The Learning Tree of Wellsboro

During the renewal inspection, the file for Staff #4 did not contain documentation of initial emergency plan training.

During the renewal inspection, the file for Staff #3 and Staff #5 did not contain an initial or subsequent health assessment. The file for Staff #3 did not contain an initial or subsequent tuberculin skin test, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. The health assessment for Staff #2 was received eight months after the first day working with children. The last health assessment for Staff #1 was dated 2/17/20 and the updated health assessment was not received until 1/5/23. The last health assessment for Staff #6 was dated 11/10/21 and there was no updated health assessment on file.

During the renewal inspection, the file for Staff #3, who was past 90 days, did not contain documentation of any health and safety training.

During the renewal inspection, the file for Child #1 and Child #2 did not contain the Department's approved form to provide information to the family about the child's growth and development.

During the renewal inspection, the agreement for Child #1, Child #2 and Child #4 did not specify the child's arrival and departure times.

During the renewal inspection, the agreement for Child #1, Child #2 and Child #3 did not specify the persons designated by a parent to whom the child may be released.

During the renewal inspection, the financial agreement for Child #1 and Child #2 had not been updated at least once in a 6-month period.

During the renewal inspection, the record for Child #1 and Child #2 did not include consent for administration of minor first-aid procedures by facility staff.

During the renewal inspection, the file for Staff #3 and Staff #4 did not contain verification of education. Staff #3 was terminated on 1/29/24.

During the complaint investigation, it was verified that Staff #1, on two occasions, used children in the classroom to discipline other children who had hurt them. On one occasion, Staff #1 forcibly placed Child #1 on top of Child #2 in order to discipline Child #2 for jumping on Child #1. On another occasion, Staff #1, placed the hand of Child #3 in her hand to pull the hair of Child #2 as discipline for pulling the hair of Child #3.

During the renewal inspection, the file for Staff #3 did not contain the required DHS FBI clearance; the mandated reporter training for Staff #4 dated 3/10/16 was not updated within 60 months as required under the CPSL; the NSOR verification certificate was received 10 months after the date of hire for Staff #5; Also, Staff #5 began employment with neither the state police nor FBI clearance on file.

During the renewal inspection, Staff #3 received emergency plan training on 12/14/22 which was 8 months after initial employment.

During the renewal inspection, chipped paint was observed on the preschool quiet area wall.

During the renewal inspection, the refrigerator in the school-age room did not contain a thermometer.

During the renewal inspection, the health assessment was dated 2/17/20 for Staff #1, dated 9/10/19 for Staff #3 and dated 8/15/19 for Staff #4. The health assessment for Staff #1, #3 and #4 were not updated within 24 months and are no longer valid.

During the renewal inspection, the pediatric first aid training for Staff #2 expired October 2019 and was not renewed until 10/20/22 which was after the expiration date.

During the renewal inspection, Staff #1, #2, #4 and #5 had not received annual fire safety training.

During the renewal inspection, Staff # 1, Staff #4 and Staff #5 had not completed the required pre-service training within 90 days of date hired: Get Started with Center-Based Care: Building Blocks for Quality. Also, Staff #1 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation of being PQAS-certified in this training topic.

During the renewal inspection, the file for Staff #3 did not contain two written nonfamily references.

During the renewal inspection, the file for Staff #1, hired 5/5/21, did not contain an NSOR verification certificate or mandated reporter training as required under the CPSL. The FBI Clearance was dated 9/30/21. Staff #1, hired as a director, is not permitted to be hired provisionally.

During the renewal inspection, peeling paint was observed on the wall near the door in the Pre-K room and over the vanity in the napping area. Peeling paint was also observed over the white board in the school-age room. Peeling plaster was observed under the window near the girls bathroom and over the bench in the Pre-K room. Peeling plaster was also observed on the banister wall leading upstairs to the school-age room.

During the renewal inspection, a portable space heater was being used in the director's office.

During the renewal inspection, the file for Staff #1, hired 5/5/21, did not contain an initial or subsequent health assessment or initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection, the file for Staff #1, functioning as a director, did not contain documentation of the required years of experience or education for the director position.

During the renewal inspection, the file for Staff #1 contained only one nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.