Rainbows End Learning Center INC · Waynesburg

The emergency contact information for child #1 did not include the address for 1 of the 3 individuals designated by the parent to whom the child may be released and 2 others included incomplete addresses.

On 6/10/25 at approximately 8:16AM, child #1 walked out of Room 36 alone. Staff #1 and Staff #2 were present in the room, but were not aware child #1 exited. For approximately 1.5 minutes child #1 was alone in the hall before being returned to Room 36 by another staff member.

On 6/10/25 at approximately 8:16AM, child #1 walked out of Room 36 alone. Staff #1 and Staff #2 were present in the room, but were not aware child #1 exited. For approximately 1.5 minutes child #1 was alone in the hall before being returned to Room 36 by another staff member.

On 6/10/25 at approximately 8:16AM, child #1 walked out of Room 36 alone. Staff #1 and Staff #2 were present in the room, but were not aware child #1 exited. For approximately 1.5 minutes child #1 was alone in the hall before being returned to Room 36 by another staff member.

Based on the facility's documentation, consecutive tests of the fire alarm system were conducted more than 30 days apart; 2/21/25 and 3/24/25. Current compliant tests are now on file.

Child #1 crawled out from under a broken gate into the hallway, and Child #1 was unsupervised by Staff #1, for approximately one (1) minute, which resulted in a staff:child ratio of 0:1.

Child #1 crawled out from under a broken gate into the hallway, and Child #1 was unsupervised by Staff #1, for approximately one (1) minute.

Child #1 crawled out from under a broken gate into the hallway, and Child #1 was unsupervised by Staff #1, for approximately one (1) minute.

The facility's letter to parents explaining emergency procedures did not include details regarding the accommodations for infants and toddlers.

Hand sanitizer was accessible to children on the teacher's desk in room 30. Three AAA batteries were accessible to children in an unlocked storage drawer in room 36.

Two cans of Equate shaving cream,labeled keep out of reach of children, were observed in room 30. Based on statements made by staff, the shaving cream has been used by children for art projects.

The top surface of the heat registers/vents in rooms 29, 30 and 35 measured 120° to 130° during the inspection. The surfaces are accessible to children.

A stained ceiling tile was observed in the restroom in room 30. Protruding nail heads and splintering wood were observed on a flat piece of wood mounted on the wall in the girl's restroom. The wood previously served as a base for a wall mounted soap dispenser that is no longer attached. The rubber baseboard was detached in 3 areas of room 30.

One area of peeling paint was observed on the cabinet door of room 29.

An open box of vinyl gloves was accessible to toddlers in room 34. The box was observed on a chalk tray directly behind a shelf used by children to set their water bottles.

Splintering wood was observed on the seat bottom of an adult rocking chair in the infant room.

The refrigerator in room 34 lacked a thermometer.

The amount of medication administered was not documented on the medication log for child #1 located in room 35. Based on the log, staff administered Orajel to child #1 on 2/22/24 and 2/29/24.

A current menu was not posted. The posted menu was for the month of September.

The file for child #2 contained an initial health report dated more than 60 days following the first day of attendance at the facility. A current health report is now on file.

The file for child #3 lacked documentation of a service report shared with the parents in the last 6 months.

The agreement for child #2 did not specify the child's arrival and departure times.

The agreement for child #2 did not specify the persons designated by a parent to whom the child may be released.

The emergency contact form for child #4 lacked a complete address for the child's physician or source of medical care. The ECF for child #5 lacked the telephone number for the child's physician or source of medical care.

The emergency contact form for child #5 did not include the written consent signed by a parent for emergency medical care.

The emergency contact form for child #2 did not include the health insurance policy information.

The emergency contact form for child #2 lacked an address for an individual the child may be released to. The ECF for child #4 lacked complete addresses for the individuals the child may be released to.

Room 34 lacked a posted written plan identifying the means of transporting a child to emergency care.

The record for child #5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

The file for facility person #1 did not contain written references.

The files for staff #1, #2, and #3 and the file for facility person #4 contained disclosures which were not signed by a witness at the time of initial employment. (SEE LIS CODE SHEET) The disclosures are now signed and dated by a witness with the dates recorded as follows; staff #1 6/14/24, staff #2 6/14/24, staff #3 6/14/24, and facility person #4 6/24/24.

An open window in the boys restroom lacked a screen. An open window in the girls restroom had a damaged screen leaving a gap between the screen and window frame. A tear, approximately 3 inches long, was observed on the screen in the window of the restroom connected to the Twos Room.

Westcott brand antibacterial scissors, with both blunt and pointed tips, were observed in the Pre-k room and the 3s room. Based on the manufacturer's website, the blunt tip scissors are intended for ages 4+ and the pointed tip scissors are intended for ages 6+.

An Albuterol inhaler and Albuterol refill, labeled for child #1, were observed in the Pre-k and school age rooms. Child #1 has recently undergone a name change. As a result, the first and last names on the medication do not match the first and last names listed on the parental consent for administration.

The file for facility person #4 contained a health assessment that lacks the results of an examination for communicable disease and lacks the physician's or CRNP's assessment of the person's suitability to provide child care.

A lunch box containing yogurt was observed on the shelf near the teacher's desk in the Pre-K room.

Based on documentation, the 30 day tests of the facility's fire alarm system were conducted at intervals exceeding 30 days; 11/13/23 to 12/19/23= 36 days, 3/08/24 to 4/11/24 = 34 days, and 5/10/24 to 6/10/24 = 31 days.

Staff file #3 lacked a copy of the NSOR verification in the file with in 45 days of start at the facility. (See LIS CODE SHEET)

The operator lacked updated sections in their emergency plan that addresses volunteer emergency preparedness training and the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

Staff files #1 and #2 contained documentation of training on the emergency plan dated 4/19/22 and 9/12/23 which exceeded the required training annually as required.

The first aid kits located in rooms 34 and 29 were accessible to the children in care.

The first aid kit in room 38 and 34 lacked sterile gauze pads.

The preschool room 29 lacked a hand washing sign at the diaper changing area.

The operator lacked updated sections in their emergency plan and their parent letter that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility had documentation of testing the fire detection system dated 7/14/23, 8/30/23, 9/8/23, and 10/9/23 which exceeded the 30 days as required by section 1016(c) of the act (62 P.S. § 1016(c)).

Child file #1 lacked an initial health report within 60 days of attendance at the facility. (See LIS CODE SHEET)

The operator lacked a section addressing the prevention and identification of Child Maltreatment in their Shaken Baby syndrome, abusive head trauma and child maltreatment policy and procedure to maintain compliance with 45 CFR 98.41(a)(1)(vi) and in accordance with Announcement C-22-03.

Volunteer #5 file contained documentation of completion of mandated reporter training dated 12/18/17 and not completed mandated reporter training with thin the last 60 months. (See LIS CODE SHEET)

Staff person #4 was working as an assistant group supervisor but lacked the applicable qualifications contained in the staff file to support that position.

Child file #2 lacked the health insurance policy number for the child on the emergency contact form.

The facility lacked copies of incident reports in the child's files.

Staff file #4 lacked documentation of the staff person's education and experience prior to hire at the facility. (See LIS CODE SHEET) Staff file #6 lacked documentation of the staff person's education and experience prior to hire at the facility. (See LIS CODE SHEET)

Staff file #4 contained one of the two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person required. (See LIS CODE SHEET) Staff file #7 lacked copies of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (See LIS CODE SHEET)

Per staff statements, on 6/13/23 staff #1 and staff #2 were in the gym with 9 children. When the staff left the gym to return to their classroom with the children, child #1, an older toddler, was left alone and unsupervised in the gym. Child #1 was alone in the gym for approximately a few minutes until child #1 was found strapped into a stroller, in the gym.

Per staff statements, on 6/13/23 staff #1 and staff #2 were in the gym with 9 children. When the staff left the gym to return to their classroom with the children, child #1, an older toddler, was left alone and unsupervised in the gym. Child #1 was alone in the gym for approximately a few minutes until child #1 was found strapped into a stroller, in the gym.

Per staff statements, on 6/13/23 staff #1 and staff #2 were in the gym with 9 children. When the staff left the gym to return to their classroom with the children, child #1, an older toddler, was left alone and unsupervised in the gym. Child #1 was alone in the gym for approximately a few minutes until child #1 was found strapped into a stroller, in the gym.

On 10/17/22, Staff #1, administered a lice treatment kit to child #1 and #2. The lice treatment was not specifically labeled for use on either child.

On 10/17/22. Staff #1 administered a lice treatment kit to child #1 and #2. The children's parents did not provide written consent for the administration of the lice treatment kit.

Staff files #1, #2, #4, and #5 lacked a signed and dated disclosure statement in the file. (See LIS CODE SHEET)

The outside play space contained a cable from the utility pole to the ground that posed a tripping and strangulation hazard to the children while they play in the space.

The outdoor play space for the young and older toddlers contained mulch that was accessible to the toddlers while they were playing.

Child file #1 lacked an initial health report within 60 days of the child's first day of attendance at the facility. (See LIS CODE SHEET)

Child file #2 lacked the child's admission date on the agreement form.

Child file #3 lacked the child's health insurance coverage and policy number on the emergency contact form.

Staff file #3 contained 3 hours of annual childcare training for the year 12/19/20-12/19/21 so 9 hours of childcare training from 2022 completed trainings.

Staff file #4 contained documentation of health and safety training dated 10/3/22 which was more than 90 days after hire. (See LIS CODE SHEET) Staff file #5 contained documentation of health and safety training dated 10/5/22 which was more than 90 days after hire. (See LIS CODE SHEET)

The health report for child #3 did not include a include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The fire drill log included the designated location for evacuation not the hypothetical locations of the fire.

The record for child #4 did not include a health assessment more than 60 days (90 days as per ANNOUNCEMENT C-20-04) following the first day of attendance.

Staff persons did not participate, at least annually, in fire safety training during the period of time from 7/18/2020 to 10/2/2021.

The director did not complete a minimum of one written evaluation every 12 months for staff #1 (9/10/2020-10/1/2021), #2 (9/14/2020-10/1/2021), #3 (9/7/2020-10/1/2021) and #4 (9/9/20-10/1/2021).

The record for child #1 and #3 contained the original agreement.

The emergency contact information for child #1 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. The emergency contact information for child #2 did not include policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact information for child #1 did not include the address and telephone number of the individual designated by the parent to whom the child may be released.