922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, there was no written schedule of staff hours presented at the time of inspection.
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Home › KY › Lexington › YMCA of Central KY: ACE
License #L384388 · Center · Licensed
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General: Based on review of documentation, there was no written schedule of staff hours presented at the time of inspection.
General: Based on observation, the following was found during inspection: 1) A staff (DOH: 08/14/25) had TB documentation on file at the facility from where he had the assessment; however, the document did not have the results marked. 2) A staff (DOH: 09/03/24) had TB documentation on file at the facility from where she had the assessment; however, the document did not have the results marked. 3) A staff (DOH: 08/14/25) did not have documentation of a negative TB test or a statement from a health care professional stating that the staff is free from active tuberculosis on file at the facility at the time of inspection.
General: Based on observation, the following was found during inspection: 1) The library had a stained ceiling tile on the day of inspection. 2) Classroom 139 contained multiple stained ceiling tiles. Classroom 139 had previously been cited for seven (7) stained ceiling tiles. The previous plan of correction stated the school was notified about ceiling tiles, and a work order was submitted to have these replaced. The plan of correction further stated, school maintenance replaced these ceiling tiles on 09/22/25.
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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 following was found during inspection: 1) Attendance records for fire drills conducted in January, and March -July 2025 were not presented at the time of inspection. 2) Attendance records for earthquake, tornado and lockdown drills conducted in the first and second quarters of 2025 were not presented at inspection.
General: Based on review of documentation, the statement of deficiency and plan of correction from the previous renewal survey was not posted for public inspection.
General: Based on observation, the following was found: 1) The first-grade group had children ages six (6) and seven (7) with a total of twenty (20) children and one (1) staff. The ratio for children this age is one (1) adult to fifteen (15) children making this group over ratio by five (5) children for at least twenty (20) minutes until another staff arrived. 2) The second-grade group had twenty- six (26) children present with one (1) staff making the group over ratio by one (1) child for at least thirty (30) minutes while the surveyor was at the school. All the children in this group are eight (8) years old with a ratio of one (1) staff to twenty-five (25) children. General Administration In Compliance
General: Based on observation, Classroom 139 had seven (7) ceiling tiles with brown stains on the outer surface.
This change of space/change in capacity inspection recorded no violations or advisories.
General: Based on review of documentation, the following was found: 1.) Information relating to the Consumer Product Safety Program was not posted for public inspection. 2.) Current rates for services were not posted for public inspection. Animals Not Applicable
General: Based on review of documentation, the following was found: 1.) One (1) staff member (DOH: 03/02/23) completed eight (8) out of fifteen (15) hours of Cabinet -approved early care and education training for the 03/02/23--03/01/24 training year. 2.) One (1) staff member (DOH: 08/19/22) completed one (1) out of fifteen (15) hours of Cabinet- approved early care and education training for the 08/19/23--07/01/24 training year. A review of ECE-TRIS supports these findings. Programming In Compliance Premises In Compliance 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 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 Written Documentation Not In Compliance
General: Based on observation, a roster of participants was not available for review for the Earthquake, Tornado, Lockdown, and Fire Drills from the 2023-2024 school year. Posted Documentation Not In Compliance
General: Based on review of documentation, the following was found: 1.) Staff members (DOH: 08/17/2017 and 09/05/2018), had Pediatric Abusive Head Trauma training records on file that exceeded five years; therefore, the trainings were no longer current. 2.) Staff member (DOH: 8/19/2022), completed zero (0) out of fifteen (15) hours of cabinet-approved early care and education training for the 8/19/2022 – 8/18/2023 training year. A review of ECE-TRIS supports 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 Kitchen Requirements In Compliance Food Service In Compliance Meal Planning/Center Provides Meals In Compliance Meal Planning/Center Does Not Provide Meals In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 3 Inspection Report Children's Records Not In Compliance
General: Based on interview and review of documentation, the facility did not have a KARES background check list under the license. The staff person in charge indicated difficulties making individual lists under each license since the same email is used for the company. The staff person stated that all staff are listed under two other license numbers. All individuals had proof of eligibility in their personnel file. Supervision In Compliance Staffing Requirements In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 3 Inspection Report General Administration Not In Compliance
This initial application inspection recorded no violations or advisories.
General: Based on observation and interview, during a tour of the space used for child care the surveyor observed a group of students, Group 4, utilizing a soccer field on the school premises. This area was not approved for child care, and no permission form to use this space was signed by guardians. Director Requirements In Compliance Employee Records Not In Compliance
General: Based on review of documentation, one child’s immunization record did not include a date of expiration. The child has been enrolled for more than 30 days.
General: Based on review of documentation, one child’s enrollment documentation could not be loaded on the computer system used by the facility; therefore, the following information was not available: preferred hospital, physician contact, parent information, medical information, and authorized pick-up. Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable