Kiddyland Daycare INC

A loose crib sheet was observed in the Infant room and could cause suffocation.

The two most recent State Police clearances (7/20/20 & 7/22/25) and NSOR certificates (1/30/20 & 7/3/25) on file for Staff #1 are dated more than 60 months apart. The two most recent NSOR certificates (1/22/20 & 7/3/25) on file for Staff #2 are dated more than 60 months apart. The two most recent NSOR certificates (2/7/20 & 7/23/25) on file for Staff #7 are dated more than 60 months apart. The two most recent FBI clearances (5/26/20 & 7/25/25) on file for Staff #10 are dated more than 60 months apart. The files for Staff #3, Staff #4, Staff #5, and Staff #8 contained a volunteer disclosure statement, not the required disclosure statement for employment, making it invalid.

At approximately 10:40 AM on 8/14/25, Child #3 was observed in Room 113 receiving services with a therapist. The facility lacked signed parental consent from the parent releasing the child to the service provider. The child was not currently present with a staff person to meet the required Staff:Child ratio requirements.

At approximately 10:40 AM on 8/14/25, Child #3 was observed in Room 113 receiving services with a therapist. The facility lacked signed parental consent from the parent releasing the child to the service provider. The child was not currently present with a staff person to meet the required Staff:Child ratio requirements.

At approximately 10:40 AM on 8/14/25, Child #3 was observed in Room 113 receiving services with a therapist. The facility lacked signed parental consent from the parent releasing the child to the service provider. The child was not currently present with a staff person to meet the required Staff:Child ratio requirements.

The file for Staff #10 contained initial emergency plan training dated 6/10/25, more than 90 days after Staff #10's date of hire (SEE IS CODE SHEET).

An outlet under the windows on the left side of the room, in the Infant Room, lacked a protective electrical cover.

Clorox wipes and spray bottles containing cleaning products were observed to be accessible in an unlocked closet in Room 113, which could be harmful to children.

A trash can in the outside play space was observed to be full and with garbage from days prior.

Windows in Room 101, Room 112, and Room 114, located on the second floor of the building, lacked any form of window restrictions limiting the window opening to six inches or less.

A ceiling tile was observed to be missing in Room 101 and Room 113. A hole was observed in the floor of the hallway leading to the girl's bathroom and not in good repair. A square of thick plastic attached to the wall was observed to be broken with a piece of plastic missing in the girl's bathroom near the kitchen, which could cause injury to children.

Peeling paint was observed under the glass windows and the serving window in Room 101.

The boy's bathroom near the kitchen lacked handwashing signs at every toilet, urinal, and sink.

Torn vinyl was observed on a soft climber in Room 109 and was accessible to young toddlers who are still placing objects in their mouths.

The most recent health assessment on file for Child #1 (Young Toddler) is dated 1/22/25, more than 6 months prior. The two most recent health assessments on file for Child #2 (Younger Toddler at the time) are dated 4/22/24 and 3/27/25, more than 6 months apart.

The immunization record for Child #3 (PSA) lacked the following immunizations: 2 doses of Rotavirus without a Letter of Exemption in the file. Child #3 must be dismissed from care by close of business on 8/14/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for Child #1 lacked an immunization record or a written letter of exemption and the child has been enrolled for more than 60 days (SEE IS CODE SHEET). Child #1 must be dismissed from care by close of business on 8/14/25 and may only return to care when the immunization record is received or when a parent provides a written, signed exemption letter.

The two most recent health assessments on file for Staff #2 are dated 9/1/22 and 11/11/24, more than 24 months apart. The file for Staff person #10 includes a health assessment screening dated 1/3/24, more than 12 months prior to Staff #10's date of hire (See LIS CODE SHEET).

The file for Staff #3 contained a health assessment dated 12/20/24 which was not conducted and signed by a physician, physician's assistant, or CRNP. The health assessment form was completed by a Certified Medical Assistant and is unacceptable.

The health assessment on file for Staff #8 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

The fire drill log on file included fire drills conducted 4/11/25-6/11/25, more than 60 days apart.

The two most recent annual fire detection reports are dated 7/29/24 and 8/6/25, more than 12 months apart.

Staff #2 has not completed Pediatric First Aid/CPR training on or before the expiration of the most current certification. This is evidenced by the previously documented Pediatric First Aid/CPR training on file expiring 12/2024. Documentation of updated Pediatric First Aid/CPR training is on file and dated 1/11/25.

Staff #3 has completed Pediatric First Aid/CPR training however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum. Staff #9 has not completed the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): PA Required Health and Safety for Centers-Group Child Care Part 2.

The most recent staff evaluation on file for Staff #1 is dated 10/5/23, more than 12 months prior. The two most recent staff evaluations on file for Staff #7 are dated 9/1/23 and 10/10/24, more than 12 months apart.

The file for Child #1 lacked a child service report and is beyond 6 months from date of enrollment (SEE IS CODE SHEET).

The file for Child #1 contained the original financial agreement when the parent is to receive the original agreement.

The emergency contact form on file for Child #5 lacked the address for the child's physician or source of medical care.

The emergency contact form on file for Child #2, Child #3, Child #4, and Child #5 lacked the enrolling parent's work address and telephone number.

The emergency contact forms for Child #1, Child #2, and Child #3 lacked the child's health insurance coverage name or health insurance policy number.

The emergency contact form on file for Child #1 and Child #4 lacked complete addresses for all listed release persons.

The file for Facility Person #7 contained a Child Abuse clearance dated 8/13/24, which was beyond Facility Person #7's date of hire (SEE IS CODE SHEET).

The facility's Emergency Plan lacked a Continuity of Operations policy.

The Emergency Plan lacked a method for facility persons to contact parents when an emergency arises.

The Emergency Plan lacked a method for parents to be informed when the emergency has ended and information regarding how they are to be reunited with their child.

The facility's emergency plan lacked a letter to parents explaining the emergency procedures for the following topics: shelter and lockdown, evacuation, method to contact parents during an emergency, method to inform parents the emergency has ended and instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities and chronic medical conditions.

An outlet in the Gym, along the back wall, lacked a protective receptacle cover.

In Room 112, the First Aid kit lacked gloves.

In Room 107, peeling paint was observed in the bathroom on the wall next to the toilet.

In Room 115, three plastic chairs were observed with cracks that created pinch points, which could be harmful to children.

The two most recent health assessments for Child #2 (Younger Toddler at the time) are dated 11/16/23 and 7/11/24, more than 6 months apart.

The immunization record for Child #1 (Infant) lacked the following immunizations: 1 dose of DTAP and 1 dose of Pneumococcal without a Letter of Exemption in the file. The immunization record for Child #4 (PSA) lacked the following immunizations: 1 dose of HIB and 1 dose of Pneumococcal without a Letter of Exemption in the file. Child #1 and Child #4 must be dismissed from care by close of business on 8/26/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The two most recent health assessments on file for Staff #2 (4/29/22 & 5/6/24) and Staff #6 (11/1/21 & 1/3/24) are dated more than 24 months apart.

The file for Staff #4 lacked documentation of a Tuberculosis test.

The fire drill log on file included fire drills conducted 9/1/23-11/2/23, 11/2/23-1/2/24, 3/1/24-5/1/24, more than 60 days apart.

The facility's Emergency Plan lacked lockdown procedures during an emergency.

The facility lacked documentation verifying that the most recent emergency plan was submitted to the local municipality.

The two most recent Pediatric First Aid/CPR trainings on file for Staff #2 (4/28/22 & 7/21/24) and Staff #3 (12/5/21 & 1/12/24) are dated more than 24 months apart.

The two most recent fire safety trainings on file for Staff #1 (12/28/22 & 3/8/24) and Staff #3 (6/14/23 & 7/22/24) are dated more than 12 months apart.

The two most recent Mandated Reporter trainings on file for Staff #5 are dated 10/19/18 and 3/14/24, more than 60 months apart.

The financial agreement on file for Child #4 lacked persons whom the child can be released to.

The Financial Agreement forms on file for Child #1, Child #3, and Child #5 were observed to be the original, when the parent is to receive the original copy.

The Emergency Contact form for Child #1, Child #3, and Child #4 lacked the phone number of the child's physician or source for medical care.

The Emergency Contact forms for Child #1 and Child #3 lacked the child's health insurance policy number for the child's health care benefits.

The file for Staff #4 contained 11 of 12 required annual childcare training hours.

Observed 2 windows in room 108 that are above the ground floor that open directly to the outdoors and are accessible to children that were not constructed, modified or adapted to limit the opening to 6 or fewer inches.

Observed exposed bolts (visible hazard) on a new gate in the outside paly space.

Observed peeling paint on the ceiling in the large muscle room (gym).

The files for children #1 and #2 lack an updated review of the child's immunized status according to recommendations of the ACIP. Some of the immunizations are on file, however, not all of them are current.

The facility did not implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings) for child #1 and #2.

The files for staff #5 and #6 lack firesafety training conducted by a fire protection professional. The training was due 12/2022 and 11/2022.

The files for staff #1 and #2 contain pediatric first and cpr that were renewed late. Staff #1 was due 4/2023 and obtained 5/2023. Staff #2 was due 11/2022 and obtained 12/2022.

The files for staff #3 and #4 contain health and safety update trainings that were obtained late. The trainings were due 12/2022 and ware obtained 1/2023.

The file for staff #3 contains mandated reporter training that was renewed late. The training was due 12/2022 and obtained 2/2023.

The file for staff #5 lacks a written evaluation. The evaluation was due 6/2023.

The file for child #1 contains an assessment of the child's progress however, it is not the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided.

Observed peeling paint on the ceiling in the gym (large muscle space).

Observed one crib that was not labeled for the use of a specific child.

The file for child #2 lacks an updated health assessment.

The file for child #1 contains an initial health report that was obtain later than 60 days following the first day of attendance at the facility.

The file for child #2 lacks an updated parental signature on the agreement and the emergency contact form.

There was an unlidded bucket of rock salt in the hallway leading to the outside play space.

At approximately 9:40 am, staff person #1 and #2 were on the far side of the gym with 13 children, a combined group of 9 preschoolers and 4 school-agers. Staff person #1 identified 8 preschoolers and staff person #2 identified 4 school-agers. Staff person #2 was asked to repeat the child's names and again named 4 kids. At this time, staff person #1 walked over and whispered something into staff person #2's ear. Staff person #2 then identified a 5th child. When asked if staff person #1 had whispered the child's name into their ear, staff person #2 said yes. Staff person #2 stated they did not know the child was in their group.

At approximately 9:15 am, staff person #1 left the lunch room and answered the inner door to the facility, leaving staff person #2 alone in the lunch room with 8 children, a combined group of 7 preschoolers and 1 older toddler.

*At approximately 9:15 am, staff person #1 left the lunch room and answered the inner door to the facility, leaving staff person #2 alone in the lunch room with 8 children, a combined group of 7 preschoolers and 1 older toddler.

2nd citation: The file for staff person #3, who was beyond their first 90 days working with children, did not include pediatric first-aid/CPR training. Based on conversation with the operator, the staff person did not show up to the first-aid/CPR training scheduled at the facility on 11/6/21.

The file for staff person #1, hired provisionally and employed less than 45 days, did not include a child abuse clearance or proof of the request for the child abuse clearance.