KinderCare Learning Center/Monroeville

The VCT tile in Room DP-1 near the exit was cracked, chipped and loose posing a tripping hazard.

A blue art tray in Room 2 (PS) on the shelf in front of the room was chipped posing a cutting hazard.

The two most recent Health Assessments for Staff #2 and #3 were dated more than 24-months apart. (SEE LIS CODE SHEET)

The two most recent Pediatric First Aid and Pediatric CPR Trainings for staff #6 and #9 were dated more than 24-months apart. (SEE LIS CODE SHEET)

The last two fire safety trainings in the file for Staff #4, #5, #6 and #9 are dated more than one year apart. (SEE LIS CODE SHEET)

Mandated Reporter Training for staff #8 was dated more than 60 months ago.

At approximately 4:15 P.M. on February 1, 2024, Staff Person #1 was in Room 5 with seven (7) School aged children preparing an activity on the "Smartboard" with her back to the children for approximately one (1) to two (2) minutes. Staff Person #1, realized the quietness, called the children's names, with no answer and turned around. Staff Person #1 noticed in the Dramatic Play Area one school aged child, lying on their belly with their pants down, while another school aged child was pretending to give the child lying on their belly a shot.

At approximately 4:15 P.M. on February 1, 2024, Staff Person #1 was in Room 5 with seven (7) School aged children preparing an activity on the "Smartboard" with her back to the children for approximately one (1) to two (2) minutes. Staff Person #1, realized the quietness, called the children's names, with no answer and turned around. Staff Person #1 noticed in the Dramatic Play Area one school aged child, lying on their belly with their pants down, while another school aged child was pretending to give the child lying on their belly a shot.

The Disclosure Statements in the files for Staff Persons #2, # 3, #7, #8, #9, #11, #14, #15 and #16 were on outdated forms not used since prior to 2015. The file for Staff #21 lacked an updated FBI Clearance (SEE LIS CODE SHEET).

The outdoor, inground pool's gate was unlocked and accessible to children.

In an unlocked, child-height Wooden Storage Shelf with clear bins, next to the sink, had a screwdriver which was accessible to children.

A black hose was obstructing the exit door from the Discovery Preschool #1 Room to the outdoor play space.

In Room #8, a clear plastic bin with felt letters, near the window had a cracked corner posing a cutting hazard. In Room #2, a yellow art tray, in a wooden shelf, near the rear exit was missing a piece posing a cutting hazard. In Room #2, a clear bin with wooden blocks, near the circle time area was cracked posing a pinch point or cutting hazard. In Room #3, a clear plastic bin with plastic farm animals was cracked positing a pinch point and/or cutting hazard.

The two most recent Health Assessments for Staff Persons, #6, #9, #15, #17 and #18 were dated more than 24-months apart. (See IS CODE SHEET)

The facility's Updated Emergency Plan dated: 10/16/2023 was not sent to the local municipality.

The two most recent Pediatric First Aid and Pediatric CPR Trainings for Staff Persons #6, #12 and #17 were dated more than 24-months apart. (SEE LIS CODE SHEET)

The last two fire safety trainings in the file for Staff #1, #4, #5 and #20 are dated more than one year apart. (SEE LIS CODE SHEET)

Staff person #10 had not completed the following required pre-service training within 90 days of their date of hire (SEE LIS CODE SHEET): Pediatric First Aid/ Pediatric CPR training (dated 12/14/2023).

Mandated Reporter Training for staff #6 was dated more than 60 months ago.

Staff person #9 lacked an annual written evaluation from 2021. The last noted annual written evaluation in the file was 03/15/2022. (SEE LIS CODE SHEET)

The Emergency Contact Form for Child #2 lacked the Phone Number of the Physician or Medical Care Provider. (SEE LIS CODE SHEET)

The Emergency Contact Form for Child #1 lacked the Health Insurance/MA Coverage and Health Insurance/MA Policy Number. The Emergency Contact Form for Child #3 lacked the Health Insurance/MA Policy Number.

The Emergency Contact form for child file #3 lacked the address of the listed release person.

Room #4 (Toddler B) lacked the required emergency contact information for one child receiving care in the space.

The last two FBI clearances in the file for staff person #2 were dated 3/17/16 and 3/24/21.

After a toddler was observed being diapered in the DP1 room, neither the staff person or the child's hands were washed.

The garbage can in the kindergarten bathroom was not lidded. This bathroom is used by children who are in care in the kindergarten room outside of PAS hours.

There was a set of foam gray blocks in which teeth marks were observed in both the Todd A and DP1 classrooms.

The last two health reports in the file for child #3, a 4 year old, were dated 4/27/21 and 5/2/22.

The most recent health report in the file for child #2 included a signature, but not the individual's title.

The file for child #2, 17 month old, was missing the following vaccinations: 1 of 3 DTAP, 1 of 3 HIB, 2 of 4 PCV, 1 of 1 MMR, 1 of 1 Varicella and 1 of 1 Hep A. The written exemption by a parent in the file was specified for the flu shot.

After a toddler was observed being diapered in the DP1 room, neither the staff person or the child's hands were washed.

After a toddler was observed being diapered in the DP1 room, the staff person walked away from the diapering table without cleaning the surface.

The last two health assessments in the file for staff person #1 were dated 10/2/20 and 10/8/22. The last two health assessments in the file for staff person #3 were dated 6/2/20 and 6/7/22.

The original TB screening in the file for staff person #4 was dated in 2019, which was more than 12 months previous to the individual working with children.

The health assessment in the file for staff person #1 did not include an examination for communicable diseases and the results of that examination.

After a toddler was observed being diapered in the DP1 room, neither the staff person or the child's hands were washed.

The hypothetical location listed on the facility's fire drill log for consecutive fire drills on 4/8/22 and 5/27/22 was listed as "kitchen."

The following testing dates for the facility's fire detection system were dated more than 30 days apart: 3/1 and 4/1/22; 4/1 and 5/2/22; 6/1 and 7/11/22; 8/1 and 9/24/22; 10/4 and 11/18/22; 11/18 and 12/20/22; 12/20/22 and 2/14/23.

The emergency contact information in the file for child #1 did not include address or phone number for the child's father.

The only acceptable first-aid/CPR training in the file for staff person #5, hired 4/25/22, was dated 12/12/22.

Based on staff interviews, staff person #1 and #2 have been observed roughly putting children in their seats or in time-out, yanking children by the arm to make them sit down and grabbing children by the arm and pulling them against the wall to sit down.

Based on staff interviews, staff person #1 and #2 have been heard screaming at children or observed screaming in children's faces, yelling phrases such as "Turn it off!" or "Knock it off!"

In infant room B, shelving and a rocking chair were observed being used as a temporary barrier between awake children and sleeping children. The means of egress to the exit from the room was obstructed for the children sleeping behind the barrier.

The file for Facility Person #3 lacked a completed State Police Clearance and they have exceeded 45 days in a child care taking position.

The lock on the gate to the in-ground swimming pool was not engaged allowing the gate to open and allow access.

One cracked bin with a potential pinch point was observed in Classroom #1.

The file for Child #2 lacked verification that the child had received an annual influenza vaccination as recommended by the ACIP. A written exemption was not on file at the time of the inspection.

A container of Aquaphor was observed in a child's cubby in Classroom #2. The Aquaphor was labeled Keep Out of Reach of Children and the cubby area was accessible to the children receiving care in the space.

The updates to the health assessments on file for Facility Person #6 exceeded 24 months between examination.

The health assessment on file for Facility Person #7 lacked information related to an examination for communicable diseases.

The facility has not maintained documentation of monthly alarm testing of the interconnected system.

The files for Facility Person's #2 and #4 exceeded 12 months between updates to their annual Fire Safety Training.

The emergency contact form for Child #1 lacked the policy number for the child's health insurance.

The written transportation plan was not posted in Classroom #2 or Classroom #4.

The files for Facility Person's #1 and #5 lacked the completion of Pediatric First Aid and Pediatric CPR within 90 days of hire.