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

General: Based on observation of the playground, the surveyor found the following: 1. A tree that appeared to have fallen and was placed on the ground near two (2) play houses. 2. A white bucket placed beside the back of the providers home that stated "Proform" on the front of the bucket and had a Warning sign on the side of the bucket that stated, "Children can fall into bucket and drown." 3. A loose garden hose placed on the ground near the back of the providers home. 4. A small play house that appeared broken on the playground. During interview, the provider stated that the playground has not been in use by the children due to weather. The provider stated that the tree fell onto the playhouse due to the recent winter storm. The provider stated that she would have the items mentioned moved as soon as possible. Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the surveyor found that the toilet seat moved easily and was not tightly secured to the toilet in the restroom located beside the staircase. During interview, the Provider stated that she would have the toilet seat fixed as soon as possible. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted/Available Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Animals In Compliance Posted Requirements In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

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

General: Based on observation and interview, the surveyor found a radio plugged into an outlet in the play area. The radio electrical cord was dangling down from the outlet and within reach of children. Staff stated that the radio had just been plugged in and used that morning. Provider Requirements In Compliance Provider Records In Compliance Programming In Compliance Premises Not In Compliance

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

General: Based on observation and interview, the surveyor found that the water from the restroom sink did not reach the minimum required temperature of ninety (90) degrees Fahrenheit. The water only reach eighty (80) degrees Fahrenheit. Staff stated that the temperature may have been set wrong at the hot water heater when it was recently worked on. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Hygienic Practices Not In Compliance

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Open / not marked corrected.

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

General: Based on observation and interview, the surveyor found that the diapering mat was not clean as there were cracker crumbs on the mat. Staff stated that she had thrown a soiled shirt down on the mat for a moment and the crackers may have came off the shirt. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Category: 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 following: 1.A plunger was observed to have been placed in the floor between the garbage can and vanity in the restroom that is used by the children. The plunger is accessible to children. 2.Rugs needing to be laundered piled in front of the washing machine. The soiled rugs are accessible to children. 70 - Overnight Care Not Applicable 922 KAR 2:100 - Section 12. Care Requirements for a Provider. (11) If overnight care is provided, a provider or an assistant shall: (a) Remain awake until every child in care is asleep; and (b) Sleep on the same floor level of the home as an infant or toddler.

Open Not marked corrected in the state record

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

General: Based on observation the surveyor found that the toilet used by the children is not clean. The surveyor observed a dirt like substance coating the inside of the bowl of the toilet, indicating that it is not cleaned daily.

Open Not marked corrected in the state record

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

General: Based on observation during a tour of the certified child care home, the surveyor found the following: 1. Covers had been placed over the windows to shield the light in the rooms that are used by the children at nap time. The rooms were too dark to see the children, creating a risk for their safety. 2. The surveyor found that a plunger had been placed beside the commode in the restroom that is used by the children. The plunger was accessible. 3. The surveyor observed that laundry had been piled on the floor in front of the washing machine. Through interview, the surveyor learned that the laundry was soiled and was accessible to the children. 4. The surveyor found that a tile was hanging down from the ceiling located near the crib where an infant child sleeps. 5. The surveyor observed that portions of the sheet rock had been removed in the restroom that is used by the children. The area of concern is located on the walls near the floor in front of and beside the commode and is accessible to the children. 70 - Overnight Care Not Applicable 922 KAR 2:100 - Section 12. Care Requirements for a Provider. (11) If overnight care is provided, a provider or an assistant shall: (a) Remain awake until every child in care is asleep; and (b) Sleep on the same floor level of the home as an infant or toddler.

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 observation, the surveyor found that a child's confidential medical information was posted on the refrigerator located near the entry door of the family child care home area.

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 during a tour of the outdoor play area, the surveyor found that a large plastic climbing unit, approximately four to five (4-5) feet high to include a slide, was located immediately beside the playground fence. The top level of the climbing unit was observed to be broken and was approximately the same height as the fence. Given the location and condition of the unit, a foreseeable safety hazard was present.

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 during a tour of the certified child care home, the surveyor found that a pink-colored plastic ball was in the crib with a sleeping infant.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the surveyor found the provider’s annual background check was not completed by the Kentucky driver’s history record in accordance with KRS 186.018 or through the state transportation agency that issued the driver’s license. Food Service

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

General: Based on observation, the surveyor found that the thermometer located in the freezer was not working; therefore, the temperature in the freezer could not be determined.

Open Not marked corrected in the state record

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

General: Based on observation, the first aid kit did not contain a flashlight.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documenation and observation, there was one (1) child (DOE: 10/01/12) present that did not have a file at the center. The staff in charge at the center on the day of the survey stated that the child with date of enrollment 10/01/12 was not enrolled at the child care center. Therefore, the center did not have a written child care agreement or approved pick up list. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 16 of 19 Web site: http://chfs.ky.gov/ Inspection Report Written Documentation 17 - Application Requirements 922 KAR 2:100 - Section 2 (2) An applicant for certification shall: (a) Be at least eighteen (18) years of age; (b) Submit within ninety (90) days of initiation of the application process: 1. A completed OIG-RCC-4, Application for Certified Family Child Care Home; 2. A completed OIG-RCC-6, Self-Check List; 3. A nonrefundable certification fee pursuant to KRS 199.8982(1)(b); 4. Written documentation from the local authority showing the child-care home is in compliance with local zoning requirements; 5. Documentation of the requirements of KRS 199.8982(1)(a)1 through 3 and 5; 6. A OIG-RCC-5, Central Registry Check, to complete a child abuse or neglect check in accordance with 922 KAR 1:470; and 7. A completed criminal records check for the previous state of residence if the applicant has resided outside the state of Kentucky in the last five (5) years; and (c) Obtain commercial liability insurance of at least $50,000 per occurrence. 1) Zoning In Compliance 3) Liability insurance In Compliance 17 - Application Requirements 922 KAR 2:100 - Section 2 (2) An applicant for certification shall: (a) Be at least eighteen (18) years of age; (b) Submit within ninety (90) days of initiation of the application process: 1. A completed OIG-RCC-4, Application for Certified Family Child Care Home; 2. A completed OIG-RCC-6, Self-Check List; 3. A nonrefundable certification fee pursuant to KRS 199.8982(1)(b); 4. Written documentation from the local authority showing the child-care home is in compliance with local zoning requirements; 5. Documentation of the requirements of KRS 199.8982(1)(a)1 through 3 and 5; 6. A OIG-RCC-5, Central Registry Check, to complete a child abuse or neglect check in accordance with 922 KAR 1:470; and 7. A completed criminal records check for the previous state of residence if the applicant has resided outside the state of Kentucky in the last five (5) years; and (c) Obtain commercial liability insurance of at least $50,000 per occurrence. 2) Out of state background Not Applicable 73 - Fire/Tornado Drills 922 KAR 2:100 - Section 10 (20) A fire and tornado drill shall be conducted during hours of operation: (a) At least monthly; and (b) Documented. 1) Conducted during hours of operation In Compliance 2) Monthly fire drills In Compliance 3) Fire drills documented In Compliance 4) Monthly tornado drills In Compliance 5) Tornado drills documented In Compliance 74 - Earthquake Drills 922 KAR 2:100 - Section 10 (21) An earthquake drill shall be conducted during hours of operation: (a) At least quarterly; and (b) Documented. 1) Conducted during hours of operation In Compliance 2) Quarterly drills In Compliance 3) Documented In Compliance 133 - Attendance Records 922 KAR 2:100 - Section 16 (4) A certified family child-care home provider shall keep a written daily record of the times a child arrives and departs. 1) Arrival times documented Not In Compliance Findings: General: Based on review of documentation, one (1) child did not have an arrival time documented on 11/28/12. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 17 of 19 Web site: http://chfs.ky.gov/ Inspection Report 2) Departure times documented Not In Compliance Findings: General: Based on review of documentation, the following was found: 1. On 11/28/12, two (2) children did not have a documented departure time. 2. On 1/28/13, one (1) child did not have a departure time documented. 135 - Policies 922 KAR 2:100 - Section 17 The certified family child-care home provider shall: (1) Develop written information that specifies the: (a) Rate for child care; (b) Expected frequency of payment for the program; (c) Hours of operation; and (d) Policy regarding: 1. Late fees; 2. Holidays; 3. Vacation; 4. Illness; and 5. Emergency pick up; 1) Rate for child care In Compliance 2) Expected frequency of payment In Compliance 3) Hours of operation In Compliance 4) Late fees In Compliance 5) Holidays In Compliance 6) Vacation In Compliance 7) Illness In Compliance 8) Emergency pick-up In Compliance Posted Documentation

Open Not marked corrected in the state record

Open / not marked corrected.