Laugh and Learn Kids Academy

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires children to provide an updated health report every 12 months for an older toddler and preschool child. The following children were of these ages and the file did not contain updated health reports: Child #2 (previous 11/30/23, current 1/28/25) and Child #5 (previous 11/21/23, no current).

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires a health report in a child's file within 60 days of enrollment. The following children were enrolled at the facility for more than 60 days and the files did not contain a health report: Child #1 and Child #4.

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires child service reports to be conducted on children every 6 months. A the time of the inspection, the director was unable to provide child service reports for the following children: Child #2 and #5.

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires children's emergency contact and agreement forms to be reviewed and updated at least every 6-month period. The following children's forms were not updated at least every 6-month period: Child #2 (previous emergency contact 4/18/24 and current 2/21/25; previous agreement 4/18/24 and current 4/8/25) and Child #5 (previous emergency contact and agreement 11/11/24; no current emergency contact or agreement).

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual 12 hours of child care training. At the time of the inspection, the file of Staff #1 only contained 4 hours of annual child care training. Staff #1 did not have a total of 12 hours of annual child care training as required by regulation.

CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of staff files was conducted. See the code sheet for the staff's dates of hire. Staff #3 was hired as a provisional hire and did not apply for a state police clearance until 10/2/24 as required by the CPSL for a provisional hire. Staff #3 began working in child care prior to applying for the state police clearance. Staff #3 was working in child care on 11/5/24 and on 11/18/24 and was not hired correctly as a provisional hire per the CPSL. Staff #3 did not have on file a state police clearance, documentation of applying for an FBI clearance, the official child abuse clearance or documentation of applying for an NSOR clearance. The file of Staff #3 also indicated this staff has lived out of state within the last 5 years and Staff #3 did not apply for that states clearances prior to providing child care. Staff #3 was observed working in child care on two occasions and was not hired correctly as a provisional hire. Staff #6 did not have a signed disclosure statement on file at the time of the inspection. An acceptable plan of correction was received on 1/29/25. An…

An unannounced inspection occurred at the facility on 3/31/25. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires proof of education on file prior to a staff providing child care. Staff #7 was providing child care during this inspection and the file did not contain proof of education. Staff #7 could not be appropriately qualified as a staff person due to the lack of education on file.

CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children's files were missing the enrolling parents work address and phone number: Child #1, #2, #4, #5 and #6. These children were observed receiving care during this inspection. An acceptable plan of correction was received on 1/21/25. An unannounced inspection occurred at the facility on 3/31/25. A review of staff files was conducted. At the time of this inspection, the following child's file was missing the enrolling parents work address and phone number as required by regulation: Child #5.

CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. Regulation requires enrolled children to have written consent for emergency medical care. The following enrolled children did not have consent for emergency medical care in their file: Child #1, #2, #3, #5 and #7. An acceptable plan of correction was received on 1/21/25. An unannounced inspection occurred at the facility on 3/31/25. A review of child files was conducted. Regulation requires enrolled children to have written consent for emergency medical care. The following enrolled child did not have consent for emergency medical care in their file: Child #1.

CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children were observed receiving care at the facility and the file was missing the child's health insurance coverage and policy number: Child #1, #2, #3 (policy number only), #4, #5 (policy number only) and #6. An acceptable plan of correction was received on 1/21/25. An unannounced inspection occurred at the facility on 3/31/25. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children were observed receiving care at the facility and the file was missing the child's health insurance coverage and policy number as required by regulation: Child #1, #3 (policy number only) and #5 (policy number only).

CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children were observed receiving care and the file was missing complete release person's information: Child #3 (addresses only), Child #4 (addresses only) and Child #5 (addresses only). An acceptable plan of correction was received on 1/21/25. An unannounced inspection occurred at the facility on 3/31/25. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children were observed receiving care and the file was missing complete release person's information as required by regulation: Child #5 (addresses only).

CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. Regulation requires written consent for first aid procedures in the children's files. The following enrolled children's files were missing consent for first aid procedures: Child #1, #2, #3, # 5 and #7. An acceptable plan of correction was received on 1/21/25. An unannounced inspection occurred at the facility on 3/31/25. A review of children's files was conducted. See the code sheet for the child's date of enrollment. Regulation requires written consent for first aid procedures in the children's files. The following enrolled child's file was missing consent for first aid procedures: Child #1.

CONTINUED NON-COMPLIANCE. A renewal inspection occurred at the facility during the period of 11/5/24 to 12/4/24. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff files to contain two letters of written reference. At the time of this inspection, the following files were missing letters of reference: Staff #4 (2 letters) and Staff #6 (1 letter). Both staff were observed working in child care at the time of this inspection and the suitability of these staff could not be appropriately determined due to the lack of letters of reference. An acceptable plan of correction was received on 1/21/25. An unannounced inspection occurred at the facility on 3/31/25. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff files to contain two letters of written reference. At the time of this inspection, the following file was missing letters of reference: Staff #4 (2 letters).

A complaint inspection occurred at the facility. Interviews were conducted. Through these interviews, it was determined that on 11/18/24, Child #2 was in the supervision group of Staff #2. During nap time, Staff #2 was observed falling asleep and did not see Child #2 being scratched on both sides of their face by another child. These scratches were significant enough that medical attention was sought for the Child #2. Regulation requires children to be supervised at all times. It was determined that a lapse in supervision occurred during nap time and a child was injured due to that lapse in supervision.

A complaint inspection occurred at the facility. A review of the child's file was conducted as well as interviews conducted with staff. The file of Child #1 had listed a lactose free diet (allergy to cow's milk protein) on the child's health assessment. Staff #1 admitted to giving the child food that contained this item, and the child had an allergic reaction to the food item listed.

A complaint inspection occurred at the facility. A review of the child's file was conducted as well as interviews conducted with staff. The file of Child #1 had listed food restrictions soy, gluten and dairy as listed by the parent on the emergency contact. Staff #1 admitted to giving the child food that contained these items, and the child had an allergic reaction to the food ingredients listed. The file of Child #1 also had listed a lactose free diet (allergy to cow's milk protein) on the child's health assessment. Staff #1 admitted to giving the child food that contained this item, and the child had an allergic reaction to the food item listed. Staff #1 admitted to allowing Child #1 to eat food that was not provided by the parent.

A complaint inspection occurred at the facility. A review of the child's file was conducted as well as interviews conducted with staff. The file of Child #1 had listed food restrictions soy, gluten and dairy as listed by the parent on the emergency contact. Staff #1 admitted to giving the child food that contained these items, and the child had an allergic reaction to the food ingredients listed.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's dates of hire. Staff #3 was hired as a provisional hire and did not apply for a state police clearance until 10/2/24 as required by the CPSL for a provisional hire. Staff #3 began working in child care prior to applying for the state police clearance. Staff #3 was working in child care on 11/5/24 and on 11/18/24 and was not hired correctly as a provisional hire per the CPSL. Staff #3 did not have on file a state police clearance, documentation of applying for an FBI clearance, the official child abuse clearance or documentation of applying for an NSOR clearance. The file of Staff #3 also indicated this staff has lived out of state within the last 5 years and Staff #3 did not apply for that states clearances prior to providing child care. Staff #3 was observed working in child care on two occasions and was not hired correctly as a provisional hire. Staff #6 did not have a signed disclosure statement on file at the time of the inspection.

A renewal inspection occurred at the facility. A physical site review was conducted. On 11/5/24, the facility contained 2 staff with 14 children ages infant to preschool. When the children's similar ages were grouped, these 14 children would have required at least 3 staff. The facility was not in compliance with staff:child ratios from 9:42am until 10:15am. On 11/26/24, Staff #1 was with 5 children. The age of the youngest child was an infant. This number of children would have needed a second staff person to meet appropriate supervision ratios.

A renewal inspection occurred at the facility. A physical site review was conducted. On 11/26/24, Staff #1 and #4 were in a group of 13 children. When asked the supervision children's groups that each staff was assigned to, Staff #1 and # 4 only accounted for 12 of the 13 children. One child was not accounted for in a supervision/ratio group with a staff member.

A renewal inspection occurred at the facility. A physical site review was conducted. On 11/5/24, the facility contained 2 staff and 14 children, ages infant to preschool. When Staff #2 and # 5 were asked what children, they were assigned to them, both staff were unable to provide the names of the children assigned to them for the responsibility of supervision.

A complaint inspection occurred at the facility. Interviews were conducted. Through these interviews, it was determined on 10/28/24 that Staff #1 slapped Child #1 in the face with an open hand, causing redness and slight swelling on the right side of the child's face. Regulation does not allow for the use of physical discipline by staff in child care.

A complaint inspection occurred at the facility. Interviews were conducted. Through these interviews, it was determined that on 10/28/24 Staff #1 slapped Child #1 in the face with an open hand, causing redness and slight swelling on the right side of the child's face. Regulation does not allow for the use of physical discipline by staff in child care.

A renewal inspection occurred at the facility. A review of the facility's emergency plan was conducted. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations for before and after an emergency. At the time of the inspection, the facility did not provide for review a copy of the facility's continuity of operations.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. Regulation requires staff to review the emergency plan on an annual basis. Staff #1 and #2 have not reviewed the emergency plan since 9/5/23. Regulation requires staff to review the emergency play within 90 days of their hire date. At the time of the inspection, the following staff still did not review the emergency plan: Staff #5.

A renewal inspection occurred at the facility. A physical site review as conducted. On the rear left half wall, a bottle of cleaner (Oxydol Oxygen Orange Cleaner) was observed accessible to children. The bottle indicated the need to keep out of reach of children. Also, next to this bottle was a mop and bucket. The bucket contained dirty water that smelled of the cleaner listed above. Children were observed receiving care in this area, and the bottle of cleaner was accessible to children.

A renewal inspection occurred at the facility. A physical site review was conducted. Garbage cans throughout the facility were found with items such as tissues, napkins and discarded paper plates. These garbage cans were not lidded/closed.

A renewal inspection occurred at the facility. A physical site review was conducted. Near the tables used for eating in the preschool section, spilled milk and cereal was found on the floor. The teal top paint of the orange half walls was observed peeling.

A renewal inspection occurred at the facility. A physical site review as conducted. Near the diaper changing area, in a cabinet, A&D ointment was found accessible to children. The tube indicated the need to keep out of reach of children. Children were observed receiving care in this area and the A&D ointment was accessible to children.

A renewal inspection occurred at the facility. A review of the facility's diaper changing procedures was conducted. Regulation requires the hands of staff and children to be washed after diapering. Staff #6 did not wash their hands or the hands of the child whose diaper was being changed.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staffs dates of hire. Staff #3 began working in child care prior to receiving a health assessment. Staff #3 did not receive a health assessment until 11/1/24. Staff #4 began working in child care prior to receiving a health assessment. Staff #4 did not have a health assessment on file at the time of this inspection and was observed working in child care. Staff #6 began working in child care prior to receiving a health assessment. Staff #6 did not have a health assessment on file at the time of this inspection and was observed working in child care.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staffs dates of hire. Staff #3 did not receive a tuberculosis screening prior to working in child care. Staff #3 did not receive a tuberculosis screening until 10/30/24. Staff #4 and Staff #6 were both observed working in child care and these staff did not have on file at the time of this inspection, a tuberculosis screening.

A renewal inspection occurred at the facility. A physical site review as conducted. An infant was observed drinking, with a bottle at 9:45am. This bottle was observed with the child, in the child's rocker seat. At roughly 11:15am, staff offered this bottle again to the infant. According to the American Academy of Pediatrics, this bottle should have been discarded after 1-hour and should have been discarded at roughly 10:45am and not offered to the child again at 11:15am. The infant was also identified as being under the age of 6 months and was not held while being bottle fed.

A renewal inspection occurred at the facility. A physical site review as conducted. At the time of the inspection, a menu was not posted at the facility and was not provided to the families.

A renewal inspection occurred at the facility. A physical cite review was conducted. At the time of the inspection, the facility's safe routes were not posted in a conspicuous location at the facility.

A renewal inspection occurred at the facility. A review of the facility's fire safety system testing log was conducted. Regulation requires the fire safety system to be tested once at least every 30 days. The following tests of the fire safety system were not conducted at least every 30 days: 9/28/24-10/30/24.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. At the time of the inspection, Staff #2 had not yet completed annual fire safety training. At the time of this inspection, the file did not contain annual fire safety training since this staff's date of hire.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires written evaluations for staff to be conducted on at least an annual basis. The following staff files were missing annual staff evaluations: Staff #1 and #2.

A renewal inspection occurred at the facility. A physical site review as conducted. An infant was observed in an infant rocker seat from 9:45am until 11:15am. The child was observed to have limited interaction or supervision from staff. It was also observed the child was not belted into this rocker as the child moved and the straps were viewed not in use.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's enrollment dates. At the time of the inspection, the files of the following children did not contain an agreement form with all the appropriate information as required by regulation: Child #1, #2, #3, #4, #6 and #7.

A renewal inspection occurred at the facility. A review of children's files was conducted. The file of Child #5 was missing the fee amount to be charged as required by regulation.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollments. The following children have been enrolled at the facility for more than 6 months and the file did not contain any child service reports: Child #1 and #5.

A renewal inspection occurred at the facility. A review of children's files was conducted. The date of admission is required to be listed in children's files. The following children's files were missing dates of admission: Child #2 and #7.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children's files were missing an emergency contact person and their contact information: Child #2, #4 and #6. These children were observed receiving care at the facility. At the time of the inspection, Child #7 was observed receiving care and the file did not contain a fully completed emergency contact form.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children's files were missing the enrolling parents work address and phone number: Child #1, #2, #4, #5 and #6. These children were observed receiving care during this inspection.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. Regulation requires enrolled children to have written consent for emergency medical care. The following enrolled children did not have consent for emergency medical care in their file: Child #1, #2, #3, #5 and #7.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children were observed receiving care at the facility and the file was missing the child's health insurance coverage and policy number: Child #1, #2, #3 (policy number only), #4, #5 (policy number only) and #6.

A renewal inspeciton occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. At the time of this inspection, the following children were observed receiving care and the file was missing complete release person's information: Child #3 (addresses only), Child #4 (addresses only) and Child #5 (addresses only).

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires children's emergency contact and agreement forms to be updated at least every 6 months. The following children's forms were not updated at least every 6 months: Child #1 (emergency contact last updated4/22/24) and Child #5 (both emergency contact and agreement form last updated 4/17/24).

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollment. Regulation requires written consent for first aid procedures in the children's files. The following enrolled children's files were missing consent for first aid procedures: Child #1, #2, #3, # 5 and #7.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff files to contain two letters of written reference. At the time of this inspection, the following files were missing letters of reference: Staff #4 (2 letters) and Staff #6 (1 letter). Both staff were observed working in child care at the time of this inspection and the suitability of these staff could not be appropriately determined due to the lack of letters of reference.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 was viewed working in child care and did not have valid clearances. In the file was a state police clearance dated 3/8/19, a child abuse clearance dated 1/7/19 and an FBI clearance dated 1/8/19. Staff #1 did not apply for updated clearances at their rehire date. Staff #2 was viewed working in child care past their provisional hire period and did not have on file a valid FBI clearance.

A unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #2 was viewed working in child care and the file did not contain documentation that this staff had reviewed the facility's emergency plan within 90 days of their hire date.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 worked in child care and did not receive a health assessment and TB screening until 7/2/24.

An unannounced inspection occurred at the facility. A review of the facility's fire safety system testing log was conducted. The following fire safety system tests were not conducted at least every 30 days as required by regulation: 1/3/24, 2/14/24, 3/25/24, 4/9/24, 5/31/24, 6/12.24, 7/23/24 and 8/30/24.

An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #2 was viewed working in child care and the file was missing one letter of written reference.

On 11/17/2023, a Renewal Inspection was conducted. Staff #2 and #3, who have lived outside of PA within the last five years, do not have out-of-state clearances on file from those states. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/2024, an inspection to verify the corrections was conducted. Staff #2, who has lived outside of PA within the last five years, still did not have proof of completion of the NY Sex Offender Registry Check. Staff #5 was observed to be supervising children, but there was no record on file which showed that the staff had the required clearances, the requests for additional clearances, or the signed, witnessed, and dated disclosure statement prior to working with the children.

On 11/17/2023, a Renewal Inspection was conducted. The emergency plan, that was provided during the inspection, did not include a method to contact parents and provide them with emergency related information, such as how they can be reunited with their children. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/2024, an inspection to verify the corrections was conducted. The emergency plan, that was provided during the inspection, still did not include a method to contact parents and provide them with emergency related information, such as how they can be reunited with their children.

On 11/17/2023, a Renewal Inspection was conducted. During the inspection, there were no posted notifications which indicated a safe route for parents to pick-up and drop-off their children. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/2024, an inspection to verify the corrections was conducted. There were still no posted notifications which indicated a safe route for parents to pick-up and drop-off their children.

On 11/17/2023, a Renewal Inspection was conducted. Staff #1, #2, and #3 have no documentation showing their completion of the required one-hour Health and Safety training update. This training was required to be completed by 12/30/22 for all existing staff. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/24, an inspection to verify that the violations were fixed was conducted. Staff #2 was still observed to have no documentation showing their completion of the required one-hour Health and Safety training update.

On 11/17/2023, a Renewal Inspection was conducted. No Child Service Reports (CSR) indicating the child's growth and development in the context of the services being provided were observed in child #3"s or child #4's file, and both children have been enrolled for more than six months. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/2024, an inspection to verify the corrections was conducted. There were still no Child Service Reports (CSR) in child #4's file which documented the child's growth and development in the context of the services provided, and the child has been enrolled for more than six months.

On 11/17/2023, a Renewal Inspection was conducted. During the inspection, no emergency transportation plan was on file or posted in the child care space. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/2024, an inspection to verify the corrections was conducted and there was still no emergency transportation plan was on file or posted in the child care space.

On 11/17/2023, a Renewal Inspection was conducted. The emergency contact information for Child #1 had a signature but no date to indicate that it had been reviewed within the last six months. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/2024, an inspection to verify the corrections was conducted. The emergency contact information for Child #1 had a signature but still no date to indicate that it had been reviewed within the last six months.

On 1/22/2024, while conducting an inspection to verify corrections, another regulatory violation was observed. Staff #5 (see code sheet for date of hire) did not have documentation on file which included two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

On 11/17/2023, a Renewal Inspection was conducted. Staff person #1, #2, and #3 have not completed 12 hours of annual professional development training for the previous year of employment. An acceptable plan of correction was received on 12/13/23, stating that the violation would be fixed. On 1/22/24, an inspection to verify the corrections was conducted. Staff person #1 still did not have any documentation which showed that they completed any annual professional development hours per the plan of correction. Staff person #2 only completed three hours of annual professional development training on 1/16/2024. Staff person #2 is required to complete 9 more hours of training.

Staff #2 and #3, who have lived outside of PA within the last five years, do not have out-of-state clearances on file from those states.

The emergency plan, that was provided during the inspection, did not include a method to contact parents and provide them with emergency related information, such as how they can be reunited with their children.

During the inspection, two hand sanitizer jugs were observed on a children's table. Two jugs each of hand sanitizer were also found in the cabinet under the sink in the second and third bathrooms on the right and were accessible to the children. "The Works" cleaner was in an unlocked bathroom cabinet that was accessible to children. This cleaner was observed in the first bathroom and had a warning label that indicated that the cleaner should be stored out of the reach of children. Access to the kitchen was not restricted by a child gate. The kitchen area was left open, and the stove, knives, and cleaning materials were accessible to children.

The first-aid kit did not include all of the necessary components and was missing soap and a tweezer.

During the inspection, the carpet by the middle exit door had plant soil and other debris on it. The first bathroom had peeling paint to the left of the sink area. This same bathroom had two wooden boards with screws in it and there was a rusty radiator. Upon touching the radiator, rust had come off of it. The second bathroom had multiple holes in the drywall accessible to children. The third bathroom had two screws that were poking out of the drywall that were to the left of the sink. The corner of the wall, between the first and second rooms, had screws showing. An area of the wall had a bulletin board which contained thumb tacks that were easily accessible to children. The following was observed in the outdoor play space: There was paint peeling on the rail of the pirate ship. The fence's crossbar, near the big gate, was broken and hanging loose. There was standing water in the water play table. There was a rough wooden board with nails in it underneath the pirate ship. There were several large weeds throughout the outdoor play space. Also, the green outdoor carpet was peeling up and a piece of wood was also found on the infant/ toddler side of the outdoor play space.

Hand washings signs were not posted by the sink in the first or second bathrooms.

The trash cans in the second and third bathrooms were unlidded.

During the inspection, an exit door in the middle of the facility was deadbolted shut while children were in care. Also, the half door near the entrance was locked with a chain.

During the inspection, the following violations were observed in the outdoor play space: A green plastic bench had a crack in it. There was a small broken yellow chair. A foot/ hand hold piece of the pirate ship had broken off and was on the ground.

Small rubber mulch pieces that were less than an inch in diameter were observed on the infant/ toddler side of the outdoor play space.

The records for child #2 and child #4 only included initial health assessments. Both children require an updated health report within the last 12 months (see code sheet).

The records for child #2 and child #5 did not have proof of influenza vaccination for the year of 2022. The record for child #4 is missing the current doses of the following vaccinations: DTAP/DTP/TD, HIB, Pneumococcal, Influenza, MMR, Varicella, or Hepatitis A.

Child #2 did not have any documents on file that indicated their exemption from immunizations.

Staff #4 (see code sheet for date of hire) did not complete an initial health assessment to providing child care services. Date of provided health assessment is 9/25/23.

During the inspection, there were no posted notifications which indicated a safe route for parents to pick-up and drop-off their children.

The facility's emergency plan did not include provisions for accommodating infants, toddlers, children with disabilities, and children with chronic medical conditions.

During the inspection, there was no annual emergency drill log on file at the facility.

There was no documentation on file during the inspection that the full emergency plan was submitted to the local municipality and the county emergency management agency.

The record for child #5 (see code sheet for date of admission) did not contain an initial health assessment.

Staff #1, #2, and #3 have no documentation showing their completion of the required one-hour Health and Safety training update. This training was required to be completed by 12/30/22 for all existing staff.

The facility did not have a written policy to address the following: Recognition of potential signs/ symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment

Staff person #1, #2, #3, and #4 did not have any documentation on file which indicated that they participated in an annual fire safety training.

Staff #4 has not completed the following required pre-service training within 90 days of their day of hire (see LIS code sheet): 10 hour Health and Safety training.

Staff person #4 did not complete their mandated reporter training within 90 days from their date of hire (see code sheet for date of hire). Staff person had completed this training by the date of the renewal inspection.

Staff #4 does not have any education or experience qualifications on file to qualify as a staff person at the facility. Staff #4 was working in ratio during the inspection.

No Child Service Reports (CSR) indicating the child's growth and development in the context of the services being provided were observed in child #3"s or child #4's file, and both children have been enrolled for more than six months.

The record for child #5 did not contain the release person's address or specify the persons to whom the child may be released.

The emergency contact information for child #4 was missing the address of the child's physician or source of medical care.

There was no documentation on file that included a parent's work address and work phone number for Child #2. Child #3's emergency contact information was missing the health insurance coverage and health insurance policy number.

During the inspection, no emergency transportation plan was on file or posted in the child care space.

The emergency contact information for Child #1 had a signature but no date to indicate that it had been reviewed within the last six months.

There was no documentation of any fee agreement, signed by the operator, for child #3, #4, or #5.

Staff #3 and staff #4 did not have two written, nonfamily references in their file.

Staff person #1, #2, and #3 have not completed 12 hours of annual professional development training for the previous year of employment.

During inspection on 2/22/23 document review and interviews revealed that accommodations were in place to provide special diet for child #1 excluding tomatoes as prescribed by physician and parent per child allergy. On 1/19/23 staff # 2 provided tomatoes to child #1 as part of served lunch resulting in an allergic reaction and documented incident.

Staff #1 does not have a record of NSOR clearance per the requirements of the CPSL.

Staff number 3 start date 1/6/22 does not have a record of a state police clearance.

During the inspection it was revealed that staff number 2 & 3 does not have a record of a health assessment.

Child number 1 and number 2 does not have a history of a valid health assessment on file at the facility

Staff number 1&2 have not completed Professional development training in any of the required topics.

Staff number 1 & 2 has not completed pediatric first aid and cardiopulmonary resuscitation within 90 days.