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

General: Based on observation and interview, the following was found: A twenty-four-month-old child was observed to be eating cheese puffs, which are not an approved food. Staff advised that chips were served to the children one or two times a week.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on observation and interview, the menu posted was dated for June. Staff advised that a current menu was not available for review.

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 and interview, the following was found: 1. Two (2) electrical outlets were not in use and were uncovered on a multiple plug adapter on the wall below the mounted TV in room 1. Interview confirmed the electrical outlets were not covered. 2. An electrical outlet was not in use and was uncovered next to a diaper changing table in room 2. Interview confirmed the electrical outlet was not covered. 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, the entrance into room 1 was blocked by piles of clothing, sheets, and blankets and a large bag of trash.

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 and interview, the hot water temperature measured one hundred fifty (150) degrees Fahrenheit at a sink in the restroom in room #2. 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 14. Toilet and Diapering Requirements.

General: Based on observation and interview, a box full of papers, a file folder full of papers, and several individual sheets of paper were stored on the diapering table in room 2. During interview, the provider confirmed these items were stored on the diapering table. First Aid/Medication 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 16. Medication and First Aid.

General: Based on observation and interview, scissors and a thermometer were not included in the first aid supplies. Interview determined these items were not available. Outdoor Play Area 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 and interview, black plastic weed block was raised above the protective surface and presented a tripping hazard next to the playhouse, under the swing set, and near the blue slide in the outdoor play area. Interview determined the provider was aware the plastic black weed block was raised above the protective surface. Equipment 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, the posted weekly menu was dated January. Children's Records In Compliance

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 proper methods of diapering were not posted at the diapering station in room 2.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation and interview, the hot water temperature measured one hundred thirty-eight (138) degrees Fahrenheit at the restroom sink located in room #2. Interview confirmed the hot water was very hot. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 14. Toilet and Diapering Requirements.

General: Based on observation and interview, a box full of papers, a file folder full of papers, several individual sheets of paper, two pieces of clothing and two (2) small area rugs were stored on the diapering table in room #2. During interview, the provider confirmed these items were store on the diapering table. First Aid/Medication 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation and interview, the following was noted: 1. The gauge displayed empty on the fire extinguisher that hung on the wall immediately outside the of room 1. Interview confirmed the extinguisher was empty. 2. The provider pressed the test button on the smoke detector in the hallway adjacent to room 1. The smoke detector did not beep. Interview determined a battery was missing from the smoke detector. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Category: 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 observation and interview, the following was noted: 1. A plastic bottle contained a bleach water solution and was on the floor beside the diapering station in room 2. 2. An aerosol spray bottle of air freshener, an aerosol spray bottle of furniture polish and a pack of mopping clothes were stored in an unlocked cabinet under the sink in the restroom in room 2. During interview, the provider confirmed these items were accessible to children.

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 and interview, the following was noted: 1. Two (2) electrical outlets were not in use and were uncovered on the wall beside the fireplace and on the wall below the mounted TV in room 1. Interview confirmed the outlets were not covered. 2. An electrical outlet was not in use and was uncovered on a multiple plug adapter that hung from the wall in room 1. Interview confirmed the electrical outlets did not contain safety plugs.

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 and interview, the following was noted: 1. Several stacks of papers were scattered on shelves in room #1. 2. The entrance into room #1 was blocked by a stuff animal that was approximately 4.5 feet tall. There were small toys and debris in the walkway that led to the room #1.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 16. Medication and First Aid.

General: Based on observation and interview, adhesive bandages, medical tape, scissors, a thermometer, and a CPR mouthpiece protector were not included in the first aid supplies. Interview determined these items were not available. Outdoor Play Area 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 and interview, plastic black weed block was raised above the protective surface and presented a tripping hazard in the playhouse in the outdoor play area. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, a 4X3 inch front portion of a seat was missing and had jagged edges on a blue child-size chair. This chair was located downstairs in room 1. Provider confirmed the chair seat had a missing piece and jagged edges. 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, an opened box of vanilla wafer cookies was stored on a table in child care room #1 when surveyors arrived. Interview confirmed the cookies were stored in an open box. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on observation and interview, a weekly menu was not observed. Interview confirmed a menu was not available for review. 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 interview and review of documentation the following was determined: 1. Two (2) children enrolled 11/12/18 and one (1) child enrolled in 2020 (exact date unknown) had no immunization certificate available for review at the center. 2. One (1) child enrolled 4/4/23 had an immunization certificate that was valid until 03/23/24. Written Documentation In Compliance Posted/Available 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 14. Toilet and Diapering Requirements.

General: Based on observation and interview, The proper methods of diapering were not posted at the diapering station in room 2. 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 13. Care Requirements for a Provider.

General: Based on observation, the surveyor found the following: 1. In the Child Care Room, there was loose telephone cord coming out from the wall and laying across the floor. While the surveyor was reviewing paperwork, the provider did remove the loose telephone cord. 2. In the Child Care Room, there was a speaker attached to the wall that had loose cords hanging down that were laying across the floor and underneath the classroom table. 3. In the Child Care Room, there was a T.V. mounted to the wall that had a loose cord hanging from the television across the floor. While the surveyor was reviewing paperwork, the provider did remove the loose cord. 4. While the surveyor was reviewing paperwork, the surveyor observed seven (7) children from 1:50 p.m. to 2:00 p.m. sitting in plastic chairs and taking taking turns running / pushing each other into other children while screaming. 5. When the surveyor arrived at the child-care center, the provider informed the surveyor that seven (7) children were present. The children who were in the Child Care Room began to shout there was actually eight (8) children present and that one (1) child was hiding upstairs. The provider stated that the child upstairs was her daughter's son and was not enrolled in the child-care center. While the surveyor was reviewing documentation, a parent showed up to pick up two (2) children. The surveyor observed one (1) child leave the Child Care Room and the surveyor observed from a downstairs window a child leave from the upstairs side door. The surveyor again asked the provider whose child that was and she stated that he was not her daughter's son, but her daughter was watching the child for the day. The surveyor asked the provider if she had any documentation on the child that was upstairs and the provider could not provide any documentation. 6. When the surveyor returned back inside after checking the outside play area, the surveyor heard a faint cry. The surveyor walked back downstairs toward the Child Care Room and found a bedroom door that had the door slightly opened. The surveyor opened the door to find a two (2) month old infant in a car seat sitting on a bed. The surveyor asked the provider who the baby belonged to and she stated that the baby was her daughter's child. The surveyor asked the provider if she had any documentation on the infant and the provider could not provide any documentation. Therefore, the health, safety and comfort of the children could be compromised. 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 20. Certified Family Child-Care Home Program.

General: Based on observation, the surveyor attempted a visit to the provider's home for the annual visit on 06/19/23 at 12:08 p.m. Upon arrival, the surveyor knocked and rang the doorbell twice. The surveyor received no answer. The surveyor then called the provider. The provider answered the phone stating that she was on vacation and would return to her home on 06/26/23. The surveyor checked the history notes in KICCS and saw the provider did not email or call stating that she would be closed during this time; therefore, the provider failed to report a closure to the cabinet. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the surveyor found an electrical outlet was missing three (3) protective coverings in the Child Care Room.

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 that on the day of the visit, there was seven (7) children present in the Child Care Room. The surveyor reviewed the diagram and found that the Child Care Room was approved for six (6) children and that that Play Room was approved for four (4) children; therefore, the child-care center failed to provide at least 35-sqaure foot per child in the space provided.

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 restroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 14. Toilet and Diapering Requirements.

General: Based on observation, the surveyor found dirt on the diaper changing table underneath the diaper changing pad in the Play Room; therefore, the diaper changing area was not kept clean. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the surveyor found the following: 1. A pair of pink underwear underneath the play structure. 2. Trash was observed through out the play area. Some of the items included empty zip-lock bags, empty chip bags, plastic bottles, plastic spoons, and popsicle wrappers. 3. Animal feces was observed in various areas through out the play area. Therefore, the outdoor play are was not kept clean or free of avoidable danger or risk. Equipment In Compliance 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 15. Food Requirements.

General: Based on observation, the surveyor began overhearing children stating at 2:00 p.m. that they were hungry and starving. The surveyor also overheard a child state that they had not had lunch. A child asked the provider when would she would be serving food to the children. From 2:00 p.m. to 3:10 p.m., children were observed talking amongst themselves about how hungry they were, talking about what food they would sneak into the providers home tomorrow to eat and asking why they had not ate lunch yet. When the surveyor asked the provider if the children had ate lunch, she stated that the children had ate and a child stood up and yelled, "no she did not give us lunch, when are you going to feed us?". The provider finally stated that the children had not ate lunch and advised the children would be eating snack at 3:15 p.m. The provider stated that the children had ate breakfast at 8:30 a.m. that morning; therefore, the child-care center failed to provide food every two (2) to three (3) hours to the children. At 3:20 p.m. the surveyor observed a box of Cheezits be brought into the Child Care Room to be utilized for snack. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. The following children (DOE: 06/05/17, 08/15/19 and 01/04/23) file's did not contain the contact telephone number for the child’s preferred hospital. 2. The following children (DOE: 06/05/17 and 01/04/23 ) file did not contain the contact telephone numbers for the child’s preferred family physician. 3. Two (2) children were found in the home without any enrollment forms or documentation. During interview, the provider stated that neither children were enrolled in the child-care center; however, both were observed to be at the provider's home during operational hours. 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 10. Standards for the Provider.

General: Based on review of ECE-TRIS, the surveyor found that a provider (DOH: 08/27/18) obtained seven and one-half (7 ½ ) hours of the required nine (9) hours of cabinet approved early care and education training for the review period 07/01/20 – 06/30/21. 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 2:100 · 922 KAR 2:100 - Section 13. Care Requirements for a Provider.

General: Based on observation, the surveyor found two (2) bottles of Golden Antibacterial Soap located on the sink in the bathroom. Both bottles stated "Keep Out of Reach of Children" on the back label. Both bottles were observed to be within reach of the children. The provider stated that she was not aware that the soap stated that on the back label and she would place both bottles out of reach of children. Provider Requirements In Compliance Provider 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 10. Standards for the Provider.

General: Based on review of ECE-TRIS, the surveyor found that an assistant (DOH: 08/27/18) obtained zero (0) hours of the required nine (9) hours of cabinet approved early care and education training for the review period 07/01/20 – 06/30/21. 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 surveyor found that the sink located in the bathroom was not draining properly and the faucet was not secured to the cabinet; therefore, the sink was not in good working condition. The provider stated that she knew it was not secured and will have someone come to fix it. 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 14. Toilet and Diapering Requirements.

General: Based on observation, the surveyor found dirt on the diaper changing table underneath the diaper changing pad; therefore, the diaper changing surface was not kept clean. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the surveyor found a red and yellow Little Tykes car with a sharp piece of plastic on the front of the car and a broken steering wheel; therefore the toy was not kept in good repair. 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 2:100 · 922 KAR 2:100 - Section 19. Records.

General: Based on review of documentation, the surveyor found a child’s (DOE: 07/06/21) file contained an immunization certificate that was no longer current as of 11/10/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation In Compliance Posted/Available 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 13. Care Requirements for a Provider.

General: Based on observation, the surveyor found the following: 1. Several small wires coming out of a small brown box in the bottom corner of the wall beside the fireplace in the Childcare Classroom. 2. A television hanging on the wall with the cord dangling down the wall and plugged into an outlet in the Art Classroom located beside the restroom. 3. Several cords dangling down the wall from a wall shelf placed under a television in the Childcare Classroom. 4. Two (2) children were observed to jump off of a brick fireplace hearth in the Childcare Classroom. The brick hearth was observed to not have a protective covering and to be easily accessible to the children. The items mentioned were observed to be accessible to the children. During interview, the provider stated that the wires in the small box were disabled and that she would have the box removed from the wall. The provider stated that she would make the cords inaccessible to the children and put a protective covering on the fireplace hearth. Provider 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 2. Certification Process.

General: Based on review of documentation, the surveyor found that an adult’s (Start date: 08/27/18) file did not contain documentation of background checks submitted through the Kentucky National Background Check Service. Based on review of the Kentucky National Background Check Service, the determination status showed as ‘in process’ and fingerprints had not been taken for the adult. During interview, the provider stated that the adult lives in the home and has not submitted to fingerprints. The individual turned eighteen (18) years old in November 2020, which requires the adult to have completed background checks. The provider stated that the adult has not had unsupervised contact with the children. The surveyor did not observe the adult at the home on the day of the visit, 09/23/21. The adult’s file did not contain a completed Child Abuse/Neglect Background Check or Criminal Records Background Check. The provider stated that a Child Abuse/Neglect Background Check and Criminal Records Background Check were not completed for the adult due to a background check being submitted through the Kentucky National Background Check Service. 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 10. Standards for the Provider.

General: Based on review of documentation, the surveyor found that a provider (DOH: 08/27/18) obtained seven and one-half (7 ½ ) hours of the required nine (9) hours of cabinet- approved early care and education training for the review period 07/01/20 – 06/30/21. Children's Records 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 19. Records.

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 04/16/21) file contained an immunization certificate that was no longer current as of 08/13/21. 2. A child’s (DOE: 07/06/21) file did not contain an immunization certificate. 3. A child’s (DOE: 07/06/21) file did not contain an immunization certificate.

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, the surveyor found that a child’s (DOE: 04/16/21) file did not contain the name of each person who is designated in writing to pick-up the child.

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 during a tour of the center, the surveyor found a child playing with one (1) soiled baby bottle in the Child Care Room. The one (1) bottle contained dried/soured milk or formula. Therefore, the health, safety, and comfort of the child was compromised. During interview, staff was not aware that there was a soiled bottle in the classroom. 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 13. Care Requirements for a Provider.

General: Based on observation during the surveyor’s visit from 10:10 a.m. until 12:30 p.m., the surveyor found that a daily planned program was not posted or being followed from 10:10 a.m. until 12:00 p.m. The surveyor found the children were running around the room without guidance, yelling at each other, pushing each other, grabbing food items from various places round the room. During the last half hour (1/2), 12:00 p.m. – 12:30 p.m., the children were involved in a game. During interview, staff stated that the children get excited when “the State” comes to the center. 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.

Based on observation during a tour of the center, the surveyor found that the child area was cluttered and that snacks were not stored in the appropriate areas, i.e., potato chips were in the child care area, on several different tables and were accessible to the children. The surveyor found that the chips added to the clutter of the child care area; therefore, the food needed to be stored properly. 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 during a tour of the center, the surveyor found that juice was opened and not stored properly, i.e., the juice was in the child care area, on the table and it was accessible to the children. The surveyor found that the children were helping themselves to the juice and one (1) child was pouring juice for all the other children. Therefore, juice was not stored properly. The surveyor observed the juice bottle and the label stated "need to be refrigerated after opening".

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found no documentation of orientation completed by the provider (DOH: 08/27/18); therefore, the provider failed to maintain the orientation record for five (5) years. During interview, the provider stated that she completed orientation training; however, she was unable to locate the documentation. Provider Requirements In Compliance Provider Records 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 13. Care Requirements for a Provider.

General: Based on review of documentation, the surveyor found no documentation of a Child Abuse/Neglect Background Check or a Criminal Records Background Check for the provider’s child living in the home who turned eighteen (18) years of age in November 2020. During interview, the provider stated that she has not had the background checks completed yet. The provider stated that the adult living in the home has not had unsupervised contact with the children. The provider stated that she would have the Child Abuse/Neglect Background Check and Criminal Records Background Check completed as soon as possible.

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, the surveyor found that one (1) staff (DOH: 08/27/18) file did not contain documentation of a current TB skin test. During interview, the provider stated that the assistant has had a TB skin test; however, she did not have the documentation. 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 2. Certification Process.

General: Based on review of documentation, the surveyor was not presented with a written plan for obtaining nine (9) hours of annual cabinet-approved training for the provider (DOH: 08/27/18). During interview, the provider stated that she was not aware that she had to develop a written plan for obtaining nine (9) hours of annual cabinet-approved training. 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 surveyor found the following: 1. A bottle of bar keeper, purple power cleaner, disinfectant sprays and other household cleaners in an unlocked cabinet underneath the restroom sink. The surveyor observed the child safety latch was not locked. 2. Three (3) gallons of paint located on the porch that leads to the playground. 3. A garden hose placed on the playground. The items mentioned were observed to be within reach and 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the surveyor found that the area used for child care had debris scattered throughout on the floor; therefore, the child care room was not clean.

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 hot water temperature in the provider’s restroom measured 140 degrees Fahrenheit; therefore; the hot water was not a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of 120 degrees Fahrenheit. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 14. Toilet and Diapering Requirements.

General: Based on observation, the surveyor found debris on the diaper changing table underneath the diaper changing pad; therefore, the diaper changing surface was not clean. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the following: 1. A child’s (DOE: 08/15/19) file did not contain the preferred family physician or contact telephone number. 2. A child’s (DOE: 08/15/19) file did not contain a contact telephone number for the child’s preferred hospital. 3. A child’s (DOE: 02/27/18) file did not contain a contact telephone number for the child’s preferred hospital. 4. A child’s (DOE: 04/03/19) file did not contain a contact telephone number for the child’s preferred family physician or hospital. 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 19. Records.

General: Based on observation, the surveyor found that fire drills were not documented for the months of February, March, and April 2021. During interview, the provider stated that the fire drills were completed; however, she did not maintain a written record of the drills. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found that the written evacuation plan was last updated on 08/09/18; therefore, the plan needs to be updated. The provider confirmed through interview that this was the last time the emergency preparedness plan was updated. Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance Emergency Regulation Not Applicable

Open Not marked corrected in the state record

Category: recordkeeping. 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 surveyor attempted to conduct the renewal inspection at the provider’s home on 12/21/2020 and again on 1/11/2021. There was no answer at the door and the provider’s telephone was off when the surveyor attempted to call the provider. The provider confirmed through interview that the provider was providing care to children on both days stating that she did not hear the surveyor at the front door of the residence; therefore, the surveyor was denied access to the provider’s home while the provider was caring for children. 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 14. Toilet and Diapering Requirements.

General: Based on observation, the surveyor found the floor inside the toilet room contained a sticky substance that stuck to the surveyor’s shoe covers as the surveyor walked through the toilet room; therefore, the floor in the toilet room was not clean. 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 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 19. Records.

General: Based on review of documentation, the surveyor found only one (1) child’s arrival time was documented on the daily attendance record for 2/9/2021 with two (2) children present inside the provider’s home; therefore, the daily attendance records were not being maintained.

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 interview, the provider stated earthquake and tornado drills were not documented for the year of 2020. According to the provider, the tornado and earthquake drills were completed; however,they were not documented.

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 interview, the provider stated fire drills were not documented for the year of 2020. According to the provider, the fire drills were completed; however, they were not documented.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the provider’s written emergency evacuation plan has not been updated since 2018; therefore, the plan has not been updated yearly. Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance Emergency Regulation 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 19. Certified Family Child-Care Home Program.

General: Upon arriving at the certified family child-care home, the surveyor knocked on the door and overheard a female’s voice inside say “Stay downstairs, stay downstairs.” The surveyor was met at the door by the assistant (DOH 7/30/18), who advised the surveyor that the provider was not present at the residence. The assistant stated no children were present and no children would be there until after 3:00 p.m. The surveyor left the premises at approximately 11:09 a.m. and returned back to the residence at 11:20 a.m. Upon arrival to the certified family child-care home, the surveyor observed the assistant get out of her car and briskly walk back into the house. When the surveyor knocked on the door, the provider opened the door and immediately closed the door back while the surveyor was attempting to gain entry into the certified family child-care home. After this occurred the provider opened the door and allowed the surveyor to enter the residence. Upon entry, the surveyor observed a total of four (4) children in the care of the provider. During interview, the provider alleged that she had just returned home and confirmed that the children were present during the surveyor’s first attempt to enter the home. The surveyor asked the provider who was caring for the children while she was out of the home. The provider advised the surveyor that the assistant was caring for the children during her absence; therefore, the assistant did not allow the surveyor access to the certified family child-care home while children were in care. 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation during this Follow Up visit, the child safety latch for the bathroom cabinet was not secured. During interview, staff (DOH 7/30/18) stated that she thought the safety latch was latched. This deficiency was cited during a Renewal Inspection conducted on 7/17/19. The Plan of Correction stated, "The Lysol all purpose cleaner the top job basic bleach and plastic garbage bags have been properly locked under the cabinet in the bathroom. The push latch to lock the cabinet has been secured and items are inaccessible to the children." The ongoing compliance for this deficiency on the Plan of Correction stated, "During the hours of operation the areas of the home used for child care will be checked daily to ensure items are properly stored and locked to ensure they are inaccessible 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 this Follow Up visit, the surveyor observed garbage and debris scattered throughout the floor of both child care rooms. During interview, the staff (DOH 7/30/18) did not provide the surveyor with a reason for the condition of the rooms. This deficiency was cited during a Renewal Inspection on 7/17/19. The Plan of Correction stated, "The garbage and debris scattered throughout the floor was picked up and properly disposed of. The floor in the child care area that had a sticky substance was cleaned." The ongoing compliance for this deficiency on the Plan of Correction stated, "The area used for the child care will be checked throughout the day for cleanliness and area will be cleaned as needed and garbage and debris will be properly disposed of throughout the day as needed."

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 surveyor found there was no documentation for fire drills. The provider stated the fire drills were completed; however, the documentation could not be provided during the surveyor’s visit.

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, the surveyor found the provider was caring for three (3) children in the living room area of the provider’s home. Upon the surveyor’s arrival to the residence, there were three (3) children present. Two (2) children were in high chairs and the other child was sitting on the couch, all children were within the living room. Through interview, the provider confirmed that the living room is not approved space in the certified provider’s home. Therefore, the health, safety, and comfort of the children's could not be assured as the area had not been approved space by DRCC. The provider stated the living room is not an area that is typically used to provide care for children. The provider alleged this was a one-time occurrence. 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 4 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, the surveyor found the following: (1.) A bottle of Lysol All Purpose Cleaner was in an unlocked cabinet underneath the sink in the restroom. (2.) A bottle of Top Job Basic Bleach was in an unlocked cabinet underneath the sink in the restroom. (3.) A box of plastic garbage bags was in an unlocked cabinet underneath the sink in the restroom. During interview, the provider stated she thought the cabinet was locked. The items were 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the surveyor found the following: (1.) The child care area contained garbage and debris that was scattered throughout the floor; therefore, the child care area was not kept clean. (2.) Areas of the floor in the child care area contained a sticky substance; therefore, the floor was not kept clean.

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 surveyor found the sink contained areas of dried red paint; therefore, the sink was not kept in a clean condition.

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 surveyor found the toilet seat was broken; therefore, the toilet is not in good repair. The provider reported she was not aware of the broken toilet seat. 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 Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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 18. Records.

General: Based on review of documentation, the surveyor found the arrival time of one (1) child was documented on the daily attendance record for 7/17/19 with a total of three (3) children present. The provider confirmed that the arrival times of the remaining two (2) children 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 18. Records.

General: Based on review of documentation, the surveyor found there was no documentation for earthquake or tornado drills. The provider stated the earthquake and tornado drills were completed; however, the documentation could not be provided during the surveyor’s visit.

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, the surveyor found the following: (1.) The provider did not have written information for the child care rates. The provider stated the documentation was misplaced. (2.) The provider did not have written information regarding hours of operation. The provider stated the documentation was misplaced. Posted/Available Documentation In Compliance Animals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, one (1) dog resides in the provider’s home. Based on review of documentation, the surveyor found the provider did not have the dog’s vaccination record on file. The provider stated the dog was up-to-date on all vaccinations. The dog’s vaccination documentation was not be provided during the surveyor’s visit. Posted Requirements In Compliance 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.