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

General: Based on review of documentation, the statement of deficiencies and plan of correction, for the current certification period, were not posted. 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 and interview, a fitted sheet was too tight on a mattress in the infants' room. The tight sheet made the mattress bend upwards on the corners. Interview revealed this mattress was used by a child. Transportation Not Applicable Food Service/Food Program 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 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Observation of the hallway wall revealed paint was chipping and the drywall was exposed. 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 13. Toilet and Diapering Requirements.

General: Observation of the changing table revealed dust and debris under the changing pad. 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 Emergency Regulation 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 17. Transportation.

General: Based on review of documentation and interview, the family child care home failed to comply with regulatory requirements regarding transportation. Review of the presented documentation revealed that the driver history records through the state transportation agency presented for review was dated 10/2/17. Upon request, the provider did not present a current annual check of her driver history records through the state transportation agency at the time of the survey. 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 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 12. Care Requirements for a Provider.

General: Based on observation, the family child care home failed to comply with regulatory requirements. Observation of the bathroom revealed a plunger and toilet brush were next to the toilet and accessible to the children in care. 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 4. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 08/06/2018 AND AS OF 09/25/2018, 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 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 programming space revealed a spray bottle labeled "Bleach H2O" was sitting on the table next to a child during lunch. 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 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 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. Upon request, the provider did not present verification that the file for a child with an enrollment date of 09/27/16 contained a preferred hosipital. 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 12. Care Requirements for a Provider.

General: Based on observation, the family child care provider failed to assure compliance with regulatory requirements. Observation revealed two (2)children, after napping,tossing their blankets and bedding into a closet failing to prevent each child's bedding from touching another's. Provider Requirements In Compliance Provider Records In Compliance Programming In Compliance Premises In Compliance 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 12. Care Requirements for a Provider.

General: Based on observation, the family child care provider failed to maintain hygienic practices in accordance with regulatory requirements. Observation revealed three (3)toddler children receiving a diaper change after awakening from nap, and each failed to be assisted in washing their hands afterward. 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 12. Care Requirements for a Provider.

General: Based on observation, the family child care provider failed to comply with hygienic practices in accordance with regulatory requirements. Observation revealed the provider failed to wash her hands after diapering three (3) children after nap time. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation 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 14. Food Requirements.

General: Based on review of documentation, the family child care provider failed to maintain the food service in accordance with regulatory requirements. A review of documentation revealed that a current dated and posted menu was not available at the time of the survey. 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on review of documentation, the family child care provider failed to maintain written documentation in accordance with regulatory requirements. A review of drills revealed that fire drills failed to be documented for August and September 2017.

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, the family child care provider failed to maintain written documentation in accordance with regulatory requirements. A written record of fire drills failed to be maintained in the months of August and September 2017. No documentation was presented when requested. Posted 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 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. Review of presented provider records revealed that the provider did not have on file a child abuse and neglect check for an adult living in the home. Interview with the provider revealed she was unable to locate the document 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: Based on Review of Documentation, and Interview, the family child care home failed to maintain employee records in accordance with regulatory requirements. Review of presented records revealed the provided did not develop and implement a written plan for obtaining nine (9) hours of annual cabinet-approved training as required in Section 10(1) of this administrative regulation. Interview with the provider revealed she had not developed and implemented a written plan for obtaining nine (9) hours training hours annually.

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 interview, the family child care home failed to maintain written documentation in accordance with regulatory requirements. Review of daily attendance records revealed on 8/16/16, 8/17/16 and 8/18/16 children were signed into care. Continued review of daily attendance records revealed on 8/16/16, 8/17/16 and 8/18/16 there were children not signed out of care. Interview with the provider revealed the parents forgot to sign their child out of care.

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 Interview and Observation, the family child care home failed to comply with regulatory requirements. Interview with provider revealed she prepares the children’s meals downstairs in one of the rooms used by the children. Continued interview with provider revealed she uses a microwave and toaster oven to prepare the meals. Observation of the microwave revealed what appeared to be food splatter on the inside and outside of the microwave. Observation of the diaper changing area revealed an accumulation of dust and dirt particles underneath the bottom of the diaper changing pad. During interview, provider acknowledged the deficiencies.

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 and Interview, the family child care home provider failed to assure compliance with regulatory requirements. Review of documentation revealed the provider failed to have a current copy of certification standards 922 KAR 2:100 on file at the time of survey. During interview, provider acknowledged the deficiency.

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 home failed to maintain provider records in accordance with regulations. Review of the First Aid/CPR card presented for review revealed the agency administering the training, American Health Association, is not a cabinet approved agency. Interview with provider revealed she was not aware this agency was not approved by the cabinet.

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 family child care home failed to maintain provider records in accordance with regulations. Review of provider’s files revealed the provider failed to have nine (9) hours of cabinet approved training on file for herself. During interview, provider acknowledged she failed to complete all of the required training.

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 and Interview, the family child care home failed to maintain the premises in accordance with regulations. Observation of the family child care home on 11/3/15 revealed a one-year-old was present in the care of the provider at the time of survey. Observation of the level used for child care revealed two (2) separate staircases, both staircases accessible to children in care. Continued observation revealed one staircase consisted of a minimum of fourteen (14) steps leading upstairs to the kitchen and the other staircase consisted of seven (7) steps leading upstairs to the front entrance. Observation of both staircases revealed neither staircase was blocked. Interview with provider revealed she assumed the staircases did not need to be blocked as long as she kept the children in a gated room or in a room with a closed door.

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 Interview and Observation, the family child care home failed to maintain food service in accordance with regulations. Interview with provider revealed she prepares the children’s meals downstairs in one of the rooms used by the children. Observation of one of the children’s rooms revealed a stick of butter sitting out in the open at room temperature for the duration of the survey rather being stored in a refrigerator. During interview, provider acknowledged the deficiency.

Open Not marked corrected in the state record

Category: ratio. 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 written documentation in accordance with regulations. Review of attendance records revealed the departure time for one (1) child was not recorded on 10/28/15, the departure time for two (2) children was not recorded on 10/29/15, and the departure time for one (1) child was not recorded on 11/2/15. Interview with provider revealed she was already aware of the issue.

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 Review of Documentation and Interview, the family child care home failed to maintain written documentation in accordance with regulations. Review of documentation revealed the evacuation plan presented for review failed to include all of the necessary components as required by KRS 199.895. Interview with provider revealed she completed a full evacuation plan with all of the required components and emailed it to her local emergency management agency; however, she acknowledged this documentation was not on file at the time of survey.

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 child care home failed to post documentation in accordance with regulations. Review of documentation revealed the provider failed to post each statement of deficiency and plan of correction issued by the cabinet during the current certification period. During interview, the provider acknowledged this documentation was not posted at the time of survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 16 Web site: http://chfs.ky.gov/ Inspection Report Animals

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 16. Animals.

General: Based on Observation, Review of Documentation, and Interview, the family child care home failed to comply with regulatory requirements regarding animals. Observation of the family child care home revealed a catfish in a large tank, a cat, and a dog in the presence of two (2) children who were in the care of provider at the time of survey. Review of children’s files revealed the provider failed to obtain written parental consent for the catfish and dog to be in the presence of one (1) of the two (2) children present at the time of survey. Interview with provider revealed she was aware of the issue and in the process of addressing it. Posted Requirements

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, the family child care home failed to maintain food service in accordance with regulatory requirements. Review of weekly menu revealed that the provider failed to date the menu.

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, the family child care provider failed to maintain written documentation in accordance with regulatory requirements. Record review revealed that the provider failed to have documentation of providing a copy of the Emergency Preparedness Plan to appropriate local emergency management.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 16. Animals.

General: Based on Observation and Interview the family child care home failed to comply with regulatory requirements regarding animals. Observation revealed an aquarium with aquatic animals in an area used for care. Interview with provider revealed that the children did not have parental consent because she did not think that one was needed for aquatic animals. Posted Requirements

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 family child care home failed to maintain employee records in accordance with regulatory requirements. Review of provider’s records revealed that she failed to have current documentation from a health professional to verify that she was free from active tuberculosis 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 17. Transportation.

General: Based on Interview and Review of Documentation the family child care home failed to comply with regulatory requirements regarding transportation. Interview with provider revealed that she transports the children in her personal vehicle. Record review revealed that the provider failed to have Kentucky driver history records in accordance with KRS 186.018; or driver history records through the state transportation agency that issued the driver’s license. Food Service

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, it was determined the provider failed to provide documentation of a current immunization record for two children both enrolled on 1/7/13.

Open Not marked corrected in the state record

Category: health medication. 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, it was determined the provider failed to provide documentation of completed monthly fire drills. Review of the provider's fire drill records revealed fire drills were not completed for the months of May, June and July 2013.

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. Toilet and Diapering Requirements.

General: Based on review of documentation, it was determined the provider failed to post handwashing procedures.

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. Certified Family Child-Care Home Program.

General: Based on review of documentation, it was determined provider failed to post staff-to-child ratios. Animals

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 16. Animals.

General: Based on review of documentation, it was determined the provider failed to provide documentation of parental consent for the cat in the home. Posted Requirements

Open Not marked corrected in the state record

Open / not marked corrected.