922 KAR 2:100 · 922 KAR 2:100 - Section 13. Care Requirements for a Provider.

General: Based on observation, the surveyor found the following: 1. A tall brown bulletin board leaned against a wall and placed behind a baby bouncer. A child was not observed to be in the baby bouncer. The bulletin board was observed to be within reach and accessible to the children. 2. A set of Christmas lights with cords placed in a toy bin; therefore, this created a safety hazard for the children. 3. A hair dryer that was plugged into an outlet and placed on top of a basket in the bathroom. The hair dryer was observed to be accessible to the children. 4. A straightener placed on top of a shelf in the bathroom with the cord dangling from the shelf. The straightener was observed to not be plugged into an outlet. The cord was observed to be within reach of the children. Provider Requirements In Compliance Provider Records In Compliance 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

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the surveyor found the following: 1. Multiple craft scissors placed in a stand located on a green and red shelf in the child care room of the provider’s home. 2. A container of Moisture Eliminator with Charcoal placed on top of a green and red shelf in the child care room of the provider’s home. The label on the back of the container stated “Keep Out of the Reach of Children.” 3. The child safety latch was broken on one (1) kitchen drawer that contained the following items: knives, a pair of scissors, and other kitchen utensils. 4. A bag of potting mix located on the provider’s porch beside the exit door to the child care room. The items mentioned were observed to be within reach and accessible to the children. During interview, the provider stated that the children do not use the kitchen; however, they do have to walk through the kitchen to go to the bathroom. The provider stated that she would move the items mentioned and put a new child safety lock on the kitchen drawer.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 14. Toilet and Diapering Requirements.

General: Based on observation, the surveyor found that the toilet seat moved easily and was not tightly secured to the toilet in the provider's bathroom; therefore, the toilet was not kept in good repair. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 18. Records.

General: Based on review of documentation, the provider has not documented earthquake and tornado drills in 2018. 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 2:100 · 922 KAR 2:100 - Section 18. Records.

General: Based on review of documentation, the provider has not documented fire drills in 2018. Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 4. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 07/26/2017 AND AS OF 08/02/2017, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Provider Requirements In Compliance Provider Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the surveyor found the following: 1. Multiple bottles of shampoos, conditioners and bath products were on the rim of the bathtub located in the restroom that is used by the children. The labels indicated that the products be kept out of the reach of children. The items were accessible and within reach of the children. 2. A plastic bin containing baby powder and Block Up Sunscreen was observed on the floor beside the recliner located in the living room. The product’s labels indicated that the items be kept out of the reach of children. The items were accessible and within reach of the children. 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 2:100 · 922 KAR 2:100 - Section 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the surveyor found mouse droppings on the interior surface of the base cabinets located in the kitchen. Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 15. Medication and First Aid.

General: Based on observation, the surveyor found that a plastic bin containing A&D Ointment was on the floor beside the recliner located in the living room. The ointment was not stored in a locked area and was within reach of the children. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 2. Certification Process.

General: Based on observation and interview, the provider's son lives in the home and turned eighteen (18) years of age in April. Based on review of documentation, there has not been a criminal records check or a child abuse/neglect check completed for the adult son. The provider stated that her son does not provide care for the children and is never left alone with the children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 15 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 2. Certification Process.

General: Based on observation and interview, the provider's son lives in the home and turned eighteen (18) years of age in April. Based on review of documentation, there was not a copy of a TB test or documentation from a health professional that the son is free from active TB. The provider stated that her son does not provide care for the children and is never left alone with the children.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation of the bathroom, there were two (2) drawers and one (1) cabinet that were unlocked. The items in the drawers and cabinet were accessible to the children. The following things were found in the cabinet: one (1) can of hairspray, one (1) bottle of mouthwash, and one (1) can of shaving cream. The following things were found in the two (2) drawers: one (1) stick of deodorant, one (1) tube of Aspercreme, one (1) uncovered razor, two (2) bottles of nail polish, one (1) bottle of over-the-counter Claritin syrup, one (1) pack of over-the-counter gas relief pills, two (2) tubes of diaper ointment, and one (1) bottle of face wash.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 18. Records.

General: Based on review of documentation of the children's files, one (1) child (DOE: 9-29-14) did not have a current immunization certificate, i.e., the immunization certificate in the file was only current until 11-2015.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 16. Animals.

General: Based on review of documentation of children's files, there was no written parental consent for the children to be around the one (1) dog at the home. Based on interview, the provider stated that she was not aware that she needed written consent for the children to be in the presence of their dog. Posted Requirements

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 13. Toilet and Diapering Requirements.

General: Based on observation, the following was found: 1) The toilet was not in good repair as the painted finish of the toilet seat appeared to be peeling off; therefore, hindering proper sanitization. 2) The toilet was not in a clean condition as multiple drops of a yellowish substance were visible on the surface of the seat.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 18. Records.

General: Based on review of documentation, the provider's written emergency evacuation plan was dated and signed on 11/20/12 by the local emergency management director. During an interview with the provider, she stated that she had not sent an updated plan to the local emergency management director since the date noted above. Therefore, the evacuation plan was not updated each year by December 31st with the local emergency management as required by regulations.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, there were two (2) unused and uncovered electrical outlets in the room used for child-care.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 18. Records.

General: Based on review of documentation, two (2) of the three (3) children's files presented for review did not contain contact information to enable the person in charge to contact the child's preferred hospital. 600 - Permission for trips off premises Not Applicable 922 KAR 2:100 - Section 18. Records. (1) A provider shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip away from the family child-care home signed by the child’s parent in accordance with Section 17(1) of this administrative regulation; and

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Certified Family Child-Care Home Program.

General: Based on review of documentation and interview, the provider does not have a copy of the the most recent certification standards which were effective on 3/8/13.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 10. Standards for the Provider.

General: Based on review of documentation and a review of the ECE-TRIS website, the provider completed zero (0) hours of training during the past year of operation (10/2/11 to 10/2/12). 160 - Assistant CPR/FA, if applicable Not Applicable 922 KAR 2:100 - Section 10. Standards for the Provider. (7) Prior to being left alone with a child, an assistant shall be certified by a cabinet-approved agency in infant and child: (a) CPR; and (b) First aid. 165 - Assistant Training Requirements, if applicable Not Applicable 922 KAR 2:100 - Section 10. Standards for the Provider. (9) An assistant used in the absence of the family child-care home provider in excess of fourteen (14) calendar days during a one (1) year period shall demonstrate completion of at least nine (9) hours of cabinet-approved training, including pediatric abusive head trauma training pursuant to KRS 199.8982(2), in accordance with subsection (1) of this section. Programming 170 - Diagnosed Special Needs Not Applicable 922 KAR 2:100 - Section 12. Care Requirements for a Provider. (2) Care for a child with a special need shall be consistent with the nature of the need as documented by the child’s health professional.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 12. Care Requirements for a Provider.

General: Based on observation upon arrival to the certified family child care home at 10:25 a.m. (CST), the children were watching PBS Kids on television. The provider turned the television off at 10:45 a.m. (CST). Television viewing was not listed on the posted daily schedule as an activity at this time. The provider did not have a lesson plan for this date. Therefore, the children's viewing of PBS Kids on television was not limited to the planned program of activities.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 13. Toilet and Diapering Requirements.

General: Based on observation, the three (3) diapering pads that the provider indicated were used for diapering children had absorbent surfaces.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 12. Care Requirements for a Provider.

General: Based on observation and interview, the following was found: (1) One (1) crib located in the child care space used by children had no documentation of file to verify that the crib was in compliance with the standards established in 16 C.F.R. 1220-1221. The provider stated during interview that she stopped using the crib for infant sleeping several days ago because a representative of the health department informed her of the new crib standard requirements. (2) A five-month-old infant is sleeping in a bassinet. A crib is not provided for this infant to use for sleeping. (3) An eleven-month-old child is sleeping on a mat. A crib is not provided for this infant to use for sleeping.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 14. Food Requirements.

General: Based on review of documentation, the posted menu did not include the lunch meals and afternoon snacks for 6/19/13, 6/20/13, or 6/21/13. Therefore, a weekly menu was not prepared as required.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 18. Records.

General: Based on review of documentation, the most recent immunization certificate on file for a child (DOE: 10/31/11) was not valid after 3/30/13.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 18. Records.

General: Based on review of documentation and interview, a written record for the provider's own three-year-old child, who was enrolled on 2/12/10 and regularly attends the certified family child care home, was not presented for surveyor review. 600 - Permission for trips off premises Not Applicable 922 KAR 2:100 - Section 18. Records. (1) A provider shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip away from the family child-care home signed by the child’s parent in accordance with Section 17(1) of this administrative regulation; and

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 10. Standards for the Provider.

General: Based on observation, interview, and review of documentation, the provider is not documenting the arrival and departure times of her own three-year-old child when the child is a part of the child care program during the certified family child care home's established hours of operation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 18. Records.

General: Based on review of documentation, neither the times nor the participants were documented for the tornado and earthquake drills practiced on 4/8/13, 5/3/13, and 6/3/13.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Certified Family Child-Care Home Program.

General: Based on observation, interview, and review of documentation, the following was found: (1) The statement of deficiency/plan of correction for the 2012 licensure survey was not posted as required. (2) A lesson plan for this date was not prepared and posted as required. Animals 685 - Animals Not Applicable 922 KAR 2:100 - Section 16. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. (2) A parent shall be notified in writing if a child has been bitten or scratched by an animal. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a certified family child-care home unless the animal is: (a) A part of a planned program activity led by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082. Posted Requirements

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.