KinderCare Learning Center/Downtown

SECOND CITATION; PREVIOUSLY CITED ON 2/21/25: According to staff statements, Facility Person #1 has been observed on multiple occasions handling children roughly. Staff state Facility Person #1 yanks children abruptly by one or two arms to move them.

There were no NSOR clearances on file for Facility Persons #1, #2, and #3.The criminal history clearance on file for Facility Person #7 was incomplete as the format in which it was printed does not show the entire clearance. The disclosure statement on file for Facility Person #6 was not signed by a witness. There was no signed disclosure statement on file for Facility Person #8, observed caring for children unsupervised on 5/29/25.There was no child abuse clearance on file for Facility Person #11.There was no staff file at the facility for Facility Person #13. The most recent child abuse, FBI, and NSOR clearances reviewed and on file for Facility Person #13 were more than 60 months old.

SECOND CITATION; PREVIOUSLY CITED ON 2/21/25: According to staff statements, Facility Person #1 has been observed on multiple occasions using a harsh tone of voice with the children.

There were sharp (adult) scissors in an unlocked drawer in reach of children in the kitchen/eating area of the preschool/Pre-K room.

There was no documentation of emergency plan training on file for Facility Person 7, employed at the facility more than 90 days.

The letter to the parents explaining the emergency plan does not address all requirements under 3270.27(a).

In the preschool/Pre-K room, on the Pre-K side, there was deodorant labeled "keep out of reach of children," in an unlocked drawer in reach of children.

There was a first aid kit in the older toddler room without soap. There was a second first aid kit in the older toddler room without soap and tweezers. There was no soap in the first aid kit in the infant room.

There were no handwashing signs at the changing area, or at a low sink in the older toddler room.

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

There were no written feeding schedules from the parents of 3 of the infants enrolled.

The most recent emergency drill was documented as conducted on 12/10/24, more than 12 months after the prior drill documented as conducted on 9/28/23.

The initial health assessment on file for child #5 was completed more than 60 days after their first day in care at the facility. The only health assessment on file for child #9, enrolled more than 60 days, was not dated.

The current first aid training documented and on file for Facility Person #12 was completed after the expiration of the prior first aid training documented and on file for Facility Person #12.

Facility Persons #4 and #8 were classified as aides. The documentation of the required education for the classification on file for Facility Persons #4 and #8 were foreign degrees/diplomas without documentation of the U.S. educational equivalencies from an approved agency. Facility Persons #5 and #12 were classified as assistant group supervisors based on completion of high school and 2 years of child care experience. There was less than 2 years (2500 hours) of documented child care experience on file for Facility Persons #5 and #12. Facility Person #6 was classified as an assistant group supervisor based on completion of 15 credits in human services and 1 year of child care experience. There was less than 15 credits in human services documented and on file for Facility Person #6.

There was no approved developmental assessment completed and a copy given to parents in the previous 6 months on file for children #1, #3, #5, and #6. The current assessment on file for child #2 was completed more than 6 months after the previous assessment on file.

The current agreement on file did not specify the arrival/departure times for child #3.

The current agreement on file for child #3 did not specify the release persons.

Original agreements were on file for children #1-#9.

There were no emergency contact forms on file at the facility for children #4,#10, #11, #12, #13, #14, and #15,

The emergency contact forms on file for children #2, #3, #6 and #9 did not include the work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for child #9 did not include the health insurance policy number.

The emergency contact forms on file for children # 1, #3, and #7 did not include the addresses of all release persons listed.

There were no emergency contact forms in the eating area of the preschool/Pre-K room for the older toddlers eating lunch in that space.

The agreements on file for children #1-#6 and the emergency contact form on file for child #5 were not reviewed and updated by a parent in writing in the previous 6 months. The current emergency contact form on file for child #3 was reviewed and updated by a parent more than 6 months after the previous emergency contact form on file.

There were no files at the facility for children # 10-#17.

There was no signed parental consent for emergency medical care for the child on file for children #4 and #10-#15.

There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for children #4 and #10-#15.

There was no record at the facility for Facility Person #13.

There were no nonfamily written references on file for Facility Persons #1, #2, #3, #4, #5. #7, #8, #9 and #10,

Continued Non-Compliance: On 2/21/25 a complaint investigation was conducted at the facility. Staff person #5 had not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR. The facility's acceptable plan of correction indicated the correction would be implemented by (4/1/25). On (5/1/25) an unannounced inspection was conducted. Staff person #5 still has not completed the following required pre- service training: Pediatric First Aid and CPR

SECOND CITATION, PREVOUSLY CITED ON 3/18/25: The operator self-reported that on 3/28/25, at approximately 4:40 PM, Facility Persons #1 and #2 were supervising children in the 2's room, including Child #1, an older toddler. They walked the children they were supervising from the 2's room, through the Pre-K room, and into the Toddler 1 room. Shortly after this occurred, a parent of another enrolled child entered the facility with Child #1, who they say they found outside of the entrance to the facility. Staff state they suspect the child followed a parent who was picking up their child out of facility. Staff estimate the Child #1 was away from their group for approximately 2-3 minutes.

The operator self-reported that on 3/28/25, at approximately 4:40 PM, Facility Persons #1 and #2 were supervising children in the 2's room, including Child #1, an older toddler. They walked the children they were supervising from the 2's room, through the Pre-K room, and into the Toddler 1 room. Shortly after this occurred, a parent of another enrolled child entered the facility with Child #1, who they say they found outside of the entrance to the facility. Staff state they suspect the child followed a parent who was picking up their child out of facility. Staff estimate the Child #1 was away from their group for approximately 2-3 minutes.

The operator self-reported that on 3/28/25, at approximately 4:40 PM, Facility Persons #1 and #2 were supervising children in the 2's room, including Child #1, an older toddler. They walked the children they were supervising from the 2's room, through the Pre-K room, and into the Toddler 1 room. Shortly after this occurred, a parent of another enrolled child entered the facility with Child #1, who they say they found outside of the entrance to the facility. Staff state they suspect the child followed a parent who was picking up their child out of facility. Staff estimate the Child #1 was away from their group for approximately 2-3 minutes.

At approximately 12:15 PM, Facility Person #1 was supervising 11 young toddlers in the Toddler 1 room as they were napping.

SECOND CITATION, PREVIOUSLY CITED ON 2/21/25: The last fire drill documented was completed on 12/10/24.

At approximately 10:35 AM while assessing supervision and ratio, Staff Person #1 named and identified 11 preschool aged children in their group which made them have a ratio of 1:11 (one staff to11 preschool aged children).

On 3/3/25 child #1 fell and hit their head. Staff #1 wrote an accident report for the fall. The report was not given to child #1's parent on the day of the incident.

Per multiple staff statements, Staff #1 was observed during naptime, grab a child by the arms and roughly tossed the child back down on their cot causing the child to become injured with a split lip.

Per multiple staff statements, Staff #2 has been observed to harshly yell at the children in their care on an ongoing basis. It was observed by multiple staff that during the week of 2/10/25-2/14/25 staff #2 yelled so harshly at a child that the child hid in the bathroom, was shaking, and would not come out until another staff arrived and staff #2 left.

The fire drill log contained the following dates 4/29/24-11/19/24 which are more than 60 days apart, and the last drill documented was done 12/10/24 which was more than 60 days ago.

Staff person #2, 3, 4 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 9/2024. Documentation of updated Pediatric first aid and CPR training is not on file.

Staff person #1 and 5 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR

The file for staff #6 contained an FBI clearance dated 11/20/23, which is after the date of hire. The file for staff #9 contained an NSOR certificate dated 4/16/24, which is after the date of hire. The file did not contain dated proof of applying. The file for staff #13 did not contain a completed child abuse clearance, FBI clearance or NSOR certificate. The file for staff #14 did not contain a completed child abuse clearance or FBI clearance.

Based on documentation in staff files staff #1, #5, #11, and #12 did not complete training on the emergency plan on an annual basis. Consecutive trainings were dated more than 12 months apart. Current training is now on file.

Bleach, disinfectant spray, and disinfectant wipes were accessible to children in the cabinet under the sink in the eating area. The cabinet doors do not have knobs, however nothing was in place to prevent them from being opened using the bottom edge of the door.

Room 5, added during the inspection, did not have emergency phone numbers posted by the telephone.

Room 5, added during the inspection, did not have a first aid kit.

First aid kits observed in the young toddler, pre-k, and older toddler rooms did not contain all 7 required items.

In the young toddler room, multiple foam blocks with bite marks and small pieces missing were observed to be accessible to children on the toy shelves.

A crib in use by an infant did not have the required 2 feet of space on three sides. One side of the crib was blocked by an adult rocking chair.

The two refrigerators in Room 5, added during the inspection, did not have thermometers.

The file for child #2 lacks a current health report. The most recent report on file is not dated, therefore compliance could not be determined. The file for child #3 contained consecutive health reports dated more than 12 months apart, but is now current.

The most recent health report for child #2 did not include the professional title of the individual who signed the form.

First aid kits observed in the young toddler, pre-k, older toddler, and infant rooms contained antibiotic cream and/or burn cream which were not labeled for use by a specific child.

The file for staff #11 lacks a current health assessment. The files for staff #1, #3, #7 contained consecutive health assessments dated more than 24 months apart. The most recent health assessments on file for staff #1, #3, #7 are now current. The file for staff #2 contained an initial health assessment dated after their first day providing service in a child care setting.

The files for children #1 and #6 contained initial health reports dated more than 60 days after their first day in attendance.

The file for staff #11 did not contain documentation of completing the 1-hour training titled Pennsylvania Health and Safety Update 2022 as required by Announcement C-22-06.

The file for staff #15 does not contain current certification in Pediatric CPR and first aid. Based on statements made by staff, staff #15 occasionally fills in and is counted in ratio in while providing breaks for other staff. Staff #1 and #11 did not renew their certification in pediatric CPR and first aid before the expiration of the previous certification. (Dates: 2/21/22 and 5/09/24)

The files for staff #8 and #11 contained consecutive fire safety trainings dated more than 12 months apart. Current training is now on file.

Staff person #10 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR and First Aid.

Staff person #10 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The files for staff #2 and #10, designated as group supervisors on the staff data sheet, did not contain documentation of the qualifications required for the position. The files for staff #4 and #5 designated as assistant group supervisors on the staff data sheet, did not contain documentation of the qualifications required for the position.

The files for staff #1 and #11 contained written evaluations conducted more than 12 months apart. The files for staff #5 and #12 contained initial evaluations conducted more than 12 months after their dates of hire. Current evaluations are now on file for staff #1, #11, #5, and #12.

Room 5, added during the inspection, did not have a posted written plan of daily activities.

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

The agreement for child #2 did not specify the amount of the fee to be charged.

The files for children #2 and #3 contained child service reports which were not dated by the parent, therefore compliance could not be determined. The file for child #6 contained a late child service report, however the report is now current.

The agreements for children #2 and #4 did not specify the date of the child's admission.

The emergency contact form for child #6 did not include the enrolling parent's work address or work phone number.

The emergency contact form for child #6 did not include the health insurance policy number for the child.

The emergency contact form for child #6 did not include the phone number of the individual designated by the parent to whom the child may be released.

Emergency contact information for child #7 was not present in the infant room where the child was observed in care.

Room 5, added during the inspection, did not have a posted medical emergency transportation plan.

The files for children #2, #3, and #5 contained emergency contact information and agreements which were not updated within the required 6-month period. The file for child #6 contained emergency contact information and an agreement dated after their first day in attendance. Both documents for children #2, #3, #5, and #6 are now current.

The files for children #4 and #6 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

The files for staff #2 and #10 contained only one written reference. The files for staff #12, #13, and #14 did not contain any written references.

The file for staff #1 contained documentation of consecutive emergency plan trainings dated more than 12 months apart. The trainings were dated 3/18/22 and 5/18/23..

The facility's emergency plan was not posted at the facility.

The facility did not have a letter to provide to parents explaining the emergency procedures.

First aid kids were not located in the preschool room or the Learning Adventures room.

The first aid kits in the infant, young toddler, and older toddler rooms did not include soap or tweezers.

The sinks in the rear portion of the young toddler room and at the diapering station in the older toddler room lacked steps. Staff indicated these two sinks are intended to be used by children to wash hands after diapering. The sink at the diapering station in the front portion of the young toddler room had steps. but based on statements made by staff, the steps are not tall enough for all children in care in the room to comfortably reach the sink and staff are currently lifting those smaller children when they need to wash hands.

A zip lock bag containing small candies and several empty plastic garbage bags were accessible to children in a low unlocked cabinet in the young toddler room. A set of sponge painting tools, a Dinosaur Discovery Kit with small pieces, and a music triangle labeled for use by children over 3 were observed in the older toddler room.

Two refrigerators in use lacked thermometers. The refrigerators were located in the young toddler and preschool rooms.

Based on statements made by staff, the children are unable to go outside daily because they do not yet have replacements for the strollers needed to transport the toddlers to the play ground.

Small packet of triple antibiotic ointment and first aid burn cream were observed in the first aid kits in the infant, young toddler, and older toddler rooms. The medication packets were not labeled for use by a specific child and written parental consent for administration was not on file.

The file for staff #3 contained consecutive health assessments dated more than 24 months apart. The most recent health assessment on file for staff #3 is now current.

The file for staff #3, employed since 12/11/2012, did not contain the results of a screening for TB conducted at initial employment. The file for staff #4 contained results of a TB screening dated after their first day in a child care position.

The files for staff #2 and #3 contained documentation of consecutive fire safety trainings dated more than 12 months apart. The trainings were dated 2/21/22 and 3/08/23.

The file for staff #4, designated as an assistant group supervisor, lacked documentation of the qualifications required to perform the position.

The following rooms lacked posted written schedules; preschool, older toddler and Learning Adventures.

The agreements for children #1 and #2 did not specify the amount of the fee to be charged.

The agreements for children #1 and #2 did not specify the date on which the fee is to be paid.

The agreement for child #1 did not specify the date of the child's admission.

The file for child #1 contained emergency contact information which did not include the enrolling parent's work phone number.

The file for staff #4 contained only 1 written reference.

The facility's current certificate was not posted at the facility.

At approximately 10:45 AM, 2 staff were observed with 18 preschoolers. When asked to identify the children assigned to their supervision, staff #1 initially named 8 children and staff #2 initially named 9 children, which left 1 child unnamed. When asked to name their assigned children a second time, staff #1 named 8 children. Staff #2 named 11 children including a child named by staff #2. At that time, staff #2 stated " I know I named 11."

At approximately 10:45 AM, 2 staff were observed with 18 preschoolers. When asked to identify the children assigned to their supervision, staff #1 initially named 8 children and staff #2 initially named 9 children, which left 1 child unnamed. When asked to name their assigned children a second time, staff #1 named 8 children. Staff #2 named 11 children including a child named by staff #2. At that time, staff #2 stated " I know I named 11."

The facility was unable to provide documentation of fire drills conducted after 7/07/22.

Staff #3 did not complete pediatric first aid and pediatric CPR within 90 days of hire. The training was completed on 3/15/23, 105 days after hire. (SEE LIS CODE SHEET)

The file for child #7, an older toddler, contained a health report which has not been updated in over 12 months.

The files for children #3 and #7 contained immunization records which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. Written exemptions were not on file at the time of the inspection.

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

The facility did not have documentation of conducting an emergency drill.

Based on the facility's fire drill log, the hypothetical location of the fire has not been listed. Instead, several drills indicate the hypothetical location as "Building Alarm".

Operator did not provide proof of purchase or record of installation for the facility's fire alarm system at the time of the inspection.

The files for children #1 and #6 contained initial health assessments conducted more than the 90 days allowable under the suspension of the regulation at the time of their enrollment. Both children now have current health reports on file.

The file for staff #4 contained documentation of completing training in the health and safety topics as referenced in 3270.31(f) on 9/14/16 which is prior to the validity date of 9/30/16.

The files for staff #2 and #3 lacked documentation of completing training in health and safety topics 1-9 as referenced in 3270.31(f).

The file for child #2 contained an agreement which was not signed by the parent. The files for children #4 and #7 contained agreements which were not signed by the operator.

The files for children #1, #4, and #5 contained agreements which did not specify the child's arrival and departure times.

The file for child #7 contained an agreement which did not specify the date of the child's admission.

The files for children #1, #3, #4, #5, and #6 contained emergency contact information and agreements which were not updated by the parent within 6 months or by 1/06/22 as stated in Announcement C-21-09 related to the reinstatement of regulations suspended due to covid 19. The documents on file are now all current.

The file for staff #6, employed for over 90 days, did not contain documentation of completing pediatric CPR/FA. (SEE LIS CODE SHEET) The file for staff #1 contained documentation of completing pediatric CPR/FA on 2/21/22 which is after the 6/17/21 deadline. Staff #1 now has current training.

The file for staff #5 contained documentation of completing 6 of the 12 required annual training hours.