Kimble Learning Center

A child's file that was reviewed during the inspection did not have a current immunization record on file.

An infant was observed in a restrictive device for more than 15 minutes.

A caregiver was observed at inspection grabbing a child by the arm with enough pressure to leave an impression on the child's arm and remained visiible for five minutes.

An infant was showing noticeable signs being tired and grabbing at the rails of their crib. The caregiver told the child that they know the child is tired but they have at least an hour before they can lay down. The child then began pushing and biting other children due to being tired and requiring rest.

One staff member did not have health and safety training as specified in condition 2 of the operation's probation within 10 days of their hire date.

Two caregivers were in the classroom but were not maintaining awareness of the ongoing activities of the children they were responsible for. One child was laying on the floor with their pants partially down and exposing themself and touching themself. A caregiver walked past the child and then continued picking up toys without intervening.

Toys were observed being cleaned up and placed back on the shelves. Toys that had been in the children's mouths were mixed with the clean toys that were placed back on the shelves for children to access.

Toddlers were observed playing with a group of toys on the carpet and toys were continuously placed in their mouth and then placed back in the group of other toys and then another child would pick up the contaminated toy and then place in their mouth.

One child had a potty accident and had their wet clothes changed and they did not have their hands washed after. Additionally, the caregiver did not wash their hands after handling the soiled clothes. Additional children had their diaper changed and some of the children did not have their hands washed after. The caregiver also did not wash her hands after each diaper change.

Multiple children's diapers were changed and the diaper changing surface was not observed being sanitized after any of the diaper changes.

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.

Transportation training is not current for any current staff that transport children in care and the director of the operation additionally requires transportation training.

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.

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.

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.

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.

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.

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.

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.

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.

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

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

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.

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

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.

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.

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.

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.

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

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

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

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.

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.

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.

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.

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.

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.

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

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.

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.

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.

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.

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.

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

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.

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

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.

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.

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

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.

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.

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.

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

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.

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.

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.

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

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.

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

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.

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

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.

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.

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.

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

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.

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.

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.

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.

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.

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.

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.

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

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.

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

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.

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.

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.

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

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 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.

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.

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.

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.

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, the operation has been over ratio in the threes classroom.

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.

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