Live N Learn Smile Center

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

During the renewal inspection on 7/9/2025, it was observed that the diapering pad in the infant room was covered with a cloth material, which prevented proper cleaning and sanitization of the surface after each use.

Corrected by Jul 9, 2025

View state record

3270.32(a)/3270.192(4) · 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.

During renewal inspection on 7/9/2025, mandated reporter certificates on file for staff person #1 were dated 5/15/2020 and 5/21/2025, which is past 60 months. Mandated reporter certificates on file for staff person #2 were dated 5/11/2020 and 5/21/2025, which is past 60 months. NSOR clearance on file for staff person #3 is dated 2/18/2025, which was after this person's start date (see LIS code sheet for start date).

Corrected by Jul 14, 2025

View state record

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

During renewal inspection on 7/9/2025, fee agreement for child #2 did not contain child's date of admission.

Corrected by Jul 14, 2025

View state record

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

During renewal inspection on 7/9/2025, most recent health assessment on file for child #1 is dated 8/28/2024. Child #1 is a young toddler (see LIS code sheet for date of birth).

Corrected by Jul 31, 2025

View state record

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business 7/9/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During renewal inspection conducted 7/9/2025, immunization schedule on file for child #1 does not indicate that child has received the Hepatitis A vaccine. There is no exemption on file. Child #1 is a young toddler (see LIS code sheet for date of birth).

Corrected by Jul 9, 2025

View state record

3270.32(a)/3270.192(4) · 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.

During allocated unannounced monitoring conducted on 2/5/2025, file for staff person #1 indicates that they have lived outside of PA within the past 5 years. File contained criminal history check from NY; however, did not contain child abuse or SOR check from NY for staff person #1.

Corrected by Feb 19, 2025

View state record

3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

During allocated unannounced monitoring conducted on 2/5/2025, a stuffed animal toy was observed in the crib with a sleeping infant.

Corrected by Feb 10, 2025

View state record

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

During allocated unannounced monitoring conducted on 2/5/2025, child #1 was observed to be sleeping in a portable infant bouncer. Staff members reported that child ate approximately 10-15 minutes prior and cannot be laid down flat after eating for at least 20-30 minutes. There was not a note signed by a physician in the child's file. Child #1 is an infant.

Corrected by Feb 5, 2025

View state record

3270.14/3270.21 · 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.

During renewal inspection, one-hour update to health and safety training on file for staff person #2 is dated 2/22/2023. All staff were supposed to complete training no later than 12/30/2022 (see LIS code sheet for start date).

Corrected by Jul 24, 2024

View state record

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During renewal inspection, the following information was missing from children's emergency contact forms: Child #1: Both parents' work addresses and work telephone numbers. Child #2: Both parents' work addresses and work telephone numbers. Child #3: Both parents' work addresses and work telephone numbers. Child #4: Father's work address and work telephone number. Child #5: Both parents' work addresses and work telephone numbers. Child #6: Both parents' work addresses and work telephone numbers. Child #7: Both parents' work addresses and work telephone numbers. Father's home telephone number.

Corrected by Jul 24, 2024

View state record

3270.151(c)(3)/3270.151(c)(5) · 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.

During renewal inspection, health assessment for staff person #1 did not contain results of examination for communicable diseases or the physician's assessment of the person's suitability to provide child care.

Corrected by Jul 24, 2024

View state record

3270.113(a)/3270.113(a)(1) · 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. 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. Staff #1 is required to receive 2 hours of supervision training.

On 3/25/24, staff #1 left an infant asleep in the crib in the classroom unattended.

Corrected by Apr 22, 2024

View state record

3270.113(a)/3270.113(a)(1) · 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. 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.

On 3/25/24, staff #1 left an infant asleep in the crib in the classroom unattended.

Corrected by Apr 22, 2024

View state record

3270.113(a)/3270.113(a)(1) · 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. 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. The legal entity must review and update their written supervision policy and procedures to be implemented in the facility in both the staff handbook and parent handbook. The legal entity will submit policy/procedures to the Northeast Regional Office for approval. All existing staff and new hires must be trained on the approved policy and procedure and it must be documented in their files. Policies relating to supervision at pick up and drop off must also be shared with parents.

On 3/25/24, staff #1 left an infant asleep in the crib in the classroom unattended.

Corrected by Apr 26, 2024

View state record

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

On 9/6/23, staff person #1 slapped child #1 in the face after the child bit staff person #1.

Corrected by Sep 6, 2023

View state record

3270.14/3270.21 · 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.

As of the renewal inspection on 7/25/23, the facility did not have a continuity of operations plan as required.

Corrected by Aug 4, 2023

View state record

3270.131(e)/3270.131(e)(2)(i) · 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. 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.

During the renewal inspection on 7/25/23, Child #1 did not have documentation of influenza vaccine, MMR, Varicella, or Hep A as recommended by the ACIP. No exemption letter is on file. Child #1 may not return for care until documentation of the vaccines or an exemption letter are on file.

Corrected by Jul 28, 2023

View state record

3270.76 · 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.

On 3/13/23 during the renewal inspection, the rubber moulding under the window in the school age room was coming off.

Corrected by Mar 13, 2023

View state record

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During the renewal inspection, there was no accommodations for infants and toddlers in the emergency plan.

Corrected by Mar 13, 2023

View state record

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

On 2/16/22 during the renewal inspection, the cribs being used by infants were not labeled with their name.

Corrected by Feb 16, 2022

View state record

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

On 2/16/22 during the renewal inspection, there were bottles for child #1 and #2 that were not labeled.

Corrected by Feb 16, 2022

View state record

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

On 2/16/22 during the renewal inspection, the health and safety training for staff #1 was dated 7/22/16, for staff #2 it was dated 8/18/16 and for staff #3 it was dated 7/30/16, all prior to the acceptable date of 9/30/16.

Corrected by Mar 11, 2022

View state record