Big Steps With Little Feet Learning Center Inc

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 05.14.26, the fee agreement documentation reviewed for Child #1 (dated 08.05.25), Child #2 (dated 08.14.25), Child #3 (dated 08.26.25, and Child #4 (dated 05.25.25 - fee agreement and emergency contact form) were not updated within a 6-month period of time.

Correction Required: 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.

Regulation: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During the renewal inspection on 04.04.24, the record reviewed for Staff Person #2 and Staff Person #4 did not include a health assessment.

Correction Required: 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection on 04.10.24, the record reviewed for Staff Person #2, #3, and #4 did not include updated emergency plan training documentation.

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.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: During the renewal inspection on 04.10.24, the record reviewed for Staff Person #2, #3, and #4 did not include health and safety basics training certification

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 04.10.24, the record reviewed for Staff Person #2 did not include PA Child Abuse Clearance documentation. The record reviewed for Staff Person #4 did not include Mandated Reporter Training documentation.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 may not work in a child care position at the facility. 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 may not work in a child care position at the facility.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 7/27/23, children #1 and #2 did not have health insurance policy numbers on their emergency contact information.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3280.151(c)(1)/3280.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the renewal inspection on 7/27/23, staff person #2 and 3 did not have completed health assessments with tuberculosis testing.

Correction Required: An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.191

Description: Individual Records

Noncompliance Area: During the renewal inspection on 7/27/23, staff person #1 did not have an individual record/file.

Correction Required: An individual record is required for each facility person.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 7/27/23, the first-aid kit in the front childcare space did not have gloves.

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

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/23/22, DURING STAFF/CHILD OBSERVATION, CHILD #1 WAS LAYING ON THE FLOOR AWAY FROM THE GROUP ON THE BARE FLOOR IN A NAPPING POSITION.

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: 3280.108(a)

Description: Clean, good repair, proper size

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 9/23/22, THE CHANGING STATION WAS IN POOR REPAIR AND NOT SAFE, POSING AS A TIPPING HAZARD TO THE CHILDREN.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: DURING THE RENEWAL INSPECTION 9/23/22, THE EMERGENCY CONTACT INFORMATION FOR THE CHILDREN IN CARE, WAS NOT IN THE CHILDCARE SPACE.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/20, THE CHANGING STATION MATTRESS WAS TORN.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/20, THERE WAS NO INSTRUCTIONS FOR CONTACTING THE APPRPRIATE REGIONAL DAY CARE OFFICE POSTED NEAR THE REGULATIONS.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 11/19/20, THERE WAS A CABLE HANGING OVER THE OUTSIDE OF THE DOOR USED FOR REAR EGRESS.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: The emergency contact information on file for child #1 did not include the physician's phone number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: The emergency contact form on file for child #1 did not inlcude the health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The emergency contact form on file for child #1 did not inlcude the address of one of the release persons listed on the form.

Correction Required: 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.

Noncompliance Area: The only (current) health assessment on file for child #3 was completed more than 60 days after her first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: There was no documentation of a current flu shot on file for child #2.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Written feeding schedules were not on file for 4 infants observed in care at the time of the Inspection.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: There was no documentation of emergency plan training on file for Facility Person #1.

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.

Noncompliance Area: The file for Facility Person #1 lacked a completed FBI clearance. The file for Facility Person #1 also lacked a Child Abuse Clearance that had been completed for employment purposes. The Child Abuse Clearance on file was completed for Volunteer purposes.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: Operator allowed Facility Person #1 to work at the facility despite being aware that Facility Person #1 was awaiting trial on charges of a crime that included physical violence.

Correction Required: The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness.

Noncompliance Area: The kitchen door was observed to be open and cleaning products, including awesome carpet cleaner, bleach, spic and span and lysol were observed in an unlocked cabinet. The kitchen is connected to the child care space so it could be accessible to children in the classroom.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The facility reported that their first child began at the facility in February 2019. The facility has not had a fire drill at this time.

Correction Required: A fire drill shall be held at least every 60 days. Staff persons, volunteers and children in attendance shall participate in the fire drill and shall exit the facility, weather permitting.A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: During the renewal inspection, there was dust on the ledges of the interior play space at the time of the initial inspection.

Correction Required: 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.

Noncompliance Area: There was peeling paint throughout the indoor play space in the facility at the time of the renewal inspection.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.