Kinder Care Number 213

During the unannounced walk-through inspection there were numerous hazards observed. The toilets utilized by children in care were dirty with either urine/fecal matter or both. There was what appeared to be possible mold underneath a refrigerator in a classroom. There were cleaning supplies accessible in a bathoom utilized by children in care. This was immediatly corrected during the isnpection by removing the cleaning supplies. There were mice droppings observed inside the operation.

A governing body change was not updated as required. The new area director started on 10/1/24. The new area director was not listed as a controlling person during the inspection.

It was determined throughout the course of the HHS Investigation that caregivers lacked good judgment when they were screaming at one another, using profanity, and threatening one another while children were in care. The director failed to address numerous health or safety concerns such as mold, mice, and mice droppings. The permit holder failed to utilize good judgment when interviewing an operational employee with the director present, breaching confidentiality.

An operational staff was observed yelling at numerous children in care on numerous occasions when the children wouldn't listen or behave.

It was determined throughout the course of the HHS Investigation that numerous operational staff failed to report to CCR when they had concerns of minimum standard violations.

It was determined throughout the course of the HHS Investigation that an operational employee was under the influence of alcohol while present at the operation during operating hours and actively on the clock.

An operational employee responsible for children in care and counted in child/caregiver ratio failed to maintain supervision on multiple occasions. The employee went to the office to retrieve their computer, their phone, or to work. The employee also left the classroom unattended to answer the door.

It was determined throughout the course of the HHS investigation that an operational employee grabbed and pulled children in care on more than one occasion.

Two infant files did no have updated infant feeding instructions.

During the inspection 10 children records were audited. 4 files did not have current immunization records. 1 file did not have health care information. 2 files did not have emergency care authorization. 1 file did not have a current vision/hearing screening for a child in care.

During the inspection 10 personnel files were audited. 3 files were missing date of hire. 6 files were missing high school diploma/GED. 3 files were missing affidavit of employment. 1 file was missing an acknowledgment signed for operational policies and procedures. 1 file was missing a photo identification/drivers license. 2 files were missing proof of orientation. 1 file was missing proof of background check. All files were missing the required annual trainings as they could not be located by the person in charge.

It was determined throughout the course of the investigation that operational employees failed to report abuse neglect concerns to CPS when they became aware of the situation requiring them to report to the hotline.

Throughout the course of the HHS investigation, it was determined that an operational employee designated in charge violated numerous minimum standards and was not routinely present at the operation.

It was determined throughout the course of the HHS investigation that operational staff that were left in charge lacked self-control when the staff yelled, threatened, and harassed other operational staff and parents on multiple occasions when children in care were present. The same operational employee used profanity around children in care while yelling at operational staff in front of children in care. The same operational employee also violated the operation's tobacco free policy and procedures by bringing a vape pen on the premises. Another operational staff lacked good judgment when the staff notified a parent in advance of a CPS case filed to give "fair-warning."

It was determined throughout the course of the HHS investigation that operational staff did not report concerns to CCR regarding prohibited punishment by a caregiver with children in care.

It was determined throughout the course of the HHS investigation that a caregiver failed to utilize good judgment when she frequently cursed towards and in front of the children in care. The same caregiver also lacked self-control when becoming frustrated with the children in care.

It was determined throughout the course of the HHS investigation that children in care were harshly treated by a caregiver when the caregiver yelled, shoved, lifted a child up by their shirt, picked children up by their arm off of the ground, and threw children in care on their cots when they wouldn't sleep.

It was determined throughout the course of the HHS investigation that the handwashing sink was also utilized for sanitization and disinfecting toys. The handwashing sink was also utilized for washing bottles and sippy cups.

It was determined throughout the course of the HHS investigation that a caregiver slapped children's hands. A child in care was forcefully grabbed and forced to the ground. The caregiver also yelled at the children in care.

During the inspection a bathroom ulitized by children in care did not have soap and paper towels.

During the monitoring inspection on 8/25/22 it was determined that the operation's loose fill surfacing was insufficient. On 9/8/22, it was determined that the loose fill still had not been delivered by cooperate office.

During the unannounced monitoring inspection, a 4 year old child in care was observed outside on the playground unsupervised. The 4 year old classroom had entered the building and the child in care was left alone outside for approximately one minute. This was immediately corrected during the inspection by guiding the child in care back inside the building into the classroom.

A survey of children's immunization records were reviewed. 2 of the 4 immunization records were not current.

The mulch was insufficient at the end of the slides on the outdoor playground.