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

General: Based on interview and review of documentation, the emergency evacuation plan was last updated in 2019. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation and interview, two (2) fire detectors were inoperable. Also, interview determined the home used a gas hot water heater but did not have a carbon monoxide detector. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program Not Applicable 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

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, two (2) sibling children, enrolled 01/07/19, did not have signed permission for the provider to seek emergency medical care in the absence of the parent. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 3. Implementation and Enforcement.

General: Based on observation and review of documentation, an adult in the home had a disqualifying background check result dated 01/03/19. Surveyor observed the adult in the home but the adult left within minutes of the surveyor's arrival. The provider's plan of correction stated that effective 01/23/19, the adult would not be present while the children were present and a rehabilitative review would be satisfied effective 01/23/19. The provider's plan of correction stated effective 04/11/19, the provider was waiting on the paper work and the proper paper work was pending. During the visit, the provider could not provide the findings from the rehabilitative review. Supervision In Compliance General Administration 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, on 02/04/2020, the provider cared for eight (8) children, from 2:45 p.m. to 4:30 p.m. On 02/05/2020, the provider cared for eight (8) children, from 2:45 p.m. to 2:55 p.m. and cared for seven (7) children, from 2:55 p.m. to 4:30 p.m. On 02/06/2020, the provider cared for eight (8) children, from 2:45 p.m. to 3:25 p.m. and cared for seven (7) children, from 3:25 p.m. to 4:40 p.m. Provider Requirements In Compliance Provider Records In Compliance Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, a can of Glade Air Freshner set on the desk in reach of the children who played in the play room.

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 free standing heater did not have a safety guard to protect a child from injury. This heater was used in the child-care room. Two (2) children played around the heater. Hygienic Practices In Compliance 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 and interview, there was excessive amounts of large piles of feces on the sidewalk, stepping stones and thoughout the grass area located inside the children's fenced play area. Interview revealed the feces were from the provider's dog. 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 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. Certified Family Child-Care Home Program.

General: Based on review of documentation, the statement of deficiencies/plan of correction was not posted for the current certificate period. Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 3. Implementation and Enforcement.

General: Based on review of documentation, an adult in the home had a disqualifying background check result dated 1/3/19. The provider's plan of correction stated effective 01/23/19, the adult would not be present while the children were present and a rehabilitative review would be satisfied effective 01/23/19. Surveyor observed said adult present on 04/11/19 and interview with provider determined there was no verification on file to show the rehabilitating review process was submitted or completed. Supervision In Compliance General Administration In Compliance Premises In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 3. Implementation and Enforcement.

General: Based on Review of Documentation, an adult in the home had a disqualifying background check result dated 1/3/19. Supervision In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration 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, on 10/1/18, the provider cared for seven (7) children, from 6:25 a.m. to 6:30 a.m. and at 2:30 p.m. the provider cared for nine (9) children. One (1) child left at 3:15 p.m., a second child left at 4:00 p.m., and a third child left at 4:15 p.m. On 10/2/18, the provider cared for seven (7) children from 6:25 a.m. to 6:30 a.m.; at 2:30 p.m. the provider cared for nine (9) children. One (1) child left at 3:30 p.m., a second child left at 4:05 p.m. and a third child left at 4:15 p.m. On 10/3/18, the provider cared for nine (9) children at 2:30 p.m. One (1) child left at 3:25 p.m., a second child left at 4:00 p.m., and seven (7) children left at 4:30 p.m. On 10/4/18, the provider cared for nine (9) children at 2:30 p.m. One (1) child left at 3:00 p.m., a second child left at 4:20 p.m., and seven (7) children left at 4:30 p.m. On 10/5/18, the provider cared for nine (9) children at 2:30 p.m. One (1) child left at 3:20 p.m., a second child left at 4:00 p.m., and six (6) children left at 4:20 p.m. On 10/15/18, the provider cared for nine (9) children at 2:35 p.m. One (1) child left at 3:15 p.m., a second child left at 3:40 p.m., and a third child left at 4:00 p.m. On 10/16/18, the provider cared for seven (7) children from 6:25 a.m. to 6:30 a.m. At 2:35 p.m., the provider cared for nine (9) children. One (1) child left at 3:20 p.m. and a second child left at 3:25 p.m. and a third child left at 3:50 p.m. On 10/17/18, the provider cared for seven (7) children at 2:35 p.m. and the seven (7) children left at 4:30 p.m. On 10/18/18, the provider cared for nine (9) children at 2:35 p.m. One (1) child left at 2:45 p.m., a second child left at 3:30 p.m., and two (2) children left at 3:45 p.m. On 10/19/18, the provider cared for seven (7) children from 6:25 a.m. to 6:30 a.m. At 2:35 p.m., the provider cared for eight (8) children. One (1) child left at 3:00 p.m. and a second child left at 4:00 p.m. On 10/22/18, the provider cared for nine (9) children at 2:30 p.m. One (1) child left at 3:10 p.m. and four (4) children left at 3:45 p.m. On 10/23/18, the provider cared for seven (7) children from 6:25 a.m. to 6:30 a.m. and the provider cared for nine (9) children at 2:30 p.m. Two (2) children left at 3:15 p.m. and seven (7) children left at 4:30 p.m. On 10/24/18, the provider cared for eight (8) children. One (1) child left at 4:05 p.m. and seven (7) children left at 4:30 p.m. On 10/25/18, the provider cared for nine (9) children at 2:35 p.m., one (1) child left at 3:15 p.m., a second child left at 3:35 p.m., and a third child left at 4:05 p.m. On 10/26/18, the provider cared for nine (9) children at 2:30 p.m. One (1) child left at 3:40 p.m. and four (4) children left at 3:45 p.m. On 10/29/18, the provider cared for seven (7) children from 6:25 a.m. to 6:30 a.m. At 2:30 p.m., nine (9) children were present. One (1) child left at 3:00 p.m., a second child left at 3:20 p.m., and two (2) children left at 3:45 p.m. On 10/30/18, the provider cared for eight (8) children at 2:30 p.m. One (1) child left at 4:00 p.m., and two (2) children left at 4:20 p.m. On 10/31/18, the provider cared for nine (9) children from 2:30 p.m. to 4:30 p.m. Provider Requirements In Compliance Provider Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, the provider did not have an operable smoke detector.

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, a free standing heater did not have a safety guard to protect a child from injury. This heater was used in the child-care room. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 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 18. Records.

General: Based on Review of Documentation, a child enrolled on 7/5/16, had an immunization certificate valid until 8/2/18. Written Documentation In Compliance Posted/Available 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 10. Standards for the Provider.

General: Based on Review of Documentation and interview, the provider completed one and a half (1 1/2) hours of cabinet approved pediatric abusive head trauma training on 02/20/13, and had not completed every subsequent five (5) sequent years of operation. 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on Observation, a split white cord laid across the entry step of the provider's home. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 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 12. Care Requirements for a Provider.

General: Based on Observation, five (5) children were not provided proper bedding (a sheet) at nap time in the child care room. 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 18. Records.

General: Based on Review of Documentation and interview, the provider's written plan for evacuation was dated 12/2016, which did not include being updated by December 31st of each year, in accordance with KRS 199.895. Posted/Available Documentation In Compliance Animals Not Applicable 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 12. Care Requirements for a Provider.

General: Based on observation, a sick child was allowed to sleep on the couch from 9:20 am until 12:00 pm. Transportation 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 a review of documentation, two (2) children enrolled 9-28-16 and 8-10-16 did not have a physician listed in their file. 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 13. Toilet and Diapering Requirements.

General: Based on observation, using a thermometer to measure the temperature of the water, the hot water registered 124 degrees Fahrenheit in the children's restroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 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 10. Standards for the Provider.

General: Based on a review of documentation, the DCC-94 was signed by a parent verifying the weekly attendance on 2-10-17 for the week of 2-6-17 to 2-10-17. The children had a documented arrival and departure time for the morning of 2-10-17. Interview determined the children would return to the provider's home after school on 02-10-17. The DCC-94 indicated the recording could not be made in advance.

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 a review of documentation, the DCC-94 was signed by a parent verifying the weekly attendance on 2-10-17 for the week of 2-6-17 to 2-10-17. The children had a documented arrival and departure time for the morning of 2-10-17. Interview determined the children would return to the provider's home after school on 2-10-17. The DCC-94 indicated information could not be recorded in advance. Posted Documentation In Compliance Animals In Compliance Posted Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, interviews, the provider cared for seven (7) children from 7:15 a.m. until 3:00 p.m. on 11/10/14; nine (9) children from 8:00 a.m. until 2:00 p.m. on 11/11/14; nine (9) children from 8:00 a.m. until 3:15 p.m. on 11/12/14; eight (8) children from 7:30 a.m. until 3:10 p.m. on 11/13/14; eight (8) children from 7:45 a.m. until 2:45 p.m. on 11/14/14; eight (8) children from 8:00 a.m. until 3:00 p.m. on 11/03/14; ten (10) children from 7:45 a.m. until 2:30 p.m. on 11/04/14; eight (8) children from 8:00 a.m. until 3:00 p.m. on 11/05/14; eight (8) children from 8:00 a.m. until 1:15 p.m. on 11/06/14, and seven (7) children from 7:30 a.m. until 3:00 p.m. on 11/07/14. The assistant stated the provider did not have any children on her enrollment information that were related but there were two (2) children that were her cousins.

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, there was one (1) electrical cord on the floor from the free standing heater and one (1) electrical cord that hung down from a lamp in the children's play room.

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, interview and observation, the provider's husband, who lived in the home since 09/28/14, and the assistant hired 01/28/15, did not have a criminal records check and child abuse/neglect check on file. The assistant was the lone caregiver present who supervised the children while the provider was in Nashville, Tn. on 01/28/15.

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, interview and observation, the provider's husband, who lived in the home since 09/28/14, and the assistant hired 01/28/15, did not have a TB skin test or a health professional statement on file. The assistant was the lone caregiver present who supervised the children while the provider was in Nashville, Tn. on 01/28/15.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, interview and observation, the assistant hired 01/28/15, did not have proof she was certified in infant and child CPR and first aid. The assistant was the lone caregiver present who supervised four (4) children at 9:30 a.m. until 10:04 a.m., five (5) children from 10:04 a.m. until 10:55 a.m., and two (2) children from 10:55 a.m. until 11:15 a.m. on 01/28/15. The assistant stated she was not aware of the exact time the provider left but she would return by 2:30 p.m. on 01/28/15.

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 free standing heater did not have a safety guard to protect a child from injury and was in use in the child care room.

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, a rake was propped against a bush inside the children's outdoor play area.

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 and review of documentation, a child date of birth: 12/01/09; a child date of birth: 05/15/10; a child date of birth: 04/19/11, and a child date of birth: 03/23/11, were served whole milk for their morning snack.

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, a child enrolled 08/19/14, had an immunization certificate which was current until 12/09/14. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 16 Web site: http://chfs.ky.gov/ Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled 01/28/15, did not have any enrollment information on file. A child enrolled 12/31/14, a child enrolled 02/04/14, a child enrolled 08/19/14, a child enrolled 09/03/13, and a child enrolled 08/23/13, did not have their preferred hospital information on file. Also, a child enrolled 08/19/14, did not have authorization by the parent for the provider to seek emergency medical care.

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, a child enrolled 01/28/15, did not have a written child care agreement. Written Documentation

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, four (4) children did not have a documented arrival time on 01/28/15.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 9

General: Based on observation and interview, the provider cared for twelve (12) children from 4:00 p.m. until 4:10 p.m. on 01/26/12. 50 - Respite Requirement Not Applicable 922 KAR 2:100 - Section 9 (6) If a provider operates the in-home child care business for twenty-four (24) consecutive hours, the provider shall: (a) Receive an eight (8) hour period of respite after working sixteen (16) consecutive hours; and (b) Employ an assistant during the period of respite. 52 - Assistant Requirements 922 KAR 2:100 - Section 9 (8) An assistant shall be: (a) Eighteen (18) years of age or older; (b) Under direct supervision of a provider; (c) Used for providing care in a certified child-care home; and (d) Used in the absence of the certified provider. 1) 18 years or older In Compliance 2) Direct supervision In Compliance 3) Provides care in the home In Compliance 4) Used in the absence of the provider In Compliance 75 - Alcohol/Controlled Substance/Smoking 922 KAR 2:100 - Section 10 (22) During hours of operation, the provider and other persons in the home shall: (a) Be free of the influence of alcohol or a controlled substance, except for use of a controlled substance prescribed by a physician; and (b) Prohibit smoking in the presence of children in care. 1) Free of the influence of alcohol or controlled substance In Compliance 2) Smoking prohibited in the presence of children in care In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.