Klein Kinder Care

The center did not notify parents that their child received an injured lip when the child was picked up. The caregiver provided first aid treatment to the child.

During a walk through of the operation it was observed that there were three holes in the wall, the trash can was overflowing with trash and onto the floor, the bathroom floor and classroom floor had several pieces of paper on it.

During the walk through of Infant A Room, I observed 3 infants in unlabled cribs.

During the inspection of the transportation vans it was found that Bus #4 was missing an entire first aid kit.

When evaluating children's records, I found that 1 out of 10 files were missing date of admission and signed statements from healthcare providers.

During the inspection of the transportation vans, I observed Bus #4 with several pieces of trash and food on the floor.

In the infant room a 4 month old was observed sleeping with bib on. Note: This was removed at inspection.

A front desk administrator/ staff present at the time of inspection did not have an active background check at the time of the inspection.

The operation was unable to provide written feeding instructions reviewed within the last 30 days for any of the 7 infants present at the time of inspection not yet on table food.

The operation was only able to provide documentation of CPR/first aid training for 3 out of the 13 currently employed caregivers.

The epinephrine injection for a child in care with a known food allergy had expired on 9/24/2022 and was still on file at the operation. The operation also had expired anti static valved holding chamber as of 2/18/22 and albuterol as of 5/2023 for a child in care.

A caregiver present at the time of inspection did not have a notarized employment affidavit on file for review.

A child in care with a documented fish allergy requiring an epinephrine injection did not have an emergency plan on file.

A caregiver present at the time of inspection did not have proof of education on file for review.

The operation had two buses used to transport children that had expired registration and inspection tags. The tags were on the windshields of the vehicles dated 8/24/2022 and 6/2022.

The operation did not have a current employee list posted for review. The employee list posted had caregivers that were no longer employed at the operation. This was corrected at inspection when the caregiver posted an updated employee list.

The operation was unable to provide documentation for a fire drill, lock-down drill for a volatile or endangering person or sheltering drills.

A newly hired caregiver present at the time of inspection and counted in the infant child to caregiver ratio did not have safe sleep, SIDS or shaken baby training.

The posted menu at the operation was for the week of September 4, 2023. This was corrected at inspection with the director had the menu updated to reflect the current week.

The operation was unable to provide a building and grounds checklist.

During the walk through of the operation the walls were observed to be written on, the wall trimmings were cracked with chipped paint,. The toys were broken on the playgrounds presenting risk of cuts, scrapes and entrapment, the playground had trash accessible to children in two seperate areas, due to recent rain prior to my arrival there were bodies of water in buckets, toys and structures, two silver structures were observed to be broken and placed in the center of the usage zones and the outdoor sink was filled with surfacing gravel rocks. The bathrooms within the classrooms had urine and feces requiring staff to walk around the center and flush all toilets, the bathrooms also had toilet paper on floors, potty trainings seats on the floors, a thick brown muddy substance cracked along the drainage hole in the toddler classroom, exposed toilet paper handles due to the covering on the san jamer holder being broken presenting risk of entanglement. The handwashing sinks were covered in brown stains. The window frames had broken window screens and the inside of the frames were filled with dust and dirt. The toys and equipment in the classrooms for learning were covered in crayon and colorful markings and the floors in the classrooms had small random items resembling trash on the floors presenting choking hazards.

A child was left unattended on the playground without direct supervision for hours.

During the walkthrogh it was found that the school age room was out of ratio by one child. Note: This child was placed in a different classroom.

School age caregiver did not know how many children caregiver was resposnbile for. Caregiver stated 26 when there wsa 27 children in care.

It was found that caregiver did not report to a parent about a less serious injury during pick up. A child was hit on the head with a block, and this was not reported to parent by the caregiver. Note: The caregiver has been terminated.

Based on information gathered from the investigation, it was found that a caregiver used inappropriate discipline practices on a child.

Based on the investigation, positive methods of discipline were not shown by a caregiver.

There were no feeding instructions for infants not on table food.

The CPSC posting was not signed within the past year. This was corrected during the inspection.

There is not a fire inspection documented for the past year.

Inappropriate forms of discipline were used during the incident regarding the investigation.