Learning Ladder Academy Llc

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During a renewal inspection on 2/4/26 Cert Rep observed 5 children less than 2 feet of space on three sides of a child's nap mat: 1. Two children in the School Age/Pre K 2 room each had 1 foot of measured space on one side of the nap mat and 0.5 feet of measured space on another side of the nap mat. 2. One child in School Age/Pre K 2 room had one foot of measured space on three sides, and three inches of measured space on the 4th side. 3. One child in Preschool 1 room had 1 foot of measured space on one side of the nap mat and 1.5 feet of measured space on another side of the nap mat. 4. One child in Preschool 1 room had 1 foot of measured space on one side of the nap mat and 0.5 feet of measured space on another side of the nap mat.

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: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: During a renewal inspection on 2/6/26 Preschool Child 3 did not have an initial health assessment. Additionally Child 3 did not have an immunization record in accordance with the ACIP schedule, or immunization exemption letter. It is more than 60 days since the child's first day of attendance [See LIS code sheet for DOB, and first date of attendance(DOA)].

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. Child 3 must be dismissed from care by close of business on 2/6/26, until such time as a immunization record meeting the ACIP recommendations is on file for the child.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: During a renewal inspection on 2/6/26 Preschool Child 2's health assessment dated 10/2/25 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. (See LIS code sheet for DOB).

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: 3270.133(7)(iv)/3270.133(7)(vii)

Description: Amount to administer/Staff initials

Noncompliance Area: During a renewal inspection on 2/4/26 it was reported that Child 1's Amox-clan was administered around 1:00PM on 2/4/26. Cert rep observed that the med log for Child 1's Amox-clan did not note the amount of medication administered or staff initials of who administered the medication.

Correction Required: A medication log shall include the amount of medication administered. A medication log shall include the initials of the staff person who administered the medication.

Regulation: 3270.133(7)(v)/3270.133(7)(vi)

Description: Date of administration/Time of administration

Noncompliance Area: During a renewal inspection on 2/4/26 it was reported that Child 1's Amox-clan was administered around 1:00PM on 2/4/26. Cert rep observed that the med log for Child 1's Amox-clan did not note the date or time the medication was administered.

Correction Required: A medication log shall include the date of administration. A medication log shall include the time of administration.

Regulation: 3270.134(a)/3270.134(d)

Description: Child's hands washed/Liquid or powdered soap

Noncompliance Area: During a renewal inspection on 2/4/26 Cert rep observed Staff 2 cleaned Older Toddler Child's hands with hand sanitizer after diapering the child, but did not wash the Older toddler child's hands with soap and water.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Liquid or powdered soap shall be used for handwashing.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During a renewal inspection on 2/4/26 Cert Rep observed the following potentially hazardous items in children's lunch boxes in the Pre K 1 room: two cheese sticks, two meat and cheese sandwich/wrap, one meat and cheese lunchable, one yogurt pouch, and one contain of milk based dip. Cert rep also observed the following potentially hazardous items in children's lunch boxes in the Preppers 2 room: one drinkable yogurt.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During a renewal inspection on 2/4/26-2/6/26 the facility was not providing the parents of enrolled children with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: During a renewal inspection on 2/4/26-2/6/26 the emergency plan letter to the parents did not include information regarding lockdown procedures and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection 2/4/26-2/6/26 Staff 1 had Child abuse clearances date 8/13/20 & 9/24/25, Staff 2 had NSOR clearances dated 6/8/20 & 6/11/25, and Staff 3 had FBI clearances dated 7/23/20 & 7/30/25, all of which are more than 60 months between clearance dates. Staff 4 had FBI clearance and FBI clearance request dated 6/4/25, which is after their first day with children. Staff 5 had a PSP request dated 5/31/23, but did not have the PSP clearance on file. Staff 5 is beyond their 45 day provisional hire window. Staff 5 did obtain a PSP clearance dated 2/6/26 however this was after Staff 5 was observed to be providing care to children. Staff 1, 2, & 3 were reported to have worked as staff between the expiration of their previous clearance and the issue date of their most recent clearance.

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. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (related to protective Services. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a checklist for staff and facility persons files that addresses all necessary staff and facility persons file paperwork and time frames for renewals of paperwork as appropriate. The staff and facility persons file paperwork that must be addressed in this checklist includes but is not limited to PA clearances, Out of State clearances and trainings as required by the CPSL and all documents required for staff and facility persons to be hired. The checklist must be submitted to the Regional Office for approval. Once approved this checklist shall be used by the person responsible for hiring and maintaining facility persons records. The provider shall provide a date for when this portion of the plan shall be completed.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: During a renewal inspection on 2/4/26 Cert rep observed a spoon which appeared to be contaminated by human secretions in an open, plastic-lined trash can in the Pre-K 1 Room.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During a renewal inspection on 2/4/26-2/6/26 there was one incident of more than 30 days between fire detection testing: 7/18/25-8/19/25.

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: 3270.161(c)

Description: Food served discarded

Noncompliance Area: During a complaint investigation on 5/14/25 Cert rep verified the following events occurred on 5/1/25: Child 1 threw their unopened vacuum sealed cheese stick that was in a sandwich bag into the trash can. Staff 1 then removed the unopened vacuum sealed cheese that was in a sandwich bag from the trash can and placed it on the table near the remainder of Child 1's lunch.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: During a renewal inspection on 2/10/25 Cert rep observed tears in the material at the base of the blue couch in the Preschool 2 room.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: During a renewal inspection on 2/10/25 Cert rep observed gloves on the changing table in the Preppers 1 classroom. These gloves would be accessible to children while being changed. Children in this room may still be placing objects in their mouth.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection 2/10/25- 2/28/25, Staff 2 was hired provisionally (see code sheet for DOH) and did not have an NY Sex Offense Registry clearance or request on file. Staff 3 (see code sheet for DOH) did not have a NJ Child Abuse clearance on file. Both staff report having resided outside of PA during the previous 5 years.

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. Staff 2 and Staff 3 may not work or volunteer in a care position at the facility until such time as the required PA and out of state clearances are obtained and documented in the file.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During a renewal inspection on 2/28/25 Staff 1 did not have staff evaluations from the past 12 months for cert rep review.

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: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: On 2/6/2024, the health assessment on file for Staff #1 did not include an examination for communicable diseases and the results of that examination and also did not include the physician's or CRNP's assessment of the person's suitability to provide childcare. See LIS code sheet.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: During the Renewal Inspection on 2/2/2023, Child #1, a young toddler had an updated health report on file dated 11/15/2022, but the previous health report on file for Child #1 was dated 10/14/2021.

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.

Regulation: 3270.131(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: On 2/2/2023, Child #2, an older toddler did not have the up-to-date influenza immunization as recommended by the ACIP. The file for Child #2 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement from the child's parent. See LIS code sheet.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of 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(b)

Description: No physical punishment

Noncompliance Area: On 7/13/2022, the facility self-reported that during a review of video surveillance from earlier that day, Staff #1 was observed on two separate instances to inappropriately lift Child #1 with one hand, using the upper part of the child's arm, and move the child away from a table. After the first instance, Staff #1 was also observed to push the child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 7/13/2022, the facility self-reported that during a review of video surveillance from earlier that day, Staff #1 was observed on two separate instances to inappropriately lift Child #1 with one hand, using the upper part of the child's arm, and move the child away from a table. After the first instance, Staff #1 was also observed to push the child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The legal entity must arrange for Staff #1 to take a minimum of 2 hours of PQAS-approved training regarding appropriate discipline of children. The training must be conducted live or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5/30/2017

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #1 will have until 8/25/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: During the Renewal Inspection on 2/9/2022, the medication for children enrolled at the facility was checked. A bottle of Benadryl for Child #1 was observed to be expired. The expiration date on the bottle read as June 2021.

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

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: During the staff review for the Renewal Inspection on 2/10/2022, it was observed that Staff #1 and Staff #2 had not completed professional development in Pediatric First Aid and Pediatric Cardiopulmonary Resuscitation (CPR). Both staff had been employed for at least 90 days on 2/10/2022. Staff #3, #4, #5, #6, #7 and #8 all very recently had completed the required professional development Pediatric First Aid and Pediatric Cardiopulmonary Resuscitation (CPR). However, this course was not completed within 90 days of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the Renewal Inspection on 2/9/2022, one of the wooden boarders at the bottom of the fence on the toddler playground outside was observed to be cracked exposing sharp edges and splinters.

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.