Loading
Loading facility…
Pulling inspections, violations, and complaints.
Loading
Pulling inspections, violations, and complaints.
Home › KY › Paducah › Kiddie Kottage Daycare and Preschool
1915 Husband Road, Paducah KY 42003 · License #L358429 · Center · Licensed
When they operate
Ages served
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, black plastic weed block was raised above the ground and presented a tripping hazard in several areas on the older and younger children's playgrounds.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.
General: Based on observation and interview, rust and chipped paint were on an orange metal climbing apparatus located on the older children's playground.
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, an infant bottle was stored uncovered in the miniature refrigerator in the infants’ II room. Food Service In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on observation, interview and review of documentation, a child enrolled 08/12/25, failed to have an immunization certificate on file.
Open Not marked corrected in the state record
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
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on observation, interview and review of documentation, instructions to ensure each child is accounted for during movement from one (1) location to another using name-to-face recognition by visually identifying each child had not been developed pursuant to 922 KAR 2:120. Section 2 Child Care Services.
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, interview and review of documentation, the director failed to develop a written procedure to always maintain supervision, ratios, and group size during staff breaks and movement from the classroom to another location pursuant to 922 KAR 2:120. Section 2 Child Care Services. General Administration 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, interview and review of documentation, the director failed to develop a written list of actions to be taken to ensure staff have strategies in place to prevent shaken baby syndrome, abusive head trauma, and child maltreatment pursuant to 922 KAR 2:120. Section 2 Child Care Services.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 8. General.
General: Based on observation, interview and review of documentation, the director failed to provide staff with a copy of the current administrative regulations, 922 KAR 2:120, 922 KAR 2:090, and 922 KAR 2:280.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 14. Transportation.
General: Based on interview and review of documentation, a staff member (DOH: 04/02/07) had an annual driver’s history records check completed through the state transportation agency on 11/12/24. Programming In Compliance
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 and interview, the following was found: 1. Soiled diapers were stored in an uncovered trash receptacle in the younger infants’ room. 2. Soiled diapers were stored in an uncovered trash receptacle in the two-year-olds’ room.
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, interview and review of documentation, a written reunification plan that included children with disabilities and children with chronic medical conditions had not been developed. The center had a child with disabilities enrolled. Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on observation, interview and review of documentation, the allergy care plan for five (5) children with allergies was not posted prominently where food is served and did not include identifying symptoms, steps taken to avoid and prevent the allergen, and a plan of treatment in the event of an allergic reaction pursuant to 922 KAR 2:120. Section 7 Child Care Services.
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, two (2) six-month-old infants, slept in individual cribs and each child had a blanket, a Boppy pillow, and wore a bib with a pacifier clipped to the bib. This was observed on 06/06/25.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, a staff member (DOH: 11/27/23), did not have a written performance evaluation on file.
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 review of documentation and interview, a staff member (DOH: 09/06/24), was not CPR/first aid trained.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, a staff member (DOH: 09/06/24), did not complete six (6) hours of orientation training within the first three (3) months of employment.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, and interview, the concrete, which anchored a swing set pole, was raised approximately two (2) inches above the pea gravel on the large outdoor playground. The raised concrete caused a tripping hazard. Interview with the director indicated she was not aware the concrete was raised above the pea gravel.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation and interview, a child (SD: 01/12/24), enrollment form did not include the name of the child's physician and preferred hospital and authorization by the parent for the child-care center to seek emergency medical care in the parent's absence was not signed.
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 staff member (DOH: 11/17/16) completed eleven and a half (11 ½) training hours in the subsequent year of employment. 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 12. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation, using a thermometer, the hot water temperature registered sixty (60) degrees Fahrenheit at the sinks in the yellow and orange restrooms. 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 Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation and interview, two (2) infants, ages six months and eight months, each laid on a mat and held a bottle in their mouth in the Nursery 1 room. The infants were not held while bottle fed. 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 interview and review of documentation, a child, enrolled on 6/16/20, had an immunization certificate on file that was valid until 3/16/24. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, a child, enrolled on 7/9/21, had an immunization certificate on file that was valid until 1/2/23. A child, enrolled on 1/19/23, had an immunization certificate on file that was valid until 4/6/23.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on interviews and review of documentation, a caregiver, hired on 1/19/23, worked in the two-year-olds' room from approximately 1/30/23 to 04/04/23, and did not have completed background checks on file. The center’s Kentucky Applicant Registry Employment System (KARES) report listed the caregiver as separated with a determination status of Closed - All Applications Closed.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 4. Procedures and Payments.
General: Based on interviews and review of documentation, a caregiver, hired on 1/19/23, worked in the two-year-olds' room from approximately 1/30/23 to 04/04/23, and did not submit fingerprints. 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 2 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 center's biting policy stated the center would do all they can to prevent biting in the classrooms. Both parents would be notified. When a child bites more than once during a day, the staff is to report the incident to the office immediately and start a biting log. A plan would be discussed with parents and staff. If the biting continues for a period of three (3) or more weeks, the child enrolled may be withdrawn. The center’s biting policy was not followed by staff when a child bit another child twice on 3/07/23, and a biting log was not started. Children's Records 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 11. Staff Requirements.
General: Based on interview and review of documentation, a caregiver, hired on 8/10/22, did not have education verification on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation and interview, staff meetings were conducted but were not documented. Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview and review of documentation, a caregiver, hired on 11/8/16, completed twelve (12) hours of training during a subsequent year of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, black protective covering was raised above the gravel and created a tripping hazard in the outdoor play area. Equipment Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Toys and Furnishings.
General: Based on observation and interview, the reverse light on the passenger side of the center's bus was not operable. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, a child, enrolled on 9/18/22, had an immunization certificate on file that was valid until 12/31/22. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation and interview, a loose blanket and a bottle were in the individual crib of an eight-month-old child and the individual crib of a one-year-old child in the Nursery 2 room on 6/28/22. Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation and interview, a one-year-old child drank from a bottle while the child laid in a crib in the Nursery 2 room on 6/28/22. The child was not held and the bottle was propped with a blanket.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.
General: Based on review of documentation, a caregiver, hired on 8/10/21, did not submit background checks in the NBCP portal.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 5. Checks of Other States.
General: Based on review of documentation, a caregiver, hired on 9/28/21, did not complete out of state background checks from Illinois, which was a previous state of residence. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Staffing Requirements In Compliance General Administration In Compliance Director Requirements In Compliance Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, a caregiver, hired on 11/8/16, had TB documentation on file that was dated 10/22/19. A second caregiver, hired on 5/29/18, had TB documentation on file that was dated 11/16/18.
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, a caregiver, hired on 11/8/16 completed one (1) hour of training between July 1 and the following June 30th of a subsequent year of employment. A second caregiver, hired on 5/29/18, completed eleven and one half (11 ½) hours of training between July 1 and the following June 30th of a subsequent year of employment. A third caregiver, hired on 10/26/19, completed nine and one half (9 ½) hours of training between July 1 and the following June 30th of a subsequent year of employment. Also, three (3) caregivers, hired on 5/19/21, 7/12/21 and 7/26/21 each completed orientation training on 10/30/21, which was not within the first three (3) months of employment. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, black fabric weed block was raised above the protective surface and created a tripping hazard on the infants' and preschool-age children's playground. Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 05/29/2021 AND AS OF 06/07/2021, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Premises Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, water from the base of the toilet in the back restroom, was present on the school-age floor, in the hallway and in the one-year-olds' room on 2/19/21. Emergency Regulation Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.
General: Based on interview and a review of documentation, the center failed to assure that each child shall remain in the same group throughout the day without interacting with another group, except that sibling groups may be combined if they are the only children in the facility in accordance with 922 KAR2:415E. Interviews determined children from the one-year-olds' room were combined with children in the two-year-olds' room at 11:00 am on 2/19/21. A review of the attendance records dated 2/19/21, determined fourteen (14), one and two-year-old children were grouped together. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2
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, a driver, hired 4/2/07, had an annual driver history check on file that was dated 1/23/19. Programming Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, a caregiver hired 4/20/15, had an annual evaluation on file that was dated 10/29/18. A caregiver hired 8/24/18, had an annual evaluation on file that was dated 8/13/19. A caregiver hired 8/8/17, had an annual evaluation on file that was dated 10/29/18. A caregiver hired 5/29/18, had an annual evaluation on file that was dated 3/21/19. Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, a caregiver hired on 8/8/17, and a caregiver hired on 12/2/19, did not completed one and a half (1 1/2) hours of cabinet approved pediatric abusive head trauma training within the first year of employment. A caregiver hired on 5/29/18, completed one and a half (1 1/2) hours of cabinet approved pediatric abusive head trauma training on 9/24/15 and did not complete the training again within five (5) years. 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
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on observation and interview, an infant slept in a bouncy seat for forty-five (45) minutes in the infants' room. The infant did not have a waiver signed by a health professional stating the infant required an alternate sleeping position. Premises In Compliance Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on observation and interview, the diaper changing pad had a six (6) inch tear in the two-year-olds' room. First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation, black fabric weed block was raised above the mulch throughout in the large outdoor play area. 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 and interview, four (4) nap mats in the toddlers' room, ten (10) nap mats in the two-year-olds' room and four (4) nap mats in the preschool room were torn and exposed foam. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Transportation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.
General: Based on review of documentation and interview, the vehicle inspection documentation on the van was dated 5/24/17. Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation and interview, the center's general liabilty insurance expired 02/27/18. The center had current insurance but could not provide the Certificate of Liability.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 02/15/2020 AND AS OF 02/21/2020, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, three (3) staff members hired 10/01/18, 08/10/15 and 08/20/18, did not have an annual written performance evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on observation, review of documentation and interview, staff hired 12/02/19, did not have education information on file.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation and interview, staff member hired 04/07/08, completed twelve (12) hours of cabinet approved training. Staff member hired 11/08/16, completed four (4) hours of cabinet approved training hours. Staff member hired 04/02/07, completed fourteen and a half (14 ½) hours of cabinet approved training hours. Staff member hired 10/01/18, completed thirteen and a half (13 ½) hours of cabinet approved training. Staff member hired 08/10/15, completed fourteen and a half (14 ½) hours of cabinet approved training hours. Staff member hired 08/20/18, completed twelve (12) hours of cabinet approved training hours. Staff member hired 03/20/17, completed four (4) hours of cabinet approved training hours. Staff member hired 08/20/18, had not completed one and one half (1 ½) hours of Pediatric Abusive Head Trauma Training. 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 review of documentation, the program of activities was not developed in the infants'1 and Infants 2 room. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Equipment Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
Based on observation, the chains to ten (10) swings on the older children’s playground were visibly rusty. Also on the older children’s playground, an orange, yellow, red and purple teeter-totter had a broken seat, the teeter-totter was rusty and paint was flaky on the handles. Transportation In Compliance Food Service/Food Program Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 9. Food and Meal Requirements.
General: Based on observation, review of documentation and interview, one (1) child was served water with their lunch in the one-year-old classroom on 12/05/19. Record review, determined the child had no documentation on file to exclude the child from receiving their serving of milk. Food Service In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on observation, review of documentation and interview, four (4) children enrolled 09/16/17, 12/14/17, 09/24/18 and 01/08/18, contact information did not include the phone number of the child’s physician on the enrollment form. Also, a child enrolled 05/27/19 had no preferred hospital listed. 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 and interview, two (2) staff members hired 10/01/18 and 08/10/15 , did not have their professional development plans on file. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on Review of Documentation, a child enrolled 9/12/18, immunization certificate was valid until 11/14/18.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on Review of Documentation, tow (2) staffs hired 7/16/17 and 12/11/17, did not have a written performance evaluation on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on Review of Documentation and observation, staff hired 8/24/18, supervised seven (7), three-year-old children alone and had not received the results of her background checks. 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, two (2) staffs hired 3/29/18 and 10/24/18, did not have documentation of their education on file.
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, staff hired 11/8/16, had TB documentation dated 11/7/16. Staff hired 6/20/16, had TB documenation dated 1/22/16.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:280 · 922 KAR 2:280. Section 3. Implementation and Enforcement.
General: Based on Review of Documentation and observation, staff hired 8/24/18, supervised seven (7), three-year-old children alone and had not received the results of her background checks. Supervision In Compliance Staffing Requirements In Compliance General Administration In Compliance 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 11. Staff Requirements.
General: Based on Review of Documentation, two (2) staffs hired 8/21/18 and 8/24/18, did not complete six (6) hours of orientation training within the first three (3) months of their employment. Staff hired 3/29/18, completed orientation training on 8/11/18, which was past the first three (3) months of her employment. Three (3) staffs hired 3/20/17, 7/16/17 and 8/8/17, lacked three (3) hours of training. Staff hired 11/8/16, completed two and a half (2 1/2) hours of training and staff hired 6/20/16, completed two (2) hours of training.
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, two (2) van drivers, each hired 4/2/07, had a driver's history record dated 6/7/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 Observation, the program of activities was not developed in the two-year-olds' room, three-year-olds' room, toddlers' room and infants' I room. 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 and interview, a staff's purse was on a three (3) foot tall cabinet, accesssible to the preschool children and school-age children in the front room.
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, wadded paper towels were on the floor in the front restroom used by the preschool and school-age children. Also, the trash can overflowed with paper. Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on Observation, the changing mat had a one inch tear in the infants I room. First Aid/Medication In Compliance 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: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 6. Sleeping and Napping Requirements.
General: Based on Observation, one (1) crib mattress was torn and had exposed foam in the infant I room. Two (2) crib sheets fitted tightly on the mattress and caused the corners of the mattress to bend upwards. An infant slept in a bouncy seat for forty (40) minutes.
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, food splatters were observed in the microwave located in the kitchen. There was an accumulatiion of ice in the freezer located in the infant 1 room. Also a white substance was observed on top of the refrigerator door located in the infant 1 room. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on Review of Documentation, a child enrolled 10/28/15, enrollment information did not include the physician's name and the name of the child's preferred hospital. 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
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on Review of Documentation, two (2) parents had signed the DCC 94 attendance record prior to the end of the week for 12/24/18.
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, five (5) staffs hired 4/7/08, 8/21/18, 8/24/18, 8/8/17 and 5/29/18, did not have a written plan for professional develooment. Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, a caregiver hired 11/08/16, a caregiver hired 04/20/15, and a caregiver hired 04/07/08, did not have a written annual evaluation on file. Employee Records 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 6. Sleeping and Napping Requirements.
General: Based on observation, five (5) nap mats in the toddlers' room and two (2) nap mats in the two-year-olds' room were torn and had exposed foam.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation and interview, a caregiver hired 09/29/17, did not have an out of state background check from the state of Illnois on file. Documentation revealed the caregiver lived in the state of Illnois within the past five (5) years. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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, a caregiver hired 09/29/17, did not complete her orientation training. A caregiver hired 11/08/16 and a caregiver hired 09/18/16, each did not complete any hours of training within their first year of employment and each did not complete their pediatric abusive head trauma training. A caregiver hired 06/20/16, completed 7.5 hours of training with her first year. A caregiver hired 04/02/07, completed 14 hours of annual training. A caregiver hired 04/20/15, did not complete any hours of annual training. 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 5. Infant and Toddler Play Requirements.
General: Based on observation, a twenty-three-month old child and a twenty-two-month old children were combined with the two-year-old children when surveyor arrived at 8:20 a.m. These children were grouped together until 11:50 a.m. Interview determined the center did not have a transition plan detailed on the attendance record, the specific day and time the toddler was with the older age group, and a signature of approval was not obtained from each child's parent.
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, a twenty-three-month old child and a twenty-two-month old children were combined with the two-year-old children from 8:20 a.m. until 11:50 a.m.; therefore, these toddler children were combined with the older children for more than one hour. Premises In Compliance 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, two (2), two-year-old children did not wash their hands when they arrived. A two-year-old boy did not wash his hands after breakfast. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 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 3. General Requirements.
General: Based on observation, the infants' caregiver wore gloves but did not wash her hands before she diapered a child. First Aid/Medication 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 7. First Aid and Medicine.
General: Based on observation, three (3) bottles of suncreen, two (2) tubes of triple antibiotic cream, a tube of hydrocortisone cream, a bottle of rubbing alcohol and a bottle of peroxide were stored on an unlocked shelf in the kitchen. 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, one crib mattress was torn and had exposed foam in the infants' room.
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, interview and review of documentation, two (2) safety straps were missing from two high chairs in the infant room. A sign posted to the back of the high chair stated, "Prevent serious injury or death from falls or sliding out, always secure child in the restraint." Surveyor observed these high chairs used during the visit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report Transportation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 12. Transportation.
General: Based on interview, the center transported children in July 2017, but failed to conduct a monthly drill with the staff who transported the 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 and interview, the center transported children on 08/31/17, 07/24/17, 07/18/17, 07/13/17, 07/05/17, 06/27/17, 06/21/17, and 06/20/17, but did not document each time a child got on and each time a child got off the vehicle. Food Service In Compliance 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 review of documentation, a child enrolled 08/07/17, had an immunization certificate that was valid until 11/22/17. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on review of documentation and interview, the evacuation plan on file was dated December 2016. Interview determined the center did not update their evacuation plan. Posted Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 2. General.
General: Based on observation and interview, the Kentucky Consumer Product Safety Program and the program's website were not posted.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, the daily schedule posted in the preschool room, two-year-old room, the toddler room and the infant room were dated June- December 2017, and the daily schedule posted in the three-year-old room was date January - June 2017 & June - December 2017. Interview determined the daily schedules were not updated for the 2018 year. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Review of Documentation, a caregiver hired on 12/19/16, had a TB documentation dated 1/9/15. Transportation In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Review of Documentation, two (2) staffs, hired 4/12/13 and a 6/20/16, completed orientation on 10/15/16, which was not within the first three (3) monthhs of employment. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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, the lesson plan posted in the two (2) year olds' room was dated 1/9/17 - 1/13/17. The lesson plan was not developed in the Nursery I and Nursery II rooms. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on Observation, standing water was underneath six (6) swings and two (2) slides on the large playground. Also, standing water was observed at the end of two (2) slides and throughout the infant/toddler play area. In addition, black plastic weed block was raised above the protective surface throughout the large playground and the infant/toddlers' playground. 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 and interview, the center had three (3) cribs in the infants' II classroom but had five (5) infants enrolled; therefore, two (2) infants were not provided a crib. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 8. Kitchen Requirements.
General: Based on Observation, the refrigerator thermometer was not operable in the infants' room #1. 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 Observation, staff hired 4/20/15, professional development plan was dated 9/21/15; staff hired 4/7/08, professional development plan was dated 1/20/15; two (2) staffs, each hired 8/22/16 and 9/18/16, did not have a professionl development plan on file., Posted Documentation In Compliance Animals Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.
General: Based on Review of Documentation, the center had not obtained written parental permission for two (2) children enrolled on 6/7/15 and 6/21/16, to be in the presence of a turtle in the three (3) year olds' classroom.
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, hired on 04/12/16, did not complete six (6) hours of cabinet approved training. 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 Interviews, staff placed a child in the bathroom at naptime because the child would not remain on his mat and would not fall asleep in the two year olds' room.
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 Interviews, an alternate activity was not offered to a child who did not sleep at naptime in the two year olds’ room on 08/10/16. 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 10. Toilet, Diapering, and Toiletry Requirements.
General: Based on Interview, a male child, who staff placed in the bathroom to nap, was present when children of the same and opposite gender used the restroom in the two year olds' room. Children's Records 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 Interviews, a two year old child was unsupervised for six (6) to fifteen (15) minutes at naptime in the two year olds’ bathroom on 08/10/16. Staff placed the child in the bathroom, which did not have windows, with the light turned off, and was aware the bathroom door was closed. This child’s mat was placed in the bathroom because the child would not sleep when around the other children. Also, twelve (12) children were not adequately supervised during naptime in the two year olds’ room on 08/12/16. The lights were turned off and the windows were covered with thick blankets to prevent natural light from entering the room. Interview with staff revealed a flashlight was required to navigate through the room during naptime because the room was too dark. Staffing Requirements In Compliance Director 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 4. Director Requirements and Responsibilities.
General: Based on Interviews, a two year old male child was placed in the restroom, on nap mat, during nap time. This child's mat was approximately one to two feet away from the toilet. Staff took other children in the restroom for toileting while the two year old child was asleep on his nap mat during nap time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on Observation, four (4) light bulbs were not shielded in the two year olds’ restroom.
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, two (2) red and blue nap mats were torn with exposed cushioning in the one year olds’ room.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on Observation, approximately a foot of the white fencing was cracked with three (3) pointy edges, accessible to children.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Review of Documentation, a staff, hired on 11/17/14, did not have an annual written performance evaluation on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Observation, a child slept with amber beads around his neck in the infants’ room. The manufacturer recommended the necklaces be removed when sleeping. In addition, an outlet was not covered in the school age room.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on Review of Documentation, a staff, hired on 01/12/15, did not submit a criminal records check to Mississippi, which was a previous state of residence. A staff, rehired on 08/10/15, a staff, rehired on 08/24/15, and a staff, rehired on 04/20/15, each did not submit a criminal records check and child abuse/neglect check upon rehire and have surpassed the 90 day probationary period. Instead, criminal records checks and child abuse/neglect checks from each of the staff member's previous employment term with the center was on file.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Review of Documentation, a staff, hired on 04/20/15, did not have education verification on file.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Review of Documentation, a staff, hired on 08/12/15, completed 10 hours of cabinet approved training during a subsequent year of employment. A staff, hired on 01/12/15, completed six (6) hours of cabinet approved orientation on 05/12/15, which was not within the first three (3) months of employment. A staff, hired on 11/17/14, completed six (6) hours of cabinet approved orientation on 04/14/15, which was not within the first three (3) months of employment. A staff, hired on 04/13/15, completed six (6) hours of cabinet approved orientation on 8/22/15, which was not within the first three (3) months of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on Review of Documentation, a program of activities was not developed and posted in the infants’ room and the school age room.
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 plastic bag was stored in the bottom right drawer below the sink and was accessible to children in the two year olds’ restroom. A caregiver’s cell phone was on the top of a three (3) foot shelf and was accessible to children the three year olds’ room. A Glade air freshener was labeled, "Keep out of reach of children," and was stored unlocked in the cabinet under the sink in the restroom adjacent to the entrway.
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 toilet would not flush completely in the two year olds’ restroom. An interview with staff revealed a toy was flushed down the toilet. Hygienic Practices
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 dried white substance was present across a child's face for an hour and a half in the two year olds’ room. This substance extended from the child's left cheek, under the nose to the right cheek and was identified by staff as mucus.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Based on Observation, two (2), one ounce tubes of triple antibiotic ointment, a one (1) ounce tube of hydrocortisone cream, and a one (1) ounce tube of Benadryl itch cream was not labeled to indicate to whom they belonged and were stored in an unlocked area in the kitchen. Outdoor Play Area
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on Observation, black plastic weed block was raised above the protective surface in several areas on the playground.
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on Observation, a white sticky substance was in the cabinet below the sink in the infants’ room. An accumulation of grit and dust was in the cabinet below the sink in the one year olds’ room. A seat was missing from a plastic riding toy on the playground. Half of a seat was missing from a four (4) seat teeter totter on the playground.
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, a working thermometer was not in the refrigerator in the infants’ room.
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, a working thermometer was not in the freezer in the kitchen.
Open Not marked corrected in the state record
Category: nutrition. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on Review of Documentation, a child, first date of attendance on 01/26/15, and a child, first date of attendance on 07/13/15, each did not have information on file to enable the person in charge to contact the child’s preferred hospital. Also, a child, first date of attendance on 07/13/15, did not have information on file to enable the person in charge to contact the child’s physician.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 5. Evacuation Plan.
General: Based on Review of Documentation, the center's evacuation plan was dated December 2013.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 2. General.
General: Based on Review of Documentation, 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 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, a caregiver hired 8/12/13, did not have an annual written performance evaluation on file.
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, a caregiver hired 8/11/14, did not have proof a child abuse/neglect check was submitted timely.
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, a caregiver hired 8/11/14, did not have verification of her education on file.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on review of documentation and interview, a caregiver hired 8/12/13, TB documentation was dated 8/8/12.
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, two caregivers hired 4/7/14 and 8/11/14, had not completed six (6) hours of cabinet approved orientation within the first three (3) months of their employment.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, a caregiver hired on 4/7/14, did not wash her hands after she wiped a one (1) year old child's nose.
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, there was black, plastic weed block raised above the mulch throughout the older children's playground. Also, black, plastic weed block was raised above the mulch throughout the younger children's playground.
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 thin layer of mulch was under six under six (6) swings on the large playground.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 09 Jan 15 AND AS OF 13 Jan 15, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.
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, a child enrolled 8/6/14, 9/3/14 and 9/9/14, did not have an immunization certificate on file. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, a child enrolled 9/9/14, did not have a preferred hospital listed and did not have contact information for a family physician.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation, the daily schedule posted in the infants' room, one (1) year olds' room, one (1) and two (2) year olds' room, three (3) year olds' room, four (4) year olds' room and the school age room was dated 1/2014 through 6/2014.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 13. Animals.
General: Based on review of documentation, the director failed to obtain parental consent for a fish to be in the presence of the school age children.
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.
Two year olds' room: Based on interview, a nineteen inch television and a wooden, seventeen inch tall television stand fell on top of a three year old child while the caregiver was in the classroom's restroom helping three children with toileting, washing their hands and diapering one child. The three year old was not within the caregiver's scope of vision while the caregiver was in the restroom. In addition, the same caregiver left six children, ages one (1) to two (2) years old, unattended for approximately three minutes during nap time on 7/18/14. Staffing Requirements
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 interviews and review of documentation, a television fell on a child and caused a bruise underneath the child's left eye and on the child's left shoulder at approximately 8:45 a.m. on 07/16/14. The parent was not notified with an injury report. The center's policy indicated parents would be notified of their child's injuries through an injury report.
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.
Two year olds' room: Based on interview, a ninteen inch television and a seventeen inch tall television stand were not secured to the wall and fell onto a three year old child at approximately 8:45 a.m. on 07/16/14. The child received a bruise underneath her left eye and on top of her left shoulder. Infants' room: Based on observation, a fifteen month old toddler slept in a bouncy seat on 7/18/14. The manufacture's specification indicated the seat should not be used if the child was able to sit up or walk. The child was observed walking in the classroom after she woke up from nap. Employee Records
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 caregiver hired 4/17/14, did not have orientation training on file and it could not be verified the training had been completed. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 4 Web site: http://chfs.ky.gov/ Inspection Report Programming
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.
Two year olds' room: Based on observation, six children, ages one (1) to two (2) years old, were combined in the two year olds' classroom from 10:30 A.M. until 1:00 P.M. on 07/18/14.
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.
Infants' room: Based on observation, two infants were a sleep in bouncy seats and one infant was a sleep in a swing on 7/18/14. There was no alternative sleeping position waiver for these infants.
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.
Infants' room: Based on observation, an infant was placed in a crib and covered with a loose blanket and a cloth diaper on 7/18/14 Premises
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.
Two year olds' room: Based on interview, a caregiver took two (2), two year old females and two (2), two year old male children to the restroom. She changed a male child's diaper and helped the other male child and two female children use the restroom and wash their hands. Equipment
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on interview and review of documentation, a child was released from the daycare to an individual not listed on the child's pick up list on 7/16/14.
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, a fabric musical toy hung down inside a nine (9) month old child's crib. Interview revealed the toy was present when the child slept.
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 infants' caregiver wore gloves but did not wash her hands before she diapered a child.
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 and interview, a bottle of amphetamine 5mg was in an unlocked medicine box in the four (4) year olds' room. Outdoor Play Area
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, the outdoor playground was not maintained due to the black fabric weed block was exposed throughout the playground.
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, four (4) mats in the one (1) year olds' room and three (3) mats each in the two (2) year olds' room and four (4) year olds' room were torn with exposed foam; therefore, were not waterproof.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation and interview, the center utilized Bumbo seats which had been recalled. Interview determined staff were not aware the Bumbo seats were recalled. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 5 of 26 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on review of documentation and interview, a caregiver hired 09/16/13, did not have proof a criminal records check was submitted timely.
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, a caregiver hired 09/13/12, did not complete any child care training within her first year of employment. Also, a caregiver hired 09/10/12, completed six (6) hours of child care training within her first year of employment. In addition, a caregiver hired 03/21/11, and a caregiver hired 04/02/07, completed three (3) hours of annual training. A caregiver hired 04/07/08, and a caregiver hired 08/25/07, did not complete any hours of annual training. A caregiver hired 04/02/07, completed six (6) hours of annual training.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on review of documentation and interview, the daily planned program was not posted in the one (1) year olds' room and the school age children's room.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation and interview, a swing was detached and draped over the cross bar of the swing set. The bolt which connected the swing chain was missing from the cross bar. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 26 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on interview and review of documentation, a Bumbo seat was utilized by the infant children. A review of the Consumer Product Safety Commission recall information determined the Bumbo seat was recalled in 2007 and consumers were instructed to order a free repair kit which included a restraint belt and warning labels. Interview determined the center was not aware the Bumbo seat was recalled.
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, there were four (4) different cans of powder formula in each infant child's cubbie. Interviews confirmed caregivers prepared the infants' bottles in the classroom. The caregivers measured the formula and water and then mixed them together.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on review of documentation and interview, a child enrolled 08/21/13, did not have an immunization certificate on file. A child enrolled 07/18/13, had an immunization certificate which was current until 11/14/13. A child enrolled 08/07/12, had an immunization certificate which was current until 10/15/13.
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, there was no documented departure time for six (6) children on 08/05/13; four (4) children on 08/06/13; twenty (20) children on 08/07/13; seventeen (17) children on 08/08/13, and fourteen (14) children on 08/09/13.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on review of documentation, the daily schedule did not include a date and time in the one (1) year olds' room. Also, the daily schedule did not include a date in the nursery, two (2) year olds' room, three (3) year olds' room, four (4) year olds' room and the school age children's room.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 6
Toddler: Based on observation and interview, three (3) mats were torn and had exposed foam. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 26 of 40 Web site: http://chfs.ky.gov/ Inspection Report 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance
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, two (2) children (enrolled 7/16/12 and 1/18/10) had immunization certificates that were valid until 11/9/12 and 10/1/12.
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
A review of fifteen (15) staff files and interview with the director determined a caregiver hired 04/02/07, a caregiver hired 08/25/07, and a caregiver hired 04/07/08, did not have a PD plan on file. 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
Surveyor observed and interview with the infants' caregiver determined an infant was asleep in a bouncy seat for approximately twenty (20) minutes. Also, an infant was asleep in a cradle swing for thirty (30) minutes. Interview with the director determined the center had verbal permission from the children's guardians to allow the infants to sleep in a bouncy seat and swing.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 4 (1)
Surveyor observed the following in the toddlers' room: 1. Three (3) toddler children played in the diaper pale on eight (8) different ocassions. The diaper pale consisted of dirty diapers. 2. The toddlers' caregiver allowed a toddler child to wear a "poopy" diaper from 9:15 a.m. to 9:45 a.m. This caregiver would not change the child's diaper due to there were no gloves available. 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 1) Toxic cleaning supplies, poisons, and insecticides In Compliance 2) Knives and sharp objects In Compliance 3) Matches, cigarettes, lighters, and flammable liquids In Compliance 5) Litter and rubbish In Compliance 6) Bar soap In Compliance 7) Personal belongings of staff In Compliance 191 - Inaccessible Items 922 KAR 2:120 - Section 3 (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Knives and sharp objects; (c) Matches, cigarettes, lighters, and flammable liquids; (d) Plastic bags; (e) Litter and rubbish; (f) Bar soap; and (g) Personal belongings of staff. 4) Plastic bags Not In Compliance Findings: Surveyor observed two (2) toddler children played and tugged on the plastic which draped outside of the diaper pale located in the toddlers' room. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 40 Web site: http://chfs.ky.gov/ Inspection Report 197 - Premises Requirements 922 KAR 2:120 - Section 4 Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; and (c) Equipped with a land-line telephone accessible to a room used by a child. 1) Suitable In Compliance 2) Clean In Compliance 3) Good repair In Compliance 4) Land-line phone accessible In Compliance 200 - Building Requirements 922 KAR 2:120 - Section 4 (4) The building shall be constructed to ensure the: (a) Building is: 1. Dry; 2. Adequately heated; 3. Ventilated; and 4. Well lit, including clean light fixtures: a. That are in good repair in all areas; and b. Shielded or have shattered proof bulbs installed; and 1) Dry In Compliance 2) Adequately heated In Compliance 3) Adequately ventilated In Compliance 4) Well Lit In Compliance 5) Clean Light Fixtures In Compliance 6) Lights good repair In Compliance 7) Shielded/shatter proof bulbs In Compliance 201 - Protected Items 922 KAR 2:120 - Section 4 (4) (b) Following are protected: 1. Windows; 2. Doors; 3. Stoves; 4. Heaters; 5. Furnaces; 6. Pipes; and 7. Stairs. 1) Windows In Compliance 2) Doors In Compliance 3) Stoves In Compliance 4) Heaters In Compliance 5) Furnaces In Compliance 6) Pipes In Compliance 7) Stairs In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120 - Section 4 (18)
Surveyor observed and interview with the director determined black plastic raised approximately two (2) to three (3) inches above the protective surface throughout the entire playground utilized by the three (3) year old and school age children.
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
Surveyor observed and interview with the director determined a mat was torn and had exposed foam in the toddlers' room. 294 - Toys/Equipment/Furniture 922 KAR 2:120 - Section 11 (1) All toys, equipment, and furniture contacted by a child shall be: (a) Kept clean and in good repair and (b) Free of peeling, flaking, or chalking paint. 1) Clean In Compliance 2) Good repair In Compliance 3) Free from peeling, flaking, chalking paint In Compliance 295 - Indoor/outdoor Equipment 922 KAR 2:120 - Section 11 (2) Indoor and outdoor equipment shall: (a) Be clean, safe, and in good repair; (b) Meet the physical, developmental needs, and interests of children of different age groups; (c) Be free from sharp points or corners, splinters, protruding nails or bolts, loose or rusty parts, hazardous small parts, lead-based paint, poisonous material, and flaking or chalking paint; and (d) Be designed to guard against entrapment or situations that may cause strangulation. 1) Clean In Compliance 2) Safe In Compliance 3) Good repair In Compliance 4) Meets needs In Compliance 5) Free from harmful conditions In Compliance 6) Guard against entrapment/strangulation In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 27 of 40 Web site: http://chfs.ky.gov/ Inspection Report 296 - Toys 922 KAR 2:120 - Section 11 (3) Toys shall be: (a) Used according to the manufacturer's safety specifications; (b) Durable; and (c) Without sharp points or edges. 1) Used according to manufacturers specifications In Compliance 2) Durable In Compliance 3) No sharp points/edges In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.