KINDERCARE LEARN CNT 073043 - Harrisburg PA Child Care Center

Noncompliance Area: On 10/15/20, it was observed that there were broken toys in the toddler play areas. A broken truck was observed in the lower toddler play area and broken bins were observed in the upper play area. CORRECTED ON SITE.

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: On 10/15/20, it was observed that staff physicals were not conducted in timely manner for staff person 1, 6, and 10. Staff person 1 (hire date 8/24/20) did not have a physical on file. Staff person 1 must have a physical completed before they may return to work. Staff person 6 (hire date 7/27/20) did not have a physical and TB test on file until 9/28/20. Staff must have a physical and TB test on file before starting employment. Staff person worked for 2 months without a physical and TB test on file. Staff person 10 had a physical on file dated 5/18/18 which expired on 5/18/20. A new physical was not on file. Staff person may not return to work until updated physical is completed.

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: On 10/15/20, it was observed that vehicle insurance was not current in both of the busses used for transportation by the facility.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Noncompliance Area: On 10/15/20, it was observed that child 1 and 2 did not have signed parental consent for first aid and CPR.

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: On 10/15/2020, it was observed that Child Protective Services Law (CPSL) was not followed for staff persons 1, 2, 3, 4, 5, 6, 8, 9, 11, and 12. Staff person 1 (hire date 8/24/20) has state police and child abuse clearances on file for a volunteer. Volunteer clearances are not acceptable. Staff person 1 also had a FBI clearance on file for the Department of Education. DOE clearances are not acceptable. Staff person 2 (hire date 6/1/20) did not have a National Sex Offender Registry (NSOR) clearance on file. No provisional paperwork was available. Staff person 2 also should have completed Mandated Reporter Training before 9/1/20 and it was not on file. Staff person 3 (hire date 7/21/20) had a FBI clearance on file for the Department of Education. DOE clearances are not acceptable. Staff person 4 (hire date 10/8/19) should have completed Mandated Reporter Training by 1/8/20 and it was not on file. Staff person 5 should have had a NSOR clearance on file by 7/1/20. NSOR clearance was dated 10/2/20. Staff person 5 also had a Mandated Reporter Training on file dated 4/13/15, which expired on 4/13/20. An updated Mandated Reporter Training was not on file. Staff person 6 (hire date 7/27/20) did not have a Child Abuse Clearance on file and no provisional paperwork was available. Staff person 6 did not have a FBI clearance on file and no provisional paperwork was available. Staff person 8 (hire date 10/20/19) did not have a NSOR clearance on file. Provisional paperwork on file indicated that the NSOR application had not been sent until 10/18/20. Provisional paperwork must be on file before a person begins working with children. Staff person 9 had a Child Abuse Clearance on file dated 6/16/15, which expired on 6/16/20. A new child abuse clearance was not on file until 9/25/20. Staff person 9 had a FBI clearance on file dated 6/23/15, which expired on 6/23/20. A new FBI clearance was not on file until 10/5/20. Staff person 9 had a Mandated Reporter Training on file dated 6/16/15, which expired on 6/16/20. No updated Mandated Reporter training was on file. Staff person 11 (hire date 2/21/20) did not have a NSOR clearance on file. Provisional paperwork indicated that the application for the NSOR clearance was completed on 1/28/20. Clearance was required to be on file by 7/1/20 and was not present. Staff person 11 was required to complete Mandated Reporter Training by 5/21/20 and training was not on file. Staff person 12 (hire date 9/15/20) did not have a FBI clearance on file and no provisional paperwork was available. Staff persons 8 and 11 were observed working together in the Preschool Classroom. Neither staff has a NSOR clearance on file, and they were not supervised by a permanent employee.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, 2, 6, 12 -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #1, 2, 6, and 12 may not work in a child care position at the facility.

Noncompliance Area: On 10/15/20, it was observed that staff persons 2, 6, and 7 did not have qualifications on file to be functioning in the position they were observed in. Staff person 1 was operating as an Assistant Group Supervisor and did not have varication of 2 years or 2500 hours of experience on file. Staff person 2 was operating as an Assistant Group Supervisor and did not have proof of education on file. Staff person 6 was operating as an Assistant Group Supervisor and did not have proof of education or experience on file. Staff person 7 was operating as an Assistant Group Supervisor and did not have proof of education or experience on file. Staff person 12 was operating as an Assistant Group Supervisor and did not have proof of 2500 hours of experience on file. Staff person 12 had 1080 documented hours on file. 1420 additional hours will need to be documented to be Assistant Group Supervisor qualified.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: On 10/15/20 it was observed that first aid kits are incomplete. The Young Toddler room was missing tape in their first aid kit. The Preschool room was missing tape. The School age room was missing tape and scissors.

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: On 10/15/20 it was observed that surfaces were not clean or in good repair on the school age/preschool playground, Toddler Classroom, and the School Age Classroom. The Kick Board on the lower wall of the school age/preschool classroom was observed to have peeling paint and splintering. The heater vent near the exit doors in the toddler and school age classroom were observe to be dirty and or in need of repainting.

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: Facility director admitted that they struggled with a mouse problem from October 2019 through the COVID shutdown in March 2020. The facility has contracted with an exterminator and upon walk through on 06/11/20 DHS representative did not observe any signs of a current mouse infestation.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. The file for child #7 does not include complete addresses for release persons designated by the parent.

Correction Required: 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: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency were not available on the vans for staff who take the children on excursions.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. Child #2 is not immunized according to the ACIP schedule and there is not documentation of a medical, religious or personal exemption.

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: The facility uses an app to track the meals and diaper changes of their infants and toddlers. There were concerns that a child's diaper/pull up was not being checked at least every two hours. Management pulled the app on the day in question and no diaper checks or changes were logged for child #1 in the 9.5 hours the child was in care. The teacher responsible for the child that day could not recall if the child's diaper had been changed.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Noncompliance Area: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. Staff person #8 does not have a health assessment or TB test on file at time of employment. During DHS return visit on 12/06/19 employee #8 was observed working with children and she did not have a completed TB test on file.

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.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: Violation was originally cited on SIN-00165526 but continued noncompliance was observed during DHS return visit to verify corrections on 12/06/19. Written notification of safe routes is not posted by the operator at a conspicuous location in the child care facility.

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