KinderCare Learning Center/Greensburg

Per Staff Statements, Child #1 was kneeling on hands and knees, on a nap cot. Staff #1, kicked the cot and shouted at Child #1. The cot moved and Child #1 fell forward hitting their forehead on the ground. Child #1 had a bump and red mark where their head hit the ground.

Per Staff Statements, Child #1 was kneeling on hands and knees, on a nap cot. Staff #1, kicked the cot and shouted at Child #1. The cot moved and Child #1 fell forward hitting their forehead on the ground. Child #1 had a bump and red mark where their head hit the ground

There was a Snsevierla trifasciata plant, and a cyclamen plant in the preschool room. There was an Eppremnum Aureum and an Umbrella Tree plant in the Pre-K room. There was an Epipremnum Aureum in the Discovery preschool room. These plants are considered toxic. There was 1 Umbrella Tree plant in the preschool room and 2 in the toddler room. The plan is considering toxic.

There was a garbage can contaminated by human secretions without a lid in the Toddler room. There was a garbage can contaminated by human secretions without a lid in the pre-k room.

There was a damaged wooden window frame in the toddler room. There were exposed splinters on the bottom part of the changing table in the toddler room.

There was a bokken blue bin in the Discovery preschool room.

The file for staff #1 lacked tuberculosis screening date by the Mantoux method at initial employment.

An accident report was not written nor given to the parents of Child #1, after the child received a bump and red mark on their forehead from falling from a nap cot.

The parents did not receive an incident report the day of the incident.

There was a bottle of glass and multi-surface cleaner by the baby food in the infant room.

The water table in the preschool room had a cracked corner. There was a basket with foam blocks with teeth marks in the preschool room. There were foam blocks with teeth marks in the pre-k room. There was a green broken water sprinkler and a broken bin lid in the preschool playground shed. There were several toys and a multi- stroller with accumulated water in the preschool and toddler's playgrounds. There was a cracked black shelf in the 2-year-old playground.

The file for staff # 2 contained a current health report dated 5/3/24. The previous report was dated 4/27/22.

The file for Staff #1 contained a health assessment that lacked the dates when the TB test was administered and read.

Written notification of safe routes was not posted at a conspicuous location in the childcare facility. Pick up and drop off procedure form.

The operator did not notify the local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment, lacked the child maltreatment statement.

The file for child #1 lacked the child's admission date on the agreement form.

The files for children # 2,3,4,5 and 6 contained an original agreement form.

The file for child # 6 contained an agreement form that was not renewed withing 6 months. The current review was dated 9/2/24 and the previous updated review was dated 11/16/23.

2nd Citation: The 30-day fire detection log on file had testing dates of 6/11/24-7/15/24(34days), which are more than 30 days apart. Previously cited on 5/6/24.

Staff Person #1 has been named as perpetrator in three indicated reports of child abuse involving children enrolled at the facility.

The smoke detection log on file had testing dates of 3/30/24- 5/16/24, which are more than 30 days apart.

Based on staff interviews, on 5-2-24, Staff person #1 was changing Child #3's diaper on the diapering table and slapped Child #3 on their bare right leg. As a result of the slap, Child #3 had a hand print mark on their leg. Child #3 then was observed rubbing their leg after the incident. Staff person #2 reported that they observed the incident as it occurred and reported it to Staff person #3. There was no incident report written and the incident was not reported for suspected abuse to ChildLine as mandated by the CPSL. Based on staff interviews, on an unknown day, Staff person #1 pulled Child #4 away from the sink in the Toddler A room causing the child to fall and hit their face on the sink. Staff person #1 then proceeded to drag Child #4 across the floor by the child's arm. As a result of the incident, Child #4 sustained a bruise on their face as reported by Staff person #2 who witnessed the incident as it occurred and reported it to Staff person #3. There was no incident report written and the incident was not reported for suspected abuse to ChildLine as mandated by the CPSL. Based on multiple staff interviews and a written statement from staff person #2 who was present in the…

Based on multiple staff interviews and a written statement from staff person #2 who was present in the Toddler B room at the time, at approximately 9:30am on 5-1-24, Staff person #1 yanked on Child #1's arm so hard that the child's face slammed to the floor causing a bruise on the outside of the child's cheek. It was also reported that as a result of this incident, Child #1 sustained superficial abrasions to the upper and lower lip.

Based on staff interviews, on 5-2-24, Staff person #1 grabbed Child #2 by the ribs and roughly slammed Child #2 onto the diapering table in the Toddler B room. Child #2 immediately began crying. It was reported that as a result of this incident, Child #2 sustained soft tissue swelling of the left thigh.

Based on staff interviews, on 5-2-24, Staff person #1 was changing Child #3's diaper on the diapering table in the Toddler B room and slapped Child #3 on their bare right leg. As a result of the slap, Child #3 had a hand print mark on their leg. Child #3 then was observed rubbing their leg after the incident.

Based on staff interviews, on an unknown day, Staff person #1 pulled Child #4 away from the sink in the Toddler B room causing the child to fall and hit their face on the sink. Staff person #1 then proceeded to drag Child #4 across the floor by the child's arm. As a result of the incident, Child #4 sustained a bruise on their face as reported by Staff person #4 who witnessed the incident as it occurred.

Based on staff interviews, on an unknown date, Child #5 approached Staff person #1 and asked for a blanket. Staff person #1 proceeded to yell at Child #5 in their face to shut up and then forcefully grab Child #5 by the neck and pushed them back which made Child #5 fall to the ground and Child #5 was crying and visibly upset.

Based on staff interviews, on an unknown date, Child #5 approached Staff person #1 and asked for a blanket. Staff person #1 proceeded to yell at Child #5 in their face to shut up and then forcefully grabbed Child #5 by the neck and pushed them back which made Child #5 fall to the ground. Based on staff interviews, on an unknown date, Staff person #1 called Child #6 a derogatory name to the child's face. Based on staff interviews, on 4-24-24, Staff person #1 screamed the following at Child #3: shut up, quit crying, don't talk to me like that.

Based on multiple staff interviews and a written statement from staff person #2 who was present in the room at the time, at approximately 9:30am on 5-1-24, Staff person #1 yanked on Child #1's arm so hard that the child's face slammed to the floor causing a bruise on the outside of the child's cheek. It was also reported that as a result of this incident, the child sustained superficial abrasions to the upper and lower lip. Staff person #2 reported that when told about the incident Staff person #3, the director, said to write an incident report that stated Child #1 was participating in circle time and fell thereby bumping their cheek off of the floor leaving a bruise, which was not an accurate description of the incident. Staff person #2 reported that they wrote a written statement describing what actually happened to the child and gave it to Staff person #3. Based on staff interviews, on 5-2-24, Staff person #1 was changing Child #3's diaper on the diapering table and slapped Child #3 on their bare right leg. As a result of the slap, Child #3 had a hand print mark on their leg. Child #3 then was observed rubbing their leg after the incident. Staff person #2 reported that they…

The files for Staff Person's #1 and #6 lacked a current disclosure statement. The disclosure statements on file were older versions and did not meet the requirements of the CPSL. The file for Staff Person #4 lacked out of state clearances for a state they have resided in within the last 5 years.

The refrigerator in Classroom 4 was missing an operable thermometer.

A form was on file for Child #2 dated 12.5.22 indicating that the child would receive an annual influenza vaccination at the time of their next doctor appointment. The child had a health reported dated 8.22.23 on file however the immunization record did not reflect that the child received an influenza vaccination. The parent did not provide an updated form related to a further delay until 11.7.23.

The health assessments on file for Staff Person #7 exceeded 24 months between examinations on 3.17.21 and 7.24.23.

The initial health assessment on file for Staff Person #5 lacked information that they had received an examination for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care. An updated health assessment including this information was not on file until 145 days after starting at the facility.

A written statement giving the formula and feeding schedule was missing for an infant receiving care in Classroom 5.

Based on the Fire Drill Log, when it is reported the fire alarms are activated, the facility exceeded 30 days between fire system testing. This is evidenced by the following dates of testing: 11.17.22-12.23.22; 1.13.23-2.15.23; 4.11.23-5.26.23-6.30.23; and 7.20.23-8.24.23-9.27.23-10.31.23.

The fire safety trainings on file for Staff Person #2 exceeded 12 months between trainings on 2.4.22 and 3.11.23.

The written plan of daily activities was not posted in Classroom 5.

The emergency contact form for Child #2 lacked the complete addresses for the release persons listed.

An emergency contact form was missing for a TK child who was receiving care for the day in Classroom 2.

The updates to the agreements for Children #1, #2, #3 and #4 exceeded 6 months between updates. The agreement forms for Child #1's were dated 6.3.22 and 6.27.23, Child #2's were dated 6.5.22 and 8.29.23, Child #3's were dated 6.6.22 and 7.23.23 and Child #4's were dated 6.23.22 and 8.4.23.

Staff person #6 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 pediatric first aid and CPR training on file for Staff Person #6 was an online training and was not in an approved curriculum or with a PQAS instructor.

The file for Facility Person #2 lacked a completed State Police Clearance within 45 days of starting at the facility. The completed State Police was on file 131 days after starting at the facility.

The emergency plan lacked information related to the continuity of operations as required by Federal law.

The parent letter that included information as to the method for facility persons to contact the parents to inform them that an emergency situation has arisen and ended and how parents can be safely reunited with their children was not available at the time of the inspection.

A cleaning solution was observed in the unlocked cabinet in Classroom #6 where older toddler age children were receiving care.

The current health assessment on file for Child #2 lacked a statement that the child had received age-appropriate screenings recommended by the American Academy of Pediatrics.

The health assessments on file for Facility Person #1 exceeded 24 months between examinations occurring on 3.5.20 and 4.3.22.

Documentation that the facility has participated in an annual emergency drill was not available at the time of the Inspection.

Verification that the facility has submitted their emergency plan to the local municipality and the county emergency management agency was not available at the time of the Inspection.

Verification that the facility had notified the local traffic safety authorities in writing of their location and use of pedestrian and vehicular routes around the facility was not available at the time of the Inspection.

The facility lacked a policy on the Prevention of Shaken Baby and Abusive Head Trauma at the time of the Inspection.

The file for Staff person #4 lacked verification that they had completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 31(f)(1-9).

The updates to the financial agreements for Children #1, #2 and #3 exceeded 6 months between update.

The filing cabinet that contained the Staff and Child Records did not have a lock in place.

The file for Facility Person #2 lacked one of their two written, nonfamily references.

Information as to how the parents may access the current regulations was not posted in a conspicuous location at the facility.

A review of the file for staff person #1 revealed that staff person #1 has resided out of state in the previous 5 years. The file for staff person #1 lacks a current child abuse and a current NSOR from the previous state.

The two most recent verifications of emergency plan training on file for staff persons #5, #6, #7, #8, and #10 are dated in an interval greater than 12 months. The most recent emergency plan training on file for staff person #9 is dated more than 12 months ago.

Observed the sidewalk at the rear of the building is cracked in one spot resulting in a large piece of loose concrete which creates a tripping hazard.

Observed an accessible bottle of hand sanitizer attached to a child's backpack in the Transitional Kindergarten room.

The first aid kit in the Transitional Kindergarten room was hanging on a low hook, making it accessible to children.

Observed chipping and peeling paint on the wood trim along the roof line in the outdoor gross motor space.

in the infant room, observed a crib in use by an infant blocking the exit door which leads to the outside of the building.

The file for child #2 lacks verification of a current Hepatitis B, Rotavirus, DTAP, HIB, Pneumococcal, Polio, and Influenza vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #3 and child #4 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

The two most recent health assessments on file for staff person #10 are dated in an interval greater than 24 months. The most recent health assessment on file for staff person #9 is dated more than 24 months ago.

The facility emergency plan was not updated by the required date of 12/19/20 to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

At the time of the inspection, a proof of purchase for the facility's interconnected fire alarm system was not on file.

The most recently documented fire safety training on file for staff person #9 is dated more than 12 months ago.

The two most recent verifications of completed mandated reporter trainings on file for staff person #6 and staff person #10 are dated in an interval greater than the required 5 years or 60 months according to the current CPSL.

The current evaluation on file for staff person #8 is dated more than 12 months after staff person #8 began in a child care taking position. Two most recent evaluations on file for staff person #6 are dated in an interval greater than 12 months. The file for staff person #9 lacks a current evaluation.

The file for staff person #4 lacks verification of 15 credit hours and one year of child care experience to qualify for the position of assistant group supervisor, the role assigned to and currently being performed by staff person #4.

The file for child #4 contains an agreement which lacks the child's arrival and departure times.

The file for child #4 contains emergency contact information which lacks the enrolling parent's work address and work phone number.

The file for staff person #1 contains two written, non-family references dated after staff person #1 began in a child care taking position.

The file for staff person #2 and staff person #3 lack verification of current pediatric first aid and pediatric CPR as required within 90 days of hire.