922 KAR 2:280 · 922 KAR 2:280 - Section 11. Status of Employment.

General: Based on interview and review of documentation, a current Kentucky Applicant Registry and Employment Screening (KARES) roster was not initially found when searching for the provider. Upon review and exiting with the provider the KARES roster was found under a different name. The roster had updated background eligibility of those working in the home but also contained an inactive employee (DOH: 06/05/18). 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 10/24/2024 AND AS OF 10/29/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the play room was missing outlet covers on the wall to the left of the entrance. Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 13. Care Requirements for a Provider.

General: Based on observation and interview, an infant was asleep in a swing through the duration of the inspection from 01:38 pm until 02:50 pm. When mentioned during the exit of the inspection the provider stated mom told her the child will not sleep in a crib. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, it could not be verified that two (2) children were current on immunizations. A child's (DOE: 02/06/24) immunization was no longer current after 07/29/24. A child's (DOE: 01/13/23) immunization was no longer current after 05/18/23.

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, three (3) children were missing enrollment information (DOE: 09/30/24, 09/30/24, 09/30/24). There were immunization records for the three (3) children but no current enrollment packet to include an enrollment date, emergency authorization, parent contact information, physician information or a pick- up list. 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, it could not be verified that the provider had current liability insurance. The presented liability insurance had an expiration date of 06/09/24. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report 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 4. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 02/16/2024 AND AS OF 03/07/2024, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Findings: A PLAN OF CORRECTION WAS DUE ON 03/22/2024 AND AS OF 04/24/2024, 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: Documentation confirming that the provider was currently certified in cardiopulmonary resuscitation (CPR) and first aid was not presented for review upon request. Review of the presented documentation revealed that the provider's certification was expired as of 07/30/23. 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 2. Certification Process.

General: Based on interview and review of documentation, current results of a negative tuberculin (TB) test or a statement from a healthcare professional stating that an assistant (HD 06/05/18) was free from active TB was not presented for review upon request. The aforementioned assistant was present at the family child care home and was observed supervising children on the day of the inspection.

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: Review of the Early Care and Education Training Record Information System (ECE-TRIS) database revealed that the provider (HD 06/05/18) completed zero (0) hours of annual training during the 2022-2023 review period. Further review of ECE-TRIS could not confirm that an assistant (HD 06/05/18) had completed nine (9) hours of annual training during the 2022-2023 review period or one and one- half (1.5) hours of Pediatric Abusive Head Trauma (PAHT) training within the last five (5) years. The aforementioned assistant was present at the certified home and observed supervising children on the day of the inspection. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, a can of Febreeze Air Mist, which label contained the phrase "keep out of reach of children" was stored on the restroom vanity where it was accessible to the children in care. Additionally, a razor was stored on a low shelf above the toilet where it was 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the waste receptacle within the kitchen contained trash and was not equipped with a lid or cover.

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, the water temperature of the sink within the restroom measured one hundred forty (140) degrees Fahrenheit, exceeding the maximum allowable temperature of one hundred twenty (120) degrees Fahrenheit. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a current immunization certificate for a child enrolled on 12/02/23 was not presented for review upon request.

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 the following: 1) The enrollment information presented for a child enrolled on 12/02/23 failed to contain the name of the family's preferred physician, preferred hospital, or evidence of a parent signature. 2) The enrollment information presented for a child enrolled on 05/06/21 failed to contain the name of the family's 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: Upon request, written verification documenting that fire, tornado, and earthquake drills had been conducted during the last review period was not presented for review upon request. The provider reported that the drills had been conducted, but not documented. Posted/Available Documentation In Compliance Animals Not Applicable 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 11/01/2022 AND AS OF 12/08/2022, 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 review of documentation, the surveyor discovered that the provider’s personnel file (DOH: 6/5/18) contained a negative tuberculin result that was no longer current after 9/17/22; therefore, the provider failed to show proof that she was free of active tuberculosis or provide a copy of a negative tuberculin result.

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, upon review of the ECE-TRIS Required Training Hours Report for the timeframe of 7/1/21 thru 6/30/22, the surveyor discovered that the provider (DOH: 6/5/18) completed zero (0) of the nine (9) hours of cabinet-approved early care and education training. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 review of documentation, the surveyor discovered that the file for one (1) child (DOE: 5/6/21) did not contain documentation of a preferred hospital; therefore, the provider failed to maintain the child’s records. 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: Based on interview with the provider, the surveyor discovered the monthly fire drills for the months of June, July, August, and September 2022 were conducted; however, the provider indicated she failed to document the monthly fire drills as required.

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: Based on interview with the provider, the surveyor discovered the quarterly earthquake and tornado drills for the second and third quarter of 2022 were conducted; however, the provider failed to document the earthquake and tornado drills as required.

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 with the provider, the surveyor discovered for the second and third quarter of 2022, the provider failed to maintain a written record of monthly practiced quarterly earthquake and tornado drills detailing the date, time, and participants. 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: Based on interview with the provider, the surveyor discovered that for the months of June, July, August, and September 2022, the provider failed to maintain a written record of monthly practiced fire drills detailing the date, time, and participants. 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 2. Certification Process.

General: Based on interview and review of documentation, the provider presented a certification card to verify first aid and CPR but the certification was valid until 10/13/2020.

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 failed to complete the nine (9) hours of cabinet approved training hours during the subsequent year. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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, a child enrolled on 03/06/202, had an immunization certificate on file that was valid until 10/08/2020. 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 center's general liability insurance expired 01/24/21. Interview determined the center had current insurance but could not provide documentation.

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, quarterly earthquake and tornado drills were not conducted for the 2nd, 3rd, 4th quarter of 2020. In addition, quarterly earthquake and tornado drills were not conducted for the 1st and 2nd quarter of 2021.

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, monthly fire drills were not conducted 06/2020, 07/2020, 08/2020, 09/2020, 10/2020, 11/2020, 12/2020, 01/2021, 02/2021, 03/2021, 04/2021, 05/2021 and 06/2021.

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 interview and review of documentation, the center’s evacuation plan was last reviewed and updated 07/18/2018. 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 4. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 08/10/2020 AND AS OF 08/26/2020, 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 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.

The family care provider did not provide verification that the first aid supplies had been maintained to include a CPR mouthpiece. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 18. Records.

General: Based on interview and review of documentation, the family care provider failed to maintain children's records in accordance with regulatory requirements. Upon request, the family care provider did not present immunization certificates for three (3) children's files with the enrollment date of 3/6/2020. Interview with the family care provider revealed the home had not received documentation for the children within the first thirty (30) days of enrollment. Written Documentation In Compliance Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements 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 child care home failed to maintain general administration in accordance with regulations. Review of documentation revealed, there was no documentation of written approval from the landlord to operate a child care home in the residence. Interview with the provider acknowledged the residence is under rental agreement, and the requested documentation was unavailable 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 4. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 09/04/2019 AND AS OF 10/09/2019, 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 12. Care Requirements for a Provider.

General: Based on observation, the child care home failed to maintain general administration in accordance with regulations. Observation in the bathroom revealed two (2) electrical wall outlets with no protective covering. Further observation revealed a toilet brush sitting on the floor near the toilet. Provider Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Provider Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care home failed to maintain provider records in accordance with regulations. Review of staff files revealed the provider and two (2) assistants with the hire dates of 06/05/2018 and 06/05/2018 had not completed state approved orientation training. Interview with the provider revealed this information was unavailable at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care home failed to maintain provider records in accordance with regulations. Review of staff files and ECE-TRIS report revealed the nine (9) hours of cabinet approved training was not presented for review at the time of survey the provider with the hire date of 06/05/2018. Interview with the provider revealed this information was unavailable at the time of survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care home failed to maintain provider records in accordance with regulations. Review of staff files and ECE-TRIS report revealed the nine (9) hours of cabinet approved training was not presented for review at the time of survey the two (2) assistants with the hire dates of 06/05/2018 and 06/05/2018. Interview with the provider revealed this information was unavailable 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, the child care home failed to maintain premises in accordance with regulations. Observation in the kitchen revealed a garbage can with no tight- fitting cover 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 15. Medication and First Aid.

General: Based on observation and interview, the child care home failed to comply with the regulations regarding first aid medication. Observation of the center’s first aid supplies revealed the CPR mouthpiece was not presented for review at the time of survey. Interview with provider revealed she could not locate the requested item at the time of survey. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Equipment 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation and interview, the child care home failed to comply with the regulations regarding equipment. The child care home failed to maintain equipment in accordance with regulations. Observation in the living room revealed a crib that had several areas of paint chipping away from the railing. 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 2. Certification Process.

General: Based on interview and review of documentation, the child care home failed to maintain written documentation in accordance with regulations. The Progressive Insurance Company liability insurance has lapsed as of 07/08/2019, with no active coverage for the child care home. Interview with the provider revealed this documentation was unavailable at the time of survey. Posted/Available Documentation In Compliance Animals Not Applicable 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 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 a wall mounted television with multiple loose wires hanging within the reach of 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 a review of documentation and interview, the family child care provider failed to have documentation verifying first aid certification. Interview with the provider revealed she had received only CPR training. Further review revealed the assistant failed to have CPR and First Aid certification. Interview with the provider revealed the assistant (doh: 8/21/18) would care for the children on a daily basis and in her absence.

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 provider failed to maintain provider records in accordance with regulatory requirements. A review of documentation revealed a staff member with a hire date of 08/21/18, failed to have negative results from a tuberculin test or a written statement from a healthcare provider that the individual is free of tuberculosis. An interview with the provider revealed the staff member would be working with the children on a daily basis. 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

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 assure compliance with regulatory requirements. Observation in the bathroom revealed several toiletries with the label of "Keep out of the reach of children". Further observation revealed the cabinet under the sink failed to be locked and contained other toiletries and Wheel Cleaner also containing the label to " Keep out of the reach of 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 child care provider failed to maintain the premises in accordance with regulatory requirements. Observation revealed an electrical outlet next to the back door and within a child's accessibility, which failed to be 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 15. Medication and First Aid.

General: Based on observation, the family child care provider failed to comply with regulatory requirements regarding first aid. Observation of the first aid kit revealed gloves, a CPR mouthpiece, tape, gauze, and scissors failed to be available at the time of the survey. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program Discussed 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 14. Food Requirements.

General: Based on observation, the family child care provider failed to maintain the food service in accordance with regulatory requirements. Observation of the refrigerator failed to reveal a thermometer indicating the temperature was at or below forty-five (45) degrees Fahrenheit. 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 14. Food Requirements.

General: Based on observation, the family child care home failed to maintain the food service in accordance with regulatory requirements. Observation failed to reveal a thermometer in the freezer to verify the frozen food is kept at a temperature of zero degrees Fahrenheit. Children's Records Discussed 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.