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

A PLAN OF CORRECTION WAS DUE ON 03/14/2025 AND AS OF 03/18/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 04/02/2025 AND AS OF 04/08/2025, 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 10. Standards for the Provider.

General: Based on interview and review of documentation, the provider did not complete nine (9) hours annual training hours. Only one (1) hour of training was completed for the review year. Review of Early Care and Education Training Records Information System (ECETRIS) confirmed the lack of completed training.

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, the provider did not present verification that the records for one (1) child (DOE: 06/22/2022) contained a current immunization certificate. A presented immunization certificate was valid until 09/29/2024 and, therefore, was expired.

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 following was found: 1. One (1) child’s (DOE: 02/14/2023) enrollment information listed a nonexistent hospital as the family's preferred hospital. 2. Two (2) children's (DOE: 06/22/2022 and 02/14/2023) files did not contain a child's preferred hospital. 3. One (1) child’s (DOE: 06/22/2022) file did not contain a family physician's contact number. 4. One (1) child's (DOE: 02/14/2023) file did not contain a child's family physician.

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 observation and review of documentation, an evacuation plan was written, but not submitted to the local Emergency Management organization. The provider was unable to verify submission date to the local Emergency Management organization.

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, two (2) electrical outlets in the Baby/nap room were not covered. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, multiple window blinds throughout the programming space were broken and damaged, leaving sections of the slats dangling below the window sill.

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:Review of the Kentucky Applicant Registry and Employment Screening (KARES) database revealed that the provider (DOH 12/05/16) last completed a background check on 03/21/19 which was, therefore, expired as of 03/21/24. The provider reported that the process for obtaining an updated background check had not yet been initiated.

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: Based on review of documentation, while a KARES roster had been created for the certified home, the roster had not been updated to include the names and employment statuses of any employees at the home, including the provider. 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 10/03/2024 AND AS OF 10/25/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Provider Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 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 10. Standards for the Provider.

General: Based on review of documentation, the provider (DOH 12/05/16) last completed pediatric abusive head trauma (PAHT) training on 04/15/19, which had passed its five (5) year renewal date as of 04/15/24. Additionally, the provider (DOH 12/05/16) completed only one (1) hour of cabinet-approved annual training during the 2023-2024 review period. A review of ECE-TRIS confirmed these findings. 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 16. Medication and First Aid.

General: Based on observation, review of presented first aid supplies revealed that sterile gauze and medical tape were not present. 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

Category: health medication. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 15. Food Requirements.

General: Based on observation, the presented weekly menu was not dated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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: Based on interview and review of documentation, an immunization certificate for a child (DOE 06/28/24) was not presented for review upon request. Additionally, the immunization certificates presented for two (2) children (DOE for both 06/25/24) contained expiration dates of 09/16/22 and 05/15/23 and were expired 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: Review of presented children's files revealed that the enrollment information presented for three (3) children (DOE 06/28/24, DOE 06/25/24, DOE 06/25/24) failed to contain the name of the family's preferred physician and 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Documentation verifying that a fire drill was conducted during the month of January 2024, was not presented for review upon request. The provider stated that the drill had been conducted, however, the documentation was unavailable. Posted/Available Documentation In Compliance Animals 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 17. Animals.

General: Based on interview and review of documentation, current rabies vaccine documentation for two (2) of the three (3) cats living in the certified home was not presented for review upon request. The documentation presented for the two (2) cats contained an expiration date of 06/25/24. Additionally, written parental consent, allowing a child (DOE 06/28/24) to be in the presence of the cats was not presented for review upon request. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report 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 05/22/2023 AND AS OF 05/30/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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: A provider shall be currently certified by an agency approved in accordance with 922 KAR 2:240 in infant and child: (a) Cardiopulmonary resuscitation (CPR); and (b) First aid. However, the provider did not present a current CPR/First Aid certification for review. The most recent certification for the provider expired in 2021. 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: health medication. 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 home provider did not have a total of nine (9) hours minimum annual training hours, but instead had a total of zero (0) 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 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 and interview, the first aid supply kit presented for review did not have adhesive bandages and/or a CPR mouthpiece, which shall be included. 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: 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, no current immunization certificate was presented for review for children whose enrollment dates were both on 1/18/2020. 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, for children with the enrollment dates of, two (2) on 1/18/2020 and the other on 3/21/2021, the hospital listed does not exist. Also, authorization by the parent for the provider to seek emergency medical care for the child in the parent’s absence was not presented for review for children with enrollment dates 1/18/2020 and 3/21/2021. 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: A certified family child-care home provider shall have 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 in accordance with KRS 199.895. However, at the time of inspection a written evacuation plan was not presented for review. 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 14. Toilet and Diapering Requirements.

General: The proper methods of diapering and hand-washing shall be available at each diaper changing area, however, at the time of inspection these methods were not posted in the diaper changing area. 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 4. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 12/09/2022 AND AS OF 12/12/2022, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 12/27/2022 AND AS OF 12/29/2022, 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 13. Care Requirements for a Provider.

Observation of the family child care home revealed there were four (4) children present on the day of the inspection. The family child care provider was caring for children at the new location that had not been approved by the cabinet. Interview with the provider revealed that two (2) of the children were his/her niece and nephew. Provider Requirements 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: Observation of the infant room, the playroom, and the library room revealed there were five (5) sets of plastic mini blinds that were broken causing sharp pointed edges. 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. The General Requirements of the Family Child-Care Home Environment.

General: Observation of the wooden steps leading from the outside play area into the family child care home revealed there was one (1) step that was broken and in disrepair. Also, the wooden hand railing was rotted, causing the handrail to contain sharp pointed edges. 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: Upon request a cardiopulmonary resuscitation (CPR) facemask was not presented for review. Outdoor Play Area In Compliance Equipment In Compliance Food Service In Compliance 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: Upon request the provider did not present documentation that the family child care home obtained commercial liability insurance of at least $50,000 per occurrence. 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. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the programming space in the provider's home was very cluttered and unclean. Papers and items were strewn across the floor and covered the only two tables present in the space. There was a build up of grease on the front of the stove. The kitchen counters were cluttered with cooking items and dirty dishes. There was a very strong odor, indicative of cat urine, present in the home. There was a cat present in the home.

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: According to DRCC documentation and the provider, certification for her family child care home, the provider’s in-home family child care is located at 1453 Olive Street, Louisville KY 40210. However, based on information obtained from an investigation conducted by Division of Audits and Investigations, along with DRCC surveyor, it was determined that the provider does not reside in the home located at 1453 Olive Street, Louisville, KY 40210. The surveyor attempted to visit the certified family child care home to conduct renewal inspection on 2/25/2021, and 3/5/2021; however, the provider was not present on those dates.

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 05/11/2021 AND AS OF 05/26/2021, 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 13. Care Requirements for a Provider.

General: There was a plunger next to the toilet inside the bathroom. Provider Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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: Review of presented documentation revealed the documentation to verify completion of the six (6) hours of orientation training was not presented. Review of ECE-TRIS did not verify that the provider did complete the six (6) hours of orientation training. Per the provider's response to Inspection #291630, the provider stated that she called 4c’s training department to obtain a copy of her orientation and was told that because she took it over fifteen (15) years ago and the files are lost and she would have to retake orientation and she was scheduled to take the training December 17, 2019. Review of the presented documentation revealed that a written plan for obtaining nine (9) hours of annual cabinet approved training as required in Section 10(1) of this administrative regulation was not presented. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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: There was a cracked blue plastic bin and sharp plastic pieces were observed throughout the Outdoor Play Area. There was an area on the side of the Outdoor Play Area that contained broken tree branches, a broken dollhouse and other debris within reach of children in care. One (1) of the doors on the white shed in the Outdoor Play area was unlocked and partially open. 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. The General Requirements of the Family Child-Care Home Environment.

General: The front wheel of the red and white ride on toy in the Outdoor Play Area was bent. The net was torn on both of the toy basketball rims in the Outdoor Play Area. The seat was missing on the red electronic ride on toy motorcycle in the Outdoor Play Area. There was a deflated blue ball in the Outdoor Play Area. The hood was missing off the toy electronic pink car in the Outdoor Play Area. The battery cover was missing from the toy electronic pink car in the Outdoor Play Area, exposing three (3) rusted batteries. The clear plastic portion of the door attached to the toy pink microwave was cracked causing sharp plastic pieces to be exposed. The white alphabet/number mat was stained with a black substance. The arm was broken off the toy Dora the Explorer doll in the programming area. The electronic portion of the Fisher Price push-walking toy was not working. Transportation Not Applicable 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 15. Food Requirements.

General: The inside of the black microwave was dirty. The silver and black microwave was dirty.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 15. Food Requirements.

General: The menu presented for review was not dated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report

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 in the kitchen was not equipped with indicating thermometer; therefore, the temperature could not be verified. 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 20. Certified Family Child-Care Home Program.

General: Review of documentation revealed the statement of deficiency and plan of correction issued during the 2019 and 2020 certification period was not presented for review. Upon request, the provider did not present the documentation at the time of the survey. Animals 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: Review of the presented children’s records revealed a child with the enrollment date of 1/21/2021 and two with the same enrollment date of 1/18/2020 whose file did not contain authorization by the parent for the provider to seek emergency medical care for the child in the parent’s absence. Review of the presented children’s records revealed a child with enrollment date 1/21/2021 whose file did not contain the child’s general health status and medical history. Review of the presented children’s records revealed a child with enrollment date 1/21/2021 whose file did not contain the name of the preferred hospital nor the name of the child’s physician. Upon request, the provider did not provide the documentation for the aforementioned children at the time of the survey. 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: 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 documentation to verify that fire drills were conducted at least monthly from 1/1/2020-3/1/2020 and 7/1/2020- 10/1/2020 and 1/1/2021 was not presented. Upon request, the provider did not present the documentation 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 documentation to verify that earthquake and tornado drills were conducted during the first and third quarters of 2020 was not presented. Upon request, the provider did not present the documentation at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 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: Review of the presented documentation revealed that documentation detailing the names of the participants who participated in the fire drills conducted in 2020 and in January-February 2021 was not presented. Upon request, the provider did not present the documentation 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 20. Certified Family Child-Care Home Program.

General: Review of the presented documentation revealed that a written policy that specifies rate for child care, expected frequency of payment and hours of operation was not presented. Review of documentation revealed that a written policy regarding late fees, holidays, vacation, illness and emergency pick-up was not presented. Upon request, the provider did not present the written policies at the time of the survey. 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 2. Certification Process.

General: The family child care home certificate was not posted 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. Animals.

General: Review of the presented documentation revealed that written parental consent for the provider’s cats was not presented. Upon request, the provider did not present parental consent at the time of the survey. Review of the presented documentation revealed that documentation to verify that the provider’s cats were currently vaccinated against rabies. The documentation presented on 3/23/2021 expired on 2/22/2021. Upon request, the provider did not provide documentation to verify that their cats were currently vaccinated against rabies at the time of the survey. Posted Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.

General: The provider failed to comply with the regulatory requirements specific to cleaning and sanitizing requirements for certified home providers as established in 922 KAR 2:415e. Observation of the programming space revealed stuffed animals and soft dolls inside a plastic bin. Observation of the programming space revealed blankets and sheets on cots that were stacked against the wall. The provider failed to comply with the regulatory requirements specific to personal protective equipment requirement (PPE) for certified home providers as established in 922 KAR 2:415e. Observation of the certified home on 3/23/2021 revealed three children present. Interview with the provider revealed that one (1) of the children was seven-years-old. The child did not have on a mask 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 interview and review of documentation, the family child care home failed to maintain provider’s records in accordance with regulatory requirements. Upon request, the family care home provider did not present verification that the record for the provider with a date of hire 12/05/2016 contained a copy of a current 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 2. Certification Process.

General: Based on interview and review of documentation, the family care home failed to maintain records in accordance with regulatory requirements. Upon request, the family care provider did not present verification of completing orientation training within the three (3) months of employment or a written plan for obtaining nine (9) hours of annual cabinet- approved training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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, the family care home failed to maintain records in accordance with regulatory requirements. Upon request, the family care home provider with the hire date of 12/05/2016 did not present verification that she 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 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 care home failed to maintain the premises in accordance with regulatory requirements. The doorway into the kitchen area had a metal strip that was protruding several inches into the walkway, creating a potential harm to the children.

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 care home failed to maintain the premises in accordance with regulatory requirements. The three (3) smoke detectors located on the first floor was non-operational.

Open Not marked corrected in the state record

Category: physical safety. 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 care home failed to maintain premises in accordance with regulatory requirements. The six (6) area rugs in the programming area and kitchen was heavily soiled, evidenced by debris and black spots. The programming area utilized by the children was cluttered with paper, a broken child’s gate and various boxes. The kitchen cabinets had two (2) missing drawers with the contents exposed and accessable to the children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not In Compliance

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 observation, interview and review of documentation, the family child care home failed to comply with regulatory requirements regarding transportation. Upon request, the family care home provider did not present verification that three (3) of the three (3) children record’s reviewed contained written documentation that had been obtained from a parent to transport the children. The children were observed being transported. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report

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 observation, the family child care home failed to comply with regulatory requirements regarding transportation. Observation of the 2002 Chevrolet Suburban revealed a three-year child was sitting in the rear seat in a booster seat without the proper restraints of a shoulder and lap seatbelt.

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. Upon request the family home care provider did not provide verification that a record was maintained having emergency and identifying information about each child in the vehicle while being transported.

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 observation, interview and review of documentation, the family child care home failed to comply with regulatory requirements regarding transportation. Upon request, the family home provider did not provide verification that she had maintained a current driver’s license. The registration presented had expired in September of 2019. The insurance card presented was not in the driver’s name. Verification on 10/15/2019 with the insurance company revealed the provider was not listed as an authorized driver of the 2002 Chevrolet Suburban. The certified provider was observed driving the above-mentioned vehicle with three (3) children.

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 care home failed to comply with regulatory requirements regarding transportation. Upon request, the family care home provider did not present verification that an annual check of the Kentucky driver history record in accordance with KRS 186.018; or a driver’s history records through the state transportation agency that issued the driver’s license had been completed. 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 interview and review of documentation, the family care home failed to maintain children’s records in accordance with regulatory requirements. Upon request, the family home care provider did not present verification that records of the three (3) children files reviewed contained a copy of an immunization certificate. 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 family care home failed to maintain written documentation in accordance with regulatory requirements. Upon request, the provider did not present verification of current liability insurance. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report

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 family home care provider failed to maintain their annual renewal in accordance with regulatory requirements. Upon request, the family care home provider did not present verification that 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 had been updated within the last twelve (12) months. Posted/Available Documentation In Compliance Animals 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. Animals.

General: Based on interview and review of documentation, the family child care home failed to comply with regulatory requirements regarding animals. Upon request, the family care home provider did not present verification that the vacinations for the three (3) cats had been maintained. Continued review revealed no parental consent had been obtained from the parents. 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 11/06/2018 AND AS OF 11/28/2018, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 19. Certified Family Child-Care Home Program.

General: Based on review of documentation, the family child care home provider failed to assure compliance with regulatory requirements. Review of documentation revealed the child-care home provider failed to coordinate at least one (1) annual activity involving parental or family participation. 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 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 at the time of survey on 10/9/18 for the provider hired 12/5/16 revealed the provider’s certification expired in 7/30/18. Interview with provider revealed documentation of current First Aid and CPR certification was not on file at the time of 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

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, the family child care home failed to maintain provider records in accordance with regulations. Review of provider records and ECE-TRIS record revealed documentation of nine (9) hours of cabinet-approved early care and education training was not presented for review at the time of survey. Continued review of provider records and ECE-TRIS record revealed documentation of pediatric abusive head trauma training was not presented for review at the time of survey 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 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 on 10/9/18 revealed the provider did not have an immunization certificate on file for two (2) children with enrollment dates of 5/27/09 and 7/10/18. Continued review of children’s files revealed the immunization certificate presented for review at the time of survey for two (2) children enrolled 5/27/09 are no longer current as they were dated 9/1/16 and 10/10/16. During interview, the provider revealed she did not have immunization certificates for the children because she was having a difficult time obtaining the immunization certificates from the parents.

Open Not marked corrected in the state record

Category: health medication. 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 three (3) children enrolled 5/27/09, 9/20/18 and 9/25/18 failed to contain contact information to enable the provider to contact the child’s family physician. Continued review of children’s files revealed the written record for three (3) children enrolled 5/27/09, 9/20/18 and 9/25/18 failed to provide the parents preferred hospital. Continued review of children’s files revealed the written record for one (1) child with enrollment date of 9/25/18 failed to contain information regarding the children’s general health status and medical history and emergency authorization. Interview with provider revealed this documentation was not on file at the time of survey. 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 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 regulations. Review of documentation revealed the provider failed to present fire drills from March 2018 -September 2018 for review at the time of survey. Interview with provider revealed she could not locate this documentation at the time of 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 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 regulations. Review of documentation revealed the provider failed to present earthquake and tornado drills for the 2nd quarter of 2018. Interview with provider revealed she could not locate this documentation at the time of survey.

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 observation and review of documentation, the family child care home failed to maintain written documentation in accordance with regulations. Observation of the child care home on 10/9/18 revealed three (3) children present at the time of survey. Review of documentation on 10/9/18 revealed the child care home failed to maintain daily attendance records documenting the arrival and departure time of each child for 10/9/18. 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 care home failed to maintain employee records in accordance with regulatory requirements. Upon request, the provider did not present verification that the provider had developed and implemented a written plan for obtaining nine (9) hours of annual cabinet-approved 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 and interview, the family care home failed to maintain employee records in accordance with regulatory requirements. Upon request, the child care provider did not present verification that she had completed nine (9) hours of cabinet-approved early care and education training. Continued review revealed the provider had not completed the pediatric abusive head trauma training. Review of documentation in the ECE-TRIS training system revealed the provider listed above had not met the requirement. 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the family care home provider failed to maintain the premises in accordance with regulatory requirements. The first floor of the home used for programming did not have a working smoke detector at the time of the survey on 02/07/2018. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 review of documentation and interview, the family care home failed to maintain food service in accordance with regulatory requirements. Upon request, the child care provider did not provide verification that the menu posted had indicated the date or month the food was to be served. 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 care home provider failed to maintain children’s records in accordance with regulatory requirements. Upon request, the provider did not have verification that the records for children with the enrollment dates of 04/12/2016 and 12/23/2015 contained a current immunization certificate.

Open Not marked corrected in the state record

Category: health medication. 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 care home failed to maintain children’s records in accordance with regulatory requirements. Upon request, the provider did not present verification that the record for the child with the enrollment date of 12/23/2015 contained information listing an emergency contact. 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 10. Standards for the Provider.

General: Based on review of documentation and observation, the family child care home provider failed to maintain written documentation in accordance with regulatory requirements. Upon request, the child care provider did not present verification that the child in care had been signed in on 02/07/2018, documenting the time of arrival. Observation revealed one (1) child present. Posted 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 child care home provider failed to post documentation in accordance with regulatory requirements. Upon request, the child care provider did not present verification that a daily planned program of activities, staff to child ratios and the statement of deficiency issued by the cabinet during the current certification period was posted in a prominent area in the home. Animals Not Applicable Posted Requirements 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 provider failed to maintain posting requirements in accordance with regulatory requirements. Upon request, the provider did not present verification that she had posted the parent and children rights.

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 care home provider failed to maintain premises in accordance with regulatory requirements. Several outlets in the area identified for use for programming were missing outlet covers.

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 care home provider failed to maintain premises in accordance with regulatory requirements. The space identified for programming had limited walking space due to multiple boxes that contained papers and toys that were not yet organized for use. Continued observation revealed a dark stain indicative of a water stain on the ceiling above the fireplace. The walls in the kitchen were cracking and showing signs of peeling paint. 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 and interview, the family care home failed to maintain written documentation in accordance with regulatory requirements. Upon request, the family care home provider did not present for review at the time of the survey verification of current liability insurance. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

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 with regard to information to Parents. Review of the family child care home's parent handbook and information revealed the regulations for certified family child care homes was not included in the packet. Interview with the family child care home provider revealed she did not have the certification standards readily available. 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 Review of Documentation, and interview, the family child care home provider failed to assure compliance with regulatory requirements with regard to orientation. Review of family child care home records revealed no documented evidence of a written plan to include goals and a plan to complete orientation, child development training and other trainings/classes that would assist the provider with professional growth. Interview with the family child care home provider revealed she could not locate the written documents for review. 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 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 premises in accordance with regulatory requirements. Review of the family child care home temperature measuring device in the hallway revealed the home was not adequately heated as the room temperature was determined to be sixty-one (61) degrees Fahrenheit, four degrees lower than the minimum requirement of sixty-five (65) during winter months. Interview with the provider revealed the heat was in use. Observation of the classroom closest to the kitchen revealed missing and inoperable light bulbs.

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, and interview, the family child care home failed to maintain premises in accordance with regulatory requirements. Observation revealed a smoke detectors chirping in the home to indicate the need for new batteries. Interview with family child care home provided revealed acknowledgement of deficient practice.

Open Not marked corrected in the state record

Category: physical safety. 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 premises in accordance with regulatory requirements. Observation of the front area classroom revealed one (1) uncovered electrical outlet next to the window, not in use.

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 Interview, and observation, the family child care home failed to maintain premises in accordance with regulatory requirements. Interview of the family child care home provider revealed the kitchen will be used for child care. Observation of the kitchen revealed numerous dishes, plates and cups dirty on the counter and in the sink. Furthermore, the kitchen refrigerator was not kept clean as smells indicative of spoiled food and outdated foods were observed. Further observation revealed a large millipede crawling on the wall of the children’s learning area. The provider also observed the millipede. Interview with the provider revealed she did not have a pest control contract.

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 premises in accordance with regulatory requirements. Observation of the family child care home bathroom revealed accumulation of dirt and grime on the floors, sink, toilet and surrounding the toilet. Observation of a tube of toothpaste “crusted over” and personal toothbrushes were also observed on the sink in accessible reach of children.

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: Based on Observation, the family child care home failed to maintain premises in accordance with regulatory requirements as the toilet room appeared to be unclean and unsanitized. Observation of the family child care home toilet room revealed accumulation of dirt and grime on the floors, sink, toilet and surrounding the toilet. Observation of a tube of toothpaste “crusted over” and personal toothbrushes were also observed on the sink in accessible reach of children. 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

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 13. Toilet and Diapering Requirements.

General: Based on Observation, and review of documentation, the family child care home failed to maintain premises in accordance with regulatory sink requirements. Observation of the sink in the bathroom used for child care revealed hot water temperatures to the surveyors touch. Review of a temperature measuring device revealed the temperature of the hot water in the sink was one hundred forty-six (146) degrees Fahrenheit, which exceeded the maximum one hundred twenty (120) degrees Fahrenheit by twenty-six (26) degrees Fahrenheit. Observation of the temperature measuring device was also made by the provider who acknowledged deficient practice. Furthermore, observation of the sink was not immediately adjacent to the diaper changing area used for infants and toddlers.

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: Based on Observation, the family child care home failed to maintain premises in accordance with regulatory requirements. Observation of the toilet in the family child care home bathroom revealed dirt and debris on the toilet and surrounding the toilet. 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 Discussed 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, and interview, the family child care home failed to maintain written documentation in accordance with regulatory requirements. Review of records revealed no documented evidence of written verification of commercial liability insurance of at least $50,000 per occurrence. Interview with the provider revealed that the new certificate of liability had not yet been received.

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 written documentation in accordance with regulations. Review of documentation revealed the provider failed to present an evacuation plan for review at the time of survey. Interview with provider revealed her current evacuation plan was stored in another location and not accessible at the time of survey. Continued interview with provider revealed the evacuation plan had not been submitted to the local emergency management agency. Posted Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.