| 1 | Fayette Cooperating Nursery School3564 Clays Mill Road | 4.5★ | None | — |
| 2 | Michelle Curtis3384 Carriage Lane | 4.5★ | None | — |
| 3 | Beginnings Christian Day School4551 Winchester Road | 4.5★ | None | — |
| 4 | Community Action Council - The Prep Academy at Bluegrass Community and Technical College164 Opportunity Way | 4.5★ | None | — |
| 5 | Fayette Co-Operating Nursery School & Kindergarten109 Rosemont Garden | 4.5★ | None | — |
| 6 | YMCA CKY: Mary Queen605 Hill N' Dale Rd | 4.5★ | None | — |
| 7 | Cassidy Elementary1125 Tates Creek Road | 4.5★ | None | — |
| 8 | Community Action Council- The Prep Academy at Winburn Center1169 Winburn Drive | 4.5★ | None | — |
| 9 | Mary Queen of the Holy Rosary Preschool605 Hill-N-Dale Drive | 4.5★ | None | — |
| 10 | YMCA CKY: Beaumont3251 Beaumont Centre Circle | 4.5★ | None | — |
| 11 | YMCA CKY: North381 West Loudon Avenue | 4.5★ | None | — |
| 12 | YMCA CKY: Glendover710 Glendover Road | 4.5★ | None | — |
| 13 | Esther Nyiramugisha633 Kenova Trce | 4.4★ | 1 | — |
| 14 | Extended School Program at Coventry Oak Elementary2441 Huntly Place | 4.4★ | 1 | — |
| 15 | Petra Alvarez1535 Summerhill Drive | 4.4★ | None | — |
| 16 | Baptist Health Lexington Child Development Center110 Southland Drive | 4.4★ | None | — |
| 17 | Community Action Council-The PREP Academy at Russell School Community Service Center520 Toner St. | 4.4★ | None | — |
| 18 | Demetria Robertson1207 Mt. Rushmore Wy | 4.4★ | 1 | — |
| 19 | Walnut Hill Day School575 Walnut Hill Road | 4.4★ | 1 | — |
| 20 | YMCA CKY: Lansdowne336 Redding Rd | 4.4★ | 1 | — |
| 21 | YMCA CKY: Rise2420 Spurr Road | 4.4★ | None | — |
| 22 | Angela Shaw3450 Wallingford Court | 4.4★ | 1 | — |
| 23 | Sayre School Extended Day and Summer Programs194 North Limestone | 4.4★ | None | — |
| 24 | Dream Care Learning Center2414 Palumbo Drive, Suite 125 | 4.4★ | 2 | — |
| 25 | Lexington Universal Academy4580 Nicholasville Road | 4.4★ | 1 | — |
| 26 | Providence Montessori School1209 Texaco Road | 4.4★ | None | — |
| 27 | Veterans Park Elementary Patriots Place After School Program4351 Clearwater Way | 4.4★ | 1 | — |
| 28 | Zee's Playhouse3535 Kenesaw Dr | 4.4★ | 2 | — |
| 29 | Bright Beginnings Child Care LLC3320 Green River Court | 4.4★ | None | — |
| 30 | Early Childhood Laboratory621 South Limestone Street | 4.4★ | 1 | — |
| 31 | Extended School Program at Garrett Morgan Elementary1150 Passage Mound Way | 4.4★ | 1 | — |
| 32 | Faith Lutheran Learning Center1000 Tates Creek Road | 4.4★ | 1 | — |
| 33 | Little Elks Preschool South Elkhorn Christian Church4343 Harrodsburg Rd. | 4.4★ | 1 | — |
| 34 | Little Rockers Early Education Center746 Allendale Drive | 4.4★ | 3 | — |
| 35 | Squires Elementary-Castle Afterschool Program3337 Squires Oak Dr | 4.4★ | 1 | — |
| 36 | Cherish the Child Care Center474 Stone Road | 4.4★ | 1 | — |
| 37 | Good Shepherd Day School544 Sayre Street | 4.4★ | 2 | — |
| 38 | Growing Together Preschool599 Lima Drive | 4.4★ | 1 | — |
| 39 | Porter Memorial Baptist Preschool4300 Nicholasville Road | 4.4★ | 1 | — |
| 40 | Sandersville After School Program Sharktime3025 Sandersville Rd | 4.4★ | 1 | — |
| 41 | Sankofa University498 Georgetown St, Suite 206 | 4.4★ | 1 | — |
| 42 | Tammy Madison - Circle of Friends1133 Parklawn Drive | 4.4★ | 1 | — |
| 43 | The Lutheran School of Lexington425 Patchen Dr | 4.4★ | 1 | — |
| 44 | Milk and Honey Preschool2700 Old Todds Road | 4.4★ | 1 | — |
| 45 | North Star Academy1816 Bryan Station Road | 4.4★ | 1 | — |
| 46 | Puddle Jumpers Learning Center1183 Devonport Circle | 4.4★ | 2 | — |
| 47 | Creative Beginnings Child Development Center1900 Richmond Rd | 4.4★ | 1 | — |
| 48 | Debby's Darlings612 Beresford Drive | 4.4★ | 1 | — |
| 49 | Harmony Day Montessori School839 National Ave. Suite 110 | 4.4★ | 1 | — |
| 50 | Kids House Child Care Center1891 Augusta Dr. | 4.4★ | 1 | — |
| 51 | KinderCare Education at Work575 Woodland Avenue | 4.4★ | 2 | — |
| 52 | La Petite Academy148 Malibu Drive | 4.4★ | 1 | — |
| 53 | Educare Learning Center2832 Snow Road | 4.4★ | 1 | — |
| 54 | Creation Kingdom Bracktown3016 Bracktown Road | 4.4★ | 1 | — |
| 55 | Bullpen Buddies Preschool LLC825 Overview Dr | 4.3★ | None | — |
| 56 | Children of the Future1289 Marlena Ln | 4.3★ | None | — |
| 57 | Community Action Council - The PREP Academy at the Chrysalis House1589 Hill Rise Drive | 4.3★ | None | — |
| 58 | Extended School Program @ Julius Marks3277 Pepperhill Drive | 4.3★ | None | — |
| 59 | Karla's Kiddy Kare400 Park place | 4.3★ | None | — |
| 60 | Kidz Konnection III1301 Winchester Rd, Ste 33 | 4.3★ | None | — |
| 61 | Nyota Mpenda1161 Leanndra Park | 4.3★ | None | — |
| 62 | YMCA CKY: MTE551 Parkside Drive | 4.3★ | None | — |
| 63 | Clara Haddix333 Pinewood Ct | 4.3★ | 1 | — |
| 64 | Dream Care Learning Center #21891 Parker's Mill Rd | 4.3★ | 1 | — |
| 65 | Everine Shendela2936 Trailside | 4.3★ | 1 | — |
| 66 | Extended School Program at Millcreek Elementary1212 Reva Ridge Way | 4.3★ | 1 | — |
| 67 | Linda Outlaw3518 Danada Dr | 4.3★ | 1 | — |
| 68 | Noah's Ark Early Learning Academy - Lexington Campus4383 Old Harrodsburg Rd | 4.3★ | 1 | — |
| 69 | River Ferns Academy3271 Beaumont Centre Cir | 4.3★ | 1 | — |
| 70 | Susan Kline3840 Walhampton Drive | 4.3★ | 1 | — |
| 71 | Love and Grace Home Daycare2684 Rockaway Place | 4.3★ | 2 | — |
| 72 | Nickie Jordan799 Hollyhock Drive | 4.3★ | 2 | — |
| 73 | The Centenary School2800 Tates Creek Road | 4.3★ | 2 | — |
| 74 | The Young'uns Playhouse LLC1896 Courtland Dr | 4.3★ | 2 | — |
| 75 | V.I.P Early Learning Center3600 Appian Way | 4.3★ | 1 | — |
| 76 | Clays Mill Elementary After School Child Care Program2319 Clays Mill Road | 4.3★ | 2 | — |
| 77 | Community Action Council - The Prep Academy at Red Mile1156 Horseman's Lane | 4.3★ | 2 | — |
| 78 | Jaguar Academy at Julius Marks3277 Pepperhill Rd | 4.3★ | 2 | — |
| 79 | Redwood Cooperative School166 Crestwood Drive | 4.3★ | 1 | — |
| 80 | Tots Landing Learning Center2245 Gulfstream Drive | 4.3★ | 3 | — |
| 81 | YMCA of Central KY: Seton School1740 Summerhill Drive | 4.3★ | 2 | — |
| 82 | Bright Futures Academy Lexington LLC1945 Eastland Parkway | 4.3★ | 4 | — |
| 83 | Clays Mill CARES Daycare and Preschool Inc.3000 Clays Mill Rd | 4.3★ | 4 | — |
| 84 | Gan Shalom Preschool2048 Edgewater Court | 4.3★ | 2 | — |
| 85 | NorthEast Christian Learning Academy990 Star Shoot Pkwy | 4.3★ | 2 | — |
| 86 | Sayre School Preschool194 N. Limestone Street | 4.3★ | 1 | — |
| 87 | The Nature Schools5768 Tates Creek Rd | 4.3★ | 2 | — |
| 88 | YMCA CKY: Maxwell301 Woodland Avenue | 4.3★ | 1 | — |
| 89 | YMCA of Central KY: ACE930 Jouett Creek Dr. | 4.3★ | 3 | — |
| 90 | Beyond the Bell2585 Liberty Rd. | 4.3★ | 2 | — |
| 91 | Bluegrass Montessori School200 West High Street | 4.3★ | 2 | — |
| 92 | D & J's Learn & Play868 Gerardi Road | 4.3★ | 2 | — |
| 93 | Dragon's Den1919 Brynell Drive | 4.3★ | 2 | — |
| 94 | Garden Springs Elementary After School Program2151 Garden Springs Drive | 4.3★ | 2 | — |
| 95 | Keisa Hobbs500 Big Bear Lane | 4.3★ | 2 | — |
| 96 | Lexington Christian Academy3100 Tates Creek Rd. | 4.3★ | 1 | — |
| 97 | St. Michael's School2025 Bellefonte Drive | 4.3★ | 2 | — |
| 98 | Sts. Peter & Paul Preschool423 W. Short Street | 4.3★ | 2 | — |
| 99 | Summit Christian Preschool2780 Clays Mill Road | 4.3★ | 1 | — |
| 100 | Terrie Carroll1714 Harrogate Road | 4.3★ | 2 | — |
| 101 | The Lexington School1050 Lane Allen Road | 4.3★ | 2 | — |
| 102 | YMCA Before/Afterschool at Leestown Middle School2010 Leestown Rd. | 4.3★ | 2 | — |
| 103 | Ashland's Creative Activities Program (A-CAP)195 North Ashland Ave | 4.3★ | 2 | — |
| 104 | Debby's Day Care989 Honeysuckle Road | 4.3★ | 2 | — |
| 105 | Elna's Angels Daycare423 Fairdale Drive | 4.3★ | 2 | — |
| 106 | Extended School Program at Stonewall Elementary3215 Cornwall Drive | 4.3★ | 2 | — |
| 107 | Lexington Friends Preschool, Inc.649 Price Avenue | 4.3★ | 2 | — |
| 108 | Mama Lisha's House2365 Shandon Drive | 4.3★ | 1 | — |
| 109 | Meadowthorpe Elementary Post Time Program1710 N. Forbes Road | 4.3★ | 2 | — |
| 110 | Our Magic Years Childcare Center1016 & 1020 N. Limestone | 4.3★ | 1 | — |
| 111 | Pepperhill Day School2104 Eastway Drive | 4.3★ | 2 | — |
| 112 | Picadome After-School All-Stars1642 Harrodsburg Road | 4.3★ | 2 | — |
| 113 | Sassy's Child Care Home921 Fiddler Creek Way | 4.3★ | 1 | — |
| 114 | The Dolphin Club After School Program340 Wilson Downing Road | 4.3★ | 2 | — |
| 115 | The Nest530 N. Limestone Street | 4.3★ | 2 | — |
| 116 | YMCA CKY: BCE4801 Athens Boonesboro Road | 4.3★ | 1 | — |
| 117 | YMCA CKY: JLA1901 Appomattox Road | 4.3★ | 2 | — |
| 118 | Carrie's Place400 Breckenridge St. | 4.3★ | 2 | — |
| 119 | Christ The King Preschool and After School Program412 Cochran Road | 4.3★ | 2 | — |
| 120 | Community Action Council - The Prep Academy of South Lexington3500 Arbor Drive | 4.3★ | 2 | — |
| 121 | Dixie Enrichment Academy1940 Eastland Parkway | 4.3★ | 2 | — |
| 122 | Ecumenical Preschool460 East Main Street | 4.3★ | 2 | — |
| 123 | GG's Place1497 Anniston Dr | 4.3★ | 2 | — |
| 124 | Jump Start Enrichment Program435 Race Street | 4.3★ | 2 | — |
| 125 | Lexington Hearing & Speech Center350 Henry Clay Blvd | 4.3★ | 2 | — |
| 126 | Lexington Montessori School319 S. Broadway Park | 4.3★ | 2 | — |
| 127 | Megaminds Educare 23130 Custer | 4.3★ | 2 | — |
| 128 | St. Elizabeth Ann Seton Preschool1740 Summerhill Drive | 4.3★ | 2 | — |
| 129 | Stella's Kids Daycare130 W. Fifth Street | 4.3★ | 7 | — |
| 130 | The Learning Tree of Lexington235 Walton Ave | 4.3★ | 7 | — |
| 131 | Tiny Treasures Daycare3522 River Park Drive | 4.3★ | 2 | — |
| 132 | Trinity Christian Academy3900 Rapid Run Drive | 4.3★ | 2 | — |
| 133 | Wellington Elementary Compass Zone Afterschool Program3280 Keithshire Way | 4.3★ | 2 | — |
| 134 | Kare Bears3155 Custer Drive, Suite A | 4.3★ | 2 | — |
| 135 | Kids Empowerment Learning Academy1527 North Limestone St. | 4.3★ | 2 | — |
| 136 | Little Steps Childcare153 Burt Road | 4.3★ | 4 | — |
| 137 | Rosa Parks Elementary Trailblazers After School Program1251 Beaumont Centre Lane | 4.3★ | 2 | — |
| 138 | Southland Kids Kare2094 Harrodsburg Road | 4.3★ | 1 | — |
| 139 | The Salvation Army Kids Club736 West Main Street | 4.3★ | 2 | — |
| 140 | Wee Care FYK455 East Maxwell Street | 4.3★ | 1 | — |
| 141 | YMCA CKY: Whitaker2681 Old Rosebud Road | 4.3★ | 2 | — |
| 142 | Center For Children500 Park Place | 4.3★ | 2 | — |
| 143 | Creative Kids Child Care Center2385 Huguenard Drive | 4.3★ | 2 | — |
| 144 | Educare After School Adventure Club560 Eureka Springs Drive | 4.3★ | 3 | — |
| 145 | First Choice Childcare and Learning Center505 Kingston Road | 4.3★ | 2 | — |
| 146 | Lafayette Christian Church Child Care1836 & 1824 Clays Mill Road | 4.3★ | 2 | — |
| 147 | Mini Movers Learning Center338 Blackburn Ave | 4.3★ | 2 | — |
| 148 | Smart Beez Learning Center2033 Garden Spring | 4.3★ | 2 | — |
| 149 | Trinity Hill Child Care Center210 E. Reynolds Rd. | 4.3★ | 2 | — |
| 150 | Hallis School915 Murray Drive, Suites 342 - 354 | 4.3★ | 3 | — |
| 151 | New Beginnings Early Learning Center585 West Main Street | 4.3★ | 3 | — |
| 152 | Park Early Childhood Center645 East High Street | 4.3★ | 4 | — |
| 153 | Puddle Jumpers Learning Center, LLC1940 Cambridge Drive | 4.3★ | 2 | — |
| 154 | Campus Kids Early Learning Center1165 Centre Parkway #230 | 4.3★ | 3 | — |
| 155 | Little Tots Learning Center3580 Caulder Rd. | 4.3★ | 2 | — |
| 156 | Kidz Konnection II1020 Industry Road, Suite 26 | 4.3★ | 5 | — |
| 157 | Sarondipity, LLC All About Kids Childcare and Learning Center4269 Saron Drive | 4.3★ | 3 | — |
| 158 | All About Kids Childcare and Learning Center695 Vincent Way | 4.3★ | 3 | — |
| 159 | Child Development Center of the Bluegrass290 Alumni Drive | 4.3★ | 2 | — |
| 160 | Kinder Care Learning Center #9633199 Custer Drive | 4.3★ | 5 · 1 high-risk | — |
| 161 | Childcare Network #2581748 Alysheba Way | 4.2★ | 2 | — |
| 162 | Pathways Learning Academy4128 Todds Rd | 4.2★ | 2 | — |
| 163 | Crestwood Childcare Center1882 Bellefonte Dr | 4.2★ | 3 | — |
| 164 | Tots Landing Learning Center140 Prosperous Place | 4.2★ | 3 | — |
| 165 | La Petite Academy1450 Higbee Mill Road | 4.2★ | 5 | — |
| 166 | Megaminds Educare679 Lima Drive | 4.2★ | 2 | — |
| 167 | After 3 - Tates Creek Elementary1113 Centre Pkwy | 4.2★ | 3 | — |
| 168 | Children's Treehouse of Knowledge309 Ohio Street | 4.2★ | 3 | — |
| 169 | Family Care Center1135 Harry Sykes Way | 4.2★ | 3 | — |
| 170 | Community Montessori School725 Stone Road | 4.2★ | 4 · 1 high-risk | — |
| 171 | High Street Neighborhood Center228 South Limestone Street | 4.2★ | 2 | — |
| 172 | Saints Peter & Paul Early Childhood Center133 Barr Street | 4.2★ | 5 | — |
| 173 | Quinn Chapel Child Care Center744 Charles Avenue | 4.2★ | 5 | — |
| 174 | Kare Bears1697 Peabody Way | 4.2★ | 5 | — |
| 175 | Central Christian Child Care Center105 Spruce Street, Suite 125 | 4.2★ | 7 | — |
| 176 | Southern Hills Early Childhood Program2356 Harrodsburg Road | 4.2★ | 6 | — |
| 177 | Creation Kingdom McConnells Trace2935 Trailwood Ln. | 4.2★ | 8 | — |
| 178 | Kinder Care Learning Center #419628 Wellington Way | 4.2★ | 9 | — |
| 179 | Kinder Care Learning Center #9362611 Wilhite Drive | 4.2★ | 7 | — |
| 180 | New Creation Child Care Kids1037 Industry Rd. | 4.1★ | 5 | — |
| 181 | The Learning Adventure Child Development Center2501 Sandersville Rd, Ste 110 | 4.1★ | 4 | — |
| 182 | Tots Landing Learning Center3501 Beaver Place Road | 4.1★ | 5 | — |
| 183 | The Salvation Army Early Learning Center736 West Main Street | 4.1★ | 5 | — |