KinderCare Learning Center 301716

Observed staff person #1 was directing children in the Preschool classroom to clean up the room. A child was running in the room playing instead of cleaning up. Staff person #1 grabbed the child by the wrist and held their wrist while walking around the room picking up toys, leading the child with them wherever they went. When Certification Representative stated for staff person #1 to let go of the child, staff person #1 stated they had to hold onto the child or they will keep running around the room. The child had been playing and running in various areas of the classroom but was not causing harm to themself or others while doing so.

During naptime, observed staff person #2 did not know the names of the children in their assigned group in the Preschool classroom. There was a total of 17 preschool age children in the room and staff person #3 named 6 of the children in their assigned group. Continued noncompliance previously cited on 07/17/2025, On 07/17/2025, observed staff person #3 did not know the names of the 4 older toddlers in their assigned group in the DPS 2 classroom. On 07/18/2025, observed staff person #1 sitting inside the bathroom located in the DPS 2 classroom to assist a child being changed before lunch. Staff person #1 was unable to see, hear, direct and assess the remaining 5 older toddlers in the classroom from their position in the bathroom. The mirror in the classroom to assist with supervision does not allow staff to see the right side of the classroom next to the cubbies and the small area around the corner near the gate that enters into the classroom. While staff person #1 was in the bathroom, children were observed playing in the area where staff was unable to supervise the children.

Observed the hot water temperatures of the sinks used by the children throughout the building exceeded 110° F. The sink on the left in the Discovery Preschool 2 classroom reached a temperature of 111° F. The sink on the left in the Preschool classroom reached a temperature of 113° F. The sink on the left in the PreK classroom reached a temperature of 114° F. The sink in the Preschool/Young school-age bathroom on the left reached a temperature of 111° F. The sink in the school-age bathrooms on the right and left reached a temperature of 112° F. Continued noncompliance previously cited on 07/17/2025. Observed the hot water temperatures of the sinks used by the children throughout the building exceeded 110° F. The school-age classroom sink reached 122° F. The sink in the school age bathroom on the left reached 122° F. The sink in the school age bathroom on the right reached 120° F. The preschool/young school age classroom sink reached 124° F. The preschool/young school age bathroom on the left reached 122° F. The preschool/young school age bathroom on the right reached 120° F. The PreK Counts 1 classroom sink on the left reached 124° F and the one on the right reached 125° F. The…

Observed the sink in the infant 1 and infant 2 classrooms were not at a proper height for young toddlers to easily approach the sink; the classrooms do not have a platform or steps for the young toddlers to reach the sink for hand washing. Staff in both classrooms state they hold the children at the sink to wash their hands. Continued noncompliance previously cited on 07/17/2025. Observed the sink in the infant classroom was not at a proper height for young toddlers to easily approach the sink; the classroom does not have a platform or steps for the young toddlers to reach the sink for hand washing

The file for staff person #1 included a health report which did not include a statement that the individual is free from communicable diseases. The health report did not include the physician's or CRNP's assessment of the person's suitability to provide child care. Continued noncompliance previously cited on 07/17/2025.

A current menu was not posted conspicuously at the facility; the menu that was posted was for the week of 09/08 - 09/12/2025 in lieu of a menu for the current week (09/22 - 09/26/2025 and following week (09/29 - 10/03/2025). Continued noncompliance, previously cited on 07/17/2025. A current menu was not posted in a conspicuous location at the facility and/or was not provided to each family at least 1 week in advance.

The file for child #1 did not include a child service report with information about the child's growth and development within 6 months of enrollment (see LIS code sheet) and at least every 6 months thereafter. The file did not include documentation of any child service reports. The file for child #2 and #3 did not include a child service report with information about the child's growth and development within 6 months of enrollment (see LIS code sheet). The file did not include documentation of any child service reports. Continued noncompliance previously cited on 07/18/2025, the file for child #3 and #9 did not include a child service report with information about the child's growth and development within 6 months of enrollment (see LIS code sheet). The file did not include documentation of any child service reports. The file for child #6 did not include a child service report with information about the child's growth and development within 6 months of enrollment (see LIS code sheet) and at least every 6 months thereafter. The file did not include documentation of any child service reports.

On 07/17/2025, staff person #2 was observed to be caring for children unsupervised. Staff person #2 does not have documentation of completing the following pre- service training required prior to caring for children unsupervised: Mandated Reporter Training.

Staff person #2 did not have documentation of completing mandated reporter training within 90 days of their date of hire (see LIS code sheet). The file included a payment receipt for the training in lieu of a certificate of completion. The file for staff person #4 included an NSOR clearance which was not updated within 60 months of the previous clearance; the current NSOR on file was dated 05/09/2025 with the previous clearance dated 12/09/2019. The file for staff person #5 included an NSOR clearance which was not updated within 60 months of the previous clearance; the current NSOR on file was dated 01/16/2025 with the previous clearance dated 11/06/2019. The file for staff person #6 did not include documentation of a current NSOR certificate; the most recent NSOR on file was dated 12/09/2019. The file for staff person #7 included an NSOR clearance which was not updated within 60 months of the previous clearance; the current NSOR on file was dated 02/03/2025 with the previous clearance dated 12/09/2019.

On 07/17/2025, observed staff person #3 did not know the names of the 4 older toddlers in their assigned group in the DPS 2 classroom. On 07/18/2025, observed staff person #1 sitting inside the bathroom located in the DPS 2 classroom to assist a child being changed before lunch. Staff person #1 was unable to see, hear, direct and assess the remaining 5 older toddlers in the classroom from their position in the bathroom. The mirror in the classroom to assist with supervision does not allow staff to see the right side of the classroom next to the cubbies and the small area around the corner near the gate that enters into the classroom. While staff person #1 was in the bathroom, children were observed playing in the area where staff was unable to supervise the children.

Emergency Plan Training for staff person #8 was not updated within 12 months of the previous training; the current training was completed on 02/17/2025 with the previous training dated 01/02/2024.

The operator does not provide a letter explaining the emergency procedures to the parent of each child enrolled at the facility. The operator did not provide to the parent of each enrolled child a letter explaining recent updates to the emergency plan dated 05/05/2025. The operator was unable to find a copy of a letter to the parents which explains the emergency procedures described in subsection (a).

On 07/17/2025, observed the hot water temperatures of the sinks used by the children throughout the building exceeded 110° F. The school-age classroom sink reached 122° F. The sink in the school age bathroom on the left reached 122° F. The sink in the school age bathroom on the right reached 120° F. The preschool/young school age classroom sink reached 124° F. The preschool/young school age bathroom on the left reached 122° F. The preschool/young school age bathroom on the right reached 120° F. The PreK Counts 1 classroom sink on the left reached 124° F and the one on the right reached 125° F. The PreK Counts 2 classroom sink on the left reached 117° F. The sinks in the DPS 1 & DPS 2 classrooms reached 118 - 120° F. The sink located in the Preschool classroom on the left reached 125° F and the one on the right reached 128° F. The sink located in the PreK classroom on the left reached 133° F and the one on the right reached 128° F.

The first aid kit located in the Preschool/younger school age classroom and the older school age classroom did not contain soap.

Observed the sink in the infant classroom was not at a proper height for young toddlers to easily approach the sink; the classroom does not have a platform or steps for the young toddlers to reach the sink for hand washing

The file for child #6 included a health report which was not updated at least every 12 months for an older toddler or preschool child (see LIS code sheet). The current health report on file was dated 09/04/2024 with the previous form dated 08/05/2022.

The health report on file for child #6 was a copy of an after-visit summary which was not signed by a physician, physician's assistant or a CRNP.

The health report on file for child #5 was a progress note printed 05/07/2025 which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The health report on file for child #6 was an after-visit summary which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

On 07/17/2025, observed (in the older infant/young toddler classroom) staff person #2 did not ensure their hands and the children's hands were washed before lunch and after diaper changes.

The file for staff person #6 did not include an updated health assessment within 24 months of the previous assessment; the most recent health assessment on file was dated 12/06/2022 with no subsequent assessment on file.

The file for staff person #1 included a health report which did not include a statement that the individual is free from communicable diseases. The health report did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

A current menu was not posted in a conspicuous location at the facility and/or was not provided to each family at least 1 week in advance.

An emergency drill was not conducted within 12 months of the previous drill; the most recent drill was conducted on 04/26/2024 with no subsequent drill completed following this date.

The most recent update to the emergency plan dated 05/05/2025, which included revisions was not sent to the local municipality and to the county emergency management agency.

The file for staff person #8 included Pediatric First Aid & CPR which was not updated prior to the expiration of the previous certification. The current training was completed on 03/12/2025, with the previous training valid from 02/20/2023 - 02/2025.

The file for staff person #4 included fire safety training which was not updated within 12 months of the previous training. The current training was dated 05/06/2025 with the previous training dated 04/02/2024. The file for staff person #9 included fire safety training which was not updated within 12 months of the previous training. The current training was dated 09/25/2024 with the previous training dated 07/11/2023.

Staff person #3 did not have documentation of completing the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care-Revised or Health and Safety Update 2022 (Part 1 & Part 2). The file included the upper portion of a Certificate for the Get Started with Center-Based Care-Revised with the date of completion missing from the Certificate.

The agreement for child #1 and #2 was not signed by the operator.

The file for child #3 and #9 did not include a child service report with information about the child's growth and development within 6 months of enrollment (see LIS code sheet). The file did not include documentation of any child service reports. The file for child #6 did not include a child service report with information about the child's growth and development within 6 months of enrollment (see LIS code sheet) and at least every 6 months thereafter. The file did not include documentation of any child service reports.

The emergency contact information for child #1 and #5 did not include the address of the child's physician or source of medical care. The emergency contact information for child #4 did not include the work address of the enrolling parent.

On 07/18/2025, the school-age classroom was in the PreK Counts 1 classroom watching a movie during quiet time. Emergency contact information was not present in the classroom for child #7 and #8 while receiving care in the space.

The emergency contact information and financial agreement for child #3 & #6 were not reviewed by a parent at least once every 6 months. The most recent review of the emergency contact form for child #3 was documented on 06/17/2025 with the previous review documented on 08/27/2024. The most recent review of the financial agreement for child #3 was documented on 06/14/2025 with the /previous review documented on 08/19/2024. There were no additional reviews documented between 08/2024 - 06/2025. The most recent review of the emergency contact form for child #6 was documented on 06/4/2025 with the previous review documented on 06/25/2024. The most recent review of the financial agreement for child #6 was documented on 06/4/2025 with the previous review documented on 06/24/2024. There were no additional reviews documented between 06/2024 - 06/2025.

The files for staff person #4 and #9 did not have documentation of an annual minimum of 12 clock hours of child care training; the files each included documentation of 8 hours between 12/2023 - 12/2024.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid & CPR training in a PQAS approved curriculum by a PQAS approved trainer.

The file for staff person #1 did not include the results of the NSOR clearance requested on 11/01/2024 within 45 days of hire (see LIS code sheet). The final results of the NSOR clearance was not on file on the date of the inspection. The file for staff person #2 did not include a signed disclosure statement at the time of initial hire.

Observed an outlet on the wall in the preschool/kindergarten classroom which did not have a protective receptacle cover while preschool age children under 5 years of age were receiving care. Observed the electrical outlet under the water refill station in the PreK Counts classroom did not have a protective receptacle cover after needing to unplug the fountain due to a water leak from the fountain into the receptacle.

Observed a broken and bowed step on the gazebo in the preschool play area. At the time of the inspection, the water bottle refill station located in the PreK Counts classroom leaked water into the outlet below the fountain. The fountain was unplugged, and the outlet was not covered with protective covers.

Observed over the counter medications (acetaminophen and Mucinext) in the area the medication for children is stored which was not labeled with the name of the child for whom the medication was intended.

The director or designated staff person did not ensure a manual test of the fire detection system was tested at least once every 30 days. Tests exceed 30 days on the following dates: 10/10/2024 - 11/14/2024 - 12/24/2024 - 02/14/2024.

Staff person #1 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum by a PQAS approved trainer.

The facility did not have a designated person in charge on the date of the inspection. The facility does not currently have a director and the assistant director was out of the office on the date of the inspection. An individual from another facility who was the designated person in charge in the assistant's absence was not present at the facility.

Observed the cabinet in the reception area in the lobby of the facility which contains the staff files was unlocked.

The file for staff person #1 included a PA Department of Education FBI Clearance dated 06/08/2024 in lieu of a Department of Human Services FBI Clearance. Documentation of a request for an DHS FBI clearance was not on file prior to working in a child care position at the facility (see LIS code sheet). Staff person #1 was observed working alone with children in the school age classroom at the time of the inspection. Staff person #1, acting as the director, did not have complete acceptable clearances on file on the first day working at the facility.

Continued non-compliance, provider failing to follow plans of correction regarding same violations from inspection(s) of 10/02/2024 & 08/28/2024. Provider's plans of correction submitted on 10/08/2024 stated, "Management will maintain enrollment of 5:1 or 10:2 in all classrooms on younger side of the building until staffing is sufficient to keep younger toddlers out of older toddler classroom at all times. Management will ensure that classrooms are temporarily closed if a teacher calls-off, instead of moving a younger toddler into an older toddler classroom unless that room is utilizing the younger toddler ratios. Management will not allow a family to drop-off their child if that child puts the classroom out of ratio. Management will ensure ratios are being upheld at all times, even when in a classroom, by ensuring all staff members know state ratios and understand how to abide by this plan of correction." Provider's plans of correction submitted on 10/01/2024 stated, "During naptime, staff will remain in the child care portion of the facility premises to maintain ratios unless management is out of a room and available to cover in case of emergency. Center will maintain the ratios…

Continued non-compliance, previously cited on 08/28/2024. Observed a mixed group of 1 young and 11 older toddlers napping in the Discovery Preschool 2 classroom with one staff person. The staff to child ratio for young toddlers is 1:10 while napping.

During naptime, the staff not providing child care during naptime did not remain in the child care portion of the facility premises. At 1:30 pm, there was a total of 11 staff in the facility with 3 infants, 9 young toddlers, 10 older toddlers, 62 preschool and 6 school age children. A minimum of 12 staff were needed to maintain the ratios specified at §3270.51 and §3270.52. The Infant 1 classroom had 1 staff:3 infants. The Toddler 1 classroom had 1 staff: 8 young toddlers. The Discovery Preschool 2 classroom had 2 staff:1 young toddler and 10 older toddlers. The Preschool 1 classroom had 1 staff: 10 preschoolers. The PreK 1 classroom had 1 staff: 17 preschoolers. The PreK Counts 1 classroom had 2 staff: 19 preschoolers. The PreK Counts 2 classroom had 1 staff: 16 Preschoolers. The school age classroom had 1 staff: 4 younger school age children. There was one additional staff person taking a break in the staff lounge with 2 related older school age children. 1 staff person left the building to transport a child to school and returned at 2:15 pm. There were 3 staff taking a break which were not in the child care portion of the facility premises. 1 returned at 2:00 pm, another at…

Continued noncompliance, previously cited on 07/24/2024. During naptime, staff person #3 was unable to identify the children napping in the Preschool 1 classroom. Staff person #3 was responsible for 10 preschool age children and was only able to identify 2 children by their first name and 1 child by their last name.

Continued noncompliance, previously cited on 07/24/2024. Emergency plan training for staff person #1 was not completed within 12 months of the previous training; the most recent training was completed on 05/16/2023, with no subsequent training on file.

Continued noncompliance, previously cited on 07/24/2024. Observed a power cord for the A/C wall unit in the infant classroom was lying across the floor in front of the unit and was accessible to infants and toddlers in care. Observed dead insects and debris in the Infant 2 (Tweenies) classroom.

Continued noncompliance, previously cited on 07/24/2024. Observed an exposed bolt missing a cap at the base of the toilet located in the DPS 2 classroom.

Continued noncompliance previously cited on 07/24/2024. The file for staff person #2 included fire safety training which was not updated within 12 months of the previous training' the most recent training was completed on 07/11/2023.

Continued noncompliance, previously cited on 07/24/2024. The files for child #1 included emergency contact and/or financial agreements that were not updated at least once every 6 months. The financial agreement for child #1 has not been updated within 6 months of the previous update which was completed on 06/22/2023.

Continued noncompliance, previously cited on 07/24/2024. The file for staff person #4 included verification of child care experience which was not signed by a representative of the experiential entity; the verification of experience was verified by phone in lieu of in writing.

While outside on the playground with a group of 19 preschool age children, staff person #7 and #8 struggled to identify the children in their assigned groups. Staff person #8 identified 8 of the children in their group and stated that staff person #7 had the remaining 11 children in her group. Staff person #7 identified 11 children. The ratio for preschool age children is 1:10.

Emergency plan training for staff person #6 was not completed within 12 months of the previous training; the most recent training was completed on 05/16/2023, with no subsequent training on file.

The letter provided to the parent of each enrolled child explaining the emergency procedures did not include information regarding accommodations will be made for infants, toddlers, children with disabilities and children with chronic medical conditions or a statement that emergency drills will be conducted annually.

The first aid kit located in the Preschool classroom did not include soap; hand sanitizer was included in the kit in lieu of soap.

Observed a power cord for the A/C wall unit in the infant classroom was lying across the floor in front of the unit while in use and was accessible to infants and toddlers in care. Observed a gap at the bottom of the exit door in the infant classroom causing the door to not seal correctly. Observed trim peeling away from the wall next to the exit door in the infant classroom. Observed dead insects and debris in the Infant 2 (Tweenies) classroom and in the Toddler 2 classroom.

Observed the sink in the Infant 1 and Toddler 2 classrooms did not have a means for the young toddlers receiving care to easily approach the sink for handwashing with a platform or steps. Staff in the rooms needed to lift the children for them to reach the running water.

Observed an exposed bolt missing a cap at the base of the toilet located in the DPS 2 classroom.

Observed 4 bottles of Crayola Washable paint labeled for use by children 3+ years old in the young toddler classroom.

The file for child #4 and #5 included a health report which was not updated every 12 months for an older toddler or preschool child. The most recent health report on file for child #4 was dated 06/27/2023 with no subsequent health reports on file. The most recent health report on file for child #5 was dated 06/29/2023 with no subsequent health reports on file.

The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked a 3rd dose of DTap, a 3rd dose of PCV13, and a 3rd dose of Polio immunization.

The file for child #6 included an initial health report which was not received within 60 days of the first day of attendance (see LIS code sheet); the initial health report was dated 08/21/2023.

The file for staff person #4 and #5 included pediatric first-aid and CPR which was not updated before the expiration of the previous certification; the current training was completed on 06/25/2024 with the previous training completed on 05/26/2022 which expired on 05/2024.

The file for staff person #5 included fire safety training which was not updated within 12 months of the previous training' the most recent training was completed on 07/09/2024 with the previous training completed on 05/08/2023. The file for staff person #9 included fire safety training which was not updated within 12 months of the previous training' the most recent training was completed on 07/11/2023.

The agreement form for child #3 did not specify the child's arrival and departure times.

Emergency contact information for child #8 was not present in the Preschool/Kindergarten classroom while receiving care in the space.

The files for children #2, #4, #5, #6 and #7 included emergency contact and/or financial agreements that were not updated at least once every 6 months. The financial agreement for child #2 was not updated within 6 months of the previous update which was completed on 06/22/2023. The emergency contact information for child #4 was reviewed on 03/06/2024 with the previous review dated 07/11/2023. The financial agreement for child #4 was reviewed on 06/17/2024 with the previous review completed on 11/30/2023. The emergency contact information for child #5 was reviewed on 04/14/2024 with the previous review completed on 06/26/2023. The financial agreement for child #5 was last reviewed on 06/29/2023 with no subsequent reviews documented. The emergency contact information for child #6 was reviewed on 03/07/2024 with the previous review completed on 06/23/2023. The financial agreement for child #6 was reviewed on 06/24/2024 with the previous review completed on 08/21/2023. The emergency contact information for child #7 was reviewed on 07/03/2024 with the previous review completed on 08/15/2023. The financial agreement for child #7 was completed on 06/27/2024 with the previous review…

The file for staff person #1 and #3 did not include verification of education prior to service at the facility. The file for staff person #2 included verification of child care experience which was not signed by a representative of the experiential entity; the verification of experience was verified by phone in lieu of in writing.

On 02/22/2024, the Toddler A and Preschool classrooms were out of ratio with a mixed age group during the following times: Toddler A classroom -- There was 1 staff person with a group of 2 young toddlers and 9 older toddlers between 12:21 - 1:06 pm & 1:12 - 2:14 pm, while staff person #1 or #2 was taking a break during naptime. Preschool classroom -- There were 2 staff persons (staff person #3 and #4) with a mixed group of 3 older toddlers and 15 preschoolers from 9:15 am - 12:58 pm. There was 1 staff person (staff person #3) with a mixed group of 3 older toddlers and 17 preschool age children between 12:58 - 2:00 pm while staff person #4 was taking a break during naptime. There were 2 staff persons (staff person #3 and #4) with a mixed group of 2 - 3 older toddlers and 15 - 17 preschool age children between 2:00 - 3:44 pm. There were 2 staff persons (staff person #3 and #4) with a mixed group of 1 older toddler and 16 - 18 preschool age children between 4:31 -- 4:50 pm. There was 1 staff person (staff person #4) with a mixed group of 1 older toddler and 6 - 9 preschool age children from 5:17 - 5:30 pm.

**On 02/22/2024, the Toddler A and Preschool classrooms were out of ratio with a mixed age group during the following times: Toddler A classroom -- There was 1 staff person with a group of 2 young toddlers and 9 older toddlers between 12:21 - 1:06 pm & 1:12 - 2:14 pm, while staff person #1 or #2 was taking a break during naptime. Preschool classroom -- There were 2 staff persons (staff person #3 and #4) with a mixed group of 3 older toddlers and 15 preschoolers from 9:15 am - 12:58 pm. There was 1 staff person (staff person #3) with a mixed group of 3 older toddlers and 17 preschool age children between 12:58 - 2:00 pm while staff person #4 was taking a break during naptime. There were 2 staff persons (staff person #3 and #4) with a mixed group of 2 - 3 older toddlers and 15 - 17 preschool age children between 2:00 - 3:44 pm. There were 2 staff persons (staff person #3 and #4) with a mixed group of 1 older toddler and 16 - 18 preschool age children between 4:31 -- 4:50 pm. There was 1 staff person (staff person #4) with a mixed group of 1 older toddler and 6 - 9 preschool age children from 5:17 - 5:30 pm.

On 09/21/2023, child #1 fell while running on the playground. At pick-up, the child had a red mark above her eye and on her cheek. An incident report was not completed or provided to the parent on the day of the incident.

Observed staff person #1, supervising a group of 15 Preschool and 2 younger school age children during naptime. The 2 younger school age children were sitting at a table engaging in quiet activities in lieu of napping. When one or more children are up and not napping, nap ratios do not apply.

Continued noncompliance, previously cited on 07/11/2023. Observed diaper creams, labeled Keep out of Reach of Children, which were being stored in plastic bins located in the DPS 1 bathroom and were accessible to the older toddler and preschool age children in care.

Continued noncompliance, previously cited on 07/11/2023. The Toddler 2 and DPS 2 classrooms did not have a written plan of daily activities posted in the group space.

Continued noncompliance, previously cited on 07/11/2023. Observed emergency contact information for the children that were transitioned from another classroom was not present in in the Toddler 1, DPS 2, and Preschool 1 classrooms while receiving care in the child care space.

The file for staff person #11 included an PDE FBI clearance result dated 06/07/2019. The FBI clearance required by the Pennsylvania Department of Education (PDE) is not an acceptable clearance for child care employment. The mandated reporter training for staff person #2 was not completed within 60 months of the previous training. The current training was completed on 08/29/2022 with the previous training dated 06/04/20217.

Observed the first aid kit located in the DPS 1 classroom did not include sterile gauze pads or tape.

Observed the hinge hardware on the gate between the School Age and toddler playgrounds was disconnected. Observed exposed bolts on the sides of the gate and posts which were protruding into the space.

Observed a blue tricycle located on the school/age playground with a missing pedal.

Observed a cot chart in the Toddler 1 classroom used to label the rest equipment in which the cots being used were not numbered to coordinate with the chart.

The health report for child #8 was not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet); the current health report was dated 10/31/2022 with the previous dated 08/27/2021.

The file for child #3 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of DTap, The file for child #5 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization. The file for child #7 and #8 (see LIS code sheet) included a record of the child's immunization status which lacked a current influenza immunization.

Observed diaper creams, labeled Keep out of Reach of Children, which were being stored in plastic bins located in the DPS 1 bathroom and were accessible to the older toddler and preschool age children in care.

Observed prescription medication for child #11, with a medication log indicating the medication was administered, which was not signed by a parent with written consent to administer medication. Observed prescription medication for child #12 in the DPS 2 classroom without written consent for the administration of the medication by a parent. The staff in the classroom was unsure where the medication log is kept.

The health assessment for staff person #6 was not updated within 24 months of the previous health assessment. The current health assessment was completed on 12/06/2022 with the previous one dated 08/03/2020.

The health assessment on file for staff person #2 was a copy of a "Well Adult Exam" report and did not include a statement that an examination for communicable diseases was completed or the physician's or CRNP's assessment of the person's suitability to provide child care.

Staff person #1 who completed the previous health and safety pre-service training modules prior to October 4, 2022, has not completed the 1-hour "Pennsylvania Health and Safety Update 2022" which was required by December 30, 2022.

Fire safety training for staff person #3, #4, #5 and #6 was not completed annually. Fire safety training for staff person #3 was last documented on 05/24/2022. Fire safety training for staff person #4 was last documented on 08/04/2022 with the previous training completed on 07/15/2021. Fire safety training for staff person #5 was last documented on 08/17/2021. Fire safety training for staff person #6 was last documented on 07/09/2023 with the previous training completed on 05/27/2022.

The Toddler 2 and DPS 2 classrooms did not have a written plan of daily activities posted in the group space.

The agreement form for child #3 and #4 did not include the child's arrival and departure times.

The agreement form for child #5 did not include the child's date of admission.

The emergency contact information for child #7 did not include the complete address of the child's physician or source of medical care.

The emergency contact information for child #7 did not include the complete work address of the enrolling parent. The emergency contact information for child #8 did not include the work address of the enrolling parent.

The emergency contact information for child #1, #2, #3, #4, #5, #6, #7 and #8 did not include the complete address of the individuals designated by the parent to whom the child may be released. The emergency contact information for child #10 did not include the address of the individuals designated by the parent to whom the child may be released.

Observed emergency contact information for the children that were transitioned from another classroom was not present in in the Toddler 1, DPS 1, DPS 2, and Preschool 1 classrooms while receiving care in the child care space.

The emergency contact information and/or financial agreement for child #2, #3, #4, #5, #8, #9 and #10 was not reviewed and updated at least once every 6-months. The financial agreement for child #2 has not been reviewed since the child's initial enrollment (see LIS code sheet). The emergency contact information for child #3 was reviewed on 06/26/2023 with the previous review completed on 09/23/2022; the financial agreement was reviewed on 06/29/2023 with the previous review completed on 09/19/2022. The emergency contact information and financial agreement for child #4 was last reviewed on 08/19/2022. The emergency contact and financial agreement for child #5 has not been reviewed since the child's initial enrollment (see LIS code sheet). The emergency contact and financial agreement for child #8 was reviewed on 06/20/2023 with the previous review on 08/30/2022. The emergency contact information for child #9 was reviewed on 06/09/2023 with the previous review completed on 08/19/2022; the financial agreement was last reviewed on 08/19/2023. The emergency contact information for child #10 was reviewed on 06/09/2023 with the previous review completed on 08/19/2022; the financial…

The file for staff person #7, #8, #9 and #10 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The references on file for staff person #7, #9 and #10 were verbal references. The file for staff person #8 did not include any references.

On 07/19/2022, staff person #6 was observed to be caring for children in the Preschool classroom unsupervised. Staff person #6 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 01/04/2017.

On 07/19/2022, observed staff person #10 sitting on a chair while helping children in the bathroom. Staff person #10 was unable to supervise a group of 5 children sitting at a table in front of the sinks in the room from her position in the bathroom.

Observed an uncovered outlet on the wall next to the cabinet located in the Discovery PreK "B" classroom which was accessible to children 5 years of age or younger.

Observed the hallway closet/laundry room door was unlocked, laundry soap, cleaning solution, glass cleaner were located on a low shelf and paint cans and ice melt were stored on the floor. Observed a bin of sunscreen on a shelf in the PreK "B" classroom which was accessible to children. Observed Goo-gone, hand sanitizer and lotion on top of the cubbies which were accessible to children.

Observed sanitizing spray, disinfectant spray and glass cleaner on the counter next to the sink in the kitchen; there was a strainer in the sink which contained broccoli.

On 07/19/2022, observed the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by the telephone located in the school-age, Discovery A & Discovery B classrooms.

The first aid kit located in Discovery Preschool "A" did not contain tweezers. The first aid kit located in Preschool "A did not contain tweezers or tape. The first aid kit located in the older toddler classroom did not contain tweezers.

Observed rust on the bottom trim on the bathroom door located in the PreK Counts classroom.

Observed peeling paint on the outside window sills located in the on the preschool playground. Observed peeling paint on the window sill of the first window to the right of the kitchenette area in the infant classroom.

Observe the light located in the Men's bathroom located in the kindergarten classroom was not working properly.

Observed an uncovered bolt at the base of the toilet located in the PreK "4A" classroom.

On 07/19/2022, observed staff person #10 assisting children in the bathroom. Staff person #10 was wearing gloves and using wipes or hand sanitizer between helping each child in lieu to washing their hands. Observed 2 children who did not wash their hands after toileting. Staff person #10 remained in the bathroom to help the next child in lieu to ensuring each child washed their hands prior to sitting at the table to play with toys. A handwashing sign was not posted in the restroom located in the Discovery Preschool "A", Discovery Preschool "B", Preschool "A", PreK "4A", School-age, PreK Counts and PreK "B" classrooms.

Observed the padding around the basketball net post located on the school-age playground was torn at the top and not properly secured to the post. Observed on the school-age playground: a yellow tricycle missing a foot petal, a yellow 4 wheeled ride on toy with a missing pedal and a yellow scooter missing a handle grip. Observed in the PreK "B" classroom: a large pillow under the loft with a broken zipper, paint spilled and left on the furniture, which was not cleaned-up. Observed a carpet (Moods) in the PreK Counts classroom with visible stains and dirt.

Observed white stones which were less than 1 inch in diameter used as a filler for cracks along the edging of the walkways and playground surfacing located on the toddler playground.

On 07/19/2022, the file for child #2 did not contain an updated health report at least every 6 months for an infant or young toddler; the most recent health report on file was dated 02/16/2021.

On 07/19/2022, the file for child #5 did not contain an updated health report at least every 12 months for an older toddler or preschool child; the most recent health report on file was dated 07/08/2020.

On 07/19/2022, the file for child #5, a 3-year-old, included a record of the child's immunization status which lacked an influenza immunization. On 07/19/2022, the for child #7, a 2-year-old, included a record of the child's immunization status which lacked an influenza immunization.

On 08/02/2022, observed the health assessment for staff person #4 was not completed at least once every 24 months; the current health assessment on file was completed on 07/01/2022 and the previous was completed on 06/17/2020. On 07/19/2022, observed the health assessment for staff person #6 was not completed at least once every 24 months; the current health assessment on file was completed on 08/25/2021 and the previous was completed on 05/07/2019. On 08/02/2022, observed the health assessment for staff person #7 was not completed at least once every 24 months, the most recent health assessment on file was completed on 07/31/2020.

Written notification of safe routes was not posted in a conspicuous location at the child care facility.

The vans did not have a copy of the current insurance paperwork in the vehicle while transporting children on 07/19/2022. The insurance cards in the vehicles were valid from 12-10-2020 - 2021.

An annual emergency drill was not documented and on file at the facility.

The Director or designated staff person did not conduct a test of the fire detection system at least once every 30 days or have documentation of an annual inspection of the fire detection system annually. The fire detection system is able to be manually tested and the most recent inspection of the fire detection system was completed on 03/31/2021.

The operator did not send a copy of the most recently updated emergency plan to the local municipality.

On 07/19/2022, the file for child #1 did not include an initial health report within 60 days of the first day of attendance at the facility; a heath report was not on file.

On 08/02/2022, observed the Pediatric First Aid & CPR training on file for staff person #1 was not renewed before the expiration of the previous certification. The current training was completed on 05/26/2022 and the previous certification was valid from 02/06/2020 - 02/2022. On 08/02/2022, observed the Pediatric First Aid & CPR training on file for staff person #4 was not renewed before the expiration of the previous certification. The current training was completed on 07/29/2021 and the previous certification was valid from 03/28/2019 - 03/2021. On 07/19/2022, observed the Pediatric First Aid & CPR training on file for staff person #5 was not renewed before the expiration of the previous certification. The current training was completed on 05/17/2022 and the previous certification was valid from 03/26/2019 - 03/2021. On 07/19/2022, observed the Pediatric First Aid & CPR training on file for staff person #6 was not renewed before the expiration of the previous certification. The current training was completed on 07/29/2021 and the previous certification was valid from 07/24/2018 - 07/24/2020.

On 07/19/2022, observed the Fire Safety Training for staff person #6 was not completed at least annually, the current training was completed on 05/27/2022 with the previous completed on 07/19/2020. On 08/02/2022, observed the Fire Safety Training for staff person #9 was not completed at least annually, the most recent documented training was completed on 07/17/2021.

On 08/02/2022, observed the Facility person #2, who occasionally works in the classroom with children, has not completed the required health and safety professional development by 06/17/2021. On 07/19/2022, observed 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 & CPR from an approved curriculum with a PQAS instructor. The training completed online 08/17/2021 was through the National CPR Foundation and is not on the approved list. On 08/05/2022, observed staff person #8 has not completed the following required training at the time of renewing their expired training: Pediatric First Aid & CPR from an approved curriculum with a PQAS instructor. The training completed on 08/17/2021 was Basic Life Support in lieu of Pediatric First Aid & CPR and is not on the approved list.

On 07/19/2022, observed a written plan of dally activities was not posted in the school-age classroom.

On 07/19/2022, the agreement form for child #3 did not include the child's arrival and departure times.

On 07/19/2022, the agreement form for child #3 did not specify the date of the child's admission.

On 07/19/2022, the emergency contact information for child #4 did not include the phone number of the child's physician or source of medical care.

On 07/19/2022, the emergency contact information for child #3 and #5 did not include the complete work address of the enrolling parent.

On 07/19/2022, the emergency contact information for child #6 did not include the health insurance policy number.

On 07/19/2022, the emergency contact information for child #3 and #6 did not include the address of the individuals designated by the parent to whom the child may be released.

On 07/19/2022, observed emergency contact information was not present in the child care space for child #6 while receiving care in the school-age classroom. On 07/19/2022, On 07/19/2022, observed emergency contact information was not present in the child care space for child #8 while receiving care in the Preschool "A" classroom. On 07/19/2022, observed emergency contact information was not present in the child care space for child #9 while receiving care in the PreK "4A" classroom. On 07/19/2022, observed emergency contact information was not present in the child care space for child #10 while receiving care in the young toddler classroom. On 07/19/2022, observed emergency contact information was not present in the child care space for child #7 and #11 while receiving care in the older toddler classroom.

On 07/19/2022, observed a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the school-age, Discovery Preschool A and Discovery Preschool B classrooms.

On 07/19/2022, the file for child #6 did not contain an initial agreement between the parent and the operator a the time of initial enrollment.

SECOND CITATION: The health report for child #1 and #3 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The file for child #1 and #3 contained a copy of their Well Child Report. PREVIOUSLY CITED on 08/16/2021.

SECOND CITATION: The file for child #1, a 2 year old, included a record of the child's immunization status which lacked an influenza immunization. The file for child #2, a 3 year old, included a record of the child's immunization status which lacked an influenza immunization. PREVIOUSLY CITED on 08/16/2021.

SECOND CITATION: The most recent health assessment on file for staff person #1 was dated 01/21/2019 with no subsequent health assessment on file. PREVIOUSLY CITED on 08/17/2021.

SECOND CITATION: A written statement giving the formula and feeding schedule was not obtained from the parent for each infant attending. PREVIOUSLY CITED on 09/21/2021.