Kiddie Academy of Harrisburg PA

Staff persons #1, 2, 3, and 4 did not immediately report suspected child abuse to ChildLine, or any other method as prescribed by the Department.

It was observed that from a seated position, staff person #1 grabbed child #1's arm and pushed child away.

Staff person #1 did not use the changing table following the manufacturer's instructions. While changing child #1's diaper, staff person #1 stood child to pull their pants up, when the child lost their balance, they fell forward hitting their head on the countertop, resulting in stitches.

Classroom staff and administrative staff (staff persons #1 and 2) did not report suspected child abuse to ChildLine, when there was reasonable cause to suspect that a child was a victim of child abuse. Staff person #3 informed administrative staff of concern for child #1 due to an abundance of bruises. Administrative staff directed staff to complete daily health checks.

It was observed that staff person # 3's file does not contain proof of submission for the NSOR certificate. It was observed that staff person #7's file does not contain the NSOR certificate, only the proof of request for 1/17/25. It was observed that staff person # 7's file does not contain the Child Abuse Clearance, only a note stating it was applied for on 1/17/25.

It was observed in the One - B classroom, that the children sat at the tables for an extended period of time waiting for lunch. They were sitting for 5 minutes, washed their hands and returned to the tables to sit for another 7 minutes before staff person # 4 began a song to engage them.

It was observed that no children were taken outdoors during their scheduled time as stated on their daily schedules.

It was observed that staff persons #1, 2, 4, and 5, verifications of experience must be verified with a signature and date of the verifier.

It was observed that staff person # 3, 6 and 7 files did not contain two written nonfamily references.

On 11/22/24, it was observed in the Preschool A classroom that a child's backpack contained sunscreen, lotion, baby powder, shampoo and diaper cream, which are toxic materials. The backpack was accessible to children, hanging from the child's cubby. Continued deficiency: On 1/8/25, it was observed in the Preschool A classroom that the same backpack still contained sunscreen, lotion, baby powder, shampoo and diaper cream, which are toxic materials. The backpack was accessible to children, hanging from the child's cubby.

On 11/22/24 Staff #11 diploma needs evaluated for equivalency to verify education prior to service at the facility. Continued Deficiency: On 1/8/25, Staff #11 diploma documentation to verify equivalency was not on file.

Staff #1has not completed mandated reporter training within the last 60 months. This evidenced by the previously documented mandated reporter training on file being dated 12/13/2019. Staff #4 did not obtain the Child Abuse Clearance before the first day caring for children which does not comply with the CPSL and with Chapter 3490 (relating to protective services). There was no paperwork on file to verify that the child abuse clearance was requested on or before the date of hire. See code sheet for DOH. Staff # 7 did not complete required clearance requests on or before their DOH. Clearances were received 4/16/24, 4/17/24. and 4/17/24. See code sheet for DOH.

It was observed that one-year olds were served apple slices with skin, which is a choking hazard.

There was no documentation the operator reviewed the emergency plan at least annually. The operator did not document in writing each review and update of the emergency plan and kept on file at the facility.

It was observed in the Preschool A classroom that a child's backpack contained sunscreen, lotion, baby powder, shampoo and diaper cream, which are toxic materials. The backpack was accessible to children, hanging from the child's cubby.

It was observed that the ceiling vents in the Preschool A classroom were dusty.

It was observed that all classroom doors contained glass, majority without visual strip or clear visual identification placed on glass located in a traffic area at the child's level.

It was observed that there was no handwashing signs posted at each toilet in the facility.

It was observed in the infant A and Infant B classrooms that there was an insufficient amount and variety of toys and books to preclude long waits for use. It was observed in the Toddler A classroom that there was an insufficient amount of books.

It was observed in Toddler B and Two A's classrooms that many books were not in good repair.

It was observed in the Pre-K classroom that the rest equipment was not labeled for the use of a specific child and used only by the specified child.

There was a lack of engaging interactions observed in the Infant A and Infant B classrooms. In Infant A, an infant was being held in a rocking chair for a period of time without engagement, and the child was not going to sleep. In Infant B, it was observed that staff sitting on the floor while giving a child a bottle, did not actively interact with the children.

Staff #1 Health Assessment and Mantoux test read/results were not completed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

It was observed in the Toddler A classroom that there was a sippy cup that contained milk from home that was not discarded after being served. It was observed in the Two A classroom that a bottle containing milk was found on the floor instead of being discarded after being served.

It was observed that there was not a written notification of safe routes posted by the operator at a conspicuous location in the child care facility. It was observed that there was no procedure instructions for children to be picked up and discharged at locations specified by the facility as safe locations.

Two fire drills were conducted without children present, dated 6/18/24 and 10/14/24. The fire drill system testing lapsed 30 days, dated 7/18/24 and 8/22/24.

Staff #2, #3, and #10 did not have verification of 2 years' experience with children prior to service at the facility.

Staff in the Infant A classroom, stated that they do not take children outside, daily, weather permitting.

The emergency contact form for child #1 does not contain the enrolling parent's work address or work phone number.

Child #2's file does not contain written consent for administration of minor first-aid procedures by facility staff and for transportation, walking excursions, swimming and wading.

Staff #11 diploma needs evaluated for equivalency to verify education prior to service at the facility.

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Staff #5, #6, #8, and #9 did not complete an annual minimum of 12 clock hours of child care training.

Staff # 3, #4, and #7 did not complete the health and safety training requirements within 90 days of hire. See code sheet for DOH.

On 6/11/24, it was observed that staff person 1 was past their 45 day provisional hire period and did not have completed NSOR (National Sex Offender Registry) certificate on file. Staff person may not return to work until completed NSOR is on file.

It was observed in Room 5, the older two year old classroom that there were not a sufficient amount and variety of play toys and materials to preclude long wait times. It was observed in the classroom that a toy shelf was turned to restrict access, the dramatic play section was empty and there were 5 books accessible to the 6 children in care.

It was observed in Room 4 and 5 that there was open crackers, an adult coffee cup, and children's water bottles lined up on a shelf directly accessible to children on the changing tables. Food was being stored on the shelves next to the diapering area.

The file for Facility Person #1 did not include a health assessment.

The facility fire drill log did not contain the names of the facility persons participating in the drill.

It was observed in Room 5, 6 and 7 that the written daily schedule was not the schedule and routine that the classrooms follow. The schedules are pre-generated from the corporate entity.

It was observed in Room 7, the one-year-old classroom that the teacher was not active or engaged to promote development of skills and self-esteem during the music activity. The teacher was observed sitting without engaging with children that attempted to dance and participate while music played.

The emergency contact for Child #1 did not include the phone number of the physician or source of medical care.

The emergency contact on file for Child #1 did not include health insurance coverage and policy number information.

It was observed that there was not a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed in any child care space at the facility.

It was confirmed by 4 teachers that the facility Toddler classroom is out of ratio several mornings per week. Facility staff verified that the classroom has "13-15" Toddler aged children in the classroom with only 2 staff, for approximately 10-20 minutes, several times per week.

Facility Person #1 was observed caring for 7 children in the Pre-K room, unsupervised and did not have current NSOR clearance results on file at the facility.

Facility Person #1 who was qualified as an Aide at the time of inspection was left alone with 7 children and was not supervised by a staff person qualified at minimum as an assistant group supervisor at all times.

It was observed in the Preschool classroom that children were not being properly supervised. A child was left unsupervised in the bathroom.

Child #1 was removed from the preschool classroom for behaviors and take to another classroom with one teacher. The parent of Child #1 was not granted camera access to the child in the other classroom.

It was observed in the preschool classroom that children's hands were not washed prior to mealtimes. It was also observed in the same classroom that a child was left unsupervised in the bathroom and did not wash their hands after using the toilet.

It was observed that the facility staff in the preschool classroom did not wash hands prior to lunch time.

The facility menu did not list a protein served with every meal. It was also stated through staff interviews, that multiple times per week, not all food groups are served to the children during lunchtimes.

The facility menu did not provide a least one item from three of the four food groups were being served for breakfast. 4 out of 5 weekdays listed only 1 of the 4 food groups being served for breakfast.

The facility staff and owners have verified that the facility has disenrolled at least 7 children with existing IEP/IFSP's or behavior challenges at the facility in the previous 3 months. Children are being disenrolled within 1 -4 weeks of enrollment dates.

It was observed that the facility did not have a qualified director on staff since October 17. 2023.

It was observed that the facility owners and staff did not attempt to make reasonable accommodations for Child #1 who has special needs. It was observed that the facility did not share the IEP for Child#1 with staff. The facility owners sent the child home, 4 days per week, within hours of arrival, for the first two weeks of enrollment. It was admitted by the facility owner that they requested the child stay home and the child was disenrolled within 4 weeks of start date without attempting to make reasonable accommodations for the child.

It was observed that the facility Owner's did not make reasonable accommodations for children with special needs. Children with existing IEP/IFSPs were being disenrolled without discussion or implementation of the children's needs or goals as listed on the IEP/IFSP documents shared by parents. Children that exhibited "challenging behaviors" were sent home within hours of daily arrival and disenrolled due to 'behaviors'.

The file for Facility Person #1 did not include verification of child care experience, education prior to service at the facility.

Facility Person #1 was observed via classroom video footage grabbing Child #1 by the forearms and roughly jerking the child as punishment for throwing toys. Facility Person was observed via video footage using their own body to physically restrain the child as punishment. Facility Person #1 was also observed forcefully attempting to make Child #1 pick up their shoes.

Facility Person #1 was observed using their own arms and legs to restrain a child on the floor for 2 minutes.

The file for Facility Person #1 contained PSP clearance results with an incorrect birth year. Facility Person #1 was born in 1992 and the clearance showed a birth year of 1990.

It was observed that the facility did not have a letter explaining the emergency procedures to provide to each child enrolled.