Kimble Learning Center

A caregiver had a child sit inactive for a length of time that was inappropriate for his age. The child should have been limited to 3 minutes of time out but instead was sitting for 20 minutes before being allowed to get up and participate in an activity.

A caregiver was observed at inspection telling children that they would get candy for good behavior and if they dd not listen then they would not get any.

A caregiver was observed at inspection telling children that if they acted like babies then they would have them and their belongings sent down to the baby room. The caregiver was not communicating with the children in a manner that treated them with courtesy and respect.

The toddler classroom had majority of the shelves turned towards the wall and the toys were inaccessible to children in care. This was observed during morning activities with 1.5 hour of time prior to nap time. Two music based toys were made accessible after the initial observations but the shelves that were faced away were not turned with available toys during the duration of the inspection.

Both staff members were hyper focused on other job duties, such as hand washing practices, that when multiple children had a minor injury and upset, they did not comfort them or evaluate their level of injury.

One classroom with 21 children had reduced ratios during nap time with one caregiver. The specified age group is three year olds with children ranging from 18 month olds to 4 year olds. There was not an additional employee available in the building upon arrival at inspection.

Based on the evidence obtained during the investigation, the infant classroom was not free of hazards. A container of hot soup was in reach of an infant that led to an injury that required medical treatment.

An infant was in a restrictive device for over 15 minutes and the director had to prompt the staff member to transition the child. It was corrected with the infant removed from the restrictive device.

The staff list that is posted for parents was not current. Several new staff transitioned to the operation and staff also left employment from the operation and the list has not been updated. This was corrected at inspection with the staff list being updated and posted.

None of the four infants were signed in on the sign in sheet in the infant classroom. Additionally, a child for the two's classroom was not signed in either. This was corrected with the director signing the children into care.

During the intial walk through of the inspection, the director was absent and the staff were not aware of whom was in charge during her absence. One staff member stated the assistant director was in charge but the assistant director was present in the building to be in charge at that time. Another staff member was not aware that the director was not present in the building and stated she didn't know whom was in charge.

A television placed on a cart and used for supervised screen time activities was not adequately anchored and risked being tipped over off the cart.

A classroom was observed with cleaning supplies that are within reach of children and not inaccessible.

The currently available activity plan for the prek classrooms which has toddlers and pre-k age children combined, does not accurately reflect the current activities being provided.

Two vehicles were inspected and there were 6 expired booster seats that are used to transport children in care.

The infant room hand washing sink was observed being used to wash toys.

The currently available activity plan for the prek classrooms which has toddlers and pre-k age children combined, does not accurately reflect the current activities being provided.

Observations at inspection demonstrated that staff are not routinely checking diapers to ensure diaper changes are being completed promptly. One child was in care for 80 minutes before their diaper was checked and changed. The diaper was overly full and feces was running down the child's leg.

A caregiver was communicating to the children in a manner that did not encourage positive statements. The caregiver was instructing children to stop crying after instructing a child to stop unwanted behavior and then telling a child they wouldn't have fallen out of a chair if they didn't sit right.

The activity plan for the infant classroom lacks an afternoon opportunity for outdoor play. The current activity plan only displays a morning opportunity for outside play at 10:30 am. Additionally, the afternoon does not include any activities for the infants. The schedule goes from nap time, to snack time and then to dismissal.

The high chairs in the infant room were rinsed with water but were not sanitized with a sanitizing product before use.

Observations at inspection demonstrated that staff are not routinely checking diapers to ensure diaper changes are being completed promptly.

One of the infants lacking complete infant feeding instructions is no longer in care. The other infant's feeding instruction still lacks specifics on how frequent formula requires to be given.

The walking babies classroom floor has been cleaned and in better condition. The pre k classroom bathroom still requires to be cleaned to remove dirt and debri from around the toilet. The infant classroom carpet has less debri on the floor but there were staples that infants picked up and almost placed in their mouth. The infant toys still require cleaning.

Staff were observed at inspection cleaning multiple children's noses and not washing their hands afterwards.

The staff were observed at inspection during circle time and art activities in the pre k classroom but the routines observed does not match the written activity plan. Outside time is outlined on the schedule from 8:45 am to 9:15 am but outside time was not observed with nice weather outside. Additionally, the infant schedule does not list their outside opportunities.

A child in care spit up on the carpet and then crawled through the spit up, including their hands coming into direct contact and the staff did not assist the child with appropriate hand washing practices after.

The toddler playground was not inspected prior to being used and had various amounts of trash, including a used baby wipe, in the outdoor space used by children in care.

Two infant feeding instructions are lacking clear expectations on infant feeding for the staff to follow. One child's infant feeding instruction does not specify how frequently formula is required and one infant feeding instruction does not provide how many ounces of water or how many scoops of formula is required to provide clear instructions.

Observations at inspection demonstrated that staff are not routinely checking diapers to ensure diaper changes are being completed promptly. One child was in care for over two hours prior to having their diaper checked and changed.

The high chairs in the infant room were rinsed with water but were not sanitized with a sanitizing product before use.

Staff were observed at inspection cleaning multiple children's noses and not washing their hands afterwards. Additionally, a staff member cleaned spit up off the carpet and did not wash their own hands afterwards.

Some of the bathrooms floors were cleaned to remove dirt but not al of the floors were cleaned and were observed to have layered dirt and requires more frequent cleaning practices. Additionally the infant classroom carpet had food crumbs throughout the carpeted area that infants kept picking up and placing in their mouth.

When various classrooms were combined for morning drop off time, there was not a list of the children's names and ages available to review again at inspection. Once children transitioned to their classrooms two classrooms did not have a list of information of the children's ages they were responsible for.

Based on evidence obtained during the inspection, the hand washing sink in the infant classroom is being used to routinely clean toys that children have placed in their mouth.

Space used for infants during morning drop off routines is not set up to ensure there are sufficient number of toys for infants, including offering a variety of different developmental ranges.

Toddlers are not provided enough variety of activities, including low shelving for easily accessing the selection of toys during the morning drop off time, so the children are having to compete for the toys that are available.

An infant in care is lacking infant feeding instructions. An additional infant in care has an infant feeding instruction form signed by the parent but does not provide any direct instructions on what the infant requires for feeding times, the quantity or the frequency expected to be provided by the staff.

Based on the evidence obtained during the investigation, caregivers are not routinely placing toys aside for sanitizing after a child has placed the toy in their mouth.

Food items that present a choking hazard were observed being served to infants at inspection.

Based on evidence obtained during the investigation, children are being admitted into care when they have symptoms of illness that should exclude them from care.

Based on evidence obtained during the investigation, infants are not having their diapers changed promptly when wet. Additionally, the different areas used for infants during morning drop off times does not have a diaper changing area available to ensure infants diapering needs are being promptly addressed.

The floors of the bathrooms were observed to have layered dirt and requires more frequent cleaning practices.

When various classrooms were combined for morning drop off time, there was not a list of the children's names and ages available to review. Once children transitioned to their classrooms two classrooms did not have a list of information of the children's ages they were responsible for.

With 12 children in care with one caregiver responsible for these children there were 3 infants included in the count of the 12 children and was over ratio.

Children were not offered an alternative activity to screen time when combined for morning drop off. There were no available toys, activities or centers for any of the children ranging from infants to pre k to engage in a different activity.

The infants were observed having 7 infants to one caregiver with a specified age group of 12-17 months. The classroom should of had no more than 5 with one caregiver to be in ratio.

When the infants were combined with older children, there were 15 children with two caregivers with more than an 18 month age gap between the 4 month old infant and the five year old child grouped together. Additionally when the infants split off into their designated classroom, they then initially had five infants with the youngest 4 months and the oldest 25 months and there continued to be greater than an 18 month age gap until teh 25 month old child was removed to another classroom.

Children were observed watching a movie with a combination of ages, including children less than the age of 2.

Staff directed children to the bathroom to drink water from the hand washing sink. The children then went and drank the water from the faucet.

Children were observed going to the bathroom to potty and were not washing their hands afterwards.

Based on the evidence obtained during the staff are routinely on their cell phones for personal use while supervising children in care.

Based on evidence obtained during the investigation, staff are not following the written activity plan, including omitting outside activities when the weather is appropriate for outdoor activities.

A child in care was missing admission information as required.

A caregiver was observed at inspection communicating to the children in a manner that does not promote positive guidance and praise.

One caregiver did not renew their CPR and First aid certificate promptly prior to the credential expiring on 11/5/2023.

Various classrooms had areas that require attention related to maintenance. One classroom had outlet overs missing, a broken shelf that is only partially secured to the wall and the trash can with food debri did not have a lid to keep it inaccessible to children in care. Another classroom also had missing outlet covers, a step stool used by children had layered dirt on the top and the sides of the plastic and the bathroom toilet dispenser cover was broken and removed from the wall.

Personnel policies related to staff being ill not having direct access to children in care is not being adhered to. A staff member at inspection stated they had to come to work sick and was working in a classroom with children in care.

Active play equipment was added onto the playground for infants and toddlers. The climbing equipment are pallets used to form a triangle for climbing up one side and down the other. This free standing arch climber is considered prohibited equipment for children less than 5 years of age. The climbing equipment are pallets used to form a triangle for climbing up one side and down the other. The pallets are not sanded and have pieces of the wood that is splintered where the children grasp the pieces of wood to climb. Additionally, the climbing equipment lacks loose fill within the 6 foot use zone.

Building and Grounds: Toys were observed at inspection being visibly dirty. Staff interviewed stated that the equipment is still only being sprayed with sanitizer product but is not being wiped clean to remove dirt and debris from the surface of the toys. Toys had visible dirt on them, including large legos blocks, toy trucks and toys meant to be stepped on for balance indoors. The dust was cleaned off the top of the play kitchen and the bouncer was cleaned in the infant classroom. However, there is still a majority of toys in the toddler classroom that have visible dirt on them.

Another caregiver was observed at inspection communicating to the children in a manner that does not promote positive guidance and praise.

Several two years were observed being placed in time out for 10 minutes instead of the required one minute the year of their age.

A caregiver was observed at inspection changing consecutive diapers with changing her gloves in between but was not washing her hands.

A toddler caregiver had various opportunities to offer comfort and support when children were upset and instead, she told them to stop crying.

Various children were observed having their arm grabbed when escorting them to time out in a rough manner. Additionally, a child was pushed back against the corner of a shelf in a rough manner when they attempted to get up from time out.

A caregiver was observed at inspection communicating to the children in a manner that does not promote positive guidance and praise.

A caregiver was observed at inspection leaving a child on the diaper changing station to attend to children in the bathroom. The caregiver did not have their hand on the child and also was not within an arm's length of the child on the diaper changing station.

Toys were observed at inspection being visibly dirty. The equipment was being sprayed with sanitizer product but is not being wiped clean to remove dirt and debris from the surface of the toys. The potty chairs were observed being poured out but not sanitized after each use. There was still visible feces on the side of the potty bowl.

Diaper changing surfaces have not been sanitized appropriately after diaper changes.

Diaper changes were observed at inspection and the diaper changing surface was not sanitized appropriately after any of the diaper changes.

There was a mop bucket that had bleach water in reach of children in a hallway.

A food allergy plan did not have the required parent signature in file.

The school age playground has varying amounts of loose fill from one inch to four inches and does not have the required six inches of loose fill within the entire use zone of the equipment.

Transportation training was not available for review for the director when requested at inspection.

Diaper changes were observed at inspection and the diaper changing surface was not sanitized after any of the diaper changes.

A caregiver was observed conducting diaper changes at inspection but did not wash their hands afterwards, despite wearing gloves. Additionally, the caregiver helped children with wiping their noses but did not wash their hands after diaper changes were conducted.

One staff was not available for review at inspection.

A staff that provides transportation training did not have transportation training available for review at inspection.

Based on the evidence obtained during the investigation, parents were not notified by staff when a child in care received minor injuries while in care at pick up time.

The operational policy that provides information to parents regarding the promotion of physical activity to parents was not complete.

A caregiver was observed in direct care of children and the operation has not received notification of eligibility prior to allowing the individual to be present at the operation.

The operational policy that provides information to parents regarding the promotion of physical activity to parents was not complete.

A classroom was observed with chemicals - cleaning supplies and bug spray that was within reach of children and not inaccessible.

A child file had a photocopied Affidavit Exemption from Immunizations for Reasons of Conscience in file and did not have the original. The affidavit was not completed entirely as it did not have any vaccines boxes checked. A child file did not have an immunization record in file when the file was reviewed. **The director obtained the immunization record for the child file that did not have one filed and it was current.

One child file review was missing the date of admission and the phone number for the medical emergency medical facility. **This was corrected at inspection when the information was written in the child admission form.

Inflatables were observed being used by children, however, they were not used according to manufacturing instructions as one stated to place soft surfacing or materials around all bouncer entrances, exits, and landings and the other bounce houses stated shoes should be removed.

Two children's files were not available for review upon request. **This was corrected when the director bring the files from the administrative office during inspection and provided for review.

The operation did not inactivate an individual who has not been employed by the operation as of 2/28/2022, which is more than 7 days.

A child who has been in care longer than 12 months from the admission date, 11/21/2018, did not have a health statement in file for review.

The operation did not notify Licensing of a communicable disease within the required two day timeframe. **This was corrected at inspection when the operation made a report to Child Care Regulation.

One contracted employee that is counted in ratio and participates in caregiver activities and role, as well as interacts with and supervises the children did not have any annual training for review.

The last health inspection conducted was conducted on 1/7/2021 and is past due.

A child who has been in care longer than 12 months from the admission date, 11/21/2018, did not have a health statement in file for review.

The operation has allowed a person to be present at the operation before receiving notice regarding the person's eligibility and the operation does not have an eligible background check notification from the background check unit in file for review upon request.

A caregiver did not have all the required 24 hours for annual training. The caregiver is lacking 14 hours for the annual training of 8/4/2020 - 8/4/2021.

One caregiver that has been left in charge of children and counted in ration did not have the remaining 16 hours that are required to be obtained by the 90th day of the date of hired. The employee was hired on 3/12/2021.

A caregiver did not have all the required 24 hours for annual training. The caregiver is lacking 14 hours for the annual training of 8/4/2020 - 8/4/2021.

Based on the evidence obtained during the investigation, the operation has been over ratio in the threes classroom.

Based on the evidence obtained during the investigation, parents were not notified by staff when children in care received minor injuries while in care at pick up time.

Based on the evidence obtained during the investigation, a large box television has been used on a cart for supervised screen time activities without being anchored to the cart.

An employee has not been employed by the operation for over 3 weeks and is still showing active in the operations' background check list and was not inactivated within 7 days of the termination date.

A child was injured while in care that required parent notification and an incident/illness report form be completed with parent signature obtained or copy provided to parent. The operation did not obtain the parent's signature at all on the report indicating the parent had reviewed it but also did not provide the parent with a copy of the report within 48 hours of when the incident occurred. **The child no longer attends care as of 8/13/2021.

Based on the evidence obtained during the investigation, a caregiver did not use good judgment when she instructed three children, all who were 5 years old to push a large box television that was sitting on a cart and not secured down the hallway which caused an injury to a child when it fell on one of the children that was pulling the cart

Based on the evidence obtained during the investigation, a child was injured while in care that required emergency medical services (EMS) or the child be taken to the nearest emergency room after supervision was ensured for the rest of the children in the group. The operation only contacted the child's parent who then transported the child to an emergency department.

There were multiple nap mat had tears and rips and are unable to be sanitized appropriately in the school-age classroom.

During the walk-through, one caregiver was not aware of the number of the children that she was responsible for. The caregiver was asked twice how many children she was in charge of and each time stated 13 children. There were 14 children present in the classroom. The third time the caregiver and the inspector counted 14 children total.

Six children were observed eating their snacks on unsanitary place, table, and not on sanitary holders such as plates or napkins in the toddler classroom.

A caregiver's file was reviewed and the First Aid Training was not able for review upon request. This caregiver has been left in charge as the main caregiver for a group of children.

A school-age child was observed using the infant room as a passageway to go and use the restroom.

During the walk-through, one caregiver was not aware of the number of the children that she was responsible for. The caregiver was asked twice how many children she was in charge of and each time stated 10 children. There were 11 children present in the classroom. The third time the caregiver and the inspector counted 11 children total.

The operation was unable to provide for review staff/employee file requested at inspection.

The operation failed to submit an initial background check and allowed a person to be present at the operation before receiving notice regarding a person's eligibility.

The operation last practiced and documented fire drills and checking for smoke detectors, fire extinguisher, and carbon monoxide was in August 2020. The severe weather drills and lock-down drills were last practiced and documented in October 2020. **A fire drill was practiced at inspection and the exit time was under three minutes and it was documented by the director. This is in compliance.

A vehicle that has been used to transport children did not have a complete first aid kit as it was missing tweezers and it had anti-septic solution that was expired. The vehicle also did not have a list of the children being transported for the last three months - March - May 2021.