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

General: Based on observation, the surveyor found that the hot water temperature of the sink in the restroom had a temperature reading of sixty-two (62) degrees Fahrenheit; therefore, the hot water was not a minimum temperature of ninety (90) degrees Fahrenheit and a maximum of one hundred twenty (120) degrees Fahrenheit. During interview with the provider, she stated that the hot water element had went out during the day and she would have this repaired as soon as possible. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area 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 surveyor found a piece of lattice to be broken and had what appeared to be a sharp edge. The broken lattice was located on a building inside the fenced in area on the playground. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation and ECE-TRIS, the surveyor found that a provider (DOH: 11/15/93) obtained two (2) hours of the required nine (9) hours of cabinet- approved early care and education training for the review period 07/01/21 – 06/30/22. 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 Children's Records In Compliance Written Documentation In Compliance Posted/Available Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 2. Certification Process.

General: Based on review of documentation, the surveyor found the following: 1. A staff's (DOH: 11/15/1993) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. During interview, the provider stated that the adult had a TB skin test; however, she was unable to locate the documentation. 2. An adult’s (DOH: 11/15/1993) file did not contain documentation of a current TB skin test or a statement from a health professional stating that the adult was free from active tuberculosis. During interview, the provider stated that the adult lives in the home and had a TB skin test; however, she was unable to locate the documentation. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area 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 of the playground, the surveyor found the following: 1. A silver metal pole placed next to a building on the playground. During interview, the provider stated that metal pole goes to the fence and she would remove the pole from the playground. 2. Two (2) swing seats with chains placed on the ground in front of the steps that lead to the playground. During interview, the provider stated that she would remove the swing seats from the playground. The items mentioned were observed to be within reach and accessible to the children. Equipment In Compliance 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, the surveyor found that a child’s (DOE: 11/09/20) file contained an immunization certificate that was no longer current as of 05/03/21.

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 surveyor found the following: 1.A child’s (DOE: 08/01/20) file did not contain the following information: authorization by the parent for the provider to seek emergency medical care for the child in the parent’s absence, the name and phone number of each person to be contacted in an emergency, the name of each person who is designated in writing to pick-up the child, contact information for the child’s parents, preferred family physician and hospital, and general health status and medical history including, if applicable, allergies and restrictions. 2. A child's (DOE: 11/09/20) file did not contain the preferred physician name or contact telephone number. 3. A child's (DOE: 11/09/20) file did not contain the contact telephone number for the child's preferred hospitial. 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, the surveyor found an old shredded tire that had bolts in it and was lying next to the steps the children use to enter the playground area. The tire was accessible to the children. The provider stated they would remove the tire from the playground area. Equipment In Compliance Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 18. Records.

General: Based on review of documentation, the surveyor found that the daily attendance records documenting the arrival and departure time of each child were not completed for all of the children on 1/6/2021. Through interview, the surveyor learned that the attendance records had not been completed and were not available 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 18. Records.

General: Based on review of documentation, the surveyor found the following: 1.) An earthquake drill was not conducted during the second quarter of 2020. Through interview, the surveyor learned that written verification of the earthquake drill was not available for review. 2.) An earthquake drill was not conducted during the third quarter of 2020. Through interview, the surveyor learned that written verification of the earthquake drill was not available for review. 3.) An earthquake and tornado drill were not conducted during the fourth quarter of 2020. Through interview, the surveyor learned that written verification of the earthquake and tornado drills were not available for review.

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 surveyor found that fire drills were not conducted during the months of September, October, November, and December of 2020. Through interview, the surveyor learned that written verification of the fire drills were not available for review.

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 surveyor found that the written evacuation plan was last updated on 6/2/2019; therefore, the plan needs to be updated. The provider confirmed through interview that this was the last time the emergency preparedness plan was updated. Posted/Available Documentation In Compliance 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 documentation presented for review, the surveyor found one (1) child's file (DOE: 07/30/18) did not contain the name of the preferred hospital and preferred hospital telephone number. 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. Certified Family Child-Care Home Program.

General: Based on observation and interview, the surveyor found the provider was not open during regular operating hours on 10/02/19 and had not notified Cabinet designees about the closure. Therefore, the surveyor was not able to enter the family child care home during operating hours to conduct the survey. Provider stated they had telephoned to notify the Cabinet; however, provider could not get through to leave a message about closure. 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 review of ECE-TRIS, the surveyor found: 1. Staff (DOH: 11/15/93) did not complete annually at least nine (9) hours of cabinet-approved early care and education training. During interview, provider stated training had been completed; however, the training had not been entered into ECE-TRIS. 2. Staff (DOH: 11/15/93) had completed Pediatric Abusive Head Trauma training on 09/30/13. A review of the staff's file and a review of ECE-TRIS found no additional PAHT training; therefore, the PAHT training is not being completed every five (5) years. During interview, staff was not aware the five (5) years were passed. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 18. Records.

General: Based on documentation presented for review, the surveyor found a child's (DOE: 09/13/16) file contained an immunization certificate that was no longer current as of 08/05/19. Staff reported this was the most recent immunization certificate that was provided to the child care center.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

General: Based on observation, the surveyor found a bottle of saline solution located on the counter at the hand washing sink in the restroom. The saline solution was accessible to the children. 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 An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 18. Records.

General: Based on review of documentation, the surveyor found that the arrival times for the three (3) children present were not documented on the attendance records for 7/17/18. The provider was aware of the issue. 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 14. Food Requirements.

General: Based on observation, the freezer temperature read four (4) degrees Fahrenheit; therefore, it was not kept at the required zero (0) degrees Fahrenheit or below. Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation of children's files, the following things were found: 1) A child's (DOE: 5/6/16) enrollment form did not have the preferred hospital phone number listed. 2) A child's (DOE: 5/6/16) enrollment form did not have authorization by the parent for the provider to seek emergency medical care in their absence. 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, there were a total of seven (7) children present during the surveyor’s visit; however, the provider could not locate the attendance sheet for this date. Therefore, the surveyor was unable to review documentation to confirm that the children were signed in.

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: Based on observation, the following things were found: 1) There was one (1) tube of toothpaste located in an unlocked white cabinet above the toilet. The toothpaste was accessible and within reach of the children. 2) There was one (1) plunger located next to the toilet. The plunger was accessible and within reach of the children. 3) The children's individual blankets were folded and stacked on top of each other with nothing to separate them. Provider Requirements In Compliance Provider Records In Compliance Programming 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 review of documentation, the provider did not have an updated lesson plan for the children, i.e., the last lesson plan available for review was from 2015. Based on interview, the provider confirmed that she did not have an updated plan. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 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 following things were found: 1) One (1) spray bottle of Clorox foam cleaner was located inside of the shower in the bathroom. The Clorox was accessible and within reach of the children. 2) One (1) roll of plastic trash bags were located inside of an open metal container that was sitting on top of the bathroom counter. The plastic bags were accessible and within reach of the children. 3) One (1) roll of plastic trash bags were located inside of a white cabinet above the toilet. The cabinet was unlocked and the trash bags were accessible and within reach of the children.

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 water temperature of the bathroom sink had a reading of seventy-two (72) degrees Fahrenheit which was not between the required ninety (90) degrees and one hundred twenty (120) degrees Fahrenheit. 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 following six (6) prescription medications were found in a Ziploc bag located in the freezer: one (1) bottle of Levothyroxine 137mg, three (3) bottles of Levothyroxine Sodium 175mg, one (1) bottle of Levothyroxine 150mg, and one (1) bottle of Levothyroxine 25mg. All six (6) bottles of medication were accessible and within reach of the children. Outdoor Play Area 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, the following things were found on the playground: 1) One (1) extension cord was located on the porch next to the playground. 2) One (1) roof shingle was located in the area where the children play. 3) Two (2) small pieces of wood lattice were located in the area where the children play. Based on interview, the children also play on the porch area next to the playground. Equipment In Compliance Transportation Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report Food Service Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, the provider did not have an updated menu posted. Based on interview, the provider confirmed that she did not have a current menu for review.

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 did not have an updated emergency preparedness plan that included the following: a designated relocation site and evacuation route, procedures for notifying parents of the relocation and ensuring family reunification, procedures to address the needs of individual children including children with special needs, instructions relating to the training of staff or the reassignment of staff duties, coordination with local emergency management officials, or a program to ensure that appropriate staff are familiar with the plan's components, i.e., the provider's emergency preparedness plan was last updated on 6/11/15. Posted Documentation In Compliance Animals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report 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 with the provider, the surveyor learned that the provider did not have a written evacuation plan available 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 12. Care Requirements for a Provider.

General: Based on observation at 10:10 AM on 08/19/15, the provider was caring for five (5) children ages two (2) months-old to four (4) years-old. The two (2) month-old infant was sleeping in a Fisher Price vibrating hammock rather than a crib as required by regulations. During an interview with the provider, she stated that the child was not enrolled; however, she was providing care for the child. On 08/19/15, the provider stated that she had not purchased a crib.

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 provider did not provide documentation that evidenced that she had coordinated at least one (1) annual activity involving parental or family participation. During an interview, the provider stated that she had hosted parent/family involvement activities such as Christmas and Easter parties; however, she stated that she did not retain written documentation of those activities. Provider Records

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, an eleven (11) month-old infant (DOE 07/06/15) was sleeping on the provider's couch during the DRCC inspection. During an interview, the provider stated that she did not have a crib and had not provided care for an infant recently. The provider stated that the child would be turning one (1) year-old in one (1) week from the date of the inspection; however, the provider did not have completed enrollment information on the child to verify the date of birth.

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, a weekly menu was not posted as required, nor provided for review during the DRCC inspection on 07/08/15. During an interview, the provider stated that she could not locate the menu.

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 following was found: 1) A child (DOE 07/06/15) present in the certified home did not have an immunization certificate on record. 2) A child (DOE 07/06/15) present in the certified home did not have an immunization certificate on record. 3) A child (DOE 07/06/15) present in the certified home did not have an immunization certificate on record. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 16 Web site: http://chfs.ky.gov/ 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 interview with the provider, she stated that a sibling group of three (3) children were enrolled on 07/06/15; however, enrollment documentation was not completed and available for review. Therefore, the following required documentation was incomplete on each of the three (3) children: a) Information about the child, which includes, the child's name, date of birth, and address. b) Contact information to enable the provider to contact the child's: parent at home or place of employement, family physician, and preferred hospital. c) The name of the of the person who is designated in writing to pick-up the child. d) The child's general health status and medical history. e) The name and phone number of each person to be contacted in an emergency situation. f) Authorization by the parent for the provider to seek emergency medical care for the child in the parent's absence.

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 review of documentation, the provider presented rabies vaccination for one (1) of the canines on the premises which was no longer current as of 01/13/15. Posted Requirements

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 surveyor found that a child’s enrollment file did not contain identifying information to include general health status, medical history or authorization by the parent to seek emergency medical treatment in the parent’s absence.

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 surveyor learned that the provider did not have a written evacuation plan available 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 16. Animals.

General: Based on review of documentation, the surveyor found that written parental consent had not been obtained for the children to be in the presence of the provider's dog. 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 surveyor found that a toilet brush and holder had been stored in an unlocked cabinet located under the sink in the restroom used by the children. 70 - Overnight Care Not Applicable 922 KAR 2:100 - Section 12. Care Requirements for a Provider. (11) If overnight care is provided, a provider or an assistant shall: (a) Remain awake until every child in care is asleep; and (b) Sleep on the same floor level of the home as an infant or toddler.

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 ECE-TRIS, the surveyor found that the provider had obtained only 1.5 hours of annual cabinet-approved early care and education training during the review period. 160 - Assistant CPR/FA, if applicable Not Applicable 922 KAR 2:100 - Section 10. Standards for the Provider. (7) Prior to being left alone with a child, an assistant shall be certified by a cabinet-approved agency in infant and child: (a) CPR; and (b) First aid. 165 - Assistant Training Requirements, if applicable Not Applicable 922 KAR 2:100 - Section 10. Standards for the Provider. (9) An assistant used in the absence of the family child-care home provider in excess of fourteen (14) calendar days during a one (1) year period shall demonstrate completion of at least nine (9) hours of cabinet-approved training, including pediatric abusive head trauma training pursuant to KRS 199.8982(2), in accordance with subsection (1) of this section. Programming

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

General: Based on observation during a tour of the certified family child care home, the surveyor found containers of Neosporin and Orajel in an unlocked sink drawer and a bottle of hair remover on the counter top of the sink located in the restroom that is used by the children. The medication was not in a locked container or in a locked area.

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, the surveyor found the following: 1. The lattice underpinning had been removed from an outdoor shed leaving an unprotected opening for a child to crawl under the building. 2. The wire along the bottom of the playground fence was not secured to the posts.

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 surveyor found that the mats provided for the children during rest time are only one (1) inch thick.

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 surveyor found that two (2) children, twenty-four months to school-age, were served pasteurized two (2) percent milk rather than pasteurized skim or low fat one (1) percent milk with cereal.

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 observation, the surveyor found that a weekly menu had not been prepared or posted in a conspicuous place.

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 provider did not have a copy of the most recent certification standards which were effective on 3/8/13.

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, a toilet brush was stored next to the commode in the bathroom.

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 following was found: (1) The disaster drill log did not detail the time the earthquake drill was practiced on 10/22/12. (2) The disaster drill log did not detail the time the tornado drill was practiced on 12/12/12.

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 disaster drill log did not detail the time the fire drill was practiced on 12/10/12. 650 - Reports to Cabinet Not Applicable 922 KAR 2:100 - Section 18. Records. (5) A certified family child-care home provider shall maintain a written record of: (c) Reports to the cabinet that are required in accordance with Section 19(10) of this administrative regulation. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 13 of 15 Web site: http://chfs.ky.gov/ 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 18. Records.

General: Based on review of documentation, the provider's written evacuation plan did not include the following components: (1) Procedures for notifying parents of the relocation and ensuring family reunification. (2) Instruction relating to the training of staff or the reassignment of staff duties, as appropriate. Also, copies of the evacuation plan have not been given to appropriate local emergency management officials or to parents as required.

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 statement of deficiency/plan of correction for the 2012 licensure survey was not posted. Animals

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

922 KAR 2:100 · 922 KAR 2:100 - Section 10

General: Based on observation, several pieces of glass were found on the playground. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 18 Web site: http://chfs.ky.gov/ Inspection Report 69 - Stationary Play Equipment 922 KAR 2:100 - Section 10 (16) Outdoor stationary play equipment shall be: (a) Securely anchored; (b) Developmentally appropriate; (c) Age appropriate; and (d) Safe. 1) Securely anchored In Compliance 2) Developmentally appropriate In Compliance 3) Age appropriate In Compliance 4) Safe In Compliance 71 - Swimming Pool Not Applicable 922 KAR 2:100 - Section 10 (18) A swimming pool on the premises shall: (a) Be maintained; (b) Have a water filtering system; (c) Be supervised when in use; and (d) Be inaccessible to children when not in use. 1) Maintained Not Applicable 2) Has a water filtering system Not Applicable 3) Supervised when in use Not Applicable 4) Inaccessible to children when not in use Not Applicable 72 - Above-Ground Pool 922 KAR 2:100 - Section 10 (19) An above-ground pool shall have: (a) A stationary wall no less than four (4) feet tall; and (b) Hand holds or foot holds that are inaccessible when the pool is not in use. 1) Stationary wall is at least 4 feet tall In Compliance 2) Hand/foot holds are inaccessible when not in use In Compliance Equipment 62 - Equipment and Toys 922 KAR 2:100 - Section 10 (9) Equipment and toys shall be: (a) Designated by the manufacturer as developmentally appropriate to the age of children in care; (b) In sufficient quantity for the number of children in care; and (c) Safe, sound, clean, and in good repair. 1) Developmentally appropriate In Compliance 2) Sufficient quantity In Compliance 3) Safe, sound, clean, and in good repair In Compliance 70 - Trampoline Not Applicable 922 KAR 2:100 - Section 10 (17) A trampoline shall not be accessible to a child in the care of a provider. 86 - Rest Time Requirements 922 KAR 2:100 - Section 10 (33) Adequate space shall be provided at rest-time for each child in care more than four (4) hours: (a) Rest-time area shall be comfortable, clean, safe, and in good repair. (b) An individual bed, crib, play pen, two (2) inch thick waterproof mat, or cot with comfortable, clean, safe bedding shall be provided for each child. (c) A crib or play pen shall meet the Consumer Products Safety Commission Standards established in 16 C.F.R. 1508-1509. (d) Individual linens shall be: 1. Provided for each child; and 2. Changed: a. At least weekly; or b. If soiled or wet, immediately. 1) Adequate space In Compliance 2) Area is comfortable, clean, safe, and in good repair In Compliance 3) Individual bed, crib, play pen, 2-inch thick mat, or cot is provided In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 12 of 18 Web site: http://chfs.ky.gov/ Inspection Report 4) Comfortable, clean, safe bedding In Compliance 5) Crib/play pen meets CPSC standards In Compliance 6) Individual linens are provided In Compliance 7) Linens changed weekly/immediately, if soiled or wet In Compliance 102 - Toilet Training Chair Not Applicable 922 KAR 2:100 - Section 11 (6) If a toilet training chair is used, the chair shall be: (a) Emptied promptly; and (b) Sanitized after each use. 1) Emptied promptly Not Applicable 2) Sanitized after each use Not Applicable Transportation 127 - Policies and Procedures Not Applicable 922 KAR 2:100 - Section 15 (1) If transportation is provided or arranged by the certified family child-care home provider, the provider shall: (a) Have written permission from a parent to transport his or her child; (b) Have a car or van equipped with seat belts; (c) Require that a child: 1. Be restrained in an appropriate safety seat meeting federal motor vehicle safety standards in 49 C.F.R. 571.213; 2. Remain seated while the vehicle is in motion; and 3. If under thirteen (13) years of age, be transported in the back seat; (d) Have a valid driver's license issued by the Division of Motor Vehicles; (e) Have emergency and identification information about each child in the vehicle if children are being transported; and (f) Conform to state laws pertaining to vehicles, drivers license, and insurance pursuant to KRS 186.020. 1) Parent permission Not Applicable 2) Vehicle equipped with seat belts Not Applicable 3) Appropriate car safety seats Not Applicable 4) Children remain seated Not Applicable 5) Children under 13 ride in the back seat Not Applicable 6) Valid driver's license Not Applicable 7) Emergency/identifying information for each child in vehicle Not Applicable 8) Registration and insurance Not Applicable 128 - Child Not Left Unattended Not Applicable 922 KAR 2:100 - Section 15 (2) A child shall not be left unattended in a vehicle. 129 - Pick-Up Truck Not Applicable 922 KAR 2:100 - Section 15 (3) The back of a pickup truck shall not be used to transport a child. Food Service 81 - Refrigerator 922 KAR 2:100 - Section 10 (28) The refrigerator shall: (a) Be in working order; and (b) Maintain product temperature at or below forty-five (45) degrees Fahrenheit. 1) Working In Compliance 2) Temp is 45 degrees F or below In Compliance

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922 KAR 2:100 · 922 KAR 2:100 - Section 17

General: Based on review of documentation, the director did not have verification of Parent/Family Activity. Provider Records 19 - Provider CPR/First Aid 922 KAR 2:100 - Section 2 (4) An applicant shall be currently certified by a agency approved in accordance with 922 KAR 2:240, Section 15 in infant and child; (a) Cardiopulmonary resuscitation (CPR); and (b) First aid. 1) CPR In Compliance 2) First Aid In Compliance 20 - Adult Living in Home/Assistant 922 KAR 2:100 - Section 2 (5) An adult living in the home of the applicant and the applicant’s assistant shall submit: (a) To a criminal records check required by KRS 17.165 within a year prior to application by the Justice Cabinet or Administrative Office of the Courts; 1) Adult in Home CRC In Compliance 2) Adult in Home CAN In Compliance 3) Adult in Home TB In Compliance 20 - Adult Living in Home/Assistant 922 KAR 2:100 - Section 2 (5) An adult living in the home of the applicant and the applicant’s assistant shall submit: (a) To a criminal records check required by KRS 17.165 within a year prior to application by the Justice Cabinet or Administrative Office of the Courts; 4) Assistant CRC Not Applicable 5) Assistant CAN Not Applicable 6) Assistant TB Not Applicable 24 - Provider Training Requirements 922 KAR 2:100 - Section 2 (9) Within three (3) months of submission to the cabinet of a complete OIG-RCC-4, an applicant shall: (a) Demonstrate completion of six (6) hours of cabinet-approved training in accordance with KRS 199.8982(1)(a)6; and (b) Develop and implement a written plan for obtaining nine (9) hours of annual cabinet-approved training as required in Section 9(1) of this administrative regulation. 1) Orientation In Compliance 2) Develop/implement Written Plan In Compliance

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