The Learning Tree Child Care Center Llc

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff # 5 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file at the facility.

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Staff #1, #2, #3 and #5 did not receive training regarding the emergency plan at the time of initial employment (see LIS Code Sheet for DOH).

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The inspector reviewed the staff files and noted that staff #1did not have an acceptable Pediatric First Aid and CPR training from a PQAS approved trainer and a PQAS approved curriculum. Staff person #3 did 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.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). Until such time as the required training is completed, staff person #1must 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 person #1staff person #1may not work in a childcare position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #4 did not update their clearances every 60 months as evidenced by a previous Pa Child Abuse dated 07/14/20 and an updated PA Child Abuse dated 12/01/25, a previous DHS FBI dated 7/21/20 and an updated DHS FBI dated 11/24/25, a previous dated NSOR Clearance dated 7/14/20 and an updated NSOR Clearance dated 12/16/25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The CPSL was revised to include a requirement that all clearances be updated and on file at least every 60 months. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. TIERED LIS 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The correction date for this portion of the plan must be immediate. 2. The facility director and any other persons involved in the hiring of staff must register and attend an Existing Provider Orientation at a Regional Office. The provider must provide a correction date for when this portion of the plan will be completed. 3. In order to demonstrate compliance in this area, the director or legal entity representative will send completed staff files for all new hires for the next two months to the Northeast Regional Office for review. The staff files must include all clearance requests, completed clearances, (including out of state clearances and requests if necessary) signed and dated disclosure statement, health assessment and TB screening, two nonfamily references, proof of education and experience (officially translated if needed). The Northeast Regional Office will review the newly hired and completed staff files prior to hire within one week of receipt. The correction date for this portion of the plan must be two months from the acceptance of the plan by The Northeast Regional Office.

Regulation: 3270.114

Description: Outdoor Activity

Noncompliance Area: During the course of the unannounced complaint investigation the inspector spoke with the staff at the facility and was informed that the children were not being taken out daily weather permitting.

Correction Required: Weather permitting, children shall be taken out doors daily.

Regulation: 3270.62(a)

Description: Large muscle space provided

Noncompliance Area: During the course of the unannounced complaint investigation the inspector spoke with the staff at the facility and was informed that the children were not utilizing the indoor play area for large muscle activity as the school aged children were being housed int this space since school ended.

Correction Required: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

Regulation: 3270.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the course of the annual inspection the inspector observed that outdoor play area's unitary playground protective surface covering is in disrepair creating tripping hazards for children while at play.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the course of the annual inspection the inspector observed unlabeled mats in the young toddler room with children sleeping on them.

Correction Required: 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.

Regulation: 3270.106(b)

Description: No bed linens alone

Noncompliance Area: During the course of the annual inspection the inspector observed children asleep in the "waddler" room on blankets.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the course of the annual inspection the inspector observed an infant asleep in a crib that was directly in between two other cribs.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the course of the annual inspection the inspector observed that staff #1, #2, #3, #4, #5, #6, all to have been employed over one year and did not have the required annual minimum of 12 clock hours of childcare training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the course of the annual inspection the inspector found that staff #8 did not update their clearances every 60 months as evidenced by a previous Pa Child Abuse previously dated 2/03/20 and a current one dated 2/7/25, a previous FBI dated 2/2/20 and a current one dated 2/7/25. Staff #9 did not update their clearances every 60 months as evidenced by a previous Pa State Police Clearance previously dated 9/19/19 and a current one dated 2/13/25. Staff #7 was hired without having a PA Child Abuse on file and proof of having applied for the PA State Police prior to hire.

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. If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance (effective 2/1/25), completed out-of-state clearances (if applicable effective 2/1/25), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the course of the annual inspection the inspector observed that a handwashing sign was missing from the lunchroom/multipurpose room bathroom.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's emergency contacts were not updated at least every 6-months: Child #1, #4 and #6. Child #1 had an emergency contact dated for 6/10/23 and was not updated until 1/22/24. Child #4 had an emergency contact dated for 5/3/23 and was not updated until 1/23/24. Child #6 had an and emergency contact dated for 4/17/23 and not updated until 1/23/24. The following child's agreement form was not updated every 6-month period: Child #6. Child #6 had an agreement for 4/18/23 and it was not updated until 12/4/23.

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.