U-gro Learning Centres - Lancaster PA Child Care Center

Noncompliance Area: It was observed in the toddler room, aka Duck room, that a roll of plastic bags was being stored in a drawer under the changing table accessible to mouthing children in that room.

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.

Noncompliance Area: It was observed in the infant room that multiple children were sleeping in cribs that did not contain 2 feet of space on at least three sides of those cribs in use.

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.

Noncompliance Area: File for child #1 did not contain the health insurance policy number on their emergency contact form, and file for child #1, who is of school age, did not contain a physical dated in accordance with the requirements for school attendance.

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. The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).

Noncompliance Area: It was observed that emergency contact forms were missing from multiple rooms where children were receiving care.

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: It was observed that a staff person in the toddler room changed a child's diaper and did not have the child wash their hands after diapering and they did not wash their own hands in between diaper changes.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: File for staff person #6 did not contain verification of child care experience, education or training.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: File for staff person #3, hired 6/2019, did not contain written documentation verifying that they completed the annual training update required for their 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 and kept on file at the facility.

Noncompliance Area: Files for staff person #1, #2, #3, #4, and #5 did not contain a written evaluation completed by director within the last 12 monts, and staff person #1, #2, #3, #4, and #5 have all been employed for 1 year or longer at facility.

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

Noncompliance Area: Rough edges, rust, and peeling paint were observed on the stairs and the outside bottom of the door on the van entrance/exit used to transport children to/from the facility.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. 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.

Noncompliance Area: It was observed in the monkey room that the play sink was cracked and broken causing a pinching 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.

Noncompliance Area: It was observed that the refrigerator temperature in the ladybug room was measured at 50 degrees Fahrenheit.

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: Agreement for child #2 did not contain child's admission date.

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

Noncompliance Area: Emergency contact form for child #1 did not contain physician's telephone number.

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: Staff person #1 has worked at facility for more than a year and did not have on file verification of completion of fire safety training within the last 12 months.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: It was observed in the infant/toddler outdoor play space that the protective surfacing used under the swing set had a 2-4 inch gap between the surfacing and the areas that surround that surfacing causing a tripping hazard for children around that area.

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.