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

A PLAN OF CORRECTION WAS DUE ON 03/10/2025 AND AS OF 03/26/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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 and interview, the family child care provider did not present verification that he/she was certified in infant, child and adult Cardiopulmonary resuscitation (CPR), and First aid on the day of the inspection. During interview the provider acknowledged the deficiency.

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 and interview, during the inspection, the following was found: 1) The record for a child (DOE: 06/10/23) did not contain an immunization certificate. 2) The record for a child (DOE: 05/24/23) contained an immunization certificate with the expiration date of 12/14/24. Interview with the provider revealed an acknowledgment of the deficiency.

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 record for three (3) children (DOE: 06/10/23, 06/10/23, and 05/20/24) did not contain the name of a preferred hospital.

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 and interview, the family child care home provider did not present an evacuation plan for review on the day of the inspection. The provider acknowledged the deficiency during interview.

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.

Based on observation and review of documentation, the provider was alone with eight (8) children ranging in age from one (1) year to four (4) years old. The assistant did not arrive until later in the inspection. Therefore, the provider failed to have an assistant present while she cared for more than six (6) children under the age of six (6) years old. 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 14. Toilet and Diapering Requirements.

General: Based on observation and the use of a thermometer, the water temperature exceeded 120 degrees Fahrenheit. The temperature surpassed the DRCC surveyor's thermometer temperature of 120 degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance 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, in the classroom, the hot water in the hand washing sink exceeded one hundred-twenty (120) degrees Fahrenheit.

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: Upon request, the provider failed to present a completed background check from the National Background Check Program (NBCP) for the provider with the hire date of 02/08/2021. Review of the Kentucky Applicant Registry and Employment Screening (KARES) report revealed the report did not list the aforementioned provider as having a completed background check through the National Background Program (NBCP). 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 4. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 05/22/2023 AND AS OF 06/15/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 06/29/2023 AND AS OF 07/19/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Provider Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 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 and review of documentation, verification of six (6) hours of cabinet-approved orientation, completed in the first three (3) months of employment, was not presented for review for the provider's assistant.

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, the provider completed zero (0) hours out of nine (9) hours of cabinet-approved early care and education training for the July 1, 2021 – June 30, 2022 year of employment. A review of ECE-TRIS supports this finding. Continued review revealed the provider had not completed the Pediatric and Head Trauma (PAHT) 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, the provider's assistant, hired on 03/15/2022, failed to provide a verification of current records of Pediatric Abuse and Head Trauma (PAHT) training, A review of ECE-TRIS supports this finding. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication 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 16. Medication and First Aid.

General: Based on observation, the family child care home did not maintain a regulatory requirement that the First Aid Supplies contained a CPR mouthpiece. 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 2 of 3 Inspection Report Children's Records 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 19. Records.

General: Based on interview and review of documentation, the provider did not present verification that the records for two (2) children with the same enrollment date of 02/21/2023, contained information listing the name of a preferred hospital. 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 2. Certification Process.

General: Upon request, the family child care home provider did not present verification that he/she was certified by a cabinet-approved agency for pediatric first aid and cardiopulmonary resuscitation (CPR) and adult first aid and cardiopulmonary resuscitation (CPR). In interview, the provider acknowledged the deficiency.

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: Observation of the family child care home revealed there were six (6) children present at the family child care home. The children’s ages ranged from two-years-old to-three- years-old. The provider was the sole caregiver of the children upon arrival to the family child care home at 11:46a.m. Continued observation of the family child care home revealed a staff member with the hire date 03/15/2022 entered the family child care at the same time as the DRCC representatives. The staff member with the hire date 03/15/2022 entered the programming 2 room with the six (6) children at approximant 11:52a.m. The staff member with the hire date 03/15/2022 had supervisory control of the children and was working alone with the children the remainder of the inspection. Upon request, the provider failed to present a completed background check from the National Background Check Program (NBCP) for the staff member with the hire date 03/15/2022 and for the provider with the hire date 02/08/2021. Review of the Kentucky Applicant Registry and Employment Screening (KARES) report revealed the report did not list the aforementioned staff members as having a completed background check through the National Background Program (NBCP) before being considered for employment.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 4. Procedures and Payments.

General: Upon request documentation verifying that the family child care home had initiated the process for obtaining a completed background check from the Nation Background Check Program (NBCP) for one (1) staff member with the hire date 02/08/2021 and two (2) staff members with the hire dates 03/15/2021 was not presented for review. Interview with the provider revealed that he/she did not have a personnel file for two (2) staff members with the hire date 03/15/2022 and one (1) staff member with the hire date 02/08/2021 and she could not present the requested documentation. 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 2:280 · 922 KAR 2:280 - Section 11. Status of Employment.

General: Review of the Kentucky Applicant and Registry Employment Screening (KARES) report revealed the family child care home had not completed a background check from the National Background Check Program (NBCP) for one (1) staff member with the hire date 02/08/2021 and two (2) staff members with the hire date 03/15/2022. Therefore, the aforementioned staff members are not listed as employed at the family child care home. Interview with the provider revealed that he/she did not have personal files for himself/herself and two (2) staff members with the hire date 03/15/2022. 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: Upon request, verification that the staff member with the hire date 02/08/2021 had completed the required first aid and cardiopulmonary resuscitation training was not presented for review on the day of the inspection. 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: Observation of the family child care home revealed there was a set of stairs that was not blocked.

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: Observation of the programming 2 room revealed there were six (6) children in the classroom. Review of the family child care home’s floor plan revealed the room only allows for thirty-five (35) square feet per child for five (5) children. 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 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: Upon request, a current immunization certificate was not presented for two (2) children with the enrollment dates, 02/11/2022 and 03/15/2022.

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 three (3) children’s records with the enrollment dates, 02/11/2021, 03/15/2022, and 02/28/2022 revealed the records did not contain a name of a 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: Upon request, the provider did not present verification that the family child care home obtained commercial liability insurance of at least $50,000 per occurrence.

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 tornado and earthquake drill logs revealed the emergency drills were conducted. However, the children’s names that participated in the procedures was not documented. Interview with the provider revealed the children’s names were not documented.

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 fire drill logs revealed the drills were conducted. However, the children that participated in the procedure was not documented. Interview with the provider revealed that she did not document the children’s names. Posted/Available Documentation In Compliance Animals Not Applicable 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 13. Care Requirements for a Provider.

General: Observation of the infant room revealed there were vinyl mats intended for the children to sleep on; that were torn, and the inside absorbent material was exposed. Food Service In Compliance Written Documentation 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 childcare provider failed to maintain written Documentation in accordance with regulatory requirements. Upon request the provider failed to provide documented evidence of a current Liability Insurance certificate on file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

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 was unable to present verification that an updated written evacuation plan had been completed in the event of fire, natural disaster, or other threatening situation that may pose a health or safety hazard to a child in care. She also has not submit it to the emergency management personnel. Posted/Available Documentation In Compliance Animals In Compliance 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 2:410 · 922 KAR 2:410E. Emergency Regulation.

General: Based on interview and review of documentation, the child care provider failed to comply with the regulatory requirements specific to the current pandemic as established in 922 KAR 2:410E. The requirements established in section 9 (1), regarding opening training requirements on cleaning, states all child care staff, directors, owners and operators shall complete a new, mandatory training on cleaning, sanitizing, health procedures, and mandatory reporting prior to the date of reopening. Documentation of completion of the required training was not submitted for review. Also, section 11 of 922 KAR 2:410 establishes a requirement to complete a Criminal Records Check (CRC) and a Child Abuse and Neglect (CAN)for all providers and employees. The family childcare provider did not submit the result of a CRC or CAN. She did submit a KARES eligibility form with her application for certification; but the form was not current and it was from a different employer.

Open Not marked corrected in the state record

Open / not marked corrected.