Learning to Learn Childcare Center

The two most current health assessments on file for Staff Person #6 are dated 6/21/23 and 8/12/25, which are more than 24 months apart.

The log for the fire drills listed dates of testing of 6/6/25 and 8/6/25, which is 61 days between testing.

The log on file for the 30-day fire detection testing listed the last date of testing of 8/9/25, which is more than 30 days ago.

The two most recent fire safety training on file for Staff Person #1 are dated 5/25/24 and 7/24/25, for Staff Person #2 are dated 5/28/24 and 7/30/25, for Staff Person #3 are dated 5/28/24 and 7/27/25, for Staff Person #4 are dated 4/22/24 and 7/31/25 and for Staff Person #5 are dated 3/22/24 and 7/25/25, all which are more than 12 months apart.

The emergency contact form and financial agreement on file for Child #1 contained reviewed updates signed on 6/24/24 and 6/25/25 which are more than 6 months apart.

It was observed that there was a bottle of floor cleaning solution on the floor in the entrance hallway that was accessible to the children in care.

The 30-day fire detection testing log on file showed dates of testing of 10/18/24-11/18/24, and 12/18/24-2/10/25, with the last testing on 2/10/25 which are more than 30 days apart.

Staff Person #1 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) but has not completed the required health and safety updated course titled Pennsylvania Health and Safety Update 2022 (1 hours) training.

The file for Staff Person #8 contains a State Police Clearance dated 6/20/22, a Child abuse Clearance dated 10/3/23, a DHS FBI clearance dated 6/17/22 and a NSOR certificate dated 6/8/22 all which are dated after hire date (see LIS code sheet).

The water temperature in the bathroom sink measured at 116° F.

It was observed in the outdoor play space that the emergency bag with the first aid kit was located on a child sized picnic table making it accessible to the children that were in care.

The most current health assessment on file for preschool Child #1 is dated 4/29/21, which is more than 12 months ago.

The two most recent health assessments on file for Staff Person #8 are dated 6/22/22 and 7/18/24 which are more than 24 months apart.

The two most recent annual emergency drills on file were dated 9/30/22 and 7/18/24, which are more than 12 months apart.

The fire drill log on file at the facility included dates of testing from 8/4/23-10/4/23 and 12/1/23-5/30/24, which are both more than 60 days.

It was observed that the annual testing for the fire extinguisher located besides the kitchen was last tested/serviced in February 2023.

The one-hour health and safety professional development training certificate on file for Staff Person #8 is dated 11/15/23, which is after the deadline date of 12/30/22.

The two most current Pediatric CPR/First Aid certificates on file for Staff Person #4 are dated 6/15/21 and 6/6/24, and for Staff Person #7 are dated 11/2/21 and 12/4/23, which are both more than 24 months apart.

The two most recent fire safety training on file for Staff Person #1 and Staff Person #6 are dated 1/18/23 and 5/28/24, for Staff Person #2 and Staff Person #3 are dated 1/17/23 and 5/28/24, for Staff Person #5 are dated 1/10/23 and 5/28/24, and for Staff Person #8 are dated 1/11/23 and 8/15/24, which are all more than 12 months apart.

The two most recent 6-month review for the emergency contact form and the fee agreement for Child #2 are dated 5/23/23 and 6/18/24, which are more than 6 months apart.

Observed brown stains from previous water damage on the ceiling tiles in the following areas: Green and Purple Rooms: near windows. Bathroom upon entrance. Observed one ceiling tile missing from the ceiling in the bathroom.

Observed peeling, flaking paint on fence on the right side of the outdoor play space.

Observed teeth marks on some of the foam blocks in the Purple Room. This creates a potential choking hazard for children who are still placing objects in their mouths.

The most recent updated health reports in the files for Child #2 and #3 exceeded 12 months between reports.

The most recent immunization records in the files for Child #2, #3 and #4 did not include documentation of a flu shot administered within the past 12 months or a letter of exemption from the parent or physician.

The file for Facility Person #2 lacked an initial health assessment.

The one-hour Health and Safety Update in the file for Staff Person #1 was conducted after the prescribed timeframe of 12/30/22.

The fee agreements in the files for Child #1 and #3 were the originals.

The emergency contact form in the file for Child #2 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact binder in the Blue Room did not contain an emergency contact form for Child #1 who was receiving care in this space.

The most recent parent updates for the emergency contact forms and fee agreements in the files for Child #2, 3 and 4 exceeded 6 months between updates. Child #1: 1/5/22-6/1/23 Child #2: 6/24/22-5/7/23 Child #3: 1/27/22-6/12/23.

The file for staff #6 (SEE LIS CODE SHEET) contained a child abuse clearance and an FBI clearance dated after their first day in a child care position. The disclosure statement on file for staff #6 was not dated. The file for staff #7 contained a state police clearance obtained for the purpose of volunteering.

The file for staff #4 did not contain documentation of completing emergency plan training in 2021. Current training is now on file.

An unlabeled reusable bottle containing cleaning materials was observed in the green room.

A broken electrical outlet plate was observed in the purple room. Four protruding nails and two protruding sticks were observed on the fence surrounding the outdoor play space. The protruding items were located on the lower portion of the fence are were accessible to children.

Peeling paint was observed in multiple areas on the wooden fence and metal bannister in the outdoor play space.

A portable space heater was observed in the director's office.

Two cribs and one sleeping mat in the infant room were not labeled for use by a specific child. Each piece of equipment was observed to be in use by children on the day of the inspection.

The file for child #5 contained an immunization record which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. A written exemption was not on file.

The file for staff #4 contained a health assessment which was not updated within 24 months. The file for staff #6 contained a health assessment conducted after their first day in a child care position. The most recent health assessments on file for both staff are now current.

An emergency drill has not been conducted.

Based on documentation at the facility, consecutive fire drills dated 6/08/22 and 8/11/22 were conducted 66 days apart.

The emergency plan was updated in June 2022, but has not been resent to the local municipality and the county EMA.

The files for children #2 and #4, both enrolled for over 60 days, did not contain health reports.

Based on documentation at the facility, staff #1, #2, and #4 did not complete fire safety training on an annual basis. Each staff person previously completed the training in May 2021 and did not renew the training until 7/27/22. Current training is now on file for all three staff.

The files for staff #7, designated as an aide, and staff #8, designated as an assistant group supervisor, did not contain documentation of meeting the qualifications of the positions they are performing.

The files for staff #2, #4, and #5 did not contain staff evaluations completed in 2021. All three staff were hired in 2020. Current evaluations are now on file.

The file for child #2 did not contain an agreement.

The file for child #4 contained an agreement which did not specify the persons designated by a parent to whom the child may be released.

The files for children #3 and #4 contained original agreements.

The file for child #2 contained emergency contact information that did not include the name, address and telephone number of the child's physician or source of medical care.

The files for children #2 and #3 contained emergency contact information that did not include health insurance coverage and policy number for the child.

The file for child #5 contained emergency contact information which did not include the addresses of two individuals designated by the parent to whom the child may be released.

The file for child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

The file for staff #7 did not contain written references.

The facility lacked means to provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.