Kiddie Academy of Langhorne

At the time of allocated inspection on 1/17/25, staff person #1, who is a provisional hire, was observed to be caring for children unsupervised at Infant room, staff person #3, who is a provisional hire, was observed to be caring for children unsupervised in Room 7. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training and pediatric firs aid/CPR. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training and mandated reporter training.

At the time of allocated inspection, file of staff person #2, who was hired for the position of the director, did not include DHS required FBI and NSOR. Staff person #1 and #3, who are provisional hire, were observed working unsupervised. File of staff person #1 did not include NSOR, file of staff person #3 did not include DHS required FIB and NSOR.

At the time of allocated inspection on 1/17/25 observed staff person #1, who is an aide, working unsupervised in the Infant room.

At the time of allocated inspection on 1/17/25 observed blue kids' armchair in Room 2 that had peeling top of the seating.

At the time of allocated inspection on 1/17/25, file of staff person #3 did not include a health assessment conducted within 12 months prior to providing initial service in a child care setting.

At the time of allocated inspection on 1/17/25 observed the last fire drill was conducted on 7/30/24, more than 60 days ago.

At the time of allocated inspection on 1/17/25, file of staff person #3 included only one non-family reference.

At the time of the inspection on 1/17/25 observed mold on the vent cover in the refrigerator located in the kitchen.

At the time of inspection observed one electrical outlet in Room #8 without protective receptacle cover.

At the time of the inspection observed that rugs in room #8, #6, #1 owl rug in room #5, and circle grey rug in room #7 were stained and in need of cleaning.

At the time of inspection observed chipped peeling paint on the windowsill located in Room #10 and Room #7.

At the time of inspection, glass door located in a traffic area of room #9 and #2 didn't contain any visual identification on the child's level.

At the time of inspection observed dirty toys in Room #8 (houses), #10 (toys and pillows), #7, #5 (toys, stuffed toys/dolls), #6 (toys in the kitchen and dolls), #4 (musical instruments), #2 (cars, big Lego blocks). Sink located in Room #9 had a peeling material that covered the sink. Diaper plastic cabinet located in Room #7 was broken and dirty, shelfs were dirty with residue of old tape. Shelves in Room #6 were dirty.

At the time of inspection, file of child #3 did not include an updated health report. Health report on file was from 9/8/23.

At the time of inspection, file of child #2 did not include an initial health report that must be provided no later than 60 days following the first day of attendance at the facility. Child #2 was enrolled on 9/11/23.

At the time of inspection, health assessment form for staff #2 did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. Health assessment did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of inspection, agreement of child #3 and #4 was not signed by operator and parent.

At the time of inspection, agreement of child #1 and #4 did not included information about the services provided to the family and the child.

At the time of inspection, agreement of children #3 and #4 did not specify the persons designated by a parent to whom the child may be released.

At the time of inspection, emergency contact form of children #3 and #4 did not include the name, address and telephone number of the child's physician or source of medical care. Emergency contact form of child #4 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

At the time of inspection, emergency contact information did not include enrolling parent's work address and work phone number.

At the time of inspection, emergency contact form of child #3 and #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Emergency contact form of child #2 did not include health insurance policy.

At the time of inspection, emergency contact form of children #3 and #4 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Emergency contact form of child #2 did not include release person's addresses.

At the time of inspection, emergency contact forms of children #3 and #4 did not include signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff. Both written consents are required prior to admission.

At the time of inspection, file of staff person #2, who was observed caring for children, did not include an acceptable verification that education had been evaluated to determine US equivalency.

At the time of inspection, file of staff person #1 included only one written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person.

At the time of renewal inspection observed signs of water damage on two ceiling tiled near Room 7.

At the time of renewal inspection observed that staff person #1 did not wash her hands and child's hands after diapering.

At the time of renewal inspection, health assessment of staff person #2 did not include an examination for communicable diseases and the results of that examination.

At the time of the complaint inspection, during a review of the facility's surveillance recording from 5/21/24, staff #1 ran during fire drill after child #1, grabbed by arm and yanked harshly.

At the time of the inspection on 5/10/24, during a review of the facility's surveillance recording from 4/25/24, certification representative observed 14 older toddlers with two staff in Room 5 at 4:10 PM.

At the time of inspection on 5/10/24, during a review of the facility's surveillance recording from 4/25/24, certification representative observed that child #1 was left alone and unsupervised in Room #5 from 4:10 PM to 4:17 PM.

At the time of the inspection, the health assessment on file for staff #3 does not include the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of the inspection, file of staff person #2 did not include verification that staff person #2 has completed pre-service training Get Started with Center-Based Care: Building Blocks for Quality.

At the time of inspection files of staff person #1 didn't include verification of education that qualifies for a position of an assistant group supervisor and is required prior to service at the facility.

At the time of inspection record of staff person # 1did not include two written nonfamily references from individuals attesting to the person's suitability to serve as a staff person.

At the time of unannounced monitoring inspection on 12/14/23, observed staff person #1 and #2 caring for children unsupervised. Staff person #1 and #2 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training and pediatric first aid/CPR. Staff person #1 did not complete mandated reporter training.

At the time of unannounced monitoring inspection on 12/14/23, staff #1 and #2 were observed working alone in Room 5. Both staff qualifies as an aide.

At the time of unannounced monitoring inspection on 12/14/23, file of staff person #1 didn't include verification of education that qualifies for a position of an aide and is required prior to service at the facility.

At the time of unannounced monitoring inspection, record of staff persons #1 and #2 did not include two written nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

At the time of renewal inspection, file of staff person #1 did not include National Sex Offender Registry Verification Certificate. Provisional hire period for staff person #1 ended on 6/28/23.

At the time of renewal inspection, glass door located in Room #1, #2, and #5 did not contain any visual strip or other visual identification.

At the time of renewal inspection, a sign on which requirements to wash hands after toileting, diapering and before eating is written was not posted at each sink Room #1, #3, #6, #7, #9, and #10,

At the time of renewal inspection observed white cube organizer in Room # 8 which was unstable and pose a hazard to the children in care. Changing pads in Room #5, #8 and Infant room were ripped exposing foam which was accessible to children.

Staff 1 was seen on video restraining a child on their lap.

It was observed that Room 7 had 1 staff and 12 children of preschool age. - corrected on site.

Staff 1 was observed on video, on their phone instead of supervising children on the playground.

AFTER REVIEWING THE DAILY REPORT ON 11/21/22 FOR 11/17/22 AND 11/16/22, IT WAS OBSEVERED THAT ON 11/16/22 CHILD 1 WAS CHANGED AT 2:11 BUT NOT CHECKED AGAIN AND CHILD 1 WENT HOME AT 5:02.

ROOM 8 HAD A HOLE IN THE CEILING TILE TOWARDS THE SIDE EXTERIOR WALL.

ROOM 9, 5 AND 2 HAD EXIT DOORS THAT WERE LOCKED BY A KEY AND DID NOT HAVE A KEY IN THE CLASSROOM, PREVENTING THEM TO BE USED IN AN EMERGENCY. ROOM 9 HAD A SHELF BLOCKING THE EMERGENCY DOOR CLOSEST TO THE BATHROOM.

ROOM 2 HAD CRIBS THAT WERE AGAINST A WALL ON ONE SIDE (HEAD) AND AGAINST OTHER CRIBS ON TWO SIDE (SIDES) NOT HAVING 2 FEET OF SPACE ON 3 SIDES.

STAFF 1 ROUGHLY GRABBED CHILD'S ARM AND ROUGHLY PUT THEM ON THEIR COT AS WITNESS ON THE VIDEO.

STAFF 1 WOULD SINGLE OUT AND PROVOKE A CHILD UNTIL CHILD BECAME VERY UPSET AND REACTED.

STAFF 1 WOULD YELL AT CHILD AND "GET IN THEIR FACE" AND SPEAK IN A VERY HARSH TONE.

STAFF 1 WAS WITNESS PUTTING A CHILD INTO THE CLOSET AND CLOSING THE DOOR ON THE CHILD.

CHILD 1 WAS LEFT ON THE PLAYGROUND FOR APPROXIMATELY 1 MINUTE, AS STAFF 1 AND 2 WERE BRINGING IN THE CHILDREN.

TODDLER ROOM B AND SCHOOL AGE ROOM ROOM HAD A SHELF BLOCKING THE EXIT DOOR, AND THE TWOS ROOM HAD A SOFT CLIMBER BLOCKING THE DOOR.

STAFF 1 WALKED TO THE FAR SIDE OF THE ROOM LEAVING 1 OR 2 CHILDREN ON THE RUG, ON THE OTHER SIDE OF A TOY SHELF, OUT OF THE SIGHT OF THE TEACHER, A FEW DIFFERENT TIMES, FOR APPROXIMATELY 1 TO 2 MINUTES. THIS WAS OBSERVED BY THE CERT REPS ON A VIDEO.