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Home › KY › Louisville › The Potter's House Childcare Enrichment Center
314 South Wenzel Street, Louisville KY 40204 · License #L359393 · Center · Licensed
When they operate
Ages served
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation and interview, the children in the Two's room were not accounted for, using name-to-face recognition by visually identifying each child when moving from the classroom to the gym. The staff in the room reported that a system for completing name-to-face recognition had not yet been created or implemented.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on interview and review of documentation, a written procedure, detailing how the center will maintain supervision, ratios, and group size was not presented for review upon request. Interview with the staff in charge revealed that the policy had not yet been created. General Administration Not In Compliance
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation, the following was found: 1) Multiple electrical outlets in the Three and Four year-old room were not covered. 2) A child in the Infant classroom played with a toy car which was equipped with very small wheels and other small parts. The staff in the room reported that the infant was eleven (11) months old.
Open Not marked corrected in the state record
Open / not marked corrected.
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
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 2:090, 922 KAR 2:120, and 922 KAR 2:280 was not presented or made available upon request. A standard of practice was presented.
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, the following was found: 1) Review of KY-TRIS could not confirm that a staff member (DOH 09/01/25) had completed six (6) hours of cabinet-approved orientation training. 2) Review of KY-TRIS could not confirm that a staff member (DOH 08/15/25) completed six (6) hours of cabinet-approved orientation training. 3) A staff member (DOH 06/25/18) completed only six (6) hours of annual training during the 2024-2025 review period, based on review of KY-TRIS.
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 following was found: Restrooms: 1) The corners of the floor near the commodes contained a build-up of a dark colored, greasy substance. Infant Room: 1) The floor near the sink/changing area was soiled with an accumulation of loose dust and other debris.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, a list of emergency phone numbers was not posted or maintained in a phone's contacts.
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 green wall in the Three and Four year-old classroom contained areas of peeling 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 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the water temperature of the handwashing sinks in both restrooms measured one hundred forty-eight (148) degrees Fahrenheit.
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 staff in the Infant room failed to ensure that a child's hands were washed following a diaper change.
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: Observation of the Infant classroom revealed the cabinet that contained the changing pad was missing a section of the vinyl covering, exposing the splintered, wooden surface beneath.
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, the handle of the pink wagon within the gym was broken, leaving a jagged edge.
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 small refrigerator in the Infant classroom was equipped with a thermometer which read sixty-two (62) degrees Fahrenheit.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on interview, a written evacuation plan was not presented for review upon request. The staff in charge indicated that the plan had been completed; however, they were unable to locate the document.
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 following was not posted or made available: 1) The statement of deficiency and subsequent plan of correction referencing an inspection conducted on 04/23/25. 2) Information on the Kentucky Consumer Product Safety Program.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, a dated plan of activities was not posted in the Infant classroom.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the following was found: 1) The proper method for diapering was not posted near the changing area within the Infant classroom. 2) The proper method for hand-washing was not posted in the girls' restroom. 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: Based on the interview and documentation review, one (1) staff member (DOH: 10/11/2018) had an expired background check on file. The last determination date documented in KARES was 09/10/18.
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, six (6) electrical outlets did not contain safety plugs in the Pre-School classroom.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
Based on the interview and review of documentation, current documentation from a health professional stating that the individual is free from active tuberculosis, or negative results from a tuberculin skin test, was not presented for review for one (1) staff member (DOH: 1/10/2023). The presented TB certification was dated 11/25/2022.
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, one (1) large ceiling vent in the Infant classroom and boys' bathroom contained a thick accumulation of dust.
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, two (2) ceiling tiles in the two-year-old classroom contained large brown stains indicative of water damage.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the thermometer inside the refrigerator located in the Infant room displayed a temperature of 62°Fahrenheit. The refrigerator contained bottles with milk/formula.
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, two (2) bottles that were stored in the refrigerator located in the Infant room were not covered. Additionally, one of the bottles was not labeled. Food Service In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on interview and review of documentation, review of the Kentucky Applicant Registry and Employment Screening (KARES) database revealed that a background check for a substitute (DOH 10/11/18) had last been completed on 09/10/18 and expired at the time of the inspection. The staff in charge reported that, while the aforementioned staff member remains employed at the center, part time, an updated background check for the staff member had not yet been initiated. The staff member was not observed working at the center on the day of the inspection. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 7 Inspection Report Staffing Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation and interview, one (1) staff member in the Preschool classroom acted as the sole caregiver to twenty (20) children, ranging in age from two (2) to five (5) years old. The staff member acted as sole caregiver to the twenty (20) children from the onset of the inspection until an additional staff person arrived on the premises at 09:05am. Therefore the minimum staff-to-child ratio was exceeded by ten (10) children during this time. General Administration Not In Compliance
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on interview and review of documentation, a report verifying the center's approval by the office of the State Fire Marshal or its designee was not presented for review upon request.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on interview and review of documentation, written proof of liability insurance coverage was 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 8. General.
General: Based on observation, one (1) electrical outlet in the Preschool room was not covered. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 7 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, the following was found: 1) A staff member (DOH 08/15/17) last competed pediatric abusive head trauma (PAHT) training on 07/05/18, which had passed its five (5) year renewal date as of 07/05/23. 2) A staff member (DOH 10/11/18) completed only seven and one-half (7.5) hours of annual training during the 2023-2024 review period. 3) It could not be determined if a staff member (DOH 01/10/23) completed one and one-half (1.5) hours of PAHT training. 4) A staff member (DOH 06/28/18) completed only eleven (11) hours of annual training during the 2023-2024 review period. A review of ECE-TRIS confirmed these findings. Programming In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Observation of both the boy's and girl's restrooms revealed a gap was present between the floor tiles and the bottom of the wall, creating a environment which entrapped dirt and other darkly-colored debris.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, one (1) wall in the Preschool classroom contained multiple sections of peeling, green 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 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the girl's restroom was not equipped with a hand-drying blower or other individual use hand-drying material. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 7 Inspection Report 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 staff member in the Infant classroom failed to ensure that an infant's hands were washed after the infant was diapered.
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, a staff member in the Infant classroom failed to sanitize the changing surface after diapering one child, and before placing another child on the changing pad. 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, one (1) tube of Aquaphor Healing Cream, stored near the changing area in the Infant room, was not labeled. Outdoor Play Area In Compliance Equipment Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, four (4) cribs in Infant classroom were equipped with sheets which were significantly raised and bunched, indicating that the sheets were not tightly- fitting. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 7 Inspection Report Transportation In Compliance 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, an infant bottle containing liquid was laying in a swing in the Infant classroom and was not covered. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the immunization certificate presented for a child (DOE 02/20/24) contained an expiration date of 03/06/23" and was expired at the time of the inspection.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the enrollment information presented for a child (DOE 06/14/24) failed to contain the name of the family's preferred hospital. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on interview and review of documentation, a written evacuation plan was not presented for review upon request. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 7 Inspection Report Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation, information on the Kentucky Consumer Product Safety program and the program's website was not posted.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, a schedule of daily activities, to include the dates and times of activities to be conducted with the children was not posted in the Preschool or Infant classrooms.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, the proper method for handwashing was not posted in the girl's restroom. Animals In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on interview and review of documentation, a current report from the Office of the state Fire Marshal was not presented for review upon request.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation, one exposed electrical outlet within the Preschool classroom was not covered. Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on interview and review of documentation, verification that the staff were provided with a copy of the administrative regulation was not presented. The staff in charge provided a copy of a written technical assistance guide and stated that she did not possess a copy of the administrative regulations. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, a current copy of negative tuberculin (TB) test results or a statement from a healthcare professional verifying that a staff person hired on 06/28/18 was free from active TB was not presented for review upon request. The statement presented for the aforementioned individual was dated "04/01/21" and therefore, was no longer current 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 the Early Care and Education Training Records Information System (ECE-TRIS) database revealed that a staff person hired on 02/20/18 had most recently completed Pediatric Abusive Head Trauma training on 05/16/18, which had passed its required five (5) year renewal date at the time of the survey. Further review of the ECE-TRIS database revealed that a staff person hired on 10/11/18 acquired twelve (12) hours of annual training during the last review period, therefore, the required fifteen (15) hours of annual training was not completed. Programming Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Observation of the Infant classroom revealed that five (5) children viewed cartoons on a tablet. The staff in the classroom stated that all the children ranged in age from six (6) months to one (1) year.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.
General: Based on observation, two (2) year-old children were cared-for in the Preschool classroom alongside three (3) and four (4) year-old children. The staff in charge stated that the two (2) year-olds did not have signed transition plans on file and that they would remain in combined care with the preschool-aged children for more than one hour. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the linoleum floors and baseboards throughout the Preschool and Infant classrooms were smudged in several areas with what appeared to be dust and dirt. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, a soiled Pull-up was stored in a garbage can within the preschool restroom that was not covered.
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 surface material covering the changing pad within the Infant classroom was damaged, containing several small tears which exposed the absorbent material within. 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, a bottle of the prescription medication, Cephalexin, was stored in the refrigerator within the Infant classroom where it was not kept in a locked place. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Equipment Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, four (4) cribs within the Infant classroom contained sheets that were significantly bunched and raised, indicating that they were not tightly-fitted to the mattress. Transportation In Compliance 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, one bottle in the refrigerator within the Infant classroom was neither covered nor labeled. Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General:The enrollment information presented for a student enrolled on 11/07/22 failed to contain the name of the family's preferred hospital. Additionally the preferred hospital listed in the enrollment information presented for students enrolled on 07/08/22, 02/03/19, 06/24/21, 02/24/21, and 12/13/22 reflected the name of a hospital that is no longer in existence. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation, the child care center's most recently-issued statement of deficiency and most recently-completed plan of correction was not posted in a conspicuous place or made available for public viewing.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, a schedule of daily activites to include the dates and times that the activities will be conducted with the children was not posted within the Infant and Preschool classrooms. The staff in charge stated that the plans had been completed, but not posted. 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 ECE-TRIS, the surveyor found the following: 1. A staff (DOH: 10/11/18) completed fourteen (14) hours of the required fifteen (15) hours of cabinet-approved early care and education training between July 1 and the following June 30. 2. A staff (DOH: 08/15/2017) completed ten and one-quarter (10 1/4) hours of the required fifteen (15) hours of cabinet-approved early care and education training between July 1 and the following June 30. 3. A staff (DOH: 07/11/2011) completed fourteen and three-quarter (14 3/4) hours of the required fifteen (15) hours of cabinet-approved early care and education training between July 1 and the following June 30. Staff reported that she would have staff complete training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, the surveyor found that there was heavy dust on the air vents located in the restroom off from the Three and Four Year Old Classroom. Staff reported that she would have the air vents cleaned. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals Not Applicable Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the surveyor found the following: 1. A child's (DOE: 08/14/2021) file did not contain a family physician and contact number or a preferred hospital and contact number. 2. A child's (DOE: 06/13/2020) file did not contain a preferred hospital and contact number. 3. A child's (DOE: 02/02/2022) file did not contain an enrollment packet. Staff reported that she would have parents fill out enrollment packets. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation and interview, one staff member was the sole caregiver for fourteen (14) children, ages two through four years old, upon the surveyor's arrival. The staff member in charge acknowledged that the classroom was noncompliant with minimum staff-to-child ratio requirements at that time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 6. Disqualifying Background Check Results.
General: Based on observation, interview and review of documentation, a staff member who the staff in charge identified as a "volunteer" was observed to work alone in a supervisory role with children in two different classrooms on two separate occasions during the inspection. Upon the surveyor's arrival, the aforementioned individual was observed to be the sole caregiver of eight children in the Nursery Room and Threes and Fours Room. The children ranged in age between three (3) months and two-years-old. Later, the individual was observed to be the sole caregiver of four (4) children, ages two and three-years old in the Twos Room for an unknown amount of time. Additionally, the individual was observed to enter classrooms where children were present when helping to serve lunch and performing other tasks. Review of the KARES database revealed that the aforementioned individual received a "not eligible" status on his/her fingerprint background check on 8/13/2018. Review of Division of Regulated Child Care documentation revealed that the aforementioned staff in charge wrote a statement that was received by the Division of Regulated Child Care on 3/8/2019. The statement acknowledged that the individual who, at the time was presented as a staff member, received a “not eligible” status on his/her background check. Despite the knowledge of the individual's non-eligible background check status, the staff member in charge allowed the individual to act as the sole caregiver in two different classrooms, as well as be present around children in other classrooms in the center for the duration of the inspection. Supervision Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, a staff member working in the Twos Room was observed to step outside of the classroom twice during the inspection, leaving four (4) two and three- year-old children unsupervised for less than one (1) minute. A staff member supervising children in the School Age Room was observed to prepare lunch in the kitchen. Although the School Age Room (located in the gym) was connected to the kitchen by an open window, children were observed to play at the far end the gym, outside of the scope of sight and sound of the staff member. A staff member supervising a group of children in the bathroom was observed to assist a child in a bathroom stall, with his/her back turned to the other children. While the aforementioned staff member's back was turned, children hung on the sink, played with lockers, and moved outside the scope of vision of the staff member. Additionally, an individual who was determined to be 'ineligible' for employment was the sole supervising staff member of eight (8) children who ranged in age from three-months old to two-years-old for an undetermined amount of time. The same individual was the sole supervising staff member of four (4) children ranging in age from two-years-old to three- years-old for an undetermined amount of time at a later time in the inspection. Therefore, the children failed to be supervised by a qualified staff member at all times. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 8 Inspection Report Staffing Requirements Not In Compliance
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, upon the surveyor's arrival, an individual was the sole caretaker of eight (8) children, ages 3 months to 2 years. General Administration Not In Compliance
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation of the Nursery Room, a mini refrigerator sat atop two (2) milk crates. The electrical cord of the mini refrigerator was draped between the wall outlet that it was plugged into and the refrigerator itself. This posed a safety concern, as the milk crates could become unstable if bumped or if the electrical cord was pulled, creating a potential for the mini refrigerator to fall on a child. Observation of the gym, which is used as a classroom for school age children and gross motor space for all other children revealed three (3) forty pound free weights were located on the ground and accessible to children. The free weights could potentially injure a child. Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, interview, and review of documentation, an individual was observed to be the sole caregiver of children in two different classrooms on two separate occasions during the inspection. Review of the KARES database revealed the aforementioned individual received ineligible results on his/her fingerprint background check. A staff member with a hire date of 4/21/2021 was observed to be the sole caregiver of children in the Nursery Room, prior to a Criminal Abuse and Neglect and Criminal Records Check background check being initiated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 8 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 interview and review of documentation, the employee file for a staff member with a hire date of 6/28/18 did not contain verification that the staff member had completed one and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training within the past five (5) years, or six (6) hours of cabinet-approved orientation within the first three (3) months of employment. Review of ECE-TRIS also failed to verify completion of the aforementioned trainings. The staff member in charge stated that he/she thought the trainings had been completed. Programming Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, there was no sort of programming that provided experiences to promote the children's physical, emotional, social, and intellectual growth and well- being for the duration of the three and one-half hour inspection in the Nursery Room. A seven-month-old child was observed to be placed in a high chair for at least twenty minutes with no activities or food offered to him/her. The child was then placed in an Excersaucer, with no sort of interaction with staff members, for at least one hour. A one-year-old child was observed to sit at a table for the duration of the inspection. Although a staff member was observed to ask the child if he/she wanted to play, the staff member failed to engage the aforementioned child in an activity for the duration of the inspection. Another one-year-old child was observed to wander about the classroom for the duration of the inspection. The staff member in charge failed to engage any of the aforementioned children in an activity.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation and interview, a one-year-old child in the Nursery Room was observed to be restrained in a high chair for at least seven (7) minutes. The total time that he/she was restrained in the high chair is unknown. Interview with staff members revealed the child had been placed in the high chair as a form of discipline, as he/she had thrown toys. The child was observed to cry, and a staff member was observed to tell him/her that he/she could not get out of the chair until he/she stopped crying. A seven-month-old child in the Nursery Room was observed to be placed in a high chair for at least twenty minutes with no activities or food offered to him/her. The child was then placed in an Excersaucer, with no sort of interaction with staff members, for at least one hour. A one-year-old child in the Nursery Room was observed to sit at a table for the duration of the inspection. Although a staff member was observed to ask the child if he/she wanted to play, the staff member failed to engage the aforementioned child in an activity for the duration of the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 8 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 of the Gym, a staff member's purse was located on a chair, and 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 floor of the Twos Room contained an accumulation of dirt, indicating that it had not been cleaned on a regular basis.
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, a black material covered the floor of the area in the gym designated for school age care. The material was observed to be bunched in several places, creating a potential tripping hazard. 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 3. General Requirements.
General: Based on observation of the Nursery, a child's hands were not washed with soap and warm running water after his/her diaper was changed. Observation of the Threes and Fours Room revealed eight (8) children did not wash their hands with soap and warm running water after eating lunch.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation of the Nursery Room, a staff member did not wash his/her hands with soap and warm running water after changing a child's diaper. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 8 Inspection Report
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, a staff member began to change the Pull-Up of a child who stood in the middle of the Twos Room. When the surveyor entered the classroom, the staff member pulled up the child's pants and stated that he/she would need to be changed in the bathroom. The staff member took the child to the bathroom and changed his/her Pull-Up while the child stood in the middle of the bathroom, failing to change him/her on a changing pad, per regulatory standards. First Aid/Medication In Compliance Outdoor Play Area Not Applicable Equipment Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation, an infant in the Nursery Room was observed to sleep in a bouncer seat. Additionally, all five cribs in the Nursery Room contained loose-fitting sheets.
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 mat on a shelf located below the sink in the Nursery Room contained an accumulation of debris, which was accessible to the children in care. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation of the kitchen, cookware was stored in two plastic bins, which were located on the floor. The bottom of the bins contained dead insects and an accumulation of unknown debris, which had contact with the cookware. Further observation of the kitchen revealed dishes were stored on a shelf, which contained an accumulation of unknown debris. Additionally, a staff member was observed to bring a group of four (4) two and three-year-old children into the kitchen while he/she prepared a snack. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 6 of 8 Inspection Report Children's Records Not In Compliance
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, the enrollment file for a child with an enrollment date of 3/6/2021 did not contain a preferred hospital. The enrollment file for a child with an enrollment date of 8/1/2019 did not contain the name of a family physician. The enrollment file for a child with an enrollment date of 2/1/2021 did not contain the name and phone number of each person to be contacted in an emergency involving or impacting the child. 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, documentation of the children who participated in fire drills conducted in February 2021 through April 2021 was not presented at the time of the inspection. Documentation of children who participated in the quarterly earthquake and tornado drills conducted in 2021 were not presented at the time of the inspection. Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on review of documentation, each statement of deficiency issued by the cabinet during the current licensure year and each plan of correction submitted by the child care center to the cabinet during the current licensure year were not posted in a conspicuous place and made available for public inspection 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 10. Director Requirements and Responsibilities.
General: Based on interview and review of documentation, a daily schedule of activities, to include the dates and times of activities to be conducted, was not posted in any of the four (4) classrooms in the center. The staff member in charge acknowledged this deficiency. Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 7 of 8 Inspection Report Emergency Regulation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.
General: Based on observation, interview and review of documentation, the employee file for a staff member with a hire date of 4/21/2021 did not contain a Criminal Abuse and Neglect or Criminal Records Check background check. The staff member in charge stated that a CAN and CRC background check had been initiated for the aforementioned staff member, but could not provide verification that the background checks had been initiated. The staff member was observed working alone with children for the duration of the inspection. The licensee failed to obtain appropriate background checks for the aforementioned staff member. Upon the surveyor's arrival, a staff member supervising children in the Nursery and Threes and Fours Rooms was not wearing a face mask. A staff member supervising children in the Gym was observed to wear his/her face mask below his/her chin; therefore, the aforementioned staff members failed to comply with the regulation requiring all adults who enter the facility to wear a face mask. There were soft, machine washable toys present in the Twos Room; therefore, the licensee failed to comply with the regulation requiring all machine washable toys to be removed from access to the children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.
General: Based on observation, interview and review of documentation, the child care center failed to have verification that documentation requesting results of a child abuse and neglect registry and sex offender registry information from the state of Indiana had been submitted for a staff member with a hire date of 01/31/19 who had lived outside of the state of Kentucky within the past 5 years. Interview with the staff in charge revealed she was unaware that a separate out of state background check must be submitted. The staff member was not observed working.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 11. Status of Employment.
General: Based on interview and review of documentation, the child care provider failed to maintain background check information by removing individuals who are no longer employed from the current employee Kares listing. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on interview and review of documentation, the child care center director failed to submit an annual written performance evaluation on individuals, assessing each persons interaction with children in care and classroom performance, when requested at the time of the survey.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, three children in the Infant room were given foods which had not been prepared to allow consumption for the age of the child. The Infants' lunch contained half of a sandwich and salad. The food failed to be prepared in a developmentally prepared manner. The infants were unable to hold in their hands the sandwich, and failed to successfully place lettuce onto a spoon. An infant's food was removed when the child was unable to hold the sandwich or have the lettuce stay on the spoon. Three (3) staff members in the room failed to assist the five (5) infants with eating, or by cutting the food into appropriate bite size pieces for the infants. Additionally, in the gross motor space identified by the staff in charge, revealed a hole in the wall with loose wires. The area also contained three (3) electrical outlets which failed to be covered. 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 interview and review of documentation a high school diploma, GED, or other qualifying documentation from a comparable educational entity, or a Commonwealth Child Care Credential failed to be maintained in files for staff members with hire dates of 10/11/18, and 08/15/17. Interview with the staff in charge revealed the documentation was not available at the time of the survey.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview and review of documentation, the child care center failed to maintain employee records reflecting a signed statement from a health care professional stating the individual is free of tuberculosis or negative results from a tuberculin test for employees with hire dates of: 08/15/17, 08/05/13, 07/11/11, and 10/11/18. Interview with the staff in charge revealed the documentation was not available at the time of the survey.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. A review of staff files and an ECE-TRIS report failed to reflect 15 hours of training completed annually for staff members with hire dates of: 07/11/11, 08/05/13, 07/11/11, and 10/11/18. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Additionally, staff members with hire dates of: 06/28/18, 08/05/13, 07/11/11, and 10/11/18 failed to have documentation of completing PAHT training every 5 years, within the file or within ECE-TRIS reports. Staff members with hire dates of 06/28/18, and 09/30/19 failed to have verification in the file or in an ECE-TRIS report, of Orientation training completed within 3 months of employment Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Premises Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, in the school age room a 33 ounce container of Family Dollar Fabric Refresher with a warning Keep Out of the Reach of Children was accessible to the children. Also, two (2) large safety pins were lying on a shelf and were also accessible.
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 cabinet under the sink in the Infant room was missing two (2) doors allowing the pipes and sink sprayer to be accessible to the crawling infants in the room. A hole in the wall had an accumulation of dust surrounding the pipe. An infant was observed climbing into the cabinet space as it failed to contain barriers to prevent the infants from climbing in.
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 and interview, the green wall had peeling paint under the window, that was accessible to the two (2) year old children in the classroom. Additionally, in the kitchen, a metal entry door in the floor contained a gap where the door did not meet the flooring. Interview with the staff in charge revealed the gap was scheduled to be repaired.
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 water in the sink exceeded one hundred twenty (120) degrees Fahrenheit, upon testing. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not Applicable 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, the child care center had numerous red, light blue and dark blue, plastic mats which were torn, exposing the foam padding, failing to be in good repair. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation, the child care center failed to maintain equipment in accordance with the regulatory requirements. The ceiling vents in the bathrooms contained a large accumulation of dust.
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, a tricycle observed in the gross motor area revealed a rear, green basket which was broken, containing sharp, rough edges. 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, the child care center failed to maintain records revealing routes taken for children attending, Breckinridge Franklin, Coleridge-Taylor, Englehardt, and to a child's residence. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Food Service/Food Program In Compliance Food Service Not In Compliance
Open Not marked corrected in the state record
Category: transportation. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the bottom shelf of the freezer contained an accumulation of water which had frozen and also contained food frozen into the ice. Additionally, the stove and oven failed to be clean with a greasy surface and baked-on food.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation, the refrigerator located in the Infant room contained two (2) bottles failing to be individually labeled.
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, a child's formula was prepared by staff members, failing to be prepared and labeled by the parent. Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on interview and review of documentation, the child care center failed to have a written evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care. Interview with the staff in charge revealed the documentation was not available at the time of the survey.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of daily attendance records the child care center failed to maintain attendance records. School age children were not signed out of the center on a daily basis reflecting they were no longer in attendance.
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 child care center failed to have a current, written staff schedule of staff working hours.
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 observation, interview and review of documentation, the child care center failed to submit a written annual plan for child care staff professional development when requested at the time of the survey. Interview with staff in charge revealed the documentation was not available at the time of the survey.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the child care center failed to maintain the confidentiality of a child by posting a child's allergies in the 3 and 4 year old room. Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on interview and review of documentation, the child care center failed to have posted the most recent statement of deficiency issued by the cabinet and the most current plan of correction submitted by the provider to the cabinet. Interview with the staff in charge revealed the document was not available at the time of the survey. Animals Not Applicable
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 child care center failed to maintain employee records in accordance of regulatory requirements. Upon request, the director did not present proof of education for staff members with the hire dates 6/2/18 and 4/30/18.
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 child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present current TB assessments or statements for a staff member with the hire date 7/21/16. Staff member with the hire dates 4/30/18 did not have any negative TB assessment of statement from physician on file. 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 review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present fifteen (15) hours of approved training, nor could the training be verified through ECE-TRIS records, for staff members with the following hire dates: 7/11/11, 8/5/13 and 7/30/17. Staff members with the hire dates 6/2/18 and 4/30/18 did not have proof of six (6) hours of approved orientation completed within the first three months from their hire dates. 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 Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, the child care center failed to maintain children records in accordance with regulatory requirements. Upon request, the director did not provide a preferred hospital listing for a child with enrollment date 11/15/16. 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 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation and interview, the child care center failed to comply with staffing requirements. Observation of the three-and-four-year-old area revealed thirteen (13) children with one (1) staff member. Interview with a staff member revealed the youngest age child in the area was three-years-old. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Director Requirements Not In Compliance
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, the child care center director failed to assure compliance with regulatory requirements in regards to the health, safety and comfort of a child in care. Observation of the three-and-four-year-old area revealed mini-blind strings tied together causing a loop that was hanging down making it accessible to children in care. Premises 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 6. Sleeping and Napping Requirements.
General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the two-year-old area revealed the children were resting on one (1) inch rest mats and six (6) of the rest mats were torn, exposing the inside material. Observation of the three-and-four-year-old area revealed children were resting on one (1) inch rest mats and twelve (12) of the rest mats were torn, exposing the inside material. Observation of the infant area revealed three (3) torn rest mats exposing the inside material.
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 child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the two-year-old area revealed after rest time as each child’s bedding was taken from them, six (6) children’s blankets were stacked on top of one another. Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on observation and interview, the child care center failed to maintain food service in accordance with regulatory requirements. Observation of the kitchen revealed a staff member escorted three (3) children into the kitchen.
Open Not marked corrected in the state record
Category: nutrition. 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 maintain employee records in accordance with regulations. Review of staff files revealed proof that a Criminal Records Check (CRC) had been submitted on or before the first day of employment was not presented for review at the time of survey for one (1) staff member hired on 8/9/17. Interview with director revealed this documentation was not available for review at the time of survey. Continued interview with director revealed the staff member hired on 8/9/17 had not worked alone with 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 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 two (2) staff members hired 8/10/15 and 4/1/13 were no longer current as they were dated 7/8/15 and 5/15/15. Interview with director revealed current 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 and ECE- TRIS report revealed documentation of fifteen (15) hours of cabinet approved training was not presented for review at the time of survey for two (2) staff members hired 7/21/16 and 11/15/12. Continued review of staff files revealed two (2) staff members, hired 7/21/16 and 7/11/11, had not received or had expired Pediatric Abusive Head Trauma training (PAHT). Interview with director revealed updated 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 3. General Requirements.
General: Based on observation, the child care center failed to maintain the premises in accordance with regulations. Observation of the Infant classroom revealed a box with plastic bags stored in an unlocked cabinet underneath the sink, 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 4. Premises Requirements.
General: Based on observation, the child care center failed to maintain the premises in accordance with regulatory requirements. Observation of School Age classroom revealed several floor tiles were broken and cracked around the edges and the floors throughout the classroom were dirty and stained with a brown substance. Observation of the Two’s classroom revealed several areas of paint chipping and peeling from the wall and a piece of base board next to the bathroom was loose from the wall. In the Infant classroom and Three’s classroom there were several areas of paint chipping and peeling from the walls. Continued observation of the center revealed in the hallway leading to the gym there were several areas were paint was chipping and peeling from the wall.
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 child care center failed to maintain the premises in accordance with regulations. Observation of the Girl’s bathroom revealed the sink was pulling away from the wall causing a one-inch gap between the sink and the wall. 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 6. Sleeping and Napping Requirements.
General: Based on observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the Infant classroom revealed two (2) children lying in cribs which were placed immediately adjacent to one another, with no space between the cribs. 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 11. Toys and Furnishings.
General: Based on observation, the child care center failed to maintain equipment in accordance with regulations. Observation of the School Age classroom revealed a black wooden TV stand that had cracked wood edges with several exposed nails. Continued observation revealed in the School Age classroom two rugs that were stained and had torn frayed edges that were used by children in care. 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 observation, review of documentation and interview, the child care center failed to comply with regulatory requirements regarding transportation. Observation of the vehicle used by the child care center to transport children revealed the vehicle was a twelve (12) passenger van. Review of documentation revealed current certification of an inspection from the Transportation Cabinet was not presented for review at the time of survey. Interview with director revealed she was unable to locate the inspection completed for the van.
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. Review of transportation records revealed documentation of the daily inspection of the child care center van was not presented for review at the time of survey. Interview with director revealed this documentation was not available for review at the time of survey. Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation, the child care center failed to maintain written documentation in accordance with regulations. Review of attendance records on 2/2/18 revealed on the day of 2/2/18 seventeen (17) children had been signed; however, twenty-two (22) children were observed as present at time of survey. Posted Documentation In Compliance Animals Not Applicable
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, and interview, the child care center director failed to assure compliance with regulatory requirements with regard to staff management to ensure implementation of program policy and procedures. Review of transportation records for March, April and May 2017 revealed children arrived late on numerous occasions which resulted in tardiness to school. Further review of record revealed transportation began between 8:20 AM to 8:35 AM. Interviews with staff revealed the child care center’s transportation policy is to begin transportation at 8:15 AM; however, due to lack of staff in the morning shift, the center may need to leave later to prevent staff-to-child ratio issues.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Review of Documentation, the child care center director failed to assure compliance with regulatory requirements with regard to the health, safety and comfort of a child in care. Review of transportation documents revealed preschool children were required to wait in a transportation vehicle for more than an hour each day as school-aged children were transported to school. In addition, school-aged children were required to wait afterschool for thirty (30) minutes or more to be picked up and returned to the child care center. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance
Open Not marked corrected in the state record
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. Review of transportation records for the months of March, April and May 2017, revealed elementary school children arrived to school in the mornings at a time that would be considered tardy. Further review revealed transportation to school in the mornings was to begin at 8:15 AM. However, child transportation attendance records revealed the child care transported children late by at least 20 minutes or more and picked children up from school late by at least 30 minutes or more. Interviews with staff revealed the transportation issues were the result of insufficient staff in the mornings before transportation could begin and transportation routes as some children had to be transported back to the child care center before the remaining children were picked up from school.
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. Review of transportation records revealed children, ages two (2) and three (3) were required to sit on a bus for an hour or more while school-aged children were transported to school. In addition, school-aged children were required to sit or stand for thirty (30) to forty-five (45) minutes after school to be transported back to the child care center. Interviews with staff revealed the two (2) and three (3) year old were required to wait on the van until the preschool children were dropped off to school before the van returned to the child care center. Further interviews revealed the school-aged children were picked up late as some of the school-aged children had to be dropped off at the child care center before the remaining children were picked up from school.
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. In the girls bathroom there was a plunger next to the toilet accessible to children. Further observation revealed several outlets on the wall with the windows had outlets not covered creating a health, safety and comfort issue for the children in the room. Employee Records In Compliance 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
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. Located near the window by the table used by the three and four year olds was a wooden toy kitchenette that had a broken shelf and was rough to the touch. 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 11. Toys and Furnishings.
General: Based on Observation the child care center failed to maintain equipment in accordance with regulations. Observation in the main room revealed at least five to eight red and blue mats that were torn on the seams exposing the inner foam. Further observation revealed that these same mats that were used for the children to play on and step over were covered with sheets and blankets and used for rest time. Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on Interview, Review of Documentation, and Observation, the child care center failed to maintain adequate supervision in accordance with regulations. Interviews and Review of documentation revealed that on 8/29/16, a five-year-old child was left alone, asleep, and unsupervised on the child care center van for a period of time ranging from ten (10) - thirty (30) minutes before being discovered by a staff member. Observation of the gym on 8/30/16 revealed a four-year-old child walked out of the gym at approximately 11:02am/11:03am. Surveyor followed the child as he went into a short hallway, went thru a door leading to another short hallway, and entered the Infant/Toddler Room to go to the bathroom. Surveyor observed the child was alone and unsupervised in the hallway for approximately twenty (20) to thirty (30) seconds. Once the child entered the Infant/Toddler Room, he was under the supervision of the staff members in the room until he was retrieved by his caregiver. Staffing Requirements Not In Compliance
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Interview, the child care center failed to comply with staffing requirements. An interview revealed that at one of the school-pick up locations on 8/29/16, the van driver supervised the children on the van while a staff member hired 7/21/16 went inside the school, signed a child out, and brought the child back to the van. Therefore, the staff member hired 7/21/16 had sole supervisory authority over this child from the time the child was signed out of school until the time he was loaded on the van. An interview revealed that the staff member hired 7/21/16 is only seventeen-years-old; therefore, the center failed to ensure that the minimum number of adult workers was sufficient to ensure that minimum staff-to-child ratios were followed at all times while children were being picked up from school and transported on the van. 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
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on Observation, the child care center failed to comply with staffing requirements. Observation of the gym on 8/30/16 revealed one (1) staff member was the sole caregiver of fourteen (14) children ages two-years-old to four-years-old from approximately 11:04am-11:05am while the other staff member left the gym to retrieve a child from the bathroom. General Administration Not 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 6. Reports.
General: Based on Interview and Review of Documentation, the child care center failed to comply with regulatory requirements. Interviews and Review of documentation revealed that on 8/29/16, a five-year-old child was left alone, asleep, and unsupervised on the child care center van for a period of time ranging from ten (10) - thirty (30) minutes before being discovered by a staff member. Continued interviews revealed several staff members had immediate knowledge of the incident when it occurred on 8/29/16. However, review of DRCC and DCBS records revealed none of the staff members reported the incident to the cabinet pursuant to KRS 620.030. Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Interview and Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Interviews and Review of documentation revealed that on 8/29/16, a five-year-old child was left alone, asleep, and unsupervised on the child care center van for a period of time ranging from ten (10) - thirty (30) minutes before being discovered by a staff member. Continued interviews and review of documentation revealed the driver was terminated for failing to follow the written transportation protocol which required the driver or aide to check the van and ensure that all of the children were unloaded.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Interview and Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. Interviews and Review of documentation revealed that on 8/29/16, a five-year-old child was left alone, asleep, and unsupervised on the child care center van for a period of time ranging from ten (10) - thirty (30) minutes before being discovered by a staff member. Continued interviews and review of documentation revealed the parent sought medical treatment for the child on 8/29/16 and the child was diagnosed as suffering from heat exposure as a result of the incident. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Interview and Review of Documentation, the child care center director failed to assure compliance with regulatory requirements. An interview revealed that at one of the school-pick up locations on 8/29/16, the van driver supervised the children on the van while a staff member hired 7/21/16 went inside the school, signed a child out, and brought the child back to the van. Therefore, the staff member hired 7/21/16 had sole supervisory authority over this child from the time the child was signed out of school until the time he was loaded on the van. Review of staff files revealed a Criminal Records Check (CRC) and a Child Abuse & Neglect Check (CAN) were not presented for review at the time of survey for the staff member hired 7/21/16. Interview with director revealed the background checks had been submitted for the staff member hired 7/21/16; however, she could not locate this documentation at the time of survey. 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 Interview and Review of Documentation, the child care center failed to maintain employee records in accordance with regulations. An interview revealed that at one of the school-pick up locations on 8/29/16, the van driver supervised the children on the van while a staff member hired 7/21/16 went inside the school, signed a child out, and brought the child back to the van. Therefore, the staff member hired 7/21/16 had sole supervisory authority over this child from the time the child was signed out of school until the time he was loaded on the van. Review of staff files revealed a Criminal Records Check (CRC) and a Child Abuse & Neglect Check (CAN) were not presented for review at the time of survey for the staff member hired 7/21/16. Interview with director revealed the background checks had been submitted for the staff member hired 7/21/16; however, 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 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 documentation that a staff member hired 7/21/16 was currently enrolled in high school was not presented for review at the time of survey. Interview with director revealed this documentation was not available for review 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 5. Staff Requirements.
General: Based on Interview and Review of Documentation, the child care center failed to maintain employee records in accordance with regulations. Interviews revealed a driver hired 8/12/15 and the monitor hired 7/21/16 were the sole caregivers of nine (9) school-age children being transported on the child care center van on 8/29/16. Review of staff files revealed documentation of current certification by a cabinet approved training agency in Adult Cardiopulmonary Resuscitation (CPR) and First Aid as required for a center licensed for school-age children was not presented for review at the time of survey for the driver or the monitor. Interview with director revealed she is not certain if either staff member completed the certification as she could not locate this documentation at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 Interview, the child care center failed to comply with regulatory requirements regarding transportation. An interview revealed that on 8/29/16, a five-year-old child was transported on the child care center van, but the child was only buckled into a seat belt and was not secured in a booster seat. An interview revealed that the child’s height is 3’11”. Consequently, based on the age and height of the child, by state law, the child should have been secured in a booster seat while being transported on the van.
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, Review of Documentation, and Observation, the child care center failed to comply with regulatory requirements regarding transportation, specifically leaving a child unattended on a vehicle. Interviews and Review of documentation revealed that on 8/29/16, a five-year-old child was left alone, asleep, and unsupervised on the child care center van for a period of time ranging from ten (10) - thirty (30) minutes before being discovered by a staff member.
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 Interviews, the child care center failed to comply with regulatory requirements regarding transportation. Review of documentation revealed a five-year-old child enrolled 8/25/14 was documented as being unloaded from the child care center van at 5:05pm on 8/29/16. However, interviews and review of documentation revealed the child was left alone, asleep, and unsupervised on the van for a period of time ranging from ten (10) - thirty (30) minutes before being discovered by a staff member. Therefore, the center failed to accurately record the time the child was unloaded from the van. Further interviews and review of documentation revealed that the time each child got on the van and off the van on 8/29/16 was recorded by the driver and also, the driver was the staff member responsible for ensuring that all of the children were unloaded from the van. Consequently, the center failed to ensure that a staff member other than the driver verified that the van logs were accurately recorded and that a staff member other than the driver verified that all of the children were unloaded from the van. Children's Records Not In Compliance
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 Interview and Review of Documentation, the child care center failed to maintain children’s records in accordance with regulations. Interviews and review of documentation revealed a child enrolled 8/25/14 had been transported to and from school by the center. Review of documentation and interview revealed a transportation release form was presented for review at the time of survey for the child enrolled 8/25/14; however, the release form lists “Cable Church Summer Camp Staff” as the entity which was granted authority by the parent to transport the child, not “The Potter’s House Childcare Enrichment Center.” Therefore, the licensed child care center, “The Potter’s House Childcare Enrichment Center”, failed to have written permission from the parent to transport the child to and from school. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on Review of Documentation and Interviews, the child care center failed to maintain written documentation in accordance with regulations. Review of documentation revealed the following information was not documented on the attendance records on 8/29/16 for a child enrolled 8/25/14: (1) the child’s first and last name; (2) the child’s arrival time to the center on 8/29/16; and (3) the child’s departure time from the center on 8/29/16. Interviews confirmed that this information was not documented on 8/29/16.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on Observation, and interview, it was determined the center failed to comply with regulatory staffing requirements regarding staff to child ratio between 7:30-8:25 a.m. Observation of the preschool area revealed the following: • At 7:30 a.m., eleven (11) children were present with one (1) supervising staff member, interview revealed the youngest child present was two-years-old. • At 7:45 a.m., the amount of children increased to thirteen (13), including two-year-olds, with one (1) supervising staff member. • At 7:56 a.m., the amount of children increased to seventeen (17), including two-year-olds, with one (1) supervising staff member. • At 8:00 a.m., an additional staff member arrived. At 8:10 a.m., the amount of children increased to twenty-two (22), including two-year-olds, with two (2) supervising staff members. • At 8:15 a.m., the amount of the children increased to twenty-three (23), including two-year-olds, with two (2) supervising staff members. • At 8:20 a.m., the amount of children increased to twenty-six (26), including two-year-olds, with two (2) supervising staff members. • At 8:22 a.m., the amount of children increased to twenty-seven (27), including two-year-olds, with two (2) supervising staff members. At 8:23 a.m., two (2) additional staff members, including the van driver, arrived. • At 8:25 a.m., nine (9) school-age children from the group were transported to school leaving eighteen (18) children and three (3) supervising staff members. The center did not have any further issued with staff-to-child ratios for the remainder of the survey. Exit interview revealed director acknowledgment of the deficiency; director stated the morning was not an ordinary morning due to several emergency situations regarding staff members.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on Observation, and interview, it was determined the center failed to comply with regulatory staffing requirements regarding staff to child ratio regarding maximum group size for two-year-olds between 8:10-8:25 a.m. Observation of the preschool child care area revealed the following: At 8:10 a.m., twenty-two (22) children, including two-year-olds, with two (2) supervising staff members. • At 8:15 a.m., the amount of the children increased to twenty-three (23), including two-year-olds, with two (2) supervising staff members. • At 8:20 a.m., the amount of children increased to twenty-six (26), including two-year-olds, with two (2) supervising staff members. • At 8:22 a.m., the amount of children increased to twenty-seven (27), including two-year-olds, with two (2) supervising staff members. At 8:23 a.m., two (2) additional staff members, including the van driver, arrived. • At 8:25 a.m., nine (9) school-age children from the group were transported to school leaving eighteen (18) children and three (3) supervising staff members. The center did not have any further issued with staff-to-child ratios for the remainder of the survey. Exit interview revealed director acknowledgment of the deficiency; director stated the morning was not an ordinary morning due to several emergency situations regarding staff members.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Observation, and interview, it was determined the child care center director failed to comply with regulatory requirements regarding the health, safety and comfort of each child. Observation revealed the director clean the eating surface of a highchair and use the same cleansing cloth to clean a child's hands. Exit interview revealed director acknowledgment of the deficiency.
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, it was determined the center failed to comply with regulatory requirements regarding employee records, specifically TB verification. Review of all personnel files presented, revealed the center failed to provide documentation at time of survey of a current statement from a health professional that the individual is free of active tuberculosis or a copy of negative tuberculin results for three (3) staff members hired 7/11/11, 7/15/12 and 4/1/13. Exit interview revealed director acknowledgment of the deficiency.
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, it was determined the center failed to comply with regulatory requirements regarding programming, specifically bedding/toys/other items in crib. Observation revealed a two-month-old infant sleeping in a crib with a bib around her neck. Exit interview revealed director acknowledgment of the deficiency.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on Observation, and interview, it was determined the child care center failed to comply with regulatory requirements regarding premises, specifically inaccessible items. Observation revealed personal belongings of staff (a purse) on a low shelf accessible to children in the Two’s Classroom. Exit interview revealed director acknowledgment of the deficiency.
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, it was determined the center failed to comply with regulatory requirements regarding premises, specifically sink. Observation revealed two (2) sinks in the child care area failed to be equipped with hot water at a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 degrees Fahrenheit; the water temperature observed measured one hundred twenty-six (126) degrees Fahrenheit in the girl's bathrrom and one hundred thirty-two (132) degrees Fahrenheit in the boy's bathroom. Exit interview revealed director acknowledgment of the deficiency.
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, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically child hand washing. Observation revealed some toddler and preschool children failed to wash hands with liquid soap and warm running water in the following circumstances: 1. Before eating breakfast 2. Upon arrival. 3. After a diaper change; a diaper wipe was used instead. Exit interview revealed director acknowledgment of deficiency.
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, it was determined the center failed to comply with regulatory requirements regarding hygienic practices, specifically staff hand washing. Observation revealed a preschool staff member failed to wash hands with liquid soap and running water before serving food. Exit interview revealed director acknowledgment of the deficiency.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on Observation, and interview, it was determined the center failed to comply with regulatory requirements regarding equipment, specifically van equipment. Observation revealed the following on the white 2002 Dodge fifteen (15) passenger van used to transport children: 1. The top third row brake lights failed to be in good repair. 2. The inside of the van was not kept clean of litter and debris. Exit interview revealed director acknowledgment of the deficiency.
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 Observation, review of documentation and interview, it was determined the center failed to comply with regulatory regulations regarding transportation, specifically pre-trip inspection. On 2/18/16 observation revealed the driver of the van inspecting the vehicle before transporting the children to school; however, the staff member failed to inspect the following: (a) Tires; (b) Lights and signals; (c) Free of debris. Review of documentation revealed the referenced staff member also failed to document the pre-trip inspection. Exit interview revealed director acknowledgment of the deficiency.
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 Observation, and interview, it was determined the center failed to comply with regulatory requirements regarding transportation, specifically the driver not in seat. Observation revealed the van driver turn on the van engine at 8:28 a.m., then proceeded to complete some of the pre-trip inspection tasks; however, did not sit in the driver's seat until 8:32 a.m. Exit interview revealed director acknowledgment of the deficiency. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 20 of 27 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 8. Kitchen Requirements.
General: Based on Observation, and interview, it was determined the center failed to comply with regulatory requirements regarding food service, specifically bottles covered when not in use. Observation revealed three (3) uncovered infant bottles containing liquid indicative of formula sitting on a counter in the infant and toddler classroom. Exit interview revealed director acknowledgment of the deficiency.
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, it was determined the center failed to comply with regulatory requirements regarding food service, specifically breakfast requirements. Observation revealed the center failed to serve the children all required components during breakfast; some children in the toddler classroom were served a Poptart and milk, while the children in the preschool classroom were served a toasted English Muffin and milk. Exit interview revealed director acknowledgment of the deficiency.
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, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically immunization. Review of ten (10) children's files presented revealed, the center failed to provide documentation at time of survey verifying a current immunization certificate for each child in care within thirty (30) days of the child’s enrollment, unless an attending physician or the child’s parent objects to the immunization of the child pursuant to KRS 214.036 for three (3) children. Exit interview revealed director acknowledgment of the deficiency.
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, it was determined the center failed to comply with regulatory requirements regarding children's records, specifically enrollment information. Review of ten (10) children's files presented revealed, the center failed to provide documentation at time of survey verifying a written record of the following information: 1. Contact information to enable a person to contact the child's family physician for two (2) children. 1. Contact information to enable a person to contact the child's preferred hospital for one (1) children. Exit interview revealed director acknowledgment of the deficiency.
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, it was determined the center failed to comply with regulatory requirements regarding equipment, specifically van equipment. Observation revealed a broken seatbelt, which was unable to be latched; located on the front row of seating, the first seat next to the entrance doors, on a van used to transport children. Transportation
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, it was determined the center failed to comply with regulatory requirements regarding transportation, specifically practiced emergency procedures. Review of documentation revealed the center failed to provide documentation for review at time of survey verifying practiced emergency procedures for the vehicle used for transporting children.
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, it was determined the center failed to comply with regulatory requirements regarding transportation, specifically children's attendance records. Review of documentation revealed the center failed to provide documentation for review at time of survey verifying completed attendance records to include the following information: the first and last name of the child transported, the time each child gets on and the time each child gets off and be completed by a staff member other than the driver.
Open Not marked corrected in the state record
Category: transportation. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on Observation, the center failed to comply with staffing requirements. Observation of the Infant Room on 2/5/15 revealed a staff member left the classroom from 11:24am to 11:26am to assist the director, leaving one (1) staff member alone to supervise eight (8) children, ages five-months to one-year-old.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Review of Documentation and Interview, the director failed to assure compliance with regulatory requirements. Review of staff files revealed three (3) staff members with the hire date of 7/11/11, one (1) staff member with a hire date of 8/5/13, and one (1) staff member with a hire date of 3/29/13 did not have a current evaluation on file. During interview, the director revealed she had not yet completed their annual evaluations.
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: Based on Review of Documentation and Interview, the center failed to maintain employee records in accordance with regulations. Review of staff files revealed the staff member with a hire date of 8/1/14 did not have a Criminal Records Check (CRC) on file. During interview, the director stated she requested the CRC on 7/30/14 but has not received the results yet. Continued interview revealed this staff member is still employed at the center.
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 center failed to maintain employee records in accordance with regulations. Review of a staff member’s file with the hire date of 11/1/12 revealed the documentation of negative tuberculin results is no longer current as it is dated 10/1/12. Review of a staff member’s file with the hire date of 8/1/14 revealed the center did not have documentation from a health professional to verify that the individual was free of active tuberculosis. During interview, the director stated she was not aware this requirement applied to all staff.
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 regulations. Review of staff files revealed the staff members with the following hire dates did not complete the required annual training: 7/11/11 (12 of 15 hrs) and 3/29/13 (8 of 15 hrs).
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 center failed to maintain employee records in accordance with regulations. Review of staff files revealed the center failed to complete an annual check of the Kentucky driver history records for staff members with the hire dates of 7/11/11, 11/1/12 and 8/1/14. During interview, the director indicated an annual check had been completed for the staff member with a hire date of 7/11/11 but it was not on file at the center. Review of staff files revealed the driver with a hire date of 8/1/14 did not have a Criminal Records Check (CRC) on file. During interview, the director stated she requested the CRC on 7/30/14 but has not received the results yet. Programming
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on Observation and Review of Documentation, the center failed to comply with regulatory programming requirements. Observation of the School-Age Room revealed there were no blocks, manipulatives, science activities, nor dramatic play area for the children to use. Review of Documentation in the School-Age Room revealed the lesson plan was not current as it was dated 9/30/14-10/4/14.
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 center failed to maintain the premises in accordance with regulations. Observation of the Girls' Bathroom revealed a plunger and toilet bowl brush were stored underneath the sink 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, the center failed to maintain hygienic practices in accordance with regulations. Observation of the Boys Bathroom revealed a dark, dried residue on the inside of the green and orange potty training chair. Observation of the Girls Bathroom revealed a yellowish, dried, crusty substance on the seat of one of the blue and white potty training chairs.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on Observation, the center failed to maintain hygienic practices in accordance with regulations. Observation of the Infant Room revealed the diaper changing pad was torn in several places exposing the inner padding.
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 Interview, the center failed to maintain hygienic practices in accordance with regulations. During interview, the staff member in the Infant Room revealed she sanitizes the toys every Friday by washing them with a sanitizing solution then air drying them. First Aid/Medication
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 center failed to maintain equipment in accordance with regulations. Observation of the Infant Room revealed the brown padding on the Cosco high chair was torn and ripped.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Review of Documentation, a staff member with hire date of November 2013 failed to comply with staffing requirements. Record review of the staff persons file revealed no documentation verifying that the individual has a high school diploma, GED or Commonwealth Child Care Credential.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on Observation, the child care center failed to comply with diapering, toileting and toiletry requirements. Observation revealed that a toilet chair used by children was not emptied and sanitized promptly after use.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on Observation, the child care center failed to comply with First Aid supply requirements, Observation revealed that the First Aid supply contained a thermometer that was not in working order.
Open Not marked corrected in the state record
Category: health medication. 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 comply with Food Service requirements. Observation revealed a staff person put a bottle in the microwave in order to heat it before serving to an infant.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)
General: Based on review of documentation and interview it was determined the director failed to ensure the health, safety and comfort of each child. Interview revealed that a child was allowed to be picked up by his father. In reviewing the child's file, it contained a copy of an Emergency Protective Order restraining the father from within 500 feet of the premises. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation 100 - Daily Attendance Records 922 KAR 2:110 - Section 3 (5) Daily attendance records documenting the arrival and departure time of each child; 2) Departure Not In Compliance Findings: General: Based on review of documentation, it was determined that the daily attendance record reviewed failed to include departure times for several children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)
General: Based on review of documentation, the director failed to complete an annual evaluation on any staff.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 3
General: Based on review of documentation, the director failed to complete a professional development plan for any staff. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 3) Previous State of Residence In Compliance 4) Current State other than KY In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 3
Infant Area: Based on observation, there was an infant lying in a crib, propped up by two Boppy pillows stacked on top of one another.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 6
Infant Area: Based on observation, the center failed to ensure that cribs were placed at least twelve inches apart as four cribs were end-to-end.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 12
General: Based on rview of doumentation, the center failed to have a documented alternative plan detailing where the child could be picked up if no one was home to receive the child.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 3
General: Based on review of documentation of ten (10) children's files revealed one (1) child with an enrollment date of 04/25/20011 did not have a current immunization certificate on file. The staff in charge acknowledged the finding and stated she would address the issue.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.