922 KAR 2:100 · 922 KAR 2:100 - Section 4. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 12/06/2024 AND AS OF 12/12/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 120 - Number of Children Discussed 922 KAR 2:100 - Section 10. Standards for the Provider. (2) A provider shall not provide care for more unrelated children than the number authorized on the certificate of operation. (3) A provider shall have an assistant present if the provider cares for more than: (a) Four (4) infants, including the provider's own or related infants; or (b) Six (6) children under the age of six (6) years old, including the provider's own or related children.

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: Per review of attendance records for the weeks of 10.27.24 to 11.02.24 and 11.03.24 to 11.09.24, the provider has exceeded the maximum number of children in care per regulatory standards on multiple occasions. The provider cared for more than six (6) unrelated children and more than ten (10) total children with related and unrelated children combined. Review of the attendance records revealed the following: 1. On Sunday, 10.27.24, there were up to twenty (20) children in care at one time, with up to sixteen (16) unrelated children present at a time; 2. On Monday, 10.28.24, there were up to sixteen (16) children present at one time, with up to ten (10) unrelated children present at a time; 3. On Tuesday, 10.29.24, there were up to eighteen (18) children present at one time, with up to nine (9) unrelated children present at a time; 4. On Wednesday, 10.30.24, there were up to twenty-three (23) children present at one time, with up to eighteen (18) unrelated children present at a time; 5. On Thursday, 10.31.24, there were up to seventeen (17) children present at one time, with up to eight (8) unrelated children present at a time; 6. On Friday, 11.01.24, there were up to seventeen (17) children present at one time; with up to seventeen (17) unrelated children present at a time; 7. On Sunday, 11.03.24, there were up to twenty (20) children present at one time, with up to fifteen (15) unrelated children present at a time; 8. On Monday, 11.04.24, there were up to thirteen (13) children present at one time, with up to eight (8) unrelated children present at one time; 9. On Wednesday, 11.06.24, there were up to sixteen (16) children present at one time, with up to twelve (12) unrelated children present at a time; 10. On Thursday, 11.07.24, there were up to fourteen (14) children present at one time, with up to ten (10) unrelated children present at a time. 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 10. Standards for the Provider.

General: Review of completed attendance records for the weeks of 10.27.24 and 11.03.24 revealed six (6) occurrences in which a child was signed in with a time of arrival noted but was not signed out with a time of departure noted.

Open Not marked corrected in the state record

Category: recordkeeping. 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 12/05/2024 AND AS OF 12/12/2024, 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, children were sleeping in three separate areas of the home; the front room, hallway, and infant classroom. Although there were smoke detectors throughout the home, at least one of them chirped throughout the duration of the inspection, indicating a malfunction or low battery. Neither the DRCC representative nor the provider, could determine which smoke detector was the source of the chirping sound. Therefore, it could not be verified that the kitchen and each of the children's sleeping areas were equipped with a working smoke detector. 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: 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 cooking stove was located in the kitchen; however, it was immediately adjacent to the open doorway between the progamming space and the kitchen. The stove could be touched by someone in the programming space. There was no safety guard to protect children from accessing the stove when it was in use. Interview with the provider confirmed that no safety guard was put into place when the stove was in use. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the following was observed in the outdoor play area, located in the back of the house: 1. The top step near the back door was made out of three (3) cinder blocks that sat atop of the second concrete step. The two (2) of the cinder blocks were busted; thus causing them to be unsafe as a step; 2. The fence between the provider's backyard and the backyard of the neighboring property was not in good repair. The upper pole of the chain link fence was bent downward to the ground and surrounded by vines and weeds. 3. There was a small opening in the weeds that created a child-sized entryway into a narrow space between the garage and the weed-covered fence. The area allowed for easy access of children, but not for adults. 4.There was rubbish, to include an aluminum can and several plastic bags on the ground within the outdoor play area. 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, four (4) children's files failed to contain current immunization certificates. One (1) enrollment file failed to contain an immunization certificate. Two (2) enrollment records contained expired immunization certificates. One (1) enrollment file contained an expired provisional immunization certificate. 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: Review of twenty-seven (27) enrollment records revealed the following: 1. The provider failed to have an enrollment record for one (1) child that contained any of the required enrollment information. The only document maintained for that aforementioned child was an expired immunization certificate 2. A total of nineteen (19) enrollment records failed to include the name of a preferred hospital, or contained the name of a non-existent hospital. 3. A total of four (4) enrollment records failed to include information for a preferred family physician. 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, no fire drill has been conducted and documented since July of 2024.

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 interview and review of documentation, tornado, earthquake, lockdown, and shelter in place drills were not conducted quarterly on a consistent basis. The last documented tornado drill was conducted on 04/11/24. The last documented earthquake drill was conducted on 05/19/24. No documented lockdown drills or shelter-in place drills were presented for review.

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, no written emergency evacuation plan in the event of a fire, natural disaster or other threatening event was submitted to the local emergency official since 11/16/22. Therefore, the emergency evacuation plan was not updated by 12/31 of each subsequent year. 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 10. Standards for the Provider.

General:Review of the Early Care and Education Training Records Information System (ECE-TRIS) database revealed that the provider completed zero (0) hours of annual training during the 2022-2023 review period. 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, one (1) electrical outlet in the room containing the infant crib and one (1) electrical outlet in the main programming space were not covered. 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 13. Care Requirements for a Provider.

General: Based on observation, the sole infant crib present at the family child care home on the day of the inspection contained a sheet that was significantly wrinkled and bunched, indicating that it was not tightly-fitted. A nine (9) month-old infant was present at the home on the day of the inspection.

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, a toilet training chair, stored on the floor of the restroom, was soiled with a crusty, yellow substance within its bowl and streaked with an unknown brown substance on its side, indicating that it was not disinfected after being used. Transportation Not Applicable Food Service/Food Program In Compliance Food Service 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 15. Food Requirements.

General: Based on observation, the thermometer installed in the kitchen's freezer read "ten (10)" degrees Fahrenheit; therefore, the maximum allowable temperature of zero (0) degrees Fahrenheit was not maintained. 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, upon request, immunization certificates for children enrolled on 01/15/22 and 10/01/23 were not presented for review. Additionally, current immunization certificates for children enrolled on 01/16/22 and 01/31/22 were not presented for review upon request. 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 review of documentation, all presented children's files failed to contain the name of the family's preferred hospital. Additionally, enrollment information for a child enrolled on 10/01/23 was not presented for review upon request. The provider stated that a file for the aforementioned child, containing all the required components and identifying information had not yet been created or obtained. 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: Current documentation verifying that the certified home provider had obtained liability insurance was not presented for review upon request. The presented insurance declaration had expired in 2023. 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 20. Certified Family Child-Care Home Program.

General: Based on observation and interview, upon request, the family child care home's most recently-issued statement of deficiency and most recently accepted plan of correction were not posted or made available for inspection. 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. Care Requirements for a Provider.

General: Based on observation, the children did not wash their hands after eating their lunch. First Aid/Medication In Compliance Outdoor Play Area In Compliance 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 20. Certified Family Child-Care Home Program.

General: Based on observation, the provider failed to report a closure to the Cabinet. The surveyor arrived to the residence on 12/16/22, at 10:15AM. However, the program was closed on this date. The surveyor was able to reach the provider by phone. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Provider Requirements Not In Compliance

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, there was no evidence presented for review of any family involvement activity being conducted at the facility. 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 temperature of the water in the bathroom was registering 124 degrees on the thermometer. 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 15. Food Requirements.

General: Based on observation, the freezer's thermometer was reading around 30 degrees Fahrenheit. Therefore, the frozen food in the freezer was not kept at zero degrees. 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, two children enrolled on 1/15/22, did not have an up-to-date immunization record on file at the facility at the time of survey. The records in the file expired on 11/27/22, and 4/22/22. In addition, one child did not have an immunization record on file at the time of survey. There was not an enrollment date for this child listed in their enrollment file. 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 review of documentation, the following was found: 1.) Three children did not have physician contact information listed in their enrollment file. 2.) Four children did not have a preferred hospital listed in their enrollment file. 3.) One child did not have an enrollment date documented in their enrollment file. 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.