922 KAR 2:100 · 922 KAR 2:100 - Section 13. Care Requirements for a Provider.

General: Based on observation, the family child care home provider failed to comply with regulatory requirements. Observation of the ceiling located in the play room revealed there was one (1) hole in the ceiling tile above the television. Continued observation of the ceiling revealed, there were several brown and black stains on the ceiling tiles, indicative of water damage. 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 20. Certified Family Child-Care Home Program.

General: Based on interview and review of documentation, the family child care home provider failed to assure compliance with regulatory requirements. Upon request, the provider did not provide verification that the provider had coordinated at least one (1) annual activity involving parental or family involvement. 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 family child care home provider failed to maintain records in accordance with regulatory requirements. Upon request, the provider did not present verification that she had developed and implemented a written plan for obtaining nine (9) hours of annual cabinet-approved training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 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 family child care home provider failed to maintain provider records in accordance with regulatory requirements. Upon request, the provider did not present verification that she had completed one and one half (1 1/2) hours of pediatric abusive head trauma training from a cabinet-approved source within the last five (5) years. Review of ECE-TRIS report did not verify that the training had been completed. The provider presented a certificate of completion of a pediatric head trauma training; however, it was not approved through a cabinet-approved source. 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 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 15. Food Requirements.

General: Based on observation, interview and review of documentation, the family child care home provider failed to comply with food service in accordance with regulatory requirements. Observation of the refrigerator located in the kitchen revealed there was one (1%) percent and two (2%) percent milk located inside the refrigerator. Interview with the family child care home provider revealed children in attendance ranged in age from one (1) year-old to three (3) years-old. The family child care home provider also stated that she serves the one (1) year old child two (2%) percent milk. 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 family child care home provider failed to maintain childen's records in accordance with regulatory requirements. Review of presented files revealed: there were three (3) children files that did not contain a name of each person who is designated in writing to pick-up the child; two (2) children files that did not contain the parents preferred hospital; and one (1) child's file that did not contain the child's general health status and medical history. Interview with the provider revealed acknowledgment that the aforementioned information was not in the children's files. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 20. Certified Family Child-Care Home Program.

General: Based on interview and review of documentation, the family child care home provider failed to maintain written documentation in accordance with regulatory requirements. Upon request, the written policies in regards to the rates for the family child care home, hours of operation, and policies regarding holidays, vacation, illness and emergency pick up were not presented for review. Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance Emergency Regulation In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented documentation revealed that documentation to verify completion of the six (6) hours of cabinet approved orientation was not presented for review for the provider with hire date 5/16/19. Upon request, the provider did not present documentation to verify completion of the six (6) hours of cabinet approved training at the time of the survey. Programming In Compliance Premises In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Hygienic Practices Not In Compliance

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: The provider did not wash two (2) of the children’s hands with soap and water before giving them crackers to eat during the survey.

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: The provider did not wash her hands with soap and water prior to giving two (2) children, who were in her care, crackers to eat during the survey. 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: Review of the first aid supplies revealed that a CPR mouthpiece was not presented for review. Upon request, the provider did not present a CPR mouthpiece at the time of the survey. Outdoor Play Area In Compliance 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: The brown cover located inside the highchair was soiled/stained at the time of the survey. The blue vinyl portion of the children’s chair was torn, exposing the absorbent material, at the time of the survey. Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report Food Service/Food Program 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: The provider was observed serving two (2) children in care a morning snack that did not include milk, protein source or a fruit, vegetable or 100 percent juice at the time of the survey. 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: The white microwave located in the kitchen was soiled with food debris.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

General: Observation of the certified home revealed five (5) children in care ranging in age from one-year-old through five-years-old. The provider served only two (2) of those children crackers, in their hands, for a morning snack while they were walking around during the survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: The provider was observed serving two (2) children crackers as a morning snack while they were walking around and not sat at a table during the survey.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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

General: The freezer portion of the white refrigerator located in the downstairs kitchen area had an indicating thermometer reading of eight (8) degrees Fahrenheit at the time of the survey. 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: Review of the presented children’s records revealed two (2) children with enrollment dates 6/23/19 and 6/6/19 whose file did not contain a current immunization certificate. Upon request, the provider did not present a current immunization certificate for the aforementioned children at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Review of the presented children’s records revealed two (2) children with enrollment dates 6/23/19 and 6/6/19 whose file did not contain the name and phone number of each person to be contacted in an emergency situation involving or impacting the child. Review of the presented children’s records revealed two (2) children with enrollment dates 6/23/19 and 9/26/19 whose file did not contain information on the child’s general health status and medical history including allergies, if applicable. Review of the presented children’s records revealed three (3) children with enrollment dates 6/23/19, 9/26/19 and 6/6/19 whose file did not contain the name of the family’s preferred hospital. Review of the presented children’s records revealed a child with enrollment date 6/23/19 whose file did not contain the name of the child’s physician. Upon request, the provider did not present the documentation for the aforementioned children 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 19. Certified Family Child-Care Home Program.

General: Review of the presented children’s records revealed three (3) children with enrollment dates 6/23/19, 9/26/19 and 6/6/19 whose file did not contain a written child care agreement with each child’s parent. Upon request, the provider did not present a child care agreement for the aforementioned children at the time of the survey. Written Documentation Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented documentation revealed that documentation to verify fire drills were conducted during the hours of operation at least monthly during 2019 were not presented for review. Upon request, the provider did not present the documentation at the time of the survey.

Open Not marked corrected in the state record

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: Review of the presented documentation revealed that documentation to verify earthquake drills and tornado drills were conducted during the hours of operation at least quarterly during 2019 was not presented for review. Upon request, the provider did not present the documentation at the time of the survey.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented documentation revealed that documented quarterly practiced earthquake drills and tornado drills detailing the date, time and participants that were conducted during 2019 was not presented for review. Upon request, the provider did not present the documentation at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Review of the presented documentation revealed that documented monthly practiced fire drills detailing the date, time and participants that were conducted during 2019 was not presented for review. Upon request, the provider did not present the documentation at the time of the survey.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Review of the presented documentation revealed that written policies and procedures was not presented for review. Upon request, the provider did not present the documentation at the time of the survey. Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.