The Learning Tree Child Care Center LLC

During the course of the annual inspection the inspector observed children asleep in the "waddler" room on blankets.

During the course of the annual inspection the inspector observed an infant asleep in a crib that was directly in between two other cribs.

During the course of the annual inspection the inspector observed that staff #1, #2, #3, #4, #5, #6, all to have been employed over one year and did not have the required annual minimum of 12 clock hours of childcare training.

A renewal inspection occurred at the facility. A review of staff files was conducted. The following staff did not review the emergency plan annually as required by regulation: Staff #3, #4, #5, #6, #7, #8, #9, #10, #11 and #12. These staff reviewed the emergency plan on 10/10/22 and they did not review the emergency plan again until 12/26/23. Staff #5 previously reviewed the emergency plan on 10/10/22 and did not review the plan again until 1/29/24.

A renewal inspection occurred at the facility. A physical site review was conducted. In the lunchroom, in the rear right corner, exposed insulation was found accessible to children. In the facility's stairwell, the stair treads were coming undone from the steps. In the outdoor play area, a climb on fire truck was found to have peeling paint on the wooden platform. Also in the outdoor play area, water tables were found that contained exposed insulation and rusty nails. These areas were addressed with the director at the inspection.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the child's date of birth. Child #6 is an infant, and the parent did not provide an updated health report at least every 6 months. The last health report for Child #6 was dated 2/2/23.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the child's date of birth. Child #2 is a preschool-age child, and the parent did not provide an updated health report at least every 12 months. A health report was in the file dated for 12/23/31 and another report was not received until 5/5/23.

A renewal inspection occurred at the facility. A review of the facility's fire system testing log was completed. Regulation requires the fire safety system to be tested at least every 30 days. The following drills did not occur at least every 30 days: 9/22/23 - 10/27/23.

A renewal inspection occurred at the facility. A review of staff files was conducted. The following staff did not participate in fire safety training on an annual basis: Staff #1, and #2. Staff #1 previously took the training on 5/4/22 and updated it on 6/21/23. Staff #2 previously took the training on 5/19/22 and updated it on 6/20/23.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 6 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12/12/18. Staff #6 updated this training on 2/5/24.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire of staff. The following staff did not have an evaluation completed on an annual basis: Staff #3, #4, #7 and #10. Staff #3 had an evaluation completed on 11/14/22 and not again until 12/19/23. Staff #4 had an evaluation completed on 11/4/23 and not again until 12/11/23. Staff #7 had an evaluation completed on 12/2/22 and not again until 1/11/24. Staff #10 did not have an evaluation completed until 1/12/24.

A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's emergency contacts were not updated at least every 6-months: Child #1, #4 and #6. Child #1 had an emergency contact dated for 6/10/23 and was not updated until 1/22/24. Child #4 had an emergency contact dated for 5/3/23 and was not updated until 1/23/24. Child #6 had an and emergency contact dated for 4/17/23 and not updated until 1/23/24. The following child's agreement form was not updated every 6-month period: Child #6. Child #6 had an agreement for 4/18/23 and it was not updated until 12/4/23.

An unannounced inspection was conducted at the facility. A review of staff files was conducted. See the code sheet for the hire date of Staff # 3. Staff # 3 was hired using a state police clearance dated for 11/7/17. This clearance was no longer valid per the Child Protective Service Law (CPSL). Staff # 3 did not receive a valid state police clearance until 7/31/23. Facility Person # 4 was identified as the facility's lifeguard. Facility Person # 4 was used in this role for summer camp that began 6/26/23. Facility Person # 4 did not have a state police or child abuse clearance in their file until 8/4/23, an FBI clearance until 8/7/23 and the file did not include the NSOR or documentation that the NSOR clearance was applied for. Facility Person # 5 was identified as a volunteer. The file of Facility Person # 5 did not contain appropriate clearances for this Facility Person to volunteer at the facility.

An unannounced inspection was conducted at the facility. A review of staff files was conducted. See the code sheet for the hire date of Staff # 3. Staff # 3 was hired using a state police clearance dated for 11/7/17. This clearance was no longer valid per the Child Protective Service Law (CPSL). Staff # 3 did not receive a valid state police clearance until 7/31/23. Facility Person # 4 was identified as the facility's lifeguard. Facility Person # 4 was used in this role for summer camp that began 6/26/23. Facility Person # 4 did not have a state police or child abuse clearance in their file until 8/4/23, an FBI clearance until 8/7/23 and the file did not include the NSOR or documentation that the NSOR clearance was applied for. Facility Person # 5 was identified as a volunteer. The file of Facility Person # 5 did not contain appropriate clearances for this Facility Person to volunteer at the facility. Staff did not attend training on 8/23/23.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the hire date of Staff # 1. Staff # 1 did not receive a health assessment or tuberculosis screening at the time of initial employment. Staff # 1 did not receive a health assessment or tuberculosis screening until 8/5/23.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the hire date of Staff # 1. Staff # 1 was unable to be appropriately qualified as a staff person as the file was missing proof of education.

An unannounced inspection occurred at the facility. A review of staff files was conducted. Facility Person # 5 was identified as a volunteer. A file with all appropriate documents was not maintained at the facility for Facility Person # 5. Facility Person # 6 was identified as a lifeguard. A file with all appropriate documents was not maintained at the facility for Facility Person # 6.

An unannounced inspection occurred at the facility. A review of staff files was conducted. Facility Person # 5 was identified as a volunteer. A file with all appropriate documents was not maintained at the facility for Facility Person # 5. Facility Person # 6 was identified as a lifeguard. A file with all appropriate documents was not maintained at the facility for Facility Person # 6. Staff did not attend the training on 8/23/23.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire for Staff # 1 and Staff # 2. The files of Staff # 1 and Staff # 2 did not contain two written letters of reference.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. Staff # 5 was hired using a volunteer child abuse clearance dated 9/12/22. Staff # 6 was hired using a Department of Education FBI clearance dated 8/27/21. Staff # 7 was hired using a volunteer state police clearance dated for 1/22/22 and a Department of Education FBI clearance dated 1/26/22. Staff # 8 was hired using a Department of Education FBI clearance dated 1/26/22.

A renewal inspection occurred at the facility. A physical site review was conducted. Nap mats were found in all the classrooms that were identified for use by children that were ripped exposing the interior foam.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. Staff # 2 did not have a health assessment, physical exam or tuberculosis screening on file. Staff # 6 did not have a valid tuberculosis screening on file. The tuberculosis screening dated 5/13/20 was not within 12 months prior to the staff's hire date. Staff # 8 did not have a valid health assessment, physical exam or tuberculosis screening on file. The health assessment, physical exam and tuberculosis screening dated for 4/27/21 was not within 12 months prior to the staff's hire date.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire of staff. Staff # 2 did not have a health assessment, physical exam or tuberculosis screening on file. Staff # 6 did not have a valid tuberculosis screening on file. The tuberculosis screening dated 5/13/20 was not within 12 months prior to the staff's hire date. Staff # 8 did not have a valid health assessment, physical exam or tuberculosis screening on file. The health assessment, physical exam and tuberculosis screening dated for 4/27/21 was not within 12 months prior to the staff's hire date.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. (training completed 1/13/23) Staff person # 7 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. (training completed 1/12/23)

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 2, # 3, and # 7 (not completed with 90 days of hire) 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

A renewal inspection occurred at the facility. A review of children's files was conducted. Dates of admission were unable to be located in the following children's files: # 1, # 2, # 3, # 5, and # 6.

A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's forms were current for this inspection but were not updated every 6-month period as required by regulation: Child # 2 emergency contact dated 7/7/22 updated1/17/23 and the only agreement in the file was dated 12/24/22. Child # 3 emergency contact dated 7/6/22 updated 1/6/23 and the agreement dated 1/18/22 updated 12/21/22. Child # 4 emergency contact dated 1/18/22 updated 10/17/22 and the agreement dated 1/18/22 updated 1/18/23. Child # 5 emergency contact dated 5/13/22 updated 1/6/23 and the agreement dated 5/13/22 updated 12/15/22. Child # 6 agreement dated 1/20/21 updated 12/15/22. Child # 7 emergency contact dated 9/29/21 updated 11/5/22 and the agreement dated 11/5/21 updated 11/5/22.

Staff person # 1 was observed to be caring for children unsupervised. Staff person # 1 has not completed the pre-service training of Pediatric first aid and cpr which is required prior to caring for children unsupervised. Staff person # 3 was observed to be caring for children unsupervised. Staff person # 3 has not completed the pre-service training 10 hours of health and safety training which is required prior to caring for children unsupervised.

Facility person # 4 hired and working in child care has a volunteer state police clearance on file.

Facility staff # 5 was observed in the the young toddler room alone with 7 young toddlers.

Facility fire alarm testing was not conducted every 30 days as required The testing logs reflects the following dates: 3/1/22 to 4/2/22.

Staff person # 3 has not completed the required pre-service training 10 hour health and safety training within 90 days of their date of hire.

Facility staff # 4 listed as an AGS has no proof of previous child care experience on file with high school diploma.

Staff person # 1 has not completed the required pre-service training Pediatric first aid and cpr within 90 days of their date of hire.

A self-reported non-compliance inspection occurred at the facility on 10/25/21. On 10/7/21, Child # 1 and Child # 2 were able to leave the outdoor play area through a broken section of fencing. This area of the fencing included an opening roughly 1-1.5 feet that was blocked by a board. Both children were able to move the board and leave the fence through the opening and make it roughly 6 feet to the corner of the driveway and the alley before being verbally directed back into the play area by Staff # 1. During this time, Staff # 1 was opposite to the children in the play area helping another child but heard the board drop and immediately began responding to the children. Staff # 2 was sitting on the enclosed green slide with her back turned to the play area and Staff # 2 was on their cell phone.

A self-reported non-compliance inspection occurred at the facility on 10/25/21. On 10/7/21, Child # 1 and Child # 2 were able to leave the outdoor play area through a broken section of fencing. This area of the fencing included an opening roughly 1-1.5 feet that was blocked by a board. Both children were able to move the board and leave the fence through the opening and make it roughly 6 feet to the corner of the driveway and the alley before being verbally directed back into the play area by Staff # 1.