The Learning Lamp CTR for CHDN Somerset

On 4/1/25 observed staff file #1 and #3 had signed disclosure forms which were not signed by a witness. Observed staff file #2, who began employment after 2/1/25, contained a previous version of the disclosure statement which was not valid to use after 2/1/25.

Observed in room 115, sunscreen labeled "keep out of the reach of children", in a low cabinet with a failed child safety lock.

Observed the second story window in the Pre-K room was not restricted to open 6 or fewer inches.

Observed exposed bolts on the left gate and the corner, trash along the fence, a broken post cap with rough edges, and several cracked post caps in the toddler outdoor play area. Observed a ceiling vent which needs cleaned in young toddler room 113. Observed on the second-floor exposed drywall hole next to toilet, the sink was constantly dripping water, and several ceiling tiles were out of place. Observed several exposed bolts on the fence leading to the preschool outdoor play area.

Observed in the toddler gross motor room, peeling paint flakes on the floor by the exit door. Observed in the young toddler room, peeling paint flakes on the floor by the door.

Observed in the toddler gross motor room, the exit from the room was partially blocked due to slide and a rocker.

Observed in the young toddler room 113 an unstable dress up shelf which was not securely anchored to the wall. Observed in the school age room, yellow and green stools which had loose legs and a sand table which was missing at least 5 leg support screws. Observed green and yellow chairs with loose backs in the pre k room. Observed a damaged yellow plastic chair with rough edges in the preschool outdoor play area.

Observed in the infant room an infant sleeping in a crib which did not have 2 feet of space on three sides due to having a swing next to the crib.

Observed the refrigerator in room 116 needed to be cleaned.

Observed in young toddler room 113, budesonide inhaler medication which did not have a prescription or written instructions from the individual who prescribed the medicine.

Observed a bottle in room 115 which was not labeled with the child's name.

On 4/1/25 observed staff files #4 and #5 did not contain a written evaluation completed within the previous 12 months.

The facility was observed to have an emergency plan that failed to provide a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility was observed to have a first-aid kit in the older toddler room that did not contain sterile gauze pads.

The facility was observed to have three outdoor play areas, each enclosed by a chain-link fence. In various locations in each of these enclosed areas, fence posts were observed to be missing their top caps, leaving sharp edges exposed.

The facility was observed to have cardboard building blocks with teeth/bite marks on them present in the Pre-K room. In the facility's young toddler room, a dramatic play area was observed to possess sharp edges on its shelves.

In the Infant room of the facility staff was observed to be using a plastic-lined, trash can that lacked a lid.

The file for child #1 was observed to contain an emergency contact form that failed to include the work telephone number(s) of the enrolling parent.

A spray bottle of screen cleaner labeled keep out of reach of children was observed to be accessible to children in the Headstart/Pre-School room.

The facility's older toddler, baby, and young toddler rooms were observed to lack hand washing requirement signs posted at each toilet, training chair, diapering area and sink.

The facility's older toddler room was observed to contain a child sized table with loose leg screws that permitted the table and legs to separate creating pinch points and instability. The facility's Pre-K counts room was observed to contain a child sized play refrigerator with a loose handle creating pinch points. A small bike with a broken/missing seat was observed in the outdoor play area.

The immunization record on file for children #2 and #7 were observed to not be up to date with the recommended ACIP schedule.

The facility was observed to lack a menu posted in a conspicuous location.

A written statement giving the formula and feeding schedule obtained by the parent was observed not to be present in any infant file, staff advised the facility does not obtain written statements.

The facility was observed to have an emergency plan that lacked a section dedicated to instructions and important information in the event it is necessary to evacuate the facility.

The file for Child #7 was observed to lack an initial health report obtained no later than 60 days following the first day of attendance at the facility, as evidenced by a health report in the file dated 10/31/2022.

The facility's baby room failed to have a written plan of daily activities and routines posted in the group space.

The files for children #1 and #5 was observed to contain an agreement that failed to specify the amount of the fee to be charged per day or per week.

The file for child #5 was observed to lack proof the Department's approved form that provides information to the family about the child's growth and development in the context of the services being provided was completed.

The files for children #1, #2, #3, #4, #5, #6 and #7 were observed to contain an agreement that did not specify the services which are to be considered as extra.

The file for child #5 was observed to contain an emergency contact form that lacked to indicate in an emergency whether or not information on the child's special needs, is needed.

The files for children #1 and #5 was observed to contain an emergency contact form that lacked to indicate the address of the person to whom the parent designated the child may be released.

At approximately 10:15 AM Certification Staff observed an infant sleeping in a pack and play located in the corner of the Infant Classroom with 3 other pack and plays containing play equipment in front of the pack and play containing the infant which did not allow staff to provide critical oversight of the child in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

At approximately 11:00 AM Certification Staff observed a staff person stand at the threshold of the classroom while a young school-age child went to the bathroom located at the end of a hallway parallel to the threshold.

Staff #2 (See LIS CODE sheet) lacked documentation of the State Sex Offender Registry check from the State(s) in which Staff #2 resided in the last 5 years by 7/1/20. Staff #2 had a State Sex Offender Registry check dated 3/14/22 for the state resided in prior to moving to PA.

On 4/13/22 observed adult scissors in a cup on the teacher's desk in the Pre K Classroom which were accessible to children. On 4/13/22 observed 2 adult scissors in the 1st top drawer of the yellow cabinet in the Preschool Classroom which were accessible to children.

The files of Staff #1 and #3 lacked documentation of training regarding the emergency plan on an annual basis. The file of Staff #1 contained documentation of emergency plan training on 8/3/21 but no documentation of training in 2020. The file of Staff #3 contained documentation of emergency plan training on 3/2/20 but no documentation of training in 2021.

On 4/13/22 observed an electrical outlet by the door and the refrigerator that lacked a protective receptacle cover in the School-Age Classroom.

The first-aid kit in the School-Age Classroom lacked tweezers.

On 4/13/22 observed a loose vent cover between the bookcases containing blocks and animals in the Preschool Classroom. On 4/13/22 observed exposed bolts on the gate at the back of the building in the Outdoor Play Space.

On 4/13/22 observed cracked purple, blue, and red triangular shaped Magna Tiles and cracked orange and green square Magna Tiles in the Preschool Classroom. On 4/13/22 observed loose stairs on the doll house in the Preschool Classroom. On 4/13/22 observed a yellow child sofa with exposed foam in the Preschool Classroom. On 4/13/22 observed a cracked red triangular shaped Magna Tile in the Pre K Classroom. On 4/13/22 observed a Little Tykes blue slide with approximately a 1 inch by 6 inch hole on the 2nd step and approximately a 4 inch crack on the 2nd step in the Outdoor Play Space.

On 4/13/22 observed foam blocks with bite marks in the Infant Classroom. On 4/13/22 observed foam puzzle pieces with bite marks in the Older Toddler Classroom.

On 4/13/22 observed rest equipment not labeled for the use of a specific child in the Pre K Classroom.

The refrigerator in the Pre K Classroom lacked an operating thermometer.

The file of Child #4 lacked a health report which included a review of the child's immunized status according to recommendations of the ACIP. The file of Child #4 did not contain documentation of immunizations.

The file of Child #1, a 4 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #2, a 15 month old, lacked Pneumococcal immunizations in accordance with the schedule recommended by the ACIP. The file of Child #2 contained documentation of 3 Pneumococcal immunizations. The file of Child #3, an 8 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

The file of Staff #2 lacked a health assessment conducted every 24 months. The file of Staff #2 contained a current health assessment dated 6/24/21 with a previous one dated 6/18/19.

The file of Staff #4 lacked a health assessment conducted and a report written and signed by a physician, physician's assistant or CRNP.

The operator or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical location of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. The hypothetical locations were the same for drills conducted on 8/18/21 and 9/30/21 and for drills conducted on 12/29/21 and 1/31/22.

The file of Child #1 lacked an initial health report no later than 90 days following the first day of attendance at the facility. Child #1 had a start date of 9/14/21. The file of Child #1 contained a health report, but it lacked the date which it was completed.

The files of Staff #1, #2, and #3 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #1 contained a written evaluation dated 2/7/22 with the previous one dated 12/11/20. The file of Staff #2 contained a written evaluation dated 8/2/21 with the previous one dated 7/17/20. The file of Staff #3 contained a written evaluation dated 8/2/21 with the previous one dated 7/13/20.

The file of Child #2 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

The file of Child #2 lacked the complete home address of the enrolling parent on the emergency contact form. The file of Child #2 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child #3 lacked the work address and work telephone number of the enrolling parent on the emergency contact form.

The file of Child #2 lacked the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable, on the emergency contact form.

The file of Child #3 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Emergency contact information for Children #2 and #5 were not present in the Infant Classroom when they were receiving care in the space.