Laugh And Learn Early Development Center

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: It was observed that child #1 did not have a health assessment on file every 12 months. The last one is dated 6/3/25. It was observed that child #4 did not have a health assessment on file every 12 months. The last one is dated 5/19/25.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: It was observed that staff person #1 did not update their health assessment every 24 months. The last health assessment on file was 2/21/24.

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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: It was observed that staff persons #1, #2, #3, and #4 did not have evidence of 12-hours of childcare training on file. Staff person #1 had one hour; staff person #2 had 6.5 hours; staff person #3 had 7.5 hours; and staff person #4 had 2 hours.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: It was observed that staff person #2 did not have evidence of a staff evaluation every 12 months on file.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.21/3270.113(a)

Description: General Health and Safety/Supervised at all times

Noncompliance Area: It was observed in the infant room that staff person #1 left an infant alone on the changing table to go attend to another child.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.94(a)/3270.94(a)(1)

Description: Director or designated staff person responsibility/Every 60 days

Noncompliance Area: The fire drill log showed evidence that fire drills were not conducted at least once every 60 days. 11/26/25-2/25/26 (91 days) Last drill was 2/25/26- 63 days

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the criteria specified in §3270.95(a)(1)- (a)(9) are met. The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The fire system testing log showed evidence that the fire system was not tested at least once every 30 days. 11/26/25-2/25/26 (91 days) Last test was 2/25/26- 63 days

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first aid and CPR (documentation was not on file at the time of inspection).

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for staff person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Upon beginning work in the facility, the record for staff person #1 did not contain completed a completed PA state police clearance as required under the CPSL. The record also did not include documentation the facility person has requested the outstanding clearance as required for provisional hiring under the CPSL. The staff person was observed working alone with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility until complete clearances are on file.

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written plan of daily activities was not posted in the green, blue, and olive green rooms.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Staff persons #3, #6, and #7 were present with a group of 14 children. Staff person #3 was unable to identify which specific children she was responsible for. Staff person #6 identified three of the children being in her group, and staff person #7 identified 3 children being in her group. 8 of the 14 children in the room were unaccounted for in the care groups.

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.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The agreement on file for child #1 was not signed by the parent. The agreements on file for children #2 and #5 were not signed by the operator.

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

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement on file for child #2 did not specify the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreements on file for children #2 and #4 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement on file for children #2, #3, and #5 did not specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement on file for child #2 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement on file for child #2 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: Originals of agreements were on file for children #1, #2, #3, #4, and #5.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information on file for child #1 did not include a complete address for 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.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for child #1 did not include complete work and home addresses for the enrolling parent.

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

Regulation: 3270.124(b)(4)/3270.182(5)

Description: Written consent/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The emergency contact information on file for children #1 and #3 did not include the written consent signed by a parent for emergency medical care. The records also did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information on file for child #2 did not include the child's health insurance 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for children #1 and #3 did not include complete addresses for listed release persons.

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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: When children were combined in the yellow room in the morning before splitting into their rooms for the day, emergency contact forms were not present for all of the children in the room.

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.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the child care spaces.

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.

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The immunization record on file for child #2 is not in accordance with the recommendations of the ACIP. The record does not meet the age-appropriate recommendations for the MMR, varicella, and Pneumococcal.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.133(7)

Description: Medication log

Noncompliance Area: A liquid allergy medication was on site for child #4. The operator did not have a medication log on file for the medication.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Infant room - Disposable diapers were observed to have been thrown out in a non-hands free trash can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: Staff person #2 did not have an initial staff health assessment on file. The record also did not include results of a TB test.

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Two bottles in the infant room fridge were not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: The operator had 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.

Correction Required: An operator shall notify 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.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The records for staff persons #2, #3, and #6 did not include 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time that staff person #2 began work in the facility, the staff record did not contain a completed DHS FBI clearance required under the CPSL and did not contain a copy of request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person's record also did not include a completed disclosure statement. The staff person has been employed for more than 45 days and was observed working with children. The record for staff person #3 did not contain a completed disclosure statement. The record for staff person #4 did not include a completed disclosure statement. (CORRECTED ON SITE) At the time that staff person # 5 began work in the facility, the staff record did not contain complete applicable out of state clearances as required under the CPSL. Upon initial employment at the facility, the staff person had signed an old disclosure statement, which has since been corrected. The staff person was observed working with children. At the time that staff person #6 began work in the facility, the staff record did not contain completed child abuse and PA state police clearances as required under the CPSL and did not contain a copy of request for the PA state police clearance as required for provisional hiring under the CPSL. A volunteer child abuse and a volunteer state police clearance were on file in lieu of the required employment clearances. The staff person's record also did not include a completed disclosure statement. The staff person was observed working with children. Staff person #7 filled out an old disclosure statement when hired. The current/correct disclosure statement was not used.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 2, #5, and #6 may not work in a child care position at the facility until complete clearances are on file.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: Staff person #1 is serving as an assistant group supervisor at the facility. The staff person's record did not include sufficient documentation to justify the role. A high school diploma and 866 hours of child care experience were on file. Staff person #2 is serving as a staff person at the facility (floater). The staff person's record did not include documentation of education, and child care experience. Staff person #3 is serving as a group supervisor at the facility. The staff person's record did not include documentation of the bachelor's degree. Staff person #6 is serving as an aide at the facility. The staff person's record did not include documentation of education and childcare experience (if applicable).

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During a morning transition, multiple staff persons left the yellow room with groups of children, leaving staff person #3 alone in the room with 7 older toddlers.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.61(c)

Description: 40 square feet wall-to-wall

Noncompliance Area: 19 children were observed in a room measured for 14 children.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: According to the log on file at the time of inspection, the facility staff had not manually tested the fire detection system since they opened in May of 2025.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: Mulch was observed in the outdoor childcare space, within an area that will be used by toddlers. Rocks with a diameter of less than 1 inch were observed on the playground (near the edge of the surfacing, near the shed, and near the walkway). Toddlers will use the space.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: The record for staff person #1 did not include an initial health assessment, complete with results of a TB test.

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: At the time of the initial inspection, the operator was unable to provide documentation showing they have current liability insurance.

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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The record for staff person #1 did not include a valid NSOR. The record also did not include a disclosure statement that was completed upon hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Hand sanitizer was observed in the 1st room on the right in an area that would be within reach of children. The kitchen is located immediately beside a child care space and was accessible/unlocked. In the kitchen, cleaning wipes were observed in an unlocked cabinet below counter height.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: Boxwoods were observed in the outdoor child care space.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: The kitchen is located immediately beside a child care space and was accessible/unlocked. The kitchen contained a working stove.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The surface of the metal sheeting covering the radiators in the infant room, the downstairs bathroom, and in the purple room was rough/sharp. Playground: The siding at the bottom of the shed was cracked/broken. A screw and a washer were observed on the ground. (CORRECTED ON SITE) A volleyball net was draped on the ground the playground. A sharp, cracked wooden board was observed on along the walkway.

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.