KinderCare Learning Centers · Carlisle

Staff person #1 has been observed speaking to children in a manner described as "harsh", "inappropriate" "abusive", "belittling" as well as "pessimistic." Staff person #1 was observed telling the children they are "bad". Staff person #1 has told the young and older toddlers they are a "bully" and has said to preschool age children "if a friend jumped off a bridge would you do it too?" in regard to choices made. Staff person #1 has said about one child, "She's just spoiled", "Do I need to put her over my knee?" When told a child doesn't like to be touched staff person #1 said "She's going to have to get over it real quick." During naps, staff person #1 was heard using a loud harsh tone telling children to "get up now" (from nap) to get into line and has been witnessed to yell at the children during nap time to lay down when the children asked to use the bathroom.

The nap mats located in PreK A were observed to be frayed and worn on =each of the 4 corners. The toilet located in the Preschool room bathroom was observed to have rust along the base of the toilet and in the bowl of the toilet. The screws that fasten the toilet to the floor were rusty and exposed as the caps that cover the screws were missing. The toilet located in Pod B was found to be rusty on the inside of the bowl. The screws that fasten the toilet to the floor were rusty and exposed as the caps that cover the screws were missing. The toilet located in PreK B was observed the inside of the bowl to be rusty and black. The screws that fasten the toilet to the floor were rusty and exposed as the caps that cover the screws were missing.

During the inspection, the window frames and windowsills located in Toddler A, Toddler B, Infants, Discovery PS, Preschool, Pre-K A, and Pre-K B rooms were observed to have chipped paint. The half wall that divides Toddler A and Toddler B were observed to have chipped paint on the top ledge of the wall and the wall itself.

During the inspection the bathroom walls in the Preschool bathroom was observed with streak marks behind the toilet from water. The wall behind the toilet appeared to be warped from water. The floor tiles around the toilet were broken and the subfloor could be seen around the toilet. The lighting was dim in the bathroom. The bathroom in In Toddler B has scuff and water marks on the walls and the bathroom lighting was observed to be dim. The Bathroom in Pre-K B was observed to have scuff marks and water marks on the wall. The bathroom lighting was observed to be dim. The Bathroom in Pre-K B was observed to have warped floor tiles around the toilet, a substance was observed behind the toilet but unable to identify during inspection due to dim lighting. The walls were scuffed and water marked. The Discovery Room Preschool bathroom walls were observed to be scuffed and water marked. The transition strip that separates the carpet and tile floor was observed to be placed on the carpet. The area between the capet and the tile, was observed to be caked with dirt and debris.

The changing table/sink combination located in the older toddler care area, released a malodorous smell in the room and made a loud grinding noise when the water was not running. The bins mounted on the wall in the younger toddlers' care area is low and diaper wipes were accessible to children. A tape dispenser was observed in the young toddler child care area (CORREECTED UPON CITE). The walls located in the far left corner of the youg toddler care space has a sticky substance on the wall that does not come off. The fence that separates the two playgrounds has an approx. 5-inch ga between the fence post and the porch.

The playground did not have 9 inches of mulch around the embedded slide and climbing apparatus.

The agreement on file for child #1 was not updated within a 6-month period between 8/2/22 and 8/16/23. The agreement on file for child #2 was not updated within a 6-month period between 8/30/22 and 8/1/23.

The child abuse, FBI, and PA state police clearances on file for staff person 3 expired in January of 2022. The updated clearances were not obtained until March of 2022. The mandated reporter trainings on file for staff person 4 were dated 9/29/2015, and subsequently 10/23/22. The updated was not on file within 60 months.

The emergency plan information given to parents at the time of enrollment does not explain the emergency procedures as described in subsection A.

An uncovered electrical outlet was observed in an area accessible to toddlers. (CORRECTED ON SITE)

The first aid kit in the transitional Kindergarten room did not contain tweezers. (CORRECTED ON SITE)

An area of dirt near the edge of the surfacing on the toddler playground had worn away, creating a sudden dip (tripping hazard).

Mulch was observed along the edge of the toddler playground.

Preschool aged children were observed sleeping on the floor with just blankets.

The immunization record on file for child 1 was not in accordance with the ACIP guidelines (no documentation of Hepatitis A, nor annual influenza vaccine). The record did not include an exemption notes.

A staff person was observed placing a soiled diaper onto the ground in the bathroom while changing a toddler, as the area was not equipped with a hands-free diaper trash can. (CORRECTED ON SITE)

The most recent health assessment on file for staff person 1 was no longer valid (dated 5/3/2019).

The facility was unable to provide documentation that the fire detection system had been manually tested at least once every 30 days prior to 7/29/22.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet). (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those…

The emergency contact information on file for child 1 did not include the enrolling parent's work telephone number.

On 10/17/22, a staff member witnessed staff member #1 handle child #1 by grabbing the child by the arm, lifting child #1 up so the staff member and the child were face to face. Staff member told child "No" about the child's behaviors, and laid child on a cot. By picking child #1 face to face caused child to cry.

Facility person #1 was hired on 6/14/21. The file for facility person # 1 does not contain a completed out of state child abuse clearance. Although the LE has an approved waiver on file effective 1/30/20, the requirement to have the completed out of state clearance on file was not met. Facility person #2 was hired on 8/11/21. The file for facility person # 2 does not contain a child abuse clearance. Although the LE has an approved waiver on file effective 1/30/20, the requirement to have the child abuse clearance on file was not met.

Facility staff #4 does not have on file verification of education.

Facility person #1 does not have on file a health assessment. Facility person #3 does not have a health assessment or results of a TB test.

Facility person #2 does not have 2 references on file.