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

General: Based on interview and review of documentation, the provider (DOH: 06/19/18) failed to complete the required nine (9) hours of training between 07/01/23 and 06/30/24. The Early Care and Education-Training Records Information System (ECE-TRIS) verified 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 16. Medication and First Aid.

General: Based on observation and interview, a cardiopulmonary resuscitation (CPR) mouthpiece was not presented at the time of the inspection.

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 interview and review of documentation, a current immunization certificate was not present for a child. (DOE:08/10/24)

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: Interview with multiple sources revealed that an assistant (DOH unknown) acted as sole caregiver to children in care at the certified home in the provider's absence. The provider reported that a background check for the aforementioned individual had not been initiated. Supervision Discussed 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 13. Care Requirements for a Provider.

General: Based on interview and review of documentation, the health, safety, and comfort of the children in care was jeopardized when the provider left the certified home for several hours, leaving multiple children in the care of an individual for whom a background check had not been initiated or completed. Interview with multiple sources revealed that the aforementioned individual had acted as sole caregiver to children, in the absence of the provider, on more than one (1) occasion. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 interview, a copy of negative tuberculin (TB) test results or a health professional's statement, verifying that an assistant (DOH unknown) is free from active TB was not presented for review upon request.

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 interview and review of documentation, the provider completed zero (0) hours out of nine (9) hours of cabinet-approved early care and education training for the July 1, 2023 – June 30, 2024 year of employment. A review of ECE-TRIS supports this finding. Programming In Compliance Premises In Compliance 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the following was found: 1. Four (4) children's enrollment files (DOE: 04/07/2021, 08/10/2022, 10/24/2022, and 11/15/2022) did not have the name or contact information of the preferred family physician. 2. Three (3) children's (DOE: 11/20/2023, 08/10/2022, 10/24/2022) files did not have a list of each person designated in writing to pick up the child when parents are unavailable. 3. The three (3) children's (DOE: 08/10/2022, 10/24/2022, and 11/15/2022) files that do not contain authorization by the parent for the provider to seek emergency medical care for the child in the parent's absence are at risk. 4. One (1) child's (DOE: 11/15/2022) file did not contain the child's preferred 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 2. Certification Process.

General: Based on interview and review of documentation, the provider did not present verification that the family child care home obtained commercial liability insurance of at least $50,000 per occurrence. 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 13. Care Requirements for a Provider.

General: Based on interview, the provider has occasionally left children inside the home while she took trash outside, leaving the children unsupervised while she was outside.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

Based on review of documentation, attendance records were not maintained in a manner that is compliant with regulatory requirements. Review of attendance records onsite revealed numerous records that contained names of children and signatures in the column labeled "Signature of Parent to Verify Accuracy of Attendance for the Week'. However, there were no times of arrival or departure documented. Additionally, interview confirmed that school age children attend child care in the mornings, then go to school; however, the times of arrival and departure are not documented for the school age children until a later time. Interview confirmed two (2) children were present in the morning on the day of the inspection and the time of arrival and time of departure were not documented on the attendance records for those two (2) children.

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: General: Based on review of the Kentucky Applicant Registry and Employment Screening (KARES), review of documentation and interview with the provider, the fingerprint- based criminal background check for the assistant had not been completed and documentation was not presented the day of the inspection. Based on observation the assistant was present and working with children at the time of the inspection. 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 13. Care Requirements for a Provider.

General: In the bathroom there were four (4) adult size toothbrushes stored in an unsanitary manner. Based on interview with the provider, the toothbrushes were utilized by the children. In the infant room, both cribs contained chipped paint. 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 2. Certification Process.

General: Based on interview and review of documentation, current documentation from a health professional stating that the individual is free from active tuberculosis, or negative results from a tuberculin skin test, was not presented for review for the assistant. 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 10. Standards for the Provider.

General: Based on interview and review of documentation, the certified provider did not have a total of 9 annual training hours, but instead had a total of 1.5 hours completed for the review year. Review of Early Care and Education Training Records Information System (ECETRIS) confirmed the lack of completed training. Programming In Compliance Premises In Compliance 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

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 and interview, the white crib, which at the time of the visit was observed being used by a five (5) month old infant, had an adjustable side rail. The manufacture label displayed a date of 2003, therefore, not meeting the Consumer Product Safety Commission standards established in 16 C.F.R. 1219-1220. 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 interview and review of documentation, the child-care provider revealed that the five (5) month old infant was her grandson, however, she did not present a current immunization certificate or healthcare provider statement for review. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 19. Records.

General: Based on interview and review of documentation, three (3) of three (3) files reviewed found that there was no Emergency Authorization form or statement included in the files. Interview with the child-care provider also revealed that the five (5) month old infant was her grandson, however, she did not have a written record on file with any identifying information about the child. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on interview and review of documentation, the documentation presented for review for monthly fire drills did not include January 2023. Therefore, documentation verifying that consistent monthly fire drills had been conducted was not presented for review. 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 interview, the most recent statement of deficiency issued by the cabinet and the plan of correction submitted by the certified family child-care home to the cabinet was not posted or made available for review for the current certification period. Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the surveyor came to the providers home on 7/5/2022, for the annual inspection. The provider was closed and did not notify the cabinet of this closure. Provider Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Provider Records In Compliance Programming In Compliance Premises In Compliance 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 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 3/25/2019, did not have a current immunization certificate on file. 2.) A child enrolled on 6/6/2022, did not have an immunization certificate on file.

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, it was found that a child enrolled on 6/6/2022, had no date of birth listed on the enrollment paperwork. Written Documentation In Compliance Posted/Available Documentation In Compliance Animals Not Applicable 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 2. Certification Process.

General: Review of the presented documentation revealed that verification of current certification in First Aid and CPR was not presented. Upon request, the provider did not present verification of current certification in First Aid and CPR 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 2. Certification Process.

General: Observation and interview on 6/3/2021 revealed the provider’s twenty-five-year-old daughter living in the home. Review of the presented documentation revealed that the individual did not have a background check. Upon request, the provider did not present a background check for the aforementioned individual at the time of the survey.

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: Review of the presented documentation failed to reveal a current statement from a physician stating that the assistant and the adult living in the home was free of active tuberculosis. Upon request, the provider did not present a current statement for the aforementioned individuals at the time of the survey. 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 10. Standards for the Provider.

General: Review of the presented documentation revealed that documentation to verify completion of the one and one-half (1 ½) hours of cabinet approved pediatric abusive head trauma training was not presented. Review of ECE-TRIS verified that the provider did complete the one and one-half (1 ½) hours of pediatric abusive head trauma training. Upon request, the provider did not present training documentation at the time of the survey.

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: Review of the presented documentation revealed that verification of current certification in First Aid and CPR was not presented for the assistant. Upon request, the provider did not present verification that the assistant was currently certified in First Aid and CPR. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Observation of the presented first aid supplies revealed that gloves, medical tape, and a CPR mouthpiece was not presented. Upon request, the provider did not present the aforementioned first aid supplies at the time of the survey. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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 15. Food Requirements.

General: The refrigerator did not contain an indicating thermometer so the temperature of the refrigerator was not verified at the time of the survey.

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: The freezer portion of the refrigerator was not equipped with in indicating thermometer at the time of the survey. 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: Review of the presented children’s records revealed two (2) children with enrollment dates 3/25/19 and 1/5/17 whose file did not contain a current immunization certificate. Upon request, the provider did not present a current immunization certificate for the aforementioned children at the time of the survey. 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 2. Certification Process.

General: Review of the presented documentation revealed that verification of current liability insurance was not presented. Upon request, the provider did not present verification of current liability insurance at the time of the survey.

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: Review of the presented documentation revealed that verification of documented fire drills conducted monthly during the hours of operation during the months of October 2020-May 2021 was not presented. Upon request, the provider did not present verification of documented fire drills for the months of October 2020- May 2021 at the time of the survey.

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: Review of the presented documentation revealed that verification of documented earthquake and tornado drills conducted during the hours of operation during the fourth quarter of 2020 and the first quarter of 2021 was not presented. Upon request, the provider did not present documented earthquake and tornado drills for the fourth quarter of 2020 and the first quarter of 2021 at the time of the survey. Posted/Available Documentation In Compliance Animals Not Applicable Posted Requirements In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the childcare provider failed to maintain children’s records in accordance with regulatory requirements. Upon request,the provider failed to present evidence of a current immunization certificate for a child with the enrollment date of 11/21/19. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 2. Certification Process.

General: Based on interview and review of documentation, the childcare provider failed to maintain written documentation in accordance with regulatory requirements. Upon request the provider failed to provide documentation of current liability insurance. 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 interview and review of documentation, the child care provider failed to maintain animal vaccinations in accordance with regulatory requirements. Upon request the child care provider did not provide documentation of an updated rabies vaccination for two (2) dogs. 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 4. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 03/05/2019 AND AS OF 03/22/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Provider Requirements In Compliance Provider Records In Compliance Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the family child care home failed to maintain the premises in accordance with regulations. Observation of the kitchen revealed the shelf next to the microwave contained, a bottle of window cleaner and a bottle of “cleaner with bleach”, which were accessible to children in care. Continued observation revealed in the infant crib room a plastic garbage bag under a crib that was accessible to children in care. 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the family child care home failed to maintain the premises in accordance with regulations. Observation of the back room used by the children revealed two (2) outlets next to the door were not in use and were not covered.

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 family child care home failed to maintain the premises in accordance with regulations. Observation of the back room of the child care home revealed an electric freestanding heater that was in use and was accessible to children in care. 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 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 14. Food Requirements.

General: Based on observation, the family child care home failed to maintain food service in accordance with regulations. Observation of the front classroom revealed an infant lying in a crib while drinking a bottle without being held. 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 and interview, the family child care home failed to maintain children’s records in accordance with regulations. Review of children’s files revealed the written record for one (1) child enrolled 3/5/18 failed to contain contact information to enable the provider to contact the child’s physician. Interview with provider revealed this documentation was not on file at the time of survey. Written Documentation In Compliance Posted/Available 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

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 child care home failed to comply with regulations regarding outside. Observation of the outdoor play area revealed an open drainage pipe in the ground accessible to children that may pose as a health or safety hazard. 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, the child care home failed to comply with regulations regarding equipment. Observation in the infant room revealed there was 1 (one) crib with a manufacture date of 2003; therefore, it could not be confirmed to be compliant with Consumer Product Safety Commission standards established in 16 C.F.R. 1219-1220 (revised in 2011). Transportation Not Applicable Food Service/Food Program Discussed 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 review of documentation and interview, the child care home failed to comply with regulations regarding food service. The weekly menu was not posted in a conspicuous place. Interview with the provider revealed the requested documentation was unavailable at the time of survey. Children's Records Discussed Written Documentation In Compliance Posted/Available Documentation Discussed Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.