KinderCare Learning Center 1279

The required out-of-state clearances on file Facility Person #2 were completed after their start date.

There were three uncovered outlets on the wall in reach of children in the Pre-K room.

There were cleaning supplies and diaper creams labeled "keep out of reach of children" in an unlocked cabinet under the changing table, in reach of children, in the Infant A room.

There was a first aid kit in the Pre-K room in a backpack on a low piece of equipment, in reach of children.

A first aid kit in the Preschool room did not include soap and included one bandaid.

There was a plastic toy storage bin the in Pre-K room with cracks, creating potential pinch points/sharp edges.

There were styrofoam bowls in the Toddler 2 A room and Preschool room which staff state are used for serving food.

The current health assessment on file for child #1, a preschooler, was completed more than 12 months after the previous health assessment on file for the child.

There were sample packets of burn cream in the first aid kit in the Infant A room - not labeled with the name of a specific child to be used for that child.

There was an infant, age 5 months, observed being bottle fed in the Infant A room. The staff person feeding the child was not holding them.

The maximum number of children in care at one time, as per staff statements, is 87. There is one group supervisor employed at the facility and working at least 30 hours per week.

The daily activity schedule was not posted in the Infant B room.

There were no child service report forms completed and on file for children # 1, #4, #5, #8 and #9. The current child service report forms completed and on file for children #2, #3, and #6 were completed more than 6 months after the child's last CSR was completed or 6 months after their start date.

The admission date specified on the agreement on file for child #8 was incorrect, according to other documentation and staff statements.

The emergency contact form on file for child # 7 did not include the health insurance policy number.

The most recent agreements on file for children #3, #4, #5 and #9 were not reviewed and updated by a parent in writing in the previous 6 months.

The TB test documentation previously reviewed and on file for Facility Person #1 was not on file.

While assessing supervision, at 12:12 PM, the CR observed 4 children in Room 4 sleeping on their rest mats with blankets covering their faces so that the staff person could not adequately supervise the children.

There was no child abuse clearance on file for Facility Person #1 from a state in which the facility person resided within the five year prior to hire.

There was no child abuse clearance for Facility Person #1 from a state in which they lived in the previous 5 years.

In the Toddler A room, there was disinfectant spray and diaper creams accessible to children in a cabinet under the changing table due to a faulty lock.

The following areas of peeling paint were observed: in the Pre-K room on the wall on the left side (from entry) in two areas near bulletin boards, and on the upper half of the back wall; in the Toddler A room, on the upper half of the walls opposite the entrance, and to the left of the door to the Toddler B room.

There was no documentation that the smoke detectors had been tested in the previous 30 days (last documented testing date was 12/6/24).

There were diaper creams and disinfectant spray accessible to children in the Toddler A room in the cabinet under the changing table due to a faulty lock.

There was peeling paint on the wall in the following locations: In the Pre-K room on the wall on the left side from the entrance in two areas near bulletin boards in on the back wall; in Toddler A on the wall opposite the main entrance and the left of the door to Toddler B.

There was a child's hydrocortisone cream in the Toddler B room not labeled with the child's name.

The most recent documented test of the facility's smoke alarms was dated 12/6/24, more than 30 days prior.

There was no documentation of the child care experience required for the staff classifications on file for Facility Persons #1 (group supervisor), #2 and #3 (assistant group supervisors).

There was only one nonfamily written reference on file for Facility Person #2.

There was not sufficient verification of the education and/or child care experience on file for Facility Person #1, #2, and #3 to qualify for their respective assigned classification levels.

There was only one written nonfamily reference on file for Facility Person #2.

The disclosure statement on file for Facility Person #3 was signed after their start date. The current criminal history and child abuse clearances on file for Facility Person #5 were completed more than 60 months after the previous clearances on file.

There was a small area of peeling paint on a wall in the Pre-K room near tjhe bulletin board by the television.

The current health assessment on file for child #3 was completed more than 12 months after the previous health assessment on file.

There was no immunization record on file for child #1, enrolled at the facility for more than 60 days.

The initial health assessment/ TB test on file for Facility Person #6 was completed more than 12 months prior to their start date.

More than 30 days passed between fire alarm testing occurring on 2/2/24 and then next again on 3/22/24, according to the testing dates documented.

The current pediatric first aid/CPR training documented and on file for Facility Person #1was completed more than 2 years after (after the expiration date) of the previous first aid training documented and on file.

Facility Person #3 was classified as an assistant group supervisor without documentation of the education required for the classification on file.

There were no child service reports completed and on file for children #2-#7 completed, and a copy given to the parents, in the last 6 months. The most recent/ only completed child service report on file for child #8 was completed more than 6 months after their start date.

The current emergency contact forms and agreements on file for children # 4. #5 and #7 were reviewed and updated by a parent in writing more than 6 months after the previous review/ update.

There was only one written nonfamily reference on file each for Facility Persons #2 and #4.

According to staff statements, there were often times when children were not properly supervised when supervised by Facility Persons #1 when Facility Person #1 was on their phone rather than paying attention to the children.

Video of an incident that was self-reported by the operator shows Facility Person #1 handling child #1 in an aggressive manner. On 3/27/24 at approximately 2:50, Facility Person #1 picked up child #1 and roughly put them on their cot, then Facility Person #1 repositioned the child by lifting and dropping their legs onto the cot. Facility Person #1 then pushed the child's head down roughly on the cot.

According to staff statements, Facility Person #1 was observed saying to infants in their care, "Shut up before I punch you," and "shut up before I choke you."

According to staff statements, Facility Person #1 was observed saying to infants and toddlers in the care harsh statements including "I hate you," "I can't stand you," and "Shut up."

According to staff statements, Facility Person #1, on multiple occasions, would play inappropriate music with vulgar language, including curse words, audible to children in their care.

According to staff interviews, Staff #1 has been observed yelling and swearing at children while redirecting them in the toddler room.

According to staff interviews, Staff #1 was observed being "physical" with toddler age children on more than one occasion while redirecting and asking a child "what is wrong?" Staff person #1 was said to hold a child down if Staff #1 wants them to sit and they don't want to sit. On 1/8/24 Child #1 reported to a staff person that Staff #1 grabbed their arm and pointed to their wrist that was red and blotchy. Previous incidents included Staff person #1 holding Child #1 by the foot while the child was crying and asked to be let go.

There was no documentation of completion of first aid training on file for Facility Person #2. Facility Person #2 was observed caring for children unsupervised.

According to documentation in the Facility Person #1 resided in another state within the 5 years prior to beginning employment at the facility. There was no child abuse clearance from this state on file for a Facility Person #1. The application for this clearance that was on file for Facility Person #1 was dated after their start date. (See IS code sheet.) Facility Person #2, a provisional hire with no NSOR clearance on file, was observed caring for children unsupervised. The FBI clearance on file for Facility Person #3 was incomplete and therefore invalid.

The most recent documented review of the emergency plan was dated 7/7/21.

There were divots and crevices in the solid poured surfacing under the play equipment in the outdoor Preschool and Pre-K play space, which created tripping hazards.

There was a small area of damage plaster on the wall by the door, near the cubbies, in the Pre-K room.

There was no thermometer in the refrigerator located between the Preschool and Pre-K room.

The current health assessments on file for children #2, #3, #5 and #7, all young toddlers, were completed more than 6 months after the previous health assessments on file.

There was no documentation of current influenza vaccines on file for children #1 and #5. The immunization record on file for child #8 indicated the child had insufficient does of the Hepatitis A vaccine, as recommended by the ACIP for a child of their age. Children #1, #5 and #8 must be dismissed from care by close of business 7/20/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

There were sample packets of medications (triple antibiotic ointment and burn cream) not labeled for the use of a specific child, in the first aid kit in the Preschool room.

There was a child's albuterol at the facility without signed consent from the parent to administer the medication.

The fire drill log on file indicates that fire drills were conducted on 12/1/22 then again on 2/7/23, as well as on 5/2/23 and then again on 7/3/23, more than 60 days apart in both instances.

The daily activity schedule was not posted in the Infant B room.

There were no child service reports on file for children #2-#7, all enrolled the facility more than 6 months.

The emergency contact forms and agreements on file for children#2, #3, #6, and #7, and the agreement on file for child #4, were reviewed and updated by a parent in writing more than 6 months after the previous review dates.

The cabinet in which the child files were stored was not kept locked.

The cabinet in which the staff files were stored was not kept locked.

The disclosure statements signed on file for Facility Persons #3, #4, #5, #7, #10, #12 and #14 were not dated. The current FBI clearance on file for Facility Person #7 was completed more than 60 months after the previous FBI clearance on file. Mandated reporter training documented and on file for Facility Person #6 was completed more than 90 days after their start date. The current mandated reporter training on file for Facility Person #7 was completed more than 60 months after the previous mandated reporter training.

There was no letter that is provided to the parents of enrolled children explaining the emergency plan.

There was an uncovered outlet on the wall in the Preschool room.

There was a bottle of glass cleaner and a bottle of disinfectant spray in an unlocked cabinet in the Pre-K room in reach of children.

The hot water temperature at a low sink in the Toddler B room was measured to be 120° F.

There was trim around two doors - the door from the preschool room exiting the building and the door in the Pre-K room leading to the staff room - that was detached and splintered.

There was peeling paint on the window frames in the Toddler B room.

In the Toddler A room, the sink at the changing station that children use to wash hands after diapering is not at the child's height, not was it equipped with steps to allow the children to reach the sink. Staff state they hold the children at the sink in order for them to wash their hands.

There was a rest mat in the Pre-K room not labeled with the name of the child whom it was used by.

There was no thermometer in the refrigerator in the Toddler A room.

The current health assessment on file for child #7, an infant, was completed more than 6 months after the previous health assessment on file.

The current health assessment on file for child #1, a preschooler, was completed more than 12 months after the previous health assessment. The most recent health assessment on file for child # 4, a preschooler, was completed on 6/8/21 (more than 12 months prior).

There was no documentation of a current flu vaccine (recommended annually by the ACIP) on file for children #1 and #6.

There was no written parental consent to administer an inhaler located in the Preschool room, and labeled with the child's name.

According to the documentation of diaper changes recorded in the Infant room, and as confirmed by staff statements, one of the infants' diapers was changed at 9:19 AM and then next checked and changed again at 11:50 AM.

The current health assessments on file for Facility Persons #6 and #11 were completed more than 24 months after the prior health assessments on file.

The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The hypothetical locations of the fire and the names of the facility persons participating in each fire drill were not recorded on the fire drill log.

The current pediatric first aid and CPR training documented and on file for Facility Person #5 was completed after the expiration of the previous first aid/CPR training documented and on file.

Facility Persons #1, #6 and #9 have not completed the following required pre-service training within 90 days of their date of hire (see IS code sheet).: Health and Safety training. Facility Persons #2, #3, #7 did not complete the following required preservice training within 90 days of their hire (see IS code sheet): Pediatric First Aid/CPR, from an PQAS -approved trainer and a PQAS- approved curriculum.

The current staff evaluation on file for Facility Person #6, #8 and #11 were completed more than 12 months after the prior completed evaluations on file.

Original agreements were on file for children #1, #2, #3, and #4.

The enrolling parent's work address and phone were not listed on the emergency contact form on file for child #1.

The release persons addresses were not listed on the emergency contact forms on file for children #1 and #6.

The emergency contact forms and agreements on file for children # 1, #3, #4, #5, #6, and #7 were not reviewed and updated by a parent i writing at least every 6 months.