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Home › KY › Louisville › S.A.F.E. St. Athanasius After School Care
5915 Outer Loop Drive, Louisville KY 40219 · License #L354419 · Center · Licensed
When they operate
Ages served
922 KAR 2:090 · 922 KAR 2:090. Section 15. Statement of Deficiency and Corrective Action Plans.
A PLAN OF CORRECTION WAS DUE ON 07/05/2023 AND AS OF 07/27/2023, THE PLAN OF CORRECTION HAS NOT BEEN RECEIVED. Director Requirements In Compliance Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on review of documentation, upon request, a current copy of negative tuberculin (TB) results or a current statement from a healthcare professional verifying that a staff member hired on 10/15/2019 was free from active TB was not presented for review. The presented negative TB results were read on 03/04/21 and, therefore, no longer current at the time of the survey. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
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
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 7. First Aid and Medicine.
General: Upon request, verification that a staff person hired on 08/02/22 had completed training on cardiopulmonary resuscitation (CPR) was presented for review, however, verification that the aforementioned staff person had completed training on first aid was not presented for review. 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 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
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation, a current immunization certificate for a student with an enrollment date of 10/04/22 was not presented for review upon request. The presented immunization certificate contained and expiration date of 01/05/23 and was, therefore, not current at the time of the survey. Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview and review of documentation, the staff in charge did not present verification that the record for an employee with the hire date of 01/24/2022 had been maintained to include a copy of a High school diploma, GED or qualifying documentation from a comparable educational entity, or Commonwealth Child Care Credential. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview and review of documentation, the staff in charge did not provide verification that the employee with the hire date of 01/24/2022 had completed orientation training within the first ninety (90) days of employment. Review of documentation in the ECE-TRIS training system revealed the staff member listed above had not met the requirements. Programming In Compliance Premises In Compliance Hygienic Practices Not In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 3. General Requirements.
General: Based on observation, the children were not assisted or prompted to wash their hands prior to a snack. The children were observed lying on the floor and then playing with toys; after that, they proceeded to eat their snack. First Aid/Medication In Compliance Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance 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 In Compliance Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 10. Director Requirements and Responsibilities.
General: Based on observation, interview and review of documentation the child care center failed to to assure compliance with regulatory requirements. Observation of the preschool classroom revealed one (1) staff member with the hire date 1/20/2021 was the sole caregiver for five (5) children ages ranging three (3) year old through five (5) years old. The file for the staff member did not contain verification that a child abuse and neglect (CAN) background check and a criminal record check (CRC) had been completed. Observation of the first and second grade classroom revealed the staff member with the hire date 2/19/2021 was the sole caregiver for two (2) children, ages ranging six (6) years old through eight (8) years old. The file for that staff member did not contain verification that a child abuse and neglect background check (CAN) and a criminal record check (CRC) had been completed. Upon request, the staff member in charge did not present the documentation for review. Employee Records In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 4 Inspection Report Programming Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 2. Child Care Services.
General: Based on interview and review of documentation, the child care center failed to comply with regulatory programming requirements. Review of the posted documents in the preschool classroom, the cafeteria and the first and second grade classroom revealed there was not a daily activity program posted in a conspicuous place for review. Premises Not In Compliance
Open Not marked corrected in the state record
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922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, the child care center failed to maintain the premises in accordance with regulatory requirements. Upon entering the facility a portable sink was observed. Portable sinks are not compliant with the State Plumbing Code. Therefore, the portable sink is not acceptable for use in the child care center. Interview with a staff member in charge revealed the children use the sink for handwashing upon arrival in the center. The surveyor turned the knob of the faucet and no water exited from the faucet. The staff member in charge stated the sink had been turned off for the day and the maintenance person empties the water and refills the tank daily. Hygienic Practices In Compliance First Aid/Medication In Compliance Outdoor Play Area Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, the child care center failed to maintain an outdoor play area in accordance with regulatory requirements. Observation of the parking lot that is used as one (1) of the outside play areas for the preschool children revealed the parking lot was partially fenced. Equipment Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 4. Premises Requirements.
General: Based on observation and interview, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the floor located in the cafeteria revealed that the children's personal revealed the children do not have an individual place to store their belongings. An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 2 of 4 Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:120 · 922 KAR 2:120. Section 11. Toys and Furnishings.
General: Based on observation, the child care center failed to maintain equipment in accordance with regulatory requirements. Observation of the climbing apparatus located on the outside preschool play area revealed the hard rubber covering leading up the steps was detached from the metal structure. The rubber coating was cracking in numerous areas, leaving sharp, pointed edges and the metal structure was rusted from where the rubber coating was not attached to the metal climbing structure. Transportation In Compliance Food Service/Food Program In Compliance Food Service In Compliance Children's Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, the child care center failed to maintain children's records in accordance with regulatory requirements. The staff in charge did not present verification of a current immunization certificate for a child with the enrollment date 08/20/2020.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, the child care center failed to maintain the children's records in accordance with regulatory requirements. The staff in charge did not present verification that a child's file with the enrollment date 8/20/2020 contained a parent's signature and authorization by the parent for the child care center to seek emergency medical care for the child in the parent's absence. Written Documentation Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on interview and review of documentation, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of written documentation of the fire, earthquake and tornado drills conducted revealed that all three (3) of the drills were conducted on the same day and at the same time. Therefore, two (2) of the three (3) drills were not documented accurately as it is not possible to conduct all drills simultaneously. Posted Documentation In Compliance Animals Not Applicable An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 3 of 4 Inspection Report Emergency Regulation Not In Compliance
Open Not marked corrected in the state record
Category: physical safety. Open / not marked corrected.
922 KAR 2:415 · 922 KAR 2:415E. Emergency Regulation.
General: Based on observation, interview and review of documentation, the child care center failed to assure compliance with the requirements specific to the current pandemic as established in 922 KAR 2:415e. 922 KAR 2:415e requires name based background checks, to include a Criminal Records Check (CRC) and a Child Abuse and Neglect (CAN) check to be requested for all staff members who have been hired since the onset of the current pandemic. Additionally, the results of the required checks must be obtained prior to a new staff member working alone with children, without the direct oversight of an employee who has the required background checks on file. Observation of the preschool classroom revealed one (1) staff member with the hire date 1/20/2021 was the sole caregiver for five (5) children ages ranging three (3) year old through five (5) years old, whose file did not contain verification that a child abuse and neglect (CAN) background check and a criminal record check (CRC) had been completed. Observation of the first and second grade classroom revealed the staff member with the hire date 2/19/2021 was the sole caregiver for two (2) children, ages ranging six (6) years old through eight (8) years old, whose file did not contain verification that a child abuse and neglect background check (CAN) and a criminal record check (CRC) had been completed. Upon request, the staff member in charge did not present the documentation for review.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 11. Staff Requirements.
General: Based on interview and review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the staff-in-charge failed to provide documented evidence that staff with a hire date of 08/15/10, completed fifteen (15) hours of cabinet approved early care and education training. Additional review of the ECE-TRIS report revealed the staff completed fourteen (14) hours. 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 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 In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 9. Records.
General: Based on review of documentation and interview, the child care center failed to maintain written documentation in accordance with regulatory requirements. Review of the presented employee records revealed a staff member with hire date 11/28/16 whose file did not contain a current annual professional development plan. Upon request, the director did not present a current annual professional development plan for the aforementioned staff member at the time of the survey. Posted Documentation In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Animals Not Applicable
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
Based on review of documentation and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Upon request, the director did not present education requirements for staff member with the hire date 9/5/17.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
Based on review of documentation, the child care center failed to maintain employee records in accordance with regulatory requirements. Staff files for staff members with the hire dates 9/27/16, 8/1/10, 8/15/11 and 11/28/16 did not contain verification of the required training hours, nor were the required training hours verified on ECE-TRIS. 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 In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals In Compliance
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:090 · 922 KAR 2:090. Section 6. License Issuance.
General: Based on Review of Documentation, and interview, the child care center failed to comply with regulatory requirements. Review of presented documentation revealed the liability insurance presented expired in July 2016. Interview with the director revealed she was not able to locate the current liability insurance information at the time of the survey. Director Requirements In Compliance Employee Records Not In Compliance
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Review of Documentation, and interview, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of presented staff files revealed two (2) staff members with the hire date 8/15/10 did not complete fifteen (15) hours of cabinet-approved early care and education training. Review of the ECE TRIS report verified the training hours were not completed. Interview with the director revealed the two (2) staff members with the hire date 8/15/10 did not complete fifteen (15) hours of cabinet-approved training. Programming In Compliance Premises In Compliance Hygienic Practices In Compliance First Aid/Medication In Compliance An Equal Opportunity Employer M/F/D @chfsky | CHFS.KY.GOV Page 1 of 2 Inspection Report Outdoor Play Area In Compliance Equipment In Compliance Transportation In Compliance Food Service In Compliance Children's Records In Compliance Written Documentation In Compliance Posted Documentation In Compliance Animals Not Applicable
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 4. Director Requirements and Responsibilities.
General: Based on Review of Documentation the child care center failed to maintain employee's records in accordance with regulatory requirements. Review of documentation present in the personnel file for each staff member revealed there was no verification that an annual staff evaluation was completed for assessing the staff person's interaction with children in care and classroom performance for the following staff members with the hire dates of 08/11/1994, 08/01/2010 and 08/05/2011.
Open Not marked corrected in the state record
Category: recordkeeping. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Observation and interview with the director, the child care center failed to maintain employees records in accordance with regulatory requirements. Review of documentation of employees records it was revealed the employee’s with the hire dates of 08/11/2015, 08/26/2015, ,09/30/2015 ,11/09/2015 and 11/30/2015 could not verify the childcare center maintained a copy of a High school diploma: or a GED or qualifying documentation from a comparable educational entity; or Commonwealth Child Care Credential as described in 922 KAR 2:250;. Interview with the director revealed she was unaware of the regulation requirement.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 5. Staff Requirements.
General: Based on Review of Documentation and interview with the director, the child care center failed to maintain employee records in accordance with regulatory requirements. Review of documentation present in the personnel file revealed the following staff members with the hire dates of 08/11/1994 and 11/30/2015 did not contain a copy of a statement from a health professional that the individual is free of active tuberculosis; or a copy of negative tuberculin results. Interview with the director revealed she was unable to locate a current TB test.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on Review of Documentation and interview with the director, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the children’s record revealed the following child file with the enrollment date of 07/26/2015 did not contain a current immunization certificate. Interview with the director revealed she was not aware the information was not current. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 23 of 26 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110. Section 3. Records.
General: Based on Review of Documentation and interview with director, the child care center failed to maintain children’s records in accordance with regulatory requirements. Review of the children’s records revealed that the following children with the enrollment dates of 07/21/2015, 07/21/2015, and 07/31/2015 did not list a name of a preferred hospital. Continued review revealed the following two (2) children with the enrollment date of 07/21/2015 did not indicate a name of the physician. Interview with the director revealed she was not aware the information was missing.
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 5 Staff Requirements.
General: Based on review of documentation, four staff members with hire dates of 8/11, 9/11, 6/10 and 6/10 did not have documentation on file of a high school diploma,GED or Child Care Commonwealth Credential. An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 7 of 38 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
Open / not marked corrected.
922 KAR 2:110 · 922 KAR 2:110 - Section 5 (1)
General: Based on review of documentation, a staff member with a hire date of 8/08 did not have documentation on file at the faclity a negative TB skin test or a statement from a health professional. 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 3) 15 hours annually In Compliance 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 An Equal Opportunity Employer M/F/D Cabinet For Health and Family Services Page 8 of 38 Web site: http://chfs.ky.gov/ Inspection Report
Open Not marked corrected in the state record
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922 KAR 2:110 · 922 KAR 2:110 - Section 3
General: Based on review of documentation, four children enrolled at the facility on 8/15/11 did not have current immunization certificates on file at the facility.
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.