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Home › KY › Lexington › The Lutheran School of Lexington
License #L358771 · Center · Licensed
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This renewal application inspection recorded no violations or advisories.
General: Based on review of documentation, a staff member (DOH: 01/04/18) last completed pediatric abusive head trauma training on 04/16/2019; however, did not renew the training due to be completed by 04/16/2025. A review of ECE-TRIS verified this information.
General: Based on observation and interview, the facility only employs two (2) staff members. One staff member is the director and the other a teacher. The director will be terminating their employment in May 2025, and the current teacher will become the new director. They have not hired any additional employees and currently do not have any qualified substitutes.
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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 observation, the sink in the Pre-K four (4) bathroom read a temperature of one hundred twenty-three (123) degrees Fahrenheit. A child using the sink yelled "ouch" when washing his hands, due to the temperature of the water.
General: Based on observation, the toilet in the Pre-K three (3) classroom contained urine due to not being flushed after use. Hygienic Practices In Compliance
General: Based on review of documentation, the following was found: 1.) One (1) child’s file reviewed contained an immunization record that was no longer current as of 03/13/24. 2.) One (1) child’s file contained an immunization record that listed several dates of expiration. Each child had been enrolled for more than 30 days. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on observation, the following was found: Girl's restroom (across from Pre-k) 1.) Areas of exposed drywall and chipping paint where a mounted soap dispenser had been removed from the wall. Fellowship Hall: 2.) Areas of chipping paint on a wall in the Dramatic Play center. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation Not Applicable Kitchen Requirements Not In Compliance
General: Based on observation, the exhaust fan within the Girl's restroom at the front entrance of the facility was sheathed in a layer of dust. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
General: Based on review of documentation, one (1) staff member (DOH 10/22/2022) completed eleven out of fifteen hours of Cabinet- approved early care and education training for the 10/22/22 – 10/21/23 training year. A review of ECE-TRIS supports this finding. Programming In Compliance Premises Not In Compliance
General: Based on observation, it was found in the Pre-K 4 room several coats were protruding from children’s individual cubbies and touching one another; this method of storage promotes the spread of germs and bacteria. Director Requirements In Compliance Employee Records In Compliance Programming In Compliance Premises Not In Compliance
General: Based on observation, in the Pre-K 4 room the smoke detector was disabled and was hanging on the wall. Transportation Not Applicable Kitchen Requirements In Compliance Food Service Not In Compliance
General: Based on observation, in the hallway in front of the Pre-K 3 room there was a water stain on the ceiling tile. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Equipment Not In Compliance
General: Based on observation and interview, the children bring their own lunches, and the facility did not have pasteurized unflavored low fat one (1) percent or fat-free skim milk, only whole milk was available if a child does not bring their own milk. All children enrolled are over 24 months of age.
General: Based on observation, the surveyor found several areas of chipped paint on the wall in the Pre-K Classroom, located underneath a bulletin board. 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 Not Applicable Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Animals In Compliance
This change of hours inspection recorded no violations or advisories.
General: Based on review of documentation, staff member hired 1/4/2018 did not complete 15 hours of Cabinet approved early care and education training for the July 2020 – June 2021 year of employment. A review of ECE-TRIS supports this finding. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Kitchen Requirements Not In Compliance
General: Based on review of documentation, the liability insurance presented for review was not current. The staff person in charge was unable to provide a current copy during the survey process. Director Requirements In Compliance Employee Records Not In Compliance
General: Based on interview and review of documentation, the facility did not maintain two substitute staff members. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
General: Based on observation, the digital thermometer in the Older Pre-Kindergarten classroom refrigerator was not in working order. Food Service Not In Compliance
General: Based on observation, this regulatory requirement was not met. The diapering/hand-washing procedure was not posted at the diaper changing area located in the children's bathroom closest to the office. Animals In Compliance
General: Based on review of documentation and interview, this regulatory requirement was not met. A review of the State Fire Marshal report revealed the center had violations during the 3/9/20 inspection and was not in compliance. The staff person in charge stated during interview that the Fire Marshal has given them 30-days to correct the violation and further stated that the violation was issued because the facility alarm system needs new batteries. Director Requirements In Compliance Employee Records Not In Compliance
General: Based on review of documentation and interview, this regulatory requirement was not met. A review of staff files during the inspection found one staff person that did not have the date of employment listed in their file. The staff person in charge found a page of handwritten notes in her files and then verbally identified the date; however, the date of hire was not maintained in the personnel file. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
This investigation inspection recorded no violations or advisories.
General: Based on review of documentation, the following was found: 1.) One (1) child did not have a preferred hospital listed on the enrollment paperwork. This child's date of enrollment is 10/01/2018. 2.) One (1) child had a physician's contact listed; however, there was not a contact number listed. This child's date of enrollment is 02/24/2018. Written Documentation Not In Compliance
General: Based on review of documentation, it was found that one (1) staff did not have evidence of pediatric abusvie head trauma training being completed within the last five (5) years. The hire date for this staff is 01/04/2018. A review of ECE-TRIS confirmed these findings. 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 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, it was found that there was no evidence of a fire drill being completed at the facility in February of 2019. Posted Documentation Not In Compliance
General: Based on observation, it was found that the child care rates for the facility were not posted at the time of the survey. Animals In Compliance
This investigation inspection recorded no violations or advisories.
General: Based on Observation, the wooden cover on the outdoor sand table has a large gap between two (2) of the boards. This does not allow for the sand table to be completely covered when not in use. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report
General: Based on Observation, the wooden cover on the sand table located on the playground had several nails protruding from the top. These nails are accessible to the children. There were areas where the wood was not smooth and was splintering that are accessible to the children. There was a large gap between two (2) of the boards that keeps the sand table from being completely covered. Transportation Not Applicable Food Service/Food Program Not In Compliance
General: Based on Interview, it was found that the parents provide lunch for their child. However, the facility provides 2% milk if a child does not bring milk with their lunch. It was also found that the facility does no participate in the Federal Food Program. There is no documentation on file that verifies parents have given the facility permission to serve 2% milk instead of the required 1% for the age groups served. Food Service In Compliance Children's Records Not In Compliance
General: Based on Review of Documentation, there was no documented fire drill for April, May and December 2017 and there was no documented fire drill for February 2018. Posted Documentation Not In Compliance
This change of space/change in capacity inspection recorded no violations or advisories.
General: Based on Review of Documentation, the documentation on file stated the liability insurance policy expired 10/2016. Director Requirements In Compliance Employee Records Not In Compliance
General: Based on Review of Documentation and interview, there was not a staff person present at all times who was certified in CPR and first aid. One staff person present during all the hours of operation had certification that expired on 3/29/17 (two (2) days prior to the inspection). Another staff person present during all hours of operation had documentation of CPR certification but not first aid. The staff person stated the class she took included the first aid training but the card only specified CPR. A staff person currently certified in CPR and first aid worked Mondays, Wednesdays, and Fridays from 8:00 AM to 12:00 PM. The center is open Monday through Friday from 8:00 AM to 3:00 PM. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report 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, there were two (2) children whose files were lacking the contact number for their physician. The enrollment dates for these children were 10/19/16 and 8/11/16. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on Review of Documentation, an employee with a hire date of 9/1/15 did not have proof of a high school diploma or GED in their personnel file.
General: Based on Review of Documentation, an employee with a hire date of 9/1/15 had a TB test result dated 9/14/15 in their file. This date was not on or before the date of hire for this staff person.
General: Based on Review of Documentation, a review of five (5) staff files found two (2) staff with hire dates of 7/31/08 and 2/10/09 who had not completed fifteen (15) hours of training for the 2013-2014 training year. Additionally, a substitute hired 10/24/13 had not completed nine (9) hours of training for the 2013-2014 training year. 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 Observation, it was found that in the two (2) year old classroom there was not a planned program of activities for the current week posted.
General: Based on Interview, it was found that the parents provide the snacks for their child each day and the facility will suppliment missing components with milk, crackers or juice. At the time of the survey morning snack was observed. Not all of the children's snacks met the requirements One (1) child brought a banana and a tangerine. There was no other component supplimented by the facility to assure this snack met the requirements.
General: Based on Review of Documentation, there was one (1) staff person hired 2/10/09 who had only completed twelve (12) hours of training for the 2013-2014 training year. 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 Observation, the staff to child ratios were not posted.
General: Based on Review of Documentation, out of ten (10) children's files reviewed one (1) child's file did not have a preferred hospital listed. 1080 - Documentation for Off Premise Trip Not Applicable 922 KAR 2:110. Section 3. Records. (1) A child-care center shall maintain: (b) A written record for each child: 3. To contain: g. A permission form for each trip off the premises signed by the child’s parent in accordance with 922 KAR 2:120, Section 12; Written Documentation
General: Based on Review of Documentation, staff member hired on 07/08 did not have a current statement from a health care professional stating that she is free of active TB.
General: Based on Review of Documentation, there was no documentation of the children present during the fire drills.
General: Based on Review of Documentation, staff members hired on 2/10/09 and 12/10 did not have currrent evaluations on file.
General: Based on Review of Documentation, staff member hired on 08/12 did not have the cabinet approved Orientation I&II certificate on file. Staff member hired on 07/08 and 12/10 did not have the fifteen (15) hours of cabinet approved training on file. 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 the background checks as described in 922 KAR 2:110; (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
This change of space/change in capacity inspection recorded no violations or advisories.
General: Based on Review of Documentation, it was found that the file for an employee hired on 2-10-09 did not contain evidence of an annual evaluation being completed.
General: Based on Review of Documentation, it was found that the files for two (2) eligible employees did not contain evidence of an annual professional development plan being completed. 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 1) Criminal Records Check In Compliance 2) Child Abuse/Neglect Check In Compliance 4) Current State other than KY In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 41 Web site: http://chfs.ky.gov/ Inspection Report 107 - Maintenance of Background check/Out of State 922 KAR 2:110 - Section 3 (12) For the director, employee, volunteer, or any person with supervisory or disciplinary control over, or having direct contact with a child, results of the: (a) Criminal records check in accordance with KRS 17.165; (b) Child abuse and neglect check in accordance with 922 KAR 1:470; and (c) Background check from: 1. Previous state of residence, if the individual has been a resident outside of Kentucky in the previous five (5) years; or 2. Current state of residence, if other than Kentucky; 3) Previous State of Residence Not In Compliance Findings: General: Based on Review of Documentation, it was found that an employee hired on 7-25-11 lived in California in 2008. The facility did not have a California or FBI background check for this employee. In addition, it was found that an employee hired on 2-10-09 has lived in Ohio within the last five (5) years. The facility did not have an Ohio or FBI background check for this employee.
General: Based on observation, the refrigerator where supplemental milk is stored did not contain a thermometer. The surveyor was unable to determine whether food safe temperatures was maintained. 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, during snack it was observed that a child was drinking a Capri-Sun drink. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
General: Based on observation and interview, the staff person in charge indicated that the facility provides milk for children who stay for lunch. However, the facility only had 2% milk available. The children in the program are older than 24 months. Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
General: Based on review of documentation, one staff file (hire date: 7/1/17) contained results of a negative T.B. test that is no longer current. The test was dated 6/30/17 which exceeds the two year time frame. Programming In Compliance Premises Not In Compliance
General: Based on observation, this regulatory requirement was not met. During a tour of the facility, the surveyor observed a storage closet door propped open throughout most of the visit. This closet is in the hallway next to the Pre-K 3 Classroom and across the hall from the children's bathrooms. Numerous cleaners (Bleach, Clorox Spray, Palmolive Oxy Soap, Lysol Disinfectant Spray and Clorox Disinfecting Wipes) were being stored on a shelf in this closet; therefore, the cleaners were accessible to the children.
General: Based on observation, this regulatory requirement was not met. At the time of the survey, it was found that the door leading out to the playground was propped open and a group of children were observed playing on the playground. The door did not contain a screen. 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 Children's Records In Compliance Written Documentation In Compliance Posted Documentation Not In Compliance
General: Based on Observation, the statement of deficiencies and plan of correction posted was dated 4/6/15. The statement of deficiencies and plan of correction for the current licensure year was not posted. Animals Not Applicable
General: Based on Review of Documentation, there was no documented fire drill that included the date, time and names of children who participated for April, May and December of 2017 and February 2018.
General: Based on Review of Documentation and ECE-TRIS records, it was found that a staff person hired 9/18/17 did not have evidence of having completed six (6) hours of orientation training. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming Not In Compliance
General: Based on Review of Documentation, there were three (3) staff (hire dates: 4/11/18, 4/19/18 and 9/18/17) who did not have a copy of a high school diploma, GED or other qualifying documentation on file at the facility.
General: Based on Observation, in the two to three (2-3) year old room the children were observed playing with dried beans that had been placed in the sensory table. Due to the age of the children the dried beans are not developmentally appropriate and are a choking hazard. Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
General: Based on Observation, a small, square Little Tikes climber was observed sitting on the grass against the fence beside a railroad tie. There was no protective surface. In addition there is not adequate space around the piece of equipment to ensure the proper fall zone. Equipment Not In Compliance
General: Based on Review of Documentation, found two (2) children enrolled since 8/17 who had immunization certificates on file that were no longer current.
General: Based on Review of Documentation, there was one (1) child's enrollment information that had the name of a local clinic listed as the preferred hospital instead of a hospital. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Written Documentation Not In Compliance
General: Based on Review of Documentation, the chain of command for the facility was not current. Names of staff no longer at the facility were listed.
General: Based on Observation, during a tour of the two (2) year old room a container of anti-bacterial hand wipes was found in a plastic container on an open shelf under the changing table. The wipes were accessible to the children.
General: Based on Review of Documentation, found there is no one at the facility who is currently certified in first aid.
General: Based on Review of Documentation, out of ten (10) children's files reviewed four (4) of those files did not have a preferred hospital listed in the enrollment information.
General: Based on Review of Documentation, it was found that earthquake and tornado drills were counted as one (1) drill and not documented separately.
General: Based on Review of Documentation, it was found that earthquake and tornado drills were counted as one (1) drill and not documented separately. Posted Documentation
General: Based on Observation, 2% milk was observed in the refrigerator. An interview with the staff person in charge found that the 2% milk is served with the children's lunches. The children enrolled are ages two (2) to five (5) years old. 990 - Bottle Preparation by Parent Not Applicable 922 KAR 2:120. Section 9. Food and Meal Requirements. (4) Formula or breast milk provided by the parent shall be prepared and labeled.
General: Based on Review of Documentation, there was one (1) staff person hired 9/4/13 who did not get the results of a T.B. skin test read until 9/12/13.
General: Based on Review of Documentation, there was one (1) staff person hired 10/13 as a substituted who did not have a current T.B. skin test or a statement from a health professional indicating they are free from the symptoms of T.B. on file at the facility. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 26 Web site: http://chfs.ky.gov/ Inspection Report
General: Based on Interview, it was found that the children bring their own snack each day. At the time of the survey snack was observed. Not all of the children's snacks had two (2) components. One (1) child had a fruit cup and then the facility provided 100% juice and water.
General: Based on Interview, it was found that the children bring their lunch each day and the facility provides milk. However, the staff person in charge indicated that some children do not always bring all of the required components for lunch. The staff person in charge indicated that one (1) child brings pepperoni, sunflower seeds and grapes for lunch. The only item the facility provides is milk. Children's Records
General: Based on Review of Documentation, it was found that tornado and earthquake drills are conducted and documented as one (1) drill instead of being conducted and documented individually.
General: Based on Review of Documentation, it was found that tornado and earthquake drills are conducted quarterly but they are documented as one (1) drill instead of being conducted and documented individually. Posted Documentation
General: Based on Observation, 2% milk was served to all the preschool children at the facility. 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, child enrolled on 08/16/12 and 08/10 had expired immunization records on file.
General: Based on Review of Documentation, staff members hired on 2/10/09, 07/08 and 12/10 did not have a current professional development plan on file.
General: Based on Review of Documentation, there was no documentation of the children present during the earthquake/tornado drills.
Preschool: Based on Review of Documentation, it was found that the facility had a permission slip stating that they were to give a four (4) year old child one (1) teaspoon of Hydroxozine each mid-day. This permission slip was signed by the parent one (1) time for each week. The facility did not have written daily permission to administer the medication. 248 - Nonprescription medication protocol 922 KAR 2:120 - Section 7 (5) Nonprescription medication: (a) May be given to a child only with the written daily request of the: 1. Parent; or 2. Person exercising custodial control of the child; and (b) Shall be administered according to the instructions on the label. 1) Written daily request In Compliance 2) Administered according to label In Compliance 249 - Administration Record 922 KAR 2:120 - Section 7 (6) The child-care center shall keep a written record of the administration of medication, including: (a) Time; (b) Date; (c) Amount; and (d) Name of staff person giving the medication. 1) Time In Compliance 2) Date In Compliance 3) Amount In Compliance 4) Staff name In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 22 of 41 Web site: http://chfs.ky.gov/ Inspection Report 250 - Medication Storage 922 KAR 2:120 - Section 7 (7) Medication, including refrigerated medication, shall be: (a) Stored in a separate and locked place, out of the reach of a child; (b) Kept in the original bottle; and (c) Properly labeled. 1) Separate and locked In Compliance 2) Original Bottle In Compliance 3) Labeled In Compliance
General: Based on Review of Documentation, it was found that the file for an employee hired on 11-16-09 did not contain evidence of a high school diploma, GED or Commonwealth Childcare Credential.
General: Based on Review of Documentation, it was found that the file for an employee hired on 7-25-11 contained the results of a negative TB skin test that was read on 7-27-11. This date is not prior to date of hire as required by the regulation. 128 - CPR/First Aid Coverage 922 KAR 2:110 - Section 5 (3) At least one (1) person on duty and present with the children shall be currently certified by a cabinet-approved training agency in the following skills: (a)Infant and child cardiopulmonary resuscitation; and (b) Infant and child first aid. 1) CPR In Compliance 2) First Aid In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 1) Type I In Compliance 131 - Adequate Substitute(s) 922 KAR 2:110 - Section 5 (6) Child-care centers shall have available in case of need: (a) One (1) qualified substitute staff person for a Type II child-care center; or (b) Two (2) qualified substitute staff persons for a Type I child-care center 2) Type II Not Applicable 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 1) Orientation In Compliance 2) 9 hours-first year In Compliance An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 41 Web site: http://chfs.ky.gov/ Inspection Report 139 - Training 922 KAR 2:110 - Section 5 (14) A staff person with supervisory authority over a child shall complete the following: (a) Six (6) hours of cabinet-approved orientation within the first three (3) months of employment; (b) Nine (9) hours cabinet-approved child development training within the first year of employment; and (c) Fifteen (15) hours of cabinet-approved training during each subsequent year of employment. 3) 15 hours annually Not In Compliance Findings: General: Based on Review of Documentation, it was found that the file for an employee hired on 7-31-08 contained evidence of only six (6) hours of cabinet-approved training being completed during the last completed training year. In addition, it was found that the file for an employee hired on 2-10-09 contained evidence of only nine (9) hours of cabinet- approved training being completed during the last completed training year. 317 - Driver requirements Not Applicable 922 KAR 2:120 - Section 12 (18) A driver of a vehicle transporting a child for a center shall: (a) Be at least twenty one (21) years old; (b) Complete the background checks as described in 922 KAR 2:110; (c) Hold a current driver’s license which has not been suspended or revoked during the last five (5) years; (d) Not have had any convictions concerning vehicle operation in the past twelve (12) months; and (e) Not caused an accident which resulted in the death of a person. 1) Be 21 years old or over Not Applicable 2) Background checks Not Applicable 3) Drivers license Not Applicable 4) No convictions for vehicle operation Not Applicable 5) No accident causing death Not Applicable Programming 169 - Program of Activities Followed 922 KAR 2:120 - Section 2 (4) The child-care center shall provide a daily planned program of activities: (a) Posted in writing in a conspicuous location with each age group and followed; 1) Posted In Compliance 2) Followed In Compliance