U-Gro Learning Centres · 1641 Old Philadelphia Pike, Lancaster

It was observed, in the 2's classroom, that a bin of pom-poms (less than 1 inch diameter) were accessible to children who are still placing objects in their mouths. (corrected during inspection)

It was observed that the refrigerator (used to store children's food items) in room 101E did not contain an operating thermometer.

Staff person #1 does not have an initial health assessment on file at the facility. Staff person #1's TB screening/results are dated 2/16/23, which is beyond the permitted within 12 months prior to providing initial service in a child care setting. Staff person #4's TB screening/results are dated 1/19/23, which is beyond the permitted within 12 months prior to providing initial service in a child care setting. (See Code Sheet). Staff person #7's initial health assessment and TB results are dated 4/1/24, which is beyond the permitted within 12 months prior to providing initial service in a child care setting. (See Code Sheet).

There was no documentation of conducted annual emergency drills at the facility.

Fire drills were not conducted at least once every 60 days (4/11/25, 6/30/25).

There was no documentation of the annual testing, from a fire safety professional, of the fire detection system (most current on record dated 6/24/24).

Child #7's initial health report was dated 8/7/24, which was greater than 60 days following the first day of attendance at the facility. See Code Sheet

Staff person #1 completed part 2 of the Health and Safety training on 8/4/25, which was greater than within 90 days of hire. See Code Sheet. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First-Aid and CPR, Mandated Reporter training, and Health and Safety training. (see code sheet). Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see code sheet): Mandated Reporter training and Health and Safety training.

Staff person #5's file does not contain any written evaluations of staff persons on a regular basis, a minimum of one evaluation every 12 months.(see Code Sheet)

Child #1's most current child service report was dated 10/29/24, which exceeds the permitted every 6 months' timeframe. The time between child service reports for child #4 exceeded the permitted every 6 months' timeframe (9/6/24, 5/30/25). the time between child service reports for child #7 exceeded the permitted every 6 months' timeframe (12/6/23, 4/15/25).

Child #1's agreement did not specify the date of the child's admission.

The agreements of children #1, #2 #3, and #5 did not specify the services which are to be considered as extra.

The parents of children #4, #7, and #8 did not receive the original agreement.

Child #3's emergency contact information did not include the parent's work address and home telephone number. Child #5's emergency contact information did not include the parent's work address and work telephone number.

Child #1 and #2's emergency contact information did not include the health insurance policy number.

child #2 and #3's emergency contact information did not include the release person's address.

Child #1, #2, #3, and #7's emergency contact information and financial agreements were not updated at least once in a 6-month period (7/14/25 only date for child #1), (7/21/24 only date for child #2); (6/10/24, 7/24/25 for child #3). (9/13/24, 7/21/25 for child #7) See Code Sheet Child #8's financial agreement was not updated at least once in a 6-month period (9/10/24, 7/16/25).

Child #2's record did not contain signed parental consent for emergency medical care and administration of minor first aid by the staff, for the child

Staff persons #1, #5, #6, and #8 did not have the required verification of child care experience on record to be an AGS, however, have been functioning as an AGS.

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

On 5/22/25, Staff person #1, #2, and #3's records did not contain the verification of child care experience required to be functioning as an AGS. Staff person #4's education is from another country, and the required US equivalency and translation (from an approved agency) is not on record. Staff person #2's proof of HS graduation has a different last name listed than the last name on all other documents, and there is no proof on record that staff person #2 had this last name. Staff person #3's record does not contain verification of HS graduation. CONTINUED DEFICIENCY: As of 8/18/25, staff person #3 does not have proof of child care experience required to be an Assistant Group Supervisor and verification of education on file. Staff person #4 does not have verification of education (US equivalency and translation) on file. Staff person #2 does not have proof of child care experience required to be an Assistant Group Supervisor on file.

Staff person #2's file did not contain the Child Abuse clearance. Staff person #4's file did not contain the Child Abuse clearance and the NSOR certificate. Staff persons #1 and #3's files did not contain a Disclosure Statement. Staff person #4's Disclosure Statement was not witnessed.

Staff person #1, #2, and #3's records did not contain the verification of child care experience required to be functioning as an AGS. Staff person #4's education is from another country, and the required US equivalency and translation (from an approved agency) is not on record. Staff person #2's proof of HS graduation has a different last name listed than the last name on all other documents, and there is no proof on record that staff person #2 had this last name. Staff person #3's record does not contain verification of HS graduation.

Staff person #2's record does not include an initial health assessment including the results of an initial tuberculin skin test. Staff person #3's file did not include TB results.

Staff person #1 and #4's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff person #1 and #2's Disclosure Statements are not dated. Staff person #2's Child Abuse clearance is dated 12/6/24, which is after starting to work with children at the facility (See Code Sheet).

Staff person #3 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 1/4/25. Documentation of updated Pediatric first aid and CPR training is not on file.

Staff person #1's file did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff person #2 had lived in a state other than PA within the last 5 years, however, that state's NSOR clearance results were not on record (corrected during inspection). Staff person #4's NSOR clearance was submitted on 2/8/24, which was after the date of hire. Staff person #4's Disclosure Statement was completed after working at the facility (dated 4/24/24). See Code Sheet for Staff person #4.

It was observed in the Butterflies classroom (4 yrs old) that they were not in compliance with the staff/child ratio regulations. There was one teacher for 12 children. (corrected during inspection).

It was observed in the Butterflies classroom (4 yrs old) that one protective outlet cover was missing (corrected during inspection).

It was observed that the sanitizing solution in the Ducks classroom was not in a container which specified the content.

It was observed that the first-aid kit in the Caterpillar classroom did not contain gauze (corrected during inspection).

It was observed, in the Butterflies classroom, that on the counter accessible to children were scissors, a stapler, and a staple remover (corrected during inspection).

It was observed that the rest equipment in the Butterflies and Bear classrooms were not labeled for the use of specified children. (corrected during inspection).

Staff person #3's time between health assessments exceeded the permitted 24 months between assessments (11/15/21, 2/23/24). Staff person #4's initial health assessment is dated 3/7/24, which is after the first day of working with children at the facility. See Code Sheet for Staff #4.

Staff person #6's record does not contain tuberculosis screening by the Mantoux method results. Staff person #7's record has tuberculosis screening results dated after the first day caring for children at the facility (dated 4/4/24) See Code Sheet.

Staff person #3 did not renew Pediatric first-aid and CPR training before the expiration of the most current certification. (9/22/21, 10/23/23).

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see code sheet): Pediatric First Aid and CPR.

The time between staff evaluations on record for staff person #5 exceeded the permitted timeframe of one evaluation every 12 months (7/20/23, 8/5/24).

Staff person #2's record did not contain verification of child care experience. Staff person #4's record did not contain verification of education.

Child #1's record does not contain the required immunizations for this child's age, according to the recommendations of the ACIP.

Child #1 has been attending the child care facility without having the required immunizations, for the child's age, on record.

Staff person #4's time between Child Abuse clearances and Mandated Reporter trainings on record exceeded the permitted 60 months' timeframe. (11/27/17, 1/28/23) and (12/19/17, 3/20/23) respectively. Staff person #6 was working at the facility for greater than 45 days (provisionally) without an FBI clearance. FBI clearance for staff person #6 is dated 5/1/23. SEE CODE SHEET. Staff person #7's NSOR certificate is dated 3/28/23 (after first day at facility) and there is no documentation on record of applying for this clearance upon hire. SEE CODE SHEET Staff person #8's NSOR application on record is dated 2/27/23, which is after the first day of working with children (NSOR clearance results 3/6/23). SEE CODE SHEET Staff person #9 has no NSOR clearance on record. Staff person #10's State Police clearance indicates that this individual has a record, but no Rap sheet was attached.

Staff persons #4 and #5's most recent emergency plan trainings on record are dated 7/20/22 and 2/17/22 (respectively), which exceeds the permitted timeframe of training on an annual basis.

It was observed that, in the staff bathroom in hall, there were toxins accessible to children: Lysol Spray and plug in air freshener. It was observed in the Preschool Room (101H) that 2 bottles of Disinfectant spray were accessible to children next to the sink in the classroom (corrected during inspection).

It was observed in the Turtle Classroom (2 yr old) that there were objects with a diameter of less than 1 inch accessible to children: kinetic modeling sand, small beans, and small plastic insects in bins and containers (corrected during inspection).

It was observed in the Turtle Room (101D) and Older Toddler Room (101E) that the rest equipment was not labeled for the use of a specified child (corrected during inspection).

It was observed, in the Infant classroom, that there was not 2 feet of space on three sides of the cribs while they were in use.

Child #6's most current health assessment (initial health assessment) is not signed by a medical professional and is not dated. SEE CODE SHEET

Child #3's most recent Influenza immunization on record is dated 1/23/20. Child #6's record contains no record of having received the Influenza immunization. SEE CODE SHEET

The facility does not have on record the most current documentation of annual testing of the first detection system.

Child #6 has no initial health assessment on record and has been in attendance at the facility for more than 60 days. SEE CODE SHEET

Staff person #9's file has no record of having completed the required one-hour Health And Safety Update training.

The facility's liability insurance policy was not on file at the facility.

Staff person #8's time between fire safety trainings exceeded the permitted at least annually timeframe (3/1/22, 7/27/23).

Staff person #11 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First-Aid and CPR (see LIS code sheet)/

At the time of enrollment, the parents did not receive, in writing, the facility's supervision policy.

Child #3's record does not contain information to the family about the child's growth and development in the context of the services being provided. SEE CODE SHEET

The parents of the enrolled children did not receive the original agreements. Originals were in children's files.

Child #2's emergency contact information does not include the enrolling parent's work address and work telephone numbers.

Child #4's emergency contact information does not include the release person's address and telephone number.

Child #3 and #5's emergency contact information was not updated in writing (by the parent) once in a 6-month period.

Staff persons #1, #2, #3, and #9's records do not contain verification of the experience required to be an AGS (which are their positions at the facility).

The facility does not have the Certificate of Occupancy on record.

The letter the operator provides to the parent of each enrolled child does not explain that lockdown procedures and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions are included in the facility's emergency plan.

It was observed on 9/1/2022 in the Infant Room diaper ointments were being stored in a cabinet under the changing table that was accessible to children. (CORRECTED ON SITE)

It was observed on 9/1/2022 in the Turtles classroom the lid was not on the waste receptacle that was being used to dispose of soiled diapers. (CORRECTED ON SITE)

It was observed on 9/1/2022 two plastic stepping stone pieces used by children were cracked and not in good repair. (CORRECTED ON SITE)

It was observed on 9/1/2022 in the Turtles (older toddler) classroom toys dinosaurs with a diameter of less than 1 inch were accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE) It was observed on 9/1/2022 in the Ducks (young toddler) classroom numerous pieces of mulch were on the carpeted area and small pieces of crayons with a diameter of less than 1 inch were accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE)

It was observed on 9/1/2022 Styrofoam bowls were being stored in numerous classroom cabinets.

It was observed on 9/1/2022 in the Caterpillar classroom an Epi-Pen for Child #7 was not in the original container.

It was observed on 9/1/2022 an Epi-Pen was present in the Caterpillar classroom for Child #7; however, the prescription medication did not contain a prescription label, nor were there written instructions provided from the individual who prescribed the medicine.

It was observed on 9/1/2022 in the Caterpillar classroom an Epi-Pen was present for Child #7, however the parent has not provided written consent for administration of the medication.

Upon review of the facility's fire drill log it was documented that fie drills were held on 1/13/2022 and not again until 4/20/2022, which is more than 60 days.

The operator did not send a copy of the emergency plan to the local municipality.

The operator has not notified 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.

The current copy of the liability insurance policy presented at time of inspection does not specify the location of the facility as being covered. At the bottom of the document under the section "locations" are to be specified, it stated "see attached" and no other documents were included.

Emergency contact information for Child #2 does not include the work address and telephone number of the enrolling parent.

Emergency contact information for Child #1 does not include the policy number for a child under a family policy or Medical Assistance benefits.

It was observed on 9/1/2022 in the Ducks classroom emergency contact information for Child #3, 4, 5, and 6 was not present in the child care space they were receiving care.

A can of shaving cream was accessible to children in an unlocked bottom cabinet. This was corrected on site.

The emergency contact info for child #1 did not include the name, address and telephone number of the child's physician or source of medical care.