Learning Treehouse LLC

The file for staff person #1 (see LIS code sheet) did not include a health assessment conducted within 12 months prior to providing initial service in a childcare setting.

On 6-10-26 at approximately 2:21 p.m. during naptime, staff person #1 was observed supervising 12 children, including 3 young toddlers and 9 older toddlers, without a second staff person in the room, resulting in staff person #1 being out of ratio. About a minute later, staff person #2 entered the room to be in ratio with the children with staff person #1.

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/CPR training with a PQAS approved curriculum.

The file for staff person #2 lacked a child abuse clearance at their start date and requires a current child abuse clearance.

On 3-11-26 at approximately 9:48 a.m., staff person #1 was observed answering the front door alone, and there were 7 preschoolers observed in the upstairs preschool room without a staff person present in the room until staff person #1 returned to the room after answering the door.

On 3-11-26 at approximately 9:48 a.m., staff person #1 was observed answering the front door alone, and there were 7 preschoolers observed in the upstairs preschool room without a staff person present in the room until staff person #1 returned to the room after answering the door.

The file for staff person #4 lacked a disclosure statement.

In the preschool room, there was a white cabinet that was not secured and was a tipping hazard.

In the 1 year old room, staff stated that after changing a diaper, staff use their hand to unlock the diapering can and lift the lid with their hand to dispose of the soiled diaper and do not use the foot pedal to dispose of the diaper using the hands-free covered can.

The files for staff person #2 and #3 lacked a health assessment and tuberculosis screening by the Mantoux method prior to providing initial service in a child care setting at the facility and require a current health assessment and tuberculosis screening by the Mantoux method. The file for staff person #1 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility.

The file for staff person #1, functioning as an assistant group supervisor, lacked verification of experience to qualify as an assistant group supervisor. The file for staff person #2, functioning as an aide, lacked verification of education to qualify as an aide. The file for staff person #3, functioning as an assistant group supervisor, lacked verification of experience to qualify as an assistant group supervisor. The file for staff person #4, functioning as an assistant group supervisor, lacked verification of education/experience to qualify as an assistant group supervisor.

The child records were observed in an unlocked cabinet.

The file for staff person #2 lacked two written, nonfamily references. The file for staff person #3 had one written, nonfamily reference and lacked a second written, nonfamily reference.

The staff records were observed in an unlocked cabinet, and there was one staff file observed on top of the cabinet.

The file for staff person #1 lacked a disclosure statement.

The facility's emergency plan was not posted in a conspicuous location in the facility.

The facility lacked a letter to provide to the parent of each enrolled child explaining the emergency procedures.

In the young toddler room on shelves in the diaper changing table, there were multiple toxics including Babyganics Mineral Sunscreen, Baby Bum Mineral Sunscreen, Triple Paste Ointment, and Desitin Diaper Cream that were labeled "Keep out of reach of children" and were accessible to children. In the infant room in bins on shelves in the diaper changing table, there were multiple toxics including Aquaphor Ointment and Paste and A & D Ointment that were labeled "Keep out of reach of children" and were accessible to children.

In the preschool room, there was a tall white trash can that was full of garbage. Staff stated that the room is not currently in use with children daily.

In the preschool room in the far corner, there was a loose metal railing with two metal rods that were protruding out that was a visible hazard.

The file for staff person #1 had a health assessment that lacked a physical examination.

Written notification of safe routes was not posted at a conspicuous location in the facility.

In the older toddler room, the emergency contact forms were not present in the room for 2 young toddlers receiving care in the room.

The file for child #1 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

The first-aid kit in the young toddler room lacked scissors.

In the upstairs preschool room, there were a couple areas of peeling paint on the left wall. On the outdoor toddler play space, there were a couple areas of peeling paint on the bottom door of the shed.