Kindercare Learning Center - Reading PA Child Care Center

Noncompliance Area: A tricycle on the big playground was observed to have chipping red paint on the two back wheels, which are accessible to children when outside playing.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Staff Person #1 was hired and began working at the facility on 8/22/19, but was hired using a volunteer child abuse clearance dated 2/11/18, which is not valid for employment. An employment child abuse clearance was not obtained until 6/22/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: Multiple spots on the rubber surfacing on both the big playground and the toddlers playground were observed to be torn open, exposing the small pieces of rubber underneath the surfacing, and also creating tripping hazards. A section of the rubber surfacing on the 2s playground is separating from the macadam, posing a tripping hazard to children.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: One table in the Pre-K classroom and two tables in the School Age area were observed to have edges that are peeling away from the tables. Foam blocks in the Toddler classroom were observed to have bite marks, with small pieces of foam easily able to be pulled away from the blocks. Two trikes on the large playground were observed to have areas of red peeling paint on the tires. A climber on the infant/toddler playground was observed to have multiple spots of cracked plastic on the pink tunnel, posing a pinch hazard.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The emergency contact forms for children were reviewed in each classroom. Multiple forms in each classroom did not contain complete insurance information for the children, and insurance information is not contained in the child's master file.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: During a review of the children's files at the facility, it was observed that none of the records for Child#1 through Child #6 have updated flu vaccines on file in accordance with the schedule recommended by the ACIP. None of these children's records had a letter of exemption for strong personal beliefs or religious beliefs from the parent. The file for Child #1 also did not contain up-to-date immunizations in accordance with the recommendations by the ACIP since the child's 2-month shots, though the child is currently 12 months old.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: A diaper cream observed in the toddler classroom was unlabeled with the name of the child for whom it was intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: A Boudreaux's Butt Paste used on a child on the date of the inspection in the Discovery Preschool room was observed to have expired in 02/2019. A Seventh Generation Diaper Cream was observed in the Discovery Preschool room, but written consent to administer the medication was not on file.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The health assessments for Staff #2, #3 and #4 were not updated within the 24 month requirement. Dates of previous and updated health assessments: Staff #2: 10/26/16 and 11/16/18; Staff #3 11/22/16 and 12/13/18; Staff #4 10/21/16 and 12/22/18.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: Tweezers and soap were missing from the first-aid kit in the new bus, Bus 12180.

Correction Required: A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: The emergency contact forms for children were reviewed in each classroom. Multiple forms in each classroom did not contain signed consents for emergency medical care and minor first-aid procedures. These consents were also not on file in the children's master files.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Emergency plan training for Staff #1, who began working at the facility on 1/28/19, was not conducted until 3/14/19. The emergency plan at the facility was updated on 12/2017, and not updated again until 3/5/19.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: A ceiling tile in the Discovery Preschool room was observed to have a water stain, and staff reported a previous leak that is currently being addressed. A large area of the infant/toddler playground was observed to have sunken into the ground, exposing the cement base of a fence post, and overall posing a tripping hazard for children.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Documented fire drills at the facility extended longer than 60 days on multiple periods during the last year: From 4/9/18-6/22/18; From 6/22/18-9/1018; From 11/7/18-1/22/19 and from 1/22/19 until the date of the inspection.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.