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Home › KY › Lexington › Garden Springs Elementary After School Program
License #L383257 · Center · Licensed
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General: Based on review of documentation, there was no evidence that the facility's Emergency Preparedness Plan had been updated or submitted to the proper authority for review since 2023.
General: Based on review of documentation, there was no statement of deficiency and corresponding plan of correction posted from the renewal survey conducted in 2024.
General: Based on observation, the snack offered to the children for the day was Rice Crispy Treats; therefore, the snack did not meet the requirement of being served two (2) components.
A PLAN OF CORRECTION WAS DUE ON 12/24/2025 AND AS OF 01/14/2026, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED.
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Generated from this facility's specific inspection record
Data synced from Kentucky Cabinet for Health and Family Services, Division of Child Care on Jul 11, 2026 · Source records · Report an error
General: Based on review of documentation, the following was found during inspection: 1) A staff (DOH: 08/01/24) was listed as “Separated” in KARES. The staff was separated on 07/01/24. A new application was not completed upon hire; therefore, this staff did not have an "eligible for hire" status prior to being employed at the facility. 2) A staff (DOH: 08/01/24) was listed as “Separated” in KARES. The staff was separated on 05/31/24. A new application was not completed upon hire; therefore, this staff did not have an "eligible for hire" status prior to being employed at the facility.
General: Based on review of documentation, there was no documentation made available at the time of survey regarding current liability insurance. The policy on file expired on 07/01/25.
General: Based on interview and review of documentation, the center did not have a current copy of the regulations at the time of inspection.
General: Based on review of documentation, there are no staff currently certified in CPR/First Aid; therefore, adequate CPR/First aid coverage was not maintained.
General: Based on observation, the children did not wash their hands before receiving and eating snack.
General: Based on review of documentation, there was no documentation made available at the time of survey regarding a recent Fire Marshal report.
General: Based on interview and review of documentation, there was no record of any staff meetings being held during the current licensure year.
General: Based on interview and review of documentation, there was no evidence on file at the facility of any family involvement activities being conducted during the current licensure year.
General: Based on review of documentation, the following was found during inspection: 1) A staff (DOH: 08/08/19) had TB results on file at the facility; however, they were dated 07/22/23 which is no longer current. 2) A staff (DOH: 08/01/21) had TB results on file at the facility; however, they were dated 08/15/23 which is no longer current. 3) A staff (DOH: 08/01/24) had TB results on file at the facility; however, they were dated 08/02/19 which is no longer current. 4) A staff (DOH: 08/01/24) had TB results on file at the facility; however, the results could not be read, so it could not be verified.
General: Based on review of documentation, ten (10) children files presented for inspection, did not have a preferred hospital listed at the time of inspection.
General: Based on review of documentation, the center did not have the Children and Parent Rights statement available at the time of inspection.
General: Based on interview and review of documentation, there was no written schedule of staff hours presented at the time of inspection.
General: Based on review of documentation, three (3) staff (DOH: 08/08/19, 08/01/21, and 08/15/22) did not have a professional development plans on file at the time of inspection.
General: Based on interview and review of documentation, there was no evidence presented at the time of survey of fire, earthquake, tornado, shelter-in-place or lockdown drills being conducted at the facility.
General: Based on review of documentation, one (1) staff member (DOH: 08/08/19), completed Pediatric Abuse Head Trauma (PAHT) training on 09/04/19; however, did not renew the training due on 09/04/24. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable 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 Not In Compliance
General: Based on review of documentation, three (3) staff members (DOH: 06/14/24, 08/15/24, 08/26/24) did not have evidence of a high school diploma, GED or Commonwealth Child Care Credential on file in the facility.
General: Based on review of documentation, three (3) staff members (DOH: 06/14/24, 08/15/24, 08/26/24) did not have a current TB test or statement from a health professional on file at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
General: Based on review of documentation, all ten (10) children's files reviewed did not have a preferred hospital listed. Written Documentation Not In Compliance
General: Based on review of documentation, seven (7) children's files did not include written authorization by each child's parent/guardian for the child-care center to seek emergency medical care in their absence. Written Documentation Not In Compliance
General: Based on review of documentation, the statement of deficiency and the plan of correction from the previous licensure year was not posted or available for review. Animals Not Applicable
General: Based review of documentation, the child-care center has not conducted quarterly lock down/ shelter in place drills. Posted Documentation Not In Compliance
This investigation inspection recorded no violations or advisories.
General: Based on review of documentation, a staff member (hire date: 8/14/2017) did not have evidence of completing 15 hours of annual early care and education training on file. A review of ECE-TRIS records supports the information found during the survey. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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 Not In Compliance
General: Based on review of documentation, it was found that three staff members (hire dates: 8/14/2017, 8/12/2019, and 8/1/2021) did not have a current professional development plan on file at the facility. Posted Documentation In Compliance Animals Not Applicable
This investigation inspection recorded no violations or advisories.
This renewal application inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on observation, it was found that there were cleaners and cleaning wipes accessible in both the cafeteria and the coach's club room. Both of these rooms are used by the children in the program. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service/Food Program In Compliance Food Service In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Children's Records Not In Compliance
General: Based on review of documentation, the following was found: 1.) One child did not have an date of enrollment on the enrollment paperwork. In addition, this child did not the have medical authorization release statement and signature on the enrollment paperwork. 2.) There was no area on the enrollment paperwork to list a physician contact; therefore, none of the children enrolled had this on file. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance Emergency Regulation In Compliance
This renewal application inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
This change of space/change in capacity inspection recorded no violations or advisories.
This renewal application inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
This change of space/change in capacity inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on Review of Documentation, there was one (1) staff person hired 8/4/14 who did not have evidence of having an annual evaluation. The staff person in charge indicated that this person had been a full time staff person but is now a substitute. Employee Records Not In Compliance
General: Based on Review of Documentation, there was one (1) staff person who was rehired 8/30/17 and had the results of a criminal records check dated 9/7/17. There was no documentation available at the time of the survey to veirfy that the application for the results of the criminal records check had been submitted prior to or on the date of hire. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
General: Based on Review of Documentation and ECE-TRIS, records a staff person hired 6/17/15 only had evidence of having comnpleted two (2) hours of training for the 2016-2017 training year. The staff person in charge acknowledged this and stated that the staff person had taken on-line training that was not cabinet approved. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance
General: Based on Observation and record review, a staff member that was hired on 8/14/17 was observed working with a group of sixteen (16) six to eight (6-8) year-old children on 8/16/17 in the cafeteria. This individual had a substantiation of child neglect on her CAN check. This individual was not working alone during the complaint investigation.
This change of space/change in capacity inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on Interview, it was found that on 4/12/17 a six-year-old male child was left outside on the playground after the group had gone inside. Video footage shows the group of children coming inside at 4:56 p.m. At 5:01 p.m. the child can be seen on the playground going to an outside door trying to get inside. At 5:03 p.m. the grandmother of a child not enrolled in the program was outside with her grandson and found the child and brought him around to the front of the building and inside to program staff. Interviews with staff found that they were unaware the child had been left outside until it was brought to their attention. Interviews with staff also found that they did not do a head count before coming inside to assure they had the correct number of children which should have been ten (10). It was also found that the program has a procedure in place that requires staff to count children several times while in their care which staff did not follow on 4/12/17. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
General: Based on Interview, it was found that on 4/12/17 a six-year-old male child was left outside on the playground after the group had gone inside. Video footage shows the group of children coming inside at 4:56 p.m. At 5:01 p.m. the child can be seen on the playground going to an outside door trying to get inside. At 5:03 p.m. the grandmother of a child not enrolled in the program was outside with her grandson and found the child and brought him around to the front of the building and inside to program staff. Interviews with the three (3)staff responsible for this group of children found that they were unaware the child had been left outside until it was brought to their attention. Interviews with staff also found that they did not do a head count before coming inside to assure they had the correct number of children which should have been ten (10). Staffing Requirements In Compliance Director Requirements Not In Compliance
General: Based on Review of Documentation, there was one (1) staff person with a hire date of 8/4/14 who had a T.B. skin test on file that was read on 7/30/14. This exceeds the two(2) year time frame. There was an additional staff person with a hire date of 8/12/16 who did not have the results of a T.B. skin test read until 8/15/16.
General: Based on Review of Documentation, it was found that a staff person with a hire date of 8/8/16 has lived in the state of Illinois within the last five (5) years. The results of a criminial records check from the state of Illinois was not on file nor was there evidence that the application for the results of the criminal records check had been submitted. At the time of the survey this staff person was observed walking children alone to the front of the building for parent pick up. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report Employee Records Not In Compliance
General: Based on Observation, a diagram was posted but there was no written plan posted with the diagram outlining the course of action in the event of natural or manmade disaster. Animals Not Applicable
General: Based on Review of Documentation, there was no documentation to verify that a fire drill had been conducted for February 2016. Posted Documentation Not In Compliance
General: Based on Review of Documentation, it was found that a staff person hired on 06/17/2015 did not have a completed CA/N check until 07/13/2015 and it was found that another staff person with a hire date of 01/28/2015 did not have a completed CA/N check until 02/17/2015. These instances are not in accordance with 922 KAR 1:470 which states that a request for a central registry check must be submitted within five (5) working days after the date of employment of an individual. The director acknowledged this.
General: Based on Review of Documentation, it was found that a staff person hired on 05/23/2014 did not have evidence of a professional development plan. The director stated that she thought she had completed a new one.
General: Based on Review of Documentation, it was found that a staff person hired on 01/28/2015 did not have a completed TB Skin test until 03/15/2015. The director acknowledged this.
This investigation inspection recorded no violations or advisories.
This change of space/change in capacity inspection recorded no violations or advisories.
General: Based on Review of Documentation, there were two (2) enrolled children who did not have valid immunization certificates on file. A child enrolled on 8/18/13 had a certificate valid until 8/10/13. A child enrolled 8/11/14 had a certificate with no valid until date.
General: Based on Review of Documentation, there were three (3) staff files that did not contain evidence that the staff person was free from TB. The staff hire dates were 9/24/14, 9/25/14, and 9/29/14. The staff person in charge said that the documentation was in the staffs' files at the board of education office.
This initial application inspection recorded no violations or advisories.
General: Based on review of documentation, there was no written evidence of a completed fire drill for the month of August 2024. Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Animals Not Applicable
General: Based on Observation, statements of deficiencies issued by the cabinet and the facility's plans of correction for visits conducted on 4/17/17 and 8/18/17 were not posted. In addition civil penalties issued to the facility on 1/25/17, 6/8/17 and 10/10/17 were not posted. Animals Not Applicable
General: Based on Interview, it was found that on 4/12/17 a six-year-old male child was left outside on the playground after the group had gone inside. Video footage shows the group of children coming inside at 4:56 p.m. At 5:01 p.m. the child can be seen on the playground going to an outside door trying to get inside. At 5:03 p.m. the grandmother of a child not enrolled in the program was outside with her grandson and found the child and brought him around to the front of the building and inside to program staff. Interviews with the three (3) staff responsible for this group of children found that they were unaware the child had been left outside until it was brought to their attention. Interviews with staff also found that they did not do a head count before coming inside to assure they had the correct number of children which should have been ten (10).
General: Based on Review of Documentation, there was no documentation to verify that staff meetings had been conducted for 2015.
General: Based on Review of Documentation, it was found that a staff person with a hire date of 8/8/16 has lived in the state of Illinois within the last five (5) years. The results of a criminial records check from the state of Illinois was not on file nor was there evidence that the application for the results of the criminal records check had been submitted. At the time of the survey this staff person was observed walking children alone to the front of the building for parent pick up.
General: Based on Review of Documentation, there was one (1) staff person with a hire date of 8/8/16 who did not have evidence of a high school diploma, GED or other qualifying documentation on file.
General: Based on Review of Documentation and ECE-Tris records, there was a staff person hired 5/23/14 who only had evidence of having completed nine (9) hours of training for the 2015-2016 training year. There was an additional staff person hired 10/11/15 who had documentation of having completed 9.5 hours of training for the 2015-2016 training year. In addition this staff person did not complete orientation training until 1/6/16. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report First Aid/Medication Not In Compliance
General: Based on Review of Documentation, it was found that a prescription medication called Guafacin is being administered to a child daily. However, the staff are only using their initials to document the administration of the medication. Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation Not In Compliance
General: Based on Review of Documentation, there was no date, time or names of children documented to verify that a fire drill had been conducted for February 2016.