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From YouTube: Administrative Regulation Review Subcommittee (12/9/21)
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C
11-16001
is
being
amended
to
add
master
degree
and
interdisciplinary
early
childhood
education
to
the
definition
of
ecac,
approved
early
childhood
developmental
credential.
Remove
the
specific
exclusion
of
religious
education
from
the
definition
of
scholarship
program
curriculum
and
update.
The
description
of
the
early
childhood
development
education
earned
under
the
curriculum
1116010
is
being
amended
to
eliminate
the
per
semester.
C
Enrollment
cap
of
nine
hours
allow
recipients
to
pursue
a
master's
degree
using
scholarship
funds
and
increase
the
maximum
award
amount
to
the
amount
assessed
as
tuition
and
fees
up
to
the
full
time
undergraduate
tuition
and
fee
rates
at
the
highest
cost.
Participation
participating
public
institution
in
the
commonwealth.
A
E
These
regulations
amend
to
update
language
to
reflect
that
you
is
now
part
of
the
education
and
workforce
development
cabinet
and
to
make
minor
updates.
Additionally,
13
kar
3010
amends
to
increase
fees
for
the
issuance
of
a
duplicate
diploma
and
duplicate
transcript.
There
is
an
agency
amendment
that
deletes
these
fee
increases
and
returns
the
fees
to
their
original
amounts.
13
kar
3030
amends
to
require
a
report
documenting
student
hours
of
participation,
along
with
their
pre
and
post
assessment
results
in
order
to
determine
whether
a
student
is
making
progress
toward
obtaining
a
ged
diploma.
E
The
staff
suggested
amendments
for
these
regulations
and
meant
to
add
definitions
and
amends
various
sections
to
comply
with
the
drafting
and
formatting
requirements
of
krs
chapter
13a.
Additionally,
the
staff
suggested
amendment
for
13
kar-3020,
amend
section
1
to
specify
the
minimum
qualification
requirements
of
instructors.
D
A
I
didn't
see
it
correctly
on
my
sheet
here
natalie
I
apologize,
but
we
had
becky
gilpatric,
I
believe
and
miles
justice
on
the
first
regulation,
which
was
the
higher
education
assistance
authority
reg.
So
now,
on
this
set
of
regs,
we
have
natalie
cummins,
ged
administrator
office
of
adult
education.
A
Are
there
any
questions
from
members?
This
set
of
regulations
co-chair,
hail.
F
Thank
you,
mr
chair.
I
only
have
one
question
and
I
normally
ask
these
questions
when
I
see
any
kind
of
a
of
a
fee
increase.
I
know
this
is
looks
like
a
very
minimal
fee
increase
here
is.
Is
there
a
specific
reason
that
we
went
from
10
to
15
and
from
25
to
30
25
to
30
on
the
the
first
regulation
that
was
announced.
D
Representative,
that's
a
very
good
question
and
I
apologize
when
that
was
submitted.
It
was
done
as
an
error
originally,
which
is
why
we
submitted
the
agency
amendment
to
return
the
fees
to
the
original
fees
which
have
been
standing
for
many
years,
so
that
agency
amendment
for
0-1-0
returns
it.
That
is
the
fee
that
is
currently
in
existence
of
ten
dollars
for
a
transcript
and
twenty-five
dollars
for
a
diploma
and
those
are
replacement
documents
not
originally
issued
documents.
A
A
A
We
have
a
motion,
a
second
without
objection
so
ordered.
We
also
have
an
agency
amendment,
which
is
what
we
just
went
over.
Is
there
any
discussion
on
the
agency
amendment?
Seeing
none,
we
have
a
motion.
Is
there
a
second?
We
have
a
motion
in
a
second,
we
have
a
motion
and
a
second
without
objection
so
ordered
so
now
before
us,
we
have
the
reg
with
the
staff.
Amendments
and
agency
amendment,
which
include
the
reversion
back
to
the
ten
dollar
fee
in
the
25
dollar
fee
sounds
like
I've
got.
Was
that
all
your
questions.
F
Yes,
and
I'm
my
apologies-
that
I
didn't
actually
see
that
on
the
agency
amendment
ma'am,
I
apologize
for
that.
D
A
D
Yes,
representative
or
senator
I'm
sorry,
yes,
we
are
we're
trying
to,
as
you
say,
catch
up
and,
of
course,
with
other
changes.
I'm
sure
there
will
be
other
catching
up.
C
C
164020
is
being
amended
to
remove
references
to
special
education
certificates
that
are
no
longer
issued
update.
The
assignment
of
special
education
personnel
to
align
with
current
special
education
certificates.
Remove
portions
of
the
regulation
that
are
now
contained
in
other
regulations
and
update
the
procedure
for
requesting
a
waiver
of
the
assignment
of
teachers
of
exceptional
students.
The
staff
suggested
amendments
to
these
regulations
make
changes
to
comply
with
the
drafting
requirements
of
keras
chapter
13.
A
and
technical
changes.
G
A
I
3010
amends
the
application
requirements
for
registration
of
trademarks
and
service
marks
to
update
material
incorporated
by
reference
and
make
a
technical
correction.
The
staff
suggested
amendment
amends
sections
one
through
six
to
comply
with
karis
chapter
13a,
amend
sections,
1
and
2
for
consistency
with
the
application
form
and
amend
section
6
to
revise
material
incorporated
by
reference.
I
33020
amends
the
process
to
apply
for
renewal
of
registration
of
trademarks
and
service
marks
to
update
material
incorporated
by
reference
and
make
a
technical
correction.
The
staff
suggested
an
amendment
I'm
in
section
1
to
comply
with
karis
chapter
13a
and
I'm
in
section
2
to
revise
material
incorporated
by
reference.
A
B
If
you
would
turn
on
your
microphone,
thank
you
very
much.
A
Sometimes
you
have
to
pull
it
closer
too.
So
are
there
staff
amendments?
There
are
staff
amendments.
Is
there
emotional
approval
of
staff
amendments?
We
have
a
motion
in
a
second.
Without
objection
is
so
ordered.
Does
anyone
on
the
committee
have
any
questions
as
it
pertains
to
this
set
of
regulations?
H
A
H
314195E
establishes
the
form
used
by
county
board
of
elections
to
petition
for
consolidation
of
precincts
and
precinct
officers.
31
4200e
establishes
the
form
used
to
document
the
chain
of
custody
of
records
during
an
election
contest.
315025E
establishes
ballot
standards
and
procedures
for
election
security.
There
are
no
staff
amendments
for
these
last
three
emergency
rigs.
A
L
Thank
you
very
much.
Just
whenever
I
see
emergency
regulations,
that's
always
something
that
raises
my
flags.
Why
are
these
emergency
regs.
K
F
Thank
you,
mr
chair,
and
and
actually
senator
alvarado,
actually
asked
the
question
that
I
had
and
I.
F
Going
to
follow
up
with
one
more
but
on
the
the
first
reg
there
it
the
summary
of
that
speaks
to
the
distribution
of
these
out
these
records
or
these
outside
the
united
states.
Does
that
happen?
Is
there?
Is
there?
Are
there
requests
for
that
quite
frequently.
K
No,
I
wouldn't
say
frequently
representative:
we've
had
one
or
two
a
year.
Usually
it's
for
research
purposes,
I'm
off
top
of
my
head.
I
can
remember
the
university
of
stockholm.
That's
one
like
I
say
once
once
or
twice
a
year.
F
And
so
again,
and
I'm
reading
this-
I'm
I'm
assuming
that
it's
probably
just
for
the
sale
of
to
sell
those
to
other
individuals
or
to
sell
those
to
other
candidates
or
whomever.
K
K
A
You're
welcome.
Obviously
this
is
a
hot
button
issue
over
the
past
few
years
as
you're
well
aware,
I'm
sure,
but
on
dealing
with
chain
of
custody
for
records.
Could
you
go
through
that
just
a
little
bit
on
you
know
the
citizenry,
the
people
out
there
they
they
want
to
know
that
our
elections
are
secure,
and
so
could
you
briefly
go
through
how
this
regulation
maybe
enhances
that
security
with
the
chain
of
custody?
Sure.
K
So
it's
just
trying
to
document
every
single
step.
Like
you
said
this
is
a
hot
button
issue.
It's
it's
and
I
hate
to
repeat
what
you
just
said,
but
this
is
to
actually
instill
confidence
in
the
citizenry
that
every
step
is
accounted
for.
There's
no
time,
that's
unaccounted
for
that
any
any
time.
A
K
So
I
will
say
this
too:
there
were
s,
I
won't
say
significant
in
amount,
but
significant
and
substance
suggestions
towards
this.
K
I
A
D
A
M
201
kr
2030
amends
to
revise
and
add
requirements
for
the
preliminary
application
for
transfer
of
a
pharmacist's
license
and
update
material
incorporated
by
reference.
201
kr
2074
amends
to
delete
other
organized
health
care
facilities.
Add
within
the
same
institution
to
the
definitions,
add
compounding
requirements
to
the
drug
distribution.
Section.
M
Add
the
requirement
for
the
pharmacist
in
charge
to
maintain
a
current
list
of
all
locations
where
automated
pharmacy
systems
are
located
and
to
provide
that
list
to
the
board.
Upon
request,
add
additional
requirements
for
medications
stocked
in
the
automated
pharmacy
system
and
for
repackaging
medications
and
add
board
inspector
authorizations.
A
F
A
L
You
imagine
that
you
would
have
a
question.
Yes,
just
really
briefly,
when
I
see
the
age
of
three
and
up
I'm
a
pediatrician.
So
obviously
that
raises
always
a
concern
for
me.
Are
these
vaccines?
The
comment
was
being
made
that
it
can
be
ordered
or
administered.
Both
are
these
being
done
under
standard
protocols
for
ages
three
and
up,
if
there's
a
complication
for
a
child
of
that
age.
What
is
there
any
protocol
in
place
as
to
what
happens
if,
if
that's
administered
and
there's
a
complication
who's
contacted
about
that.
D
And
senator
alvarado,
this
section
is
actually
congruent
with
federal
law
and
we
are
it
preempts
state
law,
and
so
the
only
reason
that
we
have
have
drafted
a
state
regulation
on
this
issue
to
comply
with
the
prep
act
was
because
of
a
training
requirement
specific
to
pharmacists,
and
so
the
portion
that
you
are
seeing
regarding
three
and
up.
We
are
required
to
implement
within
the
state
of
kentucky
per
per
federal
regulation
under
the
prep
act
now
in
terms
of
your
question
of
protocol.
D
So
there
is
part
of
what
is
included
under
the
prep
act
is
immunity
from
liability
for
administration
of
the
covid19
vaccination,
and
let
me
just
to
be
clear
that
this
emergency
regulation
is
limited
for
that
age.
Group
three
through
three
through
eight,
which
prior
had
not
been
had
not
been
allowed
and
has
been
extended
under
that
federal
rule,
is
only
for
the
covet
19
vaccination
and
only
if
there
is
an
emergency
use,
authorization
or
fda
approval
for
that
age.
Group.
L
And
that's
that's
great.
I
appreciate
that
the
concern
is
there's
a
complication
of
any
type.
So
let's
say
you
know
any
vaccine
can
be
administered.
People
can
have
a
reaction
or
you
know
it
can
be
arthur's
reactions,
lots
of
different
things
that
can
cause
delayed,
hypersensitivity,
reactions
of
any
vaccine
that
we
administer.
So
are
there
pro
I'm
just
asking
if
there's
protocols
in
place
from
our
own
board
that
if
someone
does
have
that,
is
there
something
in
place?
What's
what's
the
typical
response
or
what's
recommended
for
our
pharmacist
to
do?
D
So,
under
under
the
federal
regulation
they
are
allowed,
pharmacists
are
allowed
to
administer.
For
instance,
you
know
an
epipen
if
that's
what's
needed.
If
there
is,
if
there
is
an
adverse
reaction
in
terms
of
regulatory
provisions,
we
don't
have
anything
laid
out
in
this
specific
regulation
other
than
what
is
implied
from
the
federal
rule,
but
mr
hadley
might
be
able
to
speak
specifically
to
in
practice
what
the
what
it
looks
like
for
those
pharmacists
that
might
be
encountering
encountering
these
types
of
adverse
reactions
to
vaccinations.
D
C
You
eden
senator
alvarado
the
pharmacists
who.
D
Are
administering
have
the
ability
and
the
authority
to
administer
or
react
to
a
an
adverse
reaction,
an
anaphylactic
or
reaction
to
the
actual
vaccine
with,
as
eden
said,
epipen,
for
example,.
L
Okay,
I
mean
there's
other
reactions
besides
anaphylactic,
though
right
there's
lots
of
different
reactions
that
can
happen
to
anything
that
gets
injected
or
and
again,
there's.
I
think
four
different
types
of
hypersensitivity
reactions.
Anaphylactic
is
the
first
of
those
four
but
there's
several
different
types
so
that
that's
what
I'm
wondering
is
are
there
protocols
required
for
our
pharmacists
to
follow?
L
If
people
have
those
child
comes
in,
gets
a
vaccine
things
look
good
for
the
first
30
minutes,
there's
discharged
home
and
they
have
a
reaction
at
home
once
they
get
there.
What's
the
is
there
a
protocol,
they'll
call
the
pharmacy
and
say
hey
my
child
got
this
they've
got
a
reaction.
Now
they're
at
home,
they've
got
a
complication
from
a
vaccination
potentially
what's
in
place
for
protocol
for
our
pharmacists,
who
are
now
administering
those.
L
Is
there
something
in
place
because
not
everything
is
anaphylactic,
it
requires
benadryl
or
a
steroid
or
a
or
a
epipen
or
epinephrine.
That's
done
on
the
site,
that's
if
you're
there.
So
if
someone
comes
in
gets
a
vaccine
three
in
the
afternoon,
they
go
home,
they
call
you
back
nine
o'clock
now
that
child's
having
a
problem.
Is
there
a
protocol
in
place
for
our
pharmacist
to
manage
that.
D
At
this
time,
the
four
different
types
of
reactions
are
not
they're,
not
protocols
for
each
specific
one.
That's
certainly
something
that
we'll
take
a
look
at
and
codify
those.
L
That'd
be
great,
or
at
least
you
know
some
type
of
a
perhaps
a
recommendation
of
how
what
should
be
done
if
those
are
administered
there.
I
just
know
again.
What
will
often
happen
is
someone
will
contact
a
pediatrician
show
up
to
an
er
after
hours,
not
know,
and
people
often
don't
have
information
when
things
are
administered
that
becomes
always
a
complication,
so
it
might
be
worthwhile
to
at
least
have
some
requirement
for
a
protocol
in
place
if
we're
going
to
start
doing
that
there.
Thank
you,
mr
chairman,
thank
you.
A
D
So
in
terms
of
what
this
this,
this
regulation
is
specifically
targeted,
it
only
allows
for
two
types
of
vaccinations
and
they
are
both
pursuant
to
what
is
required
by
the
state
under
federal
law,
and
that
would
be
covet.
19
vaccinations,
as
well
as
seasonal
flu,
vaccinations
to
individuals
19
and
over.
A
Okay,
so
this
is
not
a
blanket
across
the
board:
authorization
for.
D
A
This
is
a
little
bit
this.
This
is
not
encompassed
in
the
regulation,
but
this
is
a
question
that
I
had
and
maybe
hopefully
other
members
have
as
well,
but
I
know
dr
senator
alvarado
is
interested
in
this.
Do
general
practitioners,
I'm
assuming
general
practitioners,
doctors
have
full
authority
to
do
the
same
thing.
D
Yes,
absolutely
they
didn't
need
special
authority,
like
pharmacists,
technicians
or
interns,
did
because
it
was
already
within
their
scope
of
practice.
A
D
So
I
think
in
in
our
research
it
really
depends
on
age,
so
I
think
for
for
younger
children.
Of
course
those
are
things
that
are
administered
within
a
pediatrician's
office
for
adults.
There
are
significant
number
of
vaccinations
that
are
being
administered
to
adults,
by
pharmacists
and
and
by
by
pharmacist
staff.
D
A
Yeah
and
the
reason
and
senator
alvarado
may
have
a
comment
on
this,
but
it
seems
to
me
that
most
of
these
vaccinations
are
not
being
handled
in
the
doctor's
office,
and
I
was
just
curious
as
to
why
there
seems
to
be
a
push
to
for
the
general
practitioners
not
to
to
me
that's
the
safest
place
to
administer
the
vaccines
in
the
doctor's
office,
and
so
I
was
just
curious
as
to
why
most
of
them
seem
to
be
doing.
Outs
be
done
outside
the
office,
but
that
was
my
only
question
any
other
questions.
M
M
Allow
requests
for
continuing
education
records
to
be
sent
to
nurses
by
email
shorten
their
response
period
from
30
to
10
business
days.
If
a
notice
of
non-compliance
is
sent
to
a
nurse
based
upon
the
nurse's
non-response
to
request
for
records,
add
a
preceptor
continuing
education,
verification
form
and
modify
an
existing
nursing,
continuing
education,
employer
evaluation
form
201k
2320
amends
to
clarify
how
and
when
external
examinations
may
be
used
by
the
program
of
nursing
and
identify
suicide
prevention
and
implicit
bias
as
a
required
curriculum
for
all
kentucky-based
programs,
a
pre-licensure
rn
and
lpn
education.
A
A
I
have
one
question:
it
regards
the
implicit
bias
training.
If
could
you
just
maybe
define
what
that
is
and
why
that's
going
to
be
now
required.
N
Well,
yeah,
I
believe
the
board
found
that,
after
reviewing
the
materials
on
the
presentations,
I
don't
have
it
with
me
in
front
of
me.
However,
there
is
a
difference
in
outcomes
based
upon
individuals,
backgrounds,
their
and
their
statuses,
and
so
the
this
implicit
bias
is
to
train
nurses
to
recognize
biases
that
all
individuals
may
carry
with
them
that
they
may
not
be
aware
of
regarding
their
patients,
in
particular,.
I
A
A
There's
a
staff
amendment:
is
there
a
motion
for
approval,
a
staff
amendment?
Second,
we
have
a
motion
in
a
second
without
objection,
so
ordered
any
question
on
this
set
of
rigs.
This
reg,
seeing
none,
please
call
the
next
regulation.
Thank
you.
Thank
you.
All.
E
Three:
oh
three
k
a
r
one,
o
o
five
through
one
one
hundred
amend
to
clarify
statutory
authority.
Additionally,
three
o
three
k:
a
r
one
kar1110
incorporates,
by
reference
the
kentucky
state,
fair
board
procurement
procedures.
The
staff
suggested
amendment
for
303
kr
1080
amends
to
specify
that
these
requirements
do
not
apply
during
the
annual
kentucky
state
fair
to
incorporate
by
reference
the
diagram
of
the
fairgrounds
and
exposition
center
and
the
activity
permit
application,
intimate
clarifications.
A
E
Kar-12010
amends
to
add
human
trafficking
for
commercial
sexual
activity
to
the
definition
of
a
victim
at
a
provision
requiring
any
professional
who
learns
of
the
death
of
a
victim
with
whom
he
or
she
had
a
professional
interaction
to
immediately
notify
law
enforcement.
If
the
professional
believes
domestic
or
dating
violence
or
abuse
caused,
contributed
or
is
related
to
the
victim's
death
at
a
provision
requiring
that,
if
the
reporting
patient
for
a
forensic
evidence
exam
is
a
child.
The
kentucky
medical
protocol
for
child
sexual
assault
or
abuse
evaluation
shall
be
used.
E
Add
a
provision
requiring
the
examination
facility
to
enter
the
ksp
sexual
assault,
evidence
collection,
kit,
information
into
the
sexual
assault,
forensic
evidence,
kit,
tracking
portal,
clarify
notification,
requirements
and
procedures
relating
to
samples,
add
material
incorporated
by
reference
and
make
minor
updates.
502
kar
14010
amends
to
add
palm
print
scanners
to
the
list
of
optional
equipment
that
may
be
employed
by
the
department.
502
kar
2020
amends
to
make
minor
updates.
The
staff
suggested
amendments
for
12010,
14010
and
2002-0
amend
various
sections
to
comply
with
krs
chapter
13a.
C
C
50247.010
is
being
amended
to
clarify
the
method
by
which
the
kentucky
state
police
shall
notify
the
energy
and
environment
cabinet
and
the
cabinet
for
health
and
family
services
that
a
property
contains
potentially
hazardous
materials
resulting
from
the
manufacture
of
methamphetamine
502
5010
is
being
amended
to
establish
the
procedure
to
request
the
continuance
of
proceeding
before
the
trial
board.
The
staff
suggested
amendments
to
these
regulations
amends
various
sections
to
comply
with
the
drafting
requirements
of
krs
chapter
13a
and
make
technical
changes.
A
C
503
1060
is
being
amended
to
add
and
revise
definitions.
503
1080
is
being
admitted
to
revise
the
requirements
for
schools,
seeking
certification,
remove
outdated
requirements
and
clarify
that
the
office
of
kentucky
law
enforcement
council
support
may
carry
out
certain
administrative
functions.
On
behalf
of
the
kentucky
law
enforcement
council,
503-109-0
is
being
amended
to
clarify
the
standards
and
procedures
for
in-state
and
out-of-state
law
enforcement,
training
facilities,
clarify
terminology,
including
revision
of
curriculums
and
stipulations
on
curriculum
approvals
and
increase.
C
That
would
limit
some
educational
programs
to
those
offered
by
the
department
of
criminal
justice
training.
503
3020
is
being
amended
to
modify
the
penalty
range
for
disciplinary
actions
and
add
additional
prohibited
material
to
the
description
of
prohibited
obscene
materials.
503
303-0
is
being
admitted
to
update
the
language
applicable
to
local
boards
of
education,
bring
part-time
officers
and
dispatchers
into
the
eligible
category
for
free
tuition,
housing
and
meals,
and
eliminate
confusing
and
redundant
language.
503
3050
is
being
admitted
to
combine
the
cjis
academy
with
the
non-cjis
academy.
H
Kr
4010040
and
050
were
amended
to
allow
the
use
of
any
full-size
silhouette
target,
if
approved
by
the
department
and
to
make
other
minor
updates.
503,
5080
and
100
were
amended
to
update
definitions
and
to
reference
the
current
stipend
amount
as
set
by
statute.
The
staff
suggested
amendment
amends
various
sections
to
comply
with
13-day
drafting
and
formatting
requirements.
A
There
are
staff
amendments.
Is
there
a
motion
for
approval
of
the
staff
amendments?
We
have
a
motion.
Do
we
have
a
second?
We
have
a
motion
and
a
second
without
objection.
It
is
so
ordered.
I
know
we
have
one
question
from
co:
chair
hill.
F
Thank
you,
mr
chair.
Actually
I
have
a
couple
if
that's
okay,
I'd
like
to
go
back
and
start
with
503
kr01090.
F
F
And
maybe
I
can
maybe
I
can
even
clarify
my
question
a
little
bit.
The
does
that
mean
there's
there's
same
procedures
followed
for
training
facilities
outside
of
the
state.
Is
there
is
within
the
state
for
these
individuals
to
get
their
course
curriculums,
or
is
there
something
there
that
I'm
missing?
Maybe
maybe
I'm
not
understanding
even
how
it
was
read,
but.
D
A
D
D
F
Okay,
all
right,
thank
you
and
then
then
I
have
one
more
question
on
the
003
050,
where
it
says,
amends
to
combine
cjis
academy
with
non-cjis
academy.
F
D
It's
a
criminal
justice
information
system.
It's
a
database
for
criminal
justice
information
that
requires
specialty
training.
Very
very
few
places
do
not
have
their
dispatchers
trained
in
that
program
anymore,
so
it
seemed
obsolete
to
have
two
separate
academies,
they're
combined,
so
that
everyone
is
getting
the
specialized
training
now.
F
Okay,
okay,
thank
you,
you're
very
welcome.
I
appreciate
that
that
probably
showed
my
ignorance.
F
C
603
kar
3
100
establishes
additional
types
of
noxious
weeds
and
invasive
plants
to
remove
to
be
removed
from
rights
of
way
by
the
department
of
highways.
The
staff
suggest
the
amendment
amends
section
one
to
remove
redundant
language
and
comply
with
the
drafting
requirements
of
krs
chapter
138
603
k.
5360,
establishes
procedures
for
the
division
of
emergency
management,
to
request
the
transportation
cabinet
to
display
missing
person,
announcements
on
variable
highway
message
signs.
The
staff
suggested
amendment
amends
the
necessity
function
and
conformity
paragraph
to
correct
statutory
citation
and
section
2
to
make
technical
changes.
C
The
agency
amendment
amends
section
2
to
expand
reporting
requirements,
603
kr
1011
emergency,
repeal
603,
kar,
1002,
10010
and
1021
because,
though
they
are
obsolete
and
unnecessary,
603
kr,
10040
and
10040
emergency
established
permit
fees
for
advertising
devices.
The
staff
suggested
amendment
amends
various
sections
to
comply
with
the
drafting
requirements
of
krs
chapter
13
a
and
make
technical
changes.
N
Sorry,
mr
chairman,
this
is
john
johnson
assistant,
general
counsel,
office
of
legal
services.
I'm
here
with
colleague,
larissa
fletcher
staff
attorney
and
ricky
sizemore
and
mark
mccoy
subject
matter:
experts
gotcha.
A
A
A
O
Hi,
yes,
thank
you.
I
do
have
a
question
in
regards
to
the
missing
persons
regulation.
There
was
comments
submitted
that
brought
up
two
issues
that
seemed
to
me
seemed
to
me
to
be
very
reasonable.
O
One
is
in
regards
to
who
can
request
the
posting
as
it's
currently
written.
Only
the
local
search
and
rescue
coordinator
is
able
to
make
that
request,
and
you
know
again
with
it
being
a
24
hour
seven
day
a
week
need.
Is
there
any
flexibility
there?
For
you
know
anyone
else
on
the
staff
to
be
able
to
make
this
request.
N
D
Yes,
good
afternoon
committee:
yes,
that
has.
D
N
O
Perfect,
thank
you
very
much.
I
have
a
follow-up
question.
There
was
also
in
section
two
sub
subsection,
eight
that
that
the
posting
would
be
removed
after
four
hours
and
again
it
goes
back
to
this.
This
is
a
24
hour
seven
day
a
week
need,
and
you
know
if,
for
example,
if
the
need
arose
at
night
and
it
was
placed
at
night,
you
know
after
four
hours
it
has
the
potential
to
expire
before
anyone
essentially
gets
to
see
the
notification.
D
O
D
I
believe
the
way
it
is
worded
would
would
indicate
that
the
local
community
would
need
to
request
that
we
extend
that
posting
past
the
four
hours
it
would
it's
going
to
be
set
up
by
transportation
cabinet
for
four
hours.
So
if
we
had
not
located
the
missing
person
within
that
window,
the
local
community
would
ask
to
extend
that
past.
The
four-hour
standard.
F
Thank
you,
mr
chair,
and,
and
I
want
to
just
follow
up
on
representative
frazier's
question
there
and
I
and
I
still
want
to
come
back.
That
answer
was.
F
Okay,
so
we're
we're
only
going
to
post
that
for
four
hours
from
midnight
to
4
a.m,
we're
going
to
have
a
very
limited
amount
of
people,
probably
see
that
and
then
we're
going
to
someone's
going
to
have
to
make
a
request
again
to
post
that
another
four
hours
I
mean.
Is
there
not
a
immediate
way
to
get
that
posted?
Let's
say
for
eight
hours
or
something
of
that
nature?
That
was
just
my
concern.
F
In
a
sense,
that's
not
doing
really
what
we're
posting
that
to
be
the
the
for
what
we're
wanting
to
be
accomplished
by
that.
In
my
opinion,.
P
P
Jeremy,
do
you
do
you
have
anything
specific
that
you
would
like
to
indicate?
Jeremy
works
for
our
cabinet
and
is
in
is
addressing
dispatch
issues
right
now
and
may
or
may
not
be
able
to
answer
the
question,
but
essentially
the
cabinet
believes
that
the
there
is
a
method
of
resubmitting
the
com,
the
request
in
such
a
way
that
we
can
renew
the
display.
P
We
also
have
to
consider
the
hierarchy
of
the
requests
that
come
in
say
so,
for
example,
during
the
time
that
the
request
comes
in
the
the
message
is
posted.
There
is
a
much
more
urgent
request
that
comes
through
that
would
need
to
come
on
to
the
bill
onto
the
board
instead
that
that
that
window
of
time
tries
to
accommodate
for
that,
jeremy
are
you
there?
It
looks
like
maybe
you
are.
Q
Yes,
so
the
boards
are
used
for
multiple
messages,
including
traffic
conditions,
including
crashes.
Q
The
four-hour
window
is
kind
of
a
historical
time
frame
that,
if
we
haven't
had
any
updates
after
four
hours,
we're
worried
that
we
would
be
leaving
a
message
up
for
multiple
hours,
even
if
the
person's
been
located
and
we
haven't
been
notified
that
they
have
been
located.
So
it's
kind
of
a
fail
safe
to
keep
that
message
from
being
up
there
longer
than
it's
needed
to
be.
Q
F
I
know
that
representative
frazier
had
worked
tirelessly
on
a
piece
of
legislation
concerning
this.
Basically,
this
issue,
mr
chairman,
is
it
out
of
order
to
refer
to
miss
to
representative
frazier?
At
this
point,
may
I
do
that.
F
O
Thank
you,
coach,
o'hara
and
again.
I
do
appreciate
the
work
that
you've
put
forth
on
this,
because
this
will
save
lives.
No
doubt
we
have
an
aging
population
and
an
increase
of
the
significance
of
alzheimer's
and
all
other
types
of
missing
activities.
So
this
this
will
save
lives,
and
so
I
guess
my
follow-up
question
would
be
in
response
to
what
was
given
is
and
if
you're
triaging
things
what
is
more
important
than
a
missing
person,
and
my
second
point
would
be
again
going
back
to
the
time
of
the
display.
O
N
N
These
issues
were
discussed
when
we
drafted
the
regulation,
because
obviously
there's
going
to
be
counties
that
are
going
to
be
more
more
targeted
than
others,
and
we
have
to
make
the
determination
which
county,
what
segment
highway,
that
we
have
to
do
the
posting.
But
it's
my
understanding
that
and
I
didn't
want
to
go
into
any
details.
N
O
Thank
you
for
that,
but
but
again
I
guess
it
would
go
back
to
if
you're
going
to
request
something
longer
than
four
hours,
then
it
has
to
be
done
at
the
expiration
of
four
hours
that
there's
no
way
to
initially
post
it
for
hours
and
again,
if
it's
11
o'clock
midnight,
then
you've
got
someone
having
to
contact
your
agency
again
at
3
or
4
a.m.
In
the
morning
that
that
just
doesn't
seem
efficient.
N
A
Seeing
none,
please
call
the
next
regulation.
Thank
you.
P
A
L
J
Senator
alvarado
the
emergency,
the
emergency
regulation
was
originally
filed.
I
get
on
my
date
straight
here
before
the
extraordinary
session
of
the
general
assembly.
The
general
assembly
took
action
with
senate
bill
1.
I
believe
it
was
to
address
the
funding
piece
related
to
students
who
may
be
learning
remotely
during
that
period
of
time,
so
the
emergency
was
no
longer
necessary
in
order
to
provide
schools,
the
funding
that
they
were
relying
upon
based
on
attendance
counts,
and
for
that
reason
we
withdrew
the
emergency
regulation.
L
L
Oh
okay,
so
all
right
it'll
be
close
to
the
end
of
school.
That's
why
I'm
wondering
in
terms
of
that
being,
in
effect
the
so
the
emergency
was
filed
more
or
less
because
of
a
funding
issue.
That
was
the
original
purpose
of
the
emergency
was
more
for
funding
for
schools,
so
that
was
addressed
by
the
special
session.
So
that's
no
longer
the
requirement
that
can
be
regular.
L
That's
what
I
wanted
to
make
sure
I
understood
if
there
was
an
emergency
that
suddenly
went
away
or
not,
it
was
more
related
to
funding.
That's
right!
That's
right!.
A
To
clarify,
I
think
it
was
having
to
do
with
the
seek
formula.
Is
that
correct?
As
far
as
in
person
attendance,
the
calculation.
J
Driven
by
average
daily
student
attendance-
and
this
was
a
mechanism
to
calculate
that-
and
senate
bill-
one
relied
upon
previous
year's
data
for
funding
the
school
right.
So
that
no
longer
was
an
issue.
C
A
Yes,
this
is
not
the
kentucky
state
police
identify
yourself
with
the
record.
I'm
sorry.
A
J
Yes,
the
purpose
of
this
regulate
the
the
amendment
to
the
regulation
is
to
align
the
regulation
with
the
statute.
The
statute
was
changed
and
when
it
changed,
it
changed
the
numbering,
so
we
just
needed
to
go
in
and
we
needed
to
make
sure
that
our
current
regulation
aligned
with
the
changes
to
the
statute.
So
substantively
there
really
has
been
no
change.
A
A
J
And
so
when
that
statute
changed
the
way
we
wrote
our
regulation,
it
was
keyed
and
tied
to
the
numbering
system
in
the
statute,
and
so
we
had
to
go
back
into
our
regulation
so
that
the
regulation
still
identified
the
provisions
that
we
were
planning
on
complying
with.
Okay,.
A
J
A
Though,
that's
that
you
answered
my
question
there,
that
was
what
was
confusing
me
is
why
wasn't
this
through
cpe
or
why
is
this
just
kentucky
state?
Okay,
any
other
questions,
representative
frazier.
O
Hi,
thank
you
for
being
here
today
and
I
guess
just
in
the
light
of
the
recent
news
it
seems
to
be.
Could
you
give
a
statement
or
talk
about
your
procurement
process,
because
it
seems
to
be
there's
a
lot
of
things
going
on
over
there
to
yeah
at
the
moment.
J
A
If
it
makes
you
feel
any
better
representative,
frazier
kentucky
state
has
been
in
front
of
appropriations
and
revenue,
and
my
vr
subcommittee
a
couple
times
recently
so
and
probably
will
be
back
again
soon.
So
thank
you.
Any.
I
L
Q
Yes,
senator
first,
we
we
we
deemed
an
emergency
for
two
reasons:
one
we
filed
it
to
comply
with
an
executive
order
which
was
extended
or
codified
during
the
the
special
session
in
2021.
Q
Also,
we
did
it
because
if
we
didn't
do
it
by
an
emergency,
then
it
would
take
too
long
for
us
to
get
it
in
place.
As
you
know,
the
legislature
extended
the
state
of
emergency
to
january
15th,
and
if
we
didn't
do
this
procedure
right
now,
then
obviously
this
process
would
have
taken
longer.
We
would
not
have
had
the
procedure
in
place
before
the
expiration
of
the
state
of
emergency.
A
Anything
further
senator
I've
got
one
question.
This
talks
about
exposure
to
code
in
the
workplace.
I
know
with,
and
I
forget
I
apologize.
I
forget
the
bill
number,
but
we
passed
a
bill
dealing
with
liability
of
employers,
relieving
them
of
certain
liability
as
it
pertains
to
covet
exposure
in
the
workplace.
Q
Believe
that
was
separate,
mr
chairman,.
A
So,
in
your
opinion,
you
know,
there's
still
possible
work
comp
liability
if
they,
it
can
be
proven
that
they
receive
covet
in
the
workplace.
Is
that
is
that
true?
Yes,.
Q
A
B
M
804
kr4
212
creates
an
in-state
distilled
spirit
supplier
license
and
a
limited
in-state
supplier
license
to
regulate
traffic
and
distilled
spirits
by
resident
owners
and
suppliers
of
distilled
spirits.
Brands
defines
an
in-state
distilled
spirits
supplier
and
lays
out
what
the
new
license
authorizes
allows.
The
licensee
to
advertise
distilled
spirits,
brands
that
the
licensee
is
authorized
to
sell
includes
that
this
license
does
not
authorize
the
licensee
to
purchase
transport
store
or
possess
distilled
spirits
for
the
purposes
of
sale,
establishes
qualifications
to
obtain
an
in-state,
distilled
spirit.
M
Supplier
license,
requires
applicants
and
licensees
of
an
in-state
distilled
spirit.
Supplier
license
to
comply
with
804
kr
4015
and
to
be
considered
a
manufacturer
requires
an
in-state
distilled
spirit
supplier
licensee,
to
register
with
the
department.
All
brands
that
it
intends
to
sell
in
the
commonwealth
requires
licensees
to
pay
all
applicable
taxes
for
the
sale
of
its
products
and
incorporates
material
by
reference.
M
804
kr
4251
establishes
the
conditions
for
a
special
temporary
license
and
incorporates
the
online
special
temporary
license
application
form.
804
kr4
480
establishes
provisions
to
allow
the
board
to
continue
administrative
proceedings
against
a
licensee
despite
the
licensing
surrender
of
their
license,
and
include
an
exemption
that
this
regulation
shall
not
be
interpreted
to
relate
to
the
direct
shipper
licenses
that
is
required
by
statute.
The
staff
amendments
for
these
regulations.
Oh
I'm
in
various
sections
to
comply
with
karis
chapter
13a.
A
M
806
kr
5025
the
pros
amendments
to
the
regulation,
define
solvent
scheme
of
arrangement,
establish
requirements
relating
to
reciprocal
jurisdictions
and
make
various
technical
changes,
including
to
update
material
by
reference.
The
staff
amendment
men's
various
sections
for
clarity
and
to
comply
with
keras
chapter
13a.
D
A
A
A
We
don't
need,
we
don't
need
it
explained.
That's
fine,
please,
please
call
the
next
regulation.
Thank
you.
Thank
you.
Thank
you.
I
810
503060
and
070
amend
requirements
for
standard
bread
racing,
including
claims
races
to
allow
horse
scratched
from
a
claiming
race
to
be
claimed.
For
the
same.
Claiming
prize
at
a
subsequent
subsequent
race,
held
within
30
days,
standard
bred
entries
to
clarify,
qualifying
provisions
and
delete
requirements
related
to
examinations
by
attending
veterinarians
and
standard
bred
races
to
clarify
that
a
driver
striking
pylons,
but
not
gaining
an
unfair
advantage
may
rather
than
shall
be
cited
for
a
violation.
D
I
900-12005
establishes
terms
and
provisions
for
telehealth,
including
requirements
to
protect
confidentiality
in
a
technological
context.
The
amended
after
commons
version
makes
technical
corrections
adds
a
definition
for
healthcare
provider
and
clarifies
compliance
requirements
for
telehealth
providers.
The
emergency
version
was
considered
at
the
november
meeting
of
the
subcommittee.
The
staff
suggested
amendment
to
the
ordinary
only
amidst
various
sections
to
comply
with
keras
chapter
13a.
G
Q
A
L
You,
mr
chairman,
so
I'm
looking
at
the
language
here
from
the
regulation
talking
about
establishing
guidelines
to
contact,
refer
and
obtain
treatment
for
a
patient
who
needs
emergent
or
higher
level
of
care
services
provided
by
a
hospital
or
other
facility.
I
know
there's
been
a
lot
of
movement
nationally
to
pass
legislation
for
this
and
establishes
some
concerns
for
me
from
a
liability
angle.
You
know
we've
I've
heard
just
to
clarify
for
members
of
the
committee.
L
What
will
happen
is
someone
will
dial
in
to
a
provider
from
telehealth
services
they
might
be
in
another
location
and
that
provider
may
say
hey
you
need
to
go,
they
might
have
an
emergent
situation,
that's
developing
there
and
often
tell
that
patient
to
go
ahead
and
contact
9-1-1
to
do
that
and
the
person
may
not
do
it
and
may
have
a
negative
outcome,
we're
putting
the
onus
down
on
the
provider
to
provide
that
service,
and
my
concern
is
ramifications
of
this
and
I'm
just
curious.
L
L
So
for
establishing
guidelines
for
this
to
put
this
on
now
on
the
provider
to
make
sure
that
they
have
to
provide
that
or
have
to
get
that
higher
level
of
care.
This
is
a
little
bit
broader,
I
think,
than
what
we
just
think
of
the
simple
statement.
I'm
hoping
you
can
comment
on
some
of
this.
What's
the
impetus
to
put
this
into
the
regulation.
Q
There
has
been
some
discussions
on
the
type
of
protocols
that
should
be
developed
for
for
this
type
of
a
situation
in
terms
of
using
telehealth
for
emergency
situations
it
it
would
require.
I
think
us
making
sure
that
we
know
the
location
of
where
the
patient
is
at
that
time,
that
we
have
a
phone
number
in
case.
Something
happened
in
terms
of
the
connection
with
the
the
telehealth
with
with
the
video
and
audio
and
that
we
might
consider
even
asking.
Is
there
another
telephone
number
that
you
we
could
call?
Q
If
there
was
a
con?
You
know
as
a
contact,
I
think
you're
exactly
right.
Senator.
I
think
that
we
have
to
look
at
it,
not
just
like
you're,
seeing
a
individual
in
person,
because
that
person
is
at
another
location
and
if
it
is
someone
that's
on
the
line
who
says
well,
I
just
might
as
well
just
do
away
with
myself
and
there's
you
know
a
suicidal
situation.
Q
So
we
haven't
worked
everything
out
yet,
but
we
have
talked
about
the
need
for
some
type
of
guidance
or
or
some
type
of
procedure
that
a
that
a
provider
could
use
to
follow
to
in
those
certain
certain
certain
circumstances
in
this,
but
in
this
particular
regulation
we
we
do
put
this
back
on
each
of
the
health
providers
to
to
establish
that.
Q
F
G
L
Very
good
here's
my
concern
with
this
we're
a
horrible
state.
When
it
comes
to
medical
liability,
I
mean,
I
think,
we're
one
of
the
worst.
I
just
got
a
report
back.
I
think
we
are
number
one
now
ranked
in
terms
of
medical
liability
and
what
you're
doing
with
this
is
going
to
be
adding
liability
onto
every
provider
out
there.
L
A
lot
of
our
telehealth
and
remote
services
now
are
being
provided
through
sometimes
delayed
issues,
so
you
might
have
somebody
leaving
a
message
and
by
the
time
they
have
to
contact
that
or
have
to
answer
that
I
mean
every
you
can
call
any
hospital.
You
can
call
up
anything,
that's
medically
related
and
they're
going
to
say
this
is
an
emergency.
Please
call
9-1-1,
that's
the
first
thing
you
hear,
and
then
they
go
into
saying.
L
If
you
want
to
leave
a
message
for
this
or
for
that
and
all
that
sort
of
thing,
some
are
going
to
argue.
That's
a
method
of
telehealth
because
we're
allowing
audio
visits
now
only
as
well
and
if
someone
leaves
a
message
on
they're
saying
I'm
going
to
kill
myself
over
how
much
time
frame
does
that
person
have
to
respond
to
a
message,
that's
being
left
for
them
or
something
this
gets
really
messy.
When
we
start
putting
these
kind
of
guidelines,
I
mean
traditionally
we
would
say
to
a
patient
hey.
L
If
I
get
a
phone
call
now-
and
someone
says
I'm
thinking
of
this-
you
need
to
go.
Seek
this
care
right
now,
but
if
you're
gonna
say
no,
it's
up
to
you
as
a
provider
to
spend,
however
many
hours
trying
to
track
where
that
person
is
at.
If
you
get
a
phone
call
after
hours,
I've
been
on
call
many
times,
and
I
have
a
patient
call
me
and
say
I
have
a
concern.
I
think
my
child
is
doing
this
or
I'm
having
these
symptoms.
And
my
response
is:
that's
emergent.
L
You
need
to
go
to
the
er
right
now.
That's
what
I
recommend
you
do.
This
kind
of
language
is
going
to
say:
that's
not
enough.
You
know
you
need
to
find
out
where
they're
at
call
the
police
call
the
ambulance
for
them
and
do
all
that
stuff
for
them.
It's
going
to
basically
stifle
people
willing
to
take
calls
after
hours.
L
People
willing
to
see
these
folks
do
telehealth
services,
if
you're
adding
liability
on,
and
that
becomes
a
concern,
because
right
now,
there's
some
common
sense
that
if
I
advise
a
patient,
please
seek
this
level
of
care
right
now
and
you're
going
to
say:
that's
not
good
enough!
You
need
to
do
that
for
the
person
a
lot
of
providers
are
going
to
stop.
Taking
calls
stop
doing
these
kind
of
communications
because
of
that
liability
risk,
because
we
are
in
a
horrible
liability
environment,
probably
the
worst
in
the
nation
in
this
state.
L
So
I
would
urge
you,
when
you,
if
you're
going
to
start
establishing
these.
This
is
what
raises
the
red
flag
for
me.
Is
that
concern
and
the
interest
of
saying
we're
going
to
help
patients
out
if
you're,
just
going
to
put
something
else
onto
a
provider
they're
not
going
to
provide
this
level
of
service
in
order
to
reduce
their
liabilities
in
this
state?
Just
be
aware
of
what
this
can
do.
Thank
you,
mr
chairman,.
A
Just
if
I
could
pop
pop
in
here
for
a
second
for
clarity,
I
think
we
passed
the
I'm
sorry
we
allowed
the
emergency
rig
to
move
forward
last
month
on
this.
Is
there
a
reason?
What's
the
reason
for
the
emergency?
Is
there
federal
funding
or
is
there
an
issue
there?
What
why.
G
The
reasoning
the
reasoning
for
is
when
we
establish
the
reg
in
the
earlier
part
of
the
year.
So
in
the
summer
we
needed
to
make
an
immediate
change,
because
there
were
some
things
that
needed
to
be
this,
that
needed
to
be
in
for
the
insurance
plans
that
start
on
1-1
2022
to
be
able
to
have
already
for
their
plan
approval
in
the
doi.
G
So
that
was
the
reason.
Doi
approves
all
plans
earlier
in
the
year
so
by
I
believe
september,
and
they
needed
those
quick
changes
and
therefore,
for
the
plans
to
have
the
carriers
to
have
their
plans
in
and
submitted.
They
needed
this
immediate
change
so
that
they
could
have
it
readily
available
for
the
2020
plan
year.
A
So
it
was
a
a
way
for
the
insurance
carriers
to
determine
their
level
of
risk.
Basically,.
A
A
A
A
Defer,
okay,
so
there's
no
real,
there's
nothing!
No
federal
funding!
Nothing!
In
the
background!
That's
going
to
be
at
risk
because
we
deferred
a
month.
L
Sure,
if
they're
willing
to
grant
when
I
that'd
be
fine,
like
I
said
my
concerns,
are
those
I
think
they're
legit
is
we're
transferring
risk
yet
again
onto
providers
in
the
state
and
we're
horrible
about
that
in
this
state
and
we're
getting
to
the
point
very
quickly
we're
going
to
start
losing
a
lot
of
providers
and
we've
got
probably
the
top
telehealth
bill
in
the
country.
I
can't
tell
you
some
of
these
legislative
conferences.
I
go
to
people
approach
me
say
boy.
You
guys
have
done
a
phenomenal
job
with
telemedicine
tremendous
bill,
real
broad.
L
It's
great
people
are
trying
to
copy
what
we're
doing
and
then
to
put
something
like
this
in
here
saying
we're
going
to
put
it
on
the
providers
to
make
sure
that
if
something
goes
wrong,
it's
going
to
be
on
you
completely.
It's
one
thing
to
do:
diagnosis
and
treatment.
I
get
it,
there's
a
liability
there,
but
now
it's
about
the
sometimes
the
patient's
own
responsibility
and
to
say.
Well
now
it's
going
to
be
on
the
provider
to
make
sure
that
person.
L
If
you
don't
do
that,
for
them,
there's
going
to
be
a
ramification
for
you
for
liability,
it's
taking
it
away
from
insurance
companies
and
turning
away
from
patients
as
far
as
that,
sometimes
that
responsibility
and
putting
yet
something
else
under
providers.
It's
going
to
kill
this
so
I'll,
be
happy
to
work
with
anyone
on
that.
Mr
chairman,
thank
you
I'll
make.
A
The
official
request
would
you
be
willing
to
defer
this
particular
regulation
until.
A
A
If
you
could
work
with
the
cabinet
on
that
and
seek
a
solution-
and
I
will
I
appreciate
you
all
agreeing
to
that
any
other
questions.
Seeing
none.
Please
call
the
next
regulation.
E
902
kar
2020
amends
to
incorporate
an
updated
form
for
reporting
multi-drug
resistant
organisms
and
to
update
the
hiv
reporting
criteria:
902
kar
2,
230e,
240e
and
250e
established
requirements
for
monoclonal
antibody
administration,
covid19,
test
acquisition
and
distribution
and
storage
of
covid19
vaccines,
citing
to
fda
and
cdc
guidance.
These
regulations
were
promulgated
pursuant
to
senate
bill
2
of
the
2021
extraordinary
session
of
the
general
assembly.
The
agency
amendment
for
2240e
amends
section
2
to
make
a
correction.
A
A
We
have
a
motion
and
a
second
without
objection
is
so
ordered
any
discussion
for
members
on
this
particular
set.
H
907
10
830
amends
reimbursement
provisions
for
acute
care,
inpatient
hospital
services
for
a
medicaid
recipient,
not
enrolled
with
an
mco
to
allow
hospice
care
providers
to
be
considered
post
acute
care
hospitals
in
certain
situations
and
to
delete
material
incorporated
by
reference.
The
staff
amendments
were
1030
and
10815,
I'm
in
various
sections
to
comply
with
13a
drafting
requirements.
A
Hopefully,
you
have
broad
shoulders
you're
on
your
own
today.
So
are
there
are
staff
amendments?
Is
there
a
motion
for
approval
of
staff,
amendments,
there's
a
motion
and
a
second
without
objection.
It's
so
ordered
any
questions
on
this
set
of
regs
see
none,
please
call
the
next
regulation.
Thank
you.
C
B
That
concludes
our
agenda
for
this
month.
For
our
next
meeting,
we
will.
A
Someone
I
was
pretty
excited
myself.
If
someone
could
describe
the
next
regulation,
we
have
in
front
of
us.
E
B
Here
I
have
a
few
other
people
on
the
call,
depending
on
the
nature
of
questions
asked,
but
as
the
regulation
coordinator
I'll
do
my
best
to
field
all
questions,
that's.
A
That's
fine
and
we
have
people
signed
up
to
speak
against
and
for
members
of
the
committee
and
representatives
of
the
cabinet
that
are
here
today.
You
can
blame
me
100
for
this
being
on
the
docket
and
the
reason
that
I
look
at
this
personally
as
an
information
gathering
exercise
right
now,
I,
along
with
other
members,
have
been
getting
some
complaints
from
the
industry
and
rather
than
letting
that
go
on.
A
A
A
R
R
So
I
asked
them
to
check
see
if
it
was
something
I
had
done
wrong
or
whatnot.
The
response
I
received
that
day
said
quote
that
just
means
we've
not
had
the
chance
to
review
and
verify
your
certification
we're
taking
a
little
longer
with
those
certifications
due
to
the
high
volume
of
requests
we're
receiving.
R
Later
that
day,
I
received
another
email
that
stated
the
bls
course
you
completed
does
not
include
first
aid,
which
is
required
to
meet
the
certification
requirement
on
cpr
and
first
aid.
A
letter
from
the
instructor
does
not
satisfy
documentation
because
it
is
not
reflected
on
the
card
from
the
american
hearts
association.
R
They
went
on
to
tell
me
what
was
on
their
website
that
bls
covers
and
told
me
that
the
description
on
the
website
does
not
include
first
aid.
Neither
does
the
certification
card
you
submitted
to
tris
if
a
trainer
who's
also
a
certified
instructor
added
this
to
the
course
to
include
first
aid,
the
additional
content
needed
to
be
approved
through
tris
30
days
prior.
R
R
She
wrote,
I
vicki
basham
teach
the
bls
and
heart
saver
courses
through
the
american
heart
association
with
the
bls
course.
I
provide
infant
child
and
adult
cpr
and
first
aid
with
aed
so
from
what
she
wrote.
It
sounds
like
this
course
meets
the
requirements
given
for
cpr
and
first
aid
certification.
As
stated
in
the
regulation.
R
R
Unsure
of
what
to
do,
I
contacted
melissa
moore
on
tuesday
november
16th
I'll.
Let
her
know
that
saturday
september
18
2021
a
group
of
daycare
employees
from
little
angels.
Child
care
attended
a
class
along
with
ladies
from
other
day
cares.
So
we
could
get
our
certification,
the
class
taught
by
vicki
basham
included,
cpr
and
first
aid.
We
demonstrated
skills
on
both
adult
size
and
pediatric
size
dummies
when
our
certificates
came
in,
I
uploaded
mine
to
ece
tris,
where
they
claimed
that
the
bls
certification
wasn't
good
enough.
R
I'm
not
sure
why,
since
it
included
both
cpr
and
first
aid,
I
have
since
received
an
email,
letting
me
know
that
I
have
until
the
first
of
the
year
to
recertify
under
another
title
heart
saver.
I
have
taken
the
heart
saver
course
before
and
I
don't
recall
anything
being
different
about
it.
So
I'm
not
sure
why
my
certification
isn't
good
enough.
Please
take
a
look
into
this
matter.
For
me,
it
was
costly
enough.
The
first
time
we
took
the
class
on
wednesday
december
1st.
She
responded
good
afternoon.
R
Ece
tris
makes
determinations
on
which
trainings
are
approved
as
certification
as
the
director
of
division
of
regulated
child
care.
I
approved
the
cards
for
bls
to
be
accepted
for
training,
including
first
aid
associated
with
cpr
infant
child
and
adult
cpr,
due
to
the
confusion
and
changes
from
approval
by
oig
to
uploading
and
approvals
of
information
into
ece.
Tris
providers
who
received
bls
training
have
been
given
until
the
beginning
of
2022.
R
to
ensure
adequate
staff
have
obtained
certification.
Questions
regarding
the
approvals
of
trainings
approved
for
certification
should
be
addressed
to
ece
tryst
best
regards
melissa
moore.
So
I
guess
my
question
is:
who
is
in
charge?
Is
it
melissa
moore?
Is
it
tris,
because
if
it's
melissa
moore,
she
has
accepted
the
bls
certification?
R
Why
won't
tris
is
tris
allowed
to
rule
on
this?
This
isn't
the
first
time
we've
had
trouble
with
tris
on
getting
trainings
approved,
so
many
of
us
statewide
are
affected
by
this
sudden
change
that
I
cannot
comprehend
even
being
able
to
recertify
in
the
time
they've
provided.
Nor
do,
I
believe,
recertification
to
be
necessary.
R
R
R
I
would
like
to
request
that
our
bls
certification
is
approved
for
the
two
years
that
it's
active
and,
if
you
deem
it's,
not
the
proper
certification.
Now
that
we're
aware
there's
an
issue
we
can
recertify
for
another
program
when
ours
expires,
it's
not
fair
to
change
things
without
telling
anyone
and
then
expect
us
to
scramble
to
fix
it,
especially
right
now
at
such
a
busy
time
of
year.
A
You
are
welcome,
mrs
barker.
Are
you
still
on.
S
Yes,
I'll
go
next:
okay,
good
afternoon,
okay,
good
afternoon,
my
name
is
melanie
barker
and
I
appreciate
the
opportunity
to
speak
to
you
on
behalf
of
regulation,
922
kar,
2,
90,
section,
338
and
b
and
4
a
and
b
in
regards
to
cpr
first
aid
certifications
as
it
relates
to
kentucky
child
care
providers.
I've
owned
a
child
care
center
for
19
years
now,
and
I
formed
an
association
for
child
care
owners
and
their
providers
in
september
of
2020.
S
back
in
december
2020.
We
had
an
issue
in
regards
to
cpr
only
with
the
child
care
providers,
bls
certification,
so
our
cpr
first
aid
instructor
the
person
we
use
vicki
basham,
reached
out
to
inspector
general
adam
mather
by
email
on
friday
december
11th,
vickie
basham,
said
she
was
the
instructor
or
was
an
instructor
with
the
american
heart
association
and
teaches
heart
saver
and
bls
with
first
aid.
She
explained
that
the
bls
is
a
more
in-depth
class
than
the
basic
heart
saver.
S
S
So
who
is
the
leadership
team
that
basically
authorized
the
bls
certification?
So
now
it
is
not
just
oig
director
melissa,
more
authorizing
the
bls.
It
is
the
leadership
team.
So
who
is
the
leadership
team,
so
ben
vicki
says?
May
I
write
a
letter
that
specifies
that
the
certifications
include
adult
child
and
infant
oig,
director
melissa
moore,
said
yes,
that
would
be
helpful.
Vicky
asked
oig
director
melissa
moore.
S
S
The
letter
states
that
vicki
basham
is
an
instructor
for
the
american
heart
association
and
in
the
bls
class
she
will
teach
cpr
first
aid
for
adult
child
and
infant
with
aed.
Again
I
have
all
of
the
emails
for
documentation
purposes.
Now
remember.
In
december
2020
the
regulation
states
that
at
least
one
person
at
a
child
care
center
has
has
to
be
certified
at
all
times.
During
the
hours
of
operation,
child
care
providers
did
not
have
to
be
trained
only
certified,
so
there
was
not
a
difference
in
certification
and
training
back
in
december
2020.
S
So
keep
that
in
mind
going
forward.
So
I
had
another
owner
reach
out
to
me
with
problems
regarding
her
certification,
which
was
first
aid.
Around
the
beginning
of
june
2021.
oig,
director
melissa
moore,
tried
to
say
she
did
not
approve
the
first
aid
in
december
2020
when
I
keep
all
of
my
emails
and
she
did
approve
it.
S
So
oig
director,
melissa,
moore,
finally
sent
an
email
to
this
owner's
inspector
supervisors
with
inspector
general
adam
mather
copied
on
the
email
stating
that
if
this
owner
could
provide
documentation
from
the
trainer
stating
first
day
was
provided
and
which
of
her
staff
attended.
We
will
accept
the
letter
as
proof
of
training
for
purposes
of
licensing
review.
S
S
Vicki
said
she
teaches
the
bls
and
heart
saver
course
through
the
american
heart
association
she
states
with
the
bls
and
heart
saver
course.
She
teaches
infant
child
and
adult
cpr
and
first
aid
with
aed.
She
ends
with
her
name
and
instructor
id.
I
asked
oig
director
melissa
moore
on
friday
june
4th
if
this
letter
would
be
approved
going
forward,
oig
director,
melissa,
moore
states.
This
documentation
is
approved
for
purposes
of
meeting
licensing
requirements
for
training.
So
why
did
she
approve
if
it
was
not
approved?
Has
it
always
been
approved
again?
S
Certification
and
training
meant
the
same
because
in
child
care
we
were
only
required
to
be
certified
when
we
were
never
required
to
be
trained.
So
on
june
16
2021
the
regulation
changed.
It
had
nothing
to
do
with
the
bls
certification.
The
change
was.
If
you,
your
staff,
was
not
certified
in
cpr
first
aid,
then
they
all
must
be
trained
in
cpr.
First,
aid
certification
means
that
you
take
a
class
and
you
have
to
demonstrate
competency
using
mannequins.
If
you
successfully
complete,
you
receive
a
certification
card.
S
Training
is
just
something
to
watch
or
listen
to
gives
you
an
overview
of
cpr
first
aid,
but
you
never
demonstrate
competency
and
you
do
not
receive
a
certification
card
so
now,
starting
on
june
16th,
there
is
a
difference
between
certification
and
training.
On
september,
28
2021
an
owner
reached
out
to
me
and
asked
if
certifications
must
now
be
entered
in
tris,
which
tris
is
where
they
hold
all
of
our
trainings
and
certification
records.
S
So
if
an
inspector
comes
into
our
center,
they
can
get
on
their
computer
to
see
if,
if
we've
been
trained
or
have
the,
you
know
how
many
hours
we
have
and
that
kind
of
thing,
since
the
new
regulation
change
regarding
being
trained,
had
to
be
now
interest.
So
I
sent
angela
fultz
an
email
with
tris.
She
said,
certifications
are
to
be
uploaded
interests
like
the
training,
so
I
reached
out
to
oig
director,
melissa,
moore
and
she
replied
on
september
30th
and
said.
Surveyors
will
always
first
review
trust
for
training
verifications.
S
If
the
certification
for
cpr
first
aid
is
not
available,
they
will
check
the
file
to
verify
the
certification
is
up
to
date
for
19
years
the
certifications
never
had
to
be
entered
interest.
We
only
had
to
keep
them
in
our
files,
so
I
said
well,
you
might
want
to
contact
tris
because
they
told
me
the
certifications
now
must
be
entered
in
their
system,
so
they're
providing
us
with
incorrect
information.
S
So
then,
oig,
director,
melissa,
moore,
sends
me
an
email
on
october
1st
and
said
she
checked
with
staff,
and
now
the
system
is
set
up
to
receive
the
information
she
said.
The
system
change
just
recently
occurred.
Note
I
had
to
find
it
out.
We
were
never
notified
and
it
appears
she
wasn't
notified
either.
She
went
on
to
say
due
to
the
change
in
the
system's
ability
to
document
this
information
certification
for
cpr
and
first
day
will
will
be
required
to
be
entered
interest,
the
same
as
all
other
trainings.
S
S
There
is
nowhere
in
regulation,
922,
kar,
290,
section,
11
staff
requirement
that
states
the
bls
certification
was
not
approved,
or
at
least
I
can't
find
it
anywhere.
On
november
6,
adam
mather
emailed
me
saying
they
worked
out
grandfathering
those
who
received
the
bls
until
january
1
2020.,
we
did,
as
we
were
told
by
an
approved
cabinet
member
oig,
director,
melissa,
moore
and
now
we
get
penalized
for
it
during
this
time.
S
Oig
director,
melissa,
moore
specifically
called
me
and
told
me
that
their
choice
of
words
were
not
great
and
that
grandfathering
did
not
mean
for
the
life
of
the
certification,
but
through
the
end
of
december
she
mentioned
that
bls
certification
had
not
been
approved
since
march
23
2016,
and
I
said
what,
if
that
were
the
case,
then
why?
Why
would
you
approve
it
in
both
december
2020
and
june
2021?
S
She
had
no
answer,
then
she
stated
it
changed
on
june
16th
with
the
regulation
change.
I
said.
No,
it
didn't,
then
she
said
well.
Dcc
would
serve
send
out
an
email
in
august,
I
said,
but
it
had
nothing
to
do
with
bls
and
then
she
said
well,
it
was
october.
It
had
nothing
to
do
with
bls
if
she
had
only
told
us
in
december
2020.
We
wouldn't
be
fighting
this
fight
right
now.
We
shouldn't
be
penalized
for
something
oig
director
melissa,
moore
approved.
S
So
I
did
an
open
records
check
with
the
cabinet
on
friday
november
5th
it
came
back
on
november
17th,
as
I
knew
it
would.
There
was
nothing
that
came
back
from
the
state
dcc
from
september
2020
to
present
11
521,
stating
the
bls
certification
was
not
approached
the
letter
I
received
from
peyton
sands
in
the
state's
legal
department
states.
As
far
as
I
can
be
certain.
The
dcc
listserv
did
not
send
an
email
meeting
this
description.
In
your
request.
S
My
question
was:
I
wanted
the
document
that
dcc
listserv
sent
out
saying
the
bls
certification
was
not
approved
for
certification
purposes.
Just
what
I
thought
there
was
none.
My
second
question.
I
also
wanted
to
know
when
the
when
the
date
the
regulation
changed
as
far
as
the
bls
cpr.
First
aid
certification
not
being
approved
as
the
certification
to
meet
child
care
licensing
requirements.
The
open
records
check
came
back
and
said.
Your
second
request
proceeds
information
rather
than
a
specifically
described
document.
S
The
kentucky
open
records
act
does
not
force
the
cabinet
to
answer
questions
or
provide
information,
as
we
have
previously
discussed.
All
amendments
to
regulation
are
publicly
available
on
the
website
of
the
legislative
research
commission,
commission.
So
here
we
are,
you
see
tris
angela
fulls
and
I
believe
dcc
lauren
rachel
tells
our
child
care
providers
that
the
bls
certification
has
never
been
approved
for
certification
purposes,
but
oig
director,
melissa,
bohr
approves
the
bls
certification,
both
in
december
2020
and
june
2021.
S
Then
we
had
a
child
care
provider
reach
out
to
her
coach
on
november
11th
and
the
coach
said
the
bls
certification
is
approved
and
is
the
current
directive
from
the
cabinet.
She
is
a
coach.
Then
we
have
an
inspector
supervisor
out
of
the
louisville
branch
teresa
harvey
on
thursday
january
21st
stayed
a
bls
card
without
an
admission
listed
will
sufficiently
satisfy
the
regulatory
requirement
for
pediatric
and
adult
cpr.
Then,
on
november
18th
the
coaches
received
an
email
from
stephanie
whaley,
the
liaison
for
child
care,
aware
to
the
division
of
child
care
with
the
child
care.
S
Aware
saying
that
the
bls
is
not
accepted
for
certification
by
the
cabinet,
so
they
were
not
notified
until
november
18th,
then,
on
november
19th
inspector
general
adam
mather
states,
those
who
have
had
the
bls
training
have
been
given
a
grace
period
because
of
the
regulation
change.
What
is
the
change
regulation
that
mentions
the
bls
certification?
I
can't
find
any
regulation
changes
that
mentions
the
bls
certifications.
S
Why
won't
anyone
answer
this
question?
For
me,
he
also
mentions
there
is
an
accommodation
until
january
1
2022
and
that
there
will
be
no
further
accommodations
granted
related
to
this
matter.
On
monday
november
29th,
the
health
department
person
in
my
area
sends
out
an
email
to
all
child
care
providers
in
in
our
area,
stating
if
your
card
says
heart
saver,
our
pediatric
bls.
First
aid
on
it.
You
are
good.
She
is
stating
on
november
29th
that
the
bls
pediatric
certification
meets
approval
for
licensing
and
she's
with
the
health
department.
S
There's
no
such
thing
as
a
bls
pediatric
certification.
Then
this
health
department
person
states.
She
totally
feels
our
frustration
frustration.
She
is
frustrated
too,
with
this
regulation
change
that
the
state
took
it
upon
themselves
to
make.
Then
she
states
to
make
sure
the
certification
classes
are
face-to-face
and
check-offs
must
be
face-to-face.
So
how
come
the
child
care
council
of
kentucky
is
not
doing
the
certifications
in
this
way
they
are
offering
zoom
classes
with
face-to-face
check-offs.
S
Even
when
I
have
an
email
from
the
company,
they
are
using
to
do
the
certification
that
zoom
trainings
are
not
allowed.
So
when
the
company
says
the
zoom
trainings
are
not
allowed,
the
state
will
still
allow
the
person
to
receive
the
certifications.
The
zoom
training
is
provided
by
the
child
care
council
of
kentucky.
The
participants
don't
even
have
to
show
their
face.
So
who
knows
if
they
turn
on
the
zoom,
if
they're
really
on
the
zoom?
What
if
they
turn
the
zoom
meeting
on
and
go,
do
something
else?
S
So
how
do
we
know
that
these
people
really
being
trained
in
order
to
be
certified?
I
have
screenshots
also.
She
says
that
we
must
have
two
people
in
our
building
at
all
times
that
are
certified.
This
is
the
health
department
person
which
is
not
true.
It
is
only
one
person,
so
I
reached
out
to
the
state
they
underlined
cabinet
approved
well
oig,
director,
melissa,
morris
cabinet
approved.
If
she
wasn't
authorized
to
tell
us
that
it
was
approved.
S
She
should
never
have
done
so
back
in
december,
2020
and
june
2021,
so
I've
emailed
these
questions
to
the
state
since
last
week
regarding
musicians
and
they
still
won't
respond.
I
will
tell
that
dcc
works
in
partnership
with
the
child
care
health
consultants,
health
departments
across
the
state
in
the
best
interests
of
kentucky's
children,
right,
isn't
cchc
responsible
for
knowing
and
relaying
regulatory
information
to
be
able
to
assist
child
care
providers
some
a
bit
confused.
S
What
does
the
bls
certification
entail?
I
have
that
information
that
was
submitted
to
inspector
general
adam
mather
back
in
december
2020
from
vicki
basham's
training
agency.
So
I
want
someone
to
tell
me
why
the
bls
certification
is
invalid
as
a
certification
for
child
care
providers.
What
does
heart
saver
approve
by
the
state
teach
that
bls
does
not
teach
I've
asked
many
times
and
still
no
one
can
provide
an
answer.
On
december
6
inspector
general
adam
matthews
sends
an
email
to
another
owner
and
states.
S
My
question
is:
when
vicki
basham
reached
out
to
inspector
general
adam
bather
in
december
2020,
why
did
he
have
his
director
melissa,
moore
reach
out
to
vicki
basham?
If
his
director
me
much
more,
can
it
approve
the
bls
certifications,
but
she
did
approve
them
if
she,
if
they,
if
their
office,
has
no
authority
to
decide
which
trainings
are
approved
as
certifications,
then
why
did
his
oig
director
melissa,
moore,
approve
the
bls
certifications,
both
in
december
2020
and
again
in
june?
S
2021
so
did
and
we
and
she
did
and
we
should
not
be
penalized
because
she
told
us
it
was
approved
and
she
they
never
told
us
that
they
did
not
have
the
authority
to
do
so.
She
is
one
of
the
cabinets
and
we
went
by
her
word,
no
matter
what
we
would
not
be
here
if
we
were
told
back
in
december
2020
when
the
first
issue
came
about
that
the
bls
certification
was
not
approved,
but
was
it
really?
S
I'm
asking
that
you
will
grandfather
all
of
the
bls
certifications
that
were
handed
out
before
november
6
for
the
life
of
the
certification,
which
is
two
years
then,
when
their
certification
expires
in
two
years
they
can
recertify
in
heart,
favor
or
another
approved
course.
I
think
it
is
only
fair,
for
example,
I
believe
it
was
2009
when
the
regulations
changed
to
say
we
could
only
hire
employees
who
had
a
high
school
diploma
or
ged.
S
But
if
you
are
working
before
this
regulation
change
without
a
high
school
diploma
or
ged,
you
could
continue
to
do
so
because
you
were
grandfathered
in,
but
if
you
quit
and
then
wanted
to
come
back
well
now
you
fell
under
the
new
regulation
and
would
have
to
have
a
great
high
school
diploma
or
ged
in
order
to
work
in
child
care.
So
I
think
these
bls
certifications
should
be
should
follow
the
grandfathering
in,
like
the
high
school
g
diplomas,
et
cetera,
mr
parker,
miss.
A
Parker
miss
parker,
let's
take
a
pause
here
and
then
let's,
let's
allow
the
cabinet
to
respond
a
lot
of
a
lot
of
ground
to
cover,
so
whoever
whoever
wishes
to
respond
to
the
from
the
cabinet.
Please
proceed.
G
This
is
kelly
rodman
legislative
regulatory
affairs
director
for
the
cabinet,
there's
exactly
that
senator
west.
Thank
you
thank
you
for
bringing
it
to
our
attention.
There's
a
lot
that
was
just
said.
G
I
knew
some
of
this
and
I
think
we're
prepared
to
answer
a
couple
of
things,
but
this
was
much
more
detailed
than
I
had
expected,
so
I
would
request
that
we
be
able
to
go
back
and
listen
to
the
testimony
again
and
get
back
to
the
committee
on
everything,
because
there
are
pieces
that
I
have
a
lot
of
circles
that
are
going
back
to
a
couple
of
things
that
I
wasn't
aware
of,
and
yes
I
knew
the
reg
was
being
called,
but
I
didn't
know
all
the
details
that
were
going
on
with
the
reg
that
was
being
called.
G
I
will
say
that
we
did
make
a
change
earlier
in
the
year.
It
is
based
on
federal
language.
It
does
say
that
one
person
is
to
be
certified
at
the
facility,
but
let's
be,
let's
be
perfectly
clear.
I
have
two
children
that
I
praise
my
child
care
at
my
my
child
care
center
every
day
and
they're,
21
and
18
because
they
wouldn't
have
survived
had
I
had
to
take
care
of
him
every
day.
I
will
be
honest
with
that.
G
My
daughter
will
probably
agree,
but
I
will
say
that
you
know
that's
one
person,
but
with
the
presence
of
children,
so
that
would
mean
you
may
need
to
have
more
than
one
person
with
a
cert
with
that
is
certified
and
it
says
an
infant
and
child
cpr,
and
then
it
goes
up
to
as
age
group.
It
moves
up
to
the
next
section
in
the
regulation
for
the
age
group
we
are,
we
do
require
pediatric
what
we
call
pediatric
cpr.
G
There
is
a
situation
where
I
have
spoken
to
the
american
heart
association.
Today
we
are
looking
into
the
bls
training,
but
the
problem
with
the
bls
training
on
the
card
is
it
doesn't
recognize
the
difference
between
a
pediatric,
cpa,
cpr,
no
and
adult
cpr,
and,
as
we
all
would
know,
the
pressure
that
you
would
put
on
a
you
know.
A
six
two
male
is
going
to
be
different
than
a
two-year-old.
G
That
is
one
of
the
issues
that
we
are
and
I
have
called
them.
We
will
work
through
that.
We
will
see
if
we
can
get
them
to
recognize
it,
but
when
we
are
looking
for
the
certification,
I
need
to
look
into
if
all
trainers
are
having
this
issue
or
if
it
is
just
the
one
trainer
that
is
made
possibly
having
the
issue
with
the
bls
certificate
certification.
G
A
Okay,
I
have
a
few
questions.
A
B
A
Ask
my
questions:
do
we
have
any
other
questions
from
members
on
this
topic?
I'm
the
one
who
brought
it
forward.
So
I
guess
it's
all
me
just
just
from
the
outside.
Looking
in
you
know,
as
legislators,.
A
And
I've
got
the
rag
here
in
front
of
me
and
I've
got
you
know
some
additional
regs
that
go
with
it,
but
in
a
nutshell,
it's
pretty
common
sensical.
I
guess
to
think
that
these
requirements
should
be
fairly
simple,
to
understand
what
is
required
and
then,
secondly,
it
should
be
fairly
simple
as
to
what
is
required
to
meet
the
require
as
far
as
uploading
the
requirements
or
who's
in
charge
of
receiving
and
reporting
back
so
there
does
appear
to
be,
it
appears
to
be
overly
complicated.
A
I
guess
is
what
I'm
trying
to
say.
So
I'm
going
to
ask
the
cabinet
is
that
is
that
a
fair
statement,
or
am
I
being
too
simplistic.
G
Why
don't
we
say
there's
something
in
the
middle?
I
don't
know
if
it's
it
is
the
most
heavily
regulated.
You
know
re,
there's
a
reason
why
it's
the
most
regulated
regulated
industry,
so
I
mean
is
it
over
regulated?
No,
because
we're
protecting
children?
Is
it
hard
to
understand
possibly,
but
all
regulations
can
sometimes
be
hard
to
understand.
A
Right,
I'm
going
to
open
it
back
up
to
mrs
barker
for
just
whoever
on
the
against
side
for
just
a
moment.
If
you
want
to
chime
in
okay.
S
Yes,
I
guess
it
was
kelly.
Rodman
mentioned
that
the
bls
doesn't
have
anything
to
do
with
adult
or
children
and
infants.
Well,
the
the
bls
information
that
we
gave
inspector
general
adam
mather
back
in
december
from
vicki's
trainer
training
agency.
It
says
this
course
teaches
the
following
topics:
high
quality
cpr
for
adults,
children
and
infants.
So
where
does
it
not
say
infants
and
children,
and
and
if
somebody
is
a
child
care
center
and
they
and
they're
watching
infants
up
until
preschool
they're
only
required
to
do
the
the
infants
and
children?
S
You
only
have
to
do
adult
cpr
when
you're
watching
school
age,
kids-
and
this
covers
all
three
and
he
was
given
that
information
as
melissa
moore
was
in
december,
and
if
and
if
they
didn't
recognize
that
and
thought
there
was
a
problem.
Why
didn't
they
tell
us
back
in
december
2020
that
it
wasn't
approved
and
we
wouldn't
be
here
right
now.
S
I
mean
I
just
can't
understand
why
anybody
would
approve
something
and
then
we
and
then
everybody's
doing
these
bls
certifications
and
then
all
of
a
sudden.
Well,
I'm
sorry
it's
not
approved
and
then
we're
penalized
for
it.
For
a
decision
that
maybe
it
was
her
mistake,
but
we
shouldn't
be
penalized
for
some
for
her
mistake
because
we're
supposed
to
go
to
them
for
answers
and
if
she
gives
us
something
incorrectly,
a
response,
that's
incorrect.
S
Well,
we
shouldn't
be
penalized
for
that,
but
I
have
I
just
received
a
certification
that
the
health
department
in
our
area
did
for
somebody
and
she
actually,
she
actually
certified
them.
The
health
department
she's
a
child
care
health
consultant.
She
actually
did
this
owner's
certification
in
may
with
bls.
So
if
it
wasn't,
if
bls
was
never
approved,
then
she
being
a
health
department.
Person
should
have
known
that
she
shouldn't
have
certified
the
dls
and
it
wasn't
vicki
basham.
Her
name
is
jenna
jenna
phelps
and
she
certified
them
in
may
of
2021..
S
Well,
when
all
of
this
happened
in
november
that
now
the
bls
isn't
certified
instead
of
recertifying
them
at
bls,
she
just
gave
them
cards
that
say
heart
favors,
so
that
they're
approved
is
that
right
because
she's
already
trained
on
the
bls
she
said.
So
she
just
handed
out
cards
that
say
heartsaver
to
get
them
to
pass.
S
A
A
Respond
we'll
get
the
cabinet
chances
respond.
Then
we'll
try
to
wrap
this
up.
S
G
I
am
going
to
need
to
this
is
kelly
again,
I'm
going
to
need
to
I
mean
laura:
do
you
have
anything
to
anything
else?
You
would
like
to
add,
but
I
would
like
us
to
go
back
and
look
into
this.
I
will
say
that
one
of
the
issues
we
do
have
is
that
a
lot
of
what
miss
barker
has
stated
is
based
on
one
trainer
and
at
this
point
in
time
we
are
in
an
open
appeals
case
because
we
have
revoked
her
credentials.
G
So
at
this
point
in
time
I
have
to
be
very
cautious
on
what
else
we
can
say
in
this
committee
hearing
when
it
comes
to
the
actual
training
piece,
but
I
do
also
I
have
listened.
I
will
have
to
go
back.
I
will
tell
you
I
will
have
to
go
back
and
listen
to
the
full
recording
to
get
all
the
comments,
and
I
will
look
into
these
things
and
we
will
see
what
I
can
come
up
with
and
report
back
to
the
committee.
Okay.
A
B
I
will
just
add
that
this
issue
really
does
go
beyond
the
regulation
and
beyond
my
expertise,
but
I
will
say
that
I
know
the
issue
was
that
the
basic
life-saving
training
does
not
specifically
include
pediatric
training.
So
I
know
that
that
that
is
the
issue
and
there
is
a
list
of
approved
trainings
that's
been
accessible
since
2016..
A
D
Okay,
great,
I
don't
have
too
much
more
to
add
miss
barker,
pretty
much
covered
everything.
One
thing
that
I
would
like
to
add
is
that
I
have
some
bls
certifications
within
my
center
and
I
am
going
to
have
to
somehow
figure
out
how
to
get
them
re-certified
if
the
bls
voids
out
at
the
end
of
december.
D
My
concern
is
excuse
me,
I
believe,
laura
begins
said
that
there
was
going
to
be
some
free
certifications.
The
problem
is
right.
Now:
staff
cannot
leave
facilities.
We
all
facilities
are
so
short
staffed
that
we
can't
afford
to
have
our
staff
retrained,
not
to
mention
the
cost
that
we're
going
to
have
to
pay
each
child
care
provider
to
be
in
attendance,
because
we
have
to
pay
them
hourly
as
well.
D
The
funds
are
just
very
difficult
to
produce
and
the
timing
is
absolutely
horrid
when
the
the
bls,
when
I
was
restarted
or
not
re-certified,
when
I
received
my
annual
licensing,
the
bls
was
in
my
employees
binder
in
their
files.
Teresa
harvey
seen
it
and
she
never
said
a
word
about
the
bls.
D
S
A
Thank
you.
We
also
have
another
speaker
sandy
woodall
to
testify
for.
D
I
just
wanted
to
state
that
looking
at
the
regulation
really
looks
at
best
practice
for
keeping
children
safe
and
those
being
able
to
react
in
a
case
of
an
emergency
when
caring
for
young
children
and
as
a
child
care
advisory
council.
Member
of
kentucky,
we
were
able
to
review
this
regulation
and
you
know,
give
input,
push
back
and
really
value
the
best
practice
of
looking
at
that
pediatric.
Knowing
you
know,
someone
stated
the
pressure's
different
when
you're
looking
at
an
adult
versus
a
child.
G
G
Okay,
could
you,
when
you
obviously
it's
a
difference
here
in
the
cabinet?
We
have
a
difference
between
training
and
certification.
You
made
the
economy,
yeah
and
certification
did
you
d,
and
you
stated
that
you
require
everyone
to
be
certified.
Does
that
mean
everyone
is
certified
and
you
don't
have
because
the
regulation
says
only
one
person
needs
to
be
certified
for
each
child
so,
but
are
we
getting
confused?
I
just
wouldn't
need
that
for
my
when
I
go
back
and
look
because
so
can
you
clarify?
D
Yes,
can
you
hear
me?
Yes,
okay,
yes,
in
my
facility,
my
my
requirement
is
that
everyone
is
certified
if,
for
some
reason,
I
am
the
only
one,
that's
certified
and
I
have
to
run
out
to
say
get
my
child
from
school.
I
can't
leave
so
in
my
facility
being
a
five-star
facility,
I
mandate
my
staff,
all
my
staff
to
have
the
certification,
as
does
a
lot
of
other
facilities,
because
we
all
know
one
person
being
certified
is
not
enough.
A
You're
welcome
mrs
barker.
If
you
could
be
brief.
S
Yes,
this
is
all
that
I
want
to
say
is
I
have
the
information
that
states
that
bls
course
teaches
high
quality
cpr
for
adults,
children
and
infants,
so
I
don't
know
where
you're
getting
that
the
bls
does
not
provide.
That
course,
because
I
have
the
information
here
from
the
from
the
the
training
center
who
gets
the
information
from
the
american
heart
association.
S
A
Okay,
that's
gonna,
be
that's.
Gonna
have
to
be
the
last
word
today
unless
we
have
other
questions
from
members.
Any
questions
from
members
seeing
none
I'm
I
see
this.
There
appears
to
be
a
lot
of
confusion
in
the
industry
and
and
a
significant
communication
breakdown
between
the
industry
and
the
cabinet
and.
J
H
A
I'm
not
blaming
anyone
specifically,
but
it
seems
like.
Hopefully
I
would
ask
that
the
cabinet
try
to
work
on
this
and
reach
out
to
the
affected
parties
and
come
to
some
agreement.
It's
you
know.
If
I
were
in
their
shoes
and
I've,
I
was
approved
and
I
was
approved
by
a
trainer
in
that
area
and
then
later
on
in
the
year
that
was
pulled
back.
That
would
be
very,
very
difficult
on
my
business
model
to
to
just
suddenly
have
to
go
through
some
new
certifications.
A
So
I
would
just
ask
that
the
cabinet
work
with
these
providers
and
try
to
come
to
some
sort
of
solution,
and
then
we
can
regroup
next
month
or
just
keep
us
informed
as
to
how
it's
going
and
we'll
just
go
from.
G
A
Okay,
thank
you
so
much.
That's
all
we
have
time
for
today.
Do
we
have
any
announcements
from
staff.