Learning Tots Llc

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the initial inspection, certification representative reviewed the policy for Shaken Baby Syndrome and Child Maltreatment did not address the identification and prevention of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.192(1)

Description: Name, address, and phone

Noncompliance Area: During the initial inspection, certification representative reviewed 2 staff files and the file for staff #1 did not include an employee address.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Regulation: 3280.192(2)(ii)/3280.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During the initial inspection, certification representative reviewed 2 staff files and the file for staff #1 and staff #2 did not include a verification of childcare experience.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: During the initial inspection, certification representative reviewed 2 staff files and the file for staff #1 and staff #2 did not contain 2 written nonfamily references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3280.26(a)(1)

Description: Emergency plan

Noncompliance Area: During the initial inspection, certification representative reviewed the facility files, and the emergency plan did not include information on how staff are to respond in the event of a lock down or shelter in place.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3280.26(a)(2)

Description: Emergency plan

Noncompliance Area: During the initial inspection, certification representative reviewed the facility files, and the emergency plan did not include information on how staff are to respond in the event of an evacuation.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3280.94 (relating to fire drills).

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: During the initial inspection, certification representative reviewed 2 staff files and the file for staff #1 and staff #2 did not contain a record of emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Regulation: 3280.31(g)

Description: Documentation of professional development

Noncompliance Area: During the initial inspection, certification representative reviewed 2 staff files and the file for staff #2 did not contain the required health and safety professional development training(s).

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection §3270.31(f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3280.76/3280.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the initial inspection, certification representative conducted a facility walk through and: 1. in the play area the electrical socket was loose and the plaster above the basement door and the corners of the wall separating the play area from the main area had cracked plaster. 2.There is exposed plaster/spackle in the bathroom by the toilet.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3280.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the initial inspection, certification representative did a facility walkthrough, and the rear egress door in the kitchen is hard to open and the door handle is loose.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 8/21/19, THE THERMOSTAT IN THE REFRIGERATOR READ 54.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 8/21/19, STAFF PERSON # 1 WAS UNABLE TO IDENTIFY ALL THE CHILDREN IN HER GROUP OF 8.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 8/21/19, THERE WAS NO EMERGENCY CONTACT INFORMATION IN THE CHILD CARE SPACE.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 8/21/19, THERE WAS 3 PAINT CONTAINERS AT THE TOP LANDING OF THE STAIRS LEADING TO THE BASEMENT, TO THE LEFT IN THE INDOOR PLAYSPACE.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Observed rest equipment was not labeled.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: Observed child #4's record did not contain approved form to provide information to the family about the child's growth and development in the context of the services being provided.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3280.124(f).

Noncompliance Area: Observed child #1 and #3's agreements did not specify the child's arrival and departure times or specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the child's arrival and departure times.An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: Observed child #2's emergency contact information did not include the name, address or telephone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: Observed child #1 and #5's emergency contact information did not include enrolling parents work address and telephone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: Observed child #1 and #2's emergency contact information did not include health insurance coverage and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: Observed child #1 and #5's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: Observed child #4's emergency contact information and financial agreements were not reviewed and updated in the 6-month period.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: Observed child #3's record did not contain consent for emergency medical care.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: observed child #2's record did not contain signed parental consent for administration of medications or special dietary needs.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.

Noncompliance Area: Observed child #3 and #5's records did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Observed child #3's record did not contain signed parental consent for transportation, walking excursions, swimming and wading.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: Observed staff person #1's record did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: Observed that staff person #1 did not have emergency plan training verification in record.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Noncompliance Area: Observed the first-aid kit did not contain tape.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: Child #1's agreement was not signed by the operator. Child #2's agreement was not signed by the operator and the parent.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: Child #1 and #2's agreement did not specify the date of the child's admission and the services which are to be considered as extra.

Correction Required: An agreement shall specify the date of the child's admission.An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: Child #1's emergency contact information did not include the telephone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: Child #1 and #2's emergency contact information did not include the parent's work address. Child #2's emergency contact information did not include the enrolling parent's work telephone.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: Child #1's emergency contact information did not include information on the child's special needs.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: Child #1's emergency contact information did not include the health insurance coverage policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: Observed that the indoor play space did not have the emergency plan posted for transporting a child to emergency care.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: Observed the menu was not posted in a conspicuous location.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: Child #1's record did not contain special dietary needs.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.

Noncompliance Area: Health assessment on file for staff person #2 did not include name of staff person #2 and did not report TB test date.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: Provider did not present liability coverage verification at time of inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: Staff person #1 and #2 did not have two references each on file at facility.

Correction Required: A facility person`s record shall include two written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person

Noncompliance Area: The provider did not have the applicable regulations posted in a conspicuous location.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: Emergency plan did not provide for contact of parents at beginning and end of emergency situation.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for 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.

Noncompliance Area: The emergency plan was not posted in a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: Staff person #1 and #2 did not have verification of education and experience on file at facility.

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with childrenA facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Observed air freshner (low shelf on changing table) and several containers of soap (2nd and 3rd drawers of changing table) both which were accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Water temperature in bathroom sink measured at 119 F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: First-aid kit located in kitchen did not have tweezers included.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: Walkway transitioning from play space to kitchen and from kitchen to bathroom presented tripping hazard for children.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility`s outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Lower half of glass front door did not have decals.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.