Kids Town Childcare Center, LLC · School-Age Program, Lancaster

101538.3 Indoor Activity Space for School Aged Children (b) In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from... child care center children. This requirement was not met as evidence by: 1 Director agreed to submit written plan describing how she intends to maintain age components separated to the Department no later than 5/06/2022. Based on interview and record review, facility staff failed to keep school aged and preschool children separate which poses an immediate health and safety risk to children in care. 8

101516.5 Teacher-Child Ratio (b) (1) A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children. This requirement was not met as evidence by: 1 Director agreed to submit a plan detailing how she will maintain at minimum 1 staff to 14 children in the school age room no later than 5/06/2022. Based on interview and record review, facility staff supervised between 15 to 19 children without an assistant present which posed an immediate Health and Safety risk to children in care. 8

01223 Personal Rights (a) The licensee shall ensure that each child is accorded...(2)... safe, healthful and comfortable accommodations. This requirement was not met as evidence by: 1 Director agreed to submit plan detailing new procedure she implemented regarding after school pick ups to the Department no later than 5/20/2022. Based on interview, facility staff failed to pick up day care children in a timely manner, which poses a potential Health and Safety risk to children in care. 8

epoxy resin/glaze on the flooring is worn out throughout the School age room, There are exposed wires hanging from the ceiling due to water damaged ceiling tiles

101174 Disaster and Mass Casualty Plan (b) The plan... shall include: (1) Designation of administrative authority and staff assignments. This requirement was not met as evidence by: 1 Director corrected Emergency Disaster Plan during inspection. Based on observation and record review, LPA observed the Emergency Disaster Plan last updated 11/17/16 and observed 4 staff members listed on Plan who no longer work for facility, which poses a potential Health and Safety Risk to children in care. 8

101225 Transportation (c) Motor vehicles used to transport children shall be maintained in a safe operating condition. This requirement was not met as evidence by: Director agreed to have break light repaired and provide Department copy of receipt of repair no later than 03/18/2022. Based on observation, facility van's driver side break light is not working, which poses a potential Health and Safety risk to children in care. 8

LPA's observed holes in the walls, epoxy resin/glaze on the flooring is worn out throughout the School age room, There are exposed wires hanging from the ceiling due to water damaged ceiling tiles, mop bucket with standing water that contained cleaning solutions located by the bathroom

101229 Responsiblity to Provide Care and Supervision (a)(1) No child(ren) shall be left without the supervision of a teacher at any time,...Supervision shall include visual observation. This requirement was not met as evidence by: 1 Director agreed to create a plan to prevent children from eloping from the facility and submit to the Department no later than 01/14/22. Director also is working with fire marshal to replace white gates with doors. Director also agreed to participate in NCC. Based on interview and observation, facility staff failed to prevent Child 1 from exiting the facility and running away, requiring the Sherrif's Department to intervene and return the child to the facility, which causes an immediate Health and Safety Risk to children in care. 8 LPA provided consultation to Director during inspection regarding prevention plan..

101216.1 Teacher Qualifications(c) To be a fully qualified teacher, a teacher shall...: (1) Twelve...units in early childhood education or child development..., with passing grades, at an accredited... college or university. This requirement was not met as evidence by: 1 Director agreed to create a plan to appoint a fully qualified teacher to provide supervision to children and have enough qualified staff to cover breaks and submit to the Department no later than 2/04/2022. Based on interview, observation, and record review, facility staff without the required units are providing supervision to children without a qualified teacher present, which is a potential Health and Safety Risk to children in care. 8

101229 Responsiblity to Provide Care and Supervision (a)(1) No child(ren) shall be left without the supervision of a teacher at any time,...Supervision shall include visual observation. This requirement was not met as evidence by: 1 Facility agreed to create a plan to prevent children from exiting the facility, including plan to install doors with child safety locks, no later than 1/05/2021. Assistant Director has begun contacting the fire department to get approvals for safe door installation Based on interview and record review, facility staff failed to prevent Child 1 from exiting the facility and running away, requiring contact of the Sheriff's Department to search for and find Child 1, which causes an immediate Health and Safety Risk to children in care. 8 that adheres to fire marshal requirements.

101238 Building and Grounds (g)disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. This requirement was not met as evidence by: 1 Director agreed to submit a plan to the Department identifying how to prevent child acces to cleaning chemicals and a completed staff training sign-in sheet on proper chemical storage no later than 11/25/2021. Based on observation and interview, facility staff failed to place the cleaning bleach solution back in the locked cabinet, enabling Child 1 to gain access to the cleaning chemical, which poses an immediate Health and Safety risk to children in care. 8

101223 Personal Rights (a) The licensee shall ensure that each child is accorded...(3)To be free from ... intimidation. This requirement was not met as evidence by: 1 Director agreed to enroll in training on caring for children with challenging behaviors no later than 11/25/2021. Director agreed to provide training certificate to Department once completed. Based on interview, Director failed to protect personal rights of children by yelling close to their face which is an immediate Health and Safety Risk to children in care. 8

101238 Building and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times... This requirement was not met as evidence by: 1 Facility staff greed to remove gum from beneath tables and provide pictures to the Department no later than 12/08/2021 Based on observation, facility staff failed to remove gum from under the tables, which poses a potential Health and Safety risk to children in care. 8

101219 Admission Agreement (f) The licensee shall comply with all terms and conditions set forth in the admission agreement. This requirement was not met as evidence by: 1 Director agreed to update Admission Agreement to clarify termination agreement. Based on interview and record review, Director failed to uphold the two week's notice requirement agreed upon in the Admission Agreement. 8

101223 Personal Rights (a) The licensee shall ensure that each child is accorded... (2) safe, healthful and comfortable accommodations... This requirement was not met as evidence by: 1 Director agreed to provide a plan to the Department on how to maintain the facility in safe compliance, prevent children from gaining access to cleaning solutions, and provide a plan on how to Based on interview and record review, facility staff failed to prevent Child 1 from spraying children with toxic chemicals and failed to prevent children from feeling scared, which poses an immediate Health and Safety risk to children in care. 8 take care of children with challenging behaviors no later than 11/25/21.

101223 Personal Rights (a) The licensee shall ensure that each child is accorded...(2)... safe, healthful and comfortable accommodations. This requirement was not met as evidence by: 1 Director agreed to submit a plan to the department no later than 11/30/21 detailing an efficent procedure to pick up children from school timely and communicate with parents/children's authorized representatives more effectively as not to miss pick ups. Based on observation, interview, and record review, facility staff forgot to pick up day care children from school, which poses a potential Health and Safety risk to children in care. 8 Director has hired a designated driver who will be primary staff conducting pick ups from school.

101212 Reporting Requirements (d)... A report shall be made to the Department by telephone or fax within the Department's next working day...a written report ... shall be submitted to the Department within seven days. This requirement was not met as evidence by: 1 Director agreed to submit the completed Unusual Incident Report (LIC624) detailing the incident to the Department no later than 10/27/2021. Based on observation, interview, and record review, Director did not notify the Department of the incident within the time frame required, which poses a potential Health and Safety risk to children in care. 8

101538.3 Indoor Activity Space for School Aged Children (b) In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from... child care center children. This requirement was not met as evidence by: 1 Director agreed to submit a plan to the Department addressing how to maintain different components in the combination separate no later than 10/06/2021. Based on observation, facility staff failed to keep school aged and preschool children separate by permitting Child 1 to be in the preschool classroom until Staff 1 returned from school pick ups. 8

101227 Food Services (a)(6)Menus shall be... posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. 1 Director agreed to provide current menu with dates and provide a picture of menus posted in an area accessible to parents to the Department no later than 10/12/2021. This requirement was not met as evidence by: Based on observation and record review, facility staff failed to post menus in an area accessible to the parents, which poses a potential Health and Safety risk to children in care. 8

Allegation 5: Facility van in disrepair.

Allegation 1: Unqualified staff are left alone providing supervision to children.

Allegation 3: Children elope from the day care.

Allegation 2: Toxic Chemicals are accessible to children in care.

Allegation 2: Personal Rights

Allegation 3: Child sprayed day care child with bleach.

Allegation: Staff forgot to pick up child at his school as agreed.

Allegation 1: Reporting Requirements

Allegation 3: Staff commingle day care children

Allegation 4: Staff does not post weekly menus