LAUGH AND LEARN EARLY DEVELOPMENT CENTER

Director or designated staff person responsibility/Every 60 days (3270.94(a)/3270.94(a)(1))

The fire drill log showed evidence that fire drills were not conducted at least once every 60 days. 11/26/25-2/25/26 (91 days) Last drill was 2/25/26- 63 days Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the criteria specified in §3270.95(a)(1)- (a)(9) are met. The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days. Correction: Fire drill was conducted on 5/8/26. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

The fire system testing log showed evidence that the fire system was not tested at least once every 30 days. 11/26/25-2/25/26 (91 days) Last test was 2/25/26- 63 days Requirement: 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. Correction: Fire system was tested on 5/8/26. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety/Supervised at all times (3270.21/3270.113(a))

It was observed in the infant room that staff person #1 left an infant alone on the changing table to go attend to another child. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. 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. Correction: Trained all staff on protocol and procedures for diapering a child while using the changing table. This includes making sure the child is strapped in at all times and staff have a hand on the child. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician/CRNP assessment (3270.151(c)(5))

The health assessment on file for staff person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care. Requirement: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction: Staff person #1 will get the additional information from the doctor's office. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Upon beginning work in the facility, the record for staff person #1 did not contain completed a completed PA state police clearance as required under the CPSL. The record also did not include documentation the facility person has requested the outstanding clearance as required for provisional hiring under the CPSL. The staff person was observed working alone with children. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility until complete clearances are on file. Correction: The clearance will be obtained today. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first aid and CPR (documentation was not on file at the time of inspection). Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility. Correction: Staff person #1 will not work alone with children until documentation of a completed pediatric first aid and cpr training is on file. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3270.124(b)(3))

The emergency contact information on file for child #1 did not include complete work and home addresses for the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Emergency contact information updated 8/28/25 to include the home and work addresses and telephone numbers of the enrolling parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician name, address, phone (3270.124(b)(2))

The emergency contact information on file for child #1 did not include a complete address for the child's physician. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Emergency contact information updated 8/28/25 to include the name, address and telephone number of the child #1 physician or source of medical care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Consent for administration of minor first-aid required prior to admission (3270.124(b)(4)/3270.182(5))

The emergency contact information on file for children #1 and #3 did not include the written consent signed by a parent for emergency medical care. The records also did not include signed parental consent for administration of minor first-aid procedures by facility staff. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: Emergency contact information updated 8/28/25 for students #1 and #3 to include the written consent signed by a parent for emergency medical care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

The emergency contact information on file for child #2 did not include the child's health insurance policy number. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: Emergency contact information update 8/29/25 to include health insurance coverage and policy number for child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3270.124(b)(7))

The emergency contact information on file for children #1 and #3 did not include complete addresses for listed release persons. Requirement: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Correction: Emergency contact information for child# 1 updated 8/28/25 and child #3 9/11/25 to include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child care space (3270.124(c))

When children were combined in the yellow room in the morning before splitting into their rooms for the day, emergency contact forms were not present for all of the children in the room. Requirement: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Correction: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. A "Master Emergency Contact" folder was placed in the big yellow room that has every child's emergency contact from in it 8/28/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (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 was not displayed conspicuously in the child care spaces. Requirement: 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. Correction: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency will be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency is displayed conspicuously in every child care space 9/10/25 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

ACIP recommended immunization record (3270.131(e))

The immunization record on file for child #2 is not in accordance with the recommendations of the ACIP. The record does not meet the age-appropriate recommendations for the MMR, varicella, and Pneumococcal. Requirement: 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. Correction: The facility Will 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 #2 was not permitted to attend Laugh and Learn until immunization records were updated and submitted on 8/29/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Medication log (3270.133(7))

A liquid allergy medication was on site for child #4. The operator did not have a medication log on file for the medication. Requirement: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Correction: A medication log for the allergy medication has been completed by the child's parent as well as physician due to the fact that an allergy action plan goes along with the prescribed medication. This was submitted into the office 9/9/25. The medication log was placed in the child's folder as well as in the locked medication box along with the medication. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3270.135(a)(3))

Infant room - Disposable diapers were observed to have been thrown out in a non-hands free trash can. Requirement: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Correction: If disposable diapers are provided by a parent or by a facility, a soiled diaper will be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Placed under the changing station on 8/28/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Mantoux TB (3270.151(a)/3270.151(c)(2))

Staff person #2 did not have an initial staff health assessment on file. The record also did not include results of a TB test. Requirement: 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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Correction: A facility person providing direct care who comes into contact with the children or who works with food preparation will have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. Staff #2 will not be permitted to work in a child care capacity until a health assessment and TB test are obtained. TB received 9/22/25. Health assessment completed and will be on file by Thursday, 9/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Bottles labeled (3270.166(4))

Two bottles in the infant room fridge were not labeled with the child's name. Requirement: Disposable nursers and bottles shall be labeled with the child's name. Correction: Disposable nursers and bottles are labeled with the child's name. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Safe routes posted (3270.171(c))

Written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility. Requirement: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Correction: Written notification of safe routes posted by the operator at a the parent board in the lobby in the child care facility 9/10/25 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

The records for staff persons #2, #3, and #6 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Requirement: 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. Correction: A staff person's record will include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff submitted two non family references #2 9/15/25; #3 9/16/25, #6 9/12/25 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Devices must be compliant (3270.95(a))

According to the log on file at the time of inspection, the facility staff had not manually tested the fire detection system since they opened in May of 2025. Requirement: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs. Correction: Laugh and Learn Early Development Center will manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs. Last checked 8/27/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pick-up and drop-off points (3270.171(a))

The operator had not notified local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Requirement: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Correction: Laugh and Learn Early Development Center Mailed a letter to Northern York County Regional Police Department 9/10/25 indicating the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original (3270.123(b))

Originals of agreements were on file for children #1, #2, #3, #4, and #5. Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. Correction: Parents of children #1, #2, #3,#4, and #5received the original agreement 9/9/25 The facility will retain a copy of the agreement Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

At the time that staff person #2 began work in the facility, the staff record did not contain a completed DHS FBI clearance required under the CPSL and did not contain a copy of request for the DHS FBI clearance as required for provisional hiring under the CPSL. The staff person's record also did not include a completed disclosure statement. The staff person has been employed for more than 45 days and was observed working with children. The record for staff person #3 did not contain a completed disclosure statement. The record for staff person #4 did not include a completed disclosure statement. (CORRECTED ON SITE) At the time that staff person # 5 began work in the facility, the staff record did not contain complete applicable out of state clearances as required under the CPSL. Upon initial employment at the facility, the staff person had signed an old disclosure statement, which has since been corrected. The staff person was observed working with children. At the time that staff person #6 began work in the facility, the staff record did not contain completed child abuse and PA state police clearances as required under the CPSL and did not contain a copy of request for the PA state police clearance as required for provisional hiring under the CPSL. A volunteer child abuse and a volunteer state police clearance were on file in lieu of the required employment clearances. The staff person's record also did not include a completed disclosure statement. The staff person was observed working with children. Staff person #7 filled out an old disclosure statement when hired. The current/correct disclosure statement was not used. Requirement: 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 # 2, #5, and #6 may not work in a child care position at the facility until complete clearances are on file. Correction: Facility person's record will include copy of requests for criminal history record and child abuse registry clearance, copy of disclosure statement, and copy of completed clearance information. Staff #2 Turned in FBI background clearance and disclosure statement on 9/9/25. Staff #2 is not serving as a floater as of 8/28/25. Staff #3 completed disclosure form on 9/10/25 Staff person #4 completed disclosure statement at the time of inspection. Staff # 5 will not work in a child care position until all of said clearances have been obtained. Staff #5 has all of the Pennsylvania clearances turned in, FBI clearances covers Georgia as well, and a copy of the Georgia sex offender record with no record found was submitted on 8/28/25. Staff #5 is waiting for the Georgia child abuse clearance to be returned. DHS submitted the Clearance check for staff #5. Staff #6 turned in completed State police clearance, PA child abuse clearance and disclosure form on 8/27/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each staff person meets quals/Exp, educ., training prior to facility (3270.33(a)/3270.192(2)(ii))

Staff person #1 is serving as an assistant group supervisor at the facility. The staff person's record did not include sufficient documentation to justify the role. A high school diploma and 866 hours of child care experience were on file. Staff person #2 is serving as a staff person at the facility (floater). The staff person's record did not include documentation of education, and child care experience. Staff person #3 is serving as a group supervisor at the facility. The staff person's record did not include documentation of the bachelor's degree. Staff person #6 is serving as an aide at the facility. The staff person's record did not include documentation of education and childcare experience (if applicable). Requirement: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: All staff person's or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. Staff person's file will include verification of childcare experience, education and training prior to service at the facility. Staff # 1 will get her documentation of childcare experience hours updated from previous employer which will give her enough hours for the position. Until said hours are obtained from her prior employer or enough hours are accumulated from current employment, her title will change from assistant teacher to teacher's aide starting 8/28/25. Staff #2 is not serving as a floater as of 8/28/25. Documentation of education and childcare experience turned into DHS 9/12/25 Staff #3 Master's degree (in education) turned in 8/28/25 Staff #6 Degree turned in 9/12/25 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).