Kids Campus Nursery and Daycare

At the time of the inspection, it was acknowledged by multiple staff that during a previous incident, child #1 had access to adult scissors which were inside an unlocked cabinet in the preschool room. Staff acknowledged that child #1 opened the cabinet doors, stood on a ledge in the cabinet, reached for the scissors which were located on the third shelf, and then proceeded towards staff person #3 with them. Staff observed child #1 doing this and no staff person who was present did anything to prevent the child from accessing the scissors.

At the time of the inspection, staff person #3 acknowledged that they did state, while in the classroom in the presence of children, that they were afraid of child #1 and if the child returned to care, staff person #3 would quit.

At the time of the inspection between 9:26-9:45am, staff person #2 had eleven children (4 preschool aged and 7 school-aged children) present. This number and age of children requires there to be 2 staff present at all times.

At the time of the inspection, there was no daily schedule posted for the school age group in the classroom. There was no daily plans or routines for the school age children and the classroom lacked structure whereas children were yelling and running around in the classroom with no directive from staff.

At the time of the inspection, it was acknowledged by staff that during a previous incident, child #1 had access to adult scissors which were inside an unlocked cabinet in the preschool room. Staff person #2 and #3 acknowledged that child #1 opened the cabinet doors, stood on a ledge in the cabinet, reached for the scissors which were located on the third shelf, and then proceeded towards staff person #3 with them. During the inspection, the scissors were observed inside an unlocked cabinet and were still accessible to children.

At the time of the inspection, inside a child's bag that was hanging in the classroom on a hook which was accessible to children, there was sunscreen and diaper cream that read "keep out of reach of children."

At the time of the inspection, the television wires were dangling and not secured to a surface.

At the time of the inspection, the changing table pad was torn and the inside foam was exposed. This prevents the changing table pad from being properly cleaned after each use.

At the time of the inspection, a lunch box was observed hanging on the hook in the classroom. Inside, there was a Lunchable with meat and cheese. This is required to be refrigerated.

At the time of the inspection, a bottle of hand sanitizer and a pack of Germ Out wipes both reading "Keep out of Reach of Children" were observed on the table in the preschool room and accessible to children. A bottle of hand sanitizer was observed on the railing of the deck leading the playground and was accessible to children present in that space.

At the time of the inspection, there was evidence of rodent feces under the sink in the kitchen.

At the time of the inspection, there was no first aid kit for the infant room. A first aid kit was not taken outside to the playground when the toddlers and preschool were utilizing these areas.

At the time of the inspection, the handle to the door of the bathroom was missing. An "Out of Order" sign was observed on the door.

At the time of the inspection, there was no visual identification strips on the glass windows and sliding doors of the facility.

At the time of the inspection, a black trash can was observed with a hole in the side of the can exposing sharp plastic corners. The cozy coupe car on the playground had a broken wheel which resulted in the plastic cracking and exposing sharp edges. In the infant/young toddler side, the molded yellow seats that were the inserts for the feeding table were cracked and posed pinch points for children using the seats.

At the time of the inspection, staff person #3 admitted that the hands of the young toddlers were not washed prior to sitting down for lunch.

At the time of the inspection, the was no infant feeding schedule for child #4.

At the time of the inspection, the operator did not have any documentation showing that emergency drills are being conducted annually.

At the time of the inspection, the operator could not provide proof of installation for the interconnected fire detection system.

At the time of the inspection, the only health report on file for child #1 was dated 2/4/25. This was not provided within 60 days following the first day of attendance at the facility (see LIS code sheet for date of admission).

Staff person #4 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.

At the time of the inspection, the agreement for child #4 and child #5 did not contain a date of admission. The agreement for child #4 was not signed by the operator.

At the time of the inspection, there was only one child service report on file for child #2 and child #5. The child service reports were not dated, and the children have been enrolled for more than 6 months (see LIS code sheet for date of admission).

The records for Child #5 also contained information on the emergency contact and/or agreement forms for siblings of this child. The families were using shared forms, instead of utilizing individual forms for each child in the family.

At the time of the inspection, the emergency contact form for child #3 did not include the addresses of the individual designated by the parent to whom the child may be released. The emergency contact form for child #4 did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

At the time of the inspection, in the infant and older toddler childcare space, there were no emergency contact forms present for the children receiving care in the space. Emergency contact forms were not taken outside to the playground with the preschool class.

At the time of the inspection, the emergency contact form and agreement for child #3 and child #5 were not updated every 6 months as required. This is evidenced by the last review date of 4/1/24 and 3/1/24, respectively. There was no signature or review date on the emergency contact form for child #4.

At the time of the inspection, staff person #4 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

At the time of the inspection, staff person #1 only completed 5.5 hours of child care training during the 2/24-2/25 training period. Staff person #2 only completed 4.5 clock hours of child care training during the 7/23-7/24 training period.

At the time of the inspection on 11/18/24, staff person #1 did not have a date of signature on the disclosure statement and did not have a PA State Police clearance with a dissemination date making this an incomplete clearance. Staff person #2 did not have a signed disclosure statement at time of hire and did not have a request for or completed FBI clearance on file. Both of these staff people are past their 45-day provisional hiring period, did not have completed clearances and were not supervised by an AGS. (see LIS code sheet for date of hire).

At the time of the inspection on 11/18/24 at 9:15am, staff person #1 had 8 children (2 infants and 6 preschool children) in her care. This number and ages of children requires there to be 2 staff present at all times.

At the time of the inspection on 11/18/24, there was no documentation in the files for staff person #1, staff person #2 and staff person #3 showing they were trained in the emergency plan when it was updated October 1, 2024.

At the time of the inspection on 11/18/24, there was no source of handwashing present in both the infant and toddler diapering areas.

At the time of the inspection on 11/18/24, the seats on the yellow teeter-totter were both cracked exposing sharp corners and pinch points. The floor of the bridge of the large plastic climber in the toddler playground was severely cracked and posed a hazard to children standing on this area.

At the time of the inspection, in the infant and toddler areas, the hands of both the children being diapered and the staff person conducting the diapering were not washed. The hands of the preschool children were not washed before lunch time.

At the time of the inspection, the changing table in the young toddler area was not cleaned with a sanitizing solution after being used for diapering a child.

At the time of the inspection on 11/18/24, the health assessment and TB screening for staff person #2 was not conducted until 10/25/24, which was after staff person #2's hire date (see LIS code sheet for date of hire).

At the time of the inspection on 11/18/24, staff person #1's health assessment dated 10/27/24 did not include an examination for communicable diseases and the results of that examination.

At the time of the inspection of 11/18/24, staff person #4, the Director, acknowledged that she is not meeting the 30 hours a week of physical presence at the facility. She admitted to only being physically present at the facility on Tuesdays and Thursdays from 9:30am-6:00pm.

During the renewal inspection conducted on 4/17/2024 observed staff person #1's file did not include verification of the state police clearance (receipt of payment on file), child abuse clearance (corrected on site 4/172024) and FBI clearance was not obtained from Identigo.

During the renewal inspection conducted on 4/17/2024 observed the facility's emergency plan did not address continuity of operations.

During the renewal inspection conducted on 4/17/2024 observed the emergency plan was not posted at a conspicuous location.

During the renewal inspection conducted on 4/17/2024 observed the hot water in the preschool, toddler and infant room bathroom sinks measured at 120° F.

During the renewal inspection conducted on 4/17/2024 observed an open window without a screen in the Toddler room.

During the renewal inspection conducted on 4/17/2024 observed a loose outlet cover in the toddler room.

During the renewal inspection conducted on 4/17/2024 observed damaged paint in the Toddler room bathroom.

During the renewal inspection conducted on 4/17/2024 observed the wood mulch where the swing is embedded measured at one inch.

During the renewal inspection conducted on 4/17/2024 observed the highchair activity table in the Toddler room was missing safety straps.

During the renewal inspection conducted on 4/17/2024 observed the bassinet in the infant room was not labeled and the pack and play in the toddler room was not labeled.

During the renewal inspection conducted on 4/17/2024 observed staff person #1's file did not include verification of child care experience prior to service at the facility.

During the renewal inspection conducted on 4/17/2024 observed staff person #2's file did not include verification of education prior to service at the facility.

During the renewal inspection conducted on 4/17/2024 observed child #2 and #3's emergency contact information did not include written consent signed by a parent for emergency medical care.

During the renewal inspection conducted on 4/17/2024 observed child #1's emergency contact information did not include health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the renewal inspection conducted on 4/17/2024 observed that the only room with emergency contact information was the preschool room and it only included 6 emergency contact forms when there were 7 children present in the room.

During the renewal inspection conducted on 4/17/2024 observed child #2's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

During the renewal inspection conducted on 4/17/2024 observed staff person #1's record did not include verification of address and age.

During renewal inspection on 4/12/23 cert rep observed Clorox wipes, a cleaning spray, and sunscreen in an unlocked closet next to the kitchen entrance. These items were on shelves that could be accessible to children. CR observed a closet in the bathroom in the toddler area that was not locked. This closet contained various types of cleaning supplies and hand sanitizer that were on shelves within children's reach.

During renewal inspection on 4/12/23 cert rep observed 2 cribs and a Pack & Play in the infant/toddler room that were not labeled.

During renewal inspection on 4/12/23, cert rep reviewed facility's fire drill and alarm test logs. Record of fire drills was compliant. Provider has a copy of an annual inspection, but it only includes the fire extinguishers. There is no record of testing of the alarm system by a fire safety professional. There is no documentation of manual testing of the alarm system every 30 days.

During renewal inspection on 4/12/23 provider was not able to provide verification that local traffic safety authorities were notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

During renewal inspection on 4/12/23 cert rep reviewed all staff files. Provider indicated on Worksheet 1/Staff Data that STAFF # 1, 2, 3 participated in fire safety training on 4/2/23. Provider did not have documentation of the training for any of the staff.

During renewal inspection on 4/12/23 cert rep reviewed several children's files. CHILD #1 emergency contact form was updated on 8/14/22 and financial agreement was updated on 8/15/22. Both dates are more than 6 months ago.

On 11/7/22 I conducted an unannounced complaint investigation at the facility. At 9:50 am I entered the facility. STAFF 1 was in the preschool area and was caring for 7 preschool children and 2 older toddlers. The ratio for older toddlers is 1:6. STAFF 1 was over ratio by 3 children at the time of inspection. I went to the infant area. STAFF 2 was caring for 3 infants and 1 young toddler. The infant room was in ratio. Next I went to the toddler area. STAFF 3 was caring for 7 older toddlers. STAFF 3 was over ratio by 1 child. STAFF 1 told me that the school agers had early dismissal (which the staff had forgotten about) and would be arriving around 12:15 pm. I asked who was going to supervise them and STAFF 1 said they would join her group. I told her that was not acceptable, and we discussed several options including calling the parents to pick children up so that the staff would be in ratio or calling the other location to see if they had extra staff available. The LE has a second location and STAFF 1 called STAFF 4 who was in charge of that location. STAFF 4 had extra staff available and sent STAFF 5 to help with the older toddlers. The older toddlers from the PS room joined the…

On 11/7/22 STAFF 1 & 3 stated that there are ants in the facility. CR observed ants along the front wall in the preschool room at 11:50 am on 11/7/22.

On 11/7/22 at 11:45 am CR observed exposed wires hanging from the ceiling in the back part of the preschool room, large areas of the ceiling in which the ceiling tiles had been removed and not replaced leaving the bare ceiling exposed in the preschool and infant rooms, and corroded hardware on the toilet seat in the toddler bathroom.

During unannounced complaint investigation on 11/7/22 CR observed a dirty sink in the toddler room, dirty floors in the toddler room, loose baseboard molding in the toddler room, ceiling vents with numerous black spots on them in all rooms and a damaged wall in the preschool room above the baseboard molding.

During unannounced complaint investigation on 11/7/22 CR observed a table in the preschool room that had 3 wooden blocks supporting one of the table legs which could be hazardous to the children if the blocks collapsed. CR asked STAFF 1 why the blocks were under the table leg. STAFF 1 said the leg was broken and the blocks were propping the table up. 4 children were sitting at the table at the time.

During renewal inspection on 4/20/22 cert rep reviewed the facility emergency plan. The plan was last reviewed on 1/4/20 according to the date on the plan.

During renewal inspection on 4/20/22 cert rep reviewed several children's files. CHILD # 2 had a health assessment dated 7/6/20. CHILD # 2 did not have documentation of the following immunizations according to the recommendations of the ACIP: Pneumococcal, Influenza, and Hep A. There was no exemption on file.

During renewal inspection on 4/20/22 cert rep reviewed several staff files. STAFF # 1 health assessment & TB screening was more than 12 months prior to start date.

During renewal inspection on 4/20/22 cert rep reviewed the facility emergency plan. The emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During renewal inspection on 4/20/22 cert rep asked to see the facility's emergency drill documentation. No drill has been conducted or documented.

During renewal inspection on 4/20/22 cert rep reviewed the facility emergency plan. The plan did not include accommodations for lock-down.

During renewal inspection on 4/20/22 cert rep reviewed the facility emergency plan. The emergency plan was last sent to local and county emergency management agencies on 1/4/20.

During renewal inspection on 4/20/22 cert rep reviewed several staff files. STAFF # 2 did not have any written evaluation in file.

During renewal inspection on 4/20/22 cert rep reviewed several children's files. CHILD # 1 emergency contact form did not include written parental consent for emergency medical care.