Building Blocks Child Care

922 KAR 2:120. Section 3. General Requirements. (14) A written plan shall be in place to communicate reunification with families and accommodations in the event of a natural disaster, fire, shelter-in-place, lockdown, or other emergency for: (a) Infants and toddlers; (b) Children with disabilities; and (c) Children with chronic medical conditions. Findings: General: Based on interview and review of documentation, the child care center did not have a written reunification plan in place to communi

922 KAR 2:090. Section 11. Staff Requirements. (1) Child-care center staff: (b) Shall provide, prior to employment and every two (2) years thereafter: 1. A statement from a health professional that the individual is free of active tuberculosis; or 2. A copy of negative tuberculin results. Findings: General: Based on interview and review of documentation, a staff member (DOH: 02/20/24) had a TB skin test dated 02/19/24, which was not current.

922 KAR 2:090. Section 11. Staff Requirements. (16) In accordance with KRS 199.896(15) and (16), a staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation completed within the first three (3) months of employment in a child-care program covering the following topics: 1. Federal minimum health and safety requirements established in 45 C.F.R. 98.41 related to: a. Prevention and control of infectious diseases, including im

922 KAR 2:120. Section 8. Kitchen Requirements. (5) Frozen food shall be: (a) Kept at a temperature of zero degrees Fahrenheit or below; and (b) Thawed: 1. At refrigerator temperatures; 2. Under cool, potable running water; 3. As part of the cooking process; or 4. By another method in accordance with the Department for Public Health's food safety standards and permits, established in KRS Chapter 217. Findings: General: Based on observation, there was not an indicating thermometer or other approp

922 KAR 2:090. Section 10. Director Requirements and Responsibilities. (1) A director shall: (j) Assess each staff person's interaction with children in care and classroom performance through an annual written performance evaluation; Findings: General: Based on interview and review of documentation, a staff member (DOH:02/20/24) had an annual written performance evaluation dated 01/02/24.

922 KAR 2:090. Section 11. Staff Requirements. (16) In accordance with KRS 199.896(15) and (16), a staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation completed within the first three (3) months of employment in a child-care program; (b) Nine (9) hours of cabinet-approved early care and education training within the first year of employment in a child care program, including one and one-half (1 ½) hours of cabinet-a

922 KAR 2:120. Section 6. Sleeping and Napping Requirements. (3) Rest time shall occur in an adequate space according to the child’s age as follows: (a) For an infant: 3. No bedding other than a clean tight-fitted sheet; and 4. No toys or other items except the infant’s pacifier; Findings: General: Based on observation, three (3) infants each slept with a thick, fluffy blanket in an individual crib in the infants' room.

922 KAR 2:120. Section 3. General Requirements. (4) A child shall: (a) Be helped with personal care and cleanliness based upon his or her developmental skills; (b) Except as established in paragraph (c) of this subsection, wash his or her hands with liquid soap and warm running water: 1. a. Upon arrival at the center; or b. Within thirty (30) minutes of arrival for school-age children; 2. Before and after eating or handling food; 3. After toileting or diaper change; 4. After handling animals; 5.

922 KAR 2:090. Section 9. Records. (1) A child-care center shall maintain: (f) A written annual plan for child-care staff professional development; Findings: General: Based on interview and review of documentation, a staff member (DOH: 12/02/22) did not have a professional development plan on file. Posted Documentation In Compliance Animals Not Applicable Signature of Provider/Representative Title Date An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 2

922 KAR 2:090. Section 10. Director Requirements and Responsibilities. (1) A director shall: (j) Assess each staff person's interaction with children in care and classroom performance through an annual written performance evaluation; Findings: General: Based on interview and review of documentation, staff member (DOH: 12/02/22) did not have an annual written performance evaluation on file. Employee Records Not In Compliance

922 KAR 2:120. Section 7. First Aid and Medicine. (8) Each center shall ensure that every staff member has received training on first aid and cardiopulmonary resuscitation (CPR). Findings: General: Based on interview and review of documentation, a staff member (DOH: 07/17/23) had not completed CPR/First Aid Training. A review of ECT-TRIS verified this information. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV

922 KAR 2:090. Section 11. Staff Requirements. (16) In accordance with KRS 199.896(15) and (16), a staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation completed within the first three (3) months of employment in a child-care program; (b) Nine (9) hours of cabinet-approved early care and education training within the first year of employment in a child care program, including one and one-half (1 ½) hours of cabinet-a