Kindercare Learning Center/washington - Washington PA Child Care Center

Noncompliance Area: The file for Child #1 lacked documentation of an up-to-date flu vaccination in accordance with the schedule recommended by the ACIP.

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 file for Facility Person #7, start date 08/19/2019, contained an initial health assessment dated 08/23/2019; lacking a health assessment conducted prior to providing initial service in a child care position.

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: The files for Facility Person(s) #7 and #10 lacked two written, non-family references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: The files for Facility Person(s) #1, #5, #6, #8, and #9 contained NSOR Clearances dated 07/09/2020, lacking NSOR Clearances dated before 07/01/2020 as required for employees hired prior to 09/30/2019. The file for Facility Person #3, start date 01/02/2020 contained a NSOR Clearance dated 01/09/2020; at the time of hire, the facility did not have a provisional hiring waiver in place. The files for Facility Person(s) #4, #7, and #10 did not contain NSOR Clearances; the facility had documentation that the clearances had been applied for three times prior to 07/01/2020, but the clearances had not been returned at the time of inspection. The file for Facility Person #1 contained a FBI Clearance dated 04/06/2015, lacking a FBI Clearance in the last five years. The file for Facility Person #5 contained a PA State Police Clearance dated 04/04/2015, a PA Child Abuse Clearance dated 04/18/2015, and a FBI Clearance dated 04/06/2015; lacking clearances within the last five years. The file for Facility Person #7, start date 08/19/2020, contained documentation of application for the FBI clearance on 08/21/2020. The file for Facility Person #9, start date 08/27/2019 contained a PA State Police Clearance dated 07/07/2020 and a PDE FBI Clearance, lacking documentation of a DHS FBI Clearance.

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(s) #1, #4, #5, #7, #9, and #10 may not work in a child care position at the facility.

Noncompliance Area: The files for Facility Person(s) #2, #4, #5, #6, and #7 lacked documentation of staff evaluations within the last 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: In the PreK 3 room, several bottles of diaper cream and sunscreen and a container of Purell hand sanitizing wipes were observed in a low, unlocked cabinet on the changing table, accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: In the PreK 3 room, a first aid kit was observed in a low, unlocked cabinet on the changing table, accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: The exterior door between the outdoor play space and the lobby of the facility was observed to have splintering wood at the bottom of the door frame.

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: The operator failed to notify the Department of a claim brought against the facility's liability insurance.

Correction Required: The operator shall report to the Department liability insurance claims brought against the operator or a facility person.

Noncompliance Area: On 3/21/2019, in the pre k and T K classrooms, magnetic tiles were observed to be cracked along the edges exposing the children in care to rough edges and sharp corners.

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 3/21/2019, the agreement form on file for child #1 was observed not to contain the date of the child's admission.

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

Noncompliance Area: On 3/21/2019, the emergency contact form on file for children #2, #5, #7 and #8 were observed not to contain complete documentation of the enrolling parent's work information.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: On 3/21/2019, the emergency contact form and/or agreement forms on file for children #1, #2, #3, #5, #8 and #9 were observed not to have been reviewed by the parent within the last 6 months and documented with a dated signature.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: On 3/21/2019, the health report on file for child #1, a younger aged toddler, was observed not to have been completed within the last 6 months as evidenced by the most recently dated health report on file being dated 3/26/2018.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: On 3/21/2019, the immunization records on file for children #1, #2, #4 and #6 were observed not to be complete as recommended by the ACIP. This is evidenced by each immunization record on file for each child not containing documentation of each child receiving the influenza vaccination within the last 12 months as recommended by the ACIP.

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.