Kids Kingdom Preparatory Academy INC

The file for Staff #2 was lacking the NSOR clearance.

On two occurrences, 1.8.25-2.10.25 and 3.10.25-4.10.25, testing of the fire detection system was more than the required 30 days.

The file for Staff #1 contained a Basic Life Support training which is not an approved curriculum of Pediatric First Aid/CPR.

The file for Staff #2 was lacking proof of high school diploma.

The most recent State Police, Child Abuse and FBI clearances in the files for Staff Person #1 and #8 exceeded 60 months between clearances. The Child Abuse Clearances in the files for Staff Person #3, #12 and #14 were dated after the staff person's first day in child care. The State Police Clearance in the file for Staff Person #7 was dated after the staff person's first day in child care and the file did not include an application for State Police Clearance dated on or before the staff person's start date. The NSOR Certificates in the files for Staff Person #4 and #7 were dated more than 45 days after the staff person's first day in child care. The NSOR Application and Certificate in the file for Staff Person #14 was conducted after the staff person's first day in child care. (See LIS Code Sheet).

Observed flaking rust on the partition in the toilet area of the boy's bathroom and on the middle partition of the toilet area of the girl's bathroom.

Observed peeling, flaking paint behind the toilet in the boy's bathroom.

Observed a pack 'n' play blocking the exit door in the infant room.

Observed less than two feet of space on three sides for three of the pack 'n' plays where children were napping in the infant room.

The files for Child #3, #5 and #6, who are preschool children, did not contain an updated health report conducted within the past 12 months.

The most recent health assessments in the file for Staff Person #1 exceeded 24 months between health assessments. The initial health assessments in the file for Staff Person #9 and #14 were conducted after the staff person's first day working in child care. The files for Staff Person #4, #7, #8 and #10 do not include a health assessment conducted within the past 24 months. The files for Staff Person #11 and #13 do not include an initial health assessment. (See LIS Code Sheet).

The file for Child #2, who has been enrolled for more than 60 days, did not include an initial health report.

The training for the most recent Pediatric First Aid/CPR Certificate in the file for Staff Person #10 was conducted after the previous certificate had expired.

The most recent fire safety trainings in the files for Staff Person #1, #2, #4, #5, #6, #7, #8, #9 and #10 exceeded 12 months between trainings.

Staff person #12 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 in an approved curriculum from a certified PQAS Instructor.

The most recent Mandated Reporter Trainings in the file for Staff Person #1 exceeded 60 months between trainings.

The file for Staff Person #11 contains a foreign Bachelor's Degree that has not been evaluated.

The files for Staff Person #3 and #5, who has been working at the facility for more than one year, did not include an annual written evaluation. The first written evaluations in the files for Staff Person #6, #9 and #10 were conducted more than 12 months after the staff person's first day in child care. The most recent written evaluations in the files for Staff Person #7 and #8 exceeded 12 months between evaluations. (See LIS Code Sheet).

The initial child service reports in the files for Child #1 and #4 were conducted more than six months after the child's first day of attendance at the facility. The only child service reports in the files for Child #2, #3, #5 and #6, who have been enrolled at the facility for more than one year, were dated November, 2024.

The emergency contact form in the file for Child #1 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

There was an unscreened door leading from a classroom to an outdoor playspace that was propped open.

A group of children that included 8 older toddlers was observed receiving care in an outdoor playspace with embedded equipment that was mounted over mulch (with pieces of a diameter less than 1 inch.)

The most recent fire drill recorded on the facility's fire drill log was listed as occurring on 1/5/24.

The most recent smoke detector testing recorded on the facility's log was listed as occurring on 11/1/23. Testing is required to occur at least every 30 days.

There was no documentation on file of completion of mandated reporter training for Facility Person #1, employed at the facility more than 90 days.

There was no documentation on file of completion of pediatric first aid & CPR training for Facility Persons #1 and #2, employed at the facility more than 90 days.

The file of facility persons #1, #2, #4, #7 and #8 contain disclosure statements which did not contain the date. The disclosure statement of facility person #6 was dated 10/19/2023, more than 90 days from their start date at the facility (see coded LIS sheet). The file of facility person #8 contained an FBI clearance dated 11/3/2023, and an incomplete PA state police clearance which was dated more than 45 days from their start date (see coded LIS sheet) and did not contain a dissemination date.

The file of facility person #3, employed more than 90 days (see coded LIS sheet), did not contain documentation of initial emergency plan training.

In the preschool classroom, a blue bin which contained waffle blocks was cracked.

The file of child #3 contained a health assessment dated 6/15/2021 and a current health assessment dated 8/22/2023 lacking health assessments every 6 months as an infant and young toddler (see coded LIS sheet). The file of child #4, identified as a toddler at the time (see coded LIS sheet), contained a health assessment dated 12/20/2022 but did not contain an updated health assessment within 6 months of the prior. The file of child #5, identified as a young toddler at the time (see coded LIS sheet), contained a health assessment dated 3/17/2023, lacking an updated health assessment within 6 months.

The file of child #1, identified as a preschool age child (see coded LIS sheet), contained a health assessment dated 5/19/2022 but lacked a current health assessment within 12 months.

The immunization record of #3 does not contain 1 of the 2 Hep A vaccinations or acceptable written exemption from the parent or child's physician.

The health assessment of child #6 does not contain a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health assessment of child #5 does not contain a statement the age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The older toddler classroom contained a medication log for a child which did not contain the name of the medication.

The health assessment of facility persons #1, #7 and #8 did not contain documentation of an examination for communicable diseases and the results of the examination.

The refrigerator in the infant classroom contained 2 bottles which were not labeled with the child's name.

The fire drill log listed "all staff" and not the specific names of the facility persons participating in the fire drill.

Documentation of testing the fire detection system exceeded 30 days on one occasion (3/3/2023 to 4/3/2023) in the last 12 months.

Documentation of the fire safety trainings of facility person #10 were dated more than 12 months apart (6/15/2023 & 7/3/2023).

The file of facility person #2 contained documentation of completion of the health and safety topics listed in subsections (f)1-9 dated 5/6/2023, more than 90 days from their start date at the facility (see coded LIS sheet).

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and pediatric CPR.

The file of facility person #9 contained documentation of a written evaluation by the director dated 10/24/2022 but did not contain one in the past 12 months. The file of facility person #10, employed for more than 12 months (see coded LIS sheet) did not contain an annual written evaluation by the director.

The file of facility person #4, identified as a group supervisor, did not contain documentation of the education or experience to qualify them for the position.

The file of facility person #7, identified as an aide, did not contain documentation of education and/or experience to qualify for the position.

The financial agreement of child #2 did not contain the signature of the parent.

The financial agreement of child #3 did not specify the amount of the fee to be charged per day or per week.

The file of child #1 did not contain documentation of the approved form to provide information to the family about the child's growth and development being completed in the past 6 months, with the last being dated 11/8/2022. The files of child #3, #4 and #5, all enrolled for more than 6 months (see coded LIS sheet), did not contain documentation of the approved form being completed within the past 6 or 12 months (see coded LIS sheet).

The files of child #1, #2 and #3 contained the original financial agreements.

The emergency contact and financial agreement forms for child #1, #3, #4 and #5 did not have documentation of being reviewed and/or updated within the past 6 months.

The file of facility persons #2, #3 and #5 did not contain documentation of education and/or hours to qualify as an assistant group supervisor.

The file of facility person #5 did not contain 1 of 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The files of facility person #1, #2 and #6 contained documentation of completed pediatric first aid and pediatric CPR which was dated more than 90 days from their start date at the facility.

The file of facility person #1 did not contain an FBI clearance, #2 contained an NSOR dated 10/18/2022 more than 45 days from their start date (see coded LIS sheet), #4 contained an NSOR application dated 6/15/2022 but did not have a completed NSOR, #5 contained an NSOR dated 8/15/2022, after their start date with children (see coded LIS sheet) with no documentation of submission, #8 did not contain a completed PA state police or child abuse clearance and #9 contained out of state police and child abuse clearances dated more than 45 days from start (10/18/2022 and 10/6/2022) and did not contain PA state police or child abuse clearances. All staff have been employed for more than 45 days (see coded LIS sheet).

The facility emergency plan did not have a continuity of operations plan or contingency plan in the event of a disaster.

The first aid kit in the preschool 3 classroom, which was on the counter accessible to children, contained aspirin, burn ointment, antibiotic ointment, sting relief, all labeled keep out of the reach of children. All laundry detergent and disinfecting wipes were in the open hallway closet accessible to children. Hand sanitizer labeled keep out of the reach of children was accessible to children on the desk in the lobby.

Due to the hook being broken, the first aid kit in preschool 3 was on a counter accessible to children.

The first aid kit in the infant room did not contain tweezers and the first aid kit in preschool 3 room did not contain soap.

Visual strips or identification was not present on the glass in the following child care spaces: the door in the indoor play space, the door to outside in the young toddler room, the door in the older toddler room and the door and long window by the door in the preschool 3 room.

Handwashing signs were not posted at the following: the sink in the infant room, the changing table and 2 training chairs in the young toddler room, the sink and 4 training chairs in the older toddler room, the training chair in the transition room, the sink in the preschool room, the sink in the indoor play space and at each sink and toilet/urinal in the boys' and girls' restroom.

The diapering area in the older classroom did not contain a lidded trash can.

The file of child #2 contained a health assessment dated 8/7/2020, lacking updated health assessments at least every 6 months. The file of child #3, a young toddler, contained a health assessment dated 7/12/2021and did not contain updates at least every 6 months.

The file of child #7, identified as a preschooler, contained a health assessment dated 9/8/2021 and did not have documentation of an updated health assessment within 12 months.

The immunization record of child #1 lacked 1 Rotavirus, 1 DTap, 1 HIB, 1 Pneumococcal and 1 Polio, and child #2, 5, 6 and 7 did not contain documentation of an annual influenza vaccination in accordance with the schedule recommended by the ACIP or acceptable documentation of acceptable exemption.

The older toddler classroom contained medication labeled for child #5 and another medication labeled for child #8, but there was no signed parental consent for administration of the medication.

The older toddler room contained a medication log for child #8 which did not have the initials of the staff person who administered medication on 9/14/2022.

The trash can in the older toddler room contained a disposable diaper which was tied in a plastic bag before being discarded.

The health assessment of facility person #2 was dated 11/7/2022, #3 was dated 8/3/2022, #4 was dated 6/17/2022, #5 was dated 10/25/2022, #7 was dated 6/13/2022, and #8 was dated 11/9/2022, all after their start date with children (see coded LIS sheet).

The file of facility person #2 contained documentation of their tuberculosis screening being completed on 8/24/2022, #3 on 8/5/2022, #4 on 6/17/2022, #6 on 8/3/2022, #7 on 6/15/2022 and #8 on 11/11/2022, all after their start date with children (see coded LIS sheet).

The health assessment of facility person #1 contained documentation of an examination for communicable diseases but lacked complete results and facility person #3 did not contain documentation of an examination for communicable diseases and the results of that examination with the health assessment.

The front door was used consecutively as the hypothetical location for the fire drills conducted on 6/14/2022 and 7/14/2022.

Documentation of testing the fire detection system exceeded 30 days by a day or two on the following occasions: 1/14/2022 to 2/14/2022, 3/14/2022 to 4/14/2022, 5/13/2022 to 6/14/2022, 8/12/2022 to 9/12/2022 and 10/10/2022 to 11/10/2022. It is now current.

Documentation of fire safety training for facility person #10 exceeded 12 months (10/26/2021 and 11/9/2022).

A written evaluation completed by the director was not completed for facility person #10, who has been employed for more than 12 months (see coded LIS sheet).

The financial agreement of child #4 was not signed by the parent or operator.

The financial agreement of child #4 did not contain the amount of the fee to be charged per day or per week.

Documentation of a current child service report Department's approved form providing information to the family about the child's growth and development in the context of the services being provided was not on file for child #2, 3, 5, 6 and 7.

The financial agreement of child #4 did not contain their arrival and departure times.

The financial agreement of child #4 did not contain their date of admission.

The files of child #1 and 4 contained the original financial agreement.

The emergency contact form of child #4 did not included the work address and work telephone number of the enrolling parent.

The emergency contact form of child #5 did not include information on the child's special needs which is needed in an emergency situation or documentation this is not applicable to the child.

The emergency contact form of child #4 did not include the health insurance coverage or policy number.

The emergency contact form of child #1 did not include the addresses of the individuals designated by the parent to whom the child may be released.

The preschool 3 room did not contain a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in a conspicuous location.

The emergency contact and financial agreements of child #2, 3, 4, and 6 were not updated within the past 6 months.

At approximately 10:45 AM, the certification representative rang the doorbell to the facility. After asking who was at the door through the intercom, facility person #3 arrived at the door to let the certification representative into the facility. While walking to the classroom, facility person #3 stated they were in ratio. In the classroom, facility person #4 was alone with 13 children while facility person #3 answered the door.

Facility person #1 and 2, both less than 90 days of hire (see CODED LIS SHEET), were working in a classroom together. Facility person #1 had pediatric first aid and pediatric CPR in approved curriculum, but not by a PQAS instructor and did not have the required health and safety topics completed. Facility person #2 did not have pediatric first aid and pediatric CPR or the health and safety topics completed.

There was more than 60 months between the previous and most current Child Abuse clearances on file for staff #1. Dates are as follows: 3/4/16 and 10/21/21. The file for staff #5, with start date of 4/19/21, lacked an NSOR and Child Abuse clearance on or before initial start date in a child care position. There is no NSOR on file. Child Abuse clearance is on file and dated 11/5/21. The file for staff #6, with start date of 2/2/21, lacked an FBI and NSOR clearance on or before initial start date in a child care position. No FBI clearance is on file. NSOR is now on file and dated 2/4/21. The file for staff #7, with start date of 10/11/21, lacked a State Police, Child Abuse, FBI and NSOR on or before initial start date in a child care position. Clearances are now on file and dated: State Police, 10/17/21, Child Abuse- 10/18/21, FBI - 10/18/21 and NSOR - 11/4/21. The file for staff #8, with start date of 9/20/21, lacked a State Police, Child Abuse, FBI, and NSOR clearance on or before initial start date in a child care setting. There is no NSOR clearance on file. Other clearances are on file and dated - State Police - 11/10/21, Child Abuse - 11/10/21, and FBI - 10/27/21. The file for…

The files for staff #4 and #9 lack emergency plan training within the past 12 months. Dates are as follows: Staff #4 - 7/27/20 and staff #9 - 11/17/19.

In the indoor gross motor play space, observed an area of peeling paint, which was approximately 4 inches wide on the bottom of the left wall.

The files for children #1. 3, 4 and 5 lacked verification that ongoing vaccinations are in accordance with the schedule recommended by the ACIP.

In the Daycare 1 room, observed Dimetap which expired 2/21, Children's Ibuprofen which expired 11/20 and Infant Tylenol which expired 8/21. In the Transition Room, observed Nasal Spray and Children's Motrin which expired 8/21.

The files for staff #1, 2, and 3 lack a health assessment that was completed within the past 24 months. Dates are as follows: Staff #1 - 4/17/19, Staff #2 - 7/30/19, Staff #3 - 9/24/19. The files for staff # 8 and #11 lacked an initial health assessment which was conducted within 12 months prior to providing initial service in a child care setting. Staff #8 - Start date 9/20/21 and health assessment is dated 11/5/21, Staff #11 - Start date 8/30/21 and health assessment is dated 10/4/21.

The initial TB screenings on file for staff #6, 8 and 11 were not conducted within 12 months prior to providing initial service in a child care setting. Staff #6 start date is 2/2/21 and TB screening is dated 2/4/21. Staff # 8 start date is 9/20/21 and TB screening on file is dated 11/8/21, and staff #11 start date is 8/30/21 and TB screening is dated 10/6/21.

Proof of purchase of the facility's interconnected fire detection system was not on file at the facility. There was more than 30 days between manual tests of the fire detection system. Dates are as follows 8/12/21 and 9/25/21. The most recent test on file is dated 11/11/21 and is current.

The file for child #2, with start date of 4/19/21, lacks an initial health assessment within 90 days (regulatory suspensions allowing 90 days) following the first date of attendance at the facility. There is no health assessment on file.

The Pediatric CPR/First aid training on file for staff #1 and 3 was not renewed on or before the expiration date. Staff #1 - previous training expired 4/16/21 and new training is dated 8/7/21. Staff #3 - previous training expired 4/25/21 and new training is dated 8/7/21.

There was more than 12 months between the previous and most current fire safety trainings on file for staff #4. Dates are as follows: 7/27/20 and 10/11/21. The file for staff #9 lacks fire safety training within the past 12 months. Start date 10/2/20 and there is no fire safety training on file.

The files for staff #5 and 6 lack Pediatric first aid and pediatric CPR within 90 days of hire. Staff #5's start date is 4/19/21 and no training is on file. Staff #6 now has training on file. Start date- 2/2/21 and training is dated 8/7/21.

The file for staff #5 lacks mandated reporter training within 90 days of hire. Start date 4/19/21. No training is on file.

The file for staff #5, who holds the title of assistant group supervisor, lacks 2500 hours of child care experience. The file for staff #7, who holds the title of assistant group supervisor, lacks 1250 hours of child care experience.

There was more than 12 months between the previous and most current staff evaluations on file for staff #2. Dates are as follows: 2/27/20 and 10/21/21. The file for staff #9 lacks a staff evaluation within the past 12 months.. Start date 10/2/20. No staff evaluation is on file.

The files for staff #5 and 10 lack one written, nonfamily reference. The files for staff #6 and 12 lack two written, nonfamily references.

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.