KinderCare Learning Center 1050

Two staff persons #3 and #4, who are designated as aides were working together, unsupervised by another staff person qualified as an assistant group supervisor or higher. (corrected during inspection).

Staff person #1 did not follow the written feeding schedule obtained by the parent of child #1.

Staff persons #1 and #2 did not renew their certification in pediatric first-aid and CPR training before the expiration of their previous certification. (4/12/23, 10/7/25), 9/12/23, 10/7/25) respectively.

Staff persons #1 and #2, in the School-Age classroom, did not have primary care groups established (corrected during visit).

It was observed, in the Preschool bathroom (2nd bathroom) that many pieces of what appears to be insulation were covering the sink (seems to be falling down from ceiling).

Fire detection devices were not tested at least every 30 days (last documented testing date was 5/23/25). (tested during visit).

According to a review of the facility's CSRs, there was a 6-minute period of time on 5/12/25, in the DPS classroom (older toddlers) that there was only one staff person for 7 two-year old children. On 5/13/25, there were only two staff persons for 9 infants from 9:06 until 9:37 am. Several staff persons stated that it can sometimes take 15 minutes or more to correct the staff to child ratio when they notify admin that they are over ratio.

It was observed that the Preschool and Young Toddler bathrooms were dirty: both the floor and the toilets.

Staff person #1's Mandated Reporter training is not current. The most recent MR training expired in July of 2024.

Staff persons #1 and #2 are not consistently writing and providing incident reports to parents on the same day that the incident occurred. Some incidents occurred, and no incident reports could be located at the facility for these incidents.

It was observed, in the DPS classroom bathroom, that a Shark floor cleaner (with a long cord) was being stored in the bathroom. In the Toddler classroom bathroom, it was observed that there were two brooms laying across the toilets. Pieces of insulation were on a toilet, and there were several toys and books on the floor. (all corrected during inspection).

It was observed, in the Toddler classroom, that the rest equipment was labeled with numbers, but there was no chart indicating which child uses which rest cot. (corrected during inspection).

It was observed, in the Infant room, that the refrigerator in the front section of the room, did not have an operable thermometer. (corrected during inspection).

Child #6's record did not contain updated health reports in the proper timeframes when the child was an infant and a toddler (8/31/22, 1/14/25).

It was observed, in the Infant room, that a staff person did not wash a child's hands after being diapered (corrected during inspection).

It was observed, in the Infant room, that a staff person used her hands to open the hands-free covered trashcan to dispose of a diaper. This staff person did not clean the diaper changing surface after a diaper change. (both were corrected during inspection).

Staff persons #2, #4, #5, #6, and #7 did not have a health assessment completed within 24 months of their previous health assessment (7/21/22, 9/23/24), (11/15/22, most current), (7/11/22 most current), (12/27/22 most current), (7/13/22 most current) respectively.

Child #1 (infant) did not have a statement, written by the parent, giving the formula and feeding schedule.

Emergency drills exceeded the permitted annual timeframe between drills (9/25/23, 12/9/24).

Staff persons #3, and #5 did not renew their pediatric first-aid and CPR training on or before the expiration of the most current certification. (6/2022, 8/5/24), (5/17/22, 8/5/24) respectively.

The records of child #3, #4, and #9 did not contain completed child service reports every 6 months: 2/5/25 only, 2/5/25 only, 2/6/25 only, respectively. (see Code Sheet).

Child #4's agreement did not specify the date of the child's admission.

The parents of child #2 and #8 did not receive the original agreement. The originals were in the children's files.

Child #2's emergency contact information did not include the enrolling parent's work address and telephone number. Child #6's emergency contact information does not include the enrolling parent's work telephone number.

The emergency contact information of child #3, #6, and #10 did not include the health insurance policy number.

The parents of children #3, #4, #6, and #9 did not review and update the emergency contact information and the financial agreement at least once in a 6-month period. See Code Sheet

Child #7's record did not contain signed parental consent for emergency medical care and signed parental consent for administration of minor first-aid for the child. (corrected during inspection)

Staff persons #4 and 5 were observed to be caring for children unsupervised. Staff persons #4 and 5 have not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR. (Corrected during inspection)

Staff persons #1 and #2 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. (6/1/22, 8/5/24) and (6/1/22, 8/5/24) respectively.

Staff persons #3, 4, 5, and 6 have not completed the following required pre-service training within 90 days of their date of hire (see Code Sheet): Pediatric First-Aid and CPR.

Staff #3 and #5's files do not contain a completed Disclosure Statement. Staff person #4's file does not contain FBI and NSOR clearances and has worked at the facility for more than 45 days (receipt of applying 4/5/24 and 4/3/24 respectively). Staff person #11's file does not contain a State Police clearance. See Code Sheet CONTINUED DEFICIENCY: The provider failed to follow the plan of correction regarding this same violation from inspections on 7/25/24 and 8/15/24. Plan of correction stated, " Staff Person's 3 and 11 are no longer employed by KinderCare. Proof will be sent. Staff person #5 will sign new disclosure statement and proof will be added to staff file Staff person #4 already received NSOR and FBI fingerprints. Proof was sent to OCDEL representative on 8/28/24. Copies of both clearances were placed in employees files." No proof was provided that staff persons #3 and #11 are no longer employed at this facility.

It was observed that, in the Infant room, there was a broken crib drawer. The drawer was hanging down. There were 12 rest mats in the PreK room with the foam exposed. There were 8 rest mats in the Preschool room with the foam exposed. It was observed in the Preschool room that the blue cabinet (near back window) handle was broken. The lidded trashcan in the Preschool room girls' bathroom was broken. The Toddlers classroom contained a bean bag chair with two large tears; A blue vinyl couch (front space of Toddlers) had several areas of foam exposed on both armrests. CONTINUED DEFICIENCY: Provider failed to follow the plan of correction regarding the same violation from inspection of 7/25/24 and 8/15/24. Plan of correction stated, " Crib drawer in infant room will either be fixed or fully replaced. Pictures will be provided All rest mats with foam exposed will be replaced instead of mended to ensure they are in good condition. Pictures will be provided. Preschool blue teacher cabinet will receive new handles to ensure the ability to safety lock cabinet. Pictures will be provided Preschool girls bathroom trashcan was replaced with fully functioning trash can. Pictures will be…

It was observed, in the PreK and the Preschool rooms, that the rest equipment was not labeled for the use of a specific child. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24.Plan of correction stated, "Both the preschool and prek classrooms will label all rest equipment for a specific child. Proof will be sent."

Children #5, 6, and 10 did not have updated health assessments on file in the acceptable timeframe (one year) for their ages (most current on record 7/25/22, 10/20/22, 8/2022 respectively). See Code Sheet CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24. Plan of correction stated, "Child #5 is no longer enrolled, proof will be sent to OCDEL representative. Children #6 and #10 will obtain new and updated health assessments. Proof will be added to children's files and also sent to OCDEL representative" As of the 10/9/24 visit, there was no current health assessment for child #10 on file. SEE CODE SHEET

Staff person #1 and #9's initial health assessments are dated after providing initial service in the child care setting (dated 12/7/23 and 5/8/24 respectively). See Code Sheet. Staff persons #6 and #10 have no initial health assessment on record. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24. Plan of correction stated," Staff persons #6 and 10 will obtain a fully filled out health assessment. Proof will be sent to OCDEL Representative and placed in staff file."

Staff person #8 and #11's health assessments do not include an examination for communicable diseases and the results of that examination, and do not include the physician's or CRNP's assessment of the person's suitability to provide child care. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24. Plan of correction stated, "Staff person 11 is no longer employed by Kindercare, proof of termination will be sent to OCDEL representative. Staff person 8 will receive updated heath assessment to ensure all necessary information is documented. Proof will be placed in staff file and sent to OCDEL Representative."

Documentation of testing of the fire detection devices exceeded the permitted at least every 30 days timeframe. CONTINUED DEFICIENCY; Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24.Plan of correction stated, "Testing of fire detection devices will be completed every 30 days and proof placed in fire drill binder and proof also provided to OCDEL Representative." At 10/9/24 visit, the documented testing of the fire detection devices exceeded the permitted at least every 30 days (7/11/24, 8/29/24, none in September).

The operator did notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility (last one sent 8/1/22). CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24. Plan of correction stated, "Center director will notify local traffic safety authorities in writing of location of facility and programs use of pedestrian and vehicular routes. Proof will be filed in center and sent to OCDEL Representative."

Staff persons #1, 10, and 13 have not completed fire safety training at least annually (most current 4/25/22, 2/18/23, 7/8/21 respectively. Staff persons #2, 8, 11, and 12 have no record of participating in fire safety training. See Code Sheet. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspections of 7/25/24 and 8/15/24. Plan Of Correction stated, "Staff persons 13 and 11 are no longer with Kindercare. Proof of termination will be sent. Staff persons 1, 2, 8, 10 and 12 will all complete updated fire safety trainings and proof added to their files." As of 10/9/24, staff persons #1, 2, 8, 10, and 12 have no record of current fire safety training on file. No proof of termination for staff persons 11 and 13 was provided.

Staff person #-3 has not completed the following required pre-service training within 90 days of their date of hire (see Code Sheet): Pediatric First-Aid and CPR and 10-hour Health and Safety training. Staff person #11 has no record of completing the 10-hour health and safety training. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection dates of 7/25/24 and 8/15/24 (renewal inspection). Plan of correction stated "Staff person 3 and 11 are no longer with the facility and proof of termination will be provided. However, Kindercare did receive staff person 3's CPR, First Aid card. This card will also be provided." On 10/9/24, Cert Rep did view staff person #3's current pediatric FA/CPR training proof. No proof of termination of employment was provided for staff person #11.

It is observed that the Director, Staff person #14, is not maintaining responsibility for the general management of the facility evidenced by the multiple violations recorded on the 2024 renewal inspection summary regarding numerous missing required documents to be present in all staff files. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection on 7/25/24 and 8/15/24. Plan of correction stated, "Staff person's 13 is no longer employed by Kindercare. Proof will be sent reflecting this. Staff persons 14 and 15 will contact the Central Regional Office to schedule training. Proof of training being scheduled will be provided. In the event a new Assistant director is hired prior to training, they will also attend training." As of 10/10/24, the Area Leader, staff person #15, failed to follow the Directed plan of correction regarding this same violation by not attending the Existing Provider Orientation class conducted on 10/10/24.

Staff persons #1,2,7,8,10,11, and 12 do not have a written staff evaluation on file within the last 12 months. CONTINUED DEFICIENCY: Provider failed to follow the plan of correction regarding the same violation from inspection of 7/25/24 and 8/15/24. Plan of correction stated, "Staff persons 7 and 11 are no longer Kindercare employees, proof will be sent. Staff persons 1, 2, 8,10 and 12 will all receive a written evaluation and proof added to their files." As of 10/9/24, no proof was provided that staff persons #7 and #11 are no longer Kindercare employees. No staff evaluations were provided for staff persons #1,2, 8, 10 and 12.

Staff person #1 and #10 were being utilized as an Assistant Group Supervisor without the proof of 2 years of experience working with children on file. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection of 7/25/24 and 8/15/24. Plan of correction stated, "Staff persons 1 and 10 will provide proof of education and at least 2 years of experience. Proof will be added to their files."

Staff persons #4, 6, 8, 10 have no verification of education on record. Staff person #12's record contains a Bachelor's degree with no inclusion of the major/field of education and has been working as a Group Supervisor. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24. Plan of correction stated, "Staff persons 4,6,8,10 and 12 will all obtain correct proof of education to be added to files. Proof will also be sent to OCDEL representative."

The following staff persons' records do not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person: #4, 6, 7, and #11. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection date of 7/25/24 and 8/15/24. Plan of correction stated, " Staff persons 7 and 11 are no longer KinderCare employees, proof will be sent to OCDEL representative. Staff persons 4 and 6 will obtain two written references attesting to the persons suitability to serve as a facility person. Proof will be added to staff files and sent to OCDEL Representative."

There was no certificate of occupancy on file at the facility. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection dates of 7/25/24 and 8/15/24. Plan of correction stated "Certificate of occupancy will be obtained and provided to OCDEL representative."

Staff person #2's file did not contain an FBI clearance (and no proof of being fingerprinted). Staff person #2's Disclosure Statement was not witnessed or dated.

Staff are not checking/changing the children's diapers in the required timeframe of at least every 2 hours.

The testing of the fire detection system exceeded the permitted at least every 30 days timeframe (7/11/24, 8/29/24).

Staff person #1 and #2's files did not include verification of child care experience and education.

Staff person #2's record did not contain an initial health report including the results of an initial TB test.

Staff person #1did not supervise the children in his care for a period of approximately 3 minutes. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection of 6/25/24. Maintenance plan of correction stated, "All staff persons will receive additional supervision training to ensure they understand that they know not to ever leave children unsupervised. Proof of training will be placed in each staff persons file. All children will be properly supervised at all times."

Staff person #1 was not physically present with the children he was responsible to supervise. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection of 6/25/24. Maintenance plan of correction stated, "All staff persons shall receive additional supervision training of knowing their specific group of children. Proof of training will be placed in their staff files. Staff will properly supervise children at all times."

Staff person #1 pushed a child down onto the mat (when child refused to nap) and hit the child's back. Staff person #1 was not physically present with the children he was responsible to supervise. CONTINUED DEFICIENCY: Provider failed to follow plan of correction regarding the same violation from inspection of 6/25/24. Maintenance plan of correction stated, " All staff persons will receive additional training on child abuse, with a focus on not using physical punishment of any kind. Proof will be placed in each staff persons files."

Staff #3 and #5's files do not contain a completed Disclosure Statement. Staff person #4's file does not contain FBI and NSOR clearances and has worked at the facility for more than 45 days (receipt of applying 4/5/24 and 4/3/24 respectively). Staff person #11's file does not contain a State Police clearance. See Code Sheet

Staff person #1 used physical punishment on children #1 through #3: flicking their hands and feet; throwing a toy at children to correct behavior; and tossing a child aside on the floor instead of lifting properly and placing the child on the floor.

Staff persons #1, 12, and 13 have not received emergency plan training within the last year (most current dated 4/10/22, 6/17/20, and 6/17/22 respectively). Staff persons #2, 3, 4, 6, 8, 10, and 11 have no record of receiving emergency plan training. Staff persons #5, and 9 completed their emergency plan training after 90 days of initial employment (training dated 7/5/24 for both). See Code Sheet

It was observed that toxins were accessible in the following child care spaces: Infant room, 3 tubes of diaper cream in bottom drawer of changing table; PreK room 3 bottles of sanitizing solution were accessible to children in orange cabinet (both corrected during inspection).

It was observed, in the PreK boys' bathroom, that the flooring around the drain is broken/peeled away.

It was observed, in the Preschool boys' bathroom, that there was no lidded waste receptacle.

It was observed that, in the Infant room, there was a broken crib drawer. The drawer was hanging down. There were 12 rest mats in the PreK room with the foam exposed. There were 8 rest mats in the Preschool room with the foam exposed. It was observed in the Preschool room that the blue cabinet (near back window) handle was broken. The lidded trashcan in the Preschool room girls' bathroom was broken. The Toddlers classroom contained a bean bag chair with two large tears; A blue vinyl couch (front space of Toddlers) had several areas of foam exposed on both armrests.

It was observed, in the PreK and the Preschool rooms, that the rest equipment was not labeled for the use of a specific child.

Children #5, 6, and 10 did not have updated health assessments on file in the acceptable timeframe (one year) for their ages (most current on record 7/25/22, 10/20/22, 8/2022 respectively). See Code Sheet

It was observed, in the DPS room, that an EpiPen and medicated ointment for a child were stored at the facility, without medication logs being completed.

Staff person #1 and #9's initial health assessments are dated after providing initial service in the child care setting (dated 12/7/23 and 5/8/24 respectively). See Code Sheet. Staff persons #6 and #10 have no initial health assessment on record.

Staff person #8 and #11's health assessments do not include an examination for communicable diseases and the results of that examination, and do not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Staff persons in four of the classrooms stated that if children request additional food after eating what is served to them for lunch, they frequently do not have additional food to offer the children.

One of the vehicle's (Lic # OB-89116) insurance and registration on record are expired (Dec 2023, 6/30/24 respectively).

Documentation of testing of the fire detection devices exceeded the permitted at least every 30 days timeframe (5/11/24, 6/18/24)

Child #1, 4, and 9 records did not contain an initial health assessment within the first 60 days of attendance at the facility (health assessment dated 7/13/23, 7/25/24, none respectively on file) See Code Sheet.

The operator did notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility (last one sent 8/1/22).

The facility did not have general liability insurance coverage on file at the facility.

Staff persons #1, 10, and 13 have not completed fire safety training at least annually (most current 4/25/22, 2/18/23, 7/8/21 respectively. Staff persons #2, 8, 11, and 12 have no record of participating in fire safety training. See Code Sheet.

Staff person #-3 has not completed the following required pre-service training within 90 days of their date of hire (see Code Sheet): Pediatric First-Aid and CPR and 10-hour Health and Safety training. Staff person #11 has no record of completing the 10-hour health and safety training.

It is observed that the Director, Staff person #14, is not maintaining responsibility for the general management of the facility evidenced by the multiple violations recorded on the 2024 renewal inspection summary regarding numerous missing required documents to be present in all staff files.

Staff persons #1,2,7,8,10,11, and 12 do not have a written staff evaluation on file within the last 12 months.

Staff person #1 and #10 were being utilized as an Assistant Group Supervisor without the proof of 2 years of experience working with children on file.

The agreements of children #2,3,4,5,8 and 9 were not signed by the operator. The agreements of children #2 and 10 were not signed by the parent.

The agreements of children #1,2,4,5, and 7 do not specify the amount of the fee to be charged per day or per week. The files of children #1-7 and 10 did not contain child service reports (within the last 6 months) informing the family about the child's growth and development.

Child #4 and #6's agreements did not specify the persons designated by a parent to whom the child may be released. The agreements of children #1,2,3,4,6,7,9, and 10 did not specify the date of the child's admission.

The parents of children #1 through #10 did not receive the original agreement. Originals were in children's files.

The emergency contact information of child #9 did not include the emergency contact name and telephone number and the name of the name, address, and telephone number of the child's physician.

Child #8's emergency contact information did not include the enrolling parent's work telephone number.

Emergency contact information of children #4, 5, and 9 do not include the health insurance policy number. Child #9's health insurance coverage is also not included on the emergency contact information. Emergency contact information of children #1, 4, and 5 do not include the release person's address.

The agreements and emergency contact information of children 1 through 7, and 10 were not reviewed and updated at least once in a 6-month period. Child #9's agreement was not updated at least once in a 6-month period.

Staff persons #4, 6, 8, 10 have no verification of education on record. Staff person #12's record contains a Bachelor's degree with no inclusion of the major/field of education and has been working as a Group Supervisor.

The following staff persons' records do not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person: #4, 6, 7, and #11.

There was no certificate of occupancy on file at the facility.

Staff person #1, 11, 12, and 13 records did not contain proof of obtaining an annual minimum of 12 clock hours of child care training.

Staff person #1did not supervise the children in his care for a period of approximately 3 minutes.

Staff person #1 was not physically present with the children he was responsible to supervise.

Staff person #1 pushed a child down onto the mat (when child refused to nap) and hit the child's back.

Staff person #6's Disclosure Statement is not dated.

Staff persons #1, #4, #7, and #9 have no record of emergency plan training and have been employed for longer than 90 days: see code sheet. Staff person #2's most current emergency plan training was 5/4/22, which exceeds the annual basis acceptable timeframe. Staff person #5's most current emergency plan training is dated 4/26/22. Staff person #8's most current emergency plan training is dated 6/25/20.

Staff person #4's health assessment is dated 4/7/24, which is 60 days after the first day working at the facility. See Code Sheet. Staff person #7's file does not contain a health assessment.

Staff person #1's health assessment does not include tuberculosis screening by the Mantoux method at initial employment. Staff person #4's record does not include tuberculosis screening by the Mantoux method at initial employment.

Staff person #1's health assessment does not include an examination for communicable diseases and the results of that examination and does not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Staff persons #2, #3, #5, and #8 do not have a record of completing the required annual fire safety training on file. #2's most current 3/22/22; #3's most current 1/10/22; #5 and #8 none on record;

Staff person #2, #3, #5, and #8 do not have staff evaluations on file within the last 12 months.

Staff person #1 has no verification of education and experience on file and has been unsupervised. Staff person #2, #5, #6, and #9 do not have the required 2+ years of experience on file to be unsupervised, yet have been unsupervised.

Staff person #1, #2, #6, #7, and #9's files do not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During staff interviews, Staff Person #1 and Staff Person #2 stated that Staff Person #1's attention was diverted from Child #1 (DOB see LIS code sheet) and was unaware Child #1 had crawled over to a chair with a loose hanging safety strap becoming entangled until Staff Person #2 saw it and alerted Staff Person #1 of the situation.

The file for Staff Person #1(DOH see LIS code sheet) contains a disclosure statement signed by the staff person; however, it does not contain a witness signature or a date. The file for Staff Person #2 (DOH see LIS code sheet) does not contain the results for the DHS FBI clearance. The file for Staff Person #3 (DOH see LIS code sheet) contains a PDE FBI clearance dated 8/1/2022 and not the required DHS FBI clearance. The file also contains documentation the NSOR verification was applied for on 1/8/2021; however, the results of the NSOR are not contained in the file. The file for Staff Person #4 (DOH see LIS code sheet) does not contain a disclosure statement and contains documentation fingerprints were submitted for the DHS FBI clearance on 9/5/2023; however, results are not on file. The file contains documentation the NSOR verification was applied for on 9/7/2023; however, results of the NSOR are not contained in the file. The file for Staff Person #5 (DOH see LIS code sheet) contains a Child Abuse clearance dated 7/10/2018, a PDE FBI clearance dated 7/11/2018, and mandated reporter training dated 2/12/2019, all of which are more than 60 months and are no longer valid. The file…

Upon review of log sheets contained in the app used to communicate with parents it was observed that Child #1 was in attendance at the facility from 10:06 am - 4:37pm and their diaper was only changed at 10:41am, which exceeds to the requirement that a child's diaper is checked at least every 2 hours.

The facility director admitted that the sprinkler system had not been operational since at least August 2023. An inspection report from May 2024 was reviewed and listed this deficiency.

It was observed on 5/9/2024 the chairs with an attachable tray being used in the Infant room contain a safety strap that loops around the back of the chair creating a strangulation hazard. The director told representatives of the Department the chair height is 11". As per the manufacture's website for Jonti-Craft, the recommended age for an 11" chair is 2 years.

Child #1's record does not contain an injury report from an incident that occurred in November 2023, when the child had injuries around their neck they sustained at the center after becoming entangled in a safety strap on a chair in the Infant room.

Facility person #10 (DOH see LIS code sheet) has not completed the required one-hour Pennsylvania Health and Safety Update 2022 by December 30, 2022.

Staff person #3 (DOH see LIS code sheet) does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 3/22/2024. Staff person #7 (DOH see LIS code sheet) does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 3/17/2024. Staff person #11 (DOH see LIS code sheet) does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 1/2023.

Staff person # 3 (DOH see LIS code sheet) has documentation of completing the required one-hour Pennsylvania Health and Safety Update 2022; however, they do not have documentation of completing the Health and Safety training listed in subsections (f)1-9. Staff person # 5 (DOH see LIS code sheet) has documentation of completing the required one-hour Pennsylvania Health and Safety Update 2002; however, they do not have documentation of completing the Health and Safety training listed in subsections (f)1-9.

Staff Person #9 (DOH see LIS code sheet) has not completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff Person #10 (DOH see LIS code sheet) has not completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff Person #12 (DOH see LIS code sheet) has not completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff person #1 pulled child #1 one by the arm/wrist to go outside while the child was crying and resisting.

Staff person #6 did not report the incident of staff person #7 pulling a crying/resisting child across the room by one arm to Childline, after witnessing this scenario. Staff persons #4 and #5 did not report this scenario to Childline after this incident was reported to them.

Staff person #2's file does not contain the PA State Police Clearance.) SEE CODE SHEET). Staff person #3's Disclosure Statement on record is not dated or witnessed.

It was observed in the Toddler Room (front and back) and in the Discovery Preschool Room, that there was not two feet of space on three sides of the rest mats when in use (corrected during inspection).

Staff person #1's Mantoux/TB test results are dated greater than the permitted 12 months prior to initial service in the child care facility (12/2/22). SEE CODE SHEET

Staff person #1's health assessment on record does not include an examination for communicable diseases and the results of that examination and does not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The documentation of fire drills conducted on record exceeded the permitted at least once every 60 days' timeframe (most current 10/12/23). The most current documented date of testing the fire detection devices is 10/12/23 (tested fire detection devices during the 2/22/24 visit)

Staff person #3's record does not contain verification of education.

Staff person #1 and #3's records do not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff person #1 did not have a health assessment on record prior to providing initial service at the child care facility. SEE CODE SHEET

Staff person #7's file did not contain the previous State Police Clearance. Staff person #4's Disclosure Statement is not dated. Staff person #9's time between Child abuse clearances and FBI clearances exceeded the permitted every 60 months' timeframe: 8/26/16, 1/11/22 for child abuse and 8/24/16 and 1/18/22 for FBI.

It was observed, in the Toddler room (front space) that furniture was blocking the staff from viewing some of the children while napping (corrected during inspection).

Staff persons #3, #6, #7, and #8, #9, #10, and #11's records do not contain proof of current annual emergency plan training. SEE CODE SHEET The facility's emergency plan did not contain a Continuity Of Operations plan (corrected during inspection). Staff person #6 has no record of having completed the required Health and Safety one-hour update training. Staff person #11 completed the one-hour Health and Safety update training after the deadline of 12/30/22 (completed on 1/3/23).

The facility's emergency plan did not provide for 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.

It was observed that, in the PreK room, toxins were accessible to children in the orange cabinet: 3 bottles of hand sanitizer (corrected during inspection). It was observed that the staff restroom was accessible and contained the following toxins in unsecured cabinets within reach of children: Clorox disinfectant wipes, Berry Mist body spray, Goo B Gone, Dry Ice packs, and Alka Seltzer (corrected during inspection)

It was observed that the water temperature exceeded 110 degrees F in the following room: Infant classroom (front space0 sink (119.5 deg); Infant (back space) class sink (122 deg); Toddler bathroom sink (111.4 deg); Discover Pre-School class sink (116 deg) (all corrected during inspection).

It was observed that the facility's kitchen is accessible to children with two ovens and knives (in drawers) accessible to the children. The Discovery Preschool classroom sink is draining very slowly, causing the sink to fill up with water each time it is used. It was observed that the playground used by children 3 years and older (mulch) contained a Little Tikes piece of climbing equipment with a separation and cracks between the overlay material and the supporting structure (on first red platform after the steps). A sharp edge is exposed, creating a potential cutting/pinching hazard to children.

It was observed that the toilets in the Toddler room, the Pre-K room, and the Discovery Preschool rooms are not in good repair. The enamel coating is worn away leaving the toilets with a large surface area that is black/brown. One toilet, in the Discovery Preschool room has a toilet that is not flushing properly (furthest to left). In the Pre-K bathroom, the metal plate behind the water shut off knob for the toilet is rusted and not attached to the wall. In the Kindergarten bathroom, the metal plate behind the water shut-off knob for the toilet is rusted.

It was observed that the facility is using Styrofoam bowls for the children's lunches.

It was observed that the rest equipment in the Discovery Pre-School, Pre-school, and PreK rooms were not labeled for the use of a specified child.

It was observed in the Toddler room (front space) that there was not 2 feet of space on three sides of the rest equipment while in use (corrected during inspection). There was not 2 feet of space on three sides of the cribs in use in the Infant classroom.

Child #3 and #4's records do not contain any record of receiving the Influenza immunization. Child #2's most recent Influenza immunization on record was 11/5/21 and child #5's most recent Influenza immunization on record was 12/29/21. No letters of exemption on record for any of these children. SEE CODE SHEET

It was observed that a staff person in the Infant room did not wash a child's hands after being diapered (corrected during inspection). It was observed in the Toddler room (back space) that the staff did not wash their hands or the children's hands before eating.

It was observed, in the Toddler room (back section) that there was no hands-free covered can near the diaper changing area.

It was observed, in the Toddler room (back space) that the diaper changing surface was not cleaned after changing a child's diaper (corrected during inspection).

Staff persons #9, #10, and #11's time between health assessments exceeded the permitted every 24 months' timeframe: (1/3/18, 5/12/22), (9/6/19, 8/16/22), (2/18/19, 7/13/22) respectively.

It was observed that only 3 of the 8 infants had a parent-written statement at the facility giving the formula and feeding schedule for the infant.

It was observed that staff person #1, in the Infant room, was not holding an infant younger than 6 months of age while being bottle fed (corrected during inspection).

It was observed that one vehicle's (plate OB85887) first-aid kit did not contain tweezers.

The facility's emergency plan did not provide for accommodations for toddlers (corrected during inspection).

There was no documentation of any annual emergency drills on record at the facility.

The facility did not have proof of purchase of the interconnected fire detection system on record at the facility (corrected during inspection by completing the attestation form).

The timeframe between the completion of pediatric first-aid and CPR training exceeded the permitted every 24 months' timeframe for staff persons #10 and #11 (1/31/19, 6/21/22), (8/17/17, 6/1/22) respectively.

Staff person #6's most current Fire Safety training on record is dated 6/29/22. Staff person #8's most recent Fire Safety training on record is dated 12/30/20.

Staff person #6's record did not contain an annual staff evaluation. SEE CODE SHEET

Child #2, #3, #4, #5, #8 and #9's files did not contain an assessment with information to the family about the child's growth and development in the context of the services being provided, within the last 6 months.

Child #2' and #5's agreements did not specify the persons designated by a parent to whom the child may be released.

The parents of child #1 through #9 did not receive the original agreements. The originals were in the children's files.

Child #2's emergency contact information does not include the work telephone number of the enrolling parent.

Child #3's emergency contact information does not include the health insurance policy number. Child #7's emergency contact information does not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits,

Child #2's emergency contact information did not include the release person's complete address.

Child #1 and #2's records did not contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff.

Staff person #2 and #5's records do not contain verification of child care experience required for them to be utilized as an AGS, as they are being utilized. Staff person #3 and #4's records do not contain verification of graduating from HS. Staff person #6's Bachelor's degree information on record does not indicate if the major was in a Human Services related field.

Staff person #9's record did not contain the pediatric first-aid and CPR training certificate prior to 12/9/21. SEE CODE SHEET

Staff persons #2, #3, #4, #5, #6, #7, #9, and #10's records do not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff person #8 did not complete pediatric first-aid and CPR within the first 90 days of hire. Completed on 8/4/21. SEE CODE SHEET

Information on how to access the regulations in this chapter electronically was not provided to the parent of each enrolled child (corrected during inspection).

Staff person #9 did not complete 12 hours of annual professional development between December 19, 2021 and December 19, 2022.

Staff person #1 called child #1 (3 yrs old) a baby and told the child she would treat him/her like a baby because he/she was acting like a baby, when the child was refusing to nap in the preschool room.

Staff person #1 carried child #1 (3 yrs) from the preschool room to the Infant room (while child was crying) and placed the child in a crib for up to 15 minutes.

The facility had no documentation of fire drills on record (conducted fire drill during this UM visit).

Staff #1's and #2's files have no record of having completed the required 1 hour Health and Safety required training, which was due by 12/30/22.

Staff person #2's file has no record of completing the following required pre-service training within 90 days of their date of hire: Pediatric First-Aid and CPR (see LIS code sheet)

Documentation of testing the smoke detectors at least every 30 days was not on file at the facility.

Staff person #-1has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Basics.

Staff person #1 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Staff person #1's Pediatric First-Aid and CPR trainer was not PQAS certified (taken 1/18/21).

Staff person #2 had no record of completing the required pre-service training within 90 days from the date of hire.

Staff person number 1 had an FBI clearance dated 2/8/16 and an updated clearance dated 7/12/21, which is greater than 60 months. Staff number 2 had and FBI clearance dated 8/24/16 and updated on 1/18/22, which is greater than 60 months Staff number 11 had a state police clearance dated 7/7/22, FBI clearance dated 4/19/22, and an NSOR clearance dated 10/19/21. Clearances were not obtained prior to the staff's first day working with children.

The Blue bus, license plate number OB-84206, did not have a valid vehicle registration. Bus number 19144, License plate number OB89116, did not have a valid vehicle registration.

Staff number 1 had a health assessment dated 2/18/20 and a new health assessment dated 4/22/22, which is greater than 24 months. Staff number 3 had a health assessment dated 8/16/19 and an updated health assessment dated 10/5/21, which is greater than 24 months. Staff number 4 had a health assessment dated 9/16/19 and an updated health assessment on 8/16/22, which is greater than 24 months. Staff number 5 had a health assessment dated 9/27/19 and an updated health assessment on 12/1/21, which is greater than 24 months. Staff number 6 had a health assessment dated 7/12/19 and updated on 7/19/22, which is greater than 24 months. Staff number 7 had a health assessment dated 7/25/19 and does not have an updated health assessment on file. Staff number 8 has a health assessment dated 2/18/19 and updated on 7/13/22, which is greater than 24 months. Staff number 10 has a health assessment dated 1/27/20 and does not have an updated health assessment on file Staff number 11 did not have a health assessment completed at initial employment. Health assessment dated 4/29/22

Staff person # 7 has not completed the following required pre-service training in Pediatric CPR/First Aide within 90 days of their date of hire (see LIS code sheet) Staff person # 8 has not completed the following required pre-service training in Pediatric CPR/First Aide within 90 days of their date of hire (see LIS code sheet)

Staff person number 1,2,3,4,5,6 and 7 did not have training in health and safety topics completed within the first 90 days of hire. All trainings were completed the day after inspection

Facility had 2 copies of incident reports. One copy was signed by the parent and sent home and the other copy was placed in the child's file. Facility did not have a third copy of incident reports located in a master file containing all incident reports.