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Home › KY › Louisville › Primrose School of East Louisville
1151 Dorsey Lane, Louisville KY 40223 · License #L383277 · Center · Licensed
When they operate
Schedule type not published.
Ages served
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, one staff member (DOH: 09/17/2021) had an expired Pediatric Abusive Head Trauma (PAHT) training. The last documented completion date was 10/22/2020.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the following was found: 1. A child's (DOE: 07/22/2025) immunization certificate was expired. 2. A child's (DOE: 08/04/2025) immunization certificate was expired.
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 interview and review of documentation, a current report 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." Written communication requesting an inspection by the fire marshal was also not presented for review upon request.
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: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on interview and review of documentation, a copy of the administrative regulation, to include sections 922 KAR 2: 120 and 922 KAR 2: 090 was made available and presented for review, however, section 922 KAR 2:280 was not included.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, education credentials for a staff member (DOH 09/04/24) 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 tuberculin (TB) test documentation presented for a staff member (DOH 07/28/14) was dated "11/21/22" and was therefore, not current at the time of the inspection. 2) The TB test documentation presented for a staff member (DOH 07/13/20) was dated "11/22/22" and was, therefore, not current at the time of the inspection. 3) The TB test documentation presented for a staff member (DOH 06/25/20) was dated "09/11/22" and was, therefore, not current at the time of the inspection. 4) The TB test documentation presented for a staff member (DOH 05/03/21) was dated "11/23/22" and was, therefore, not current at the time of the inspection. 5) The TB test documentation presented for a staff member (DOH 07/28/14) was dated "11/23/22" and was therefore, not current at the time of the inspection. 6) The TB test documentation presented for a staff member (DOH 08/24/22) was dated "08/26/22" and was therefore, not current at the time of the inspection. 7) The TB test documentation presented for a staff member (DOH 11/28/22) was dated "11/21/22" and was, therefore, not current at the time of the inspection. 8) The TB test documentation presented for a staff member (DOH 12/18/17) was dated "11/23/22" and was, 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: Based on review of documentation, the following was found: 1) A staff member (DOH 08/24/22) last completed Pediatric Abusive Head Trauma (PAHT) training on 11/20/19, which had passed its five (5) year renewal dated as of 11/20/24. 2) A staff member (DOH 10/16/17) last completed PAHT training on 08/22/18, which had passed its five (5) year renewal date as of 08/22/23. 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 in the Infant 1 classroom failed to ensure that an infant washed or wiped their hands after being diapered.
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, a tube of CeraVE Baby Healing Ointment, with a label containing the phrase "Keep out of reach of children," was stored next to the handwashing sink in the PreK 2 classroom, where it was accessible to the children. Outdoor Play Area 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. Toys and Furnishings.
General: Based on observation, the changing table surface, beneath the changing pad in the Infant 2/Toddler Transition room, contained an accumulation of crumbs and other debris.
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, one (1) infant bottle, stored in the Toddler 2/Toddler Transition refrigerator, was not covered. Food Service 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 professional development plan presented for a staff member (DOH 08/01/22) was not completed or dated.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Observation of the Infant 2/Toddler Transition room revealed that the proper method of diapering was not posted near the changing area. 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 5. Infant and Toddler Play Requirements.
General: Based on observation and interview, two (2) staff acted as caregivers to fifteen (15) children in the Early Preschool 2 classroom. The staff stated that the youngest child in the room at the time was two (2) years old and the oldest was three (3) years old and that the children would remain in combined care for the entirety of the school day; in excess of one (1) hour. The staff in charge reported that the toddlers did not have signed transition plans on file 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: Based on interview and review of documentation, verification of fifteen (15) hours of cabinet-approved early care and education training, completed between July 1 and the following June 30 of each subsequent year of employment, was not presented for review for four (4) staff members (DOH: 08/24/2022, 09/20/2021, 11/20/2015 and 03/07/2022.) Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Upon request, a current copy of the center's liability insurance was not presented for review, therefore, proof of coverage could not be verified.
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 power strip on the floor near the computer in the Private PreK 2 room contained an outlet that was not covered. Director Requirements In Compliance Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Upon request, proof of education for a staff member whose date of hire was 09/08/2022 was not presented for review at the time of the survey. The staff member in charge confirmed that the aforementioned staff member was working with children in a supervisory role. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Upon request, current results of a negative tuberculin (TB) test or a statement from a health professional stating that staff members hired on 09/28/2014, 05/03/2021, 07/28/2014, 07/13/2020, and 12/18/2017 were free from active TB was not presented for review 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: Review of ECE TRIS revealed that several staff members with hire dates of 07/28/12, 07/13/20, 09/30/19, 05/03/21, 07/12/21, 12/18/17, 12/09/19, and 09/01/18 failed to complete 15 hours of cabinet-approved training during the last review period. Additionally one (1) staff member with a hire date of 03/07/2022 failed to complete six (6) hours of cabinet-approved orientation within the first three (3) months of employment and one (1) staff member with a hire date of 10/04/2021 failed to complete one and one-half (1.5) hours of pediatric abusive head trauma training within the first year of employment. Verification that a staff member with a hire date of 07/26/2021 had completed fifteen (15) hours of annual training, six (6) hours of orientation training, and one and one-half (1.5) hours of pediatric abusive head trauma training could not be determined because the staff person did not have a training record available for review on the ECE TRIS database. Interview with the staff member in charge revealed that she had not registered the aforementioned individual into the ECE TRIS system. 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: Observation of the Preschool 1 classroom revealed that two adult purses were stored on a low stack of cots where they were accessible to the children in care. The staff members in the classroom confirmed, through interview, that the purses belonged to them.
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 lower portion of the wall within the Young Toddler classroom contained areas of chipped paint and exposed drywall. 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
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.
General: Observation of the boy's restroom within the Private PreK 1 classroom revealed that the seat of the toilet on the left-hand side contained an area of damage on its underside where the surface coating was flaking, exposing the inner material which was emitting debris onto the rim of the toilet bowl. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen 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 8. Kitchen Requirements.
General: Based on observation, the refrigerator within the Infant 1 classroom contained an indicating thermometer which measured forty-seven (47) degrees Fahrenheit, exceeding the maximum allowable temperature of forty (40) degrees Fahrenheit.
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 kitchen freezer contained an indicating thermometer which measured five (5) degrrees Fahrenheit, therefore, the freezer was not maintaining a temperature of zero (0) degrees Fahrenheit or below. 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 Not In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Upon request, documentation for verification that a fire drill was conducted during October of the current licensure year was not presented for review. Additionally, documentation verifying that earthquake, tornado, and lockdown drills had been conducted during the second and third quarters of the current licensure year was not presented for review. Interview with the staff member in charge confirmed 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 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the proper method of diapering was not posted at the diaper changing area in the Young Toddler classroom. Animals In Compliance
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: Review of the center's Kentucky Applicant Registry and Employment Screening (KARES) report on 05/24/2022, a staff member who was present at the center on the same day was not listed as a current employee with a current determination of eligibility on the KARES report. Interview with the staff in charge revealed the referenced staff member previously separated from the center and was rehired on 09/20/2021. Further review of the KARES report revealed the individual was listed as a separated employee. Therefore, the individual's new background checks were not initiated prior to the onset of her renewed employment with the center. Supervision In Compliance Staffing Requirements In Compliance General Administration 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 interview and review of documentation, the staff in charge did not present verification that the records for the employees with the hire dates of 10/16/2017, 09/17/2021 and 07/26/201 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 result. 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 2:090 · 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 records of the following employees with the hire dates of 07/28/2014, 11/20/2015, 07/14/2017, 09/04/2018, 12/17/2018, 09/30/2019, 03/29/2021 and 05/20/2021 had met the requirement of fifteen (15) hours of cabinet-approved early care and education training during the last year of employment. Continued review revealed the files for employees with the hire dates of 10/16/2017, 09/17/2021, and 10/04/2021 did not contain documentation that cabinet approved orientation training was completed within the required timeframes. Review of documentation in the ECE-TRIS training system revealed the staff members listed above had not met the requirements. Programming In Compliance Premises In Compliance 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
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.
General: Based on observation, the small red vinyl couches located in the following classrooms Pre-K 1 & 2, Pre-School 1 & 2 and Early Pre-School, was worn on the edge of the cushion seats exposing the foam material inside. 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
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, an eight-month-old infant was lying in a bouncy seat. The staff was rocking the bouncer with her foot. While bouncing the infant, the infant rose slightly out of the bouncer seat and the child's head jerked to one side. Observation in the pre-school II and pre-K II classroom revealed there was a toilet plunger next to the toilet in each restroom. Employee Records In Compliance Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the overhead vent in the Early Preschool II classroom had a heavy build-up of dust. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the changing pad in the infant II and Early Preschool I classrooms were stained with a dark substance. The table underneath the pad had several hair strands and dried food particles. Therefore, the changing pads and surfaces were not kept in a hygienic manner. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation, a small red vinyl lounge chair in the older toddler classroom had several rips. The foam material inside was exposed. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation and interview, a seven-month-old infant was observed laying in a crib, self-feeding with a bottle. A ten-month-old infant was also observed laying in a bouncy seat holding a bottle for self-feeding. Therefore, the infants were not being held during feeding. 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 to include medical history, authorized pick-up, and a name of a physician for the child with the enrollment date of 02/03/2020. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance 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, interview and review of documentation, the child care center failed to comply with the regulatory requirements specific to the current pandemic as established in 922 KAR 2:410E specific to the storage of personal bedding, face masks, and background checks for staff members. The children's personal bedding was stored in wooden cubicles that were accessible to all children. Two (2) children were observed wearing masks. Review of documentation and interview revealed the children had not entered first grade and did not have parental permission to wear the mask. Continued observation revealed two (2) staff in the Early Preschool II classroom were not wearing their masks properly. The nose region was exposed. Also, review of documentation revealed the record of the staff member with the hire date of 08/17/2020 did not contain a copy of a Criminal Records Check. The staff member was observed working alone with nine (9) children, who ranged in age from four to five years old, for the duration of the survey from 08:50 to 01:55 p.m.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.
General: Based on review of documentation, observation and interview, the child care center failed to comply with regulatory background checks requirements. Review of the presented employee records revealed four (4) staff members with hire dates 9/24/18, 7/29/19, 7/1/19 and 3/12/18 whose background checks listed Illinois, Indiana and Virginia as previous residences in the past five years and did not contain an Illinois, Indiana and Virginia background check. Upon request, the director did not present an Illinois, Indiana and Virginia background check for the aforementioned staff members at the time of the survey. Observation and interview with the director revealed the aforementioned staff members had not worked alone with children. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance 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
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed a high school diploma, GED, or Commonwealth Child Care Credential was not presented for review at the time of survey for seven (7) staff members hired 7/29/19, 8/5/19, 9/24/18, 6/24/19, 10/31/18, 11/19/18 and 10/22/18. 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files revealed six (6) staff members hired 7/29/19, 8/5/19, 8/2/17, 9/24/18, 11/19/18 and 10/22/18 failed to have record of negative tuberculin result or a statement from a health professional that the individual is free of active tuberculosis on file. Interview with the 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 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulations. Review of staff files and ECE- TRIS report on 8/21/19 revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for one (1) staff member hired 2/19/16. Continued review of staff files revealed one (1) staff member hired 6/11/18 had not received Pediatric Abusive Head Trauma training PAHT. Review of staff files revealed five (5) staff members with the hire dates of 11/15/18, 10/31/18, 11/19/18, 10/10/18 and 10/22/18 had not completed state approved orientation training. Interview with the director revealed this documentation was not on file at the time of the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Upon a review of documentation there was no record of earthquake and tornado drills done at the center for the first and second quarters of 2019 and also there was no documentation of fire drills done at the center for the months of January through July of 2019. An interview with the director revealed the documentation was not on the file. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.
General: Based on observation, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the first aid supplies on the child care center Chevy express bus revealed there was not a thermometer. Observation of the first aid supplies on the child care center Chevy Collins bus revealed there was not a thermometer and cold pack. Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 regulatory requirements. Observation of the refrigerator in the infant 1 room revealed the thermometer registered forty-six (46) degrees Fahrenheit. 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. Located in the Pre-K male restroom was a toilet plunger, which was accessible to the children. Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation, the child care center failed to maintain employees records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the criminal records check (CRC) had been completed for the employee with the hire date of 06/01/2017. The document presented stated “Your request is potentially incomplete for the reason (s):Incomplete/No SSN”. The above-mentioned staff was not observed working alone. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care director did not present verification that the employees with the hire dates of 03/13/2017 and 05/04/2017 had completed new orientation training within the first ninety (90) days of employment.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.
General: Based on review of documentation and interview, the child care center failed to maintain employees records in accordance with regulatory requirements. The child care center director did not provide verification that the employees with the hire dates of 07/23/2014, 07/28/2014, 02/17/2015 and 07/30/2015 had an annual check of the Kentucky driver history record in accordance with KRS 186.018; or a driver’s history records through the state transportation agency that issued the driver’s license. 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 review of documentation and interview, the child care center failed to comply with regulatory programming requirements. Upon request, the child care director 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 each child for seven (7) out of eleven (11) classrooms. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Transportation Not In Compliance
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 and interview, the child care center failed to comply with regulatory requirements regarding transportation. Upon request, the child care director did not provide verification of a current certification of inspection for the vehicles with the VIN numbers of 1GBOG2BAZE1159606 and 1GBOG2BAZE1162683, which had been conducted from the Transportation Cabinet. 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 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on Review of Documentation, interview and observation, the childcare center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed that an employee hired on 8/10/16 did not have documentation available to verify that a criminal record check had been submitted. Interview with the director revealed that the documentation had not yet been returned. The employee was not observed working alone 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 childcare center failed to maintain employee records in accordance with regulatory requirements. Review of employee files revealed that an employee hired on 10/15/14 did not submit current documentation from a medical professional stating that the individual was free from active TB at the time of the inspection. Interview with the director revealed that the individual had already received notification that the documentation was to be submitted. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on Observation, the childcare center failed to maintain the premises in accordance with regulatory requirements. Observation in the Two’s Room revealed empty plastic bags protruding from the open cabinet located under the diaper changing station. Continued observation revealed that the plastic bags were accessible to the thirteen (13) children in care at the time of the inspection. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on Observation, the childcare center failed to comply with hygienic practices in accordance with regulatory requirements. Observation in the Older One’s Room revealed a diaper changing surface that had wet spots of a discolored substance at the time of the inspection. First Aid/Medication Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on Observation, the childcare center failed to comply with regulatory requirements as it pertains to medication. Observation in the Young Toddlers Room and the Two’s Room revealed diapering ointment that failed to be stored locked at the time of the inspection. Continued observation in the Young Toddlers Room revealed a bottle of Pediamist nasal spray that also failed to be stored locked at the time of the inspection. Outdoor Play Area In Compliance Equipment In Compliance Transportation 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 12. Transportation.
General: Based on Review of Documentation, and interview, the childcare center failed to comply with regulatory requirements regarding transportation. Review of transportation logs revealed that trips taken on 6/7/16, 7/20/16 and 7/22/16 did not include a written record of the time each child got on and off of the vehicle. Interview with the director revealed that a review of the transportation documentation made it clear that the different staff members involved did not document consistently. Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3
Open Not marked corrected in the state record
Category: transportation. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
Based on interviews and review of documentation, the child care center director failed to assure compliance with regulatory requirements regarding the health, safety and comfort of children in care. The information obtained from DCBS intake notes and interviews revealed incidents occurred involving a five-year-old child exposing his genitalia to other children and inappropriately touching another child's genital area.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on Review of Documentation, and interview the child care center failed to comply with employee records regulatory requirements. Review of documentation revealed an employee (DOH: 5/4/15) did not have a criminal records check on file required by KRS 199.896(19). Interview with the staff in charge revealed she was not able to locate the aforementioned documentation and that the staff member (DOH: 5/4/15) does not work alone with children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Review of Documentation, the child care center failed to comply with employee records regulatory requirements. Review of employee files revealed an employee with the hire date of 7/29/15 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, the child care center failed to comply with employee records regulatory requirements. Review of employee files revealed an employee with the hire date of 8/20/14 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 2:120 · 922 KAR 2:120. Section 12. Transportation.
General: Based on Review of Documentation, and interview the child care center failed to comply with transportation regulatory requirements. Review of documentation revealed there were no daily pre-trip inspection records on file for the two (2) buses used to transport children. Interview with the staff in charge revealed one (1) child is transported on one (1) of the buses every day and that the pre-trip inspection documentation was not available.
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, and interview the child care center failed to comply with transportation regulatory requirements. Review of documentation revealed there was no documentation on file showing the name of children who are transported and the time each child gets on and off the transportation vehicle. Interview with the staff in charge revealed there is one (1) child whom is transported by someone at the facility each day and that there is no documentation showing the name of the child transported and the child's time on and off the transportation vehicle.
Open Not marked corrected in the state record
Category: transportation. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on Review of Documentation, the child care center failed to comply with written documentation regulatory requirements. Review of staff files revealed six (6) employees did not have a written annual plan for professional development on file. The aforementioned employees hire dates are as follows: five (5) hired on 7/28/14 and one (1) hired on 8/20/14.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on Review of Documentation, the center failed to maintain employee records. Review of employee records revealed a staff member with the hire date 7/28/14 listed an Ohio address on the Child Abuse and Neglect Check. Further review revealed that the staff member failed to have an out of state Criminal Record Check from Ohio on file for review. Continued review revealed that a staff member with the hire date 7/28/14 listed an Arizona address on the Child Abuse and Neglect Check. Further review revealed that the staff member failed to have an out of state Criminal Record Check from Arizona on file 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, the center failed to maintain employee records in accordance with regulatory requirements. Review of employee records revealed that three (3) staff members with the hire date 7/28/14 failed to have current documentation on file stating that they were free of active tuberculosis at the time of the survey.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on Review of Documentation, the child care center failed to comply with the regulatory requirements regarding medication. Record review of the medicine administration records revealed that the center failed to include the time of each dosage on the administration records for multiple children.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on Observation and Interview the child care center failed to maintain food service in accordance with regulatory requirements. Observation in the Toddler classroom revealed that sippy cups containing water were located in the children’s cubbies. Interview with staff in charge revealed that the children receive water in said sippy cups during AM snack. Continue interview revealed that said sippy cups are kept in the classroom to be reused when the children return from outside, therefore are used twice before being washed.
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 center failed to maintain food service in accordance with regulatory requirements. Observation revealed that 2% milk was located in the refrigerator. Interview with a staff member revealed that 2% milk is given to Young Toddlers and Toddler Classrooms. Interview with staff members revealed that said classrooms consist of children age ranging ten-months-old to twenty-four-months old.
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 child care center failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed that the child care center failed to post in a conspicuous place the 2014 Statement of Deficiency and Plan of Correction issued by the cabinet during the current certification period regarding the initial survey.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on Review of Documentation, the center failed to maintain employee records. Review of employee records revealed a staff member with the hire date 7/30/14 listed working in Florida from 2007 to 2011 and listed a Florida address on her Child Abuse and Neglect Check. Further review revealed that the center failed to have an out of state Criminal Record Check from Florida on file at the time of the survey. 305 - Background checks/discharged Discussed 922 KAR 2:090. Section 6. License Issuance. (6) Upon completion of background checks described in subsection (4)(b) of this section, a licensee shall discharge immediately: (a) An individual whose name is listed on the central registry established by 922 KAR 1:470; (b) An individual who has been convicted of, or has entered an Alford plea or a plea of guilty to, a crime in accordance with KRS 17.165; (c) An individual who is confirmed by an address check of the Sex Offender Registry and supporting documentation as a registered sex offender; (d) An individual who has been convicted of, or entered an Alford plea or plea of guilty to, a drug-related felony, and five (5) years has not elapsed since the person was fully discharged from imprisonment, probation, or parole; (e) A director who has been convicted of, or entered an Alford plea or a plea of guilty to, a felony offense involving fraud, embezzlement, theft, or forgery; and (f) An individual who has been convicted of, or has entered an Alford plea or a plea of guilty to, an offense under a criminal statute of the United States or of another state similar to an offense specified in this subsection. (7) An individual who has been convicted of, or entered an Alford plea or a plea of guilty to, a nonviolent felony or misdemeanor not specified in this section shall be handled on a case-by-case basis by the licensee with consideration given to the: (a) Nature of the offense; (b) Length of time that has elapsed since the event; and (c) Individual’s life experiences after conviction, Alford plea, or guilty plea. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 26 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.
General: Based on Review of Documentation, the center failed to maintain employee records in accordance with regulatory requirements. Record review revealed that a staff member with the hire date 7/30/14 failed to have current documentation of their Kentucky driver history records in accordance with KRS 186.018; or driver history records through the state transportation agency that issued the driver’s license at the time of the survey. Programming
Open Not marked corrected in the state record
Open / not marked corrected.