922 KAR 2:100 · 922 KAR 2:100 - Section 19. Records.

General: Based on review of documentation, a child (DOE: 04/20/23) did not have a record of immunizations on file at the time of inspection.

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 review of documentation, this requirement was not met. 1) A staff (DOH: 01/01/01) did not have current eligible background check in KARES. The last eligible date was on 10/26/18; therefore, this staff needs to have their fingerprints retaken to determine eligibility. 2) A staff (DOH: 01/07/15) did not have current eligible background check in KARES. The last eligible date was on 10/10/18; therefore, this staff needs to have their fingerprints retaken to determine eligibility. The surveyor checked the background checks for all the staff in the Kentucky National Background Check Service (KARES) prior to visiting the center and these staff did not have a current eligible background checks in KARES. They are listed as Eligible-Expired.

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 review of documentation, a staff (DOH: 01/07/15) did not have evidence of completing orientation on file at the time of inspection. A review of ECE-TRIS confirmed this finding.

Open Not marked corrected in the state record

Category: recordkeeping. 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, this regulation was not met. The cabinet in the kitchen where the cleaning supplies were stored had a child-proof lock, but it was not working at the time of inspection.

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, there was three (3) uncovered electrical outlets in the playroom.

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 following was found: Playroom 1) There were areas of chipping paint on the wall in the playroom next to the crib and shelf of toys. 2) The window seal was in disrepair and had splintering wood which was accessible to children. 3) The vent had excessive dust on it. Kitchen: 1) There were two cabinet drawers that were in disrepair with the front panel broken off exposing the contents. 2) Both kitchen sinks were full of dirty dishes at the time of inspection.

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 water temperature at the sink in the bathroom registered one-hundred and twenty-six (126) degrees Fahrenheit when measured with a thermometer. The children use this sink for hand washing and should not be over one hundred and twenty (120) degrees to prevent burns.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 15. Food Requirements.

General: Based on observation, the refrigerator used for storage of children's food did not have an indicating thermometer to determine the temperature for safe food storage at the time of inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 15. Food Requirements.

General: Based on observation, the freezer thermometer was reading ten (10) degrees Fahrenheit at the time of inspection. A freezer should be zero (0) degrees Fahrenheit or lower to prevent spoilage.

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, this regulation was not met. There was documentation of drills on file at the facility; however, there was only one documented time for earthquake and tornado. Each drill conducted requires different times and actions; therefore, must have different times documented. There was no lockdown or shelter in place drills documented at the time of inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 20. Certified Family Child-Care Home Program.

General: Based on observation, there was not an up-to-date lesson plan provided at the time of inspection. The plans posted were for April of 2024. Animals 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 living room wall contained a large hole. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Records.

General: Based on review of documentation, a child (DOE: 09/14/22), did not have documentation of current immunizations.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Records.

General: Based on review of documentation, a child (DOE: 09/17/20), did not have a preferred hospital listed within the enrollment documentation. Written Documentation In Compliance Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 20. Certified Family Child-Care Home Program.

General: Based on observation, the parents rights and consumer product safety information were not posted within the home.

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, the provider (DOH: 1/17/2014) completed Pediatric Abusive Head Trauma (PAHT) training on 5/7/2017; however, did not renew the training due 5/7/2022. The ECE-TRIS system was reviewed and confirmed this finding. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. 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 home has a stairway with more than two stairs that was not blocked; a one-year-old child was present during the inspection. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Transportation Not Applicable 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 2:100 · 922 KAR 2:100 - Section 19. Records.

General: Based on review of documentation, the following was found: 1.) A child enrolled on 9/12/2022, did not have a current immunization certificate on file at the facility. 2.) A child enrolled on 11/21/2022, did not have an immunization certificate on file at the facility. Written Documentation Not 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on interview and review of documentation, there was no written evidence of completed fire drills.

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. The General Requirements of the Family Child-Care Home Environment.

General: Based on interview and review of documentation, there was no written evidence of completed tornado and earthquake drills. 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 15. Food Requirements.

General: Based on observation, a menu was not posted nor available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 15. Food Requirements.

General: Based on observation, a thermometer or temperature indicating device could not be located within the fridge used for the children’s food storage. The surveyor was unable to determine whether the food stored was kept at 45 degrees or below. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Records.

General: Based on review of documentation, a child enrolled 10/13/2021, did not have an immunization record; additionally, a child enrolled 7/13/2020, had an immunization record that did not contain a date of expiration, the surveyor was unable to determine whether the immunizations were up to date.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Records.

General: Based on review of documentation, a child enrolled 10/13/2021, did not have a physician’s contact number nor a preferred hospital listed in their enrollment information. Written Documentation Not In Compliance

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, the sign-in and out times for the children in care were not documented.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Records.

General: Based on review of documentation, there was no documentation presented indicating that tornado or earthquake drills had been conducted.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Records.

General: Based on review of documentation, there was no documentation presented indicating that fire drills had been conducted. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Posted/Available Documentation Not 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 20. Certified Family Child-Care Home Program.

General: Based on observation and review of documentation, the posted planned programming (lesson plan) was dated for 2020; therefore it was no longer current. Animals Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 17. Animals.

General: Based on review of documentation, the home housed three dogs and a cat; however, written permission was not obtained for the children to be in the presence of these animals. 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 13. Care Requirements for a Provider.

General: Based on observation, one napping mat was ripped and had exposed foam, rending the mat unable to be properly sanitized. Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, several piles of dog feces were observed in the children’s outdoor play space. The staff person in charge stated that the children had used the play space the previous day. Equipment Not In Compliance

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 review of documentation, a negative tuberculin skin result for the provider and the assistant were not available for review. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, knives were stored in a low cabinet in the kitchen, the cabinet had a child safety lock; however, the lock was in disrepair and did not function. The children eat in the kitchen; therefore, the knives were accessible. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, uncovered outlets were observed in the playroom and napping area.

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 home had a stairway with more than two stairs that was not protected; a two-year-old child was present during the inspection process. 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 2:100 · 922 KAR 2:100 - Section 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The wall next to the couch in the main playroom contained areas of chipped paint. 2. A hole in the drywall was observed next to the gate by the front door. 3. There were brown smudges and dirt on the inside of the front door and on the wall next to the door. 4. The room that contained the posted items for the parents contained a dusty vent on the wall. 5. The room that contained the posted items for the parents contained marker on the wall. This regulatory violation was previously cited during a renewal survey conducted on 3/03/2021. The plan of correction indicated that the provider has dusted, swept, cleaned and wiped all the areas of concern. It further states, her assistant has fixed the paint chips, and filled in the hole next to the door. The plan of correction indicated that this was completed on 3/05/2021. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The certified provider did not have any two-inch thick, waterproof mats or cots for the children to nap on. The children present ranged in age from 1.5 years-old to four-years-old. There was not adequate equipment for napping. This regulatory requirement was previously cited during a renewal survey conducted on 3/03/2021. The plan of correction indicated that the provider will ensure she has a mat or cot per child in case they decide to rest during the day. The plan of correction indicated that this was completed on 4/09/2021. Emergency Regulation In Compliance

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, this regulatory requirement was not met. The certified provider did not have written evidence of current CPR or first aid training. The certified provider indicated in interview that her cards were expired. Programming In Compliance Premises Not 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, this regulatory requirement was not met. The main playroom contained several cords attached to a power strip on the floor next to the TV. The cords were accessible to the children. The children in care ranged in age from 1.5 years-old to six-years-old. 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 2:100 · 922 KAR 2:100 - Section 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The sofa in the main playroom contained two holes with exposed foam. One of the holes was very large. 2. The wall next to the couch in the main playroom contained areas of chipped paint. 3. A hole in the drywall was observed next to the gate by the front door. 4. There were brown smudges and dirt on the inside of the front door and on the wall next to the door. 5. The room that contained the posted items for the parents contained a dusty vent on the wall. 6. The room that contained the posted items for the parents contained marker on the wall. 7. The kitchen contained a missing cabinet covering under the sink. 8. The kitchen contained a linoleum tile that was not attached properly to the floor in the corner. 9. The kitchen contained numerous crumbs, cereal, and a discarded bowl on the floor. 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 2:100 · 922 KAR 2:100 - Section 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, this regulatory requirement was not met. An uncovered gas grill with a propane gas tank attached was observed on the deck. The grill was accessible to the children. This was previously cited during an inspection conducted on 1/23/2018 and an inspection conducted on 1/29/2020. Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The certified provider did not have any two inch thick waterproof mats or cots for the children to nap on. Three of the four children present were toddler or preschool age children that did not have adequate equipment for napping. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 15. Food Requirements.

General: Based on observation and review of documentation, this regulatory requirement was not met. The weekly menu located on the certified provider's clipboard was no longer current. The menu was dated 1/04/2021 through 1/08/2021. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Records.

General: Based on observation and review of documentation, this regulatory requirement was not met. One child did not have an immunization certificate on file. The child had been enrolled in excess of thirty days. Written Documentation In Compliance Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on observation, this regulatory requirement was not met. The certified provider and her assistant were not wearing a mask during the renewal survey. Both staff were interacting with the children during the renewal. The certified provider indicated that her assistant has a medical condition and cannot wear a mask. No documentation was on file indicating the assistant was exempt from wearing a mask.

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 review of documentation, it was found that an adult living in the home did not have evidence of being free from active TB. There was copy of a negative TB screening; however, it exceeded the two-year timeframe. The date of hire for this person is 01/07/2015. Programming 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. Care Requirements for a Provider.

General: Based on observation, two children were playing on the providers cell phone. This was not listed on the lesson plan for the day. It is important to note that the children were participating in an educational activity and did not exceed the two-hour timeframe. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it was found that there was no evidence of any of the children in care being signed in or out during the week of the survey. Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

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, it was found that one child's enrollment information did not list a preferred hospital or a telephone number of their listed physician. The date of enrollment for this child is 01/03/2020. Written Documentation 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 following was found: 1.) The power cord connected to a window air conditioner unit was lying on the floor and was accessible to children in the living room area. The cord was attached to the window unit. 2.) There was a knife being stored in a kitchen drawer directly next to the refrigerator. This was accessible to the children in care as they were in the kitchen at one point during the survey. 3.) During a walkthrough, it was found that there was a closet that was being used to store dog food as well a mop and broom. This door was open when the surveyor arrived; therefore, these items were accessible to the childen in care.

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, it was found that there was one uncovered electrical outlet in the front room where the posted items are located.

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, it was found that the stairs leading to the second level of the home were not protected. The surveyor asked the provider about this and she reported that the stairs have never been protected with a safety device and she has never been cited for this before.

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 following was found: 1.) There were large holes in the carpet as well as missing carpet by the back door. These areas were located in the living room that adjoined to the kitchen. 2.) There were areas of chipped paint as well as holes in the wall in the living room adjoining to the kitchen. 3.) There were crayon marks on the windowsill under the air conditioning unit in the room off of the kitchen. 4.) There was pink chalk on the carpet to the right of the air conditioning unit in the room off of the kitchen. 5.) There were numerous crumbs on the floor in the room off of the kitchen. 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 2:100 · 922 KAR 2:100 - Section 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, it was found that there was a gas grill with a propane gas tank attached on the deck, which was uncovered. This grill was accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment 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, it was found that a table in the front room where the posted items are located was dirty with a brown substance. Transportation Not Applicable 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 2:100 · 922 KAR 2:100 - Section 18. Records.

General: Based on review of documentation, it was found that one child's file did not contain an immunization certificate. The date of enrollment for this child is 09/18/2019.

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 observation and record review, the certified provider and her spouse did not have written evidence of completing the National background check. The KARES system was reviewed and the certified provider and her spouse were both cleared in the system, but the certified provider did not have any written evidence on site of the National background check being completed. Supervision In Compliance General Administration In Compliance 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 3 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, a drawer in the kitchen contained knives and it was accessible to the children. The certified provider indicated in interview that the children eat in the kitchen area.

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 playroom with the fireplace contained two (2) uncovered electrical outlets.

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 following items were unclean or in disrepair in the home: 1. The room containing the posted items for the parents had holes in the drywall near the thermostat. 2. The same room contained crayon marks on the wall below the parent bulletin board and near the climber with the slide. 3. In the playroom with the fireplace, there was a hole in the drywall next to the sofa. 4. The hall bathroom, used by the children, contained dust and cobwebs on the light fixture above the hand-washing sink. 5. The kitchen ceiling contained a brown stained area. The certified provider indicated that they had a roof leak and the stain was from water.

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 bathroom in the hallway used by the children did not contain any paper towels. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the playroom adjacent to the kitchen contained a sofa with a torn cushion. The foam was exposed from the sofa cushion. In addition, the room that displayed the posted items for the parents contained a child-sized table with a sticky brown substance on the surface. The sign-in and out clipboard was located on the table. Transportation Not Applicable Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the certified provider did not have the children signed in for the day. There were three (3) children present during the survey. A further review of the attendance records revealed that there was no sign-in or out sheet for the week. Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

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 was an uncovered gas grill with a propane gas tank attached on the deck which was uncovered. This grill was accessible to the children. Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, three of the children's files given for review did not have proper documentation of current immunization. Proof of immunization was not in the file and could not be produced. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on Observation, the power cord connected to a window air conditioner unit was lying on the floor and was accessible to children in the living room area. The cord was attached to the window unit.

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 blinds in the living room area were broken and hanging down which made them accessible to children in the area. The broken edge of the blind was sharp and excess string was hanging from the blind. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, at the time of the survey there was a sink of dirty dishes. Some of the plates had dried macaroni and cheese and along with other dried food. During an interview with the provider it was found that some of the dishes were left from supper the night before and some of the dishes were from breakfast that morning. There was also an accumulation of dried food on the wall behind the sink and stove. Hygienic Practices Not In Compliance

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 provider used a large blue and red trifold padded vinyl mat with an additional thin padded vinyl mat placed on top to change a diaper. The blue and red trifold mat had torn areas around the edges and corners of the mat. This does not allow for the mat to be adequately sanitized between each diaper change. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 2:100 · 922 KAR 2:100 - Section 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on Observation, there were several broken toys, empty water bottles and broken plastic cups under the steps of the deck. These items were accessible to the children. In addition there was an uncovered gas grill with the gas tank attached on the deck. Child sized chairs and toys were observed sitting on the deck where the grill was located. Equipment 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, a Graco Pack 'n Play Playard Sport was observed in the area used for child care. An interview with the provider found that she recently bought the playard used off of Amazon approximately a week and a half ago. The provider stated during interview that she bought the playard to put an infant and a toddler enrolled in to protect them against a child who bites. The provider stated that the children do not sleep in the playard and they are not placed in there at the same time. The provider was asked if there was documentation to verify compliance with CFR 1221. The provider stated that no information came with the playard. Therefore it could not be determined if the playard is in compliance with CFR 1221. Transportation Not Applicable Food Service Not In Compliance

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 Observation, there was a dried blue substance in the bottom of the refrigerator. A dried red substance was observed in the bottom of the freezer.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on Observation, at the time of the survey a bottle of formula was observed sitting on the back of the couch. The bottle was not covered. 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

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that on 2/1/16 attendance sheets showed there were seven (7) children in attendance. An interview with the provider found that none of the children are related. The number of unrelated children listed on the certificate of operation states the provider may care for is no more than six (6) unrelated children. Therefore, on 2/1/16 the provider was caring for more than six (6) unrelated children. Further review of the children's sheets used to document the time of arrival and time of departure found that one (1) of the children did not have a time of arrival and time of departure documented but it was documented that the child had been served breakfast, lunch and snack. During an interview with the provider it was indicated that she was unsure if this child was in attendance that day becasue the time of arrival and time of departure had not been documented. The provider also stated that these forms have to be turned into the agency she goes through for the Federal Food Program. It was brought to the provider's attention that although the time of arrival and departure was not documented she had checked that she had served three (3) meals to the child on 2/1/16 and would submit this documentation to the Federal Food Program for reimbursement of meals served.

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, it was found that on 2/1/16 attendance sheets showed there were seven (7) children in attendance. An interview with the provider found that none of the children are related. The number of unrelated children listed on the certificate of operation states the provider may care for no more than six (6) unrelated children. Therefore, on 2/1/16 the provider was caring for more than six (6) unrelated children. Further review of the children's sheets used to document the time of arrival and time of departure found that one (1) of the children did not have a time of arrival and time of departure documented but it was documented that the child had been served breakfast, lunch and snack. During an interview with the provider it was indicated that she was unsure if this child was in attendance that day becasue the time of arrival and time of departure had not been documented. The provider also stated that these forms have to be turned into the agency she goes through for the Federal Food Program. It was brought to the provider's attention that although the time of arrival and departure was not documented she had checked that she had served three (3) meals to the child on 2/1/16 and would submit this documentation to the Federal Food Program for reimbursement of meals served.

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 Interview, it was found that 2/1/16 was the last day of attendance for two (2) children who are no longer enrolled. However, a review of records found that the provider did not have documents to verify the time these two (2) children arrived and left on that day. Further interview with the provider found that she had thrown the documents away since they were no longer enrolled. Children's Records

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, it was found that a child enrolled since 12/17/15 did not have a current immunization certificate on file. An interview with the provider found she was aware she did not have the immunization certificate. Written Documentation

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, a review of the children's sheets used to document the time of arrival and time of departure found that one (1) of the children did not have a time of arrival and time of departure documented but it was documented that the child had been served breakfast, lunch and snack. During an interview with the provider it was indicated that she was unsure if this child was in attendance that day becasue the time of arrival and time of departure had not been documented. The provider also stated that these forms have to be turned into the agency she goes through for the Federal Food Program. It was brought to the provider's attention that although the time of arrival and departure was not documented she had checked that she had served three (3) meals to the child on 2/1/16 and would submit this documentation to the Federal Food Program for reimbursement of meals served. Further interview with the provider found that two (2) of the children she cares for receive child care services through the Child Care Assistance Program. However, a review of documentation found that the records required in accordance with KAR 2:160 Section 13 for a child who receives services through the Child Care Assistance Program are not being kept.

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, in the smaller room used for child care there were toys, boxes and various other items thrown all over the floor. An interview with the provider found that she uses this room for the older children and that the children get the toys out and throw them on the floor. There was an additional area used for care for the smaller children. During a tour of the kitchen there was a large number of dirty dishes with dried food on them piled in the sink. An interview with the provider found that her dishwasher had broken. The provider also indicated that some of the dishes in the sink were left over from dinner the night before.

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 red and blue vinyl mat used for diaper changing had several spots where the vinyl had worn off exposing the mesh underneath. This does not allow for proper sanitation of the mat. During the exit conference the provider indicated that the worn areas were around the edges.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, during a tour of the kitchen boxes of insulin and syringes were observed in the refrigerator. An interview with the provider found that the provider is a diabetic and the medication belongs to her. The provider also indicated that she thought because the medication was stored in the upper part of the refrigerator a lock was not required. However, the medication and syringes were not in a locked container in the refrigerator nor was there a lock on the refrigerator. Children were also observed sitting at the table in the kitchen at the time of the survey.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, the posted daily planned program of activities had activities listed for the older children who were present. These activities included stringing Apple Jacks on yarn, making a number book and writing numbers and words. There were no activities listed for the infants and toddlers in the provider's care. An interview with the provider found that she sits with the younger children and does the activity with them such as counting the Apple Jacks. However, there were no adaptations to the daily planned program of activities that indicated this would be done. The age of the children who were present at the time of the visit were nine (9) months to three (3) years old.

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, it was found that the provider did not have a current copy of the certification standards. The most current copy the provider had was from 2009.

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 Review of Documentation, it was found that the provider did not have evidence of a criminal records check or a child abuse and neglect check.

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, it was found that there were food stains on the floor in the kitchen. There was observed to be several areas of chipped paint on the walls in the living room area where the children play and nap. There was also observed to be a broken drawer in the kitchen accessible to the children.

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, it was found that the water temperature in the restroom used for hand washing registered 130 degrees Fahrenheit.

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, it was found that one (1) child's file out of four (4) children's files reviewed did not have the preferred hospital listed. The child's date of enrollment was unknown.

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 Review of Documentation, it was found that the provider did not have evidence of commercial liability insurance of at least $50,000 per occurrence.

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, it was found that the statement of deficiency and plan of correction submitted by the certified family childcare provider during the current certification period was not posted. It was also found that the provider did not have the staff to child ratios posted. Animals

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation, it was found that the toilet was covered with brown stains on the inside.

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, it was found that one (1) child's file out of six (6) children's files reviewed did not have evidence of a current immunization certificate. The child was enrolled on 01/02/2012.

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, it was found that a sibling group of two (2) did not have a separate written record for each child. The children were enrolled on 05/31/1998.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that there was no evidence of cultural and science materials accessible or available to 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, it was found that there was no working smoke detector on the floor level being used for child care.

Open Not marked corrected in the state record

Category: physical safety. 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, it was found that Colgate toothpaste was sitting on the bathroom sink.

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, it was found that the stairs that led to the upstairs area of the housewere not blocked off from allowing the children to go up the stairs.

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, it was found that the floors in the kitchen were covered in brown stains and dirt and debris. It was also found that the walls throughout the home were covered in brown stains.

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, it was found that the sink in the bathroom used for toileting was covered in stains.

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, it was found that the water temperature in the bathroom used for toileting registered at 125 degrees.

Open Not marked corrected in the state record

Open / not marked corrected.