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 three (3) children (DOE: 08/14/2023, 12/14/2023, and 10/21/2024) had current immunization certificates on their files. 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 19. Records.

General: Based on interview and review of documentation, the following was found: 1. Three (3) children’s files (DOE: 08/14/2023, 12/14/2023, and 09/28/2022) did not contain a name of a preferred hospital. 2. One (1) child's file (DOE: 08/23/2022) did not contain a child's preferred family physician. 3. One child (DOE: 08/28/2024) did not have a file. 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 interview and review of documentation, 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: Based on interview and review of documentation, earthquake and tornado drills were not conducted during hours of operation quarterly in 2024.

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, fire drills were not conducted in 2024.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on the interview and the documentation review, the provider could not provide proof of an updated written evacuation plan submitted to the local emergency management each year by December 31st. The last evacuation plan on record was from 2020. Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

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 provider's assistant's CPR and First Aid certification was dated 10/31/2021 and was expired.

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 provider's CPR/First Aid certification was dated 01/31/2021; therefore, it 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 10. Standards for the Provider.

General: Based on interview and review of documentation, the provider's assistant's pediatric head trauma (PAHT) training was dated 05/14/2018. The training was not renewed after five (5) years. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation and interview, the toilet seat was not adequately attached to the second toilet bowl; therefore, it was loose. 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

Open / not marked corrected.

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

General: Based on interview and review of documentation, six (6) children's (DOE: 12/14/2023, 02/16/2022, 08/14/2023, 07/11/2023, 08/23/2022, and 09/28/2022) files did not contain a preferred hospital or preferred hospital information to enable the provider to seek emergency medical care in parents' absence. 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 10. Standards for the Provider.

General: Upon request, verification that the provider had completed nine (9) hours of cabinet-approved early care and education training was not presented for review. Review of the Early Care and Education Tracking Information System (ECE-TRIS) report did not verify that the nine (9) hours of cabinet-approved training had been completed.

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: Upon request, verification that an assistant with the hire date 06/01/2017 had completed nine (9) hours of cabinet-approved early care and education training was not presented for review. Review of the Early Care and Education Tracking Information System (ECE-TRIS) report did not verify that the nine (9) hours of cabinet-approved training had been completed. Interview with the assistant revealed she works more fourteen (14) calendar days a year. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Hygienic Practices 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: Observation of the changing table revealed there was a heavy build-up of dust and debris around and under the changing pad. First Aid/Medication In Compliance Outdoor Play Area Not Applicable 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: physical safety. 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 review for a child with the enrollment date 08/27/2022.

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 children’s enrollment records revealed there were three (3) files for children with the enrollment dates 08/23/2022, 02/09/2022, and 08/27/22 that did not contain 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 19. Records.

General: Review of the tornado and earthquake drill logs revealed the drills were conducted. However, the children who participated in the drills were not documented for the first (1st), second(2nd), and third (3rd) quarter of 2022. 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 19. Records.

General: Review of the fire drill log revealed the fire drills were conducted. However, the name of the children who participated in the drills were not documented for June 2022, July 2022, August 2022, September 2022, October 2022, and November 2022. 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 10. Standards for the Provider.

General: Observation of the family child care home revealed seven (7) children present. Interview with the family child care home provider revealed the children present ranged from nine (9) months old to three (3) years old. Continued interview with the provider revealed none of the seven (7) children were related to her. Therefore, the provider was providing care to more unrelated children than Division of Regulated Child Care has approved.

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: Observation of the family child care home revealed seven (7) children present. Interview with the family child care home provider revealed the ages of the children present range from nine (9) months old to three (3) years old. Continued interview with the provider revealed none of the seven (7) children were related to the provider. Therefore, the family child care home exceeded the maximum capacity approved by the cabinet. Equipment In Compliance Emergency Regulation 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 observation and interview, the family child care provider failed to assure compliance with regulatory requirements. Upon entry into the home, eight (8) children were in care with the sole provider until 9:40 A.M when an assistant arrived. Interview revealed the youngest child was 5 months of age and the oldest child was 3 years of age. An additional infant entered into the program at approximately 9:50 A.M.

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 three (3) sleeping infants in a separate room behind a closed door. Two of the children were observed sleeping with loose blankets, and a third child was observed sleeping wrapped in a blanket, in a bouncy seat. 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the family child care home provider failed to maintain the premises in accordance with regulatory requirements. Observation of the Infant room revealed an uncovered electrical outlet approximately three (3) inches outside of a crib containing a sleeping infant. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 assure compliance with regulatory hygienic practices. Observation revealed children's hands failed to be washed with soap and water before and after eating. First Aid/Medication In Compliance Outdoor Play Area In Compliance 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. Care Requirements for a Provider.

General: Based on observation, the family child care home provider failed to maintain equipment in accordance with regulatory requirements. Observation revealed two (2) infants sleeping in cribs with loose blankets. An infant was also observed sleeping wrapped in a blanket, in a bouncy seat. Additionally, there were only two (2) cribs available, however, there were five (5) infants in attendance. 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 14. Food Requirements.

General: Based on observation, the family child care provider failed to comply with food service requirements. Observation revealed numerous bottles in the refrigerator, all of which failed to be covered and labeled. 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, the child care provider failed to maintain children's records in accordance with regulatory requirements. A review of children's records failed to reveal a current immunization certificate for a child with an enrollment date of 5/26/20. Written Documentation In Compliance Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation, the family child care home provider failed to assure compliance with emergency regulatory requirements. Upon arrival, the surveyor's temperature failed to be taken. Additionally, the assistant's temperature also was not taken upon her arrival and entry into the programming area. The provider was observed without a facial covering when she allowed the surveyor's entry into the home.

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 in home child care center provider failed to maintain supervision in accordance with regulatory requirements. Observation revealed a two-year- old child in a dark room, alone, in a crib, awake from time of arrival 11:44am to 12:03, when the caregiver removed the child from the crib. The child was observed jumping and shaking the crib from surveyor's view but was out of scope of vision of the assistant. General Administration In Compliance Provider Requirements In Compliance Provider Records In Compliance Programming Not In Compliance

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 12. Care Requirements for a Provider.

General: Based on observation, the in home child care center provider failed to assure programing in accordance with regulatory requirements. Observation at arrival, at 11:39am, two(2) children were observed to be in high chairs and a third child was also placed in a high chair. The children were verbally instructed to "sit there and do nothing" by the in home child care assistant. At 11:46am, the children were given Cheerio cereal for a snack. At 12:19, one of the children remained in the high chair without activity; nor were they still eating his/her snack. The child was removed from the high chair at 12:24 pm and laid down for rest period. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the in home child care center provider failed to maintain premises in accordance with regulatory requirements. Surveyor observed an electrical outlet about 2 feet away from child's cot, uncovered; a child was on the cot at time of observation. 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 in home child care provider failed to maintain hygienic practices in accordance with regulatory requirements. Several minutes after surveyor's arrival, two (2) children were observed in high chairs and a third child was in the process of being placed in a high chair. The children were given Cheerio cereal for a snack at 11:46am. The assistant did not wash the children's hands.

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 in home child care center provider failed to maintain hygienic practices in accordance with regulatory requirements. Observation shortly after arrival revealed two (2) children were observed to be in high chairs and a third child was also placed in a high chair. The children were given Cheerio cereal for a snack at 11:46am. The assistant did not wash her hands prior to feeding the children cereal out of the box, nor was she wearing gloves. 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 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 13. Toilet and Diapering Requirements.

General: Based on observation, the family child care home failed to comply with hygienic practices in accordance with regulatory requirements. The changing pad was torn exposing the absorbent material. First Aid/Medication In Compliance Outdoor Play Area Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the family child care home failed to maintain equipment in accordance with regulatory requirements. The yellow and red exersaucer was dirty. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and interview, the family child care home failed to maintain written documentation in accordance with regulatory requirements. Review of the presented documentation revealed that documentation of an earthquake or tornado drill conducted during the second quarter was not presented for review. Upon request, the provider did not present the documentation 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 18. Records.

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 the presented documentation revealed that documentation of conducted fire drills for March, April, May and June were not presented for review. Upon request, the provider did not present the documentation at the time of the survey. Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, the family child care home failed to maintain the premises in accordance with regulatory requirements. Observation in the bathroom revealed the water temperature exceeded 120 degrees Fahrenheit. Hygienic Practices Discussed First Aid/Medication In Compliance Outdoor Play Area Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 12. Care Requirements for a Provider.

General: Based on observation, review of documentation, and interview, the family child care home failed to maintain the equipment in accordance with regulatory requirements. Observation revealed two (2) cribs in the family child care home. Documentation revealing compliance with Consumer Safety Commission standards established in 16 C.F.R. 1219- 1220 was not available at the time of the survey. Interview with the provider revealed the information would need to be obtained by contacting the manufacturer. Transportation Not Applicable Food Service In Compliance Children's Records Discussed Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.