Learn And Grow Early Childhood Center

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During renewal inspection, it was observed in the Older Toddler 2 room that the first aid kit did not contain soap.

Corrected by May 8, 2025

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3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During renewal inspection, it was observed that the facility did not have an emergency transportation plan posted in any of the childcare spaces.

Corrected by May 8, 2025

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by a facility person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility

Staff #1 has not completed an approved Pediatric CPR pre-service training within 90 days of their date of hire (see code sheet for date of hire).

Corrected by Feb 5, 2025

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons #1, #2, #3, and #5 will have until 8/15/24 to complete the required training. Until such time as the required training is completed, staff persons #1, #2, #3, and #5 must be supervised when interacting with children by an Assistant Group Supervisor who has completed the required training related to the citation. If there are no staff available to supervise staff persons#1, #2, #3, and #5, staff persons #1, #2, #3, and #5 may not work in a childcare position at the facility.

Durning the renewal inspection on 7/16/24 to 7/25/24 the inspector reviewed the staff files and noted that staff # 1, #2, #3, #5, have not completed the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet) Pediatric First Aid and CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected by Jul 23, 2024

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3270.32(a)/3270.192(4) · Facility Person # 6 may not work in a childcare position at the facility. In order to demonstrate compliance in this area, the legal entity or director will send all the clearance requests, completed clearances, disclosure statements, health assessments and TB screenings (as noted in other violation description) to Northeast Regional Office for all new hires for the next three months. New staff maybe not begin to work in childcare until the file has been approved by DHS.

During the course of the renewal inspection the inspector observed staff files and found that staff #3 did not obtain the required Pa Mandated Reporter Training until 12/31/23 which was over 90 days from hire date (see LIS Legend Sheet). Staff #4 did not have any proof of FBI fingerprinting or having sent the NSOR until 12/20/23. Staff #6 did not have a Pa State Police clearance on file. Staff #8 had an initial Pa State Police clearance on file dated for 8/8/16 and did not update the clearance until 7/13/22, a Pa Child Abuse Clearance dated initially for 8/11/16 and then not again 7/13/22, an initial FBI dated 8/9/16 and not again until 7/15/22, a Pa Mandated Reporter training dated 9/5/.16 and not updated until 8/2/22.

Corrected by Jun 1, 2024

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3270.80(b) · Inside stairs shall be equipped with nonskid surfaces.

During the course of the unannounced renewal inspection that began on 12/21/23 the inspector observed that the stairs that lead to the indoor larger muscle area had small areas where the nonskid tape had peeled off.

Corrected by Apr 1, 2024

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3270.32(a)/3270.192(4) · 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 the course of the renewal inspection the inspector observed staff files and found that staff #3 did not obtain the required Pa Mandated Reporter Training until 12/31/23 which was over 90 days from hire date (see LIS Legend Sheet). Staff #4 did not have any proof of FBI fingerprinting or having sent the NSOR until 12/20/23. Staff #6 did not have a Pa State Police clearance on file. Staff #8 had an initial Pa State Police clearance on file dated for 8/8/16 and did not update the clearance until 7/13/22, a Pa Child Abuse Clearance dated initially for 8/11/16 and then not again 7/13/22, an initial FBI dated 8/9/16 and not again until 7/15/22, a Pa Mandated Reporter training dated 9/5/.16 and not updated until 8/2/22.

Corrected by Jan 12, 2024

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3270.32(a)/3270.192(4) · The legal entity must arrange for the co-directors (staff #7 and #12) to schedule and attend Existing Provider Training held in the Northeast Regional Office of DHS, Scranton Office.

During the course of the renewal inspection the inspector observed staff files and found that staff #3 did not obtain the required Pa Mandated Reporter Training until 12/31/23 which was over 90 days from hire date (see LIS Legend Sheet). Staff #4 did not have any proof of FBI fingerprinting or having sent the NSOR until 12/20/23, which is after hire. Staff #6 did not have a Pa State Police clearance on file. Staff #8 had an initial Pa State Police clearance on file dated for 8/8/16 and did not update the clearance until 7/13/22, a Pa Child Abuse Clearance dated initially for 8/11/16 and then not again 7/13/22, an initial FBI dated 8/9/16 and not again until 7/15/22, a Pa Mandated Reporter training dated 9/5/.16 and not updated until 8/2/22.

Corrected by May 15, 2024

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3270.32(a)/3270.192(4) · In order to demonstrate compliance in this area, the legal entity will develop and implement a hiring practice and existing staff policy that will focus on hiring practices and keeping staff up to date with all clearances, disclosure statements, health assessments and TB screenings at initial employment and completed timely on or before expiration on current employees. This policy/practice must be approved of by DHS prior to implementation. . An acknowledgement signed by the any persons responsible for hiring and maintaining staff records must be kept on file.

During the course of the renewal inspection the inspector observed staff files and found that staff #3 did not obtain the required Pa Mandated Reporter Training until 12/31/23 which was over 90 days from hire date (see LIS Legend Sheet). Staff #4 did not have any proof of FBI fingerprinting or having sent the NSOR until 12/20/23, which is after hire. Staff #6 did not have a Pa State Police clearance on file. Staff #8 had an initial Pa State Police clearance on file dated for 8/8/16 and did not update the clearance until 7/13/22, a Pa Child Abuse Clearance dated initially for 8/11/16 and then not again 7/13/22, an initial FBI dated 8/9/16 and not again until 7/15/22, a Pa Mandated Reporter training dated 9/5/.16 and not updated until 8/2/22.

Corrected by Jun 1, 2024

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

During the course of the unannounced renewal inspection that began on 12/21/23 the inspector observed that staff #1, #2, #8, and #11 have all been employed over twelve months and did not have a staff evaluation for 2023.

Corrected by Apr 1, 2024

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During the course of the unannounced renewal inspection that began on 12/21/23 the inspector observed that the school age rooms to be chipped and accessible to children.

Corrected by Apr 1, 2024

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3270.151(a) · 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.

During the course of the unannounced renewal inspection that began on 12/21/23 the inspector observed that staff #1 had a health assessment dated 3/2/20 and did not have an updated health assessment until 7/19/22,

Corrected by Mar 1, 2024

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of childcare training.

During the course of the unannounced renewal inspection that began on 12/21/23 the inspector observed that staff #1, #2, #5, #6, #7, #8, #9, #10, #11, and #12 were all missing proof of having completed the 12 hours of required annual training.

Corrected by May 30, 2024

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

While at the facility unannounced on 12/20/22 for the renewal inspection the inspector reviewed staff file #2 and noted the last staff evaluation on file was dated 6/12/20.

Corrected by Dec 20, 2022

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #5, #6, #7, and #8 will have until 2/13/23 to complete the required training. Until such time as the required training has been completed, staff person #5, #6, #7, and #8 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 available to supervise staff person #5, #6, #7, and #8, staff person #5, #6, #7, and #8 may not work in a child-care position at the facility.

Staff person #5, #6 #7, and #8, have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet) Pediatric First Aid and CPR.

Corrected by Feb 13, 2023

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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.

While at the facility unannounced on 12/20/22 for the renewal inspection the inspector reviewed the file for staff #1 and noted that the Pa Child Abuse was initially obtained 2/10/15 and not again until 9/18/20, and an initial FBI clearance dated 3/17/16 and not again until 7/23/22. Staff #2 had an initial FBI dated for 6/6/17 and not again until 7/15/22. Staff #6 was hired with a Volunteer Pa State Police and Volunteer PA State Police clearance versus employment clearances as is required. Staff #8 was hired without having submitted for a PA State Police until 7/13/22 as is required.

Corrected by Dec 20, 2022

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

While at the facility unannounced on 12/20/22 for the renewal inspection the inspector reviewed the file for staff #1 and noted that the staff had a Pa Mandated Reporter Training on 12/12/16 and did not update this training until 7/15/22. This training was required to be updated prior to 12/12/21.

Corrected by Dec 20, 2022

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

While at the facility unannounced on 12/20/22 for the renewal inspection the inspector observed chipped paint in the upstairs hallway near the gym.

Corrected by Feb 28, 2023

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3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

While at the facility unannounced on 12/20/22 for the renewal inspection the inspector reviewed child files and found that child #1 last had a Flu Vaccine on 4/27/21, child #2 last had a Flu Vaccine on 12/3/20, child #4 last had a Flu Vaccine on 11/8/21, child #6 last had a Flu Vaccine on 9/23/20, child #3 and #5 did not have any proof of a Flu Vaccine.

Corrected by Dec 20, 2022

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3270.151(a) · 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.

While at the facility unannounced on 12/20/22 for the renewal inspection the inspector reviewed staff file #3 and noted a health assessment dated 3/11/20 and did not obtain a new one until 8/12/22, which is over every 24 months as is required by regulation.

Corrected by Dec 20, 2022

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

While at the facility unannounced on 12/20/22 for the renewal inspection the inspector reviewed the file for staff #1, #2, #3, #4, and #9 were all missing the annual 12 hours of training as is required.

Corrected by Dec 20, 2022

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3270.27(c) · 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.

While at the facility unannounced on 12/29/21 for the renewal inspection the inspector observed staff files and found that staff #1, #2, #3, and #4 began their first day of direct child care on 2/8/21, 2/8/21, 6/29/21, and 9/13/21 respectively, and as of 12/29/21 none have proof of having had Emergency plan training completed.

Corrected by Feb 14, 2022

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3270.32(a)/3270.192(4) · The Child Protective Services Law(CPSL) was revised to include the requirement for all facility persons, volunteers, and household members who may have resided out of Pennsylvania within the previous five years to obtain a state criminal history check, state sex offender registry check, and a state child abuse and neglect history check from the state (s) in which they resided in the previous five years. This was required beginning September 30, 2019. Current facility persons and volunteers were required to meet these requirements beginning July 1, 2020. 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. Facility Person # 1 may not work in a child care position at the facility.

While at the facility unannounced on 12/29/21 for the renewal inspection the inspector observed staff files and found that staff # 1 had begun their first day working in direct care on 9/7/21 and had resided out of Pennsylvania within the last five years. This staff did not have any of the necessary out of state clearances as is required.

Corrected by Jan 4, 2022

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3270.192(5) · 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

While at the facility unannounced on 12/29/21 for the renewal inspection the inspector observed staff files and found that staff #2 and #3 were missing two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Jan 7, 2022

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3270.27(a)(1)/3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

While at the facility unannounced on 12/29/21 for the renewal inspection the inspector observed the emergency plan and noted that it was missing necessary policies for shelter in place, lockdown procedures, as well as accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Feb 14, 2022

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3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

While at the facility unannounced on 12/29/21 for the renewal inspection the inspector observed the emergency plan and noted that it did not have concurrence with regards to outside agencies as is required.

Corrected by Feb 14, 2022

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