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Home › KY › Louisville › Notre Dame Academy
1925 Lewiston Drive, Louisville KY 40216 · License #L355026 · Center · Licensed
When they operate
Ages served
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the following was revealed: 1. Two (2) toilets in the PKE restroom were missing caps, leaving sharp, rusted screws exposed. 2. A yellow, dry substance of unknown origin was present on the toilet seat and base in the PKE restroom, suggesting infrequent cleaning. 3. A yellow, dry substance of unknown origin was found in the toilet in the P3SH restroom, suggesting infrequent cleaning. 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, a child in the P3W classroom did not wash their hands after toileting. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 17 of 32 Inspection Report
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.
Based on review of documentation and interview, a written procedure to maintain supervision, ratio, and group size was not presented for review. General Administration In Compliance
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: supervision. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, a personnel file for a staff member (DOH: 08/14/25) did not contain a high school diploma, GED, a Commonwealth Child Care Credential, or a qualifying comparable educational entity was not presented 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 and interview, during the inspection, the following was found: 1) A personnel file for a staff member (DOH: 12/01/20) contained an expired TB test dated 03/04/23. Upon request, a current negative TB test or negative tuberculin result was not presented for review. 2) A personnel file for a staff member (DOH: 06/07/01) contained an expired TB test dated 03/16/23. Upon request, a current negative TB test or negative tuberculin result was not presented for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 10 of 32 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 interview, documentation to verify at least one (1) staff member on duty and present with the children was certified in infant, child, and adult first aid and cardiopulmonary resuscitation (CPR) by a cabinet-approved agency on the day of the inspection was not presented.
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 review of documentation and interview during the inspection, the following was found: P3SH Room 1) Upon request, there was not a daily plan of activities presented for review on the day of the inspection. PKE Room 1) Upon request, there was not a daily plan of activities presented for review on the day of the inspection. P3W Room 1) Upon request, there was not a daily plan of activities presented for review 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 4. Premises Requirements.
General: Based on observation of the entry way of the gym, there were four (4) ceiling tiles missing from the ceiling, causing wires and pipes to be exposed.
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 during the inspection, the following was found: 1) Ten (10) children’s enrollment records (DOE: 08/12/25, 08/12/25, 08/12/25, 08/12/25, 08/12/25, 08/12/25, 08/12/25, 08/12/25, 08/12/25, and 08/12/25) did not contain the name of a physician. 2) Ten (10) children’s enrollment records (DOE: 08/12/25, 08/12/25, 08/12/25, 08/12/25, 08/12/25, 08/12/25, 08/12/25, 08/12/25, 08/12/25, and 08/12/25) did not contain the name of a preferred hospital.
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, an enrollment record for a child (DOE: 08/12/25) contained an allergy plan for the child’s food allergy. However, the allergy plan did not contain the identifying symptoms if the allergen was ingested, there was not written permission for the parent of guardian to post the plan where food is served, there were not steps to be taken to prevent and avoid the allergen, and the treatment if the allergen is ingested.
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 immunization certificate presented for a child (DOE 08/08/24) contained an expiration date of 02/25/24 and was; therefore, expired at the time of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation In Compliance Posted 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 observation, the following documents were not posted or made available for public inspection: 1) The provider's regular license. 2) Each statement of deficiency issued by the cabinet during the current licensure year. 3) Each plan of correction submitted by the child care center during the current licensure year. 4) Information on the Kentucky Consumer Product Safety Program. 5) The current rates for child care services provided. 6) The minimum staff-to-child ratios and group size, as established in 922 KAR 2:120. Animals 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 review of documentation and interview, the center did not have a State Fire Marshal Report available for review. Director Requirements 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, a caregiver hired 3/15/21, did not have an evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 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, a caregiver hired on 8/18/10, had fourteen (14) hours of training during the subsequent year of employment. 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 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, 1) the hot water registered at eighty (80) degrees Fahrenheit at a restroom sink located adjacent to the PKB room and at a sink in the P3S room. 2) The hot water registered at eighty-five (85) degrees Fahrenheit at a restroom sink located in the P3B room. 3) The hot water registered at eighty-three (83) degrees Fahrenheit at a sink located in the breakfast room. 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, a silver, metal slide and a multicolored slide were placed on the ground without protective surface material underneath. These slides were in the outdoor play area. 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 4. Premises Requirements.
General: Based on observation, an approximate four (4) foot tall, blue/lime green dome climber was not anchored to the ground in the outdoor play area. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 13. Toys and Furnishings.
General: Based on observation, 1) peeling red and purple tape was at the end of a plastic caterpillar tunnel apparatus located in the outdoor play area. Interview determined the tape was there to repair the broken caterpillar’s tail. 2) Peeling white paint was on the outside door which lead to the outdoor play area. 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 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, a child enrolled on 12/1/21, did not have a preferred hospital listed in the enrollment information. 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, a caregiver hired on 3/15/21, did not have a professional development plan on file. Posted Documentation In Compliance Animals Not Applicable
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, interview and review of documentation, the staff in charge did not present verification that the Child Abuse and Neglect Check and the Criminal Records Check (CRC) had been submitted or completed for the two (2) employees with the hire date of 06/01/2021. The staff were not observed working alone. 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 9. Records.
General: Based on interview and review of documentation, the staff in charge did not provide verification that the center had maintained a personnel file for the two (2) employees with the hire date of 06/01/2021 to include: Name, address, date of birth, and date of employment, proof of educational qualifications, child abuse and neglect check, and criminal records check. 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 interview and review of documentation, the staff in charge did not present verification of a High school diploma, a GED or qualifying documentation from a comparable educational entity, or a Commonwealth Child Care Credential, for two (2) employees with the hire date of 06/01/2021. Continued review revealed the file for an employee with e hire date of 03/15/2021 did not include verification of 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 interview and review of documentation, the staff in charge did not present verification that the records for the two (2) employees with the hire date of 06/01/2021 contained a current copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. 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 interview and review of documentation, the staff in charge did not present verification that the daily activity of programming was posted in writing that had been updated to reflect the current week that included the activities that are individualized and developmentally appropriate for the pre-school and school-age classroom. 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 baseboards and doors throughout the center were smudged with dark markings, along with chipped paint. The yellow walls located on the lower level were smudged with stains and in need of repair. The baseboard trim near the front door was missing a portion of the trim, exposing the dried glue.
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 ventilation system in the downstairs restroom was non-operational. 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 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 climbing apparatus with the rock wall did not have a fall zone that was equal to the height of the equipment. 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 of the sleeping mats located in the pre-school classroom, ten (10) of the fifteen (15) mats that were utilized for napping were worn on the edges with the foam material exposed. Continued observation revealed that the fifty six (56) mats located in the center did not meet the requirement of a two-inch mat.
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 wooden swing set and wooden climbing structure had areas where the wood had splintered and the paint had peeled away, making the wood rough to the touch. Transportation In Compliance Food Service/Food Program In Compliance Food Service 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 interview and review of documentation, the staff in charge did not present verification that the child care center had maintained enrollment records for the three (3) children with an enrollment date of 06/07/2021, to include, contact information, preferred hospital, physician, the child's general health status and medical history, the name of a person designated to pick up child and authorization for medical emergency treatment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 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 interview and review of documentation, the child care center did not maintain written documentation. The fire drills and disaster drills recorded for the last ten (10 ) months did not list the times the drills were 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 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the ceiling located in the back three-year-old restroom contained several large areas of brown stains, indicative of a water leak. The ceiling in the kitchen had an area where the paint had cracked and was peeling away.
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 in the restroom, there were several dead flies and a build-up of dust in the window sill. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 wooden play structure had several areas where the wood was splintered. The area underneath and surrounding the structure was overgrown with weeds. A plastic discarded structure was laying in the area, creating a potential tripping hazard.
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 playground revealed there was insufficient protective surface covering the areas under the five (5) slides and rock-climbing wall. There was grass and dirt showing. 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 In Compliance Emergency Regulation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.
General: Based on observation, the child care center failed to comply with the regulatory requirements specific to the current pandemic as established in 922 KAR 2:405e. There were plush and soft toys in the classroom located downstairs and in the four-year-old classroom off the entry way.
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 child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed a can of Lysol Disinfectant Spray with the label stating 'Keep Out of the Reach of Children' on the floor of the closet, located in the hall bathroom. The hook and eye at the top of the door was not secured, allowing access into the closet. 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 4. Premises Requirements.
General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation in the pink bathroom in the hallway failed to reveal a protective covering over the 3 bulbed light fixture above the sink. 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 the outdoor play area in accordance with regulatory requirements. Observation failed to reveal a ground covering at the metal and multi-colored slides in the smaller area of the playground. Additionally, a gray, climbing mountain failed to have a fall zone equal to its height.
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 outdoor play area in accordance with regulatory requirements. Observation revealed a heavily damaged fence with posts and fencing bent and mangled. Interview with staff in charge revealed the damage was from a fallen tree. 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 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. A staff member with a hire date of 02/02/18 failed to have documentation verifying a high school diploma, GED, or qualifying documentation from a comparable educational entity or Commonwealth Child Care Credential. Based on interview, the staff in charge stated the document 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 review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Based on review of staff files, staff members with hire dates of 08/15/2010, 08/15/2010, 09/03/2008, 08/15/2002,08/01/2011, 08/01/2011 and 06/07/2001 failed to have current Pediatic Abusive Head Trauma Training. Interview with the staff in charge revealed that she was aware that the Pediatric Abusive Head Trauma training had not been renewed. Review of staff files also revealed that a staff member with a hire date of 05/23/16 failed to have completed fifteen (15) hours of cabinet approved early care and education training during each subsequent year of employment. Interview with the staff in charge revealed that the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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, the child care center failed to maintain an outdoor play area in accoradance with regulatory requirements. A bolt was protruding approximately three (3) inches from the black plastic border surrounding the grey climbing wall, creating a tripping hazard.
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 child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Based on observation, the gray rock climber located on the playground failed to have a fall zone equal to the height of the equipment. Also observed, the large play area failed to have a sufficent supply of mulch around the swings and slides. Additionally, ground covering was not observed under the metal slide in the toddler area. Equipment In Compliance Transportation In Compliance 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, the child care center failed to maintain food service in accordance with regulatory requirements. Observation revealed numerous children with lunches brought from home that failed to include a milk, a protein, a bread, two vegetables, two fruits, or one vegetable and one fruit. 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 2:110 · 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. Observation of the Pink bathroom revealed a tube of disinfectant wipes located under the sink were labeled Keep out of reach of children and were accessible to children in care. Continued observation of the Three’s Classroom bathroom revealed a box of hand sanitizer under the sink that was accessible to children. 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 regulations. Review of staff files revealed the statement of negative tuberculin result on file for a staff member hired 8/15/10 is no longer current as it is dated 4/1/15. Interview with the director revealed this documentation was not on file 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 regulations. Review of staff files revealed one (1) staff member with a hire date of 7/6/16 had not completed state approved orientation training. Interview with the director revealed this documentation was not on file at the time of survey. 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 the premises in accordance with regulatory requirements. Observation of the Big classroom revealed a section of baseboard missing on the wall next to the pre-K room. Continued observation of the center revealed the hallway light was missing causing the hallway to be extremely dark.
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 child care center failed to maintain the premises in accordance with regulations. Observation of the Three’s, Pre-K and Pink bathrooms revealed none of the sinks were equipped with hot water. Interview with the director revealed the center was in the process of addressing the issue. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance 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 equipment in accordance with regulations. Observation of the Big classroom revealed a large area rug used by children; the rug was torn and frayed in several areas. Transportation 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 observation, the child care center failed to maintain food service in accordance with regulations. Observation of the Kitchen revealed the refrigerator temperature measured fifty (50) degrees Fahrenheit. 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 2:110 · 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 regulations. Review of children’s files revealed the immunization certificate presented for review at the time of survey for one (1) child with enrollment date of 8/8/16 was no longer current as it had an expiration date of 11/1/16. Interview with the director revealed the center needs to obtain a current immunization certificate for this child. Written Documentation In Compliance Posted Documentation In Compliance Animals 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 13. Animals.
General: Based on observation, review of documentation and Interview, the child care center failed to comply with regulatory requirements regarding animals. Observation of the Three’s classroom revealed a tank with snails in the presence of children in care. Review of documentation revealed written permission from the parents consenting to the animals was not presented for review at the time of survey. Interview with director revealed the center had not obtained written parental consent for the animals to be in the presence of children in care.
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 center failed to comply with regulatory requirements. Observation of the PKS Room revealed a ziplock bag containing an Epipen and a ziplock bag containing an Epipen and a bottle of children's allergy relief hanging on the wall near the entrance to the classroom. Continued observation revealed each bag of medication was labeled with a child’s name; therefore, the center failed to maintain the confidentiality of the children in care as the medication information was open to public view. Interview with director revealed she was aware that these bags of medication were hanging in the classroom.
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 Review of Documentation and Interview, the child care center failed to comply with regulatory requirements. Review of the center’s child abuse reporting procedure revealed the procedure failed to be in compliance with the laws of the Commonwealth pertaining to child abuse or neglect as set forth in KRS 620.030 as the center’s procedure directed employees to immediately notify the director of suspicions of abuse and/or neglect. Interview with director revealed this directive was contained within the center’s written policy. 195 - Requirements for Nontraditional Care Not Applicable 922 KAR 2:120. Section 2. Child Care Services. (11) If nontraditional hours of care are provided: (a) Including time spent in school, a child shall not be permitted to spend more than sixteen (16) hours in the child-care center during one (1) twenty-four (24) hour period; (b) At least one (1) staff member shall be assigned responsibility for each sleeping room; (c) A child present for an extended period of time during waking hours shall receive a program of well-balanced and constructive activity that are developmentally appropriate for the child; (d) A child sleeping three (3) hours or more shall sleep in: 1. Pajamas; or 2. A nightgown; (e) If a child attends school from the child-care center, the child shall be offered breakfast;
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 director failed to assure compliance with regulatory requirements. Review of staff files revealed the center failed to have a current annual written performance evaluation on file at the time of survey for five (5) staff members with hire dates of: 8/15/02, 10/1/07, 9/30/08, 8/15/10, 8/1/12, two (2) staff members hired 8/18/10, and two (2) staff members hired 8/1/11. Interview with director revealed she could not locate this documentation at the time of survey.
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 and Interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed the statement of negative tuberculin results on file for a staff member hired 8/1/12 is no longer current as it is dated 6/30/12. Interview with director revealed updated tuberculin test results were not on file at the time of survey for the aforementioned staff member.
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 regulations. Review of staff files and ECE- TRIS record revealed the center failed to have valid documentation of fifteen (15) hours of cabinet approved training on file at the time of survey for four (4) staff members with hire dates of: 9/30/08, 8/15/10, 8/18/10, 8/1/11. Interview with director revealed this documentation was not on file at the time of survey. 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 3. General Requirements.
General: Based on Observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the bathroom in the P3N Room revealed a plastic bag full of plastic bags hanging from a cabinet, accessible to children in care.
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 child care center failed to maintain the premises in accordance with regulations. Observation of the bathroom in the PKS Room, the PKH Room, and the bathroom located across from the PKH Room revealed none of the sinks were equipped with hot water. Interview with director revealed the center is in the process of addressing the issue.
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 center failed to maintain hygienic practices in accordance with regulations. Observation of the bathroom in the PKS Room revealed the sink was not equipped with hot water, only cold water. Continued observation revealed several children ages four-years-old to five-years-old used the aforementioned sink to wash their hands after toileting and in preparation for lunch while under the supervision of the staff-in-charge. Interview with staff-in-charge revealed she was aware that the sink was not equipped with hot water, only cold water.
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 failed to comply with regulations regarding first aid and/or medication. Observation of the PKS Room revealed a ziplock bag containing an Epipen and another ziplock bag containing an Epipen and a bottle of children's allergy relief hanging on the wall near the entrance to the classroom, not in a locked place. Observation of the kitchen revealed one (1) ziplock bag contiaining an Epipen hanging on the wall near the door, not in a locked place. Continued observation of the kitchen revealed one (1) can of sunscreen, one (1) tube of sunscreen, and one (1) bottle of insect repellant stored in a first aid bag (without a lock) sitting on a shelf, not in a locked place. Further observation of the kitchen revealed a bottle of children's ibuprofen stored on a shelf, not in a locked place. Interview with director revealed she was aware of the bags containing Epipens that were hanging in the classroom and kitchen. Outdoor Play Area
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, the child care center failed to maintain an outdoor play area in accordance with regulations. Observation of the outdoor play area revealed a Fisher Price multi-color slide set and a silver slide apparatus which were positioned on the ground covered with grass and failed to have a protective surface surrounding the equipment. Continued observation of the outdoor play area revealed the protective surface failed to sufficiently cover the ground underneath the large wooden swing set with four (4) swings, one (1) of the swings on the metal three-swing set, and at the bottom of the long green slide. Interview with director revealed she was aware of the issue regarding the protective surface on the playground.
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 and Interview, the child care center failed to maintain equipment in accordance with regulations. Observation of the child care center revealed at least twenty (20) blue and green mats used by the children for rest time that were torn at the seams, exposing the inner cushion. Interview with director revealed the center was in the process of addressing the issue.
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 and Interview, the center failed to maintain equipment in accordance with regulations. Observation of the outdoor play area revealed a Little Tikes multi-color cube that had a broken rung along the ladder on two (2) sides of the cube. Interview with director revealed she was aware that this equipment was 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 12. Transportation.
General: Based on Interview and Review of Documentation, the child care center failed to comply with regulatory requirements regarding transportation. Interview with director and review of the center’s transportation records revealed a group of children went on at least six (6) field trips from September 2015 to February 2016. Continued interview with director revealed the center utilized DC Tours to transport the children on the field trip. Review of documentation revealed the center failed to present a contract, agreement, or document for review at the time of survey which detailed arrangements with DC Tours for all of the field trips. Interview with director revealed this documentation was not on file at the time of survey.
Open Not marked corrected in the state record
Category: transportation. 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 child care center failed to maintain food service in accordance with regulations. Review of documentation for the PKS and PKH Rooms revealed the daily schedule began at 7:40 am; however the first meal for the day, lunch, was not scheduled until 10:55am. Interview with director revealed breakfast is served from 6:30am-7:30am only to the children who attend before school-care.
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 Observation and Interview, the child care center failed to maintain food service in accordance with regulations. Observation of the child care center at lunch time revealed eight (8) children's lunches failed to include milk. Continued observation revealed six (6) children's lunches failed to include two (2) vegetables, or two (2) fruits, or one (1) fruit and one (1) vegetable. Interview with staff-in-charge revealed the parents pack these children’s lunches. Interview with director revealed she is aware that some of the children's lunches fail to meet regulatory requirements. Children's Records
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 children’s records in accordance with regulations. Review of children’s files revealed the immunization certificate on file for a child enrolled 2/10/15 is no longer current as of 2/27/16. Interview with director revealed she was aware of this issue and in the process of addressing it. 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 and Interview, the child care center failed to maintain children’s records in accordance with regulations. Review of children’s files revealed the written record for two (2) children enrolled 8/3/15 and 8/17/15 failed to contain preferred hospital information. Interview with director revealed this documentation was not on file at the time of survey.
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 written documentation in accordance with regulations. Review of staff files revealed the center failed to have a current annual professional development plan on file at the time of survey for five (5) staff members with hire dates of: 8/15/02, 10/1/07, 9/30/08, 8/15/10, 8/1/12, two (2) staff members hired 8/18/10, and two (2) staff members hired 8/1/11. Interview with director revealed she could not locate this documentation at the time of survey.
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 child care center failed to post documentation in accordance with regulations. Review of documentation and interview with director revealed the center failed to post a daily schedule of activities in the PKS Room. Review of documentation and interview with staff member revealed the the posted daily schedule of activities in the PKH Room was not current as it was dated 4/11/16-4/15/16. 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 2:120 · 922 KAR 2:120. Section 13. Animals.
General: Based on Observation, Documentation Review and Interview, the child care center failed to comply with regulatory requirements regarding animals. Observation of the child care center revealed a fish in one (1) of the classrooms. Review of children’s files and interview with director revealed the center failed to obtain written permission from the parents to allow the fish in the presence of children in care.
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 Review of Documentation, the childcare center failed to maintain all confidential information requirements. Review of posted documentation in the PK-H Classroom revealed that there were Medication Authorizations forms posted at the entrance of the classroom. Review of posted documentation in the PK-S Classroom revealed that an immunization list was posted near the teachers desk.
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 Review of Documentation, the childcare center failed to maintain a child abuse and neglect policy pertaining to child abuse or neglect set forth in KRS 620.030. Review of documentation revealed, "In a crisis situation, the staff person detecting the suspected abuse/neglect shall immediately notify the Director. At the time of notifying the Director, the staff person is responsible for contacting the Child Abuse Hotline to report the situation. The Director will witness the telephone call." Continued review revealed a policy that states, "In a non-crisis situation involving suspected abuse/neglect, ongoing in nature, the staff detecting the suspected abuse/neglect shall talk to the Director about her concerns. The Director shall witness the phone call made by the staff person to the Child Abuse Hotline/Social Services."
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, the Director failed to maintain all staff meeting requirements. Interview with the Assistant Director revealed that there have been meetings conducted; however, the staff meetings are documented on the Director's computer and not accessible to present them for review. 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Review of Documentation, the childcare Director failed to maintain all staff evaluation requirements. Review of documentation revealed that staff evaluations, completed in 2014, assessing each staff member's interaction with children in care and classroom performance was not presented for review for any staff members.
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 Director failed to maintain the health, safety and comfort of all children in care. Observation of the bathrooms in the PS-N classroom and the PK- S classroom revealed that there was a toilet plunger next to the toilets and accessible to the children in care.
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 center failed to assure that staff hired after 01/01/2009 provided proof of a high school diploma, GED or Commonwealth Care Credential. Review of child care staff files revealed that a staff member hired on 02/02/2015 did not have a high school diploma, GED or Commonwealth Care Credential on file.
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 child care center failed to ensure that a staff member was free from active Tuberculosis. Record review revealed that a staff member with the hire date of 08/15/2010 did not have documentation from a health professional to verify that the individual was free from 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 child care director failed to ensure all staff completed the required annual state approved training hours in a timely manner. Review of documentation revealed that a staff members the hire date of 10/01/2007 completed nine (9) of the required fifteen (15) training hours. 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 9. Food and Meal Requirements.
General: Based on Observation, the childcare center failed to maintain the appropriate use of food. Observation of the PS-L Classroom revealed that the children were rewarded with suckers and candy for "behaving while at church."
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on Observation, the childcare center failed to maintain inaccessible items requirements. Observation of the PS-N bathroom revealed an unlocked gray cabinet that contained Lysol, disinfectant wipes, disinfectant spray, hand sanitizer and adhesive remover that were all labeled with "keep out of reach of children" and were 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: Based on Observation, the childcare center failed to maintain all building requirements. Observation of the PS-L and After School Care Program 7-12 classrooms revealed that there were light covers off the florescent lights and the bulbs were not shatterproof. Observation of the pink bathroom near the PK-H classroom revealed that the light fixture had three (3) light bulbs exposed that were not shatterproof.
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, the childcare center failed to maintain all sink requirements. Observation of the sink in the girl’s bathroom located in the After School Care Program 7-12 classroom revealed that the hot water was not functional and the cold water exited the faucet in a trickle.
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 childcare center failed to maintain children hand washing requirements. Observation of the PK-S Classroom revealed that a child blew her nose into a tissue and instead of washing her hands with warm water and soap, hand sanitizer was used.
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 childcare center failed to maintain all protective surface requirements. Observation of the outdoor play area revealed a Fischer Price pink, blue and green climber/slide with no protective covering. Continued observation of the outdoor play area revealed a silver slide/tunnel with no protective covering.
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 childcare center failed to maintain all mat requirements. Observation of the mats in the Pre-K Hallway revealed that several of the mats were torn on the sides resulting in exposed foam.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.
General: Based on Review of Documentation, the childcare center failed to maintain all requirements for transportation services. Review of documentation revealed the lack of a written plan that details the type of transportation, a staff schedule, a transportation schedule, and a transportation route. Continued review of documentation revealed the childcare center failed to provide for review written policies and procedures regarding their current transportation provider, Miller Transportation, Inc.
Open Not marked corrected in the state record
Category: transportation. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.
General: Based on Review of Documentation and Interview, the childcare center failed to maintain children's transportation records. Review of documentation revealed that the childcare center staff did not present for review the following information regarding field trips from 2014: the first and last name of the child transported and the time each child gets on and the time each child gets off the vehicle using to transport. Interview of the Assistant Director revealed that the aforementioned information has not been recorded, therefore, has not been kept for five (5) years.
Open Not marked corrected in the state record
Category: transportation. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.
General: Based on Observation, the childcare center failed to maintain all snack requirements. Observation of the PS-N classroom revealed that the children in care were served for snack a donut and water, which does not meet the requirements for components of snack.
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 Interview, the childcare center failed to maintain documentation for an off premise trip. Interview of the Assistant Director revealed that the childcare center destroys the permission form for each trip off the premises signed by the child’s parent directly after the trip. Continued interview with the Assistant Director revealed that the childcare center arranges approximately six (6) fields trips a year and does receive the documentation for permission to take the children off the premises, however, that documentation is not maintained. Written Documentation
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, the child care center did not maintain an annual emergency preparedness plan. Review of the emergency preparedness plan that was presented for review revealed that the plan was completed for 2012-2013. The child care center did not present a plan for the 2013-2014 year that included 1) method of transportation 2) plans to notify parents of relocation 3) plans of procedures for meeting the needs of the children during relocation 4) verification to show the plans were shared with parents and the local emergency official in accordance with KRS 199.185.
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 childcare center failed to maintain all attendance records requirements. Review of attendance records for 03/26/2015 revealed that eleven (11) Before Care Only and Before/After Care were signed into the center; however, the eleven (11) children were not signed out after leaving for school.
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, the childcare center failed to maintain all professional development plan requirements. Review of documentation revealed that there was not a written annual plan, from 2014, for child-care staff professional development presented for review.
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 childcare center failed to maintain all tornado and earthquake drill requirements. Review of documentation revealed that the childcare center failed to document the time that the tornado and earthquake drills were completed.
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 childcare center failed to maintain the confidentiality of a child's record. Review of posted documentation in the PK-H Classroom revealed that there were Medication Authorizations forms posted at the entrance of the classroom. Review of posted documentation in the PK-S Classroom revealed that an immunization list was posted near the teacher’s desk.
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 childcare center failed to maintain all Daily Activities requirements. Review of documentation in the After School Care Program 3- 7/Before School Care Program 3-12 revealed that there was not a posted list of daily activities that would be conducted with the children in the classrooms.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.
General: Based on Interview, the childcare center failed to maintain all animal requirements. Interview of the Assistant Director revealed that the childcare center did not ensure that a fish "Rainbow" was allowed in the presence of a child in care through obtaining written parental consent.
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. Review of staff files revealed employees with hire dates of 3/16/11 and 4/17/10 did not have documentation from a health care professional stating that they were free of active TB. Interview with the director revealed that this documentation was not available for review at the time of the survey.
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. Review of staff files revealed that staff member with the hire date 10/1/07 had fourteen of the required fifteen hours of cabinet approved early care and education training documentation available for review. Interview with the director revealed that the additional training hour was an oversight and may not have been completed. 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 4. Premises Requirements.
General: Based on Observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation revealed several areas of the walls located in the after school area to have large areas of chipping yellow paint.
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 child care center failed to maintain equipment in accordance with regulatory requirements. Observation revealed two brown leather chairs located in the after school area to have significant rips and tears exposing the inner material and foam.
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 children’s records in accordance with regulatory requirements. Review of children’s records revealed that a child with the enrollment date of 8/19/13 did not have a current immunization record on file for review. Interview with the director revealed that there was not a current available for review at the time of the survey.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on observation, an employee with the hire date of 08/01/2011 was supervising the children in PS-N alone. According to the review of documentation, her Criminal Record Check was not run through a source approved by the cabinet.
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, employees with the hire dates of 08/01/2011, 08/01/2011, 03/19/2012, 04/23/2012 and 08/01/2012 did not have Criminal Record Checks run through a source approved by the cabinet. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 6 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, an employee with the hire date of 05/09/2011 did not have verification of education; i.e. High School Diploma, GED or CCC, filed for review.
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, an employee with the hire date of 08/18/2010 did not have a statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results.
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, employees with the hire dates of 08/15/2002 (0 of 15 hrs), 08/18/2010 (8 of 15 hrs), 05/09/2011 (8 of 9 hrs) and 03/19/2012 (0 of 9 hrs) did not complete their 9 or 15 hours of 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 3. General Requirements.
General: Based on observation, in PK-H, the teacher's belongings were accessible to children. Also, in the bathroom in PS-N, a plunger was next to the toilet and accessible to 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 floors in the After School Care Program classroom are dirty, including the floors in the restrooms.
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, in PK-S there was a dirty wash cloth hanging on the towel rack.
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, in the girls bathroom in the After School Care Program classroom, there is no hot water. When the hot water knob is turned, no water comes out.
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, the first aid kit did not contain scissors, a flashlight or disposable gloves.
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: Based on review of documentation, medicine was administered without a daily written request of the child’s parent. Interview with staff in charge revealed that the parent signed a permission form that extended until summer, but they did not sign daily.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on observation, two EpiPen's expired in 2012. Outdoor Play Area
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, in PK-H and PK-S, the lesson plans posted were not dated.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 2
General: Based on observation of the preschool gathering room at 8:20 a.m. there were sixteen (16) children and two (2) caregivers. Interview with staff revealed the children were ages four (4) years old through eight (8) years old. At approximately 8:50 a.m. there were twenty (20) children present in the room. Throughout the survey time one (1) staff member would occasionally leave the room which left only one (1) caregiver providing care to the twenty (20) children. 163 - Defined Groups 922 KAR 2:120 - Section 2 (2) (a) In a Type I center, a group size shall: 1. Be separately maintained in a defined area unique to the group; and 2. Have specific staff assigned to, and responsible for, the group. 1) Separate/Defined Area In Compliance 2) Specific Staff In Compliance
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 3
General: Based on review of documentation, a child with an enrollment date of 8/8/11 did not have a current immunization certificate on file at the facility.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.