Grow N Learn Child Care LLC

Based on staff statements, Staff #1 has placed an older toddler aged child in a high chair and then placed the highchair in the hallway outside of the Toddler classroom doorway. The child was placed in the highchair due to the child's challenging behaviors. Staff #1 remained in the Toddler room while the child remained in the hallway for approximately 5 minutes.

Based on staff statements, Staff #1 has taken an older toddler aged child displaying challenging behaviors into the back hallway to talk to the child and help the child calm down. During this time, Staff #2 remained in the toddler room with 6 or more children including older toddlers and preschool age children.

Based on staff statements, Staff #1 has placed an older toddler aged child in a high chair and then placed the highchair in the hallway outside of the Toddler classroom doorway. The child was placed in the highchair due to the child's challenging behaviors. Staff #1 remained in the Toddler room while the child remained in the hallway for approximately 5 minutes.

Based on staff statements, Staff #1 has placed an older toddler aged child in a high chair and then placed the highchair in the hallway outside of the Toddler classroom doorway. The child was placed in the highchair due to the child's challenging behaviors. Staff #1 remained in the Toddler room while the child remained in the hallway for approximately 5 minutes.

Based on staff statements, Staff #1 has placed an older toddler aged child in a high chair and then placed the highchair in the hallway outside of the Toddler classroom doorway. The child was placed in the highchair due to the child's challenging behaviors. Staff #1 remained in the Toddler room while the child remained in the hallway for approximately 5 minutes.

Based on staff statements, Staff #1 has placed an older toddler aged child in a high chair and then placed the highchair in the hallway outside of the Toddler classroom doorway. The child was placed in the highchair due to the child's challenging behaviors. Staff #1 remained in the Toddler room while the child remained in the hallway for approximately 5 minutes.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR

On 8/21/25, at approximately 1:30pm, CR observed Staff #3 and Staff #4 (both aides) caring for 8 children in the infant room with no other staff present.

Based on staff statements, Staff #1 has placed an older toddler aged child in a high chair and then placed the highchair in the hallway outside of the Toddler classroom doorway. The child was placed in the highchair due to the child's challenging behaviors. Staff #1 remained in the Toddler room while the child remained in the hallway for approximately 5 minutes. Based on staff statements, occasionally when a child is exhibiting challenging behaviors, the child is sent to the office. The child typically remains in the office for approximately 5 minutes. Children have remained in the office for snack time or lunch time. The office is not a measured child care space.

Staff person #3 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR

At approximately 10:45am, CR observed children of Preschool 2 returning from the outdoor play area; The children were up the L-shaped stairway, around the corner, and into the classroom while Staff Person #1 was still on the lower stairs. There were 4 children Staff Person #1 could not see on the upper stairs and in the hallway. These children were in the Preschool 2 classroom with no staff present for approximately 1-2 minutes.

At approximately 10:45am, CR observed children of Preschool 2 returning from the outdoor play area; The children were up the L-shaped stairway, around the corner, and into the classroom while Staff Person #1 was still on the lower stairs. There were 4 children Staff Person #1 could not see on the upper stairs and in the hallway. These children were in the Preschool 2 classroom with no staff present for approximately 1-2 minutes.

The facility's emergency plan lacked a method to contact parents when an emergency situation arises and a method to contact parents with information on how to safely reunite with their child(ren).

Used cups, napkins, and tissues were discarded in open receptacles in the Preschool 2 classroom and next to the toddler classroom.

The toilet seat in the hall bathroom on the 2nd level was loose and unstable.

The board books in the toddler room were ripped and not in good condition.

There were cars in the toddler room with small wheels accessible to children who are still placing objects in their mouths.

Two highchairs observed in use in the toddler room lacked safety T-straps and 1 highchair in the infant room lacked safety straps.

The facility lacked documentation that the emergency plan was submitted to the county EMA.

The facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked strategies for coping with a crying, fussing, or distraught child as required by Announcement C-22-03.

The files for Child #1, Child #2, Child #3, Child #4, Child #5, and Child #6 contained the original fee agreement form signed by the parent.

The file for Staff Person #1 lacked 2.5 of the 12 required annual training hours for the most recent review period, December 2023-December 2024. The file for Staff Person #2 lacked 2 of the 12 required annual training hours for the most recent review period, December 2023-December 2024.

The facility's fire drill log contained consecutive hypothetical locations of the fire during the months of September and October 2024.

The facility's fire alarm 30-day test log includes test dates 5/13/24-6/20/24, 7/18/24-8/23/24, 10/17/24-12/19/24, more than 30 days apart. The most recent fire alarm 30-day testing was on 12/19/24, more than 30 days prior.

The water in the facility measured at 113 degrees.

The vanity in the bathroom off of the toddler room had peeling wallpaper like material.

The Preschool 1 room was lacking a posted daily schedule.

The facility's emergency plan was lacking continuity of operations.

The Preschool 1 Room had Shaving Cream that was labeled keep out of reach of children stored in their craft closet.

The windows in the Preschool 1 Room, which is on the 2nd floor, did not have the latches open to limit the opening of the window to 6 or fewer inches.

The files for Child #1 and 2 both contained immunization records that were lacking the annual influenza vaccine.

The file for Staff #1 contained only 1 reference letter.

The file for Staff #4(see code sheet for hire date), was lacking out of state clearances due to the fact that the staff has not resided in Pennsylvania for the last five years.

The water in the front older toddler room restroom sink was measuring at 115 degrees. The water in the sink in the Infant/young toddler room also measured at 115 degrees.

The first aid kit in the front room was lacking tape.

The file for Child #1 who is a young toddler age child contained two health assessments that were more than 6 months apart.

The file for Child #4, who is a preschool aged child contained two health assessments that were more than 12 months apart.

The files for Child #1 and #3 both contained immunization records that were lacking the annual influenza immunization.

The files for Staff #2 and #3 each contained two health assessments that were more than 24 months apart.

The file for Staff #5 contained a health assessment that was lacking an examination for communicable diseases and the results of that examination and did not address the staff's suitability to provide child care.

The facility was lacking documentation of an emergency drill being conducted.

The file for Child #2 contained an agreement form that was lacking the child's arrival and departure times.

The Older Toddler Room was lacking a posted Emergency Transportation Plan.

The file for Child #4 contained an Emergency Contact form that was lacking signed parental consent for minor first aid conducted by the facility staff.

The facility did not have instructions available to parents on how to access the regulations electronically.

The file for Staff #1 contained 6 training hours for the period of 12/19/20-12/19/21, therefor lacking 6 additional hours for that time period.

During staff interviews on 2/1/22 the staff verified that the child was not released to an individual designated in writing by the enrolling parent.

During a conversation with the director on 11/22/21 she stated that they were not permitting any outside sources including individuals who provide specialized services to a child with special needs into the child care due to COVID.