Kindercare Learning Centers Llc

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The earliest health assessment on file for child #1 was dated 1/2/24, which was more than 60 days after the child's start date (see code sheet for start date).

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The shaken baby/abusive head trauma/child maltreatment policy did not sufficiently address child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: There was no written consent for emergency medical care or for the administration of minor first-aid for child #1.

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.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to parents explaining the emergency plan did not sufficiently address accommodations for children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 had an NSOR clearance that was dated 6/24/24, which was after the start date (see code sheet for start date). Staff #2 had an NSOR clearance that was dated 6/23/26, which was after the start date (see code sheet for start date). The disclosure form for Staff #5 was the version dated 11/8/24 which is the incorrect version for the date of hire (see code sheet for hire date)

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.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: There was Acetaminophen stored at the facility not labeled with a child's name.

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.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: There was an EpiPen at the facility for child #1 and there was no written parental consent for administration.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: A renewal inspection was conducted on 8/27/2025. At that time, there was not an initial health assessment on file for child #1, who has been attending the facility for over 60 days. Immunization summary on file for child #1 is dated 8/24/2025, which is past 60 days since attending the facility. Initial health assessment on file for child #2 is dated 11/7/2023, which is past 60 days since attending the facility.

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: A renewal inspection was conducted on 8/27/2025. At that time, initial health assessment and TB testing for staff person #1 was dated 10/11/2024, which was after their start date (see LIS code sheet for start date). Health assessments on file for staff person #5 are dated 10/13/2022 and 11/5/2024, which is past 24 months.

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.

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: A renewal inspection was conducted on 8/27/2025. At that time, initial health assessment dated 8/2/2023 on file for staff person #3 does include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection was conducted on 8/27/2025. At that time, the following staff members completed fire safety training past 12 months: Staff person #2: Fire safety trainings on file are dated 7/25/2023 and 9/26/2024. Staff person #3: Fire safety trainings on file are dated 5/20/2024 and 7/21/2025. Staff person #4: Fire safety trainings on file are dated 6/17/2024 and 7/11/2025.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted on 8/27/2025. At that time, the following staff members obtained clearances and/or mandated reporter training certificates past 60 months or after hire date. Staff person #5: FBI clearances on file are dated 11/19/2019 and 11/20/2024. Staff person #6: Child abuse clearance on file is dated 10/10/2024, which is after hire date (see LIS code sheet for date of hire). Staff person #7: Child abuse clearances on file are dated 8/23/2019 and 8/27/2024, which is after 60 months. Staff person #8: There was a PSP clearance request dated 1/7/2025 on file, which is not an acceptable clearance. Staff person #9: Child abuse clearance on file is dated 9/17/2024, which is after their hire date (see LIS code sheet for date of hire). Staff person #10: FBI clearances on file are dated 8/13/2020 and 8/18/2025, which is after 60 months. Mandated reporter training certificates on file are dated 8/10/2020 and 8/18/2025, which is after 60 months.

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. Staff Person #8 may not work in a child care position at the facility until appropriate PSP clearance is on file.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: A renewal inspection was conducted on 8/27/2025. At that time, facility's fire detection testing log was reviewed and showed that smoke alarms were tested on 3/14/2025 and 4/15/2025, which is past 30 days.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Continued Non-Compliance: A complaint investigation was conducted on 1/28/25. At that time, it was found that Child #1 was injured at the facility on 1/17/25. Staff Person #1, Staff Person #2, and Staff Person #3 were all present in the classroom when the injury occurred. All three staff stated that they did not see what happened when Child #1 was injured and cannot say for certain what happened. During the inspection on 1/28/25, Staff Person #4 and Staff Person #5 were observed working together with a group of 9 young toddlers. Staff Person #4 named three children in their primary care group. Staff Person #5 named four children in their primary care group. Both staff said that there were 8 children total in the group. The facility's acceptable plan of correction indicated the correction would be implemented by 3/5/25. On 3/31/25, an unannounced inspection was conducted. At that time, Staff Person #6 named three children in their primary care group. Staff Person #6 was asked for their primary care group two more times and again named three children. Staff Person #6 did not have a name to face card for Child #2, who was in their group, and did not name the child in their supervisory group.

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. Children must be supervised at all times. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must submit documentation in a format approved by DHS demonstrating that the facility procedure for supervising children is followed at all times e.g., a checklist. The checklist should include who is completing the supervision check, the time of the supervision check, whether the staff were able to identify the names and whereabouts of their group of children, and whether they had their name to face cards on their person. Supervision checks should be conducted at least four times spread out throughout the day. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of one month after DHS approves the documentation format. The correction date for this portion of the plan shall be a minimum of 1 month from the date the Regional Office receives an acceptable plan.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A complaint investigation was conducted on 1/28/25. At that time, it was found that Child #1 was injured at the facility on 1/17/25. Staff Person #1, Staff Person #2, and Staff Person #3 were all present in the classroom when the injury occurred. All three staff stated that they did not see what happened when Child #1 was injured and cannot say for certain what happened. During the inspection on 1/28/25, Staff Person #4 and Staff Person #5 were observed working together with a group of 9 young toddlers. Staff Person #4 named three children in their primary care group. Staff Person #5 named four children in their primary care group. Both staff said that there were 8 children total in the group.

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. Children must be supervised at all times. 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.