The Growing Patch Early Learning Center LLC

During the unannounced renewal inspection on 10/2/25 the inspector observed bleach solution and Great Value Disinfectant wipes next to Similac Infant Formula in the infant room.

During the unannounced renewal inspection on 10/2/25 the inspector observed a hole in the wall behind the door in the school age room.

During the unannounced renewal inspection on 10/2/25 the inspector observed chipped paint in the school age room, and hallway.

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #2 and found that the only child health assessment on file dated 3/17/25 (See LIS Code Sheet for Date of Admission).

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #2 and found that the health assessment did not show proof of ongoing vaccines in accordance with the schedule recommended by the ACIP.

During the unannounced renewal inspection on 10/2/25 the inspector observed bottle washing materials in the infant room and asked if bottles were being hand washed and reused and staff confirmed this.

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #5 and found that the first health assessment on file was dated 9/17/25 which is over six months since enrollment (see LIS Code Sheet for Date of Admission).

During the unannounced renewal inspection on 10/2/25 the inspector reviewed staff files and found that staff #4 had a previously documented Pediatric First Aid/CPR training on file that expired on 2/11/25 and did not obtain a current Pediatric First Aid/CPR training until 8/4/25,

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the files for staff #2 and found that they last had fire safety on 7/15/24 and no annual fire safety training since, staff #7 had a previous fire safety dated 6/5/24 and did not update this until 9/1/25, staff #8 last had fire safety training on 7/4/24 and did not update this until 9/11/25, staff #9 last had fire safety on 12/23/23 and not again until 9/2/25.

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #1 and found that the initial child service report was dated 9/6/23 and the most current was dated 6/23/25. The child service report is required to be completed every 6 months.

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #3 and found that it was missing both the required parental work address and business telephone number.

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #3 and found that it was missing the address of the individual designated by the parent to whom the child may be released.

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #2 and found that this child has been attending care over six months (See LIS Code Sheet for Date of Admission) and has not updated the emergency contact form and agreement form. The file for child #1 and #4 and found that neither updated their emergency contact forms and agreements at least every six months. Child #1 had a previously dated emergency contact form dated 7/29/24 and not again until 4/9/25 and an agreement form dated 9/3/24 and not again until 9/3/25. Child file #4 had a previously dated emergency contact form dated 10/8/24 and not again until 9/3/25 and an agreement form previously dated 10/8/24 and not again until 9/3/25.

While at the facility unannounced on 3/18/25 the inspector observed the file for staff #1 and did not find any proof of submission of FBI fingerprinting prior to employment on file. Staff #2 did not have a NSOR on file prior to employment and at present as is required. Staff #2 also had a volunteer PA Child Abuse on file and not an employment PA Child Abuse as is required.

While at the facility unannounced on 3/18/25 the inspector observed the fire drill/detection log for the facility and observed that the last fire drill was conducted on 1/8/25.

While at the facility unannounced on 3/18/25 the inspector observed the fire drill/detection log for the facility and observed that the facility manually tested the smoke detectors on 1/8/25 and then again on 2/23/25, which is 56 calendar days versus the required every 30 calendar days.

While at the facility unannounced on 3/18/25 the inspector observed the file for staff #1 and found that this staff obtained a health assessment and TB screening after working in direct care with children, dated 11/5/24 (see LIS Code Sheet for DOH). The file for staff #2 and found that this staff has been working in direct care with children and did not have a health assessment and TB screening as of 3/18/25 (see LIS Code Sheet for DOH).

During the unannounced renewal inspection on 10/9/24 the inspector reviewed the file for staff #4 and found that this staff did not have a completed Pa State Police on file as is required. Staff #6 was working in direct care (see LIS code sheet for date of hire) and did not have proof of having applied for or received the Pa State Police clearance until 9/12/24 or having applied for or received an FBI clearance until 9/18/24, there was no proof of having applied for or received an NSOR until 9/16/24. Staff #6 aslo had a volunteer Pa Child Abuse clearance and not an employment clearance as is required.

While at the facility unannounced on 10/9/24 for the renewal the inspector reviewed the emergency plan and found that it did not address continuity of operations as was required to be part of the emergency plan by 7/1/22." The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

During the unannounced renewal inspection on 10/9/24 the inspector reviewed the file for staff #6 and found that this staff was in direct care with children prior to obtaining a health assessment and TB screening.

During the unannounced renewal inspection on 10/9/24 the inspector asked to view the annual emergency drill. The director stated that they were unaware that this was an annual requirement and was unable to produce this document.

During the unannounced renewal inspection on 10/9/24 the inspector reviewed the fire drill/detection log and found that the facility was not conducting a manual test of the smoke detectors evert 30 calendar days as is required: 1/8/24 to 2/16/21, 5/3/24 to 6/25/24, 7/14/24 to 8/23/24.

During the unannounced renewal inspection on 10/9/24 the inspector reviewed the file for child #4 and found that the child had been enrolled for over a year without an initial health report.

Staff person #6 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

During the unannounced renewal inspection on 10/9/24 the inspector reviewed the staff files and found that staff #1, #2, #3 had expired pediatric first aid/CPR trainings on file. This is evidenced by the previously documented pediatric first aid/CPR training on file which expired 6/2023, 7/2024, and 9/2024 respectively. Staff #1, #2, and #3 did not renew the pediatric first aid/CPR training until 9/20/23, 10/2/24, and 10/2/24 respectively.

During the unannounced renewal inspection on 10/9/24 the inspector reviewed the staff files and found that staff #1, #4, and #5 did not have proof of annual fire safety training.

During the unannounced renewal inspection on 10/9/24 the inspector reviewed the files for children #2, #3, and #4, and observed that all three children had been in care over six months, and none had the required child service report on file as is required every six months.

During the unannounced renewal inspection on 10/9/24 the inspector reviewed the files for child #1 and #3 and observed that both emergency contact forms were missing the required release persons address.

During the unannounced renewal inspection on 10/9/24 the inspector reviewed the files for children #2, #3, and #4 and observed that all three files were missing the required 6-month updates to the emergency contact and agreement forms.

During a complaint investigation on 3/20/24, it was verified and observed that on 3/13/24, staff person # 1 pulled the hair of child # 1. Staff person # 1 was terminated immediately and director reported to the regional office. It appears to be an isolated incident and not a systemic issue.

During a complaint investigation on 3/20/24, staff person # 2 verified they heard staff person # 1 say to child # 1 "how would you like it if I pulled your hair?" Staff person # 1 was terminated immediately and director reported to the regional office. It appears to be an isolated incident and not a systemic issue.

During an unannounced monitoring visit, fire alarm test logs were observed to be out of compliance. More than 30 days passed between fire alarm test logs dated 1/8/24 and 2/16/24.

Staff persons #1 and 2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid.

There is no FBI clearance or proof of fingerprinting on file for staff person # 3 (see code sheet for DOH).

There are 2 ceiling tiles in the school age classrooms that have holes in them.

Staff person # 1 and 2 did not complete Pediatric CPR/First aid before the expiration date of their previous certification. This is evidenced by certificates dates of 6/19/21 and 9/20/23 for staff # 1 and 8/3/20 and 9/9/22 for staff # 2.

The agreement on file for child # 4 does not have the child's arrival and departure times.

The emergency contact form on file for child # 3 does not have the health insurance name or policy number.

The emergency contact forms for children # 1, 2, and 3 do not have the release persons' addresses.

The emergency contact form and financial agreement on file for child # 1 was last updated by the parent on 12/12/22.

The emergency contact form on file for child # 1 does not have written consent by the parent for emergency medical care and the administration of minor first aid procedures.

An unannounced inspection occurred at the facility. Staff person # 1 and # 3 were observed to be caring for children unsupervised. Staff person # 1 and # 3 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first and and CPR

An unannounced inspection was conducted at the facility. See the code sheet for the following staff's dates of hire. The following staff were not hired correctly as provisional hires per the Child Protective Service Law (CPSL): - Staff # 1 did not obtain a state police clearance until 1/31/23 or an FBI clearance until 2/4/23. The file of Staff # 1 did not contain documentation that this staff applied for their NSOR clearance. - Staff # 2 did not apply for a child abuse clearance until 3/30/23. - Staff # 3 did not apply for a state police clearance until 3/30/23. Staff # 3 did not have documentation in their file that they applied for their child abuse clearance or their FBI clearance. These three staff were also left alone to supervise children.

An unannounced inspection occurred at the facility. In the Sprouts Classroom, a Swiffer mop was found with cleaner, accessible to children. This item contained writing that indicated the need to keep out of the reach of children.

An unannounced inspection occurred at the facility. In the Roots Classroom, a bottle of lotion was found accessible to children. In the Sprouts Classroom, 2 tubes of diaper creams were found accessible to children. These items indicated on the packaging the need to keep out of reach of children.

An unannounced inspection occurred at the facility. See the code sheet for the following staff's date of hire. Staff # 3 was supervising children and the file of Staff # 3 did not contain a health assessment or documentation of a tuberculosis screening.

An unannounced inspection occurred at the facility. See the code sheet for the following staff's date of hire. Staff # 3 was supervising children and the file of Staff # 3 did not contain a tuberculosis screening.

An unannounced inspection occurred at the facility. A review of the facility's fire system testing log was conducted. Testing that occurred between the following dates lapsed occurring at least every 30 days: 11/28/22-12/1/22 12/16/22-1/19/23 1/19/23-2/28/23 2/28/23-3/30/23

An unannounced inspection occurred at the facility. 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 and CPR.

An unannounced inspection occurred at the facility. The file of Staff # 3 was missing one letter of written reference.

A renewal inspection occurred at the facility. A physical site review was conducted. Trash cans were found in classrooms that did not contain lids or were not closed receptacles. In these trash cans were tissues, wipes and discarded food. These items are required to be disposed of in a closed receptacle.

A renewal inspection occurred at the facility. A review of the facility's fire drill log was conducted. Fire drills documented as occurring on 3/30/22 and 6/14/22, were not conducted at least every 60 days.

A renewal inspection occurred at the facility. A review of the facility's fire system testing log was conducted. Testing documented on the following dates did not occur at least every 30 days as required by regulation: 1/14/22, 2/9/22, 3/30/22, 4/8/22, 5/11/22, 6/14/22, 7/22/22, 8/9/22, 8/13/22, 9/1/22, 10/3/22, 11/10/22.

The emergency plan on file at the facility is dated 7/3/20 and not reviewed/updated in July, 2021. There is no documentation on file that indicates staff were trained on emergency plan procedures at initial employment or any other time.

There are play mats for climbing in classrooms # 2 and 4 with torn edges that make them unable to be properly sanitized.

The trash can at the diapering station in classrooms # 2 and 3 have plastic flaps under the lid, The flaps make contact with the diaper, therefor they are not hands free.

The emergency plan on file at the facility does not include a lock-down plan.

There is no written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Staff persons # 1 and # 2 have fire safety certificates on file dates 7/2020. Staff person # 3 has a fire safety training certificate dated 8/24/20. There is no fire safety training on file for 2021 for staff persons # 1, 2, and 3.

There is no written plan of daily activities posted in classrooms # 4 and # 5.

There is no health insurance name and policy number on file for child # 1.

The child files belonging to children # 1, 2, and 3 do not have an address provided for the release person listed on the emergency contact forms.

There is no written plan of transporting children to emergency care displayed at the facility.