Learn Love Laugh Childcare

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Hydrogen peroxide was observed in the first-aid kit in the Ones room. Baking Soda was observed in the changing area of the preschool bathroom accessible to children. Both were marked "Keep out of reach of children."

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: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water in the bathroom facilities was observed to be 135 degrees the day of inspection.

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

Regulation: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: The restrooms in the preschool and school-age classrooms were observed to have exposed bolts at the base of the toilets.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: The cribs that infants were sleeping in the day of inspection were observed not to have at least 2 feet of space on 3 sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.133(1)

Description: Original container

Noncompliance Area: It was observed that a bottle of children's Tylenol was not in an original container.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Regulation: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: It was observed that an infant under 6 months of age was holding their own bottle.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: It was observed that the emergency drill was not conducted annually.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for Child #1 contained an emergency contact form that was lacking the address of one of the persons to whom the child may be released to.

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facilities Emergency Plan lacked updates to the following sections: Volunteer Emergency Preparedness Training and Continuity of Operations. The files for Staff #1, #2, #3, #4, #5, #6, #8, #9 and #10 lacked completion of the UPDATED 1 Hour Health and Safety Training on or before 12/30/2022.

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

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

Noncompliance Area: The file for Staff #7 lacked documentation of previous childcare experience, making it unable to be determined if the individual qualified as a staff person.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In Restroom #1, first restroom on the left in the Main Room (PS Area), handwashing signs were lacking above the toilet and sink. In Restroom #2, second restroom on the left in the Main Room (PS Area), a handwashing sign was lacking above the toilet.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility's fire alarm test report documented testing of the fire alarm system between 12/12/2022 and 01/12/2023. The test conducted was more than 30 days apart.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the young toddler's room a clear, plastic bin was observed to have a chipped corner which posed a cutting hazard.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child #2 lacked the Health Insurance/MA Coverage and Health Insurance/MA 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: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: The file for Child #2, enrolled for at least 60 days, lacked the Initial Child Health Report and written verification of immunizations.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. 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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The Child Health Report for Child #1 stated that the child may not participate in childcare and not free from contagious/communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(a)

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

Noncompliance Area: The two most recent Health Assessments for Staff # 4 were dated more than 24-months apart.

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: 3270.182(1)

Description: Initial and subsequent health reports

Noncompliance Area: The file for Child #2, enrolled for at least 60 days, lacked the Initial Child Health Report and written verification of immunizations.

Correction Required: A child's record shall contain initial and subsequent health reports.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2 has worked at the facility for more than 90 days without obtaining training in the 10 required health and safety training topics.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent Mandated Reporter Training for staff #4 and #5 were dated more than 60 months apart. The two most recent Child Abuse Clearances for Staff #4 were dated more than 60 months apart.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The disclosure statements in Staff Files #1 and #2 were on outdated forms not used since prior to 2015.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The two most recent staff evaluations for Staff #3 were completed more than one year apart.

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: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: The Pre-School/School Age restroom, lacked handwashing signs above the toilet and sink.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drill dated 02/05/2022 - 04/06/2022 was more than 60 days apart.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Noncompliance Area: The file of staff #1 with at start date of 9-23-19 had a Child Abuse clearances requested on 9-24-19 and the report on file dated 10-2-19; and had a PA State Police clearance dated 9-24-19. The file of staff #3 with a start date of 8-20-19 had a Child Abuse clearance dated 8-26-19.

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.

Noncompliance Area: The files of staff #2 and #3 both titled Assistant Group Supervisors, lacked documentation of any education to support the position.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The school age, preschool, and infant spaces lacked written plan of daily activities shall be posted.

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

Noncompliance Area: The file of child #1 lacked an agreement with the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: The file of child #1 lacked an emergency contact form with the work address and telephone number of the enrolling parent.

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

Noncompliance Area: The file of child #2 lacked an emergency contact form with the written consent signed by a parent for emergency medical care.

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 emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The file of child #1 lacked an emergency contact form with the health insurance policy number. The file of child #2 lacked an emergency contact form with the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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 a Ventolin HFA inhaler not labeled.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Observed expired diaper cream in the toddler room as follows: Parent's Choice brand diaper rash cream labeled for child #2 with an expiration date of 9/2015; Parent's Choice brand diaper rash cream labeled for child #3 with an expiration date of 1/2019.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: There was no medication log for child #1 for a prescription medication of Amphetamine.

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

Noncompliance Area: The file of staff #1 with a start date of 5-24-16 had health assessments dated 5-23-16 and 1-28-19. Therefore not every 24 months thereafter.

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.

Noncompliance Area: The file of child #2 lacked an emergency contact form with signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission and signed parental consent for walking excursions.

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

Noncompliance Area: The file of staff #1 lacked a health assessment with the results of initial tuberculin skin tests.

Correction Required: 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: The file of staff #1 with an employment date of 5-24-16 lacked documentation of a signed disclosure statement upon initial employment. The document on file was dated 5-20-19.

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.

Noncompliance Area: Observed in the school age space men's shaving cream labeled "keep out of reach of children," on a shelf accessible to children in care.

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

Noncompliance Area: The restroom in the school age space lacked a hand washing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.