Knowledge Tree Child Development Center INC

During the renewal inspection the certification representative viewed the children's files, child #2 was missing the physician's address on the emergency contact form. (Continue noncompliance from SIN-00268242)

During the renewal inspection the certification representative viewed the children's files child #2 was missing information on disability on the emergency contact form. (Continue noncompliance from SIN-00268242)

During the renewal inspection the certification representative viewed the children's files, child #5 was missing their health insurance policy number on the emergency contact form. (Continue noncompliance from SIN-00268242)

During the renewal inspection the certification representative viewed the children's files child #4 was missing the release person phone number on the emergency contact form. (Continue noncompliance from SIN-00268242)

During the renewal inspection the certification representative viewed the children files child #1 is the grandchild of one of the staff who frequently accompanies her grandmother to work. There is no complete file for this child who receives care during childcare hours. (Continue noncompliance from SIN-00268242)

During the renewal inspection the certification representative viewed the children's files, child #6 was missing a date of the emergency contact and on the financial agreement. (Continue noncompliance from SIN-00268242)

During the renewal inspection the certification representative viewed the staff files, staff #1 and #3 were missing employment verification in the file. (Continue noncompliance from SIN-00268242)

During the renewal inspection the certification representative viewed the staff files, staff #1 was missing their second reference in the file. Staff #2 and #3 were missing 2 references in the file. (Continue noncompliance from SIN-00268242)

During the renewal inspection the certification representative viewed the staff files staff #2 was missing a criminal clearance, the NSOR and the disclosure statement in the file.

During the renewal inspection the certification representative viewed the emergency plan and did not observe the plans for continuity of care in the plan.

During the renewal inspection the certification representative viewed the staff files staff #3 was missing an emergency plan training in the file.

During the renewal inspection the certification representative viewed the emergency plan and did not see the method to contact parents.

During the renewal inspection the certification representative conducted a facility walk through and discovered peeling paint in the infant room on the green wall.

During the renewal inspection the certification representative conducted a facility walk through and discovered a crib that needed to be replaced or repaired. The crib was leaning due to missing a wheel.

During the renewal inspection the certification representative viewed the children's files, child #6 was missing MMR, varicella and the Hep A shots without a written exemption letter in the file.

During the renewal inspection the certification representative viewed the children's files children #2, #4 and #6 were missing the statement on their physical that states the child is free from communicable disease.

During the renewal inspection the certification representative viewed the emergency plan and did not see the accommodations for infants and children with special needs.

During the renewal inspection the certification representative viewed the emergency plan. The plan was missing the procedures for lockdown.

During the renewal inspection the certification representative requested to view the letter to the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility and was unable to do so at the time of the inspection.

During the renewal inspection the certification representative viewed the shaken baby policy, the policy did not include Maltreatment.

During the renewal inspection the certification representative viewed the children files, children #3, #4, #5 and #6 were missing child service reports in the file.

During the renewal inspection the certification representative viewed the children's files child #4 was missing a physician's address and phone number on the emergency contact.

During the renewal inspection the certification representative viewed the children's files, child #2 was missing the physician's address on the emergency contact form.

During the renewal inspection the certification representative viewed the children's files child #2 was missing information on disability on the emergency contact form.

During the renewal inspection the certification representative viewed the children's files, child #5 was missing their health insurance policy number on the emergency contact form.

During the renewal inspection the certification representative viewed the children's files child #4 was missing the release person phone number on the emergency contact form.

During the renewal inspection the certification representative viewed the children files child #1 is the grandchild of one of the staff who frequently accompanies her grandmother to work. There is no complete file for this child who receives care during childcare hours.

During the renewal inspection the certification representative viewed the children's files, child #6 was missing a date of the emergency contact and on the financial agreement.

During the renewal inspection the certification representative viewed the staff files, staff #1 and #3 were missing employment verification in the file.

During the renewal inspection the certification representative viewed the staff files, staff #1 was missing their second reference in the file. Staff #2 and #3 were missing 2 references in the file.

During the renewal inspection the certification representative viewed the staff files staff #2 was missing a Pediatric first aid and CPR in the file.

During the complaint investigation the certification representative viewed the staff files staff #5 and #6 were missing a health and safety certificate in the file.

During the complaint investigation the certification representative conducted an unannounced inspection and discovered staff # 3, #5 and #8 was missing a CPR in the file.

During the complaint investigation the provider was observed providing services to a school age child attending home school virtually online.

During the renewal inspection the certification representative walked in the facility and observed 18 children in one big group with the youngest being 1. with 3 teachers

During the renewal inspection the certification representative observed a staff member on the phone during nap time.

During the renewal inspection the certification representative viewed the staff files. staff #1 was missing an updated child abuse clearance in the file.

During the renewal inspection the certification representative conducted a facility walk through a discover peeling paint on the wall in the preschool space under first ais sign and birthday sign.

During the renewal inspection the certification representative conducted a facility walk through and observed an infant lounge seat that needed to be cleaned.

During the renewal inspection the certification representative viewed the children's files, children # 1 and #2 were both missing a health assessment and shot records in the file. child # 3 was missing health assessment information.

During the renewal inspection the certification representative requested to view the facility emergency drill, and was not able to view the drill at the time of the renewal.

During the renewal inspection the certification representative requested to view the shaken baby abusive head trauma and child maltreatment policy there was no policy to view at the time of the renewal inspection.

During the renewal inspection the certification representative requested to view the facility's liability insurance but was not able to do so at the time of the renewal inspection.

During the renewal inspection the certification representative viewed the staff files staff #2 was missing the health and safety training in the file.

During the renewal inspection the certification representative viewed the children's files, child #5 was missing any extra services provided and was not signed by the operator.

During the renewal inspection the certification representative viewed the children's files children # 1, #2,#3 and #5 were all missing the fee amount of the financial agreement.

During the renewal inspection the certification representative viewed the children's files children # 1 #2 #3 and #5 were all missing the date the fee needs to be paid this area was left blank.

During the renewal inspection the certification representative viewed the children's files children #1, #2, #3, #4 and #5 were all missing the services to be provided and a child service report.

During the renewal inspection the certification representative viewed the children's files children #1, #2 and #3 were all missing arrival time and departure times on the financial agreement.

During the renewal inspection the certification representative viewed the children's files, children # 1, #2 and #3 were all missing the release person their financial agreement.

During the renewal inspection the certification representative viewed the children's files child # 5 was missing the physician's phone number

During the renewal inspection the certification representative viewed the children's files child # 1 was missing the insurance name and policy number. These areas were left blank.

During the renewal inspection the certification representative viewed the children's files child #3 was missing the release person address on the emergency contact form.

During the renewal inspection the certification representative viewed the staff files, staff #1, #2 and #3 were all missing the complete the full 12 hours of professional development training. staff #1 was missing 8 hours of training, staff #2 was missing 11 more hours of training and staff #3 was missing 12 hours of training.

During the renewal inspection conducted on 8/21/23, the infant/ toddler space was out of ratio. The youngest child was 6 months and the oldest was 2yo. There were 9 children and two staff in the child care space.

During the renewal inspection conducted on 8/21/23, child#8 did not have a written statement giving the formula and feeding schedule on file.

During the renewal inspection conducted on 8/21/23, child #8's bottle was not labeled.

During the renewal inspection conducted on 8/21/23, child# 8 was not being held while being bottle fed.

During the renewal inspection conducted on 8/21/23, child #1, #4,, #5, and #6 did not have their physicians phone number included on their emergency contact form.

During the renewal inspection conducted on 8/21/23, the emergency contact form of child #7, did not include their health insurance policy number. The emergency contact forms of child #8, #9, #10, #11, and #12 did not include health insurance coverage and policy number.

During the renewal inspection conducted on 8/21/23, child #1, #2 and #3 did not have the address of release persons on their emergency contact form.

During the renewal inspection conducted on 8/21/23, the facility did not have their current certificate of compliance posted in a conspicuous location used by parents.

The file for staff person #1 does not contain NSOR verification. The file for staff person #2 does not contain a child abuse clearance and an FBI clearance. The file for staff person #3 does not contain NSOR verification and mandated reported training.

During the renewal inspection conducted on 12/19/22, Certification Representative observed a staff person left alone with 10 young toddlers in the young toddler classroom.

During the renewal inspection conducted on 12/19/21, Certification Representative observed a staff person left alone with 9 preschool children and 3 school age children in the older toddler classroom.

During the renewal inspection conducted on 12/19/22, Certification Representative observed an electrical outlet without a protective cover in the older toddler room on the wall next to the bathroom entrance.

During the renewal inspection conducted on 12/19/22, Certification Representative observed a bottle of hand sanitizer on top of a cubbie in the older toddler classroom.

During the renewal inspection conducted on 12/19/22, Certification Representative observed computer monitors, hard drives, and computer cords identified as trash by the provider in the outdoor play space.

During the renewal inspection conducted on 12/19/22, Certification Representative observed a broken plastic chair in the facility's outdoor play space. The back of the chair had cracks and was bent backwards.

The file for staff persons #3 and #4 did not contain an annual written evaluation.

During the renewal inspection conducted on 12/19/22, the older toddler classroom did not have a written plan of daily activities and routines.

During the renewal inspection conducted on 12/19/22, the older toddler classroom and the younger toddler classroom did not have emergency contact information for each enrolled child.

The file for staff persons #1 and #2 did contain documentation of required pre-service trainings.

During the renewal inspection conducted on 12/19/21, the facility did not have information on how to access chapter 3270 regulations posted in a conspicuous location used by parents.

During the complaint investigation conducted on 12/19/22, Certification Representative observed a child from the older toddler classroom in the bathroom unsupervised two times throughout the investigation. Certification Representative also observed a child in the younger toddler classroom fall out of a chair and onto the floor. The child fell so that their head was on the floor. The teachers in the classroom were not positioned so that they can see all the children in the classroom.

DURING AN UNANNOUNCED MONITORING VISIT ON 1/26/22, THE FOLLOWING ROOMS AND DESIGNATED AREAS ARE OBSERVED AS MISSING OR DISTRESSED PLASTER AND CHIPPING PAINT: THE INFANT ROOM, THE YELLOW WALL NEXT TO THE PANTRY, THE PURPLE WALL, THE YELLOW WALL NEXT TO THE COMPUTER, THE TODDLER ROOM ON THE OUTSIDE AND INSIDE OF THE HALF WALL, BATHROOM #1 PLASTER AND PAINT ON WALL NEAR THE LIGHT SWITCH, BATHROOM #2 YELLOW WALLS, TODDLER ROOM ON THEINSIDE PILLAR, ORANGE WALL, THE ENTRY WAY WHITE HALF DOOR.