The Giving Tree

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 review of documentation, the surveyor discovered that a staff member's (DOH: 08/29/25) file did not contain a copy of a statement from a health professional stating that the individu

922 KAR 2:120. Section 12. Toilet, Diapering, and Toiletry Requirements. (4) Each toilet shall: (a) Be kept in clean condition; (b) Be kept in good repair; (c) Be in a lighted room; and (d) Have ventilation to outside air. Findings: General: Based on observation, the surveyor discovered the following: Girls' Restroom: 1. The toilet seat on the first toilet was not tightly secured to the toilet. 2. The toilet seat on the second toilet was not tightly secured to the toilet. Hygienic Practices In C

922 KAR 2:120. Section 4. Premises Requirements. (20) An outdoor play area shall have constant and active supervision and shall be: (d) Safe from foreseeable hazard; (e) Well drained; (f) Well maintained; (g) In good repair; (h) Visible to staff at all times; and (i) Protected by physical or natural barriers from: 1. Traffic; 2. Gullies; and 3. Other hazards. Findings: General: Based on observation, the surveyor discovered the following: Bigger Playground: 1. The felt ground covering was showing

922 KAR 2:120. Section 13. Toys and Furnishings. (1) All toys and furniture contacted by a child shall be: (a) Kept clean and in good repair; and (b) Free of peeling, flaking, or chalking paint. Findings: General: Based on observation, the surveryor discovered a black substance on the pink vinyl couch located in the Older Two-Year-Old Classroom.

922 KAR 2:090. Section 8. General. (1) A licensee shall: (a) Be responsible for the operation of the child-care center pursuant to this administrative regulation, 922 KAR 2:120, and 922 KAR 2:280; and (b) Protect and assure the health, safety, and comfort of each child. Findings: General: Based on interview and review of documentation, the surveyor learned that a child was left one the playground for approximately twelve (12) minutes alone; therefore, the comfort and safety of the child was comp

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 interview, the surveyor learned that a child was left on the playground alone. Based on review of camera footage,

922 KAR 2:090. Section 13. Reports. (1) The following shall be reported to the cabinet or designee and other agencies specified in this section within twenty-four (24) hours from the time of discovery: (a) Communicable disease, which shall also be reported to the local health department pursuant to KRS 214.010; (b) An accident or injury to a child that requires medical care initiated by the child-care center or the child's parent; (c) An incident that results in legal action by or against the ch

922 KAR 2:090. Section 8. General. (1) A licensee shall: (a) Be responsible for the operation of the child-care center pursuant to this administrative regulation, 922 KAR 2:120, and 922 KAR 2:280; and (b) Protect and assure the health, safety, and comfort of each child. Findings: General: Based on interview, the surveyor learned that a staff member placed hand sanitizer in a two-year-old child's mouth for spitting on the table. Staff-in-charge stated that the staff member was terminated for her

922 KAR 2:090. Section 9. Records. (1) A child-care center shall maintain: (b) A written record for each child: 1. Completed and signed by the child’s parent; 2. Retained on file on the first day the child attends the child-care center; and 3. To contain: a. Identifying information about the child, which includes, at a minimum, the child’s name, address, and date of birth; b. Contact information to enable a person in charge to contact the child’s: (i) Parent at the parent’s home or place of empl

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 review of documentation, the surveyor discovered that a staff member’s personnel file (DOH: 03/27/19) contained a negative tuberculin result that was no longer current after 06/24/23

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 2:090. Section 8. General. (1) A licensee shall: (a) Be responsible for the operation of the child-care center pursuant to this administrative regulation, 922 KAR 2:120, and 922 KAR 2:280; and (b) Protect and assure the health, safety, and comfort of each child. Findings: General: Based on observation of video footage, the surveyor found a staff member appeared to be clenching her teeth together as the staff put her hand on a child's head pushing the child downward into a chair. The surv