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Home › KY › Lexington › Squires Elementary-Castle Afterschool Program
License #L359012 · Center · Licensed
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General: Based on review of documentation, a staff member (DOH: 11/07/23) did not complete the required fifteen (15) hours of cabinet-approved early care and education training for the year.
General: Based on review of documentation, several staff members listed as current employees on the KARES report were no longer affiliated with the facility. In addition, a current staff member was not listed on the facility's KARES report. Therefore, the center failed to maintain a current and accurate employment status for individuals within KARES. Supervision In Compliance
General: Based on review of documentation, three (3) children (DOE: 05/16/24, 05/05/24, and 11/02/23) had immunization certificates that were no longer current.
General: Based on review of documentation, it was found that a staff member's (DOH: 05/01/24) background check expired 12/27/24. Review of the KARES report confirmed their eligibility for employment was pending. Staff member (DOH 02/07/23) was not listed on the facility's current employee KARES report. Their fingerprints had been taken on 01/22/20, and eligibility expired on 01/21/25. Staff member (DOH: 09/04/24) did not have a current background check in their employee file. A review of the facility's KARES report confirmed that a background check request had been submitted by the facility but the application was withdrawn.
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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, two (2) staff members (DOH: 08/26/24 and 02/07/25) did not have proof of educational qualifications in their staff file.
General: Based on observation, two (2) staff members (DOH: 08/19/24 and 09/05/24) did not have documentation of a negative TB skin test or a statement from a health professional stating they were free of active TB on file during the inspection.
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
General: Based on review of documentation, three (3) staff members (DOH: 08/10/16, 10/10/22, and 02/06/23) had TB documentation on file that was no longer valid. 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 In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on observation and review of documentation, the following was found: 1.) One (1) staff person hired on 07/09/2009, did not have a valid TB skin test or statement from a health professional on file at the facility. 2.) One (1) staff person hired on 02/13/2023, did not have a valid TB skin test of statement from a health professional on file at the facility. The TB skin test was dated for 04/19/2021, and is valid for two (2) years. Programming In Compliance Premises Not In Compliance
General: Based on observation, it was found that there was a staff member's personal belongings accessible to the children in care. These belongings included a purse, an empty McDonalds smoothie cup, a bottled Coke Zero, three (3) packs of mini muffins/brownies, and a Nature Valley granola bar. 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 observation and review of documentation, the following was found: 1.) There was written documentation of only one (1) completed lockdown drill on file at the facility. 2.) There was not written documentation of earthquake or tornado drills on file at the facility. Therefore, the drills were not conducted quarterly as required. Posted Documentation In Compliance Animals In Compliance
General: Based on review of documentation, two staff (hire dates: 3/28/19 and 4/22/22) did not have educational documentation on file.
General: Based on review of documentation, this regulatory requirement was not met. The following was found: 1. Two staff (hire dates: 3/28/19 and 4/22/22) did not have T.B. documentation on file. 2. Five staff files (hire dates: 7/9/09, 8/16/18, 8/9/16, 8/10/16, and 8/21/15) contained results of negative T.B. tests that are no longer current. The tests were dated 8/14/17, 8/15/18, 3/25/19, 8/6/18, and 4/27/18, which exceeds the two year time frame. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 5 Inspection Report
General: Based on review of documentation, this regulatory requirement was not met. The following was found: 1. One child’s file/enrollment paperwork did not contain information for the family’s preferred hospital. This child had a 8/7/21 enrollment date listed. 2. One child’s file/enrollment paperwork did not have physician contact information or the family's preferred hospital. This child had a 12/1/21 enrollment date listed. Written Documentation Not In Compliance
General: Based on review of documentation, this regulatory requirement was not met. At the time of the survey it was found that there was no record of lockdown drills conducted at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 4 of 5 Inspection Report Posted Documentation Not In Compliance
This follow-up inspection recorded no violations or advisories.
General: Based on observation and review of documentation, staff member hired 8/11/21 did not have a personnel file. There was no evidence to indicate that this individual had completed a fingerprint based background check. This staff member was paired with another staff member. Supervision Not In Compliance
General: Based on review of documentation, three staff members hired 8/16/18, 7/28/16, and 8/9/16 had a negative tuberculin skin result in their personnel file that exceeded two years; therefore, the documentation was no longer current. Three staff members hired 8/11/21, 3/28/19, and 7/9/2009, did not have a negative tuberculin skin result, nor a physicians’ statement in their personnel files to clear these individuals of active tuberculosis.
General: Based on observation, a flashlight was not found in the first aid kit. Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals Not In Compliance
General: Based on observation, the children stacked their backpacks and personal items against the wall upon entering the cafeteria. These items were overlapping and touching one another. This method of storage promotes cross-contamination of germs and bacteria. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report First Aid/Medication Not In Compliance
This renewal application inspection recorded no violations or advisories.
General: Based on review of documentation, the surveyor found a staff person hired on 3/28/19 did not have TB documentation on file. A second staff person hired on 5/12/17 had TB documentation on file that was no longer current as of 8/8/18. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
General: Based on review of documentation, the surveyor found the director was the only staff person certified in CPR and First Aid, but the trainings were completed online and through a company that is not an approved training source. 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/Food Program Not Applicable Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on review of documentation, a staff person hired on 3/28/19 did not have proof of education on file.
General: Based on Review of Documentation, it was found that one (1) staff member with a hire date of 8/16/2012 did not have the required pediatric head trauma training. This staff had completed this training on 10/20/2012, however this training is required every five years and is expired per the survey date. It was also found that four (4) staff did not have the required fifteen (15) hours of training within a twelve (12) month period. The following are the staff members date of hire and hours of completed training. These hours were verifed through ECE TRIS. 1. Employee hire date 8/16/12 had eleven (11) hours of training completed 2. Employee hire date 8/11/12 had eleven (11) hours of training completed 3. Employee hire date 8/10/16 had seven (7) hours of training completed 4. Employee hire date 11/14/16 had thirteen (13) hours of training completed 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/Food Program In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on Review of Documentation, one (1) staff person (hire date: 11/14/16) did not have educational documentation on file.
General: Based on Review of Documentation and interview, this regulatory requirement was not met. A review of staff files during the investigation found two (2) staff that did not have the date of employment listed in their file. The staff person in charge reviewed internal documentation and then identified 8/4/16 and 11/14/16 as the hire dates.
General: Based on Review of Documentation, observation and interview, this regulatory requirement was not met. One (1) staff person (hire date: 11/14/16) did not have evidence or results of a child abuse/neglect check (CAN) on file. This staff person was observed working alone with seventeen (17) children during the visit. The staff person in charge stated that the staff person "probably has a CAN check at the main office".
General: Based on Review of Documentation, this regulatory requirement was not met. Three (3) staff files (hire dates: 7/9/09, 8/11/12 and 8/16/12) contained results of negative T.B. tests that are no longer current. All three (3) tests were dated 8/26/14 which exceeds the two (2) year time frame. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report
This renewal application inspection recorded no violations or advisories.
General: Based on Review of Documentation, staff person re-hired 8-11-12 did not have the results of or evidence of the application for a criminal background or CA/N check on file in the facility. Staff person hired on 8-25-14 had listed an address in New Mexico as a previous residence in the past five (5) years; however, this staff person reported that he only visited New Mexico for a week at a time and had not established residency there. There was no evidence of a background check from New Mexico for the staff person on file in the facility.
General: Based on Review of Documentation, eight (8) out of ten (10) staff eligible for an annual evaluation did not have evidence of an evaluation on file in the facility.
General: Based on Review of Documentation, staff person hired 8-25-14 did not have evidence of completing the required orientation training in the first three (3) months of employment. 345 - Driver Requirements Not Applicable 922 KAR 2:120. Section 12. Transportation. (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty-one (21) years old; (b) Complete: 1. The background checks as described in 922 KAR 2:110; and 2. An annual check of the: a. Kentucky driver history records in accordance with KRS 186.018; or b. Driver history records through the state transportation agency that issued the driver’s license; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; and (d) Not caused an accident which resulted in the death of a person. Programming
General: Based on Review of Documentation, it was found that a daily planned program of activities was not posted for the after-school program.
General: Based on Review of Documentation, the posted snack menu for Friday listed only ice cream. Based on interview the facility does actually serve two (2) components to the children, but the menu did not reflect that information. 1065 - Lunch/Dinner Requirements Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (19) Lunch and dinner shall include: (a) Milk; (b) Protein; (c) Bread; and (d)1. Two (2) vegetables; 2. Two (2) fruits; or 3. One (1) fruit and one (1) vegetable. Children's Records
General: Based on Review of Documentation, it was found that one (1) staff hired on 8/16/13 did not have a criminal records check from New Mexico. The staff member previously lived in New Mexico within the last five (5) years.
General: Based on Observation, it was found that the facility did not have posted the information on the Kentucky Consumer Product Safety Progam and the program's website.
General: Based on Interview, it was found that the facility staff did not have access to a copy of the current regulations.
General: Based on Review of Documentation, it was found that the file for an employee hired in August of 2009 did not contain evidence of an annual performance evaluation being completed by the director.
General: Based on Observation, it was found that the school age children were being served 2% milk. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk shall be prepared, labeled, and provided by the parent.
General: Based on Review of Documentation, it was found that the file for a child enrolled on 4-11-12 contained an immunization certificate that expired on 3-31-13.
General: Based on Review of Documentation, child enrolled on 08/11 did not have an immunization on file.
General: Based on observation and review of documentation, three (3) staff members did not have documented hire dates on file during the time of inspection.
General: Based on observation and review of documentation, one (1) staff person with an unknown hire date, did not have proof of education on file at the facility. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report
Based on observation and review of documentation, it was found that one (1) child's enrollment information did not contain a signature from the parent or guardian authoring the center to seek medical treatment in the event of an emergency. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Written Documentation Not In Compliance
General: Based on observation and review of documentation, there was no written staff schedule on file at the facility at the time of inspection.
General: Based on observation and review of documentation, one (1) staff person hired on 08/10/2016, did not have a current professional development plan on file at the facility. The professional development plan on file was dated for 2018.
General: Based on review of documentation and the Training Records Information System (TRIS), three staff (hire dates: 3/28/19, 8/10/16, and 8/21/15) did not complete the required PAHT training. These staff have been employed for more than one year. 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, this regulatory requirement was not met. The facility did not have a schedule of daily activities posted. Animals Not Applicable
General: Based on review of documentation, observation, and interview, this regulatory requirement was not met. The surveyor entered the cafeteria with the staff person in charge and observed three groups of children that had been divided up according to grade levels. One staff person was assigned to the 2nd-3rd grade group and had 16 children in her care. A review of facility files found that this staff person did not have any paperwork on file and a review of the Kentucky National Background check service (KARES) found this staff person has not had a fingerprint-based background check processed and therefore does not have the eligible for hire status. The staff person in charge identified the staff person as a teaching assistant at the elementary school and stated that 4/22/22, was her first day working at the facility. Supervision In Compliance Staffing Requirements In Compliance General Administration Not In Compliance
General: Based on review of documentation, a State Fire Marshal inspection report was not presented for the surveyor to review. A review of Division of Regulated Child Care files found that this regulatory violation was previously issued as a result of a renewal inspection conducted on 8/18/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 5 Inspection Report Director Requirements Not In Compliance
General: Based on review of documentation, the facility could not provide written evidence of conducted staff meetings.
General: Based on review of documentation, four staff eligible for an annual performance review did not have current documentation of a review on file at the facility. The documentation on file was dated 2019.
General: Based on review of documentation, observation, and interview, this regulatory requirement was not met. The surveyor entered the cafeteria with the staff person in charge and observed three groups of children that had been divided up according to grade levels. One staff person was assigned to the 2nd-3rd grade group and had 16 children in her care. A review of facility files found that this staff person did not have any paperwork on file and a review of the Kentucky National Background check service (KARES) found this staff person has not had a fingerprint-based background check processed and therefore does not have the eligible for hire status. The staff person in charge identified the staff person as a teaching assistant at the elementary school and stated that 4/22/22, was her first day working at the facility. Employee Records Not In Compliance
General: Based on review of documentation, observation, and interview, the facility failed to maintain staff files. One staff person (hire date: 4/22/22) observed working with children during the visit, did not have a personnel file on site; therefore, her birthdate, educational documentation, T.B. documentation, and background check information were not available for the surveyor to review. It is important to note that there was no information on the Kentucky National Background check service (KARES) to verify if this staff has had a fingerprint- based background check processed. The staff person in charge identified the staff person as a teaching assistant at the elementary school and stated that 4/22/22, was her first day working at the facility.
General: Based on review of documentation, five staff (hire dates: 8/16/18, 3/28/19, 8/10/16, 8/21/15, and 4/22/22) did not have evidence of completing CPR/First Aid training on file in the facility. A review of ECE-TRIS records supports the information found during the survey.
General: Based on review of documentation, two children (enrollment dates: 8/5/21 and 7/15/21) had immunization certificates that were no longer current as of 7/5/21 and 8/31/21. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 5 Inspection Report
General: Based on review of documentation, this regulatory requirement was not met. The emergency preparedness plan on file had not been updated since 2014.
General: Based on review of documentation, four staff did not have a current annual professional development plan on file at the facility. The last professional development plan that had been completed was dated 2019.
General: Based on review of documentation, this regulatory requirement was not met. At the time of the survey it was found that there was no record of quarterly earthquake and tornado drills conducted at the facility.
General: Based on review of documentation, this regulatory requirement was not met. A letter from the DRCC office stating the facility would be recommended for relicensure was posted; however, the statement of deficiency and plan of correction from the 8/18/21 renewal inspection was not posted.
General: Based on observation upon arrival at the facility at 2:35 pm, the surveyor observed children entering the facility cafeteria to check in at the program. The children that entered were directed to exit the cafeteria and go to the bathrooms to wash their hands. When exited from the cafeteria, the school-aged students were not within line of sight or range of voice. Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report General Administration Not In Compliance
General: Based on review of documentation, Fire Marshal documentation was not available for review. Director Requirements Not In Compliance
General: Based on review of documentation, there was no documentation presented evidencing that staff meetings had been conducted. Employee Records Not In Compliance
General: Based on review of documentation, staff members hired 8/16/18, 8/9/16, 7/28/16, 3/28/19, and 7/9/2009 did not complete fifteen hours of cabinet-approved early care and education training for the July 2020 – June 2021 year of employment. Staff member hired 7/9/2009 had fourteen hours recorded; the remaining four staff did not have any hours recorded. A review of ECE-TRIS supports this finding. Programming In Compliance Premises In Compliance Hygienic Practices Not In Compliance
General: Based on observation and review of documentation, a menu of snacks provided by the facility was not available for review. Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Children's Records Not In Compliance
General: Based on review of documentation, two children did not have a preferred hospital listed in their enrollment information. One child had “closest” listed for the hospital. Written Documentation Not In Compliance
General: Based on review of documentation, a chain of command was not available for review. Posted Documentation Not In Compliance
General: Based on observation and review of documentation, staff-to-child ratios were not posted nor available for review. Animals In Compliance
General: Based on Observation and interview, this regulatory requirement was not met. A tour of the cafeteria found that the children's personal belongings (backpacks and jackets) were observed sitting on the floor along the wall. There was no barrier to protect the items from touching other children's personal belongings. This is a contamination risk and allows spread of germs. The director stated during interview that she has individual storage containers; however, they were not being used on the day of the inspection.
General: Based on Review of Documentation, observation and interview, this regulatory requirement was not met. One (1) staff person (hire date: 11/14/16) did not have evidence or results of a child abuse/neglect check (CAN) on file. This staff person was observed working alone with seventeen (17) children during the visit. The staff person in charge stated that the staff person "probably has a CAN check at the main office". 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 Review of Documentation, and the Training Records Information System (TRIS), the following was found: 1. One (1) staff file (hire date: 8/6/15) did not contain evidence of the pediatric abusive head trauma training class being completed within the first year of employment. 2. One (1) staff file (hire date: 8/12/15) did not contain the required fifteen (15) hours of training. Programming In Compliance Premises Not In Compliance
General: Based on Observation, this regulatory requirement was not met. The surveyor observed two (2) staff purses sitting on top of the tables in the cafeteria throughout the entire survey. The purses were accessible to the children present in the room. 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 Not In Compliance
General: Based on Review of Documentation, this regulatory requirement was not met. One (1) child (enrollment date: 8/10/15) had an immunization certificate on file that was no longer current as of 11/15/16. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable