The Learning Ladder Child Care Center of Johnson City, INC.
The Learning Ladder Child Care Center of Johnson City, INC.
License/Registration ID: 792476
801 Valley Plaza Johnson City, NY 13790
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This Checklist reflects a partial list of the regulatory requirements based on the inspection performed. Additional violations may have been cited that are not included in the inspection checklist.
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Inspection ID:
2025-I-SRO-108867
Date:
10/08/2025
Inspection Type:
Monitoring
Inspection Result:
Violations found
Compliance Status:
Y-Compliant, N-Noncompliant, N/O-Not Observed, N/A-Not Applicable, P/V-Prior Violation
Reg
Compliance Status
413.3 Enforcement of Regulations
*
Posting of Compliance History Document
413.3(g)(3)(i)
Y
418-1.3 Building and Equipment
All ramps, doors and handrails installed for ADA compliance
418-1.3(o)
N/A
Hot and cold running water available and accessible at all times
418-1.3(n)
Y
418-1.4 Fire Protection
*
Adequate means of egress must be provided, and children are only cared for on floors with accessible alternate means of egress
418-1.4(f)
Y
418-1.5 Safety
Closet doors accessible to children must be openable from the inside
418-1.5(s)(1)
Y
Knives and hot cooking equipment out of reach of children
418-1.5(a)
Y
Poisonous, toxic, flammable and dangerous items are inaccessible to children
418-1.5(v)
Y
*
Suitable precautions are taken to eliminate all safety and health hazards
418-1.5(a)
Y
418-1.7 Program Requirements
Infants must not be exposed to television and other electronic visual media
418-1.7(z)
Y
Pre-School children have appropriate books available
418-1.7(c)
Y
Sleeping surfaces, including bedding, do not touch when stored
418-1.7(u)
Y
Television and other electronic visual media must be off during meals
418-1.7(h)(2)
Y
418-1.8 Supervision of Children
All trained designated staff who administer medications to children must be at least 18 years of age.
418-1.11(c)(2)(vii)(a)
Y
*
Competent supervision is maintained at all times
418-1.8(a)
Y
*
Number of staff is appropriate for number of children present
418-1.8(j)
Y
418-1.11 Health and Infection Control
Additional clothing available for children
418-1.11(i)(19)
Y
Hand sanitizers not used for children under 2 years of age
418-1.11(i)(4)(ii)
Y
Health checks of each child conducted daily
418-1.11(c)(1)
Y
Medication administration error reported to childs parent immediately and the Office within 24 hours
418-1.11(f)(10)
Y
Medication administration only with written instructions for each medication for children 18 months of age and older
418-1.11(f)(7)(iii)
Y
Medication administration only with written parental consent and health care provider instructions for children 18 months of age and older
418-1.11(f)(7)(iii)
Y
Medication is administered at the right time
418-1.11(f)(8)(iii)
Y
Medication, if administered by parent, relative, has dosages and time of administration logged by staff
418-1.11(f)(2)
Y
Record of illnesses, injuries and signs of abuse maintained for each child
418-1.11(c)(1)
Y
Rectal thermometers may not be used
418-1.11(h)(3)
Y
When stocking OTC medications a policy for safe storage and admistration is required
418-1.11(g)(2)
Y
418-1.14 Training
*
At least one staff member certified in First Aid and CPR is present at all times children are in care
418-1.14(k)
Y
Each identified staff and volunteer completed Federal Health and Safety training within required timeframes
418-1.14(b)
Y
Each identified staff supervising children alone completed Federal Health and Safety training.
418-1.14(b)
Y
418-1.15 Management and Administration
*
Numbers and ages of children present are within licensed or registered capacity
418-1.15(a)(4)
Y
Summary of Violations
Date Cited
Regulation
Regulation Description
Compliance Status
Corrected on- Site?
10/08/2025
418-1.15(c)(5)
The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: daily attendance records, which must be filled out at the time a child arrives and departs, and must include arrival and departure times;
Corrected
Y
10/08/2025
418-1.15(c)(6)
The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by child care center staff; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;
Corrected
Y
Date Cited
10/08/2025
Regulation
418-1.15(c)(5)
Regulation Description
The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: daily attendance records, which must be filled out at the time a child arrives and departs, and must include arrival and departure times;
Compliance Status
Corrected
Corrected on- Site?
Y
Date Cited
10/08/2025
Regulation
418-1.15(c)(6)
Regulation Description
The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by child care center staff; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;
Compliance Status
Corrected
Corrected on- Site?
Y
Inspections may be conducted outside of program operating hours and/or off-site (where inspector was not on premises where care is provided) for the following reasons:
For additional information on this program and compliance history, contact:
Office: Syracuse Regional Office
Phone: (315) 423-1202