Kidz City Child Care Center

During the renewal inspection conducted 7/10/2025--7/14/2025, the cabinet underneath the sink in the toddler area was unlocked, making cleaning materials labeled "keep out of reach of children" accessible to children in the room.

During the renewal inspection conducted 7/10/2025--7/14/2025, a cockroach was observed on the floor of the girls' bathroom on the first floor. Additionally, children at the facility reported seeing cockroaches in the bathrooms.

During the renewal inspection conducted 7/10/2025--7/14/2025, exposed bolts were observed on the metal gate of the outdoor play area.

During the renewal inspection conducted 7/10/2025--7/14/2025, two cribs in use by children in the infant room were observed to be unlabeled.

During the renewal inspection conducted 7/10/2025--7/14/2025, documentation on file did not show that child #5 is immunized according to the recommendations of the ACIP. Child #5's immunization record showed that child had received 1 of 3 doses of each of the following immunizations: Rotavirus, DTAP, HIB, and Pneumococcal vaccines. Child #5 received 1 of 2 doses of the IPV vaccine.

During renewal inspection conducted 7/10/2025--7/14/2025, paper towel dispenser in the girls' bathroom upstairs waws empty and no cloth towels were observed.

During the renewal inspection conducted 7/10/2025--7/14/2025, the initial health assessment on file for staff person #1 was dated 9/25/2023, which is more than 12 months before their start date providing initial service in the facility (see LIS code sheet for exact start date).

During renewal inspection conducted 7/10/2025-7/14/2025, health assessment on file for staff person #5 does not include results for TB testing.

During the renewal inspection conducted 7/10/2025--7/14/2025, the health assessment on file for staff person #4 indicated a positive TB test; however, the results of a chest x-ray and evaluation were not on file.

During renewal inspection conducted 7/10/2025-7/14/2025, health assessment on file for staff person #5 does not include an examination for communicable diseases and the results of that examination. or the physician's or CRNP's assessment of the person's suitability to provide child care.

During the renewal inspection conducted 7/10/2025--7/14/2025, unlabeled bottles were observed in the infant room.

During the renewal inspection conducted 7/10/2025--7/14/2025, an infant who staff reported was 5 months old was observed to be lying in a crib feeding themselves a bottle.

During the renewal inspection conducted 7/10/2025--7/14/2025, the following staff members updated their fire safety training past 12 months. Staff person #2: Fire safety training certificates on file are dated 4/10/02024 and 5/21/2025. Staff person #8: Fire safety training certificates on file are dated 4/10/02024 and 5/21/2025. Staff person #9: Fire safety training certificates on file are dated 4/10/02024 and 5/21/2025. Staff person #10: Fire safety training certificates on file are dated 11/11/2023 and 5/21/2025. Staff person #11: Fire safety training certificates on file are dated 11/11/2023 and 5/21/2025. Staff person #12: Fire safety training certificates on file are dated 11/11/2023 and 5/21/2025.

During renewal inspection conducted 7/10/2025-7/14/2025, staff person #7 completed pediatric first-aid/CPR training on 5/21/2025, which was not within 90 days of their date of hire (see LIS code sheet).

During the renewal inspection conducted 7/10/2025--7/14/2025, staff person #3 and staff person #9 were listed as assistant group supervisors (AGS) but do not have proof of high school diplomas on file.

During the renewal inspection conducted 7/10/2025--7/14/2025, staff person #7 was listed as an assistant group supervisor (AGS); however, 2 years' experience is not documented in file.

During the renewal inspection conducted 7/10/2025--7/14/2025, most recent child service report on file for child #1 is dated 12/9/2024, which is over 6 months ago.

During the renewal inspection conducted 7/10/2025--7/14/2025, date of admission was missing from child #2's fee agreement.

During the renewal inspection conducted 7/10/2025--7/14/2025, the following information was missing from children's files: Child #2: Full addresses of release persons. Child #3: Release person's phone number. Child #4: Mother's work telephone number and release person's address.

During the renewal inspection conducted 7/10/2025--7/14/2025, emergency contact form for child #1 did not include signed parental consent for emergency medical care for the child.

During the renewal inspection conducted 7/10/2025--7/14/2025, there was no proof of education on file for staff person #4.

During the renewal inspection conducted 7/10/2025--7/14/2025, the training record for staff person #6 shows that they received 1 hour of annual child care training for training year 2/16/2024--2/16/2025.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started in Center Based Care-Revised 2022 or PA Required Health and Safety for Centers-Group Child Care Part 1 and 2. Staff 2 and 3 had expired pediatric first aid/cpr on file (Please see LIS code sheet for date of hire). Both pediatric first aid/cpr certificates expired in February of 2025.

While at the facility unannounced on 2/4/25 the inspector reviewed the file for staff #1 and observed that the initial Pa Child Abuse clearance dated for 12/3/19 and this clearance was not updated until 1/22/25. This clearance was not updated every 60 months as required by the CPSL. This clearance needed to be updated by 12/3/24.

During renewal inspection, staff person #1 was last trained on emergency plan on 5/11/2023, which is past one year. Staff person #2 was last trained on emergency plan on 2/16/2023, which is past one year. Staff person #3 was last trained on emergency plan on 5/3/2023, which is past one year.

During renewal inspection, two outlets accessible to children under 5 years old were not covered in the Blue room.

During renewal inspection, first-aid kits in the following rooms were missing items: Multipurpose room's first-aid kit was missing soap. Toddler (rear) room's first-aid kit was missing soap and gloves. Blue room's first-aid kit was missing tape.

During renewal inspection, exposed bolts were observed on the fence to the outdoor play space. Children have to pass exposed bolts to enter the play space.

During renewal inspection, immunization record on file for child #1 does not reflect that child is immunized according to the recommendations of the ACIP. Child #1 has 1 of 2 doses each of Rotavirus, DTaP, Hib, Pneumococcal, and IPV vaccines. There is no exemption on file. Child #1 is an infant (see LIS code sheet for date of birth).

During renewal inspection, there were unlabeled bottles in the refrigerator in the infant room. When staff was asked about them, staff reported that the unlabeled bottles belong to a child in care.

During renewal inspection, last emergency drill log on file at the facility is dated 6/1/2023, which is past one year.

During renewal inspection, emergency transportation plan was not posted in the Toddler room (rear).

During renewal inspection, staff person #4 was last trained on emergency plan on 6/18/2022. Staff person #5 was last trained on emergency plan on 2/3/2023. Staff person #4 was last trained on emergency plan on 11/28/2022. An acceptable plan of correction was received with a correction date of 6/1/2024. When certification representative returned for unannounced monitoring on 9/17/2024, staff person #5 was last trained on emergency plan on 2/3/2023

During renewal inspection, peeling paint was observed in the blue room on the second floor of the facility. Additionally, girls' bathroom on the first floor had water damage to ceiling tiles. An acceptable plan of correction was received with a correction date of 6/18/2024. When certification representative returned for unannounced monitoring on 9/17/2024, girls' bathroom on the first floor had water damage to ceiling tiles.

During renewal inspection, health assessment on file for staff person #3 is a visit summary and does not include a statement stating that staff person #3 is free from communicable diseases and able to provide child care.

During renewal inspection, there was no staff evaluation on file for staff person #4, staff person #5, or staff person #8 (see LIS code sheet for start dates). An acceptable plan of correction was received with a correction date of 6/18/2024. When certification representative returned for unannounced monitoring on 9/17/2024, there was no staff evaluation on file for staff person #5 (see LIS code sheet for start date).

During renewal inspection, the following information was missing from children's emergency contact forms: Child #2: Father's work address. Child #3: Father's work address and work telephone number. Child #4: Father's work address and work telephone number. Child #5: Father's work address and work telephone number. Child #6: Father's work address. An acceptable plan of correction was received with a correction date of 6/18/2024. When certification representative returned for unannounced monitoring on 9/17/2024, the following information was missing from children's emergency contact forms: Child #2: Father's work address. Child #3: Father's work address and work telephone number. Child #4: Father's work address and work telephone number. Child #5: Father's work address and work telephone number.

During renewal inspection, staff person #3 did not have completed NSOR clearance on file. Staff person #3 has been employed at the facility for more than 45 days (see LIS code sheet for date of hire).

During renewal inspection, there were 20 children in the green room. Staff person #1 identified 10 children as being in their group. Staff person #2 identified 8 children as being in their group. Staff person #2 did not know the names of the children in their care and relied on assistance from staff person #1. Before rep departed room, both staff persons were assigned 10 children each.

During renewal inspection, staff person #4 was last trained on emergency plan on 6/18/2022. Staff person #5 was last trained on emergency plan on 2/3/2023. Staff person #4 was last trained on emergency plan on 11/28/2022.

During renewal inspection conducted 5/7/2024, first-aid kit in the multipurpose room was missing tweezers. First-aid kit in the toddler room was missing tape.

During renewal inspection, peeling paint was observed in the blue room on the second floor of the facility. Additionally, girls' bathroom on the first floor had water damage to ceiling tiles.

During renewal inspection conducted 5/7/2024, refrigerator in the infant room did not have a thermometer.

During renewal inspection, the following children's files did not indicate that they were immunized according to the recommendations of the ACIP: Child #2: 3 of 4 doses each of DTAP and Pneumococcal vaccines and 2 of 3 doses of HIB vaccine. Child #3: 3 of 4 doses each of DTAP and Pneumococcal vaccines and 2 of 3 doses of HIB vaccine.

During renewal inspection, the following health assessments were not updated within 24 months: Staff person #4: Health assessments on file dated 8/5/2021 and 5/2/2024. Staff person #5: Health assessments on file dated 1/24/2022 and 5/1/2024.

During renewal inspection, health assessment on file for staff person #2 is dated 8/31/2022 and does not include a TB test conducted within the past 12 months (see LIS code sheet for start date).

During renewal inspection, health assessment on file for staff person #3 is a visit summary and does not include a statement stating that staff person #3 is free from communicable diseases and able to provide child care.

During renewal inspection, manufacturers' instructions for use of car seats and booster seats were not present in the facility's van used for transportation.

During renewal inspection conducted 5/7/2024, first-aid kit used for transportation was missing soap and water.

During renewal inspection, facility's last fire drill was conducted 3/7/2024, which is past 60 days.

During renewal inspection, staff person #4 completed the required one-hour 2022 update on 4/25/2023. Health and safety training was to be completed no later than 12/30/2022.

During renewal inspection, fire safety training for staff person #5 was completed on 4/10/2024, which was past one year after hire (see LIS code sheet for SD). Fire safety training for staff person #4 was conducted 7/11/2022 and 11/11/2023, which is past one year. Fire safety training for staff person #8 was conducted 2/9/2023 and 4/10/2024, which is past one year.

During renewal inspection, staff person #3 completed CCDBG Health and Safety training on 2/1/2024, which was not within 90 days of their date of hire (see LIS code sheet for SD).

During renewal inspection, there was no staff evaluation on file for staff person #4, staff person #5, or staff person #8 (see LIS code sheet for start dates).

During renewal inspection, Child Service Report (CSR) for child #1 completed on 3/28/2024 was not signed/dated by parent/guardian.

During renewal inspection, the following information was missing from children's emergency contact forms: Child #2: Father's work address. Child #3: Father's work address and work telephone number. Child #4: Father's work address and work telephone number. Child #5: Father's work address and work telephone number. Child #6: Father's work address.

During renewal inspection, file for staff person #6 did not contain adequate documentation of experience to meet the qualifications for the position in which the staff person was hired.

During renewal inspection, staff person #6 did not have two written nonfamily references on file (see LIS code sheet for date of hire). Staff person #7 had two references dated 3/6/2024 and 3/10/2024, which was after start date (see LIS code sheet for start date).

During renewal inspection, staff person #4 obtained 6.5 hours of child care training for training year 6/18/2022-6/18/2023.

It was observed on 12/8/23 at approximately 8am, that the infant room was out of ratio. Staff person #1 was observed leaving the infant room to come open the facility's main door then staff person #1 walked back into the infant room with staff person #2. Staff person #1 and #2 were the only staff present in the infant room with 10 children: one preschooler, two older toddlers, three younger toddlers, and four infants.

It was observed that on 10/23/23, at approximately 10:35am, a child in the older toddler room opened the half door separating the older and younger toddler rooms. At that same time, child #1 was observed moving towards the door and tried to pull themselves up by grabbing on to the hinge side of the open door. The other child closed the door pinching the finger of child #1 in the hinge which resulted in child #1 needing emergency room treatment for their finger. On 11/24/23, an acceptable plan of correction was received from the facility stating that the facility doors have safety protectors to avoid pinch points and that they will maintain these protectors on all doors. On 12/8/23, during their plan of correction verification visit, it was observed that the above stated plan was not implemented. The following door hinges, within the facility, did not contain safety protectors: both sets of bathroom doors downstairs and upstairs, the upstairs door in the blue room, and the hinge on the toddler room portable half gate.

It was observed that on 10/23/23, an incident occurred at the facility requiring emergency medical care for child #1. The facility provided a written report of the incident to the appropriate regional office on 10/27/23, after being instructed to do so. This report was received more than 72 hours after the emergency room treatment took place.

It was observed that on 10/23/23, at approximately 10:35am, a child in the older toddler room opened the half door separating the older and younger toddler rooms. At that same time, child #1 was observed moving towards the door and tried to pull themselves up by grabbing on to the hinge side of the open door. The other child closed the door pinching the finger of child #1 in the hinge which resulted in child #1 needing emergency room treatment for their finger.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): all 10 Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

File for staff person #2 did not contain adequate documentation of education or experience to meet the qualifications for the position in which the staff person was hired.

It was observed and stated that staff persons #5 and #6, see code sheet for hire dates, both lived out of state within the last 5 years and out of state clearances were not on file for either staff person. File for staff person #9, see code sheet for hire date, did not contain a fully sign, dated, and witnessed disclosure statement.

It was observed and stated that an infant, unable to roll, was placed to sleep laying on their stomach, which is not in the position recommended by the AAP and no documentation of any type of medical reasoning for this was observed on file.

Written documentation was observed on file verifying that emergency plan training was completed by staff person #6 on 1/21/22 and 4/28/23; likewise written documentation on file for staff person #13 verified that emergency plan training was completed on 2/23/21 and 5/11/23. These dates show that emergency plan training was not completed for staff person #6 or #13 annually as required.

It was observed in the toddler room front that there was not at least 2 feet of space on at least 3 sides of the cots being used by children.

File for child #2, see code sheet for date of birth, contained two health reports which were dated 6/1/21 and 3/1/23. File for child #3, see code sheet for date of birth, contained only one health report dated 11/16/21. File for child #4, see code sheet for date of birth, contained two health reports dated 7/28/21 and 1/17/23. The files for child #2-#4 did not contain an updated health report dated 12 months from the previous health report on file which is required for the ages of these children.

Repeated noncompliance from inspection conducted on 3/30/23 was observed, staff did not wash infant's hands after diapering both during a complaint inspection on 3/30/23 and during a renewal inspection on 5/16/23.

It was observed that staff did not clean the changing table after diapering in the infant room.

File for staff person #1 and #9 did not contain a completed health assessment. File for staff person #2, see code sheet for date of hire, contained a health assessment dated 3/6/23 and a TB screening test result dated 4/28/23; these were not completed prior to initial service in a child care setting. File for staff person #10 did not contain the written results of a screening for TB. File for staff person #13 contained a health assessment dated 1/6/21, but an updated health assessment completed within the last 24 months was not found on file at the time of inspection.

File for staff person #11, who was hired to be the facility director, did not contain acceptable documentation of education or experience showing that staff person #11 is qualified to be the director of the facility.

It was stated by the facility and written down by the owner that the facility currently serves a maximum of 65 children at any given time with a total of 78 children enrolled. Upon review of all staff files, the facility does not have written documentation verifying that any staff employed at the facility are qualified to be working in a group supervisor position.

Files for staff person #3, #4, #10, and #12, who were employed as assistant group supervisors, did not have adequate documentation on file verifying 2 years experience working with children. Files for staff person #7, #8, and #9, who were employed as assistant group supervisors, did not have adequate documentation on file verifying a high school diploma or GED and 2 years experience working with children.

File for staff person #5, who was employed as an aide, did not contain documentation of 2 years experience working with children.

Agreements for child #7 and #8 did not contain the date of admission for the child, and agreement for child #7 also was not signed by the operator.

Emergency contact form for child #5 did not contain the name, address, or telephone number of the child's physician or source of medical care.

Emergency contact forms for child #3 - #8 did not include the enrolling parent's work address, and emergency contact forms for child #3, #4, #6, and #8 also did not include the enrolling parent's work telephone number.

Emergency contact forms for child #2, #4, #5, and #7 did not include the child's health insurance policy number and emergency contact forms for child #2 and #5 also did not include the name of the health insurance policy under which the child was covered.

Emergency contact forms for child #1, #4, #5, and #7 did not include the address of the designated release persons.

Files for child #1, #2, #4, #5, and #7 did not contain signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid by facility staff.

Files for staff person #2, #4, #5, and #10 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff person #1 and #2 were observed to be caring for children unsupervised. Staff person #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training Topics.

It was observed on video during a complaint investigation conducted on 3/30/23, that two staff were present in the infant room with five infants. One of the two staff persons walked out of the room leaving one staff person alone in the room with five infants.

It was observed on video during a complaint investigation that child #1 was changed at 10:24am and then again at approximately 3pm, and staff were not observed checking the child's diaper any time between 10:30a and 1:30pm.

It was observed on video during a complaint investigation conducted on 3/30/23, that neither staff nor children washed their hands before meals, and neither staff nor children washed their hands after diapering in the infant room. On 5/16/23, during a renewal inspection, staff person in the infant room washed their hands after diapering a child, but did not wash the child's hands after diapering.

It was observed on video during a complaint investigation that child #1 was moved from the table and placed in their crib at approximately 10:30am. Child #1 slept. However, when child #1 awoke staff did not ignore the child but did not remove the child from the crib either. Staff wheeled the crib over to where they were sitting and did not move the child out of the crib until 1:30p when they picked the child up and placed the child back at the table. The child was fed and then left to sit at the table watching TV until 3pm. From 10:30a-3pm staff did not provide the child with a choice of activities that recognized that individual child's needs.

Staff person #3, #4, and #5 have not completed the following required professional development training by the required due date of 12/30/22 (see code sheet for date of hire): the Pennsylvania Health and Safety Update 2022.

Staff person #2, #5, and #6 were observed to be caring for children unsupervised. Staff person #2, #5, and #6 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person #2, #3, and #4 were observed to be caring for children unsupervised. Staff person #2, #3, and #4 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training Topics.

File for staff person #2, hired (see code sheet), did not contain a FBI clearance.

It was observed that two bottles labeled as hand sanitizer were stored at the sink in the SA room accessible to children in care. It was stated by staff and observed that the one bottle of hand sanitizer did not contain hand sanitizer but was instead re-filled with hand soap; therefore the hand soap was not stored in an original labeled container specifying the contents.

It was observed that some of the rest cots used by the children in care were not labeled.

File for staff person #6, hired (see code sheet), did not contain a health assessment or TB test results dated within the 12 months of initial employment. The health assessment on file was dated 10/7/20, and the TB test result was dated 10/9/20.

It was observed that one staff person left facility property with a preschool aged child and transported that child in a vehicle alone. The staff person was the driver of the vehicle, therefore could not be counted in ratio.

It was observed and stated by staff that the facility did not conduct or log one emergency drill within the last 12 months.

It was observed that the facility did not have safe routes or pick up and drop off procedures posted in a conspicuous location used by parents. The operator could not verify that the facility notified traffic safety authorities annually in writing of the facility's pedestrian and vehicular routes around the child care facility.

Staff person #1 and #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training Topics.

Emergency contact form for child #1 did not contain the parent's work address or work telephone number.

Staff person #2 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 from a PQAS approved trainer and a PQAS approved curriculum.

It was observed that the facility did not provide to each enrolled family information on how to access the regulations in Chapter 3270 electronically with instructions for contacting the appropriate regional child care office.