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

General: Based on observation and interview, the room within the certified home that was identified as the child care space was cluttered with items such as barbie dolls, a desk, stool, and other items. Upon speaking with the provider she reported that the items within this space belonged to her great-great niece who she was currently caring for. 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 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, a one-year-old child was found to be asleep on the couch for the majority of the inspection. There were napping mats available for use at the certified home. Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, one (1) child who had recently been enrolled in the certified home did not have an immunization certificate on file during the inspection.

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, one (1) child who had recently been enrolled in the certified home did not have any of the enrollment documentation on file within the home. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on review of documentation, the last documented fire drill on file was conducted 01/06/23. Therefore, the fire drills were not conducted as required by the regulations.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:280 · 922 KAR 2:280 - Section 3. Implementation and Enforcement.

General: Based on review of documentation, two adults in the home hired 12/27/95, completed the KARES background check on 08/24/18; however, neither person renewed the background check requirement due 08/24/23. The checks from 08/24/18 are expired. Supervision In Compliance General Administration In Compliance 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, staff hired 12/27/95, had only seven hours of cabinet approved training on file. The ECE-TRIS was reviewed. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report 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, the following was found: 1) There were several items of clothing, towels, and shoes found in the bottom of the shower in the bathroom used by the children. 2) There were many toys and other play items found piled up in one of the play areas that there was no area for the children to play. 3) There were numerous dirty dishes piled up in the sink. 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 following was found: 1) There were several pieces of broken wood found along the pathway leading to the playground. 2) A broken black metal arch was found along the pathway leading to the playground. 3) Two lawnmowers and a gas can were found near the playground. 4) A large black trash can was found next to the playground full of broken sticks and a metal rake. 5) There were three propane tanks found near the playground. 6) There were numerous concrete pavers along the pathway leading to the playground that could pose a tripping hazard. 7) There were several areas that contained dog feces found on the playground. 8) There was a great deal of trash found on the playground. 9) The grass was very overgrown around the playground and there were numerous weeds growing in and around the playground. All of these items/areas were accessible to the children. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on review of documentation, the last documented earthquake/tornado drill on file was conducted 01/06/23. Therefore, the earthquake and tornado drills were not conducted as required by the regulations. Posted/Available Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Animals In Compliance Posted Requirements In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, this regulatory requirement was not met. The surveyor found a gallon of bleach and laundry detergent on top of the dryer located in the playroom, and a vacuum cleaner by the door. The children must walk through the playroom to get to the bathroom.

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, this regulatory requirement was not met. The surveyor found the kitchen counter and sink cluttered with dirty dishes. 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 13. Care Requirements for a Provider.

General: Based on observation, interview and review of documentation, this regulatory requirement was not met. 1) The surveyor found that the child care provider did not have a daily planned program (lesson plan) of activities for the surveyor to review. The child care provider could not locate the lesson plan. 2) The surveyor entered the playroom and found a gate surrounding many toys and shelving units that had been pushed together in the middle of the playroom. The toys and equipment were not accessible to the children in care. The child care provider indicated that she was in the process of organizing the playroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, this regulatory requirement was not met. 1) The surveyor found a rake and a wheelbarrow in the outdoor play area. 2) The surveyor found a large amount of dog feces along the walkway to the outdoor play area. 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 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 statement of deficiencies along with the corresponding plan of correction from the last inspection conducted on 10/13/2021, was not available for review. The child care provider could not locate the documents. 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 13. Care Requirements for a Provider.

General: Based on observation and interview, a stack of blankets was located within the living room of the home. The staff-person-in-charge stated that the blankets were used for nap and washed once a week. The blankets were touching one another; this method of storage promotes cross-contamination of germs and bacteria. 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 staff-person-in-charge and the adult resident had a negative tuberculin skin result that exceeded two years and therefore was no longer current. The documentation was dated 2/7/2019. 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 12. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, a working smoke detector was not present in the home.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on observation, a gallon jug of Rain-X was found on the playground; this item is labeled, “Keep out of reach of children”. Additionally, chemical cleaners were stored under the sink in the kitchen and Vapo rub, eye drops, and Desitin were found on a low shelf in the living room. These items were accessible to the children in care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation, several gnats were observed flying in the kitchen of the home. 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 16. Medication and First Aid.

General: Based on observation, a tube of Desitin diaper cream was found in a bag in the living room of the home. The cream was not labeled with a child’s name. Outdoor Play Area In Compliance 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

Category: ratio. Open / not marked corrected.

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

General: Based on review of documentation, one child had an immunization record that was no longer current as of 9/26/2021. 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

Category: health medication. 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 review of documentation, the times that the April- July 2021 Earthquake and Tornado drills were conducted were not documented. Posted/Available Documentation In Compliance Animals Not In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, there was not written permission for the children to be in the presence of the dog in the home. Additionally, the rabies vaccination for the dog was not current; the immunization had expired 10/9/2021. 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, this regulatory requirement was not met. During a tour of the children's playroom, the surveyor observed an excessive accumulation of dust on the ceiling fan and fan blades. 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 12. Care Requirements for a Provider.

General: Based on observation and interview, this regulatory requirement was not met. During a tour of the home at approximately 2:25PM, the surveyor observed the provider's adult male son come out of his bedroom and enter the bathroom area. A couple minutes later, a four-year-old child was heard telling the provider that she needed to use the bathroom. The provider told the child that she would need to wait until her son came out of the bathroom and commented that the child should know that he goes in there daily around the same time. The provider further told the child that she needed to start going to bathroom before nap like she is told too. Over the next 30 - 40 minutes, the child repeatedly checked the bathroom door, told the provider that she really needed to go and was observed holding her private area and jumping up and down. The provider knocked on the bathroom door a couple of times and told her son that the child needed to go. The surveyor asked the provider if there was another bathroom available in the home. The provider stated that there is a second bathroom in the basement level of the home; however, stated that the children do not go down there and the space is not heated. Having the children wait so long to go to the bathroom is a health and comfort concern. 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, this regulatory requirement was not met. During a tour of the children's playroom, the surveyor observed a gallon of Clorox bleach and a container of liquid laundry detergent sitting on top of the dryer. These items were accessible to the children. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on observation and interview, this regulatory requirement was not met. During a tour of the home, the surveyor asked the provider where she changes diapers because there was a one-year-old child in care during the visit. The provider stated that sometimes she changes children on top of the washing machine in the playroom; however, most of the time she changes children on a cloth towel in the bathroom. The surveyor observed a large plastic bag with unknown items and folded clothes stacked on top of the washing machine; therefore, it was not available for diaper changing. Furthermore, using a cloth towel in the bathroom area, does not provide a padded, non-absorbent, and easily cleanable surface for diaper changing. 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

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, the provider’s insurance policy was dated 10/3/19 - 10/3/20; therefore, it was no longer current.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on review of documentation, this regulatory requirement was not met. A review of the emergency drill log found that a fire drill was not conducted during October 2020; therefore, drills have not been conducted monthly. Posted/Available Documentation In Compliance Animals In Compliance Posted Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Emergency Regulation Not In Compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

922 KAR 2:405 · 922 KAR 2:405E. Emergency Regulation.

General: Based on observation and interview, this regulatory requirement was not met. The provider was not wearing a mask or any type of face covering throughout the entire inspection (2:20PM - 3:10PM). This situation was discussed with the provider during the visit. The provider stated that she does not wear a mask because it gives her headaches; however, did not have medical documentation on file.

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, this regulatory requirement was not met. On 10/18/19 at 10:42AM the surveyor arrived at the home in an attempt to conduct an annual inspection and observed an adult female walking toward the front door of the home at the same time as the surveyor. The adult female identified herself as the provider and stated that she was closed for the day due to a doctor's appointment. This temporary closure was not reported to the cabinet. The provider stated that she forgot to call and report the temporary closure. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on observation, this regulatory requirement was not met. During a tour of the children's playroom the surveyor observed excessive dust accumulation on a ceiling vent and on the ceiling fan blades. 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, this regulatory requirement was not met. During a tour of the children's playroom the surveyor observed a diaper changing mat positioned on top of a dramatic play kitchen set. The provider stated during interview that she places the diapering mat on top of the washing machine in the playroom to change diapers; however, the surveyor observed a laundry basket full of clothes and several other clothing items stacked on top of the washing machine. There was a six month old child present in the home during the visit. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment 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 12. Care Requirements for a Provider.

General: Based on observation, and interview, this regulatory requirement was not met. The surveyor observed a six-month-old child present in the home during the visit. The provider only had one crib present in the home and it was observed in the main child care space (living room). The crib contained a Bouncy seat, a large infant play apparatus, numerous other toys and numerous papers related to the provider's in-home childcare business. The provider stated that the child sometimes sleeps in the Bouncy seat. Therefore, she did not have an appropriate sleep area for the child. 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 11. The General Requirements of the Family Child-Care Home Environment.

General: Based on review of documentation, the records presented indicate that fire drills, earthquake drills and tornado drills were cunducted on the same day at the same time. 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 2. Certification Process.

General: Based on review of documentation, the provider and a live in adult do not have current TB test results or physicians statement indicating they are free of active TB. The documentation was longer than two years old. 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 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, it was found that a child with an enrollment date of 07/25/2016 had a file that did not contain an immunization certificate. 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 Review of Documentation, it was found that the provider did not have documentation of commercial liability insurance. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the last conducted fire drill was in September of 2016.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that the last conducted quarterly tornado/earthquake drill was in September of 2016. 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 13. Toilet and Diapering Requirements.

General: Based on Observation, it was found that the provider did not have a diapering/handwashing procedure posted. 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 12. Care Requirements for a Provider.

General: Based on Interview with the provider, it was found that she places a four (4) month old child in a bouncer to sleep and then places the bouncer in the crib. The staff in charge stated that she does this because the child spits up a lot and stated that she did not have a note to place the child in that position.

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, it was found that there was no evidence of blocks nor were block activities listed on the planned program of activities. 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 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

Open / not marked corrected.

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

General: Based on Review of Documentation, it was found that a child enrolled on 06/27/2016 did not have evidence of an immunization certificate in her file. Written Documentation In Compliance Posted 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 16. Animals.

General: Based on Review of Documentation, it was found that the provider's dog was due for a rabies shot in December of 2014. The provider stated that the dog is rarely around the children, but acknowledged that the shot was out of date. Posted Requirements

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, it was found that the Children and Parents Rights were not posted. The provider stated that she was unaware of the need to post this document.

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, it was found that the blue paint in the toy room was peeling away from the wall. The provider stated that she was aware of the peeling paint. In addition, it was found that the basement of the provider's home was flooded with several inches of black foul smelling water. During interview, the provider stated that the drains were not functioning properly. She also stated that extra cots and toys for the children were stored in this area. 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 19. Certified Family Child-Care Home Program.

General: Based on Interview, it was found that the provider did not have a copy of the certification standards available. She stated that she was unaware of the need to provide the parents with a copy. In addition, it was found that the provider only had a checklist from 2011 available for her review.

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 Interview, it was found that the provider did not provide a cot for a three (3) year old child for rest time. The provider stated that the child did not like to nap so she did not require him to participate in rest time.

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, it was found that the fire extinguisher located in the home was empty. The provider stated that she was unaware of the status of the fire extinguisher. In addition, it was found that there was not a functioning carbon monoxide detector in the home. The home is heated with gas. The provider stated that the carbon monoxide detector had fallen behind some items in her bedroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

General: Based on Observation, it was found that 1) an unlocked drawer in the kitchen contained several screwdrivers and mouse traps; 2) the unlocked cabinet under the kitchen sink was found to contain nail polish remover, scrub free cleaner with bleach, dishwasher detergent, Brillo pads, and Comet; 3) on the front porch, a gallon jug of Round Up, a gallon jug of Eliminator weed/grass killer and two (2) bottles of Pennzoil motor oil were present; 4) in the toy room, a box of Tandil dryer sheets, a container of Tandil laundry packs and two (2) bottles of Tandil bleach were found to be stored on the washer and dryer. Each of these containers bore the label, "Keep Out of Reach of Children." The provider acknowledged the presence of the items in the drawer, the cabinet, the front porch and in the toy room.

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, it was found that the ceiling vent located in the toy room was caked with an accumulation of dust and grime. The provider acknowledged the condition of the vent.

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, it was found that a bottle of Miralax was being stored in a low unlocked cabinet in the kitchen. The provider stated that the medication was hers and that she had forgotten it was in the cabinet.

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, it was found that 1) the wooden door covering four (4) steps that lead down to the basement area was open, making the area accessible to the children. The basement was found to be flooded with several inches of black, foul smelling water; 2) the weed guard was found to be pulled through the ground covering in several areas, creating a tripping hazard; 3) the ground covering around the large climbing structure was found to be pea gravel. Pea gravel is not an approved ground covering for areas used by children under the age of three (3) years; 4) a lawn mower, wheel barrow and a metal fire pit with a sharp metal poker were found to be accessible to the children. The lawn mower and wheel barrow were located by the shed. The fire pit was located directly on the playground area; 5) a metal garage door was found to be folded up on the grass next to the playground area. The metal sides of the door were sharp; 6) two (2) metal tomato cages were found to be on the ground in the outdoor play area. The metal stakes of the cages were found to be sharp and rusty.

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, it was found that 1) the driver's side wheel of a Cozy Coupe located on the playground was broken off, leaving an exposed metal bar and rendering the toy useless; 2) the top surface of a small Little Tikes table was found to be covered with an accumulation of grime; 3) several toy trucks and a blue rocker located on the playground were found to be discolored with an accumulation of grime. 425 - Trampoline Not Applicable 922 KAR 2:100 - Section 11. The General Requirements of the Family Child-Care Home Environment. (16) A trampoline shall not be accessible to a child in the care of a provider. 430 - Swimming Pool Not Applicable 922 KAR 2:100 - Section 11. The General Requirements of the Family Child-Care Home Environment. (17) 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. (18) 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. 435 - Playpens Not Applicable 922 KAR 2:100 - Section 11. The General Requirements of the Family Child-Care Home Environment. (24) Playpens and play yards shall: (a) Meet the federal standards as issued by the Consumer Product Safety Commission, including 16 C.F.R. 1221; (b) Be manufactured for commercial use; and (c) Not be used for sleeping or napping. 440 - Infant rest time Not Applicable 922 KAR 2:100 - Section 12. Care Requirements for a Provider. (8) Rest time shall include adequate space specified by the child’s age as follows: (a) For an infant: 1. An individual non-tiered crib that meets Consumer Product Safety Commission standards established in 16 C.F.R. 1219-1220; 2. A firm crib mattress in good repair with a clean tight-fitted sheet that is changed: a. Weekly; or b. Immediately if it is soiled or wet; 3. No loose bedding; and 4. No toys or other items except for the infant’s pacifier; or

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, it was found that there was only one (1) cot available for the children to nap on. The provider stated that the three (3) year old child did not nap, therefore a cot was not provided for him.

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, it was found that one (1) child's file out of three (3) files reviewed contained an immunization certificate that did not have an expiration date noted. The provider stated that she was aware of the lack of an expiration date. 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 Review of Documentation, it was found that the provider has yet to update their emergency preparedness plan according to KRS 199.8982. The plan on file is dated 12-20-2013. The provider stated that she was unaware of the need to update this information annually.

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, it was found that the staff to child ratios were not posted in the home. The provider stated that she was unaware of the need to post this information. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 15 of 16 Web site: http://chfs.ky.gov/ Inspection Report Animals

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, it was found that the two (2) year-old child in care was served 2 percent milk for lunch. The certified provider indicated that she ran out of 1 percent milk.

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 items were located in the children's outdoor play area: an adult shovel, a lawn mower, a wheelbarrow propped up on the front wheel against the storage shed, and some sections of garage door slats.

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, it was found that the certified provider did not have a current copy of the regulations on site to make available to the parents.

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there were uncovered electrical outlets in the kitchen and in the bathroom. Both spaces were used by the children in care. 60 - Fan/Furnace/Heater/Fireplace 922 KAR 2:100 - Section 10 (7) An electric fan, floor furnace, or freestanding heater or fireplace shall: (a) Be out of the reach of a child; or (b) Have a safety guard to protect a child from injury. 1) Electric fan Not Applicable 2) Floor furnace Not Applicable 3) Freestanding heater Not Applicable 4) Fireplace Not Applicable An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 6 of 19 Web site: http://chfs.ky.gov/ Inspection Report 61 - Telephone/Emergency Numbers Posted 922 KAR 2:100 - Section 10 (8) The home shall have: (a) At least one (1) working land-line, unless the cabinet has been notified that the telephone is temporarily out of service telephone on each level used for child care with a residential or commercial line; and (b) A list of emergency numbers posted by each telephone, including numbers for the: 1. Police; 2. Fire station; 3. Emergency medical care and rescue squad; and 4. Poison control center. 1) Land-line telephone In Compliance 2) Police number posted In Compliance 3) Fire Station number posted In Compliance 4) EMS number posted In Compliance 5) Poison Control number posted In Compliance 64 - Stairs/Steps Not Applicable 922 KAR 2:100 - Section 10 (11) Stairs and steps used for children in care shall be: (a) Solid; (b) Safe; and (c) Railed. 1) Solid Not Applicable 2) Safe Not Applicable 3) Railed Not Applicable 65 - Stairs Blocked, if applicable Not Applicable 922 KAR 2:100 - Section 10 (12) If an infant or toddler is in the care of a provider, indoor stairs with more than two (2) steps shall be blocked. 66 - 35 Square Feet 922 KAR 2:100 - Section 10 (13) Exclusive of the bathroom and storage area, an indoor area, including furnishings, used for child care shall contain at least thirty-five (35) square feet per child for: (a) Play; and (b) Activities that meet the developmental needs of the children in care. 1) For play In Compliance 2) For developmentally appropriate activities In Compliance 78 - Condition of Home 922 KAR 2:100 - Section 10 (25) The home shall: (a) Be clean; (b) Be uncluttered; (c) Be free of insects and rodents; (d) Have a water supply that is: 1. Potable; 2. Adequate; and 3. From an approved public water supply; and (e) Have bathrooms, including toilets, sinks, and potty chairs that are: 1. Sanitary; and 2. In good working condition. 1) Clean In Compliance 2) Uncluttered In Compliance 3) Free of insects/rodents In Compliance 4) Water supply is potable In Compliance 5) Water supply is adequate In Compliance 6) Water supply is from approved source In Compliance 7) Bathrooms, toilets, sinks, potty chairs are sanitary In Compliance 8) Bathrooms, toilets, sinks, potty chairs are in good working condition In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 19 Web site: http://chfs.ky.gov/ Inspection Report 84 - Openings Screened 922 KAR 2:100 - Section 10 (31) Windows, doors, and outer openings shall be screened to prevent the entrance of vermin. 1) Windows In Compliance 2) Doors In Compliance 3) Outer openings In Compliance 85 - Garbage Stored Appropriately 922 KAR 2:100 - Section 10 (32) Indoor and outdoor garbage shall be stored in a waterproof container with a tight-fitting cover. 1) Indoor/waterproof container/tight-fitting cover In Compliance 2) Outdoor/waterproof container/tight-fitting cover In Compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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

General: Based on Observation, there were two (2) lawn mowers in the children's play space. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 11 of 19 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 Not Applicable 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 Not Applicable 2) Hand/foot holds are inaccessible when not in use Not Applicable 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 19 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 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 In Compliance 2) Sanitized after each use In Compliance 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

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

General: Based on Observation, the certificate was not posted at the time of the visit. The provider stated that she had taken the certificate down to make a copy and did not repost it. 88 - Daily Routine Plan 922 KAR 2:100 - Section 10 (35) A written and posted routine plan shall be established for daily: (a) Activity; (b) Opportunity for outdoor play; and (c) Reading. 1) Written and posted In Compliance 2) Includes activity In Compliance 3) Includes opportunity for outdoor play In Compliance 4) Includes reading 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 13

General: Based on Observation, there was a bottle of perscription medication sitting out on the microwave in the kitchen. The provider stated the medication belonged to her son.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.