff members. (DOH: 08/07/24 and 08/21/23)
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, a current TB test was not presented for three staff members. (DOH: 02/10/24, 03/08/21, and 09/06/22) The last TB results on file expired on 11/22/25, 07/11/25, and 02/10/26.
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, four (4) staff members (DOH: 08/11/25, 08/05/25, 09/12/25, and 06/02/25) did not receive training in first aid and cardiopulmonary resuscitation (CPR) within the first three (3) months of employment.
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 a review of the Kentucky Training Report Information System, (KY-TRIS) the following was found: 1. Seven (7) staff members (DOH: 08/21/23, 04/10/23, 08/21/24, 06/10/24, 08/09/22, 09/06/22, and 09/14/23) did not complete fifteen (15) hours of cabinet-approved early care and education training during the last fiscal year, at the time of review. 2. Three (3) staff members (DOH: 08/05/25, 09/12/25, and 06/02/25) did not complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment.
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 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, a written annual professional development plan was not presented for two staff members. (DOH: 08/07/24 and 06/04/24)
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation during the inspection, the following was found: Pre-K 3 Back Bathroom 1) A plunger was located next to the toilet, and accessible to children/ 2) A toilet bowl brush was located next to the toilet, and accessible to children. 230 - Volunteer/Board Member Compliance Discussed 922 KAR 2:090. Section 8. General. (3) A volunteer, visitor, or board member shall comply with the policies and procedures of the child-care center.
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 and interview, the personnel file for a staff member (DOH: 06/08/23) did not contain a written annual staff evaluation for the year of 2024.
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 personnel file for a staff member (DOH: 06/02/25) did not contain verification of a high school diploma, GED, or qualifying documentation from a comparable educational entity or a 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 and interview during the inspection the following was found: 1) The personnel file for three (3) staff members (DOH: 06/02/25, 06/02/25, and 09/25/24) did not contain a written statement from a health care professional stating that the staff members were negative of TB. 2) The personnel file for a staff member (DOH: 06/19/23) contained a TB test that was dated 05/24/23, which was not current on the day of the inspection. 3) The personnel file for a staff member (DOH: 09/14/23) contained a TB test that was dated 04/19/23, which was not current on the day of the inspection. 4) The personnel file for a staff member (DOH: 08/02/24) contained a TB test that was dated 06/04/23, which was not current on the day of the inspection.
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, the personnel file for a staff member (DOH: 06/10/24) did not contain verification that the required first aid and cardiopulmonary resuscitation training had been completed within ninety (90) days of hire. Review of ECE-TRIS verified this information.
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 interview, the following was found during the inspection: Orientation 1) Based on review of documentation, the personnel file for a staff member (DOH: 06/10/24) did not contain verification that the required cabinet-approved orientation training was completed within ninety (90) days of employment. Pediatric Abusive Head Trauma Training 1) The personnel file for a staff member (DOH: 10/01/19) contained verification that the pediatric abusive head trauma training was dated 07/22/19. Therefore, the required training was not current. 2) The personnel file for a staff member (DOH: 06/07/23) contained verification that the pediatric abusive head trauma training was dated 10/03/18. Therefore, the required training was not current. 3) The personnel file for a staff member (DOH: 09/06/22) contained verification that the pediatric abusive head trauma training was dated 06/07/19. Therefore, the required training was not current. Review of ECE-TRIS verified this information.. 437 - Repeat Training/Maximum Training Hours in a Day Discussed 922 KAR 2:090. Section 11. Staff Requirements. (18) A staff person shall not repeat online training courses, including pre-service orientation, unless: (a) Five (5) years have passed since the online training was completed; or (b) He or she is required to as part of a disciplinary directive by a state agency. (19) A staff person shall not accumulate more than fifteen (15) hours of training in a twenty-four (24) hour period.
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 during the inspection, the following was found: Game Room 1) There was a black purse was stored on a low table, and accessible to children. The staff member supervising the children verified that the purse belonged to him/her.
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 personnel files for two (2) staff members (DOH: 08/21/23 and 09/09/24 did not contain a high school diploma, GED, or qualifying documentation from a comparable educational entity; or a 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 and interview, the personnel file for two (2) staff members (DOH: 09/16/24 and 09/09/24) failed to contain a current written statement for a health care professional stating that the individual was free of active tuberculosis; or a copy of a negative tuberculin results. 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 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on review of documentation and interview, two staff members (DOH: 06/10/24 and 06/10/24) did not complete the required first aid and cardiopulmonary resuscitation (CPR) training that was due ninety (90) days of employment. A review of ECE-TRIS verified this information.
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 during the inspection, the following was found: Annual Training 1) Six staff members (DOH: 08/09/22, 06/12/23, 06/12/23, 06/12/23, 06/12/23, and 06/12/23) completed zero (0) hours of the required fifteen (15) hours of early care and education training during the training year of 2023 to 2024. 2) A staff member (DOH: 09/06/22) completed one and one-half (1.5) hours of the required fifteen (15) hours of early care and education training during the training year of 2023 to 2024. 3) A staff member (DOH: 03/28/22) completed seven (7) hours of the required fifteen (15) hours of early care and education training during the training year of 2023 to 2024. 4) A staff member (DOH: 06/19/23) completed seven and one-half (7.5) hours of the required fifteen (15) hours of early care and education training during the training year of 2023 to 2024. 5) A staff member (DOH: 06/27/23) completed six and one-half (6.5) hours of the required fifteen (15) hours of early care and education training during the training year of 2023 to 2024. Orientation Training 1) Four staff members (DOH: 07/02/24, 06/10/24, 06/10/24, and 06/10/24 did not complete orientation training within ninety (90) days of employment. Pediatric Abusive Head Trauma 1) Three staff members (DOH: 06/12/23, 09/06/22 and 06/12/23) did not complete one and one-half 1.5) hours of pediatric abusive head trauma training that was due on or before 06/12/23. A review of ECE-TRIS verified this information. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 of the Threes Outdoor Play Area, a large piece of concrete attached to the leg of a wooden playhouse was in disrepair and contained sharp, jagged edges. The staff in charge acknowledged the deficiency. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable 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
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation and interview, a child’s enrollment record (DOE: 08/21/24) did not contain a current immunization certificate at 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 9. Records.
General: Based on review of documentation and interview, a child’s enrollment record (DOE: 08/21/24) did not contain the name of a preferred hospital at the time of the inspection. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 observation, interview, and review of documentation, there was no document made available at the time of the survey regarding zoning compliance.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation, there was an uncovered outlet in the McGhee Room 101. 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, two (2) staff members (DOH: 8/15/15 and 3/8/2022) did not have a current evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report 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 following was found: 1.) Two (2) staff (DOH: 6/19/23) did not have evidence of negative TB results on file at the facility prior to employment. 2.) One (1) staff (DOH: 8/23/21) did not have negative TB results on file at the facility that had been obtained within the past two (2) years.
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 following was found: 1.) One (1) staff (DOH: 8/9/2022) did not complete the required orientation training within the first ninety days of employment. 2.) One (1) staff (DOH: 6/1/2022) only completed fourteen and one quarter (14.25) hours of the required fifteen (15) hours of cabinet approved early care and education training between 6/1/2022 and 5/31/2023. 3.) One (1) staff (DOH: 6/1/2022) only completed nine and a half (9.5) hours of the required fifteen (15) hours of cabinet approved early care and education training between 6/1/2022 and 5/31/2023. The ECE-TRIS system was reviewed and confirmed these findings. 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, a light bulb was not working inside the emergency exit door area located in a downstairs room used for the “Big Kids”. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 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, there was a swarm of ants outside the entrance door to the Pre-K to 3 Room.
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 following was found: 1.) There was a stain on a ceiling tile in the cafeteria, which was located close to the exit door that leads outside for staff parking. 2.) There was a ceiling tile loose in the Vance Room 101. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 4. Premises Requirements.
General: Based on observation, the outdoor playground area used for the three-to four-year-old class contained the following: 1.) A yellow-ish, brown mold like substance; 2.) Water and debris sitting in toys; 3.) Weeds in the garden area; 4.) Weeds along the fence line. In addition, there were trees and weeds overgrown along the fence line of the outdoor playground area used for the three-to five-year-old class. 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, there were a couple of sleeping mats that were torn in the Pre-K to 3 Room.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.
General: Based on observation, there was a soiled step stool positioned next to the commode in the bathroom of the Pre-K to 3 Room. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation Not In Compliance
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, four (4) staff members (DOH: 10/1/2019, 3/8/2021, 6/1/2022, and 3/8/2022) did not have current professional development plans on file. Posted Documentation In Compliance Animals 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 five (5) staff hired 8/9/2022, 8/21/2022, 9/6/2022, and (2) 9/12/2022, did not have proof of education available for review.
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 five (5) staff hired 8/15/2015, 8/9/2022, 8/21/2022, 9/12/2022, and 9/26/2022, did not have TB documentation available for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
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, a staff person hired 3/24/2022, has yet to complete first aid and cardiopulmonary resuscitation (CPR) training.
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 two (2) staff hired 3/8/2021 and 8/23/2021, did not complete fifteen hours of cabinet-approved early care and education training during the 7/1/2021-6/30/2022 training year. Additionally, a staff person hired 3/24/2022, has yet to complete the six-hour cabinet-approved orientation training required within the first three months of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
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 seven (7) children enrolled 8/16/2022, did not have immunization documentation available for review. It should be noted, the children have been enrolled more than thirty (30) days. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.
General: Based on observation, interview and review of documentation, the employee file for a staff member with a hire date of 6/1/2021 did not contain a Criminal Records Check. The staff member was not observed working on the date of the inspection. The staff member in charge acknowledged that deficency.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.
General: Based on observation, interview and review of documentation, the employee file for a staff member with a hire date of 6/1/2021 did not contain a check of the state's sex offender registry or repository and a check of the state-based child abuse and neglect registry and database for the state of Indiana. The staff member was not observed working alone with children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on interview and review of documentation, the licensee failed to maintain a copy of a current Fire Marshal inspection. The Fire Marshal report presented at the time of the inspection was from 2017. Interview with the staff member revealed that the building had not been inspected by a Fire Marshal since that time. The staff member in charge was unable to produce verification that she requested a Fire Marshal inspection. Director Requirements In Compliance Employee Records 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 11. Staff Requirements.
General: Based on interview and review of documentation, the employee files for staff members with hire dates of 6/17/2020 and 3/8/2021 did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential. The staff member in charge acknowledged that the documentation was not available at the time of the survey.
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 interview and review of documentation, the employee files for staff members with hire dates of 9/4/2018, 6/30/2021, and four staff members with a hire date of 6/1/2021 did not contain a current statement from a health professional that the individuals are free of active tuberculosis; or a copy of negative tuberculin results. The staff member in charge acknowledged that the documentation was not available at the time or the survey.
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 interview and review of documentation, the employee files for staff members with hire dates of 5/13/2020, 6/1/2020, and 6/15/2020 did not contain verfication that the staff members had completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training within the past five (5) years, or six (6) hours of cabinet- approved orientation within the first three (3) months of employment. Review of ECE-TRIS also failed to verify completion of the aforementioned trainings. The staff member in charge acknowledged this deficency. Programming In Compliance Premises In Compliance 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 In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation In Compliance Posted Documentation In Compliance Animals 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 interview and review of documentation, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for a staff member hired 2/18/19. Interview with the staff in charge revealed the document was not there for review. Programming In Compliance Premises In Compliance 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 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 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, the child care center failed to maintain children’s records in accordance with regulatory requirements. A review of ten (10) children’s files revealed there is no Hospital listed for two (2) children with the enrollment dates of 06/01/2020 and 6/01/2020. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 and interview, the director failed to assure compliance with regulatory requirements. Review of staff files revealed an annual written performance evaluation was not presented for review at the time of survey for five (5) staff members hired 1/3/18, 8/25/15, 8/3/15, 8/16/17 and 2/6/17. Interview with director revealed an evaluation had not been completed for the staff members. 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 interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report revealed documentation of nine (9) hours of cabinet approved training was not presented for review at the time of survey for two (2) staff members hired 8/16/17 and 2/6/17. Continued review of staff files and ECE-TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for one (1) staff members hired 8/25/15. Interview with director revealed this documentation was not on file at the time of survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation 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 5. Evacuation Plan.
General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of documentation revealed an evacuation plan, written for the center, was not presented for review at the time of survey. Interview with director revealed she needed to submit an evacuation 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 and interview, the child care center failed to maintain written documentation in accordance with regulations. Review of staff files revealed a written annual plan for childcare staff professional development was not presented for review at the time of survey for five (5) staff members hired 1/3/18, 8/25/15, 8/3/15, 8/16/17 and 2/6/17. Interview with director revealed a staff professional development plan had not been completed for the staff members. 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 child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present a Criminal Record Check for employee file with the hire date 2/6/17. Staff member was not at the center at the time of the survey and director verified that staff member does not work alone with 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 14. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 07/24/2018 AND AS OF 08/09/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance 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 11. Staff Requirements.
General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present staff files documenting training for current review period nor could ECE-TRIS record identify fifteen (15) hours of cabinet-approved training for four (4) staff members with the following hire dates of 8/17/16, 2/6/17, 8/12/15 and 8/10/16. In addition, staff members with the hire dates 8/7/16 and 8/3/17 did not have six (6) hours of cabinet approved orientation in their employee files. 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 child care center failed to maintain premises in accordance with regulatory requirements. Per observation of the lower level of the School Age building, surveyor identified a section, about a foot and half long, of the black rubber siding on the bottom of the wall coming off, revealing a glue like substance. 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 In Compliance Children's Records In Compliance Written Documentation In Compliance 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 6. License Issuance.
General: Based on review of documentation, the child care center failed to comply with the regulatory requirements in regards to having an approved director. A request for a change of director was received by DRCC on 10/16/2017; however, the request failed to include all required documentation to verify the named director's qualifications. Upon request for the additional documentation, no documentation was submitted for review. Therefore, the center fails to have an approved director.
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 Review of Documentation and interview, the child care center failed to comply with the regulatory requirements with regard to change of director. Upon request, the child care center failed to submit all qualifying documentation for an employee with a hire date of 08/12/15, who was selected as a candidate for director. An email, with regard to a change of director request, was received on 07/19/17. However, all qualifying documentation was not submitted for the newly identified director. Therefore, the center failed to have an approved director since 07/19/2017.
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 child care center director failed to assure compliance with regulatory requirements. The upstairs bathroom in the After School building had a toilet bowl brush located next to the toilet. 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 and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. An employee file presented for review with hire date 8/17/16 did not contain a high school diploma, GED or qualifying documentation from a comparable educational entity or commonwealth child care credential. Upon request, the Director was not able to locate educational documentation for the employee at the time of survey. 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 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Review of Documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. An employee file presented for review with hire date 8/10/16 did not contain a statement from a health professional that the individual is free of active tuberculosis. Upon request, the Director was not able to locate a current statement for the employee at the time of the survey. Programming In Compliance 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 child care center failed to maintain the premises in accordance with regulatory requirements. The vent located in the ceiling of the basement of the Afterschool building next to the steps was not securely attached to the ceiling. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance 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 and interview, the child care center failed to maintain children’s records in accordance with regulatory requirements. A child’s file presented for review with enrollment date 9/12/16 did not contain the contact information for the family physician. Upon request, the Director was not able to provide the documentation at the time of the survey. Written Documentation In Compliance 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 4. Director Requirements and Responsibilities.
General: Based on Review of Documentation, the child care center failed to post documentation in accordance with regulatory requirements. The daily activities posted in the school- age room was not dated. Animals Not Applicable 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 2. Child Care Services.
General: Based on Observation, the child care provider failed to assure compliance with regulatory requirements. Based on observation, there were four(4)children between the ages of ten (10) and twelve (12) who were unsupervised in the cafeteria while the other children in the class were washing their hands and using the restroom in preparation for a snack.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on Observation, the child care center failed to comply with regulatory requirements regarding first aid/and or medication. Based on observation, the first aid kit presented failed to include: a flashlight, scissors, gauze, tape, and a thermometer.
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 child care center failed to maintain children's records in accordance with regulatory requirements. Based on a review of documentation, a child enrolled on 06/28/13 failed to have a current immunization certificate in the file.
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, there was no document available for review verifying that a staff member with the hire date 9/1/94 was free of active tuberculosis.
Open Not marked corrected in the state record
Open / not marked corrected.