KINDERCARE LEARNING CENTER/WEXFORD

2025

1. Medium risk9/5/2025

   Each staff person meets quals/Transcript, diploma and letters (3270.33(a)/3270.192(2)(iv))

   2nd CITATION: The staff file for Staff person #4 and Staff person #11, who is functioning as an assistant group supervisor, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position. PREVIOUSLY CITED ON 6/26/25 Requirement: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. Correction: Staff persons #4 and #11 have been removed from licensed childcare space (classrooms, playgrounds, etc.) now and in the future childcare provider will ensure all documents are correct and translated, evaluated prior to hire. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/16/2025
2. High risk6/3/2025

   Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

   Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training. Requirement: 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. Until such time as the required pre-service trainings are completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility. Correction: Staff person #2 was supervised by AGS until health and safety training was completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/27/2025
3. Medium-High risk6/3/2025

   Training regarding plan (3270.27(c))

   The staff file for Staff person #7 contained documentation of receiving emergency plan training on 5/19/25 which was more than 90 days from date of hire. The staff file for Staff person #9 lacked documentation of having participated in annual emergency plan training for 2025. The staff file for Staff person #11 contained documentation of receiving emergency plan training on 2/10/25 which was more than 90 days from date of hire. Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. Correction: Staff person #9 was trained on the emergency plan. Staff person #7 and #11 have current emergency plan training on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/27/2025
4. Medium-High risk6/3/2025

   Fire safety - 1 yr. (3270.31(e)(4)(ii))

   The staff file for Staff person #4, Staff person #8, and Staff person #10 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 5/1/25 and 1/25/24. Requirement: Staff persons shall participate, at least annually, in firesafety 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. Correction: All staff are current on fire safety training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/1/2025
5. Medium-High risk6/3/2025

   Health and Safety Training (3270.31(f))

   Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training, Pediatric first aid/CPR, and Mandated Reporter training. Staff person #7 has since completed Pediatric first aid/CPR on 5/1/25 and Mandated Reporter training on 6/23/25. Requirement: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #7 will have until 7/22/25 to complete the required training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility. Correction: Staff person #7 completed the health and safety training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/26/2025
6. Medium-High risk6/3/2025

   Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

   The file for Staff person #1 (See IS CODE SHEET) was observed to lack a sex offender check from the State in which they resided in within the previous five years as required by the Child Protective Service Law (CPSL). The staff file for Staff person #2 was observed to contain a current National Sex Offender Registry (NSOR) check dated 6/20/25 which was not on file prior to first day working with children (See IS CODE SHEET) as required under the CPSL. The staff file for Staff person #10 contained a current State Police and Child Abuse clearance dated 2/26/25 both of which were not renewed within 60 months of the previously dated 2/24/20 State Police clearance and 1/31/20 Child Abuse clearance expiring. The staff file for Staff person #10 lacked a valid DHS FBI clearance; the DHS FBI clearance on file is dated 6/13/20 which is more than 60 months old. The staff file for Staff person #11 was observed to lack a valid DHS FBI clearance. Staff person #12 also contained an application for a NSOR check dated 10/18/24 and the NSOR check on file was dated 6/20/25 was not received within 45 days of hire (See IS CODE SHEET). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #10 and Staff person #11 may not work in a childcare position at the facility. 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 #10 and Staff person #11 may not work in a childcare position at the facility. Correction: Staff #1, #2, #10, and #11 are not current and up to date. Staff person #10 and #11 were removed from a childcare position until missing clearances were obtained. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/30/2025
7. Medium risk6/3/2025

   Comply with CPSL (3270.32(a))

   The staff file for Staff person #10 contained current mandated reporter training dated 2/6/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 11/26/19. The file for staff person #7 was observed not to contain documentation of completion of Mandated Reporter Training within the first 90 days of hire (See IS CODE SHEET). Mandated Reporter Training on file for staff person #7 was dated 6/23/25. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Both staff have current mandated reporter training on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/23/2025
8. Medium risk6/3/2025

   Each staff person meets quals/Transcript, diploma and letters (3270.33(a)/3270.192(2)(iv))

   The staff file for Staff person #4 and Staff person #11, both functioning as assistant group supervisors, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position. Requirement: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. Correction: Staff persons #4 and #11's foreign diploma will be sent for evaluations. They will remain aides paired with an AGS that has acceptable verification of experience and education and full trainings until staff persons have obtained the qualifications needed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/3/2025
9. Medium risk6/3/2025

   Staff evaluations (3270.34(a)(6))

   The staff file for Staff person #4, through Staff person #7, Staff person #9 and Staff person #10 were observed to lack an evaluation in 2024. Staff person #8 was observed to contain an evaluation dated '2025' with no month therefore unable to determine if the evaluation was done timely. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: All staff now have updated evaluations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/1/2025
10. Medium risk6/3/2025

    HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

    The staff file for Staff person #2 who is functioning as an Assistant Group Supervisor, lacked documentation of education and experience working with children. The staff file for Staff person #7, who is functioning as an Assistant Group Supervisor was observed to lack 2 years of experience; only 1,385 hours were documented. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff person #2 and #7 provided documentation of education and or experience. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/26/2025
11. Medium-High risk6/3/2025

    Building Surfaces (3270.76)

    The Right Side outdoor play space, used by the toddlers in care, was observed to have grass overgrown with common teasel plants that had short prickles on the leaves. In Preschool B Room torn contact paper was observed on the wall near the block area. In Preschool A Room, peeling contact paper was observed on the wall to left of entry door. Requirement: 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. Correction: The grass was cut the following day after inspection and contact paper in Preschool B and Preschool A was relayed to correct the peeling areas. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 7/4/2025
12. Medium risk6/3/2025

    No peeling paint or plaster (3270.77(a))

    Peeling paint was observed on the left and right sides of the door frame of the exit door leading to the backyard. In 2s Discovery Room peeling paint was observed on the lower right door frame of the door leading to the playground. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Door frame has been repainted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/4/2025
13. Medium risk6/3/2025

    Lidded waste receptacles (3270.82(i))

    In Preschool B room, the left bathroom was observed to lack a lidded garbage can. Requirement: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. Correction: All toileted areas [will] be cleaned and have waste cans lidded and hands free. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/25/2025
14. Medium risk6/3/2025

    Clean and good repair (3270.102(a))

    On the Left Side outdoor play space the exterior plastic covering of a blue soccer ball was observed to be worn out and have multiple sections peeling or torn off causing it not to be in good repair. Requirement: 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. Correction: Ball has been thrown away. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/3/2025
15. High risk6/3/2025

    Small Toys and Objects (3270.103)

    In 2s Discovery room, a red foam triangle was observed to have a corner of less than 1 inch bitten off causing a potential choking hazard to children who are still placing objects in their mouths. Requirement: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Correction: Triangle blocks have been removed from classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/4/2025
16. Medium-Low risk6/3/2025

    Outdoor Activity (3270.114)

    It was disclosed that children in the School Age Room and 2s Discovery Room have not been going outside daily due to the grass not having been cut in weeks and the presence of ticks in the outdoor play space. Staff from one room stated that they last went out a few days prior and another staff stated it had been two weeks. Requirement: Weather permitting, children shall be taken out doors daily. Correction: Schedule for children to play outside is posted in every classroom. Conversations have been had with staff about going outside daily. Management checks that they have. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/4/2025
17. Medium-High risk6/3/2025

    Services proceeded (3270.123(a)(3))

    The child file for Child #1, Child #2, and Child #3 was observed to lack valid child service reports on file; Brigance assessments were being used which are considered obsolete as of 7/1/2023. Requirement: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). Correction: All children's files have seen updated to include service reports rather than Brigance assessments. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 7/7/2025
18. Medium risk6/3/2025

    Admission date (3270.123(a)(6))

    The child file for Child #4 contained a current financial agreement form that lacked the child's admission date. Requirement: An agreement shall specify the date of the child's admission. Correction: Admission date has been added to the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 7/7/2025
19. Medium-High risk6/3/2025

    Each child emergency contact person (3270.124(a))

    The child file for Child #3 was observed to lack an emergency contact information form. Requirement: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Correction: We had a new enrollment meeting with parents and obtained updated emergency contact information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/4/2025
20. Medium-High riskStandard 126/3/2025

    12 months prior to service and every 24 months thereafter (3270.151(a))

    The staff file for Staff person #3, contained a current health assessment dated 3/19/25 which was conducted more than 24 months from the previously dated 2/19/23 health assessment on file. The staff file for Staff person #5, contained a current health assessment dated 1/6/25 which was conducted more than 24 months from the previously dated 15/5/22 health assessment on file Requirement: 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. Correction: Staff persons health forms are current now. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/26/2025
21. Medium-High risk6/3/2025

    Mantoux TB/Health assessment, TB test (3270.151(c)(2)/3270.192(3))

    The staff file for Staff person #2 was observed to lack documentation of a Tuberculosis test and the results. Requirement: 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Staff #2 reached out to the doctors office to have them send the TB test and results. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/29/2025
22. Medium-Low risk6/3/2025

    Exam communicable disease (3270.151(c)(3))

    The staff file for Staff person #11 contained a current health assessment dated 10/21/24 that lacked examination for communicable diseases and the results of that examination. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. Correction: Staff #11 went back to their doctors office and had them update the form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/1/2025
23. Medium-High risk6/3/2025

    Emergency info/agreement updated 6 mos (3270.181(c))

    The child file for Child #1 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the last parent review of the financial agreement and emergency contact forms was signed on 5/22/24. The child file for Child #2 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the last parent review of the financial agreement form was signed on 5/29/24 and emergency contact forms was signed on 5/22/24. Requirement: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: Agreement and emergency contact forms have been updated are current. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 7/1/2025
24. Medium risk6/3/2025

    Copy of initial and subsequent agreements. Parent receives original. (3270.182(8))

    The child file for Child #3 was observed to lack a copy of the initial financial agreement and subsequent financial agreements. Requirement: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. Correction: We had a new enrollment meeting with parents and obtained an update financial agreement form and placed it in the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 7/4/2025
25. Medium risk6/3/2025

    Exp, educ., training at facility (3270.192(2)(iii))

    The mandated reporter dated 12/13/22 for Staff person #7, which has been previously viewed by the certification representative was observed to not be in the file at the of inspection. Requirement: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff person #7 now has current mandated reporter training on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/23/2025