Kids Kademy

The file for Staff #2, reported to be working as an AGS, lacked documentation of an additional year of experience working with children; the file contained the HS diploma and documentation for only 1 year of experience working with children.

The emergency contact form for Child #1 lacked the parent's home and work phone numbers.

The emergency contact form for Child #2 lacked the address and phone number for the individual designated by the parent to whom the child may be released.

The Emergency Plan did not address Continuity of Operations as required by Announcement C-22-04 which states to maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for volunteer emergency preparedness training, practice drills and continuity of operations included in their emergency plan.

In Room C, child scissors were accessible to toddlers.

The emergency plan lacks a method for facility persons to contact parents when an emergency situation arises. It also lacks a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility lacked a parent letter explaining the emergency procedures.

There was an uncovered trash can in Room B with used napkins and tissues in it.

The hot water temperature at the bathroom sink utilized by the children was 119° F.

In Room C, play doh labeled or ages 3+ was accessible to children still placing objects in their mouths.

The facility emergency plan lacked accommodations for children with disabilities and children with chronic medical conditions.

The facility sent the emergency plan to local police and fire chiefs. The facility lacked documentation that the emergency plan was submitted to the county EMA.

The file for Child #3 lacked a current child service report. The most recent child service report was dated 10/20/23.

The emergency contact form in the file for Child #1 lacked the parent's work address and work phone. The emergency contact form in the file for Child #2 lacked the parent's work address.

The emergency contact form in the file for Child #1 lacked information on the child's special needs.

The file for staff person #1 whom was hired at the facility as an assistant group supervisor on (See LIS Code Sheet) lacked state police and child abuse clearances that were completed 60 months from the previous clearances. The state police clearances in the file were dated 8/9/18 and 8/28/23. The child abuse clearances in the file were dated 8/2/18 and 8/29/23.

The files for children #2 and #3 lacked a health report that included an influenza immunization according to recommendations of the ACIP and 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).

The Fire Drill and Fire Detection Log was observed for the 30-day smoke detector check. There were 31 days between 3/31/23 and 5/1/23.

The files for children #1 and #4 lacked emergency contact information that included 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.

The file for staff person #1 lacked a health assessment that was completed within 24 months from the previous health assessment. The health assessments in the file are dated 1/9/20 and 5/17/22.

In Room C on the windowsill in the back of the room was observed to have metal that had sharp edges creating a visible hazard.

In the restroom the screws on the bottom of the toilet were missing the covers.

A handwashing sign was observed to be missing above the toilet in the restroom.

The file for child #2 lacked a health report that included a review of the child's health history.

The files for children #1 and #3 lacked updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to a toddler and preschool child in accordance with the schedule recommended by the ACIP.

Staff persons #3 and #4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid & CPR Training.

The emergency contact information was missing for two of the children present and receiving care in Room C.

Staff persons #1 and #2 lacked training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f).