Learning Laughing And Growing Childcare Academy

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

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

Noncompliance Area: At the time of the inspection, Staff 1 and Staff 2 did not have proof of a physical on file and staff 2 did not have the results of a TB test on file.

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: 3270.131(e)(1)/3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian/Exemption documentation from parent/guardian

Noncompliance Area: Child 1 did not have proof of a current Flu immunization nor a letter of exemption on file at the time of the inspection.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Child #1 was on the playground alone, unsupervised, for less than 5 minutes.

Correction Required: 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: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection on November 10, 2022, the emergency contact information and financial agreement of child #2 were not updated at least once in a 6 month period and the emergency contact information of child #3 was not updated at least once in a 6 month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: During renewal inspection on November 10, 2022, the record of child #1 did not contain a health assessment conducted within 6 months of previous health assessment (contained updated immunizations only - previous health assessment dated 4-19-22).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

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

Noncompliance Area: During renewal inspection on November 10, 2022, the record of staff #1 did not include acceptable verification of education.

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: 3270.52/3270.113(a)

Description: Mixed Age Level/Supervised at all times

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON SEPTEMBER 2, 2022, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #1 AND #2 IN THE FRONT ROOM WITH 1 INFANT, 4 YOUNG TODDLERS, AND 6 OLDER TODDLERS.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: DURING FOLLOW-UP INSPECTION ON JUNE 22, 2022, THE RECORD OF STAFF #1 DID NOT CONTAIN THE RESULTS OF THE NSOR VERIFICATION CERTIFICATE. STAFF #1 WAS OBSERVED WORKING UNSUPERVISED WITH 4 YOUNG TODDLERS IN THE YOUNG TODDLER ROOM AT THE TIME OF INSPECTION. CONTINUED NON-COMPLIANCE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

Regulation: 3270.52/3270.113(a)

Description: Mixed Age Level/Supervised at all times

Noncompliance Area: DURING FOLLOW-UP INSPECTION ON JUNE 22, 2022, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #2 IN THE HALLWAY WITH 3 CHILDREN UPON ARRIVAL AT APPROXIMATELY 11:00 AM, LEAVING 7 CHILDREN UNATTENDED IN THE PRESCHOOL ROOM. WHEN CERT REP ASKED STAFF #2 HOW MANY CHILDREN THEY HAD, THEY RESPONDED "8" - CERT REP THEN COUNTED 10 CHILDREN PRESENT IN THE ROOM. UPON ENTRY TO THE OLDER TODDLER ROOM, CERT REP ASKED STAFF #3 HOW MANY CHILDREN THEY HAD, TO WHICH THEY RESPONDED "6" - CERT REP COUNTED 7 CHILDREN, TO WHICH STAFF #3 STATED "OH HE'S NOT SUPPOSED TO BE IN HERE" - AND SENT ONE CHILD OVER TO THE PRESCHOOL ROOM WITH STAFF #1, TOTALING 11 CHILDREN IN THE PRESCHOOL ROOM. CONTINUED NON-COMPLIANCE.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). 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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.52/3270.113(a)

Description: Mixed Age Level/Supervised at all times

Noncompliance Area: DURING FOLLOW-UP INSPECTION ON JUNE 22, 2022, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #2 IN THE HALLWAY WITH 3 CHILDREN UPON ARRIVAL AT APPROXIMATELY 11:00 AM, LEAVING 7 CHILDREN UNATTENDED IN THE PRESCHOOL ROOM. WHEN CERT REP ASKED STAFF #2 HOW MANY CHILDREN THEY HAD, THEY RESPONDED "8" - CERT REP THEN COUNTED 10 CHILDREN PRESENT IN THE ROOM. UPON ENTRY TO THE OLDER TODDLER ROOM, CERT REP ASKED STAFF #3 HOW MANY CHILDREN THEY HAD, TO WHICH THEY RESPONDED "6" - CERT REP COUNTED 7 CHILDREN, TO WHICH STAFF #3 STATED "OH HE'S NOT SUPPOSED TO BE IN HERE" - AND SENT ONE CHILD OVER TO THE PRESCHOOL ROOM WITH STAFF #1, TOTALING 11 CHILDREN IN THE PRESCHOOL ROOM. CONTINUED NON-COMPLIANCE.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). 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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: DURING RENEWAL INSPECTION ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #1 WORKING UNSUPERVISED IN THE YOUNG TODDLER ROOM WITH 4 YOUNG TODDLERS. STAFF #1 DID NOT YET HAVE COMPLETED HEALTH AND SAFETY TOPICS, FIRST-AID/CPR OR COMPLETED MANDATED REPORTER TRAINING ON FILE.

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: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: DURING RENEWAL INSPECTION ON MAY 12, 2022, THE HEALTH ASSESSMENTS OF STAFF #2, 3, AND 4 DID NOT INCLUDE THE PHYSICIAN 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: 3270.192(5)

Description: Two written references

Noncompliance Area: DURING RENEWAL INSPECTION ON MAY 12, 2022, THE RECORD OF STAFF #1 DID NOT INCLUDE TWO WRITTEN, NONFAMILY REFERENCES AND THE RECORD OF STAFF #2 INCLUDED ONLY ONE WRITTEN, NONFAMILY REFERENCE.

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: DURING RENEWAL INSPECTION ON MAY 12, 2022, THE RECORD OF STAFF #2 DID NOT INCLUDE THE RESULTS OF THE NSOR VERIFICATION, AND STAFF #1 WAS OBSERVED UNSUPERVISED IN THE YOUNG TODDLER ROOM AS A PROVISIONAL HIRE WITH 4 YOUNG TODDLERS.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 may not work in a child care position at the facility until all documents are received and on file. Facility person #1 may not work unsupervised until all documents are received and on file.

Regulation: 3270.52/3270.53(a)

Description: Mixed Age Level/Counted in staff:child ratio

Noncompliance Area: DURING RENEWAL INSPECTION ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #4 IN THE OLDER TODDLER ROOM WITH 6 YOUNG TODDLERS AND 1 YOUNG SCHOOL AGE CHILD. STAFF #4 STATED THAT THE SCHOOL AGE CHILD WAS RELATED TO THEM.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The related or foster children of an operator and the children or foster children of a staff person shall be counted in the staff:child ratio requirements.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: DURING RENEWAL INSPECTION ON MAY 12, 2022, THE WATER TEMPERATURE AT THE SINK OUTSIDE OF THE BATHROOMS MEASURED AT 116°F.

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

Noncompliance Area: During renewal inspection on 3/6/20, cert rep reviewed several children's files. Child # 1 emergency contact form was missing health insurance coverage and policy number. Child # 2, 4, 5 emergency contact forms were missing health insurance policy numbers.

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: During renewal inspection on 3/6/20 cert rep reviewed several children's files. Child # 1 emergency contact form did not include release persons' addresses.

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: During renewal inspection on 3/6/20 cert rep reviewed several children's files. Child # 4, start date 1/2/20, did not have a health assessment in file.

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

Noncompliance Area: During renewal inspection on 3/6/20 cert rep reviewed several children's files. Child # 5 emergency contact form was missing signed parental consent for administration of minor first aid procedures by facility staff.

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.

Noncompliance Area: During initial inspection on 11/12/19 certification rep reviewed 2 staff files. Staff # 1 health assessment was dated 11/3/17.

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: During initial inspection on 11/12/19 certification representative observed A broken metal pipe at the top of the chain link fence on the playground. Cert rep observed a concrete & metal post on the playground. Cert rep observed a metal light pole on the playground. These conditions were unsafe for children.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: During initial inspection on 11/12/19 certification representative observed several stairs at the rear entrance to the building that head worn/damaged nonskid surfaces.

Correction Required: Inside stairs shall be equipped with nonskid surfaces.