KINDERCARE LEARNING CENTER 073016

Noncompliance Area: Styrofoam bowls were observed in the 1 year old room, being used for snack with children who are still placing objects in their mouths. CORRECTED ON SITE

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The file for staff person #1, #2 and #3 did not include verification of child care experience prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: In the 1 year old room, plastic bags were observed in a drawer by the sink area, accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: It was observed that the rest equipment in the Pre-K and Preschool rooms was not labeled for use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: It was observed that the refrigerator in the Infant room did not have a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: The fee agreement for child #1, #2, #3, #6 and #7 did not specify child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The emergency contact information for child #7 and #8 did not include health insurance coverage and policy number. The emergency contact information for child #5 and #7 did not include the address for release persons.

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. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: The file for child #5 (admission date 3/10/15) included an initial health assessment dated 6/22/16, more than 60 days after initial start date. The file for child #7 (admission date 11/1/18) did not include an initial health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The file for staff person #1 (hire date 8/26/19) did not include an initial health assessment and TB test. The health assessment for staff #2 and #3 was not obtained prior to initial service in the child care setting. The file for staff person #2 (hire date 6/28/19) included an initial health assessment dated 8/21/19 and a TB test dated 8/23/19. The file for staff person #3 (hire date 11/7/18) included an initial health assessment dated 12/5/18 and TB test dated 12/7/18.

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: The emergency contact information and fee agreement for child #2, #4, #5, #7 and #8 was not updated at least every 6 months.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The file for staff person #1 (hire date of 8/26/19) did not include verification of education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: It was observed that a copy of the emergency plan and written notification of safe routes were not posted in a conspicuous location in the child care facility. CORRECTED ON SITE

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: The file for staff person #2 (hire date 6/28/19) did not include any information regarding an FBI clearance. The file for staff person #3 (hire date 11/7/18) included Mandated reporter training completed on 8/21/19, completed beyond the 90 day provisional hire period.

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. Facility Person #2 may not work in a child care position at the facility.

Noncompliance Area: In the 1 year old room, it was observed that the first aid kits was missing tape, tweezers and soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: It was observed that in the 2 year old room, there was no source of running water available for handwashing in the diapering area.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Noncompliance Area: The file for staff person #1, start date of 5/28/19, did not contain an initial health assessment or results of an initial tuberculin skin test.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: It was observed in the infant room that an outlet cover was missing on the wall next to the mirror, accessible to children under the age of one. It was also observed that an outlet cover was missing in the preschool room, between a bookshelf and the sensory table, accessible to children ages 3-5.. (CORRECTED ON SITE)

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: It was observed in the preschool room, that there was a hole in the wall near the exit door, under the bulletin board. To the left of this hole there was also peeling paint observed. (CORRECTED ON SITE)

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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Instructions for contacting the appropriate regional day care office were not posted in a conspicuous location used by parents. Information was available in a binder in the entryway but was not conspicuous to parents. Corrected during inspection.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: Protective receptacle covers were missing from two outlets of a power strip in the Preschool 3's room. Corrected during inspection.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: At the time of inspection, staff persons 1-3 were present in the mixed school-age/preschool child care space. When the staff persons identified their primary care groups, only 19 of the 24 children present in the space were accounted for. One child was observed standing in the doorway of the classroom, and was unable to be seen by the staff in the classroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: At the time of inspection, both staff and children's files were observed in an unlocked cabinet.

Correction Required: Child records are confidential and shall be stored in a locked cabinet. Facility persons' records are confidential and shall be stored in a locked cabinet.

Noncompliance Area: Observed sharp edges on metal plates/guards holding wood barrier together around the toddler playground.

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: Observed embedded equipment on playground with only bare dirt surrounding it.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: The facility had not informed local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Correction Required: An operator shall notify 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 day care facility.

Noncompliance Area: Child #1 had emergency contact information dated 5/26/17, Agreement dated 5/26/17 Child #2 had emergency contact information dated 7/23/17 Child #5 had emergency contact information dated 12/29/17, Agreement dated 12/29/17 Child #6 had emergency contact information dated 11/24/17, Agreement dated 11/24/17

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: Child #1 did not have a health assessment on file. Child #2 did not have a health assessment on file Child #3 had a health assessment dated 12/9/16 Child #4 had a health assessment that was not dated or signed by a qualified medical professional. Child #6 had a health assessment dated 12/28/17 (required every six months for an infant or young toddler)

Correction Required: A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The emergency plan was not dated and had not been updated, according to the facility staff, nor had the emergency plan been sent to the county emergency management ageny.

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 send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: Observed outlets in toddler and pre-school child care space without outlet covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: Observed trash cans with no lids in pre-k and school age child care space.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Noncompliance Area: Observed holes approximately 12 inches deep in the dirt on the playground that pose a 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: Observed peeling paint and damaged plaster in school age and toddler child care space.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: The two staff persons assigned to a group school age children were unable to identify the specific children they were supervising in their assigned group.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: Emergency contact information was not present in a child care space for the following children: Young Toddler Room - Child #1 and #2, Pre-K Room - Child #3, #4 and #5, Infant Room - Child #6, School-Age Playground - Child #7, #8, #9, #10, #11, #12, #13 and #14

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: It was observed that the record of Staff #2 did not include documentation of a health assessment and TB screening conducted within 12 months prior to providing initial service in a child care setting.

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: It was observed that the record of Staff #1 and #2 did not contain documentation of training regarding the emergency plan at the time of initial employment.

Correction Required: 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: The records of Staff #2 and #3 did not contain documentation of mandated reporter training as required by CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: In the infant classroom, it was observed that the window by the diaper changing area was open and there was not a screen.

Correction Required: Windows or doors used for ventilation shall be screened when open.