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

General: Based on review of documentation, it could not be verified that the provider completed nine (9) hours of annual training during July 1, 2023 to June 30, 2024. According to documentation, the provider completed four (4) of the nine (9) required hours. This was verified through the use of ECE-Tris.

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, it could not be verified that an assistant (DOH:06/15/20) completed any annual training hours during July 1, 2023- June 30, 2024. This was verified by the use of ECE-Tris. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, and the use of a thermometer, the water temperature surpassed one-hundred twenty (120) degrees Fahrenheit. The requirement is that the water temperature is between ninety (90) to one-hundred twenty (120) degrees Fahrenheit. 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 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) There was not a current immunization on file for two (2) children (DOE: 01/17/23 and 08/05/24). 2) The immunization on file for a child (DOE: 08/05/24) was not current as of 07/21/24.

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 following was found: 1) A child (DOE: 10/17/24) did not have a physician or physician's contact information in their enrollment packet. 2) A child (DOE: 09/23/24) had no physician or hospital listed in their enrollment packet. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 19. Records.

General: Based on review of documentation, there was not a current disaster plan. The presented documentation was submitted on 09/01/16. Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 11. Status of Employment.

General: Based on review of documentation, a staff member (DOH 6/15/20) had an "eligible not employed" in the KARES database. The staff member was working at the time of the inspection. Review of the KARES database confirmed this status; therefore, the provider did not maintain employment status. Supervision In Compliance General Administration In Compliance 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 documentation and ECE-TRIS dated 1/23/24, the provider did not complete nine (9) hours of cabinet-approved early care and education training during the July 1, 2022- June 30, 2023 training year. 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 10. Standards for the Provider.

General: Based on review of documentation, and ECE-TRIS dated 1/23/24, the provider's assistant did not complete nine (9) hours of cabinet-approved early care and education training during the July 1, 2022- June 30, 2023 training year. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation, a child with an enrollment date of 11/01/2023, had a file that contained an immunization certificate that expired 12/01/2023; therefore, the provider did not maintain immunization documentation.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the provider did not provide a written record completed and signed by parents, retained on file the first day, for a child with enrollment date of 11/01/23. 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, there were no daily attendance records presented at the time of 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: recordkeeping. Open / not marked corrected.

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

General: Based on interview, the provider stated that she did not have current earthquake and tornado drill documentation.

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 that she did not have current fire drill documentation at the time of review. Posted/Available 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 19. Records.

General: Based on interview, the provider stated that she did not have current earthquake and tornado drill 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 and ECE-TRIS, the provider did not complete nine (9) hours of early care and education training during the July 1, 2021- June 30, 2022 training year. Additionally, the provider has not renewed the pediatric abusive head trauma training. The provider completed the pediatric abusive head trauma training August 25, 2016.

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 and ECE-TRIS, the provider's assistant did not complete nine (9) hours of early care and education training during the July 1, 2021- June 30, 2022 training year. Additionally, the provider's assistant has not completed pediatric abusive head trauma training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises In Compliance 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 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 interview, the provider did have attendance documentation available for review.

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 that she did not have current fire drill documentation. Posted/Available 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 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on interview and review of documentation, a staff member hired 06/15/20 had not initiated the process for the National Background Check Program (NBCP). The staff member had a name-based criminal records check and child abuse/neglect check on file. Supervision In Compliance General Administration In Compliance 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, a staff member hired 06/15/20, had no proof they completed six (6) hours of orientation training within the first three (3) months of employment. 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 10. Standards for the Provider.

General: Based on interview and review of documentation, staff member hired 10/31/16, failed to complete the nine (9) hours of cabinet approved training hours during their subsequent year of employment. In addition, assistant staff member hired 06/15/20, lacked nine (9) hours of cabinet approved training hours within the first year of employment, including one and one-half (1 ½) hours of cabinet-approved Pediatric Abusive Head Trauma Training. 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, a child enrolled 10/01/21, did not have an immunization certificate on file. A child enrolled on 01/03/21, had an immunization certificate on file that was valid until 05/04/21.

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) children, first date of attendance 09/13/21, 01/03/21, and 10/01/21, did not have enrollment information on file to enable a person in charge to contact the child's preferred hospital and physician in case of an emergency. In addition, these same three (3) children, did not have authorization by the parent for the provider to seek emergency medical care in the parent’s absence. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 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 2. Certification Process.

General: Based on review of documentation, the center's general liability insurance policy was not available for review. Interview determined the center had current insurance but could not provide documentation. 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 staff in charge did not present verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been updated and submitted to the local emergency management team within the last year. The plan presented was dated for 2016. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Posted/Available Documentation 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. Certified Family Child-Care Home Program.

General: Based on interview and review of documentation, the staff in charge did not provide verification that a daily planned program was posted or available in writing to include activities that are individualized and developmentally appropriate for each child served. Animals Not Applicable Posted Requirements In Compliance Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:400 · 922 KAR 2:400E. Emergency Regulation.

General: Based on interview and review of documentation, the staff in charge did not present a cleaning plan. Therefore, the home failed to comply with the regulatory requirements specific to the current pandemic as established in 922 KAR 2:400e.

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 family child care home failed to maintain provider’s records in accordance with regulatory requirements. Upon request, the child care provider did not present verification that the record for the assistant with the hire date of 04/29/2019 contained a current copy of a statement from a health professional, that the individual is free of active tuberculosis; or a copy of negative tuberculin results.

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 family care home failed to maintain employee records in accordance with regulatory requirements. Upon request, the family care home provider did not provide verification that the provider had completed nine (9) hours of cabinet-approved early care and education training. Review of documentation in the ECE-TRIS training system revealed the provider listed above had not met the requirements. Programming In Compliance Premises In Compliance 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 In Compliance 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

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the family home care provider failed to maintain their annual renewal in accordance with regulatory requirements. Upon request, the provider could not verify that she had maintained a written evacuation plan in the event of fire, natural disaster, or other threatening situation that may pose a health or safety hazard to a child in care. 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 2. Certification Process.

General: Based on review of documentation and interview, the family child care home failed to maintain employee records in accordance with regulatory requirements. Upon request, the provider did not present verification that she was currently certified by a cabinet-approved training agency in infant and child cardiopulmonary resuscitation and infant and child first aid.

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 review of documentation and interview, the family child care home failed to maintain employee records in accordance with regulatory requirements. Upon request, the provider did not present verification that a background check had been completed for an adult in the home with a birthdate of 05/17/1999. 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 review of documentation and interview, the family child care home failed to maintain employee records in accordance with regulatory requirements. Upon request, the provider did not present verification that she had completed annually nine (9) hours of cabinet approved early care and education training.

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, observation, and interview, the family child care home failed to maintain employee records in accordance with regulatory requirements. Observation revealed that an assistant with a hire date of 07/07/16 was the sole caregiver of two (2) children for approximately ten (10) minutes at the beginning of the survey. Upon request, the provider did not present verification that the assistant was currently certified by a cabinet-approved training agency in infant and child cardiopulmonary resuscitation and infant and child first aid.

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 and interview, the family child care home failed to maintain employee records in accordance with regulatory requirements. Upon request, the provider did not present verification that her assistant with a hire date of 07/07/16 had completed annually nine (9) hours of cabinet approved early care and education training. Further review revealed that he had not completed six (6) hours of cabinet-approved orientation training within three (3) months of his employment or one and one half (1 ½) hours of cabinet-approved pediatric abusive head trauma training within the first year of his employment. 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, the family child care home failed to maintain the premises in accordance with regulatory requirements. Observation of the bathroom revealed a 32 fluid ounce spray bottle of Oxy Shower and Tub cleaner located next to the toilet was accessible to the 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 family child care home failed to maintain food service in accordance with regulatory requirements. Upon request, the provider did not present a prepared weekly menu. 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 regulatory requirements. A review of three (3) children's files revealed that the immunization certificate for a child with an enrollment date of 01/03/18 expired 04/30/18. Interview with the provider revealed that a current immunization certificate was not available 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: Based on review of documentation and interview, the family care home failed to maintain written documentation in accordance with regulatory requirements. Upon request, the provider did not present proof of current liability insurance of at least $50,000 per occurance.

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 observation, the family child care home failed to maintain written documentation in accordance with regulatory requirements. Review of attendance records documenting the arrival time and departure time of each child in care revealed that no children were signed in for the date of the survey. Observation revealed that two (2) children were present. Posted/Available Documentation 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. Certified Family Child-Care Home Program.

General: Based on review of documentation and interview, the family care home failed to post documentation in accordance with regulatory requirements. Review of posted documentation revealed that a daily planned program of activities was not posted. Interview with the provider revealed that it was not available at the time of the survey. 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 13. Toilet and Diapering Requirements.

General: Based on Observation, the family child care home failed to maintain the premises in accordance with regulatory requirements. The bathroom sink's hot water temperature measured at 138 degrees Fahrenheit. Hygienic Practices In Compliance 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 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

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 Review of Documentation and interview, the family child care home failed to maintain written documentation in accordance with regulatory standards. Upon request, fire drill records were not presented for every month the child care has been in operation.

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 and interview, the family child care home failed to maintain written documentation in accordance with regulatory standards. Upon request, fire drill records presented review failed to include the time that the drills occured. Posted 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 12. Care Requirements for a Provider.

General: Based on Review of Documentation and interview, the family child care home failed to post documentation in accordance with regulatory requirements. Upon request, a posted current daily plan of activities was not presented for review. Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.