Kid Zone Learning Center of Hermitage

In the 3-4 year old room, there were soiled diapers/pull-ups observed that were first placed in a plastic bag inside the plastic-lined hands-free covered can and were not immediately thrown away in the hands-free covered can. Staff stated that soiled diapers/pull-ups are placed in a plastic bag first, and then thrown away in the hands-free diapering can.

The file for child #1 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

The file for child #1 had an emergency contact form that lacked the name, address and telephone number of the child's physician.

The file for child #1 had an emergency contact form that lacked the name of the health insurance and the policy number.

The file for staff person #2 had an invalid state police clearance and requires a current state police clearance. The file for staff person #1 had state police, child abuse, and FBI clearances that exceeded 60 months between clearances.

At approximately 10:04 a.m. on the outdoor play space with a total of 10 children, staff person #3 named 4 older toddlers in their group, and staff person #4 named 6 young toddlers in their group, resulting in staff person #4 being out of ratio.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants, toddlers, and children with chronic medical conditions.

In the infant room, there were 5 infants observed in care with pack 'n plays that were not labeled with each child's name.

In the lunchroom, there was an EpiPen for child #1 that lacked the original container with the prescription identifying that the medication was prescribed for that child.

The file for staff person #2 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility.

The file for staff person #2 had a tuberculosis screening by the Mantoux method that was dated after initial employment at the facility.

Documentation of a current emergency drill conducted within the last year was not on file at the facility.

On 6-6-24, it was observed that the gym lacked a fire detection device as required to be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The gym is located in a separate building from the building with the child care rooms, and the fire detection devices in the child care building are not able to be heard from the gym. The gym is used as an indoor play space by the facility.

Staff person #1 had mandated reporter trainings dated 11-11-18 and 12-28-23 that were over 60 months between trainings.

The file for staff person #17 lacked an FBI clearance at their start date and requires a current FBI clearance. (See LIS CODE SHEET) The file for staff person #13 had a disclosure statement that lacked the signature of a witness. (See LIS CODE SHEET) The file for staff person #10, hired prior to 9-30-19, had out of state Sex Offender and Child Abuse & Neglect registry checks that were not completed by 7-1-20 as required for a staff person that resided outside of Pennsylvania within the previous 5 years.

In the infant room in the afternoon with a total of 8 children, staff person #12 and staff person #15 each had 4 infants in their group. Staff person #15 was feeding 2 children buckled in seats while sitting on the floor on one side of the room and staff person #15 was on the same side of the room, and both staff were unable to visually see and supervise two infants that were sleeping in cribs on the far side of the room.

The emergency plan lacked requirements for continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

In the morning in the 3-5 year old room with a measured capacity of 18 children, there were 20 children observed in the room, resulting in the room exceeding capacity by two.

The first-aid kit in the 3-5 year old room lacked disposable, nonporous gloves.

In the gym, there were two basketball hoops that had padding on the front of the base of the hoop that had holes in the padding in multiple areas exposing the foam stuffing inside and were accessible to children.

In the gym, there were two bathrooms with multiple toilets and sinks that each had a trash can that lacked a lid.

The files for child #3 and #5, preschoolers, lacked a current health assessment updated within the last 12 months. The file for child #6, a preschooler, had a health assessment that exceeded 12 months between assessments.

The file for child #2, a 21 month old, child #3, a 4 year old, and child #5, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The file for staff person #10 had a health assessment that said "Yes" to having any communicable diseases and lacked an explanation of the results.

In the facility, there were multiple lunch boxes in multiple child care rooms that had potentially hazardous food brought from the child's home, including yogurt and cheese, that were not refrigerated.

The facility lacked documentation on file of an emergency drill being conducted within the last year.

Staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, and #17, with health and safety training completed prior to 10-4-22, lacked the Pennsylvania Health and Safety Update 2022 Training required by 12-30-22 and require current training.

Staff person #9 had mandated reporter trainings dated 3-28-18 and 3-29-23 that were over 60 months between trainings.

The file for child #4 had an emergency contact form that lacked information on the child's special needs, as specified by the child's parent and physician.

The files for child #1 and #4 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

The file for child #2 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Continued Non-Compliance: On 5-19-22, a renewal inspection was conducted at the facility. Staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #13 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 training from a PQAS approved trainer. The facility's acceptable plan of correction indicated the correction would be implemented by 7-22-22. On 7-27-22 an unannounced inspection was conducted. Staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #13 still have not completed the following required pre-service training: Pediatric first-aid/CPR training from a PQAS approved trainer.

The file for staff person #16 lacked the required out of state Sex Offender and Child Abuse & Neglect registry checks for a staff person that resided outside of Pennsylvania within the previous 5 years.

On the outdoor play space, the plastic trim at the bottom of both of the doors to the right entrance of the building had sharp edges that were accessible to children.

In the older toddler room, with older toddlers present in the room, the fabric climbing structure in the middle of the room had tears in multiple places with small pieces coming apart that were accessible to children who are still placing objects in their mouths.

The files for child #4, an older toddler, child #5, a preschooler, and child #6, an older toddler, lacked a current health assessment updated within the last 12 months.

The file for child #1 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #2, a 5 year old, child #3, a 3 year old, child #4, a 2 year old, child #5, a 5 year old, and child #7, a 5 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #1, a 7 month old, had an immunization record that lacked documentation of the 2nd dose of the Rotavirus, HIB, and Polio vaccinations by age 4 months and the 2nd & 3rd doses of the DTAP and Pneumococcal vaccinations by age 6 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #6, a 2 year old, had an immunization record that lacked documentation of the 4th dose of the DTAP vaccination by age 18 months and the 2nd dose of the Hepatitis A vaccination by age 23 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The facility's emergency plan lacked a plan that provides for accommodations for evacuation of children to a location away from the facility premises.

Staff person #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #14 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved trainer. Staff person #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Approved Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #15 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 in the topics of 3270.31(f)(1-9).

Staff person #15 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file for staff person #13, functioning as an assistant group supervisor, lacked verification of education to qualify as an assistant group supervisor.