Sprangle Family Learning Center LLC

The health report for Child #2 did not include a review of the child's health history.

The health report for Child #2 did not include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Continued non-compliance. On 4/13/26 and 6/2/26 the file of Child #1, a young toddler, lacked Pneumococcal immunizations according to the recommendations of the ACIP. Child #1 had documentation of 1 Pneumococcal immunization.

The file of Staff #2 lacked a State Police Clearance updated every 60 months. The file of Staff #2 contained a State Police Clearance dated 3/30/26 with a previous one dated 3/25/21.

The file of Child #3 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #3 contained a health report dated 2/5/25.

The health report dated 7/13/25 for Child #2 lacked documentation of being signed by a physician, physician's assistant or a CRNP because it did not include the individual's professional title.

The file of Child #1, a young toddler, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #1 had documentation of 3 DTAP/DTP/TD immunizations and 1 Pneumococcal immunization.

The file of Staff #3 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #3 contained documentation of completing Get Started with Center-Based Care-Revised 2022 on 1/4/23 instead of the Pennsylvania Health and Safety Update 2022.

The agreement for Child #3 was not reviewed and updated at least once in a 6-month period. Child #3's agreement was reviewed on 12/12/24, 2/6/25, and 10/30/25.

Staff #1 lacked 2 hours of annual child care training required from February 2025 through February 2026. Staff #1 had 1 hour of child care training completed on 3/30/26 and 1 hour of child care training completed on 3/31/26 used for correction.

At the time of the inspection the file of Staff #1 lacked a National Sex Offender Registry Certificate updated every 60 months. The file of Staff #1 contained a NSOR dated 8/5/20.

Observed BINGO daubers which indicated "keep out of the reach of children" used for arts and craft activities.

Observed a small gray bin with a cracked handle on the Infant/Toddler Side of the Main Room.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire were rotated around the facility for each drill such that the hypothetical location was never the same for consecutive drills.

Staff #1, who was designated as the director, lacked documentation of 2 years of experience with children.

The health report on file for child #1, child #2 and child #3 did not contain documentation of an influenza shot being administered with in the last year in accordance with the recommendation of the ACIP.

The facility fire drill log showed that the facility has not been regularly testing the facility's fire detection system every 30 days. This is evidenced by gaps of 5/3/22 to 6/6/22 to 7/18/22 to 8/26/22. Also gaps of 10/5/22 to 11/18/22 and 12/20/22. There were also gaps of 1/6/23 to 2/13/23 to 3/31/23.

It was disclosed on the day of inspection that the outdoor play space is not being used due to needed repairs.

It was observed that the facility did not have a hand washing sign posted above the toilet in the facility's bathroom.