Little Bear Group Child Care

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: On 2/25/2026, the emergency contact information on file for Child #3 did not include the name, address and telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: On 2/25/2026, the emergency contact information on file for Child #3 did not include a home or work telephone number for the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 2/25/2026, the emergency contact information on file for Child #2, Child #4 and Child #5 did not include the health insurance coverage and policy number for the child.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 2/25/2026, the emergency contact information on file for Child #4 did not include the address for two of the individuals designated by the parent whom the child may be released. The emergency contact information on file for Child #5 did not include a name, address or telephone number for any individuals designated by the parent whom the child may be released.

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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: On 2/25/2026, Child #1 did not have a health report on file. See LIS code sheet.

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.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 2/25/2026, the record/emergency contact information on file for Child #1, Child #4 and Child #5 did not contain signed parental consent for emergency medical care for the child and also did not contain signed parental consent for administration of minor first-aid procedures by facility staff. See LIS code sheet.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 2/25/2026, Staff #1 did not have any written, nonfamily references on file. See LIS code sheet.

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: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the Renewal Inspection on 2/25/2026, the file for Staff #2 did not document any hours of childcare training within the previous 12 months that could be counted towards the 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 an unannounced inspection on 10/1/2025, the state police clearance and the child abuse clearance on file for Staff #1 were both dated 8/4/2020, which is beyond the 60-month mark, and no updated clearances were observed.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All required clearances for staff and household members must be updated at least every 60 months. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. Staff Person #1 may not work in a childcare position at the facility until the updated state police and child abuse clearances are on file.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 6/25/2025, the emergency contact information on file for Child #4 did not include the health insurance coverage and 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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: On 6/25/2025, Child #3 did not have an initial health report on file. See LIS code sheet.

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.

Regulation: 3270.131(b)(1)/3270.131(b)(2)

Description: Infant: updated health report every 6 months/Toddler/preschool: updated health report every 12 months

Noncompliance Area: On 6/25/2025, the most recent health report on file Child #1, a young toddler was dated 9/25/2024. The most recent health report on file Child #2. a preschool child was dated 5/15/2024.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: On 6/25/2025, Child #1 and Child #3 did not have immunization records on file to verify that they have an immunized status according to recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Child #1 and Child #3 must be dismissed from care by close of business on 6/30/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 6/25/2025, the emergency contact information and the financial agreement for Child #1 has not been signed to be updated by the parent within the previous 6 months.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The pre-service health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-9. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Upon arrival to the inspection on 6/26/2025, Staff #1 was observed working alone with a mixed age group of 2 infants and 3 young toddlers. The staff to child ratio for this mixed age group is 1 staff to 4 children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. TIERED LIS: 1. The required staff to child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The operator must print and post the required staff to child ratios in each measured childcare space. The operator shall provide a date for when this will be completed.

Regulation: 3280.119

Description: Infant sleep position

Noncompliance Area: On 3/25/2025, Child #1, an infant was observed sleeping in a bassinet on their stomach. This is not the sleeping position recommended by the American Academy of Pediatrics. There was not any medical reason on file that Child #1 should not sleep in the sleeping position recommended by the American Academy of Pediatrics. See LIS code sheet.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 4/1/2025, the emergency contact information for Child #1, Child #2 and Child #3 did not include the health insurance coverage and policy number for the child. See LIS code sheet.

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(a)/3280.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: On 4/1/2025, Facility Person #3, a volunteer did not have an initial health assessment and tuberculosis screening required at initial employment on file.

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. 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.

Regulation: 3280.182(3)/3280.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 4/1/2025, the record/emergency contact information for Child #1 and Child #2 did not contain signed parental consent for emergency medical care for the child and also did not contain signed parental consent for administration of minor first-aid procedures by facility staff. See LIS code sheet.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: Staff #1 and Staff #2 have not completed any hours of annual child training within the previous 12 months.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 4/1/2025, Facility Person #3, a volunteer did not have the completed Pennsylvania child abuse clearance on file. Facility Person #3 was observed to be at the facility with children on 4/1/2025. See LIS code sheet.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #3 may not volunteer at the facility until the completed Pennsylvania child abuse clearance for volunteers is on file.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: On 3/25/2025, a container of Oxy Stain remover and wet mopping cloths were observed in an unlocked cabinet in the bathroom that is used by the children. Both items were labeled keep out of reach of children.

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.

Regulation: 3280.76/3280.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: On 3/252025, peeling paint and rotted wood was observed on the building in the outdoor play area.

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

Regulation: 3280.94(a)(1)/3280.95(a)

Description: Every 60 days/FIRE DETECTION

Noncompliance Area: On 3/25/2025, the fire drill and fire detection log were up to date. However, the log showed that a fire drill was conducted on 11/6/2024, but not again until 1/8/2025. The log also documented that the fire detection system was manually tested on 12/5/2024, but not again until 1/8/2025.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. 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 fire alarm system must be manually tested and documented at least once every 30 days.

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: On 5/10/2024, The rest cots for the children were not labeled with the child's name or a number to match a chart.

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: 3280.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: On 5/10/2024, the most recent health report on file for Child #1, a preschool child was dated 4/18/2023.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On 5/10/2024, peeling paint was seen in the Rear Room on the wall near the bathroom.

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

Regulation: 3280.94(a)(1)/3280.95(a)

Description: Every 60 days/FIRE DETECTION

Noncompliance Area: On 5/10/2024, the fire drill and fire detection log were up to date. However, the log showed that a fire drill was conducted on 1/8/2024, but not again until 3/12/2024. The log also documented that the fire detection system was manually tested on 3/4/2024, but not again until 4/23/2024.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c). Fire detection devices or systems must be manually tested at least once every 30 days.