Learning Ladder Academy LLC

During a renewal inspection 2/4/26-2/6/26 Staff 1 had Child abuse clearances date 8/13/20 & 9/24/25, Staff 2 had NSOR clearances dated 6/8/20 & 6/11/25, and Staff 3 had FBI clearances dated 7/23/20 & 7/30/25, all of which are more than 60 months between clearance dates. Staff 4 had FBI clearance and FBI clearance request dated 6/4/25, which is after their first day with children. Staff 5 had a PSP request dated 5/31/23, but did not have the PSP clearance on file. Staff 5 is beyond their 45 day provisional hire window. Staff 5 did obtain a PSP clearance dated 2/6/26 however this was after Staff 5 was observed to be providing care to children. Staff 1, 2, & 3 were reported to have worked as staff between the expiration of their previous clearance and the issue date of their most recent clearance.

During a renewal inspection on 2/4/26-2/6/26 the emergency plan letter to the parents did not include information regarding lockdown procedures and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During a renewal inspection on 2/4/26 Cert rep observed a spoon which appeared to be contaminated by human secretions in an open, plastic-lined trash can in the Pre-K 1 Room.

During a renewal inspection on 2/4/26 Cert Rep observed 5 children less than 2 feet of space on three sides of a child's nap mat: 1. Two children in the School Age/Pre K 2 room each had 1 foot of measured space on one side of the nap mat and 0.5 feet of measured space on another side of the nap mat. 2. One child in School Age/Pre K 2 room had one foot of measured space on three sides, and three inches of measured space on the 4th side. 3. One child in Preschool 1 room had 1 foot of measured space on one side of the nap mat and 1.5 feet of measured space on another side of the nap mat. 4. One child in Preschool 1 room had 1 foot of measured space on one side of the nap mat and 0.5 feet of measured space on another side of the nap mat.

During a renewal inspection on 2/6/26 Preschool Child 2's health assessment dated 10/2/25 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. (See LIS code sheet for DOB).

During a renewal inspection on 2/4/26 it was reported that Child 1's Amox-clan was administered around 1:00PM on 2/4/26. Cert rep observed that the med log for Child 1's Amox-clan did not note the amount of medication administered or staff initials of who administered the medication.

During a renewal inspection on 2/4/26 it was reported that Child 1's Amox-clan was administered around 1:00PM on 2/4/26. Cert rep observed that the med log for Child 1's Amox-clan did not note the date or time the medication was administered.

During a renewal inspection on 2/4/26 Cert rep observed Staff 2 cleaned Older Toddler Child's hands with hand sanitizer after diapering the child, but did not wash the Older toddler child's hands with soap and water.

During a renewal inspection on 2/4/26 Cert Rep observed the following potentially hazardous items in children's lunch boxes in the Pre K 1 room: two cheese sticks, two meat and cheese sandwich/wrap, one meat and cheese lunchable, one yogurt pouch, and one contain of milk based dip. Cert rep also observed the following potentially hazardous items in children's lunch boxes in the Preppers 2 room: one drinkable yogurt.

During a renewal inspection on 2/4/26-2/6/26 there was one incident of more than 30 days between fire detection testing: 7/18/25-8/19/25.

During a renewal inspection on 2/6/26 Preschool Child 3 did not have an initial health assessment. Additionally Child 3 did not have an immunization record in accordance with the ACIP schedule, or immunization exemption letter. It is more than 60 days since the child's first day of attendance [See LIS code sheet for DOB, and first date of attendance(DOA)].

During a renewal inspection on 2/4/26-2/6/26 the facility was not providing the parents of enrolled children with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

During a complaint investigation on 5/14/25 Cert rep verified the following events occurred on 5/1/25: Child 1 threw their unopened vacuum sealed cheese stick that was in a sandwich bag into the trash can. Staff 1 then removed the unopened vacuum sealed cheese that was in a sandwich bag from the trash can and placed it on the table near the remainder of Child 1's lunch.

During a renewal inspection 2/10/25- 2/28/25, Staff 2 was hired provisionally (see code sheet for DOH) and did not have an NY Sex Offense Registry clearance or request on file. Staff 3 (see code sheet for DOH) did not have a NJ Child Abuse clearance on file. Both staff report having resided outside of PA during the previous 5 years.

During a renewal inspection on 2/10/25 Cert rep observed tears in the material at the base of the blue couch in the Preschool 2 room.

During a renewal inspection on 2/10/25 Cert rep observed gloves on the changing table in the Preppers 1 classroom. These gloves would be accessible to children while being changed. Children in this room may still be placing objects in their mouth.

During a renewal inspection on 2/28/25 Staff 1 did not have staff evaluations from the past 12 months for cert rep review.

On 2/6/2024, the health assessment on file for Staff #1 did not include an examination for communicable diseases and the results of that examination and also did not include the physician's or CRNP's assessment of the person's suitability to provide childcare. See LIS code sheet.

During the Renewal Inspection on 2/2/2023, Child #1, a young toddler had an updated health report on file dated 11/15/2022, but the previous health report on file for Child #1 was dated 10/14/2021.

On 2/2/2023, Child #2, an older toddler did not have the up-to-date influenza immunization as recommended by the ACIP. The file for Child #2 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement from the child's parent. See LIS code sheet.

On 7/13/2022, the facility self-reported that during a review of video surveillance from earlier that day, Staff #1 was observed on two separate instances to inappropriately lift Child #1 with one hand, using the upper part of the child's arm, and move the child away from a table. After the first instance, Staff #1 was also observed to push the child.

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5/30/2017

During the Renewal Inspection on 2/9/2022, one of the wooden boarders at the bottom of the fence on the toddler playground outside was observed to be cracked exposing sharp edges and splinters.

During the Renewal Inspection on 2/9/2022, the medication for children enrolled at the facility was checked. A bottle of Benadryl for Child #1 was observed to be expired. The expiration date on the bottle read as June 2021.

During the staff review for the Renewal Inspection on 2/10/2022, it was observed that Staff #1 and Staff #2 had not completed professional development in Pediatric First Aid and Pediatric Cardiopulmonary Resuscitation (CPR). Both staff had been employed for at least 90 days on 2/10/2022. Staff #3, #4, #5, #6, #7 and #8 all very recently had completed the required professional development Pediatric First Aid and Pediatric Cardiopulmonary Resuscitation (CPR). However, this course was not completed within 90 days of hire.