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Home › KY › Louisville › John Paul II Academy Early Childhood Program / After School Care
3525 Goldsmith Lane, Louisville KY 40220 · License #L354239 · Center · Licensed
When they operate
Schedule type not published.
Ages served
922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 01/28/2026 AND AS OF 02/02/2026, 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 the interview and review of documentation, a written performance evaluation for three (3) staff members (DOH: 08/15/13, 08/05/06, and 11/14/16) was not presented for review upon request. The staff member in charge stated that she did not have one to present at the time of review.
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 the Early Care and Education Training Records Information System, (ECE-TRIS) five (5) staff members (DOH: 08/15/13, 08/05/2006, 11/14/16,01/9/17, and 07/08/20) failed to complete fifteen (15) hours of cabinet-approved training during the last review period.
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 the interview and review of documentation, a current immunization certificate was not presented for three (3) children (DOE: 05/19/25, 08/19/25, and 09/20/25). The immunization certificates expired on 11/03/25, 06/23/25, and 05/25/25, respectively. Additionally, a current immunization certificate was not presented for a child. (DOE: 07/07/25) The staff in charge acknowledged that she did not have a current immunization certificate on file for the children.
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: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on the review of documentation, the following information was missing from the children's enrollment files: 1. A child (DOE: 08/19/25) did not have the family physician’s contact information listed at the time of review. 2. Two (2) children (DOE: 07/30/25 and 07/07/25) did not have the family physician’s name or contact information listed at the time of review.
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, three (3) staff members (DOH: 08/15/13, 08/05/06, and 11/14/16) did not have a written annual plan for child-care staff professional development at the time of review.
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 the interview and review of documentation, a complete, current written record of monthly fire drills and participants, quarterly earthquake, tornado, and shelter-in- place lockdown drills with participants, was not presented at the time of review.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on interview and review of documentation, the background check determination date for a staff member (DOH 01/09/17) was dated "06/14/18" which had passed its five (5) year renewal date as of 06/14/23. A review of the KARES database confirmed this information. The staff in charge stated that the process for updating the staff member's background check had been initiated; however, she/he was unaware of the status of the staff member's eligibility determination. The staff member was not observed working on the day of the inspection, however the staff in charge reported that the staff member was currently employed at the center.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.
General: Review of the center's KARES employment roster and the presented staff schedule revealed that a staff member (DOH 01/09/17) whom the staff in charge reported as being currently employed at the center, was documented on the KARES roster as "separated." Supervision 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: Current documentation verifying the center's approval by the office of the State Fire Marshal or its designee was not presented for review upon request. The presented documentation was dated "2022."
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 interview and review of documentation, current, written proof of liability insurance coverage was not presented for review upon request. The presented documentation contained an expiration date of 2022.
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: Documentation verifying that recurring staff meetings had been conducted was not presented for review upon request.
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 interview and review of documentation, written performance evaluations for five (5) staff members (DOH 08/28/23, DOH 08/15/14, DOH 08/05/06, DOH 11/14/16, and DOH 01/09/17) were not presented for review upon request.
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, education credentials for two (2) staff members (DOH 08/28/23 and DOH 02/01/24) were not presented for review upon request.
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) The negative tuberculin (TB) test results presented for a staff member (DOH 08/05/06) contained a read date of "07/30/22" and were therefore, not current at the time of the inspection. 2) The negative TB test results presented for a staff member (DOH 11/14/16) contained a read date of "01/19/22" and were therefore, not current at the time of the inspection. 3) The negative TB test results presented for a staff member (DOH 01/09/17) contained a read date of "11/03/22" and were therefore, not current at the time of the inspection. 4) The negative TB test results presented for a staff member (DOH 08/28/23) contained a read date of "10/01/22" and were therefore, not current at the time of the inspection. 5) The negative TB test results presented for a staff member (DOH 08/15/13) contained a read date of "07/22/22" and were therefore, not current at the time of the inspection.
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: Review of presented staff records revealed that no staff member employed at the center at the time of the inspection held a current certification in first aid and cardiopulmonary resuscitation (CPR) therefore, adequate CPR and first aid coverage was not maintained.
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 following was found: 1) A staff member (DOH 07/08/20) completed only four (4) hours of cabinet-approved annual training during the 2023-2024 review period. 2) A staff member (DOH 08/15/13) completed only seven (7) hours of cabinet-approved annual training during the 2023-2024 review period. 3) A staff member (DOH 08/05/06) completed only twelve (12) hours of cabinet-approved annual training during the 2023-2024 review period. 4) A staff member (DOH 11/14/16) completed only twelve (12) hours of cabinet-approved annual training during the 2023-2024 review period. 5) A staff member (DOH 01/09/17) completed only twelve (12) hours of cabinet-approved annual training during the 2023-2024 review period. A review of ECE-TRIS confirmed these findings.
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, a staff member's purse was stored on the floor of the Preschool classroom, where it was 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, the window sills within the Preschool classroom contained sections of loose, chipped material and paint. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 14 of 32 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 4. Premises Requirements.
General: Observation of the outdoor play area revealed multiple discarded aluminum cans were strewn along the interior fence line.
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. Meal Planning Requirements for a Center that Provides Meals.
General: Based on interview and review of documentation, a written menu, detailing the morning snacks that would be served to the children during the month of January, 2025, was not presented for review. Meal Planning/Center Does Not Provide Meals 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 following was found: 1) An immunization certificate for a child (DOE 03/03/24) was not presented for review upon request. 2) The immunization certificate presented for a child (DOE 05/11/24) contained an expiration date of "09/30/24" and was therefore, expired 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, the enrollment information presented for a child (DOE 05/11/24) failed to contain the name of the family's preferred hospital.
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, a current, written evacuation plan was not presented for review upon request. The presented documentation was dated "2022."
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, written professional development plans for six (6) staff members (DOH 08/28/23, DOH 07/08/20, DOH 08/15/13, DOH 08/05/06, DOH 11/14/16, and DOH 01/09/17) were not presented for review upon request.
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: Documentation verifying that fire drills had been conducted during the months of August, September, October, November, and December of 2024 was not presented for review upon request. Additionally, documentation verifying that tornado, earthquake, and lockdown drills had been conducted during the third and fourth quarters of 2024 was not presented for review upon request. The staff in charge reported that the drills had been conducted but not documented. 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 8. General.
General: Based on observation and review of documentation, the statement of deficiency and subsequent plan of correction, referencing an inspection that was conducted at the center of 05/06/24, was not posted or made available for public inspection.
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 observation, a plan of activities, to include the dates and times that the activities would be conducted with the children, was not posted or made available for public inspection.
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 interview and review of documentation, an updated background check for a staff member (DOH 01/09/17) was not presented for review, upon request. Review of the Kentucky Applicant Registry and Employment Screening (KARES) database revealed that the staff member had last completed a fingerprint background check on 06/14/18, which had passed its five-year renewal date as of 06/14/23. Further review of the KARES database revealed that an updated background check for the employee had been initiated but not completed. Although the staff in charge reported that the staff member was currently employed at the center, the staff member was not observed working with children on the day of the inspection.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.
General: Based on interview and review of documentation, the employment status of some of the center's employees was not accurately maintained on the KARES roster. An employee which the staff in charge identified as separated from employment at the center was listed as "employed" and one staff member, whom the staff in charge stated was currently employed at the center was listed within the roster as "separated." Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report Staffing Requirements 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 and interview, one (1) staff member acted as sole caregiver to eighteen (18) preschool-aged children throughout the duration of the survey. The staff member reported that the youngest child in the group was four (4) years old; therefore, the minimum staff-to-child ratio was exceeded by four (4) children. The staff in charge indicated that other staff were present on the premises, but not in the classroom at that time. 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 interview and review of documentation, current documentation verifying the center's approval by the office of the State Fire Marshal or its designee was not presented for review upon request. The presented documentation was dated 2022.
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 interview and review of documentation, current, written proof of liability insurance coverage was not presented for review upon request. The presented documentation contained an expiration date of 2022.
Open Not marked corrected in the state record
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 07/15/2024 AND AS OF 07/19/2024, 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 interview and review of documentation, written verification documenting that recurring staff meetings were conducted was not presented for review upon request. The staff in charge reported that recurring staff meetings had not been conducted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 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 interview and review of documentation, current performance evaluations for staff (DOH 08/15/13, DOH 08/05/06, DOH 01/09/17 and DOH 11/14/16) were not presented for review upon request. 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 interview and review of documentation, education credentials for two staff (DOH 02/01/24 and DOH 08/28/23) were not presented for review upon request.
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: Review of the presented staff schedule and staff files revealed that no staff employed at the center held a current certification in cardiopulmonary resuscitation (CPR) and first aid, therefore, adequate CPR and first aid coverage was not maintained.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Documentation verifying that two (2) staff members (DOH 08/28/23 and DOH 02/01/24) had completed training on cardiopulmonary resuscitation (CPR) and first aid was not presented for review upon request. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 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 following was found: 1) A staff member (DOH 08/15/13) last completed pediatric abusive head trauma (PAHT) training on 08/27/17, which had passed its five-year renewal date as of 08/27/22. 2) A staff member (DOH 08/15/13) completed only fourteen (14) hours of annual training during the 2022-2023 review period. 3) A staff member (DOH 08/05/06) last completed PAHT on 08/21/17, which had passed its five-year renewal date as of 08/21/22. 4) A staff member (DOH 08/05/06) completed only twelve (12) hours of annual training during the 2022-2023 review period. 5) A staff member (DOH 02/01/24) failed to complete six (6) hours of cabinet-approved orientation training. 6) A staff member (DOH 08/28/23) failed to complete six (6) hours of cabinet-approved orientation training. 7) A staff member (DOH 01/09/17) completed only twelve (12) hours of cabinet-approved annual training during the 2022-2023 review period. 8) A staff member (DOH 11/14/16) completed only twelve (12) hours of annual training during the 2022-2023 review period. 9) A staff member (DOH 07/08/20) completed only thirteen and one-half (13.5) hours of annual training during the 2022-2023 review period. A review of ECE-TRIS 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 3. General Requirements.
General: Based on observation, a bottle of Purell surface disinfectant, which label contained the phrase "Keep out of reach of children'" was stored atop the block shelf where it was accessible to the children in care.
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: Observation of Room 2 revealed a heavy accumulation of dust, dirt, and other debris was present in the large gap between the shelf and the blue wall. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report Meal Planning/Center Provides Meals 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 10. Meal Planning Requirements for a Center that Provides Meals.
General: Based on review of documentation, a written menu detailing the food items that would be served for snack was not presented for review upon request. The children in care were observed eating morning snack at the onset of the inspection. 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: Review of presented children's enrollment information revealed the following: 1) An immunization history, not an immunization certificate, was presented for a child (DOE 08/12/23). 2) The immunization certificate presented for a child (DOE 08/01/23) contained an expiration date of 12/20/23. 3) The immunization certificate presented for a child (DOE 08/14/23) contained an expiration date of 02/21/24. 4) The immunization certificate presented for a child (DOE 09/20/23) contained an expiration date of 10/13/23.
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 interview and review of documentation, the enrollment information presented for children (DOE 08/12/23, DOE 02/06/23, DOE 08/14/23) failed to contain the names of the families' preferred hospitals. Additionally, the enrollment information presented for a child (DOE 08/14/23) failed to contain the name of the family's preferred 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 5. Evacuation Plan.
General: Based on interview and review of documentation, a current, written evacuation plan was not presented for review upon request. The presented documentation was dated 2022. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report
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, current, written professional development plans for staff members (DOH 08/15/13, DOH 08/05/06, DOH 01/09/17, DOH 11/14/16, and DOH 07/08/20) were not presented for review upon request. Posted 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 8. General.
General: Based on observation, the center's most recently-issued statement of deficiency (SOD) and most recently-accepted plan of correction (POC) was not posted or made available for public inspection. Animals In Compliance
Open Not marked corrected in the state record
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 04/21/2023 AND AS OF 05/25/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 06/08/2023 AND AS OF 06/09/2023, 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 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 (08/05/2006) personnel file contained a staff evaluation dated 02/18/2020. 2. A staff's (08/15/2013) personnel file contained a staff evaluation dated 02/18/2020. 3. A staff's (01/09/2017) personnel file contained a staff evaluation dated 02/18/2020. 4. A staff's (11/14/2016) personnel file contained a staff evaluation dated 02/18/2020. 5. A staff's (07/08/2020) personnel file contained a staff evaluation dated 10/30/2020. Therefore, the staff's evaluations were not completed annually. Staff reported that she would complete staff's evaluations. 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 discovered the following: 1. Staff (DOH: 07/08/2020) completed ten and one-half (10 1/2) of the required fifteen (15) hours of cabinet-approved early care and education training between 07/08/2021 through 06/30/2022. 2. Staff (DOH: 08/05/2006) completed the required one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training (PAHT) on 08/21/2017; therefore, PAHT was not completed once every five (5) years. 3. Staff (DOH: 08/15/2013) completed the required one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training (PAHT) on 08/27/2017; therefore, PAHT was not completed once every five (5) years. Staff reported she would ensure staff complete their required training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance 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
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on interview and review of documentation, the staff in charge did not provide verification that an employee with the hire date of 08/21/2021 had completed the required CPR training within the first ninety (90) days of employment. Review of documentation in the ECE-TRIS training system revealed the mentioned employee had not met the requirements.
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 staff in charge did not provide verification that the employee with the hire date of 07/08/2020 had updated their Pediatric Abusive Head Trauma training after five (5) years. Upon request, verification that the employee with the hire date of 08/21/2021 had completed cabinet approved orientation training within the first ninety (90) days of employment was not presented for review. Review of documentation in the ECE-TRIS training system revealed the employees mentioned had not met the requirements. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation in Room 10 revealed cleaning products in an unlocked cabinet and were accessible to the children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 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 11. Toys and Furnishings.
General: Based on observation, the child care center failed to maintain the outdoor equipment in accordance with regulatory requirements. Observation of the large climbing structure revealed a spot about 3 inches long, missing the rubber covering, leaving sharp, rough edges. Also on the climbing structure was evidence of black mold growing on a white colored section Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.
General: Based on observation, the child care center failed to comply with the emergency regulations established in 922 KAR 2:410, which prohibits the use of machine washable toys. Observation in Room 10 revealed one doll with washable clothing.
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 and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed ten (10) preschool children eating lunch. Eight (8) of the children's lunches failed to contain milk. Interview with the staff in charge revealed lunches brought from home are problematic with containing all requirements. 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 9. Food and Meal Requirements.
General: Based on observation and interview, the child care center failed to maintain the food service in accordance with regulatory requirements. Observation revealed ten (10) preschool children eating lunch. Four (4) of the children failed to have two (2) fruits/two (2) vegetables or a fruit and a vegetable. Eight (8) of the children had lunches brought from home. Interview with the staff in charge revealed the center does not supplement missing components of meals. Food Service In Compliance Children's Records In Compliance 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 11. Staff Requirements.
General: Based on review of documentation and interview the child care center failed to comply with regulations for employee records. Review of presented staff files revealed a staff member with the hire date of 08/07/2017 did not complete the Fifteen (15) hours of cabinet approved early care and education training. Review of the ECE TRIS report verified the training hours were not completed. Interview with the director revealed she was not able to verify the training hours were completed. 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 In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
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 11/06/2017 AND AS OF 02/01/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 an outdoor play area in accordance with regulatory requirements. The metal fence was no longer attached to the metal pole behind the swings on the outside play area. Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation 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
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 maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed the childcare center was unable to verify that an annual staff evaluation assessing the staff person's interaction with children in care and classroom performance had been completed for the employee’s with the hire date of 08/15/2007, 09/13/2013, and 09/10/2014.
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 child care center failed to comply with regulatory programming requirements. Based on review of the documentation the daily activity of programming in the school-age classroom was not posted in writing in a conspicuous location with each age group of activities that are individualized and developmentally appropriate for each child served.
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 with the staff in charge, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the children’s record revealed the following two (2) children with the enrollment date of 08/16/2015 did not contain a current immunization certificate. Interview with the staff in charge revealed she was unaware the immunizations were no longer current.
Open Not marked corrected in the state record
Category: health medication. 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 with the staff in charge, the child care center failed to post documentation in accordance with regulatory requirements. Review of the documentation in the school-age classroom revealed no schedule of daily activities, to include dates and times of activities to be conducted with the children in each classroom. Interview with the staff in charge revealed she was aware the daily schedule was not posted. 1170 - Diapering/Handwashing Not Applicable 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements. (9) The proper methods of diapering and hand-washing shall be posted at each diaper changing area. Animals
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. Review of employee files revealed an employee with the hire date of 9/10/14 did not have a high school diploma, GED or Commonwealth Child Care Credential on file at the time of the inspection.
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. Review of employee records revealed four (4) employees each had twelve (12) hours of training on file. The aforementioned employees hire dates are as follows: 8/23/06, 8/23/06, 8/15/07 and 8/1/89. Interview with the director revealed the aforementioned employees have not completed the required fifteen hours of training.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.