Kids at Heart Learning Center LLC

The file for Staff #8 contained a disclosure statement dated 2/10/25, which lacked a witness signature.

The two most recent NSOR certificates on file for Staff #1 (12/23/19 & 1/27/25), Staff #2 (12/13/19 & 1/27/25), Staff #4 (1/14/20 & 1/27/20), Staff #5 (12/23/19 & 1/27/25) are dated more than 60 months apart. The two most recent State Police clearances on file for Staff #4 (10/7/19 & 1/10/25) and Staff #5 (4/8/19 & 4/9/24) are dated more than 60 months apart. The two most recent FBI clearances on file for Staff #5 (4/9/19 & 4/10/24) and Staff #10 (3/11/20 & 3/14/25) are dated more than 60 months apart. The files for Staff #9 and Staff #12, who were provisionally hired after 2/1/25 (SEE IS CODE SHEET), did not contain an NSOR certificate at time of hire, as required by Announcement C-25-01. Staff #9's NSOR is dated 3/3/25 (SEE IS CODE SHEET) and Staff #12 does not have an NSOR certificate. Staff #12 may not work in a child care position at the facility.

A utility cart containing multiple gallons of paint were observed to be accessible in an unlocked bathroom in the Gym.

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

On the Playground, standing water was observed on a tarp covering a sandbox and was accessible to children on the playground.

The playground surfacing in the outdoor play space was observed to be lifting, torn, and crumbling in multiple areas, in a space used by Toddlers, who are still placing objects in their mouths.

In the Preschool Room, magnatiles were observed to be broken and not in good repair.

In the Toddler Room, torn vinyl on foam climbers was observed being less than 1 inch in diameter and was accessible to children who are still placing objects in their mouths.

The file for Child #1 (Young Toddler at the time) contained two health assessments dated 10/12/23 and 7/25/24, more than 6 months apart. The file for Child #2 (Young Toddler at the time) contained two health assessments dated 3/27/24 and 11/12/24, more than 6 months apart.

The two most recent health assessments on file for Child #3 (Preschool Age) are dated 10/5/23 and 4/2/25, more than 12 months apart.

The immunization record for Child #1 (Older Toddler) lacked the following immunizations: 1 dose of Hepatitis A without a Letter of Exemption in the file. Child #1 must be dismissed from care by close of business on 4/25/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

In the left closet of the Preschool Room, a bottle of Mucinex cough medicine was not labeled with the name of whom the medication is intended for.

The initial health assessment on file for Staff #8 is dated 9/16/23, more than 1 year prior to Staff #8's date of hire (SEE IS CODE SHEET). The initial health assessment on file for Staff #11 is dated 11/28/23, more than 1 year prior to Staff #11's date of hire (SEE IS CODE SHEET). The two most recent health assessments on file for Staff #1 (8/8/22 & 3/27/25), Staff #3 (6/8/22 & 3/26/25), Staff #7 (5/8/22 & 1/15/25) are dated more than 24 months apart.

The two most recent annual fire inspection reports on file at the facility are dated 12/14/23 and 3/19/25, more than 12 months apart.

The two most recent fire safety trainings on file for Staff #1 are dated 2/26/24 and 3/24/25, more than 12 months apart.

Staff #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. The training was completed on 2/17/25.

The two most recent staff evaluations on file for Staff #4 are dated 5/17/23 and 7/30/24, more than 12 months apart.

The two most recent child service reports on file for Child #4 are dated 11/15/23 and 11/29/24, more than 6 months apart.

The file for Staff #1 contained Child Abuse Clearances dated 1.28.19 and 2.23.24, which exceeded the 60-month renewal requirement.

The plastic cabinet, with clear drawers, located in the Transitional K/SA Room, was cracked apart on the front side of a drawer, creating a scraping/cutting hazard for children in care.

The file for Staff #2 contained evaluations dated 5.19.22 and 9.11.23, which exceeded the 12-month requirement.

The emergency plan on site does not include provisions regarding the facility's continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

There was no specific documentation maintained by the operator that included the dates of each review and update of the emergency plan.

Multiple toxic cleaning products were observed on a shelf above food in the PreK room, which could cause contamination of the food below if leaking occurred. There was sunscreen, anti-itch cream, and deodorant, labeled "Keep out of the reach of children", that were accessible to children, in the School Age classroom.

A first aid kit in a backpack was observed unattended on a picnic table in the outdoor play space, accessible to children.

On the playground, a ground level window air conditioning unit was braced on the exterior wall. The metal brace had exposed sharp metal edges that were the same height of the toddlers in the space and accessible to all other children.

The exit in the back corner of the gym had multiple large objects obstructing the hallway to double door exit to the outside.

In the School Age room, there were cracked plastic chairs with pinch points that could cause injury and foam blocks with teeth marks and missing pieces that were not in good repair. In the Preschool room, there was a cracked toy bin and a cracked plastic chair, both with pinch points, that could cause injury. In the Introductory Preschool room, there were multiple pieces of decorative wood fruit that were cracked with pinch points and a box toy that was not in good repair with ripped paper pieces exposed in a room with toddlers that could be a choking hazard.

There was a box toy that was not in good repair with ripped paper pieces exposed in a room with toddlers, that were less than 1 inch in diameter, located in the Introductory Preschool room.

The most recent influenza vaccination on file for Child #4, who is 3 years old, was 10/29/21, more than a year ago, as is recommended annually by the ACIP. The written and signed exemption letter from the parent, dated 10/29/22, was regarding the 2022 flu shot and had not been updated. Child #4 must be dismissed from care by close of business on 7/18/23, and may only return to care when the immunization record is updated or when a parent provides a written and signed exemption letter.

The file for staff person #4 had a negative chest x-ray on file without documentation of a positive Tuberculosis screening. The Tuberculosis screening on file for staff person #1 was dated 3/5/21, which was over 12 months at hire. (SEE LIS CODE SHEET)

The 2 most recent health assessments on file for Staff person #3 were dated 1/6/21 and 5/10/23, more than 24 months apart.

The fire drill 60-day test log includes test dates 4/11/23-6/26/23 (77), which are more than 60 days apart.

The fire alarm 30-day test log includes test dates 10/17/22-11/21/22 (36), 12/16/22-1/19/23 (34), 2/15/23-3/29/23 (42), 4/11/23-5/24/23 (43), 5/21/23-6/26/23 (33), which are more than 30 days apart.

The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and to the county emergency management agency.

The health assessments on file for Child #2 dated 8/6/20 and 3/5/2021, were more than six months apart for a child under the age of 2. The health assessments on file for Child #4 dated 7/16/20, 5/21/21 and 6/3/2022, were more than six months apart for a child under the age of 2.

The two most recent fire safety trainings on file for Staff #6 were dated 6/2/2021 and 7/7/2022, more than 12 months apart.

Staff person #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. The training was completed on 11/10/2022.

The 2 most recent staff evaluations on file for Staff number #2 were dated 4/16/22 and 5/17/23, more than 12 months apart. The file for Staff person #5 was observed not to contain a staff evaluation within 12 months of hire (SEE LIS CODE SHEET)

The file for Child #4 includes a child service report on 2/19/21, which is more than 6 months after enrollment (SEE LIS CODE SHEET). Child #4 file had documentation of child service reports dated 10/10/21 and 5/11/22, which are more than 6 months apart. The file for Child #5 has documentation of child service reports that were more than six months apart (10/26/21-5/16/22 & 11/23/2022-6/6/23).

The agreement on file for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, and Child #7 was the original and not a copy.

The emergency contact form on file for Child #1, does not include a complete address for all listed release persons.

The file for Staff #2 and #3 contained NSOR clearances dated after the first days of employment and lacked applications for NSOR clearances. The file for Facility Person #4 (volunteer) contained a DOE FBI clearance and lacked an NSOR clearance and application for NSOR clearance. Facility Person #4 was observed in a classroom with children on the day of the inspection. The file for Staff #9 contained consecutive child abuse and FBI clearances dated more than 60 months apart.

An infant was observed sleeping on their belly in a crib in the Infant Room. Staff reported the infant was placed in that way into the crib.

An electrical outlet was observed to be uncovered in the electrical strip by the phone in the Toddler Room.

The first-aid kit in the Pre-K Room was observed to be accessible to children in an unlocked closet.

The first-aid kit in the Infant Room was observed to lack tweezers and scissors.

The female bathroom on the second floor was observed to lack a lidded waste receptacle.

The side exit door from the Gym to the outdoors was observed to not be able to be opened. One of the exit doors in the Pre-K Room to the hall was observed to be obstructed with stacked toy blocks.

The file for Child #4 contained a most recent health report dated more than 12 months ago.

An expired Motrin, two Tylenols and one acetaminophen were observed in the medication box in the office.

Written parental consent for administration was not available for a Tylenol labeled for Child #5 and a Tylenol labeled for Child #6.

Perishable food was observed in lunch boxes in the Transitional Kind/SA Room, not refrigerated.

The proof or purchase for the observed interconnected fire detection system was not available at the time of inspection.

According to operator report, updates to the emergency plan were sent to the local municipality but not to the county emergency management agency.

The observed Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment policy was observed to not address the prevention and identification of child maltreatment.

Staff person #1,#2, #3, #5, #6, #7, #8, #9, #10 and #11 had acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer had not provided documentation that they are PQAS-certified in that training topic.

The files for Staff #9 and #10 contained consecutive child abuse mandated reporter trainings dated more than 60 months apart.

The file for Child #3 contained an emergency contact form which did not include contact address information for the contact persons.

The files for Child #2 and #3 contained emergency contact forms which lacked the full addresses for release persons.

The file for Child #1 contained updates to the emergency contact form dated more than six months apart.

The file for Staff #9 lacked documentation of the 12 hours of required annual child care training between 12/19/20 and 12/19/21. The file for Staff #10 contained documentation of 2 of the 12 hours of required annual child care training between 12/19/20 and 12/19/21.