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

A PLAN OF CORRECTION WAS DUE ON 08/14/2025 AND AS OF 08/22/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 2. Certification Process.

General: Based on review of documentation, it could not be verified that the assistant was free from active tuberculosis (TB). A current TB test was not presented upon request.

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, a set of blinds was in disrepair. A portion of the slates were missing from the blinds located in the childcare room to the left of the living room.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the record for a child (DOE: 12/02/20) contained an immunization document that expired on 11/04/24.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, the following was found: 1) The records for three (3) children (DOE: 06/21/24, 06/21/24, and 12/02/20) were not signed by parents. 2) The records for three (3) children (DOE: 06/21/24, 06/21/24, and 12/02/20) contained Kosair as a preferred hospital.

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 10/14/2024 AND AS OF 10/29/2024, 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: Based on interview and review of documentation, verification that the provider had current Cardiopulmonary Resuscitation (CPR) and First Aid certification was not presented for review. The certification presented was no longer current as of 03/31/24.

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 review of documentation, current written documentation from a health care professional to verify that the assistant does not have active tuberculosis was not presented. The documentation presented showed a read date of 08/24/22. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 10. Standards for the Provider.

General: Based on review of documentation, the personnel record for the assistant did not contain verification that Pediatric Abusive Head Trauma (PAHT) training had been updated. The presented PAHT documentation verified the training was last completed 05/31/19. Review of an ECE TRIS report did not verify that the PAHT training had been updated. 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 19. Records.

General: Based on interview and review of documentation, the following was found: 1) The record for a child (DOE: 03/01/24) contained an immunization certificate that expired on 12/01/23. 2) The record for a child (DOE: 08/09/23) contained an immunization certificate that expired on 04/30/23.

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, a child (DOE: 03/01/24) did not have an enrollment packet to include parent information, hospital, family physician, emergency authorization, the parent signature and a pickup list. During the exit interview with the provider, it was revealed the aforementioned child is a relative. 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

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 03/27/2024 AND AS OF 04/30/2024, 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: Based on interview and review of documentation, upon request, the provider did not present a written plan for obtaining nine (9) hours of annual cabinet-approved training at the time of the inspection. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation and interview, in the bathroom the electrical outlet was missing the faceplate. The inside wiring was exposed and accessible to children. 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: Based on observation, in the bathroom there was an electric outlet that was not covered at the time of the inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, there were no hand drying materials at the sink in the bathroom at the time of the inspection. 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, the files for three (3) children (DOE: 08/09/23) did not contain the contact information for the family physician and preferred hospital. Continued review revealed the files for the three (3) aforementioned children did not contain an enrollment record signed by the child’s parent at the time of the inspection. 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: Based on review of documentation, the provider had one and a half (1 ½) hours of training during the subsequent year of employment. 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 14. Toilet and Diapering Requirements.

General: Based on observation, the hot water registered at one hundred thirty (130) degrees Fahrenheit at the sink in the restroom used by childcare children. Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, a large stain was on the pad of a blue play pen located in a downstairs room. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, a child enrolled 10/10/21, had an immunization certificate valid until 3/5/22. Two (2) children, each enrolled 12/9/21, had an immunization certificate valid until 4/15/22.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on review of documentation, two (2) children, each enrolled 12/9/21, did not include the physician’s phone number in the enrollment information. 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 19. Records.

General: Based on interview and review of documentation, the certified home provider was unable to provide verification that the provider had conducted quarterly disaster drills and recorded the names and times of the children who participated in the drills.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the certified home provider was unable to provide verification that the provider had conducted monthly fire drills and recorded the names and times of the children who participated in the drills.

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 12/19/2021 AND AS OF 01/10/2022, 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: Based on interview and review of documentation, the certified home provider was unable to provide verification that their CPR/First Aid certification had been updated. The documentation presented expired in May of 2021.

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 certified home provider was unable to provide verification that she had maintained a training plan for obtaining nine hours of training on an annual basis. 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: 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 certified home provider was unable to provide verification that the provider with a hire date of 09/16/2013 had updated their Pediatric and Head Trauma training after five (5) years. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 12. The General Requirements of the Family Child-Care Home Environment.

General: Observation of the steps leading into the front doorway revealed the steps did not have any railing. 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 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 19. Records.

General: Based on interview and review of documentation, the certified home provider did not present verification that the evacuation plan in the event of a fire, natural disaster, or other threatening situation that may pose a health or safety hazard for a child in care had been completed to include all of the required documentation and was submitted to the local emergency management team within the last year. Posted/Available Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 17. Animals.

General: Based on interview and review of documentation, the certified home provider was unable to provide verification that the provider had obtained a signed permission form for children to be in the presence of a bird in the home. 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 09/01/2020 AND AS OF 09/17/2020, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Provider Requirements In Compliance Provider Records In Compliance Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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 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 child care home failed to maintain children’s records in accordance with regulatory requirements. A review of three (03) children’s files revealed the immunization for three (3) children with the enrollment dates of 2/14/2020, 2/14/2020 and 2/7/2020 were not in the children’s files. Interview with the home provider confirmed that the immunization documents were not in the files. Written Documentation In Compliance Posted/Available Documentation In Compliance Animals 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 16. Animals.

General: Based on interview and review of documentation, the child care provider failed to maintain written parental consent in accordance with regulatory requirements. Upon review of documentation and interview the child care provider was unable to produce written parental consent for a bird that was a pet in the home. Posted 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 observation, interview and review of documentation, the family care provider did not present verification that a copy of children and parent rights , as required by KRS 199.898 was posted or available in a prominent area in the home and provided to each parent or a guardian of the children enrolled. Interview with the home provider, observation of posted areas and a review of documentation revealed the document was not available or in any files. 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 14. Food Requirements.

General: Based on observation, the family child care home failed to maintain food service in accordance with regulations. Observation in the upstairs area on 4/25/19 revealed an infant sitting in a car seat drinking a bottle without being held. Children's Records Not In Compliance

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: Based on review of documentation and interview, the family child care provider failed to comply with regulatory background checks requirements. Review of the presented records revealed a substitute with hire date of 12/1/13 who did not have complete background checks under the child care provider's certification number. Review of KARES verified that the substitute did not have complete background checks under the child care provider's certification number. Upon request, the provider did not present documentation to verify that the aforementioned staff member had complete background checks under the child care provider's certification. Supervision In Compliance General Administration Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

A PLAN OF CORRECTION WAS DUE ON 05/20/2019 AND AS OF 06/07/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Provider Requirements Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 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. The certified family child care home provider shall coordinate at least one (1) annual activity involving parental or family participation. Review of documentation revealed the child care home failed to document an activity involving 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, the family child care provider failed to maintain provider records in accordance with regulatory requirements. Upon request, the provider failed to present documented evidence of a current certification in First Aid and CPR received from a cabinet approved source.

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 review of documentation and interview, the family child care home failed to maintain provider records in accordance with regulations. Review of provider files on 4/25/19 revealed the statement of negative tuberculin result on file for the provider was no longer current as the statement was dated 2/7/17. Interview with the provider revealed current documentation was not on file 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 10. Standards for the Provider.

General: Based on review of documentation, the family child care provider failed to maintain provider records in accordance with regulatory requirements. Review of documentation on 4/25/19 revealed the identified substitute with hire date 12/1/13 failed to have documentation showing completion of First Aid and CPR certification.

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 family child care home failed to maintain provider records in accordance with regulations. Review of provider’s files and ECE-TRIS revealed the provider's assistant with hire date 12/1/13 failed to have completed Pediatric Abusive Head Trauma Training at the time of survey. 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 and interview, the family child care home failed to maintain the premises in accordance with regulations. Observation of the upstairs level of the family child care home revealed the upstairs failed to have working smoke detectors. Continued observation revealed several smoke detectors laying on the kitchen table. Interview with provider revealed the smoke detectors were removed while the ceiling was being painted. 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

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 and interview, the family child care home failed to maintain the premises in accordance with regulations. Observation of the downstairs programming area revealed several cans of paint and drywall mud that were accessible to children. During interview, the 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 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 regulations. Observation of the kitchen/ eating area upstairs revealed the door leading to the basement remained open while several children were present and near the open door. Continued observation revealed the open door led to eight (8) steps, which led downstairs into the basement; therefore, the indoor stairs were accessible to the children in care.

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 the premises in accordance with regulations. Observation of the living room, play area and kitchen floors used by children revealed the areas to be unclean and cluttered. During interview, the provider acknowledged the area was in need of cleaning. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, the family child care home failed to maintain children’s records in accordance with regulations. Review of children’s files on 4/25/19 revealed the provider did not have an immunization certificate on file for two (2) children with enrollment dates of 1/2/19. 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

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 two (2) children with enrollment date 1/2/19 failed to contain contact information to enable the provider to contact the child’s preferred physician, preferred hospital and signed authorization from the parent for the provider to seek medical attention in the case of an emergency. During interview, the provider acknowledged the deficiency. 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 for November and December 2018, and February and March 2019, 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 18. Records.

General: Based on review of documentation, the family child care home failed to maintain written documentation in accordance with regulations. Review of the evacuation plan presented for review at the time of survey on 4/25/19 revealed the plan was not current as it was dated June 6 2017. Posted/Available Documentation In Compliance 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 18. Records.

General: Based on review of documentation and interview, the family child care home failed to comply with regulatory requirements with regard to record maintenance. Upon request, the provider failed to present documented evidence of a zoning compliance letter; fire, earthquake and tornado drills; and commercial liability insurance. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 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 19. Certified Family Child-Care Home Program.

General: Based on observation and interview, the family child care home provider failed to assure compliance with regulatory requirement with regard to reporting to the Cabinet. Observation revealed no children were in care on 06/14/18 during the time of inspection. Interview with the provider revealed he/she has not cared for children since March 2018. Review of DRCC records did not indicate the provider reported closure due to enrollment to the Cabinet. The provider stated he/she does not wish to "temporarily" close as future possibility for enrollment may occur. 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 and interview, the family child care home provider failed to assure compliance with regulatory requirements. Upon request, the provider failed to present documented evidence of a current copy of the certification standards.

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. Upon request, the provider failed to present documented evidence of at least one (1) coordinated annual activity which involved the parents or family of the children in care. 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 maintain records in accordance with regulatory requirements. Upon request, the provider failed to present documented evidence of a current certification in Cardiopulmonary Resuscitation (CPR) and First Aid received from a cabinet approved agency. 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

Category: health medication. 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 records in accordance with regulatory requirements. Upon request, the provider failed to present documented evidence of a current negative tuberculin result or a health professional’s statement that staff with hire dates of 12/01/13 and 09/16/13 are free of active tuberculosis.

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 records in accordance with regulatory requirements. Upon request, the provider failed to maintain documented evidence of six (6) hours of cabinet-approved orientation training completed by staff with a hire date of 12/01/13.

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 records in accordance with regulatory requirements. Upon request, the provider failed to present documented evidence of nine (9) hours of cabinet approved early care and education 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 child care home failed to maintain records in accordance with regulatory requirements. Upon request, the provider failed to present documented evidence of nine (9) hours of cabinet approved early care and education training and one-half (1 ½) hours of cabinet-approved pediatric abusive head trauma training for staff with a hire date of 12/01/13. Programming Discussed 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 child care home failed to maintain premises in accordance with regulatory requirements. Observation of the stair entrance leading to the programming space in a down-stair area revealed a wooden piece which protruded from the wall into the walk space. The wooden piece presented a tripping hazard for anyone who went down the steps.

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 programming space for children revealed an area that was unclean and cluttered with clothing and boxes. Hygienic Practices Discussed An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report 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 15. Medication and First Aid.

General: Based on observation, the family child care home failed to maintain first aid supplies in accordance with regulatory requires. The family child care home failed to fully equip the child care’s first aid kit as it was observed that the kit did not contain a CPR mouthpiece and gauze. Outdoor Play Area In Compliance Equipment In Compliance Transportation 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 17. Transportation.

General: Based on review of documentation and interview, the family child care home provider failed to comply with regulatory transportation requirements. Upon request, the provider failed to present documented evidence of a completed Kentucky Driver History report from the state transportation agency that issued the driver’s license. Food Service/Food Program Discussed Food Service Discussed 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, the family child care home failed to maintain written documentation in accordance with regulatory requirements. Upon request, the provider failed to present documented evidence of commercial liability insurance of at least $50,000 per occurrence. Review of documentation revealed the policy provided expired on 03/17/18.

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 written documentation in accordance with regulatory requirements. Upon request, the provider failed to present documented evidence of a zoning letter from a local city/county authority for review.

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 home failed to maintain written documentation in accordance with regulatory requirements. Upon request, the provider failed to present documented evidence of monthly fire drills conducted during the review period. Review of record revealed the last drill was completed in May 2017. Interview with the provider revealed she has not cared for children since March 2018. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on review of documentation, the family child care home failed to maintain written documentation in accordance with regulatory requirements. Upon request, the provider failed to present documented evidence of quarterly earthquake and tornado drills conducted during the review period. Review of record revealed the last drill was completed in May 2017. Interview with the provider revealed she has not cared for children since March 2018. 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 provider failed to assure compliance with regulatory requirements. Observation revealed a large stock pot sitting on the stove with food remains in the bottom, along with a skillet also on the stove with leftover food from a prior meal. Three (3) containers of liquid appearing to be grease-like were sitting on the counter, unrefrigerated or disposed of. Provider Requirements In Compliance Provider Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 10. Standards for the Provider.

General: Based on Review of Documentation, the family child care provider failed to maintain records in accordance with regulatory requirements. A review of staff files revealed the provider failed to have documentation revealing 9 hours of cabinet approved training including pediatric head trauma training pursuant to KRS 199.8982(2), in accordance with subsection (1) of this section.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 10. Standards for the Provider.

General: Based on Review of Documentation, the family child care provider failed to maintain provider records in accordance with regulatory requirements. A review of documentation revealed the identified substitue failed to have documentation showing completion of First Aid and CPR certification. Interview revealed substitute works approximately one (1) day a week. 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 10. Standards for the Provider.

General: Based on Review of Documentation, the family child care provider failed to maintain records in accordance with regulatory requirements. A review of staff files revealed the identified sustitute failed to have completed 9 hours of cabinet approved training. The substitute works in the family child care home approximately one (1) day per week. 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 child care provider failed to maintain the premises in accordance with regulatory requirements. Observation revealed the baseboard on two (2) of the walls in an area in the basement designated as where the children play, failed to be attached to the walls, revealing dried glue, and baseboards lying on the floor creating a tripping and safety hazard. Hygienic Practices In Compliance 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 three (3) child- sized mats which contained tears in the plastic coverings failing to be non-absorbable. Transportation In Compliance Food Service In Compliance Children's Records In Compliance 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.

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 comply with regulatory requirements. Record review revealed the criminal records check AND the child abuse or neglect check were dated September 2013 and had not been re-run every two years. Interview with provider revealed that more current background checks in compliance with regulatory requirements were not available at time of survey. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 3 of 16 Web site: http://chfs.ky.gov/ Inspection Report

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 did not comply with regulatory requirements. Record review revealed the provider's last TB test was read in September 2013. Interview with provider during survey confirmed that she resides on the premises, is the only adult providing child care services on site, and that she was unable to provide evidence of current TB test results.

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 comply with regulatory requirements. Observation revealed a build up of food residue in the area surrounding each of four gas burners of the gas stove, as well as along the front panel of the stove just above the stove handle; additionally, observation revealed approximately 4 inches of a red substance indicative of hot sauce or ketchup splattered on the inside refrigerator door. The provider confirmed each of these findings in an interview during survey.

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 regulatory requirements. Observation revealed: 1) visible debris indicative of residual fecal matter inside the toilet bowl; 2) debris in the toilet room sink, and 3) a layer of dust on much of the potty-training seat.

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 regulatory requirements. Specifically, observation revealed the toilet bowl contained residual fecal material.

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 15. Medication and First Aid.

General: Based on observation and interview, the family child care home failed to comply with regulatory requirements. Observation revealed no working flashlight available in the home or first aid supplies. Additionally, the first aid supplies also lacked medical tape and none was produced during survey. The provider agreed during interview that these items were missing.

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 review of documentation and interview, the family child care home failed to comply with regulatory requirements. Record review revealed an expired State Farm Insurance Policy insuring the premises through March 2016. Interview with provider revealed that proof of a current liability insurance policy could not be presented during survey.

Open Not marked corrected in the state record

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. Interview with provider confirmed that the provider owns a dog that resides in the home. Review of documentation presented at survey revealed no certificate confirming that the provider's dog is vaccinated against rabies or that its rabies vaccination is current. Posted Requirements

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 childcare provider failed to maintain the health, safety and comfort of the children in care. Observation of smoke alarms both upstairs and downstairs revealed that the alarms were chirping, indicating a low battery. Observation of the bathroom upstairs and downstairs revealed a plunger and a toilet brush next to the toilet and accessible to children.

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 childcare provider failed to maintain proof of orientation and a training plan. Review of documentation revealed that the childcare provider did not present for review completion of six (6) hours of cabinet-approved training in accordance with KRS 199.8982(1)(a)6. Review of the Early Care and Education Training Records Information System (ECE-TRIS) Website revealed that the provider does not have a completed orientation class listed as a previous training. Review of DRCC records revealed that the provider was cited for the same Orientation deficiency during the survey on 04/25/2014 and the provider did not follow the plan of correction by taking a new Orientation class. Continued review of documentation revealed that the provider failed to develop and implement a written plan for obtaining nine (9) hours of annual cabinet-approved training as required in Section 10(1) of 922 KAR 2:100.

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 childcare provider failed to maintain all training requirements. Review of presented documentation revealed that the provider failed to present for review any completed training hours. Continued review of presented documentation revealed that the provider also failed to present for review proof of completion of one and one-half (1½) hours of cabinet-approved pediatric abusive head trauma training. Interview with the provider revealed that the provider claimed to have completed training, including the pediatric abusive head trauma, through a childcare center. Review of the Early Care and Education Training Records Information System (ECE-TRIS) Website revealed the provider had not completed any training since 07/22/2011 and had never completed the pediatric abuse head trauma 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, the childcare center failed to maintain all outlet requirements. Observation of the certified home revealed that several outlets were not in use and not covered in programming space both upstairs and downstairs.

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 childcare provider failed to maintain all conditions of home requirements. Observation of the home revealed that the basement portion of the programming area was extremely cluttered with clothes, boxes and items that did not pertain to childcare.

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 childcare provider failed to maintain all fire drill requirements. Review of documentation of the 2014 fire drill log revealed that a fire drill had not been performed with children since April of 2014. Interview with the provider revealed that she had completed fire drills in 2015 but could not find the drill log.

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 childcare provider failed to maintain all tornado and earthquake drill requirements. Review of documentation of the 2014 earthquake and tornado drill log revealed that an earthquake and tornado drill had not been performed with children since April of 2014. Interview with the provider revealed that she had completed earthquake and tornado drills in 2015 but could not find the drill log.

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 childcare provider failed to maintain all earthquake and tornado drill log requirements. Review of documentation revealed that the provider did not present for review a written record of quarterly practiced earthquake drills and tornado dills detailing the date, time, and participants.

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 childcare provider failed to maintain all fire drill log requirements. Review of documentation revealed that the provider did not present for review a written record of quarterly practiced fire drills detailing the date, time, and participants.

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, the childcare provider failed to develop and maintain policies. Review of documentation revealed the childcare provider failed to present for review the following required written policies: Develop written information that specifies the: rate for child care, expected frequency of payment for the program, hours of operation, policy regarding late fees, holidays, vacation and emergency pick up. Posted Documentation

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 Review of Documentation, the childcare provider failed to maintain all daily planned program of activities requirements. Review of documentation revealed the lack of a posted daily planned program of activities that are individualized and developmentally appropriate for each child served that provides experience to promote the individual child's physical, emotional, social, and intellectual growth and well-being.

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 childcare provider failed to maintain all posted documentation requirements. Review of documentation revealed the lack of a posted statement of deficiency (SOD) issued by the cabinet during the current certification period and each plan of correction (POC) submitted by the certified family child-care home to the cabinet during the current certification period. Cotinued review of documentation revealed the lack of a posted daily schedule including any trips outside the family child-care home. Animals 685 - Animals Not Applicable 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 922 KAR 2:100 - Section 16. Animals. (1) An animal shall not be allowed in the presence of a child in care: (a) Unless: 1. The animal is under the supervision and control of an adult; 2. Written parental consent has been obtained; and 3. The animal is certified as vaccinated against rabies; or (b) Except in accordance with subsection (3) of this section. (2) A parent shall be notified in writing if a child has been bitten or scratched by an animal. (3) An animal that is considered undomesticated, wild, or exotic shall not be allowed at a certified family child-care home unless the animal is: (a) A part of a planned program activity led by an animal specialist affiliated with a zoo or nature conservatory; and (b) In accordance with 301 KAR 2:081 and 301 KAR 2:082. Posted Requirements

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, the child care provider did not present for review a certificate of completion of orientation. Review of the provider's file with the hire date of 09/16/2013 revealed a lack of an orientation certificate.

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, the child care center did not maintain a list of emergency numbers by each landline telephone. Review of documentation revealed that a list of emergency phone numbers was not posted near the telephone in the infant room. 270 - Stairs/Steps Not Applicable 922 KAR 2:100 - Section 11. The General Requirements of the Family Child-Care Home Environment. (10) Stairs and steps used for children in care shall be: (a) Solid; (b) Safe; and (c) Railed. 275 - Stairs Blocked, if applicable Not Applicable 922 KAR 2:100 - Section 11. The General Requirements of the Family Child-Care Home Environment. (11) If an infant or toddler is in the care of a provider, indoor stairs with more than two (2) steps shall be blocked.

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 child care provider did not maintain a weekly posted menu. Review of documentation revealed that the posted menu was dated 11/10/2013 - 11/16/2013.

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 immunization records. Review of a child's file with the enrollment date of 10/28/2013 revealed the immunization certificate provided for review expired on 08/20/2013.

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, the child care provider failed to maintain children's records. Review of three children's files with the enrollment date of 10/28/2013 revealed an absence of a pick-up list, emergency contacts, a parent’s signature, medical information, allergies, identification information, a parental contact, a primary physician/hospital and emergency authorization. Continued review of children's records revealed that all children in a family are combined in a folder and each child does not have a separate written agreement. 600 - Permission for trips off premises Not Applicable 922 KAR 2:100 - Section 18. Records. (1) A provider shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip away from the family child-care home signed by the child’s parent in accordance with Section 17(1) of this administrative regulation; and

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 Review of Documentation, the child care center failed to maintain accurate attendance records. Observation of the center on 04/25/2014 revealed that two children were in attendance. Review of attendance sheets revealed that four children were signed into the center.

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, the child care provider did not maintain all drill requirements. Review of documentation revealed that the earthquake and tornado drill logs did not contain the names of the children that participated in the drills.

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, the child care provider did not maintain all drill requirements. Review of documentation revealed that the fire drill log did not contain the names of the children that participated in the drills.

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, the child care provider did not maintain diapering requirements. Review of documentation revealed that the proper methods of hand washing were not posted in the diapering area in the classroom in the rear of the child care home.

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 tile located by the basement restroom was broken and curled off the floor creating a tripping hazard.

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, multiple plug covers were missing in the two rooms used for care in the basement.

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 temperature of the water taken from each bathroom sink was 78 degrees Fahrenheit, therefore the restrooms failed to be equipped with hot water at a minimum temperature of 90 degrees Fahrenheit. 320 - Toilet Discussed 922 KAR 2:100 - Section 13. Toilet and Diapering Requirements. (3) Each toilet shall: (a) Be kept in clean condition; (b) Be kept in good repair; (c) Be in a lighted room; and (d) Have ventilation. 325 - Sick Child Area Discussed 922 KAR 2:100 - Section 15. Medication and First Aid. (7) A quiet, separate area that is easily supervised shall be provided for a child too sick to remain with other children. Hygienic Practices 330 - Child Handwashing Discussed An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 15 Web site: http://chfs.ky.gov/ Inspection Report 922 KAR 2:100 - Section 12. Care Requirements for a Provider. (4) A child shall wash hands with liquid soap and warm running water: (a) Before and after eating or handling food; (b) After toileting or diaper change; (c) After handling animals; (d) After wiping or blowing nose; (e) After touching items soiled with body fluids or waste; and (f) After outdoor and indoor play time. 335 - Adult hand washing Discussed 922 KAR 2:100 - Section 12. Care Requirements for a Provider. (5) A provider and an assistant shall: (a) Wash hands with liquid soap and warm running water: 1. Before and after diapering a child; 2. Before and after feeding a child; 3. After toileting or assisting a child with toileting; 4. After handling animals; 5. Before dispensing medication; 6. After caring for a sick child; and 7. After wiping or blowing a child’s or own nose; and 340 - Items not shared Discussed 922 KAR 2:100 - Section 12. Care Requirements for a Provider. (5) A provider and an assistant shall: (b) Assure that a child does not share: 1. Cups; 2. Eating utensils; 3. Wash cloths; 4. Towels; and 5. Toiletry items. 345 - Toilet Training Discussed 922 KAR 2:100 - Section 13. Toilet and Diapering Requirements. (4) Toilet training shall be coordinated with the child's parent. 350 - Clean Diapers/Clothing Discussed 922 KAR 2:100 - Section 13. Toilet and Diapering Requirements. (5) An adequate quantity of freshly laundered or disposable diapers and clean clothing shall be available. 355 - Soiled Diapers/Clothing Discussed 922 KAR 2:100 - Section 13. Toilet and Diapering Requirements. (7) Diapers or clothing shall be: (a) Changed when soiled or wet; (b) Stored in a covered leak proof container temporarily; and (c) Washed or disposed of at least once a day.

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 provider failed to include in her posted Emergency Preparedness Plan a evacuation route, procedures for notifying parents of the relocation and ensuring family reunification, procedures to address the needs of children including children with special needs, coordination with local emergency management officials and provide an updated copy to appropriate local emergency management officials.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Observation and Interview, the provider failed to post the proper methods of diapering near the diaper changing area.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.