Kingdom Care Learning Center

The file for Staff #1, Staff #2, Staff #3, Staff #4, and Staff #5 contained an NSOR clearance dated after the date of hire.

In the Shining Stars Room, an unlabeled spray bottle with toxics was observed.

A trash receptacle in the left side bathroom contained human secretions (used paper towels) was not contained in a closed receptacle.

In the Cloud Room, a loose outlet plate was observed which could be hazardous to children. In the Smiley Face Room, a loose hanging sink was observed which could be hazardous to children.

In the Blue Skies Room, peeling paint was observed along the back of the children's sink. In the Ark Room, peeling paint was observed under the white board.

In the Blue Skies Room, two foam carpets were observed to be ripped with exposed foam and accessible to children still placing objects in their mouths.

In the Shining Stars Room, the wood blocks bin and the magnet tiles bin were observed to be cracked and not in good repair.

On the School-Age Playground, the loose mulch at the bottom of the slide of embedded playground equipment did not measure 9 inches below surface level, per the recommendations of the United States Consumer Product Safety Commission.

The most recent health assessment on file for Child #3 (a young toddler) is dated 10/24/24, more than 6 months prior.

The immunization record for Child #3 contained 3 out of 4 DTAP vaccines, 3 out of 4 HIB vaccines, and 0 out of 1 Varicella vaccines recommended by the ACIP, with no exemption on file.

In the School-Age Room and the Pre-K Room, the children's lunchboxes containing potentially hazardous foods from home were observed in the cubbies, not refrigerated.

The files for Child #1, Child #2, Child #4, and Child #6 contained an emergency contact form that was not updated within 6 months of the previous update. The most recent emergency contact review on file for Child #5 is dated 11/28/24, more than 6 months prior.

Based on interviews with staff, the Rainbow classroom has been out of ratio in the morning at drop off, on occasion having 3 teachers with 20 older toddlers (2-year-olds) exceeding the 1:6 staff to child ratio. Also based on staff interviews, when the older toddler classrooms combine in the gym from approximately 10:30 to 11:15 for gross motor play, there has been 25-30 children and 5-6 staff to maintain ratio. On occasion, when unable to find someone to cover, staff have left their group of 2-year-olds in the gym to use the restroom leaving the group out of the 1:6 staff to child ratio for older toddlers.

In a cabinet in the boy's bathroom, soap labeled, "Keep out of the reach of children" was accessible to children.

In the Blue Skies Room, toxics were stored on a shelf above loose diapers and not in a bin, which could cause harm to children.

In the Smiley Face Room, magnet tiles were observed to be cracked and not in good repair, which could cause injury.

On the School-Age Playground, the loose mulch at the bottom of the slide of embedded playground equipment did not measure 9 inches below surface level, per the recommendations of the United States Consumer Product Safety Commission.

In the Rainbow Room, a sensory bin containing rice was accessible to children who are still placing objects in their mouths. In the Blue Skies Room, paper books were observed to be ripped with pieces that were less than 1 inch in diameter and accessible to children who are still placing objects in their mouths.

The immunization record for Child #2 (17 months) lacked 1 dose of HIB and 1 dose of Pneumococcal with no letter of exemption in file. The immunization record for Child #3 lacked 1 dose of Hepatitis A with no letter of exemption in file. (See LIS Code Sheet).

In the Moon Room, a tube of prescription Nystatin labeled for Child #4 did not contain a prescription label with instructions.

The kitchen was used consecutively as the hypothetical location for fire drills on 2/2/24, 3/14/24, and 5/3/24.

The fire alarm 30-day test log includes test dates 11/4/23 and 12/8/23, more than 30 days apart.

The file for Child #3 contained an initial health assessment dated 8/8/22, more than 60 days after the first day of attendance.

The Emergency Contact form for Child #1 lacked the phone number of the physician or medical care provider.

While assessing supervision and ratio it was observed that Staff person #1 named and was responsible for 8 Young Toddlers while Staff Person #2 step out of the room to use the restroom. leaving Staff Person #1 with a ratio of 1:8.

It was observed that there was peeling and chipped paint on the wall in the hallway outside of the women's bathroom.

The record for Staff person #1 contains a child abuse clearance dated 08/01/2016 and 07/29/2022 and Criminal history clearances dated 08/25/2017 and 08/31/2022 indicating that staff person #1 exceeded the 60 month period for which a clearance is valid.

In the Rainbow room, there was an electrical outlet on an extension cord located on the floor that did not have an outlet cover.

In the Ark room, there was a carpet corner that was frayed and curled creating a tripping hazard.

There were no steps for children who are walking to approach the adult sized sink in the Moon Room. A staff member was observed holding a child on their leg for handwashing to reach the sink during the renewal inspection.

There were multiple pieces of splitting wood with splinters located around the GaGa pit and two exposed bolts on a bench in the large fenced area outside that could cause injury. There were two cracked trucks, a cracked play climber, and a cracked bin in the medium fenced area with sharp edges and pinch points that could cause injury.

The files for Child #1, #2, #3, and #8 contained records of immunization history which lacked current influenza vaccinations, recommended by the ACIP. Child #1, #2, #3, and #8 must be dismissed from care by close of business on 6/22/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

There was an EpiPen in the Moon classroom that was not labeled with the child's name.

An EpiPen, in the locked medication bin in the Smiley Face room had expired, and was therefore not in accordance with the manufacturer's original label.

There were two prescription EpiPen's for two different children in the Smiley Face room, which did not have a completed and signed medication log on file.

In the Noah room, where diaper changing occurs, the can labeled 'Diapers Only' was not hands-free.

The fire alarm 30-day test log includes test dates 5/20/22-6/20/22, 10/5/22-11/5/22, 12/2/22-1/2/23, and 1/2/23-2/9/23, which are all more than 30 days apart. Per Chapter 3270 Act 62 regulation updates on May 24, 2021, all fire detection devices or systems must be tested at least every thirty days.

The following children's records indicated that there were more than 6 months between the consecutive child service reports: Child #8 (11/22/22 - 6/5/2023), Child #9 (Date of Admission: 5/16/2022 - Initial Child Service Report: 12/2/2022), Child #10 (Date of Admission: 10/31/2022 - Initial Child Service Report: 6/4/2023)

The emergency contact form on file for Child #9 does not include the health insurance coverage and policy number for the medical insurance policy.

The emergency contact form on file for Child #6 does not include a complete address for all listed release persons. The emergency contact form on file for Child #8 does not include a complete address and telephone number for all listed release persons.

The following children's records indicated that there were more than 6 months between the parent review of the emergency contact information and financial agreement: Child #3 (EC & FA 11/14/2022 - 6/22/2023), Child #6 (EC & FA 11/16/2022 - Missing Update), Child #7 (EC & FA 11/16/2022-6/2/2023), Child #8 (EC & FA 11/23/2022-6/5/2023), Child #9 (EC & FA 11/21/2022-6/5/2023), and Child #10 (EC & FA 11/18/2022-6/4/2023)

The file for Staff person #3 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

Staff person #2 did not complete the following required pre-service training by within 90 days of hire (see LIS code sheet), pediatric first-aid and CPR training. The training was completed on 7/18//22.

Based on interviews with Staff at the time of an unannounced inspection, it was reported that there are times when the soap in the restrooms have not been refilled by the cleaning company. This results in children not being able to wash their hands with soap until they return to their classrooms.

The file for Staff #1 contained a disclosure statement which was not current and lacked a witness signature. The files for Staff #4 and #5 contained consecutive state police clearances dated more than 60 months apart. The file for Staff #5 contained consecutive FBI clearances dated more than 60 months apart. The file for Staff #13 contained an invalid disclosure statement.

During assessment of ratio and supervision in the small fenced outdoor play space on 8/23/22 at approximately 10 AM, 36 children were observed in care. The measured capacity of this space is 33.

An electrical outlet was observed to be uncovered by the sink in the Ark Room. Two electrical outlets in a power strip in the Noah area of the Main Room were observed to be uncovered.

Toxic cleaners were observed under the sink in the Ark Room in an unlocked cabinet in which the safety lock was not working properly.

A toxic cleaner was observed on the counter by the food preparation area in the Meadows Room.

Thorny weeds were observed in the large outdoor play space. Loose metal pieces were observed on the right side of the medium outdoor play space.

The refrigerator in the Moon Room was observed to lack a thermometer.

The files for Child #2 and #3 contained records of immunization history which lacked current influenza vaccinations.

An expired Tylenol was observed in the medicine box.

The files for Staff #3, #8 and #9 contained consecutive health assessments dated more than 24 months apart.

Staff person #2 and #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 and CPR training. Staff Person #7 had 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 training; health and safety training. Facility Person #11 has not completed the following required pre-service training within 90 days of the date of hire (see LIS code sheet): pediatric first-aid and CPR training. Staff Person #12 had not completed the following required pre-service raining with 90 days of their date of hire (see LIS code sheet): health and safety training.

Staff person #6 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person 7 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file for Child #1 contained consecutive updates to the emergency contact and agreement forms dated more than six months apart.

The file for Staff #5 lacked documentation of the 12 annual child care training hours between 12/19/20 and 12/19/21.

During video footage of 8/3/22 observed during a complaint investigation, Staff #1 Is seen with her back to 3 OT children while she tends to one of the children in the Ark Room, never turning to see, assess or direct the other children. On 8/8/22, video footage shows Staff #2 with her back to 5 OT children while changing a diaper in the Cloud Room, never turning to see, assess or direct the other children. Staff #2 is again seen on the same day with her back to 6 OT children in the Cloud Room, in a back closet and then retrieving the cots for naptime, never turning to see, assess or direct the children.