KinderCare Learning Center/Plum

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 Firs-Aide and Pediatric CPR training.

The file for staff #2 lacked a copy of the disclosure statement.

The file for staff # 1 lacked written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

There were 2 sunscreens in two different cubbies in the preschool room label " keep out of reach of children." accessible to children.

There were 3 cleaning bottles in the preschool 2 cabinet by crackers, candy, baby puff snacks and marshmallows.

The first-aid kit bag in the preschool 2 room was on top of a low multi drawer plastic shelf accessible to children.

The first -aid kid in the Pre-k room lacked tape.

There were exposed splinters by the changing table wall in the Toddler A room. There was rust on the door frame by the changing table in the Toddler A room There was a cracked on the teacher's countertop in the preschool room.

The sink in the preschool 2 room was dirty it has dark black stains. The sink in the toddler A room was dirty with yellow and black stains. The toilets in the preschool 2 room were dirty with dry urine stains and dust.

There was a ripped changing mat with exposed foam in the bathroom, a cracked blue bin and a cozy corner tent with two holes in the preschool room. There were 2 cracked bins in the preschool 2 room. There was a pink cracked basket and a cracked water paint case in the pre-k room. There was a cracked bin in the Toddler B room. There was a cracked truck toy in the toddler's playground and a damaged basketball hoop in the preschool playground.

There were temporal paint pouches in the preschool room with a warning label " choking hazard- small part Not for children under 3 years. The paints were accessible to children.

There 4 cots that were not at least 2 feet of space required on three sides of the cots in the preschool room. There was 1 cot that was not at least 2 feet of space required on three sides of the cots in the preschool 2 room. There were 2 cot that was not at least 2 feet of space required on three sides of the cots in the pre-k room. There were 2 cot that was not at least 2 feet of space required on three sides of the cots in the pre-k room.

The file for child # 3 a toddler contained a current health report dated 11/7/24, the report was not updated within 6 months of the previous report dated 4/2/24.

The file for child # 5 a preschooler contained a current health report dated 10/4/24. The report was obtained after 12 months the prior report was dated 8/3/23.

Staff # 1 did not wash the child's hands after diapering.

The health reports for staff # 1,2 and 3 lacked that date when the TB test was read.

Staff # 1 did not wash her hands after diapering.

The files for children # 2 and 3 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

The file for child # 3 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form.

The file for child # 1 lacked the health insurance policy number on the emergency contact form.

The file for child # 2 lacked the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child # 3 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Based off of staff statements and police criminal complaint filed by Plum borough police, on 7/8/24, staff #1 grabbed child #1 by the bicep to keep child #1 from running away from staff #1. After the incident, there were 4 marks on child #1's bicep.

*Based off of staff statements and police criminal complaint filed by Plum borough police, on 7/8/24, staff #1 grabbed child #1 by the bicep to keep child #1 from running away from staff #1. After the incident, there were 4 marks on child #1's bicep.

On 6/26/24, staff #1 hit child #1 on the shoulder/bicep area with a greeting card.

The facility has exceeded 30 days since their last documented Fire System testing on 2.15.24.

The updates to the FBI Clearances on file for Staff Person #2 exceeded 60 months between update. The FBI Clearances on file were dated 1.2.18 and 7.12.23.

The emergency plan lacked information as to the method for a facility person to contact parents to inform them that an emergency has arisen, ended, and how they can be safety reunited with their children.

The telephone number of the nearest ambulance company was missing from the telephone in the Discovery Preschool and PreK Classrooms The telephone numbers of the nearest ambulance and fire companies were missing from the telephone in the Preschool, Infant Room A, Infant Room B, Toddler A and Toddler B Classrooms.

A hand washing sign was missing from the sink in the Discovery Preschool Classroom and one of the toilets in the Preschool Classroom.

A young toddler in the Infant B classroom was observed to be sleeping on rest equipment that was not labeled for that child.

On two separate occasions, infants in the Infant Room A classroom were observed to be sleeping in cribs without 2 feet of space on three sides present. A young toddler was observed to be sleeping on a cot in the Infant Room B classroom without 2 feet of space on three sides present.

The updated health assessments on file for Child #5, a young toddler, exceeded 6 months between examinations on 1.3.23 and 8.18.23.

The file for Child #4, a preschool age child, lacked a current health assessment. The most recent completed health assessment was completed on 8.18.22.

The file for Child #1 lacked verification that the child had received the ACIP recommended 4 month Rotavirus and Polio vaccinations and the 4-6 month DTAP, HIB and Pneumococcal vaccinations. A Written exemptions was not on file for the childat the time of the inspection.

Staff Person #3 was observed to change a child's soiled diaper in the Preschool Restroom and discard it by lifting the lid to the hands-free can with their hand.

The file for Staff Person's #3 and #4 lacked an initial health assessment and tuberculosis screening within 12 months prior to starting in a child care taking position. The health assessment and tuberculosis testing for Staff Person #3 was completed 9 days after starting. The health assessment and tuberculosis testing for Staff Person #4 was completed 6 days after starting.

The health assessment on file for Staff Person #1 lacked information related to an examination for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

Infant feeding schedules were missing for two Infants receiving care in the Infant Room A Classroom and one infant receiving care in the Infant Room B Classroom.

The update to the pediatric first aid and CPR trainings on file for Staff Person #2 was not completed on or before the expiration of the certificate. The current pediatric first aid and CPR training was completed on 11.15.23. The prior Certification expired on 10.31.23.

The agreements on file for Children #4 and #5 lacked an operator signature.

The agreements for Children #5 and #7 lacked the fee amount to be charged.

The files for Children #3 and #4 lacked a current developmental assessment.

The files for Children #1, #2, #3, #4, #5, #6 and #7 were observed to contain the original agreements.

The emergency contact form for Child #4 lacked the policy number for the child's health insurance coverage. The emergency contact form for Child #5 lacked the health insurance coverage and the policy number.

The updates to the emergency contact form and financial agreements exceeded 6 months between updates in 8.2022 and 8.2023 for Child #3. The updates to the financial agreement for child #4 exceeded 6 months between updates in 8.2022 and 8.2023.

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.

Based on staff statements, staff person #2 was observed taking pictures of children in care on a personal cell phone and posting them on social media without parental consent.

The most recent mandated reporter training documented and on file for Facility Person #1 was completed more than 60 months prior to the inspection.

The file for staff #3 contained a Child Abuse Clearance and a State Police Clearance date of 6-16-2017 and 6-28-2022 which exceeded the mandatory date of 6-16-2022 to receive the clearances. The file for staff #4 contained a State Police, a Child Abuse and an FBI Clearance Date of 10-19-2016 and 12-2-2021 which exceeded the mandatory date of 10-19-2021 to receive the clearances.

The facility did not have an emergency plan that included a method to inform parents the emergency has ended and instructions to be safely reunited with their children.

Located in the Toddler B bathroom, a bag of red Kay Liquid Soap was observed on the toilet tank and on the back of the label it stated: "Keep out of reach of children." and was accessible to children in care. Located in an unlocked closet in the school-Age Room, cleaning products were observed and all label's stated: "Keep out of reach of Children." and were accessible to children in care. These included: Kay blue liquid floor cleaner, Kay pink liquid floor cleaner. 3 bottles of Kay glass and surface cleaner, 1 bottle of Clorox Bleach, and 2 bottles of Monogram Bleach, one bottle of Super Contact Cleaner, 1 bottle of QSR Multisource Cleaner, and 1 two gallon size hand sanitizer.

Located in the School-Age Room, an open receptacle was observed and inside the open receptacle were napkins. When asked staff #2 stated: "All garbage goes into that garbage can and if a child's nose needs wiped, it also goes into that garbage can."

Located in the Toddler B bathroom, the toilet located on the left side contained a base which was missing a bolt cover on the left and right side. The toilet which was located on the right side contained a base which was missing a bolt cover on the left side.

The file for child #1 who is an older toddler did not contain an MMR, Varicella, Hepatitis A or an Influenza vaccine. The file for child #2 who is a preschooler contained an Influenza Vaccine date of 11-16-2020 and has not received an updated Influenza Vaccine.

Located in the Toddler B classroom, a discarded pull-up was observed in an open trash can which did not contain a lid.

The file for facility person #5 who is a cook contained a health assessment date that exceeded the 24 months to receive an updated health assessment. The file for staff #1 (SEE IS CODE SHEET) contained a health assessment date of 9-22-2022 which exceeded the mandatory date to receive the health assessment.

The operator has not sent a copy of the emergency plan updates to the local municipality and to the county emergency management agency.

The file for child #3 who is an infant contained a health assessment and vaccinations which exceeded the mandatory 60 days to receive a health assessment and vaccinations.

The file for child #3 who is an infant contained a health assessment and vaccinations which exceeded the mandatory 60 days to receive a health assessment and vaccinations.

The operator notified local traffic safety authorities annually in writing of the location of the facility and programs use of pedestrian and vehicular routes around the facility on November 30, 2021, but has not sent an updated annual letter since.

Located in the Toddler B Room, the file for child #7 contained an emergency contact form which did not state the release persons address or telephone number. Located in the Infant A Room, the file for child #8 contained an emergency contact form which did not state the release person address.

Located in the Infant A Room, the file for child #8 contained an emergency contact form which did not contain signed parental consent for emergency medical care for the child. Located in the 2's/Discovery Room, the file for child #9 contained an emergency contact form which did not contain signed parental consent for emergency care for the child.

Located in Toddler B Room, the file for child #7 contained an emergency contact form which did not contain the health insurance/MA coverage or the policy number of the health insurance/MA coverage. Located in the Infant A Room, the file for child #8 contained an emergency contact form which did not contain the health insurance/MA coverage or the policy number of the health insurance/MA coverage. Located in the 2's/Discovery Room, the file for child #8 contained an emergency contact form which did not contain the health insurance/MA coverage or the policy number of the health insurance/MA coverage.

The file for child #1, child #5, and child #6 contained an emergency contact form which did not state the release person's address.

. The file for child #5 contained an emergency contact form date of 1-13-2022 and 8-18-2022 which exceeded the mandatory 6 months to review/update the emergency contact form.

. The file for child #5 contained a fee agreement date of 1-13-2022 and 8-18-2022 which exceeded the mandatory 6 months to update/review the fee agreement.

Located in the Infant A Room, the file for child #8 contained an emergency contact form which did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Located in the 2's/Discovery Room the file for child #9 contained an emergency contact form which did not contain signed parental consent for administration of minor first aid procedures by the facility staff.

The file for staff #1 contained only one non-family reference attesting to the person's suitability.

The fire detection system was not tested every thirty days since 5-2-2022.

The file for staff #2 (SEE IS CODE SHEET) contained a Pediatric First Aid/CPR Training date of 9-27-2022 which exceeded the mandatory 90 days to receive the training.

Staff #1 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 1-19-2017.

The file for Facility Person #8 lacked required out of State Clearances as the Person has resided outside of Pennsylvania in the last 5 years.

The first aid kit in Infant A was missing soap.

The health assessment on file for Child #4 lacked verification that the child had received all recommended Pneumococcal vaccinations. The child appeared to be missing 1 of the recommended 4 doses. A written exemption was not on file at the time of the inspection.

The file for Facility Person #9 lacked a current health assessment. The file for Facility Person #11 lacked an initial health assessment that had been completed within 12 months prior to starting in a child care taking position.

The health assessment on file for Facility Person #10 indicated "no" that the physician did not complete a physical examination.

The file's for Facility Person's #5 and #11 lacked a completed Tuberculosis Screening prior to starting in a child care taking position.

The facility does not have proof of purchase of the existing interconnected smoke alarm system.

The file for Child #2 lacked an initial health assessment within 90 days (was extended from 60 due to COVID suspension regulations).

The file for Facility Person #8, listed as an Assistant Group Supervisor, lacked verification of hours to qualify them for that position.

The agreements for Children #1 and #5 lacked the designtated release person information on the agreement forms.

The emergency contact form on file for Children #2, #3 and #5 lacked the address for the release persons. The emergency contact form for Child #4 lacked the telephone number of the release person.

The written emergency transportation plan was not posted in the Preschool Classroom.

The file for Facility Person #10 lacked two written, nonfamily references.

The files for Facility Person's #1, #2, #3, #4, #6 and #7 lacked completion of Pediatric First Aid and CPR within 90 days of hire.