God's Little Lambs

922 KAR 2:120. Section 6. Sleeping and Napping Requirements. (1) An infant shall sleep or nap on the infant’s back unless the infant’s health professional signs a waiver that states the infant requires an alternate sleeping position. Findings: General: Based on observation and interview, an infant slept in a bouncy seat placed in a crib in the infants' room.

922 KAR 2:090. Section 9. Records. (1) A child-care center shall maintain: (a) A current immunization certificate for each child in care within thirty (30) days of the child’s enrollment, unless an attending physician or the child’s parent objects to the immunization of the child pursuant to KRS 214.036; Findings: General: Based on interview and review of documentation, a child, enrolled on 08/15/25, had an immunization certificate with no validity date documented.

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: 08/29/22) had an annual professional development plan dated 01/15/24, which was not current.

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: 08/29/22) had an annual performance evaluation dated 01/15/24, 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 4. Premises Requirements. (1) The premises shall be: (a) Suitable for the purpose intended; (b) Kept clean and in good repair; Findings: General: Based on observation and interview, a thick accumulation of gray dust was on five (5) blades of the white ceiling fan in the three (3) year olds' room.

922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements. (12) Staff shall disinfect the diapering surface after each child is diapered. (13) If staff wears disposable gloves, the gloves shall be changed and disposed after each child is diapered. Findings: General: Based on observation and interview, a staff member changed a child's diaper and did not disinfect the diapering surface after the diaper change in the infants' room.

922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans. (2) Except for a violation posing an immediate threat as handled in accordance with KRS 199.896(5)(c), a child-care center shall submit a written corrective action plan to the cabinet or its designee within fifteen (15) calendar days of the date of the statement of deficiency to eliminate or correct the regulatory violation. Findings: A PLAN OF CORRECTION WAS DUE ON 03/31/2025 AND AS OF 04/03/2025, THE PLAN OF CORREC

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 3. General Requirements. (7) The following shall be inaccessible to a child in care: (a) Toxic cleaning supplies, poisons, and insecticides; (b) Matches, cigarettes, lighters, and flammable liquids; and (c) Personal belongings and medications of staff. Findings: General: Based on observation and interview, the following was found: 1) A staff member’s pink and white tumbler with liquid present was on a child-size table in the four (4) year-old room and was accessible to chi

922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements. (10) When a child is diapered, the child shall: (b) Be placed on a surface that is: 1. Clean; 2. Padded; 3. Free of holes, rips, tears, or other damage; 4. Nonabsorbent; 5. Easily cleaned; and 6. Free of any items not used for diaper changing. Findings: General: Based on observation and interview, a half inch (1/2) hole was in the changing mat in the infants' room.

922 KAR 2:120. Section 2. Child Care Services. (3)(a) Each center shall maintain a child-care program that assures each child shall be: 1. Provided with adequate supervision at all times by a qualified staff person who ensures the child is: a. Within scope of vision and range of voice; or b. For a school-age child, within scope of vision or range of voice; Findings: General: Based on observation and interview, a staff member left four (4) children unsupervised in the three-year-olds' room when s