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

A PLAN OF CORRECTION WAS DUE ON 07/03/2024 AND AS OF 07/15/2024, 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 10. Standards for the Provider.

General: Based on interview and review of documentation, the following was found: 1) The provider (DOH: 03/09/04) completed six (6) hours out of nine (9) hours of annual training from 07/01/2022 to 06/30/2023. 1) The provider's cabinet-approved pediatric abusive head trauma training (PAHT) was expired. A review of the ECE-TRIS report supported these findings. 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

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, one (1) Assistant (DOH: 11/07/11) did not complete annual training in the 07/01/2022 to 06/30/2023 review period. A review of ECE-TRIS records supported this finding. 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 file for one (1) child (DOE: 03/07/2024) did not contain the child's preferred family physician or contact information. 2. The file of one (1) child (DOE: 08/30/2022) listed non-existent preferred hospital. 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 20. Certified Family Child-Care Home Program.

General: Upon request, a daily schedule for the family child care home was not presented for review. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, a smoke detector was present in the kitchen on the main floor, however, it produced a frequent beeping noise throughout the entire duration of the survey, indicating that it was malfunctioning and not in good repair.

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 observation, one electrical outlet in the room described as the "playroom" was uncovered and unprotected. 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 3 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 13. Care Requirements for a Provider.

General: Based on observation, the nap mats located in the main living room contained numerous holes and tears, indicating that they were not in good repair. The family child care provider stated that other mats were available, however, she was unable to present them at the time of the survey. Transportation Not Applicable Food Service/Food Program In Compliance Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and review of documentation, the presented weekly menu was incomplete and failed to describe the meal planned for lunchtime on Wednesday, Thursday, and Friday of the week of the inspection. 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: Upon request, an immunization certificate for a child with an enrollment date of 08/29/22 was not presented for review.

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 presented file for a child with an enrollment date of 08/29/22 contained the name of a hospital that no longer exists listed as the family's preferred hospital. Written Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Posted/Available Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff member hired 03/21/05 did not have a TB skin test or a physician statement on file. A staff member hired 03/09/04,had a TB skin test dated 01/22/18. A staff member hired 11/07/11 had a TB skin test dated 03/03/20.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on interview and review of documentation, a staff hired 03/09/04 completed one (1) hour of annual training from 07/2020 to 06/2021. 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

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, a staff hired 11/07/11 completed two and one half (2 ½) hours of annual training from 07/2020 to 06/2021. 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 In Compliance Written Documentation In Compliance 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 10. Standards for the Provider.

General: Based on interview and review of documentation, the family child care provider failed to maintain records in compliance with regulatory requirements. A review of files and a review of an ECE-TRIS report failed to reveal verification of Pediatric Abusive Head Trauma (PAHT) training for staff member with a hire date 11/07/11. The assistant helps on a daily basis with the enrollment of fifteen (15) children. 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 in the kitchen revealed multiple cleaning supplies, including a bottle labeled "bleach", which were sitting on the counter and accessible to the nine (9) school-aged children who were in attendance at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 2. Certification Process.

General: Based on interview and review of documentation, the family child care provider failed to maintain regulatory written requirements. A review of documentation failed to reveal a current liability insurance policy. The insurance submitted expired in July 2020. Interview with the provider revealed she could not locate a current policy at the time of the survey. Posted/Available Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Certified Family Child-Care Home Program.

General: Based on interview and review of documentation, the family child care home failed to maintain regulatory posting requirements. A review of documentation failed to reveal the most recent statement of deficiencies and plan of corrections. The posted SOD's and POC's were dated 2017, and 2018. Interview with the provider revealed she could not locate the documentation at the time of the survey. Animals In Compliance Posted Requirements In Compliance Emergency Regulation 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 interview and review of documentation, the family child care home provider failed to assure compliance with regulatory requirements. A review of documentation failed to reveal background check eligibility documentation for the provider and assistant. Further review failed to reveal documentation verifying required training, including PAHT. Interview with the provider revealed the documentation was not available at the time of the survey. Provider Requirements In Compliance Provider 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 10. Standards for the Provider.

General: Based on interview and review of documentation, the child care provider failed to maintain provider records in accordance with regulatory requirements. A review of documentation and an ECE-TRIS record failed to reveal 9 hours of cabinet approved child care training for the provider. Interview with the provider revealed the documentation was not available at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Category: 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 provider failed to maintain provider records in accordance with regulatory requirements. A review of staff files and an ECE-TRIS report failed to reveal that an assistant with a hire date of 10/2011 had completed required training. Interview with the provider revealed the staff member assists with care on a frequent basis. Further interview revealed the documentation was not available at the time of the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on interview and review of documentation, the child care provider failed to maintain children's records in accordance with regulatory requirements. A review of children's files failed to reveal information to enable a person in charge to contact a child's physician. Interview with the staff in charge revealed the documentation was not available at the time of the survey. Written Documentation In Compliance Posted/Available Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Certified Family Child-Care Home Program.

General: Based on interview and review of documentation, the family child care provider failed to maintain posted documentation in accordance with regulatory requirements. A review of documentation failed to reveal a posted statement of deficiency issued by the cabinet and a plan of correction submitted to the cabinet by the provider. An interview with the provider revealed the documentation was not available at the time of the survey. 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 2:280 · 922 KAR 2:280 - Section 3. Implementation and Enforcement.

General: Based on review of documentation, interview, and observation the family care home failed to comply with background check requirements. Upon request, the family care provider did not provide verification that the fingerprint checks have been conducted for the adults with the hire dates of 03/09/2004 and 11/07/2011. 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 10. Standards for the Provider.

General: Based on observation and interview, the family care home provider failed to comply with regulatory requirements. The family care provider was caring for nine (9) children. Interview with the provider revealed that eight (8) of the children were non-related. Therefore, the maximum number of unrelated children in the care of a certified family child-care home exceeded the capacity by two (2) children. Interview with the provider revealed the children were not related. 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 review of documentation and interview, the family care home failed to maintain employee records in accordance with regulatory requirements. Upon request, the family care home provider did not provide verification that a written plan for obtaining nine (9) hours of annual cabinet-approved training had been maintained.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the family care home failed to maintain provider records in accordance with regulatory requirements. Upon request, the family home care provider did not provide verification that the provider with the hire date of 03/09/2004 had completed nine (9) hours of cabinet-approved early care and education training. Review of documentation in the ECE-TRIS training system revealed the provider listed above had not met the requirements.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on review of documentation and interview, the family care home failed to maintain records in accordance with regulatory requirements. Upon request, the family home care provider did not provide verification that the full-time assistant with the hire date of 11/07/2011 had completed nine (9) hours of cabinet-approved early care and education training. Review of documentation in the ECE-TRIS training system revealed the assistant listed above had not met the requirements. Programming In Compliance Premises Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation, the family care home failed to maintain the premises in accordance with regulatory requirements. The kitchen counters and kitchen table were cluttered with stacks of paper, appliances and various other items, leaving no space for food preparation or an uncluttered area for the children to have a meal. 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 Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 14. Food Requirements.

General: Based on Review of documentation and interview, the family care home failed to maintain food service in accordance with regulatory requirements. Upon request, the child care provider did not present verification of a menu that had been prepared and dated. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records In Compliance Written Documentation In Compliance 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 12. Care Requirements for a Provider.

General: Based on observation and interview, the family child care home failed to comply with regulatory requirements. In the bathroom, there was a toilet bowl brush next to the toilet, accessible to children. The provider acknowledged the toilet bowl brush was next to the toilet. 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 and interview, the family child care home failed to maintain provider records in accordance with regulations. Review of provider records and ECE-TRIS report revealed documentation of nine (9) hours of cabinet-approved early care and education training was not presented for review at the time of survey for the provider hired 3/9/04. The provider revealed she did not complete all of her annual training hours. 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. In the kitchen, one (1) large garbage can did not have a tight-fitting cover. The provider acknowledged the garbage can was not covered. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report 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 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 equipment in accordance with regulations. In the playroom, there was a large crack in the lid of the small, plastic toy container which was stored on the floor and accessible to children. The provider acknowledged the lid was cracked.

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 and interview, the family child care home failed to maintain equipment in accordance with regulations. In the playroom, three (3) of the mats stored in the closet were torn at the seams, exposing the inner cushion. The provider revealed the mats were used for the preschoolers’ rest-time. Transportation Not Applicable 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 interview and review of documentation, the family child care home failed to maintain food service in accordance with regulations. The provider revealed a one- year-old is served soy milk for lunch at the parent’s request; however, review of documentation and interview with provider revealed there was no medical and/or dietary restriction/alternative documented in the child’s file. 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 10. Standards for the Provider.

General: Based on observation, review of documentation, and interview, the family child care home failed to maintain written documentation in accordance with regulations. On 11/30/17, there were three (3) children present; however, review of attendance records for 11/30/17 revealed no children were signed in. Review of attendance records for 11/29/17 revealed three (3) children were signed in, but were not signed out. The provider acknowledged the aforementioned children were not signed in and out. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Certified Family Child-Care Home Program.

General: Based on review of documentation and interview, the family child care home failed to maintain written documentation in accordance with regulations. Policies regarding illness and emergency pick-up were not presented for review at the time of survey. The provider revealed she could not locate this documentation at the time of survey. Posted 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 18. Records.

General: Based on Review of Documentation and Interview, the family child care home failed to comply with regulatory requirements. Review of documentation revealed a Criminal Records Check was not presented for review at the time of survey for the assistant hired 11/7/11. Interview with provider revealed she could not locate this documentation at the time of survey. Provider Requirements Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Certified Family Child-Care Home Program.

General: Based on Review of Documentation and Interview, the family child care home provider failed to assure compliance with regulatory requirements. Review of documentation revealed the certification standards 922 KAR 2:100 presented for review at the time of survey were dated 5/19/08. Interview with provider revealed she did not have a current copy of the certification standards available for review at the time of survey. Provider Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the family child care home failed to maintain provider records in accordance with regulations. Review of documentation revealed current certification by an agency approved in accordance with 922 KAR 2:240 in infant and child First Aid was not presented for review at the time of survey for the provider hired 3/9/04. Interview with provider revealed this documentation was not available for review at the time of survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Observation, Review of Documentation, and Interview, the family child care home failed to maintain provider records in accordance with regulations. Observation of the home revealed the assistant was the sole caregiver of four (4) unrelated children from 11:28am to 12:25pm. Review of documentation revealed certification by a cabinet- approved agency in infant and child First Aid was not presented for review at the time of survey for the assistant hired 11/7/11. Interview with provider revealed this documentation was not available for review 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 Interview and Review of Documentation, the family child care home failed to maintain provider records in accordance with regulations. Interview with the assistant hired 11/7/11 revealed she has worked in excess of fourteen (14) calendar days during a one (1) year period in the absence of the family child-care home provider. Review of provider records revealed documentation of at least nine (9) hours of cabinet-approved training was not presented for review at the time of survey for the assistant hired 11/7/11. Interview with provider revealed this documentation was not available for review 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 family child care home failed to maintain the premises in accordance with regulations. Observation of the child care area revealed a power strip with several uncovered outlets placed underneath the vanity play set, accessible to 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, the family child care home failed to maintain the premises in accordance with regulations. Observation of the bathroom revealed the vent was covered with dust. Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation and Interview, the family child care home failed to comply with hygienic practices in accordance with regulations. Observation revealed the diaper changing mat was torn, exposing the inner padding. Interview with assistant revealed the mat was used for diapering children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication 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 15. Medication and First Aid.

General: Based on Observation and Interview, the family child care home failed to comply with the regulatory requirements regarding first aid and/or medication. Observation of the first aid kit presented for review at the time of survey and interview with provider revealed the kit was not equipped with gauze and a cold pack. Continued observation and interview with provider revealed the medical tape and CPR mouthpiece were soiled. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 Review of Documentation and Interview, the family child care home failed to maintain children’s records in accordance with regulations. Review of three (3) children’s files revealed the written record for one (1) child failed to contain contact information to enable the provider to contact the child’s family physician and preferred hospital. Interview with provider revealed this documentation was not on file at the time of survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Interview, the family child care home failed to maintain written documentation in accordance with regulations. Interview with provider revealed her written 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 was last updated in 2016; however, the plan was not submitted to the local emergency management agency in accordance with KRS 199.895. 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: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 19. Certified Family Child-Care Home Program.

General: Based on Review of Documentation and Interview, the family child care home failed to maintain written documentation in accordance with regulations. Review of documentation revealed written information that specifies the policies regarding illness and emergency pick-up were not presented for review at the time of survey. Interview with provider revealed she could not locate this documentation at the time of survey. Posted Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation and Interview, the family child care home failed to post documentation in accordance with regulations. Review of documentation and interview with provider revealed the provider failed to display the family child-care home certificate in a prominent place as required by KRS 199.8982(1)(c).

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 failed to post documentation in accordance with regulations. Review of documentation and interview with provider revealed the provider failed to post the following documentation in a prominent area in the home: (1) Each statement of deficiency issued by the cabinet during the current certification period; and (2) Each plan of correction submitted by the certified family child-care home to the cabinet during the current certification period. 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 18. Records.

General: Based on Review of Documentation, and interview, it was determined the provider failed to comply with certification standards regarding children's records, specifically children's information. Review of three (3) children's files present for review at time of survey revealed the provider failed to provide written documentation of a family physician (1 child) and preferred hospital (3 children). Exit interview revealed provider acknowledgment of the deficiency.

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, it was determined the provider failed to comply with certification standards regarding written documentation, specifically earthquake/tornado drills. The provider failed to provide documentation to review at time of survey detailing the names of the participants that practiced earthquake drills and tornado drills. Exit interview revealed provider acknowledgment of the deficiency.

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, it was determined the provider failed to comply with certification standards regarding written documentation, specifically fire drills. The provider failed to provide documentation to review at time of survey detailing the names practiced fire drills. Exit interview revealed provider acknowledgment of the deficiency.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the family child care home failed to maintain employee records in accordance with regulatory requirements. Review of provider records revealed that an adult in the home did not have documentation from a health care professional available for review to verify that the individual was free from active TB at the time of the survey. Interview with the provider revealed that the adult in the home had current TB documentation from a health care provider, but the documentation was unable to be located at the time of the survey for review.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the family child care home failed to maintain employee records in accordance with regulatory requirements. Review of provider records failed to reveal nine (9) hours of cabinet-approved training in early care and education for the previous year of providing care. Interview with the provider revealed that the missing two (2) hours of training were not attended because the classes did not have available openings at the time she attempted to register.

Open Not marked corrected in the state record

Category: recordkeeping. 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 regulatory requirements. Observation of the thermometer located in the kitchen freezer revealed that the measuring device was not in working order to verify that the freezer was storing food at zero degrees Fahrenheit 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 children’s records in accordance with regulatory requirements. Review of the children’s records revealed that children with the enrollment dates of 12/4/10 and 4/29/14 did not have current immunization certificates available for review. Interview with the provider revealed that the children had recently had doctor appointments to update the immunization certificates, however, the parents had not yet returned the current documentation.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the family child care home failed to maintain written documentation in accordance with regulatory requirements. Review of written documentation revealed that the provider failed to maintain attendance of the children in care on the forms required in accordance with 922 KAR 2:160, Section 13 for the children receiving services from a provider through the Child Care Assistance Program. Interview with the provider revealed that the forms required had been damaged with water and were not available for use or review at the time of the survey.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on Review of Documentation, and interview, the family child care home failed to maintain written documentation in accordance with regulatory requirements. Review of written documentation revealed that the provider failed to present a written evacuation plan. Interview with the provider revealed that a written plan was submitted last year for her plan of correction, but a copy of that plan was not able to be located at the time of the survey for review.

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, five of the nine required hours of training from March 2012 to March 2013 were available for review at the time of the survey. The remaining four hours were not documented in the provider’s file, nor made available for review. Based on an interview with the provider, additional hours of training were attended, but she could not locate the documentation. The provider did produce documentation for registration payment for upcoming training hours that would make her training hours complete for the current year ending in March 2014.

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, daily attendance records documented the arrival times of each child, but did not consistently document departure times of each child as required in accordance with 922 KAR 2:160.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.