922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation and interview, in the Toddler Classroom, there was a sink that initially did not have hot water. After discussing with the staff in charge, she turned the hot water back on and it was discovered that the sink had a constant leak which was why the hot water was turned off.

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, the following was found: 1) Two (2) staff members (DOH: 02/03/25 and 11/01/24) did not have the required orientation training, which is required within ninety (90) days of employment. 2) One (1) staff member (DOH: 08/24/22) did not have any training hours for the completed training year. 3) One (1) staff member (DOH: 11/01/24) only had four (4) training hours for the completed training year. 3) One (1) staff member (DOH: 11/01/24) had not completed the one and one-half (1.5) hours of pediatric abusive head trauma training that was due on or before 11/01/25. A review of ECE-TRIS verified the above information.

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, in the boy's bathroom, located across from a refrigerator, there were two (2) ceiling tiles with water stains on them. The same ceiling was also missing the corner of a ceiling tile.

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 12/23/2025 AND AS OF 12/24/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

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

General: Based on interview and review of documentation, two (2) staff members (DOH: 05/27/25 and 07/14/25) working at the time of survey were not listed on the KARES list of current employees and were recognized as separated. Both had completed background checks ran within the one hundred- and eighty-day (180) time frame and need to be moved from the separated list. Supervision In Compliance

922 KAR 2:280 · Correction status not published

922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 09/23/2025 AND AS OF 09/25/2025, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation, during the investigation on 03/24/25, it was observed at approximately 04:10 pm, the School-Age Classroom went to the playground, and approximatley five (5) minutes later, a staff member came back in the room and took the child that was in the room alone to the playground. Therefore, one (1) school-age child was left in the classroom alone for approximately five (5) minutes. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Staffing Requirements Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation, during the investigation on 03/24/25, it was observed at approximately 04:05 pm, the Three’s Room had twelve (12) children with the youngest child being a two (2) year old with one (1) staff member. The classroom was out of ratio for approximately fifteen (15) minutes. General Administration In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation, the child care center failed to maintain state regulations. During the survey, the following was observed: 1.) Two (2) employees (DOH: 07/25/19 and 08/09/21) did not complete the required fifteen (15) hours of annual training for the year 07/01/23--06/30/24. 2.) One (1) employee (DOH: 03/17/23) did not complete the required fifteen (15) hours of annual training for the year 03/21/24--06/30/24. 3). One (1) employee (DOH: 07/25/19) did not renew their Pediatric Abusive Head Trauma training at the end of the five (5) year expiry date and therefore was not current. A review of ECE-TRIS confirmed these findings.

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the child care center failed to maintain state regulations. During the survey, the following was observed: 1.) Two (2) children (DOE: 08/14/24 and 08/15/23) did not have a preferred physician listed in their enrollment information. 2.) One (1) child (DOE: 03/05/24) did not have a preferred hospital listed in their enrollment information. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 29 of 32 Inspection Report

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 14. Transportation.

General: Based on interview and review of documentation, the child care center failed to maintain state regulations. The two (2) staff members (DOH: 08/23/22 and 12/07/08) who transport children for the facility had not completed an annual check of their driver history reports. Both staff indicated they understood the history reports to be valid for multiple years and not required annually. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 11 of 32 Inspection Report Programming Not In Compliance

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, professional development plans were not presented for review and could not be located within the staff files. Two of the staff members had professional development plans from 2018 in their personnel files, but no evidence that the plans had been updated.

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, the transportation records did not include a copy of each child’s personal information, including names, address, phone number, and a list of individuals who may pick-up the child. Kitchen Requirements In Compliance Food Service Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation, a toy bin within the Two-Year-Old classroom had a wet tacky-like orange substance on the top of the bin. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on review of documentation, there was no written evidence to indicate that a fire drill had been practiced in January of 2023. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 5 of 6 Inspection Report Posted Documentation Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 11. Staff Requirements.

922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation, staff greeted the surveyor at the front entrance door and stated that the director was not there because she had gone to the bank and would be right back. In the Preschool Room 1 was a three-year-old female child who was alone. Staff stated that the child was on the playground and had to go to the bathroom, so she had brought her back inside the center to use the bathroom. When the surveyor arrived, the staff member left the child unsupervised to come open the door. The bathroom is located in the hallway behind the Preschool 1 Room. The other children from the Preschool 1 Room returned from being outside. The child was unsupervised for a few minutes. General Administration In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 14. Transportation.

General: Based on interview, a staff member stated that he drove his personal 2019 Dodge Ram pickup truck for about a week to transport children to the facility in the afternoon while the child care center's van was being repaired. The staff member could not remember the exact dates but indicated that he picked up children from Maxwell Elementary and Cardinal Valley Elementary after school in his personal vehicle. These children were then transported to the center. The Division of Regulated Child Care was not notified that the center was using a 2019 Dodge Ram pickup truck to transport the children in January of 2023. Prior to transporting a child, the facility shall notify the cabinet in writing of the type of vehicle used for transportation.

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 8. General.

General: Based on interview and review of documentation during an investigation with DCBS and the Crimes Against Children Unit of the Police Department, a staff member at the child care center was listed as a perpetrator in a sexual abuse case regarding two (2) school-age children. It was alleged that the two (2) children were touched in an inappropriate way while being transported from their elementary school to the child care center in the staff member's vehicle. DCBS determined that this staff member will be issued a substantiation for the threat of sexual abuse. The Detective with the Crimes Against Children Unit issued the staff member a citation for harassment, physical contact (2 counts). This charge is a misdemeanor. Transportation Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on observation, several of the napping mats within the Three-Year-Old classroom were worn, with frayed and torn edges exposing the foam padding.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 3. General Requirements.

General: Based on observation, a staff members purse was hanging low on a hook on the back of the classroom door, the purse and its contents were accessible to the children within the Four-Year-Old classroom. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation, a plastic support beam for a play kitchenette on the playground was broken, with jagged and cracked edges. In addition, the fire alarm was hanging from the ceiling and not in good repair within the Four-Year-Old classroom. Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 4. Premises Requirements.

General: Based on observation, the fluorescent light fixture within the Four-Year-Old classroom was missing a cover. Plastic remnants from the previous cover were broken within the framing of the fixture.

922 KAR 2:090. Section 8. General.

Based on interview and review of documentation, the center and staff admitted that physical discipline was used on a child in the center. A staff person tapped a child on the hand when the child attempted to bite or pinch another child. The staff member was suspended for the inappropriate discipline.

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 11. Staff Requirements.

General: Based on observation and review of documentation, this regulatory requirement was not met. The following was found: 1. A staff member hired on 8/27/2018, did not complete the required Orientation training. This staff member has been employed for more than three months. 2. A staff member hired on 8/09/2021, did not complete the required Orientation training. This staff member has been employed for more than three months. The ECE-TRIS system was reviewed and confirmed these findings. Programming In Compliance Premises Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 13. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The Toddler 1 Room contained a cabinet over the hand washing sink that was missing one of the doors. The hinges were exposed where the cabinet door was missing. 2. The Toddler 1 Room contained a drawer next to the hand washing sink that was missing the front facing of the drawer. 3. The outdoor play area contained a blue rocking horse without handles and a hole in the top of the apparatus. The hole in the top exposed an area of sharp plastic. 4. The outdoor play area contained a yellow ball catcher that was no longer attached to the pole. The ball catcher was sitting next to the metal pole upside down in the middle of the outdoor play space. 5. A broken green plastic tub was sitting next to the building in the outdoor play area. The tub contained sharp broken pieces of plastic. 6. A plastic purple crawl through tunnel was located upside down in the outdoor play area with a broken yellow metal pole inside it, and a discarded piece of plastic that appeared to be a wall for an outdoor playhouse. The discarded metal pole contained rust on the ends. Transportation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Kitchen Requirements Not In Compliance

922 KAR 2:090. Section 8. General.

General: Based on review of documentation, observation, and interview, this regulatory requirement was not met. The following was found: 1. One staff person (hire date: 6/14/21) had a criminal records check (CRC) application and a child abuse/neglect check (CAN) application on file that had been filled out and signed by the staff person on 6/7/21; however, the applications had not been submitted for processing. This staff person was observed working with another staff person in the two year old classroom during the visit. 2. One staff person (hire date: 6/21/21) had a CRC application and a CAN check application on file that had been filled out and signed by the staff person on 6/4/21; however, the applications had not been submitted for processing. This staff person was observed working with another staff person in the school age classroom during the visit. The staff person in charge stated that he had not submitted the background checks for processing because he was not sure if he should submit these or wait for the KARES fingerprinting office to re-open. Employee Records Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 4. Premises Requirements.

General: Based on review of documentation and observation, this regulatory requirement was not met. Upon review of the building diagram, it was found that the school age classroom was over capacity. Based on measurements obtained during the initial inspection, this classroom is only large enough to house 10 children; however, 14 children were being cared for in the room during the visit. This does not provide a minimum of 35 square feet of space per child.

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 11. Staff Requirements.

General: Based on review of documentation and observation, one staff person (hire date: 6/21/21) did not have educational documentation on file. The surveyor observed this staff person working in the school age classroom during the inspection. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report

922 KAR 2:090. Section 9. Records.

General: Based on observation and review of documentation, this regulatory requirement was not met. Nine staff did not have professional development plans on file. Professional development plans shall be conducted annually. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on observation, this regulatory requirement was not met. The following was found: 1. The School-Age Room contained a brown, flaky substance under the sink in the cabinet. 2. The outdoor play area contained a blue rocking horse with missing handles. The rocking horse contained two holes in the plastic where the handles used to be located. The holes in plastic were sharp. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, this regulatory requirement was not met. The sink in the first hall bathroom (near the School-Age Room) did not have any hot water. When the hot water was turned on at the sink nothing came out. The cold water was working properly. The staff in charge was not sure how long the hot water had not been working in this bathroom. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Equipment Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

General: Based on observation, one staff member was observed in the hallway walking into the infant room. Nine children ages seven-weeks to nine-months were present in the infant room. One staff member was alone in the room with the nine children prior to the other staff member observed in the hallway going into the classroom. In interview, it was found that the staff member observed in the hallway had been out of the room for a few minutes to get something. Programming In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 3. General Requirements.

General: Based on observation in the one-year-old room: 1. There was a bottle of cleaner on the counter within reach of children. 2. Diaper rash ointment was found on the shelf, also within reach of children. 3. In the hallway bathroom on the changing table, there was diaper rash ointment accessible to children. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 9. Records.

General: Based on observation and review of documentation, children with the dates of enrollment of 3/27/2019, 2/102019, 4/22/2018, and 7/14/2014, do not have the required prefered hospital name listed in file. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 12. Reports.

General: Based on observation, when entering the facility, two children were seated on the office floor. The surveyor was informed the children were there due to a staff shortage and they wanted to remain in ratio. Later, another child was brought in to the office. The staff rotated the children that were in the office every so often. Later, the school bus arrived with more children. At that time, the staff member took the children to the pre-k room. The office is not an area that is set up for or approved for caring for children. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on observation and review of documentation, as well as per video footage, while a teacher was changing children's diapers, a one-year-old child got a bottle of bleach water solution from underneath the changing table and began spraying it around the classroom and at children. After the child had the bottle for approximately four (4) minutes, the child was seen spraying the solution in the face of a child who was sitting on the floor. The child appeared to cry out and that was when the teacher saw the child with the spray bottle and got the bottle from him and sat it on top of a counter. The teacher then picked up the child who was sprayed by the solution and ran the child to the sink and washed the child's face. Premises Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 3. General Requirements.

General: Based on review of documentation as well as video footage, while a teacher was changing children's diapers, a one-year-old child got a bottle of bleach water solution from underneath the changing table and began spraying it around the classroom and at children. After the child had the bottle for approximately four (4) minutes, the child was seen spraying the solution in the face of a child who was sitting on the floor. The child appeared to cry out and that was when the teacher saw the child with the spray bottle and got the bottle from him and sat it on top of a counter. The teacher then picked up the child who was sprayed by the solution and ran the child to the sink and washed the child's face.

922 KAR 2:120 · Correction status not published

922 KAR 2:280 - Section 4. Procedures and Payments.

General: Based on observation, interview and review of documentation, staff under the age of eighteen (18) with unknown hire date, did not have required CAN check on file or evidence that one was requested. Staffing Requirements In Compliance General Administration Not In Compliance

922 KAR 2:280 · Correction status not published

922 KAR 2:090. Section 14. Statement of Deficiency and Corrective Action Plans.

A PLAN OF CORRECTION WAS DUE ON 09/03/2019 AND AS OF 09/13/2019, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on interview, staff stated that children ages eight through twelve are required to go to sleep during naptime. None of the children are given alternate activities if they are not able rest.

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 10. Director Requirements and Responsibilities.

General: Based on observation, interview and review of documentation, it was found that this regulatory requirement was not met. During this investigation it was determined that a child was tripped while walking by a teacher. As a result of being tripped the child fell into a table in the classroom. When the child fell into the table his sweater was ripped and the child recieved two (2) wounds on his side. The teacher did not console the child in anyway, but stated that she did not intentionally trip the child and eyes were closed when she stuck her leg out. It is important to note that the teacher was terminated after this incident.

922 KAR 2:090 · Correction status not published

922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on observation, the changing mats on the diaper changing tables in the one-year-old room, the infant room and in the hallway bathroom had areas that were torn.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on observation of the outdoor play area, a blue, green and gray plastic playhouse was located against the fence. The sides of the playhouse contained a green residue. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Transportation Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on interview with staff in the one-year-old room, it was found that the toys that are mouth contact toys are sanitized once a week with a disinfectant spray and then wiped off with a paper towel. Based on interview with staff in the infant room, it was found that toys are sprayed with Clorox every day as a means of sanitiation. Neither of these processes meet the requirements for sanitizing mouth contact toys used by children who are not yet toilet trained. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report First Aid/Medication Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on review of documentation, there was no current emergency preparedness plan on file at the time of the survey. Posted Documentation In Compliance Animals In Compliance

922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on Observation, several mats in the two-year-old classroom were torn exposing the padding underneath the mat.

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, it was found that there was no written record of quarterly practiced earthquake drills and tornado drills.

922 KAR 2:110 · Correction status not published

922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on Observation, the plastic covering over a crib mattress in the one-year-old classroom was torn in several areas exposing the padding underneath.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 12. Transportation.

General: Based on Observation, there was no CPR mouthpiece on the daycare van. Food Service In Compliance Children's Records Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, it was found through a review of eight (8) staff files that one (1) staff person with a hire date of 12/17/2008 did not have renewed documentation of pediatric abusve head trauma training. The last completed training was for 09/15/2012. A review of ECE-TRIS confirmed this. It was also found that a staff person with a hire date of 03/26/2015 did not have the fifteen (15) hours of cabinet-approved early care and education training. A review of ECE-TRIS conformed this. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming Not In Compliance

922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on Observation, at approximately 2:10 p.m., the surveyor observed an infant sleeping in a bouncy seat and an infant sleeping on the floor on top of a Care Bear pillow. A staff person stated that the child in the bouncy seat was five (5) months old and the infant on the floor was twelve (12) months old. The staff indicated that the children had been asleep for awhile.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 3. General Requirements.

General: Based on Observation, at approximately 2:10 p.m., the surveyor observed an infant in a bouncy seat trying to hold her own bottle. The staff stated that the child was four (4) months old.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on Observation, during the initial tour of the facility at approximately 2:10 p.m., the surveyor observed twelve (12) children on cots in the preschool classroom. Some of children were sleeping and some were not. The staff stated that the children present were three (3) and four (4) years old. At approximately 3:20 p.m., the surveyor went back to the preschool classroom and observed the children getting up from their cots. During that time the surveyor found that there was a child present that was eight (8) years old and two (2) children present that were six (6) years old. A male staff person stated that all the children have to take a nap or lay on their mats and be quiet. However, the regulations do not require school-age children to take naps and therefore they should be given an alternate activity during nap time. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service Not In Compliance

922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on interviews, it was revealed that a six (6) year old male had a toileting accident during naptime. It was revealed that instead of giving the child dry clothes, a “pull- up” and his sister’s blanket was put on him instead. Interviews revealed that the facility did not have any clothes available for the child. A staff person reported that he had put the “pull-up” on the child at approximately 3:15 p.m. and said that the child remained in the “pull-up” until his mother arrived which was approximately 5:30 p.m. Interviews revealed that after the child entered the classroom he was told to close his legs because “his diaper was showing” and was called “pee, pee boy” repeatedly. The Director stated that some of the child’s classmates had also got a tutu from the dramatic play area and gave it to him. It was reported that the child was upset by having to wear the “pull-up” and upset by the name calling. In short, it is developmentally inappropriate to put a “pull-up” on a school-age child after having a bathroom accident. The staff put the child in a humiliating situation that was demeaning and subjected the child to ridicule. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Programming Not In Compliance

922 KAR 2:110 · Correction status not published

922 KAR 2:090. Section 6. License Issuance.

General: Based on interviews on 6/15/17, the Director informed the surveyor that she had personally interviewed some of the children in regards to an ongoing complaint investigation that involved a staff member and wanted to offer more insight into the situation. The surveyor informed the Director that she was impeding the investigation by interviewing the children involved in the investigation. The Director indicated that as the owner of the day care, she always conducts her own investigations so that she can “correct the children”. On 6/19/17, it was also revealed that the Director had spoken to the parent of the child involved in the investigation. The parent informed the surveyor that the Director told her that she had spoken to the children and had made them apologize to her son. It is important to note that the Director spoke to the children and to a parent before the surveyor and DCBS representative had a chance to conduct interviews with them. It is also important to note that the staff person identified in the allegation is a family member of the Director. Director Requirements Not In Compliance

922 KAR 2:090. Section 6. License Issuance.

General: Based on Observation and interview, the facility failed to cooperate with the state agency during an investigation of an alleged complaint. On 1/18/17 the DRCC office received an allegation involving a preschool male child exiting the facility at the same time as an adult female; however, the date of the incident was not identified. It was reported that the staff at the facility did not know that the child went outside with the adult female until she walked the child back into the facility. It was reported that the child's mother works at the facility and a description of the mother was provided. On 2/1/17 an investigation was conducted at the facility and interviews were conducted with staff. Administrative staff present at the facility identifed the staff person and child that were described in the allegation; however, they stated that they were not aware of an incident such as the one described occurring. The staff person identified as the parent of the preschool child described an incident that occurred at the facility that was similar to the allegation; however, was unable to identify the specific date the incident occurred. The staff person stated that the incident occurred, "Approximately two (2) weeks ago" and she identified the time of the incident as, "A little after 5:00PM". On 2/6/17 the surveyor received a phone call from the owner of the facility. It is important to note that the owner was not present at the facility during the 2/1/17 investigation. The owner stated during the phone call , "I suspended the staff person that you interviewed on 2/1/17 because she lied to you". On 2/7/17 the surveyor made an unannounced visit to the facility and was greeted by the owner. The surveyor explained that the purpose of the visit was to view a few random dates of video surveillance footage during the afternoon transition time in the front classroom (two (2) year old room) in an attempt to determine if the incident described in the allegation and by a staff person occurred. The owner stated, "I don't have the ability to view past video anymore". The surveyor requested the owner to demonstrate on the system that this was not an option and/or provide documentation from the company that provides the service of the change because the DRCC office has viewed video surveillance footage from previous dates in the past at the facility. The owner refused and stated, "I'm paying an attorney $700 a month and he has discussed with me that the video belongs to me. I will not give you an answer on this until after I talk to my attorney". On 2/8/17 the owner sent an email to the surveyor stating that she spoke with her attorney and he advised her not to show the video to anyone without a court order. Written Documentation Not In Compliance

922 KAR 2:120. Section 4. Premises Requirements.

General: Based on Observation, the surveyor noted that there was one (1) ceiling tile located in the toddler classroom that was stained brown. Hygienic Practices Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, it was found that the facility was unable to provide evidence of vehicle emergency procedures being practiced monthly by the staff who transport the children. The director stated that she did not have this documentation. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 6 Inspection Report

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, the surveyor entered the school age classroom at approxiamtely 9:26 a.m. and found that the preschool children were in there watching a show called Octonauts. The staff person stated that they watch the show during the mornings for forty five (45) minutes and then watch more educational shows such as "Bear Hunt" from 5:00 p.m. until 6:00 p.m. The surveyor found that the television programs were educational and were not used longer than two (2) hours daily. However, the television programs were not reflected on the daily lesson plan or on the daily schedule. Premises Not In Compliance

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 7. First Aid and Medicine.

General: Based on Observation, the following medications were observed not properly labeled with a child's name: (2) Kroger Children's Pain & Fever, Equate Ibuprofen, Equate Children's Pain & Fever, Children's Tylenol, and Simply Right Saline Nasal Spray. It is important to note that the medications were in a locked box. Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 6 Inspection Report Equipment Not In Compliance

922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on Observation, there were three (3) torn nap mats in the School-age classroom and five (5) torn nap mats in the Twos classroom. The Director acknowledged the condition of the mats during the exit interview.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 12. Transportation.

General: Based on Observation, 1. There was no First Aid kit or fire extinguisher found on the facility's van that is used to transport children. 2. There was no fire extinguisher found in the the Toyota Corolla that was being used to transport children. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 18 of 26 Web site: http://chfs.ky.gov/ Inspection Report

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, three (3) children's enrollment forms did not contain a physician's contact phone number. In addition, a child was missing the preferred hospital.

922 KAR 2:110 · Correction status not published

922 KAR 2:120. Section 3. General Requirements.

General: Based on Observation, 1. There was a large empty Zip-loc storage bag sitting in one to the cubbies in the Threes to Fives classroom. 2. There were several plastic grocery bags being stored in a lower drawer next to the hand-washing sink in the School-age classroom. It was determined in interviews with staff that, at the end of the day, all remaining children of all ages are grouped together in the School-age classroom.

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, at the time of the visit the staff person in the two (2) year old room opened the classroom door and three (3) of the children left the room and went down the hallway. The staff person was standing in the doorway and was attempting to get the children together to take them down the hall to the bathroom. The staff person called for the children to come back because not all of the children in the room were ready. All but one (1) of the children returned back to the room. The child who did not return turned the corner and was found sitting on the floor against the wall by the bathroom. There were no adults in the area where the child was sitting. The child could not be seen from doorway of the classroom. The staff person remained in the doorway of the classroom with the other children in the room. The staff person then took the children down the hallway to the bathroom. The child was left unsupervised for approximately one (1) minute. An interview with the staff person found that there were some of the children in the room that were still wanting to play with toys and not put them away when the door was opened to go to the bathroom. Staffing Requirements

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, there were violations regarding supervision at the time of the monitoring visit. However, this is being addressed as part of complaint number 128795. Staffing Requirements

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation of new employee records found one (1) staff person hired 10/5/15 did not have a copy of a high school diploma or GED or other qualifing information on file at the time of the visit. An interview with the staff person in charge indicated that the document should be in the file. However, the document was not presented for review at the time of the vist.

922 KAR 2:110 · Correction status not published

922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Observation, it was found that the staff in the two (2) year old classroom brought her entire class into the restroom and allowed them to sit on the floor while changing diapers. In an interview with the staff in charge, he stated that they clean the floors in the bathroom really well and that the children are sitting on a clean floor. Hygienic Practices

922 KAR 2:110 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, it was found that a four (4) year old child was observed to leave his classroom unsupervised and walk around the corner to use the restroom. This HSS and the staff in charge got the child and walked him back to his classroom. Upon entering his classroom, the staff in the classroom was hear saying, ""I told you to go to the restroom, why didn't you go?" Staffing Requirements

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on Review of Documentation, it was found in an interview with the staff in charge that the children in the facility had been served kool aid and a pop tart for snack. The staff in charge stated that he thought that kool aid was 100% fruit juice.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the diaper changing mat in the Infant room had tears on the surface that caused the foam to be exposed. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Food Service

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Observation, of a video from 8/13/15 as well as record review a three (3) year-old child that has a hearing impairment was pushed and rolled by a twelve (12) year-old child with her foot. It was observed on the video that the twelve (12) year-old moved a toy away from the three (3) year-old child with her foot as well as placing her foot on top of the three (3) year-old child's stomach. After the 12 year-old removes her foot from on top of the three (3) year-old hearing impaired child, the child lays on the floor very still for a few moments before she gets up and goes to the teacher in the room. In addition, the twelve (12) year-old child puts another child in her lap (a 2 year-old) and places her legs around this child. The twelve (12) year-old then removes her legs from around the child and allows the child to get up. This child moves away from the twelve (12) year-old after the incident. It was also observed on the video that the twelve (12) year-old child grabs a chair and moves it away from a child in the room. The staff person in the room did not intervene in either of these situations to protect the younger children. Programming

922 KAR 2:110 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, the children in the TV room were not offered or allowed to participate in other activities while the TV was on. The staff person was observed redirecting several of the children to "sit back down" and watch the show when they walked away from the TV area. Premises

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Review of Documentation and interview, the facility failed to ensure that children be separately maintained in a defined area unique to the group. A review of the facility's video surveillance system during an investigation found that on 6/26/15 nine (9) children (infants - school age) were grouped together for evening care from 6:33PM - 7:45PM. The staff person that works with the evening care group stated during interview that she works alone with all age groups every night after 6:30PM. Director Requirements

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation and observation, this regulatory requirement was not met. Staff person with hire date 6/24/15 did not have evidence or results of a criminal records check (CRC) or a child abuse/neglect check (CAN) on file at the facility. This staff person was observed working alone with children in the toddler classroom during the entire visit on 7/1/15 (9:55AM - 11:45AM). Employee Records

922 KAR 2:110 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Review of Documentation, during the investigation, this regulatory requirement was not met. On 7/1/15 the surveyor made a visit to the facility and watched video footage from the facility's surveillance system to observe activities during evening care on 6/26/15. A review of the video footage found that all the children present in the facility were transferred to the evening care room/two (2) year old room at 6:33PM and one (1) staff person was left alone in the facility to care for the nine (9) children present (four (4) infants, two (2) toddlers (one (1) year olds), a two (2) year old and two (2) school age children). Two (2) of the infants present in the room were restricted to walkers, one (1) was restricted to a car seat and one (1) was restricted to a Bouncy seat. The infant observed sitting in a Bouncy seat was observed sitting in the seat from 6:33PM - 7:24PM. The staff person picked the child up out of the seat to feed the child a bottle and then returned the child to the same Bouncy seat two (2) minutes later. There was no other infant equipment present in the classroom and there was no area where the infants could be laid on the floor to play independently. The staff person was observed sitting in a chair texting on her phone throughout the entire evening while children watched television and run aimlessley around the room. The schedule of daily activities posted in the classroom was dated June 8 - 12, 2015; therefore, it was not current. The surveyor found that well-balanced and constructive activity geared to the child’s age level and developmental needs was not provided for the children in the night shift program. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 6 Web site: http://chfs.ky.gov/ Inspection Report

922 KAR 2:120. Section 5. Infant and Toddler Play Requirements.

General: Based on Observation, it was found that there were eight (8) children in the Toddler classroom. The children were ages one (1) year to three (3) years old. The children were combined for the duration of the investigation. During interview, the staff person in the classroom stated that the children had been combined all day and that they were regularly combined. No transition plans were on file and some of the children were not yet old enough to be transitioning. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Equipment

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 9. Food and Meal Requirements.

General: Based on Observation, it was found that the children were served chocolate chip cookies and Kool-Aid for their afternoon snack. These items do not meet the requirements of the regulation.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, it was found that one (1) staff person was supervising eight (8) children ages one (1) year to three (3) years old. The classroom was out of ratio for the duration of the investigation. It is unknown how long the classroom was out of ratio prior to the surveyor's arrival. Director Requirements

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Observation, it was found that a staff person hired on 6-15-15 was supervising five (5) children ages six (6) years to twelve (12) years old by herself in the School Age classroom. A review of documentation found that the facility did not have evidence of submission for or a completed criminal records check or central registry check on file. This staff person was observed to be working by herself for the duration of the investigation. During interview, the staff person admitted that she works alone in the classrooms on a regular basis. Employee Records

922 KAR 2:120. Section 6. Sleeping and Napping Requirements.

General: Based on Observation and interviews, on 3/25/15 it was observed through a video recording that a three (3) year-old child was made to stay on his cot during nap time for an extended period of time (approximately 10 minutes) when the child showed no signs of going to sleep. The staff struggled with the child to get the child to lay on the cot and the child's back was patted, the child was repositioned several times on the cot, and the child got off of his cot during nap time and then was put back on it by a staff member. The child began to hit his head on his cot over and over. The three (3) year-old child received a red mark on his forehead from hitting his head repeatedly on the cot. After approximately ten (10) minutes the child was escorted to the kitchen with a staff to help the staff carry things to classrooms. Based on interviews this child does not often nap and is taken out of the room and placed in the office or placed with a staff to help them carry things. Based on observation of the video recording from 3/25/15, the three (3) year-old child was left on the cot, without an alternate activity, for too long and the child was never permitted to play quietly. Food Service

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 3. General Requirements.

Based on observation upon arrival into the infant room on 3/30/15 an eight (or nine month-old, the staff was unsure of the age) infant was laying in her crib finishing a bottle.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 3. General Requirements.

General: Based on Observation, it was found while watching the classroom video for 2-25-15, a teacher in the classroom blew her nose twice. The teacher did not wash her hands after blowing her nose. Equipment

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, it was found that upon entry to the Preschool classroom, one (1) staff person was supervising fifteen (15) children ages three (3) to five (5) years old. A second staff person entered the room approximately one (1) minute later. It is unknown how long the classroom was out of ratio prior to the surveyor's arrival. Director Requirements

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, it was found that the two (2) staff that alternate working the night shift are not certified in first aid and cardiopulmonary resuscitation (CPR). These staff were hired on 11-18-14 and 12-15-14 and have alternated working the night shift since their hire. The file for the staff person hired on 11-18-14 contained a first aid/CPR certification card that was obtained online and therefore does not qualify. The night shift starts at 6:00 p.m. and ends when the last child leaves. On 2-23-15, there was no one currently certified from 6:00 p.m. until 7:00 p.m. On 2-24-15, there was no one currently certified from 6:00 p.m. until 9:45 p.m. On 2-25-15, there was no one currently certified from 6:00 p.m. until 8:59 p.m. Programming

922 KAR 2:110 · Correction status not published

922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Review of Documentation, one (1) staff person (hire date: 12/17/08) did not have an annual evaluation on file.

922 KAR 2:110 · Correction status not published

922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, two (2) staff (hire dates: 7/7/14 and 11/15/14) did not have proof of education on file at the time of the inspection.

922 KAR 2:110 · Correction status not published

922 KAR 2:110. Section 5. Staff Requirements.

General: Based on interview and review of documentation, the surveyor found that a staff person (Hire date: 6/1/14) drives her own personal vehicle to pick up school age children from Yates Elementary. The staff person is not certified in CPR or First Aid.

922 KAR 2:110 · Correction status not published

922 KAR 2:120. Section 11. Toys and Furnishings.

General: Based on Interview, the infant staff person stated that she uses Clorox Wipes to santize the mouthing toys. This sanitizing procedure does not meet the regulations. First Aid/Medication

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 10. Toilet, Diapering, and Toiletry Requirements.

General: Based on Observation, the surveyor observed dried urine on top and underneath the toilet seats in the girls' and boys' restrooms. The inside of the toilets were not clean as well. Hygienic Practices

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Review of Documentation, it was found that none of the classrooms had a current daily planned program of activities posted. The programs posted were dated for March and April of 2014.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation the center was not meeting the required staff to child ratio in two (2) of the five (5) classrooms. In the infant room there were six (6) children, the youngest child was under twelve (12) months. As the surveyor approached the room the staff person in charge was taking one (1) child out of the room. The staff person in the room stated that the sixth child had just arrived at the center. A review of the sign in sheet found that this had been present since 2:04 PM. She was moved to another class at approximately 2:18 PM. The class was over staff to child ratio during that time. Also, in the one (1) year old room there were ten (10) children including the child moved from the infant room. There were two (2) staff in the classroom at that time but previously the one (1) staff person present was observed in the office. The staff said she had just stepped out of the classroom for a few minutes to get something. During the time she was in the office the staff person in the one (1) year old room had nine (9) children by herself. Director Requirements

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Interview, and review of a video recording from 10/1/14 there was an incident in the school age room. There were four (4) concerning occurrences on the video. The portion of the video reviewed covered approximately 3:09 PM to 3:12 PM. There was a time where a staff person is behind a child and the child is reaching back swatting at the staff person's face. Then there is an occurrence where two (2) of the children are playing with a ball. A child throws the ball over a half wall into another room. The child gets the ball and throws it back into the school age room. Then the staff person picks up the ball and throws it over handed at the child. The ball does not hit the child but hits the wall near the child. The other two (2) things happen very close together and involved the same child. The staff was trying to get the children to come to the table for snack and most of the children had done so. However, there were two (2) children who had not. There was no sound in the video but it appeared that the staff person was talking to a child and pushed another child out of his way to walk over to the first child. The child who was pushed fell into the table and appears to be upset. Just after that the video shows the staff person pulling on the child's arm and her stumbling towards the table. The staff person involved stated that the first two (2) occurrences were "just playing". The staff person stated that when he pushed the child he did not mean to, he was trying to move her out of the way so he could get to another child to talk to him. He also stated that when it looked like he pulled on the child he did not. He said she was upset and being dramatic. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 2 of 3 Web site: http://chfs.ky.gov/ Inspection Report Programming

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, this regualtion was found in violation but was cited as part of complaint number 7704, which took place at the same time. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 1 of 2 Web site: http://chfs.ky.gov/ Inspection Report Director Requirements

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

Based on interviews with the witnesses, it was revealed that when the employee of the bank picked up the child as he was running in the parking lot of the day care facility, the staff person left the play ground area and walked halfway through the parking lot to retrieve the child from the employee. The witness stated, "I thought it was strange that at that point the caregiver left the playground because I was walking toward the playground with the child to give him to her." Therefore, it was noted that the staff person left five (5) toddlers unsupervised for a brief moment when she left the playground area. Staffing Requirements

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

General: Based on Interviews with staff and two (2) eye witnesses, it was found that a one (1) year old male child opened the latch on the gate located on the playground and exited the playground on 5/8/14 at approximately 10:45 a.m. The witnesses observed the incident from an office window located in the bank which is adjacent to the day care facility. Both witnesses stated that the child was running and made his way halfway through the parking lot. One (1) of the witnesses left her desk and ran out of the bank to the parking lot and retrieved the child while the other witness called the day care director to inform her of what happened. Both witnesses stated that the staff person that was on the playground was aware that the child had gotten out of the playground area. One (1) witness stated that the caregiver was yelling the child's name as he was making his way down the parking lot. Both witnesses and the staff person stated that the child was in the parking lot less than two (2) minutes. It was revealed during interviews with staff that the gate did not have a lock on it to prevent the child from exiting the area. Employee Records

922 KAR 2:110 · Correction status not published

922 KAR 2:110. Section 3. Records.

General: Based on Review of Documentation, four (4) children (enrollment dates: 11/14/13, 2 on 11/12/13 and 10/20/13) did not have an immunization certificate on file.

922 KAR 2:110 · Correction status not published

922 KAR 2:110. Section 4. Director Requirements and Responsibilities.

Based on Observation and Interview, the facility failed to meet this regulatory requirement. During the inspection the surveyor observed an adult female that the staff person in charge identified as a "speech therapist" arrive at the facility and meet with two (2) different children individually in a front classroom that was unoccupied. The staff person in charge stated that she had not obtained permission from the parent for third-party professional services in the child care center and indicated that she did not have any identifying information on the therapist on file at the facility and was not sure what agency employed the therapist.

922 KAR 2:110 · Correction status not published

922 KAR 2:120. Section 2. Child Care Services.

General: Based on Observation, this regulatory requirement was not met. Upon arrival (8:20AM), the surveyor observed one (1) staff person caring for seven (7) children in the preschool classroom. The staff person identified the youngest child present as an infant; therefore, staff-to-child ratios were not in compliance. Another staff person was present in the facility and entered the preschool classroom shortly after the surveyor; however, he was not initally present with the group.

922 KAR 2:120 · Correction status not published

922 KAR 2:120. Section 12. Transportation.

922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, it was found that there was no evidence of full coverage insurance.

922 KAR 2:120 · Correction status not published

922 KAR 2:110. Section 5. Staff Requirements.

General: Based on Review of Documentation, it was found that a review of all seven (7) staff files showed no one with evidence of CPR or First Aid training.

922 KAR 2:110 · Correction status not published

922 KAR 2:120. Section 12. Transportation.

General: Based on Review of Documentation, it was found that there was no plan for ensuring staff duties.

922 KAR 2:120 · Correction status not published

922 KAR 2:090. Section 5. Evacuation Plan.

General: Based on Observation, it was found that the emergency preparedness plan had not been submitted to emergency management. 1090 - Policies and Procedures Discussed 922 KAR 2:110. Section 2 General. (5) Program policies and procedures shall: (a) Be in writing; and (b) Include: 1. Staff policies; 2. Job descriptions; 3. An organization chart; 4. Chain of command; and 5. Other procedures necessary to ensure implementation of: a. KRS 199.898, Rights for children in child-care programs and their parents, custodians, or guardians - posting and distribution requirements; b. 922 KAR 2:090, Child-care center licensure; c. 922 KAR 2:120, Child-care center health and safety standards; and d. This administrative regulation.

922 KAR 2:090 · Correction status not published