KinderCare Learning Center-Grant Drive

A thermometer was not located in the refrigerator in the Infant Room.

The Health Assessment, in the file for Child #3, was dated 10.10.24, and none thereafter, which exceeded the 12-month requirement. Th Health Assessments in the file for Child #9 were dated 9.7.23 and 10.21.25, which exceeded the 12-month requirement.

The file for Child #10 did not contain a review of the child's health history.

The file for Child #10 did not contain documentation of the child's allergies or medications.

The file for Child #10 did not contain documentation of assessments of acute or chronic health problems, special needs, treatment or services, screening test results, or a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The two (2) most recent Health Assessments, in the files for Staff #5, Staff #6, and Staff #13, exceeded the 24-month renewal requirement. The file for Staff #8 did not have a new Health Assessment within the 24-month renewal requirement. The file for Staff #9 and Staff #11 did not have a Health Assessment conducted within 12 months prior to providing initial service in a child care setting.

The files for Staff #9 (see IS Code Sheet) and Staff #11 (see IS Code Sheet) did not contain a tuberculosis screening prior to initial employment.

There were no written statements for giving the formula and feeding schedule, from the parent, for any of the eight (8) infants enrolled at the facility.

There was no documentation that the emergency plan/plan updates were sent to the local municipality and to the county emergency management agency.

The file for Child #10 (see IS Code Sheet) did not contain a Health Assessment, which exceeded the requirement of an initial health report no later than 60 days following the first day of attendance at the facility.

The file for Staff #5 contained documentation of Pediatric First-Aid/CPR training which expired on 1.25.25, and it was not renewed until 3.22.25. The file for Staff #6 contained documentation of Pediatric First-Aid/CPR training which expired on 9.26.24, and it was not renewed until 9.3.25

The files for Staff #8 and Staff #10 contained documentation of Fire Safety Training on 10.25.23 and 6.18.25, which exceeded the annual requirement. The files for Staff #12 and Staff #13 contained documentation of Fire Safety Training on 5.9.24 and 6.18.25, which exceeded the annual requirement.

The file for Staff #1 (see IS Code Sheet) contained documentation of Health and Safety Training - Part 2 on 9.19.25, which exceeded 90 days of hire. The file for Staff #7 (see IS Code Sheet) did not contain documentation of the Health and Safety Training - 1 hour update, or Part 1 and Part 2, which exceeded 90 days of hire. The file for Staff #11 (see IS Code Sheet) contained documentation of Health and Safety Training - Part 1 on 6.18.25, and Part 2 on 6.20.25, which exceeded 90 days of hire. The file for Staff #14 (see IS Code Sheet) did not contain any documentation of Health and Safety Training, which exceeded 90 days of hire.

The Staff Evaluations in the file for Staff #5 were dated 2/2024 and 4.9.25, which exceeded the 12-month requirement.

Child Service Reports, which are required every six (6) months, were not available for the following children: Child #3, Child #4, Child #7, and Child #9. Child Service Reports, which are required every six (6) months, were last completed in January of 2025, for the following children: Child #5, Child #6, and Child #8.

The Emergency Contact form, in the file for Child #3, did not include the phone number for the emergency contact person.

The Emergency Contact form, in the file for Child #3, did not include the phone number of the child's physician or source of medical care.

The Emergency Contact form, in the files for Child #2, Child #7, and Child #9, did not include the work address or work phone numbers of the enrolling parent.

The Emergency Contact form, in the file for Child #9, did not include written consent signed by a parent for emergency medical care.

The Emergency Contact form, in the files for Child #6 and Child #9, did not include information on the child's special needs.

The Emergency Contact form, in the file for Child #10, did not include the health insurance policy number.

The Emergency Contact form, in the files for Child #6 and Child #10, did not include the release person's phone number.

The Emergency Contact information and Financial Agreement were not reviewed/updated at least once in a 6-month period for the following children: Child #3, Child #4, Child #5, Child #6, Child #7, Child #8, and Child #9.

The Emergency Contact form, in the file for Child #9, did not contain signed parental consent for administration of minor first-aid by staff.

The file for Staff #11 (see IS Code Sheet) contained documentation of Pediatric First-Aid/CPR training on 6.18.25, which exceeded 90 days of hire.

The file for Staff #1 did not contain documentation of a Disclosure Statement. The file for Staff #3 did not contain documentation of an NSOR Certificate or out-of-state clearances.

A Protective Receptacle Cover was not placed in the following locations, which were accessible to children five (5) years of age or younger: PK Room for top outlet on right side of wall, TK Room for top outlet under television, TK Room for bottom outlet on back wall, to right of window.

QSR - Multi-Surface Cleaner, which stated, "Keep Out of Reach of Children," was located on a chair in the Discovery PS #2 room, which was accessible to children.

A Handwashing Sign was not posted at one (1) toilet in the Toddler B room or at one (1) sink in the PK room.

The file for Staff #4 (see IS Code Sheet) did not contain documentation of a Health Assessment.

The file for Staff #2 did not contain documentation of a tuberculosis screening.

The file for Staff #5 (see IS Code Sheet) did not contain documentation of Health and Safety Training - Part 2, within 90 days of hire.

The file for Staff #2 did not contain proof of education, so it was unable to be determined if Staff #2 qualified as an Assistant Group Supervisor. The file for Staff #4 did not contain Evaluated proof of a foreign diploma/degree, and therefore, the educational equivalency was unable to be determined.

The file for Staff #2 did not include two (2) written, nonfamily references.

The file for Staff #4 contained documentation of Emergency Plan training on 6.2.23 and 7.16.24, which exceeded the 12-month requirement.

In the Infant room, Lysol Disinfecting Wipes (travel size), which stated "Keep out of reach of children," were in an unlocked, bottom cubby on the right wall, and were accessible to children in care.

The first-aid kit, located in the Discovery PS B room, did not contain tape, scissors, tweezers, or gauze.

In the Toddler A room, damaged plaster/paint, approximately 3 feet by 4 inches, was located above the children's cubbies.

In the Discovery Preschool A restroom, a handwashing sign was not posted at the toilet on the left. In the Discovery Preschool B room, a handwashing signed was not posted at the classroom sink.

In the Infant room, a child was sleeping in a crib which was pushed up next to an empty crib on one side, with another side against the wall, which did not have at least two (2) feet of space on three sides of the crib.

The Health Assessment, in the file for Child #6, a preschool child, was dated 8.23.23, and none thereafter, which was beyond the 12-month requirement.

The two most recent Health Assessments in the file for Staff #4, Staff #5, and Staff #6 exceeded the 24-month renewal requirement.

The Health Assessment, in the file for Staff #1, did not address the results of the examination for communicable diseases.

The file for Staff #7 contained Pediatric First-Aid/CPR training which expired on 5.10.24, and it was not renewed until 6.19.24.

The file for Staff #8 contained documentation of Fire Safety training on 5.3.23 and 8.2.24, which exceeded the 12-month requirement.

The Mandated Reporter training, in the file for Staff #5 (see IS Code Sheet), was dated 5.16.22, which exceeded the 90-day requirement.

The Child Service Reports, in the files for Child #1, Child #2, Child #4, Child #5, Child #6, and Child #7, were not completed every six (6) months.

The Emergency Contact form, in the file for Child #3, did not contain the release person's address.

The Emergency Contact form and Financial Agreement, in the files for Child #2, Child #4, Child #5, Child #6, and Child #7, were not reviewed and updated, at least once in a 6-month period.

The file for Staff #2, classified as an aide, did not contain documentation of education or experience. The file for Staff #3, classified as an aide, did not contain documentation of education.

Child #1 was swatted on the bottom by Staff #1.

The file for Staff #1 (see IS Code Sheet) contained an FBI clearance application dated 12/16/23, which was after the documented start date. The file lacked a completed FBI clearance. Provider disclosed that Staff #1 had been permitted to work with children prior to 12/16/23. Therefore, Staff #1 was an incorrect provisional hire. The file for Staff #4 (see IS Code Sheet) contained documentation of Mandated Reporter training on 12.7.23, which exceeded the 90-day requirement.

The Immunization Record, in the file for Child #1, did not contain documentation of the Influenza vaccination.

The file for Staff #2 and Staff #5 did not contain documentation of the Health & Safety, 1-hour Update.

The file for Staff #3 contained documentation of Fire Safety Training on 2.21.22 and 9.27.23, which exceeded the annual requirement.

The file for Staff #5 contained written evaluations dated 6.27.22 and 12.15.23, which exceeded the 12-month requirement. The file for Staff #8 contained written evaluations dated 6.23.22 and 12.5.23, which exceeded the 12-month requirement.

The Emergency Contact form, in the file for Child # 2, did not contain the Health Insurance policy number.

The file for Staff #4 (see IS Code Sheet) and Staff #6 (see IS Code Sheet) contained documentation of Pediatric First-Aid/CPR on 12.11.23, which exceeded the 90-day requirement. The file for Staff #7 (see IS Code Sheet) contained documentation of Pediatric First-Aid/CPR on 6.14.23, which exceeded the 90-day requirement.

Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

**Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

*Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

*Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

**Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

Child #1 was alone and unsupervised on the outside playground after Staff #1 and Staff #2 transitioned their group of toddlers inside. Child #1 was alone and unsupervised for roughly one minute before Staff #3 returned to the playground to bring Child #1 back inside.

As confirmed by employees of Kindercare, the high grass had not been cut in several weeks, causing concerns about snakes and ticks creating a hazard for children in care.

As confirmed by employees of Kindercare, children were not taken outside to play on May 12, May 15, and May 16, 2023, due to high grass in the play yard.

The file for Staff #1 contained a Child Abuse Clearance dated 8.18.22, an FBI Clearance dated 7.19.22, and an NSOR Certificate dated 7.26.22 (see IS Code Sheet), and no applications were present. The file for Staff #4 contained a State Police Clearance dated 1.29.22 and a Child Abuse Clearance dated 2.2.22 (see IS Code Sheet), and no applications were present. The file for Staff #5 contained an FBI Clearance dated 4.1.22 (see IS Code Sheet), and no application was present.

The file for Staff #4 contained documentation of Emergency Plan Training on 11.1.22 (see IS Code Sheet), which exceeded the 90 days of hire requirement.

Soap was not located in the first-aid kit located in the Older Toddler-B room.

There was no handwashing sign located at the toilet in the left, individual restroom, in the Discovery Preschool room.

The left, cabinet door, under the diaper changing table in the Infant room, was broken at the hinge.

The file for Staff #1 contained a Health Assessment dated 8.9.22, and a Mantoux Test read on 7.20.22 (see IS Code Sheet), which were after the first day of caring for children. The file for Staff #3 contained Health Assessments dated 9.9.21, which was more than 12 months prior to the hire date, and 10.3.22, which exceeded the date of hire. The Mantoux test was read on 10.3.22 (see IS Code Sheet), which was after the first day of caring for children. The file for Staff #7 contained a Health Assessment and Mantoux test results on 8.3.22 (see IS Code Sheet), which was after the first day of caring for children.

The files for Staff #8, Staff #9, Staff #10, and Staff #11 did not contain documentation that they completed the following pre-service training within 90 days of their date of hire (see IS Code Sheet): Pediatric First-Aid/CPR.

The file for Staff #8 did not contain any documentation of Fire Safety Training (see IS Code Sheet). The file for Staff #10 did not contain any documentation of Fire Safety Training (see IS Code Sheet).

The file for Staff #9 contained verification of the 1-hour Health & Safety Update on 1.12.23, which was due by December 30, 2022.

The file for Staff #10 did not contain written evaluations for 2021 or 2022.

The Agreement, in the file for Child #4, did not specify the amount of the fee to be charged.

The Emergency Contact form, in the file for Child #4, did not contain the address or phone number of the child's physician or source of medical care.

The Emergency Contact form, in the file for Child #1, did not contain the Health Insurance/MA policy number.

The Emergency Contact form, in the files for Child #2 and Child #3, did not contain the release person's address. The Emergency Contact form, in the file for Child #3, did not contain the release person's phone number.

The file for Staff #2 contained documentation of Pediatric First-Aid/CPR on 2.21.22 (see IS Code Sheet), which exceeded the 90 days of hire requirement. The file for Staff #6 contained documentation of Pediatric First-Aid/CPR on 10.25.22 (see IS Code Sheet), which exceeded the 90 days of hire requirement.

The file for Staff #3 (see IS Code Sheet) contained a Disclosure Statement dated 9.13.21, which was signed after the first day of caring for children.

The file for Staff #1 contained Health Assessments dated 11.26.19 and 2.15.22, which was beyond the 24 month renewal requirement. The file for Staff #2 (see IS Code Sheet) contained documentation that the staff member did not obtain an Health Assessment until 11.12.21, which was after the first day of caring for children.

During times when he/she is to be supervising children, Staff #1 has been seen sleeping in both the Infant Room and the Two Year-Old Room. While sleeping, Staff #1 is not able to see, hear, assess nor direct children as outlined in 3270.4. While sleeping, Staff #1 is not able to know the whereabouts of the children in his/her supervisory group.

During times when he/she is to be supervising children, Staff #1 has been seen sleeping in both the Infant Room and the Two Year-Old Room. While sleeping, Staff #1 is not able to see, hear, assess nor direct children as outlined in 3270.4. While sleeping, Staff #1 is not able to know the whereabouts of the children in his/her supervisory group.

The file for Staff #2, with a date of hire of 11.16.21, did not contain an FBI clearance or an NSOR certificate. No proof of application for the missing clearances was provided. The file for Staff #12, with a date of hire of 9.7.21, did not contain an FBI clearance until 12.7.21. No proof of application for the missing clearances was provided.

The file for Staff #1, with a date of hire of 9.23.21, did not contain emergency plan training until 11.1.21. The file for Staff #3, with a date of hire of 10.12.21, did not contain emergency plan training until 12.9.21. The file for Staff #4, with a date of hire of 8.16.21, did not contain emergency plan training until 12.9.21. The file for Staff #7, with a date of hire of 12.2.19, did not contain emergency plan training until 6.23.20. The file for Staff #11, with a date of hire of 8.16.21, did not contain emergency plan training until 11.1.21 The file for Staff #14, with a date of hire of 5.13.21, did not contain emergency plan training until 6.11.21. The file for Staff #15, with a date of hire of 9.27.21, did not contain emergency plan training until 11.1.21. The file for Staff #16, with a date of hire of 4.23.14, did not contain emergency plan training since 6.1.20. The file for Staff #17, with a date of hire of 6.2.08, did not contain emergency plan training since 6.1.20. The file for Staff #18, with a date of hire of 2.3.20, did not contain emergency plan training until 6.11.21.

The first-aid kit, in the K room, did not contain rubber gloves.

Peeling, tan paint, was located on the right wall above the crib in the Infant room.

There was no handwashing sign near the sink in the PS restroom. There were no handwashing signs near the two (2) toilets in the YT room.

On the right, tan wall, in the PK room, the wall with "shapes" had large sections of peeling, plastic tape, which was accessible to children in care. On the white cabinet in back of the PS room, there were large sections of peeling, plastic contact paper/wall paper, which was accessible to children in care.

The Immunization record for Child #6 did not contain verification for an influenza vaccination or an exemption.

The file for Staff #1, with a date of hire of 9.23.21, did not contain a health assessment until 12.3.21. The file for Staff #6, with a date of hire of 3.29.21, did not contain appropriate health assessment documentation regarding communicable diseases. The file for Staff #12, with a date of hire of 9.7.21, did not contain a health assessment until 12.7.21. The file for Staff #13, with a date of hire of 8.4.21, did not contain a health assessment.

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

A Proof-of Purchase for the interconnected fire detection system was not provided.

It was confirmed that the operator did not send a copy of the emergency plan to the local municipality and the county emergency management agency.

The file for Staff #16, with a date of hire of 4.23.14, contained pediatric first-aid/CPR training which expired in April 2021 and was not renewed until 10.14.21.

The Emergency Contact form for Child #1 and Child #3 did not contain the enrolling parent's work address or work phone number.

The file for Child #1 and Child #5 did not contain a written consent signed by a parent for emergency medical care, which is required prior to admission.

The Emergency Contact form for Child #2 did not contain the release person's address or phone number. The Emergency Contact form for Child #4 did not contain the release person's address.

The file for Child #1 and Child #5 did not contain signed parental consent for administration of minor first-aid, which is required prior to admission.

The file for Staff #4, with a date of hire of 8.16.21, did not contain any proof of PEDIATRIC first-aid/CPR training. The file for Staff #10, with a date of hire of 10.19.21, did not contain any proof of pediatric first-aid/CPR training.

There was no information provided to parents on how to access the regulations electronically.

Based on interviews, it was determined that the facility has been out-of-ratio on different occasions during the past several weeks, due to being short-staffed.

Based on interviews, it was determined that Staff #1 was regularly using a phone in the classroom while in ratio and expected to be supervising children. Staff #1's use of a phone interfered with his/her ability to supervise children. Interviewees also confirmed that Staff #1 had fallen asleep while children were in his/her supervisory care.

Based on interviews, it was determined that Staff #2 mocked/degraded a child and his/her family due to their heritage.

Based on observations and interviews, it was determined that the building surfaces, equipment, restrooms, and toys are not property cleaned and on a regular basis.