The Learning Ladder Early Child Care CTR LLC

The file for staff person #1 contains a current NSOR verification that was obtained after the previous NSOR verification expired as evidenced by NSOR verifications on file dated 1/13/2020 and 6/11/2025. The file for staff person #3 contains a current NSOR verification that was obtained after the previous NSOR verification expired as evidenced by NSOR verifications on file dated 11/18/2019 and 6/16/2025. The file for staff person #5 contains a current NSOR verification that was obtained after the previous NSOR verification expired as evidenced by NSOR verifications on file dated 11/8/2019 and 6/16/2025. The file for staff person #4, provisional hire date (see IS code sheet) is lacking documentation that the staff person was fingerprinted prior to the start of a child care position as required for provisional hire under CPSL. The file does contain a completed FBI clearance dated 11/13/2024.

Observed the refrigerator in the school age child care space is lacking a thermometer.

The file for staff person #5 contains a current health assessment that was obtained greater than 24 months after the previous health assessment as evidenced by health assessments on file dated 5/14/2023 and 6/30/2025.

The file for child #1 contains emergency contact information that is lacking the name, address and telephone number of the child's physician or source of medical care.

The files for child #1 and child #2 contain emergency contact information that is lacking complete health insurance coverage information.

The file for staff person #4 contains only one of the required two written, nonfamily references.

It was self-reported and verified through review of facility video and staff interview that staff person #1 used an improper technique to pick up a child.

The file for staff person #3, hire date (see IS code sheet) contains current criminal history and FBI clearances that were completed greater than 60 months after the previous clearances. Clearance dates are: Criminal History 7/16/19 and 8/5/24 and FBI 7/15/19 and 8/16/24. The file for staff person #3 is also lacking a signed disclosure statement. Staff person #3 may not work in a child care position until a disclosure statement is received. The file for staff person #4, hire date (see IS code sheet), is lacking an NSOR verification within 45 days of hire. The NSOR on file is dated 8/12/2024.

Observed protruding bolts at the base of the toilet in the girl's bathroom.

In the play space observed 2 gray and 1 black plastic storage bins containing balls to be cracked causing sharp edges and pinch points. Observed in the older toddler area a cracked yellow plastic lid on the storage box containing Duplo Blocks.

Observed in the walkway near the Older Toddler area a tall storage cabinet that was not anchored for stability.

The files for staff persons #1 and #2 contain current health assessments that were conducted greater than 24 months after the previous health assessment.

The file for child #1, school age, contains a health report that is lacking a date and is therefore unable to determine its validity and timeliness. The file for child #2, school age, is lacking a health report within 60 days of the first day of attendance. The file does contain a current health report.

The file for staff person #2 contains current fire safety training that was completed greater than 12 months after the previous fire safety training with training dates of 8/4/2023 and 9/3/2024.

Staff person #4, hire date (see IS code sheet) completed Health & Safety training after 90 days of employment.

The file for staff person #1 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training.

The file for child #1 contains an emergency contact form that is lacking health insurance coverage and policy number.

The file for staff person #2 contains only 9 of the required 12 hours of child care training during the year 7/11/2023 to 7/11/2024.

The most recent review / update of the emergency plan was documented as occurring in October 2022.

There were no handwashing signs posted at a urinal and toilet in the boys restroom, and a toilet in the girls restroom.

The most recent emergency drill conducted was documented as occurring in November 2022.

The most recent fire dill was documented as occurring on 12/22/23.

The most recent test of the facility's smoke detectors was documented as occurring 12/22/23. Testing is required at least every 30 days.

The current NSOR clearance on file for Facility Person #6 was completed more than 45 days after their start date. The mandated reporter training completed and documented on file for Facility Person #6 was completed more than 90 days after their start date.

There was a spray bottle containing a cleaning product in the older toddler room, not labeled with the contents.

There were no handwashing signs posted at a urinal and toilet in the restroom.

The most recent health assessments on file for children #3 and #4 were each completed more than 12 months prior.

There was no documentation of a current flu or varicella vaccine on file for child #3.

The health assessment on file for child #1 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.

The current health assessment on file for Facility Person #1 was completed more than 24 months after the previous health assessment on file. The most recent health assessment on file for Facility Person #8 was completed more than 24 months prior. The TB test documented and on file for Facility Person #11 was completed more than 12 months prior to their start date.

The operator did not notify local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility within the last 12 months.

There was no documentation on file that Facility Persons #1, #2, #3, #4, #7, #8, #9, #10, and #11 have completed the one hour health and safety training updated, required to be completed for all staff members by 12/30/22.

The current pediatric first aid & CPR completed and documented on file for Facility Person #8 was completed after the expiration of the previously documented pediatric first aid & CPR training on file.

The documentation of firesafety training on file for staff employed at the facility at least one year did not include the names of the staff participating in the training.

The current staff evaluations on file for Facility Persons #2 & #8 were completed more than 12 months after their prior evaluations on file. The current evaluation on file for Facility Person #3 was not completed by the facility's director.

Facility Person #5 was classified as an assistant group supervisor. There was documentation of HS graduation and less than 2 years of experience on file for Facility Person #5.

The most recent child service reports on file for children #3 and #4 were completed more than 6 months prior.

The emergency contact form on file for child #3 did not include the physician's phone number.

The emergency contact form on file for child #3 did not include the health insurance information.

The emergency contact form on file for child #3 did not include the complete name of a release persons listed.

The emergency contact forms for the 9 older toddlers in care were not taken with the group when they left the facility for an excursion.

The emergency contact forms and agreements on file for children #3 & #4 were not reviewed and updated by a parent in writing in the previous 6 months.

There was no parental consent for emergency medical care for the child on file for child #1.

There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for child #1.

The pediatric first aid & CPR training documented and on file for Facility Person #6 was completed more than 90 days after their start date.

There was no FBI clearance on file for Facility Person #1, employed at the facility more than 45 days (See IS Code sheet.) There was no required out-of-state criminal history clearance, out of state sex offender clearance, or application for either of these clearances on file for Facility Person #2. (See IS Code Sheet.)

The facility's emergency plan did not address continuity of operations in an emergency.

There was no documentation of an emergency plan review since August 2020.

There was no documentation of emergency plan training within the previous 12 months on file for Facility Person #3.

There was an uncovered outlet on a wall near a sink by the window in the preschool room.

There was a spray bottle containing a cleaner in the girls restroom in a locked locker, that was not labeled with the contents.

There was no thermometer in the refrigerator in the young schoolage room.

The most recent health assessment on file for child #4 was more than 12 months old. The current health assessment on file for child #5 was completed more than 12 months after the previous health assessment.

There was no documentation of an annual flu shot, recommended by the ACIP, on file for children #4 and #5.

There was no documentation of an emergency drill conducted at the facility.

The fire drill documentation on file does not specify the hypothetical location of the fire for each fire drill.

The required pre-service health and safety training completed and documented on file for Facility Person #5 (9/14/22) was not completed within 90 days of hire. (See IS Code Sheet)

The most recent staff evaluations completed by the director and on file for Facility Persons #3 and #4 were more than 12 months old.

Facility Person #1 is classified as a Group Supervisor. There is no documentation on file of the field of study of the associates degree on file for Facility Person #1 or documentation of any child care experience.

There was no daily schedule posted in the older school age room.

The agreement on file for child #2 was not signed by the operator.

The agreement on file for child #3 did not include the arrival and departure times.

The agreement on file for child #3 did not include the release persons.

The agreement on file for child #2 did not include the admission date.

The agreement on file for child #3 was the original.

The physician's information was not specified on the emergency contact form on file for child #1.

The emergency contact forms on file for children #1, #2, and #4 did not include the addresses for all release persons.

There was no medical emergency transportation plan posted in the older and younger schoolage rooms.

The emergency contact forms on file for children #2 and #3 were not reviewed and updated by a parent in writing in the last 6 months.

There were no nonfamily written references on file for Facility Persons #2, #3 and #5.

The operator indicated that the parents had not yet been provided with the information on how to access the regulations in this chapter electronically.

There was documentation of only 4 hours of child care training completed and file for Facility Person #3 during the most recent review year. There was documentation of only 2.5 hours of child care training completed and file for Facility Person #5 during the most recent review year.