Kaleidoscope Child Care Center

The emergency contact form for Child #3 lacked the physician's phone number.

The emergency contact form for Child #1 lacked the enrolling parent's work address. The emergency contact form for Child #5 lacked the enrolling parent's work phone number.

The emergency contact form for Child #1 lacked the release person's address. The emergency contact form for Child #3 lacked the release person's complete address.

The file for Child #2, Child #4, and Child #5 contained an emergency contact form that was not updated within 6 months of the previous update

The file for Child #2, Child #4, and Child #5 contained an agreement form that was not updated within 6 months of the previous update

The file for Staff #3 lacked 1 written, nonfamily reference. The file for Staff #4 lacked 2 written, nonfamily references.

Staff #2 was observed to be caring for children unsupervised. Staff #2 has not completed health and safety training, part 1, mandated reporter training or Pediatric CPR and First Aid.

A gap was observed under the school age room door due to a missing door sweep. Three stained ceiling tiles were observed in the YT room. One stained ceiling tile was observed in the teacher's break room. The front door of the facility did not latch causing the door to remain open. Based on statements made by staff, on multiple occasions, the rear exit door in the infant room leaked causing the carpet to become wet. Children's clothing became wet after crawling or sitting on the wet carpet. Based on statements made by staff, drywall in the infant room near the exit door had visible water damage for a period of time before repairs were made.

Peeling paint and damaged plaster were observed at the base of the door frame of the exit door in the older toddler room.

An emergency drill has not been conducted in over 12 months. The last documented drill occurred 10/09/23.

The annual tests of the facility's fire alarm system were not conducted within a 12-month time frame as required. The test reports were dated 6/05/24 and 7/11/25.

Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): health and safety training part 2 and mandated reporter training.

According to multiple staff statements the baby room is often out of ratio in the morning during drop off times; including times where one staff member is with 6 or 7 infants and also when two staff members are caring for 9 infants.

The wooden play structure in the Playroom was in disrepair and had nails sticking out of the wood creating a protrusion hazard to the children. The ride on track had a crack in the yellow section that posed a pinching hazard to the children in care.

Based on staff interviews, on 1/13/25 Staff Person #1 dragged Child #1 by the arm through the indoor playroom and the preschool room to get to the restroom.

The most recent fire drill documented on the facility's fire drill log was dated 10/4/24, more than 60 days prior.

In the indoor gross motor room, a wrench was observed in an unlocked drawer and accessible to children.

In Room 1, Lysol wipes and a bottle of Aussie Kids Hair Detangler, labeled "Keep Out of the Reach of Children," were observed in an unlocked cabinet and accessible to children. In Room 6, hand sanitizer, labeled "Keep Out of the Reach of Children," was observed on a shelf near the door and accessible to children.

In Room 4, the first-aid kit lacked scissors.

The two most recent health assessments on file for Child #2 (young toddler) are dated 4/24/23 and 8/6/24, more than 6 months apart.

The most recent health assessment on file for Child #7 (preschool-aged) is dated 8/24/23, exceeding the 12-month update.

The file for Child #1 contained immunization records which lacked current Rotavirus, DTAP, HIB, Pneumococcal, and Polio vaccinations recommended by the ACIP. Child #1 must be dismissed from care and may only return when the immunization record is updated or when the parent provides a written, signed exemption letter.

The two most recent health assessments for Staff Person #1 were dated 7/19/21 and 8/18/23, more than 24 months apart. The file for Staff Person #3 contained a health assessment that was not dated, making it invalid. (SEE LIS CODE SHEET)

The facility's documentation for annual fire alarm testing was dated 5/4/23 and 6/5/24, exceeding the 12-month update.

The file for Staff Person #2 did not contain the 1-hour PA Health and Safety update 2022 which was required to be completed by 12/30/22, as per Announcement C-22-06.

The file for Child #2 contained Child Service Reports dated 7/31/23 and 6/10/24, more than 6 months apart. The file for Child #3 contained Child Service Reports dated 12/8/23 and 6/6/24, more than 6 months apart. The file for Child #7 contained Child Service Reports dated 9/1/23 and 6/20/24, more than 6 months apart. The most recent Child Service Report on file for Child #4 was dated 12/8/23, more than 6 months prior.

The emergency contact form for Child #2, Child #6, and Child #8 lacked the enrolling parent's work address. The emergency contact form for Child #6 lacked a complete home address for the enrolling parent. The emergency contact form for Child #8 lacked the enrolling parent's work phone number.

The emergency contact form for Child #4 and Child #5 lacked the address for the release persons.

The file for Child #2, Child #3, Child #5, Child #7, and Child #8 contained an emergency contact form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

The file for Child #2, Child #3, Child #5, Child #7, and Child #8 contained a financial agreement form that was not updated within 6 months of the previous update.

Based on staff statements and video recording, staff #1, who is no longer employed at the facility, was witnessed grabbing a child by the arm and dragging them across the floor and then the staff picked the child up by their wrist and ankle, flipped them over and dropped them on their nap mat.

Based on staff statements and video recording, staff #1, who is no longer employed at the facility, was witnessed telling infants that they were "ugly" and to "stay away from her."

The most recent NSOR clearance on file for Staff #2 is 4/27/2018 and documentation of an NSOR request was submitted on 9/10/23, more than 60 months apart. The file for Staff #5 lacked documentation of application of an FBI clearance prior to date of hire (SEE IS CODE SHEET) required for provisional hiring under the CPSL. A valid FBI clearance dated 7/17/23 is on file for Staff #5.The file for Staff #3 includes FBI clearances dated 2/15/18 and 5/17/23, more than 60 months apart.

The file for Staff #10 lacks documentation of Emergency Plan training on an annual basis.

A loose sink was detaching from the wall was observed in the bathroom used by children.

In the fenced outdoor area, a cracked window ledge was observed on a plastic play house, a crack on the base of a play climber was observed with pinch points, a cracked wood plank on a ramp used by children, and multiple wood posts on exterior of the wood ramp in the interior of the play space were observed to contain splinters surrounding newly installed screws. In the School Age room, a cracked bin containing foam blocks was observed. In PreSchool 4, foam blocks were observed with teeth marks and not in good repair.

Foam blocks with teeth marks and missing pieces that were not in good repair were observed in the Two's Room with toddlers, that were less than 1 inch in diameter.

The most recent health assessment on file for Child #3, who is a preschool age child, is dated 3/31/22, more than 1 year prior.

The most recent influenza vaccination on file for Child #3, who is 5 years old, was 10/19/21, more than a year ago, and is recommended annually by the ACIP. Child #3 must be dismissed from care by close of business on 9/18/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most recent health assessment on file for Child #3 does not indicate if the child is free from contagious disease and may participate in child care.

The most recent health assessment for Child #3 does not indicate if age-appropriate screenings were conducted since the time of the previous health report.

The two most recent health assessments on file for Staff #4 are 4/18/21 and 6/19/23, which are more than 24 months apart.

There were multiple lunch boxes observed in the hallway and lunch room cubbies that contained potentially hazardous food that were not refrigerated.

The fire drill log lacked documentation of required fire drills after 7/3/2023.

An embedded play climber in the Outdoor Preschool area was observed to contain less than 9 inches of loose-fill mulch.

The files for Staff #7 did not contain the PA Health and Safety Update 2022, which was required to be completed by 12.30.22, as per Announcement C-22-06.

Staff #6 completed Get Started with Center-Based Care; Building Blocks for Quality Revised 2022, a required pre-service training, on 6/26/23 beyond 90 days from date of hire. Staff #9 completed PA Health and Safety Update 2022, a required pre-service training, on 9/11/23 beyond 90 days from date of hire. (SEE LIS CODE SHEET)

The file for Staff #4 includes Mandated Reporter training dated 5/24/18 and 8/17/23, more than 60 months apart.

The file for Staff #8, classified as an group supervisor, does not meet the minimum qualifications with having a CDA on file that is only counted as 9 credits.

The file for Staff #1 contained documentation of a high school diploma that requires translation to verify the education requirements. The file for Staff #4 contained documentation of a bachelor's degree that requires translation to verify the education requirements.

The file for Child #6 lacked documentation of a financial agreement between the operator and the parent.

The most recent child service report on file for Child #3 was dated 12/21/22, which is more than 6 months prior.

The financial agreement form for Child #2 does not include the arrival and departure time.

The financial agreement form for Child #3 does not include persons whom the child may be released to.

The file for Child #3 was observed to contain the original copy of the financial agreement.

The emergency contact form for Child #2 and Child #5 does not include a work phone number for the enrolling parent.

The emergency contact form for Child #1 does not include information on the child's disability.

The emergency contact form for Child #6 does not include the child's health insurance coverage name and policy number.

The two most recent 6 month review signature for the emergency contact form and financial agreement on file for Child #1 are dated 7/12/22 and 6/22/23, which are more than 6 months apart. The most recent 6 month review signature for the emergency contact form and financial agreement on file for Child #3 is dated 7/9/22, which is more than 6 months prior.

The file for Staff #10 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

The facility was unable to provide a copy of the certificate of occupancy for the childcare facility.

SECOND VIOLATION. Upon assessment of supervision and ratio in the Infant Room at 12 45 PM on 12/9/22, Staff #1 named 3 children (2 YT and 1 INF) and Staff #2 named 4 INF. There were 8 children in the room at this time. When asked to again name her group, Staff #1 named the same 3 children. Previously cited on SIN-00212459 on 9/26/22.

SECOND VIOLATION. The cribs in the Infant Room were observed to be labeled with numbers. Names of children were on the walls above the cribs; however, the names and numbers were not coordinated to determine which numbered crib was intended for which child. Previously cited on SIN-00212459 on 9/26/22.

The file for Staff #4 contained an FBI clearance, FBI receipt and NSOR clearance dated after the date of hire. The file for Staff #5 contained an NSOR clearance dated after the date of hire and contained a receipt for NSOR clearance dated 3/23/22. Staff #5 worked in a child care position between the provisional period ending and the NSOR being submitted. The file for Staff #6 contained an NSOR clearance dated after the date of hire and lacked a receipt for NSOR clearance.

Upon assessment of supervision and ratio in the Gym at 11:45 AM on 9/26/22, 1 OT was observed unsupervised by staff, present with a therapist who was not listed as a release person for the child.

Upon assessment of supervision and ratio in the Gym at 11:45 AM on 9/26/22, 1 OT was observed unsupervised by staff, present with a therapist who was not listed as a release person for the child.

Upon assessment of supervision and ratio in the Gym at 11:45 AM on 9/26/22, 1 OT was observed unsupervised by staff, present with a therapist who was not listed as a release person for the child.

The file for Staff #1 contained current clearances yet lacked the previous clearances. Previous clearance dates were obtained from a previous inspection.

A toxic cleaner was accessible to children in a cabinet in the bathroom area in which the lock was not working properly.

An unlabeled spray bottle, reported to contain a toxic sanitizer, was observed in the Infant Room. An unlabeled spray bottle, reported to contain a toxic cleaner, was observed in a cabinet in the bathroom area.

The water from the sink in the Indoor Gym, accessible to children, was measured at 130 degrees F.

The first-aid kit in the eating room was accessible to children in an unlocked cabinet.

Peeling paint was observed on the back wall by the climber in the Indoor Gym.

The toilets in both bathrooms were observed to lack handwashing signs.

The sink faucet on the toy kitchen set in the PS Room was observed to be loose, causing a pinch point. A drawer on the cabinet in the Indoor Gym was observed to be broken, causing a pinch point.

The cribs in the Infant room were observed to lack labels for the children using them as rest equipment.

The file for Child #4 contained consecutive health reports dated more than 6 months apart.

The file for Child #6 contained consecutive health reports dated more than 12 months apart.

The file for Child #4 contained record of immunization history which lacked a current influenza vaccination. The file for Child #7 contained record of immunization history which contained 1 of 2 required Hepatitis A vaccinations.

Medication was observed to be accessible to children in a cabinet in the bathroom area. The lock on the cabinet was not functioning properly.

A Tylenol in the Infant Room was observed to be expired.

A Cough medicine labeled for Child #4 lacked written parental consent for administration.

The file for Staff #3 contained consecutive health assessments which were dated more than 24 months apart.

Staff person #5 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training. Staff person #6 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first-aid/CPR.

A written plan of daily activities was not posted in the PS Room.

The file for Child #7 contained an emergency contact form which lacked the telephone number of the child's medical provider.

The files for Child #3 and #4 contained emergency contact forms which lacked the work addresses and telephone numbers of the enrolling parents.

The files for Child #1, #2 and #5 contained emergency contact forms which lacked the full addresses for release persons.

The file for Child #5 contained consecutive updates to the emergency contact and agreement forms dated more than six months apart.

The file for Staff #2 contained 6 of 12 required annual training hours between 12/19/20 and 12/19/21. The file for Staff #3 contained 9 of the 12 required annual training hours between 12/19/20 and 12/19/21.