U-Gro Learning Centres · 2301 Noll Dr, Lancaster

Staff person #1 was the sole staff person present on the playground with a group of 20 preschoolers when staff person #2 left the playground and went into the caterpillar room.

The disclosure statements on file for staff persons #3 and #5 were not signed by a witness. The disclosure statement on file for staff person #4 was signed by the "witness" at a later date. (CORRECTED ON SITE)

Uncovered outlets were observed in areas accessible to children 5 years of age or younger in the Butterfly, Monkey, and Jaguar rooms. (CORRECTED ON SITE)

Sharp/prickly creeping thistle plants were observed growing on the preschool playground.

The seat on a blue chair on the preschool playground was cracked.

The health assessment on file for staff person #2 was altered with white-out and did not include a date of the exam.

According to the log on file at the time of inspection, manual system tests of the fire detection system were conducted on 6/9/26 and subsequently more than 30 days later on 7/10/26.

Multiple staff persons shared concerns regarding staff person #1's supervision and care of the toddlers in care. Staff reported observing staff person #1 nodding off and/or falling asleep while responsible for supervising children on multiple occasions during naptime. On 8/6/26 staff person #1 was the sole staff person responsible for supervising a group of toddlers. During this time, child #1 sustained an injury that resulted in a significant red mark on her face that appeared consistent with either a bite mark or fingerprints. While staff person #1 did not see what happened, the family was initially provided an incident report stating that another child had fallen into child #1. However, the director reported that subsequent review of the video footage determined that another child had grabbed child #1 by the face. Staff interviewed also expressed concern about staff person #1 being "careless" and not being responsive to the toddlers in the classroom. Examples provided included failure to intervene when children are running in the room (leading to falls), sitting in the room and failing to get up and respond when a child was climbing on a table, often not providing activities…

Multiple staff members reported that following diaper changes by staff person #1 after a child had a bowel movement, residual fecal matter was subsequently observed in the child's diaper area during the next diaper change later in the day. The residual fecal matter appears to be from the child's previous bowel movement, indicating that the child had not been adequately cleaning during the initial diaper change.

According to documentation on file at the time of inspection, when facility person #1 began working with children at the facility the staff record did not contain the applicable out-of-state clearances as required under the CPSL. The individual was working with children at the time of inspection. The record for facility person #1 did not contain a complete disclosure statement. (CORRECTED ON SITE)

At the time of the follow up visit to verify corrections for SIN-00287998 (from 5/5/26) it was observed that the plan of corrections for the violation citing 3270.181(e) had not been fully implemented. On 6/3/26, emergency contact forms for children #1, #2, #3, #4, and #5 were past due to be updated in both the master files and as the emergency contact forms present in the child care spaces.

The record for staff person #1 did not include verification of education.

The record for staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff person #20 was observed working alone with children. The staff person's FBI clearance did not include the rap sheet. In addition, the staff person's record has not been submitted to OCDEL for review. At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.32a had not been fully implemented. On 5/5/26, staff person #13 was working at the facility. The staff person's record still did not contain the applicable out-of-state clearances as required under the CPSL.

At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.51 had not been fully implemented. On 5/5/26, two staff were present with 11 children in the Ducks room (one year olds).

At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.102c had not been fully implemented. On 5/5/26, children were observed playing on the equipment and the depth of the surfacing was still not meeting the recommendations of the United States Consumer Product Safety Commission (9 inches of loose fill mulch).

At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.95a had not been fully implemented. On 5/5/26, the proof and date of purchase of the interconnected fire detection device or system still was not on file with the facility's fire drill logs.

At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.181(e) had not been fully implemented. On 5/5/26, emergency contact forms in the master files had been updated and signed/dated by the parent. Emergency contact forms in rooms throughout the center were past due to be updated (signatures were more than six months old).

At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.183(a)/3270.193(a) had not been fully implemented. On 5/5/26, the cabinets that the child records and facility persons' records were stored in were not locked. (CORRECTED ON SITE)

The record for staff person #20 did not include documentation of education.

At the time of the follow up visit to verify corrections for SIN-00284298 (from 3/20/26 and 3/26/26), it was observed that the plan of corrections for the violation citing 3270.192.5 had not been fully implemented. On 5/5/26, the record for staff person #13 still included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Upon beginning work in the facility, the record for staff person #2 did not contain completed a completed DHS FBI clearance as required under the CPSL. The record also did not include documentation the staff person has requested the outstanding clearance as required for provisional hiring under the CPSL. The clearance was dated 36 days after the employees start date working with children. Staff person #2 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet). Upon beginning work in the facility, the record for staff person #4 did not contain completed a completed NSOR as required under the CPSL. The NSOR on file was dated 72 days after the employees start date working with children. Upon beginning work in the facility, the record for staff person #6 did not contain the applicable out of state clearances as required under the CPSL. The record did not contain completed a completed DHS FBI clearance as required under the CPSL. The record also did not include documentation the staff person has requested the outstanding DHS FBI clearance as required for provisional hiring under the CPSL. The staff person was observed working with children…

Staff person #3 is serving as an aide at the facility. The staff person was observed in a room alone with children.

Two staff were present with 12 children in the Ducks room (one year olds).

Staff persons #12 and #14 were present with a group of 11 children in the turtle room. Staff only accounted for 9 of the 11 children when asked to identify their assigned groups. Staff persons #1 and #9 were present with a group of 19 children in the monkeys room. Staff only accounted for 15 of the 19 children when asked to identify their assigned groups. Staff persons #17 and #19 were present with a group of 19 children on the preschool playground. Staff only accounted for 18 of the 19 children when asked to identify their assigned groups.

Staff person #14 was trained on the emergency plan in September of 2024 and subsequently more than 12 months later in October of 2025. Staff person #17 was trained on the emergency plan in September of 2024 and subsequently more than 12 months later in October of 2025.

Two uncovered outlets were observed in the Butterfly room. (CORRECTED ON SITE)

Diaper cream was observed in an area accessible to the toddler in the Ladybug room. (CORRECTED ON SITE)

Two separate first aid kits were observed to be stored in an area accessible to the children on the preschool playground.

A significant amount of trash was observed along the entire perimeter of the preschool playground. (CORRECTED ON SITE) Bolts were protruding upwards from the black mulch barrier on the preschool playground. Dusty fans and/or vents were observed in the Ducks, Turtles, Butterfly, and Ladybug rooms. (CORRECTED ON SITE)

Areas of peeling paint were observed in the indoor gross motor space, the Butterfly room, and the Zebra room. (CORRECTED ON SITE)

A play mat located in the indoor gross motor room was torn and the inner foam was exposed. (CORRECTED ON SITE)

The depth of the surfacing on the preschool playground measured between 5 and 8 inches in various spots measured in fall zones of the large two climbers.

The bottom shelf of the refrigerator in the Zebra room was dirty (spilled food/liquid).

Turtles room - An inhaler was present in the room for child #12. The inhaler was not in the original container and was not accompanied by a prescription label or written instructions that were provided from the individual who prescribed the medicine.

Ladybugs - An inhaler was on site for child #13. A medication log was not on file.

The initial health assessment and TB test results on file for staff person #2 were not dated within the 12 months prior to providing initial service in the child care setting. The health assessment was dated 32 days after the start date with children. The TB test results were dated 3 days after the start date working with children. The most recent health assessments on file for staff person #15 were dated in September of 2023 and subsequently more than 12 months later in October of 2025.

Lunches containing potentially hazardous food were observed in lunchboxes stored in cubbies in the Butterfly and Jaguar rooms. Chicken nuggets and yogurt were observed in the lunchboxes.

Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

The proof and date of purchase of an interconnected fire detection device or system was not on file with the facility's fire drill logs. More than 30 days lapsed between manual tests of the fire detection system on 2/13/26 and 3/26/26.

An operator had not notified the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Fire safety trainings on file for staff person #5 were dated in January of 2025 and subsequently more than 12 months later in February of 2026.

Written evaluations on file for staff person #1 were dated in August of 22 and subsequently more than 12 months later in October of 2025. Written evaluations on file for staff person #8 were dated in August of 2024 and subsequently more than 12 months later in November of 2025. Written evaluations on file for staff person #11 were dated in August of 2024 and subsequently more than 12 months later in October of 2025. Written evaluations on file for staff person #14 were dated in August of 2024 and subsequently more than 12 months later in October of 2025. The most recent written evaluations on file for staff person #15 was dated in August of 2024. Written evaluations on file for staff person #16 were dated in August of 2024 and subsequently more than 12 months later in October of 2025. The most recent written evaluations on file for staff person #17 was dated in August of 2024.

Copies of completed Child Service Reports had not been provided to parents of children #1, #3, #4, #5, #7 in the past 6 months. Child Service Reports were most recently provided to the parents in May of 2025.

The agreement on file for child #6 did not include arrival and departure times. The agreement also did not specify the persons designated by a parent to whom the child may be released.

The emergency contact information on file for child #2 did not include the work address and work phone number for the enrolling parent.

Child #9 was receiving care in the ducks room. The child's emergency contact form was not present in the space. Children #10 and #11 were receiving care in the ladybugs room. Their emergency contact form were not present in the space.

The emergency contact form on file for child #2 was updated by the parent in December of 2024 and subsequently more than 6 months later in July of 2025. The emergency contact form on file for child #6 was updated by the parent in February of 2025 and subsequently more than 6 months later in February of 2026. The agreement on file for child #6 was updated by the parent in March of 2025 and subsequently more than 6 months later in February of 2026. The emergency contact form on file for child #7 was updated by the parent in January of 2025 and subsequently more than 6 months later in September of 2025.

Emergency contact forms in the master files had been updated and signed/dated by the parent. Emergency contact forms in rooms throughout the center were past due to be updated (many signatures were more than six months old - from Juily and August of 2025).

The cabinets that the child records and facility persons' records were stored in were not locked. In addition, loose items such as agreements and health assessments that are to be in the child and/or staff file were being stored on desks in the office.

The record for staff person #4 included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for staff person #12 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for staff person #13 included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff persons #7, #9 and #10 are serving in AGS roles at the facility. Their records did not include sufficient documentation of education/experience to justify the role the staff persons are serving in. The records each included documentation of a high school diploma. Staff person #17 is serving in an AGS role at the facility. Her record did not include documentation of high school education.

It was observed on the record for facility person #1 (DOH see LIS code sheet) did not contain an out of state Sex Offender registry results, which exceeds the 45-day provisional hire period. The file did not contain copies of request(s) for the clearances/verification. It was observed that the file for facility person #2 contained State Police clearances dated 9.23.20 with an update on 10/12/25, Child Abuse Clearances dated 9.24.20 with an update on 10/19/25, DHS FBI Clearances dated 10.4.20 with an update on 10/18/25. and NSOR Clearances results dated 9.25.20 with an update on 10/28/25. Clearances for facility person #2 were not updated within the 60-month timeframe required under CPSL.

It was observed that the wall near the library /dramatic play area in the Pre-K classroom and (far side wall on the left) had one area of peeling paint and in the toddler indoor play space there was a sheet-rock paper damaged along the yellow painted wall.

It was observed that the Volcano soft play slider equipment located in the toddler indoor play space had ripped and frayed corners that was in need of repair both in the stepper portion and middle Volcano surfacing area.