Little Hearts Learning Academy

Noncompliance Area: The file for Child #1, who has been enrolled for more than 6 months (8/1/19) did not contain a Child Service Report. Child Service Report for this child was due prior to suspended reg due to COVID-19.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3280.124(f).

Noncompliance Area: The Fee Agreement in the file for Child #2 did not include the names of the Release Persons.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The Emergency Contact Forms in the files for Child #1 and #3 did not include the address 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.

Noncompliance Area: The Emergency Contact Form in the file for Child #1 did not include policy number for a child under a family policy or Medical Assistance benefits. The Emergency Contact Form in the file for Child #2 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

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 in the file for Child #2 did not include any information for release persons. The Emergency Contact Form in the file for Child #3 did not include the release persons address.

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 files for Child #2, #3 and #4, who have each been enrolled for more than 90 days (extended from 60 during COVID-19) did not include initial health reports.

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. A child's record must contain initial and subsequent health reports.

Noncompliance Area: Because the files for Child #2, 3 and 4 lacked an initial health report, these files also lacked immunization records. A flu shot administered within the past 12 months was not documented in the immunization record for Child #1 (May 2019).

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. A child's record must contain initial and subsequent health reports.

Noncompliance Area: A menu was not posted at the facility. The facility prepares breakfast, lunch and dinner based on attendance.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: The Fee Agreement in the file for Child #1 has not been updated since the child's enrollment (8/1/19). Update was required prior to suspended reg during COVID-19.

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.

Noncompliance Area: The Emergency Contact Forms in the files for Child #1 and #2 did not include signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.

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.

Noncompliance Area: The file for Staff Person #3 did not include two written letters of reference.

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

Noncompliance Area: The facility did not have a written Health and Safety Plan required during COVID-19 Pandemic as per Announcement C-20-08.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The file for Staff Person #2, who has been working in child care more than 90 days (10/23/19) did not include documentation of Mandated Reporter Training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The files for Staff Persons #1, 2 and 3 did not include an NSOR Certificate. These three are the only staff persons employed at the facility.

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. Facility Person #1, #2 and #3 may not work in a child care position at the facility.

Noncompliance Area: The file for Staff Person #3, a Primary Staff Person, did not include verification of two years child experience required based on her educational experience (high school diploma).

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Observed rotting, splintering wood on the third step up to the entrance of the facility.

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: Observed peeling, flaking paint on the steps leading to the entrance of the facility.

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

Noncompliance Area: The most recent fire drill was conducted on 11/30/19. This was more than 60 days prior to COVID-19 Shutdown. Facility reopened 4/17/20. No fire drills have been conducted since reopening.

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.

Noncompliance Area: Observed a plastic toy bucket in the playroom, which was broken into several pieces with sharp edges.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The Fee Agreements in the files for Child #3 and #4 did not include the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The Fee Agreement in the file for Child #3 did not include the arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The Fee Agreements in the files for Child #3 and #4 did not include names of the Release Persons.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The Emergency Contact form in the file for Child #3 did not include the policy number for the child's health insurance coverage. The Emergency Contact Form in the file for Child #4 did not include the health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits

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 Forms in the files for Child #1, #2 and #4 did not include the addresses of one or more of the release persons for the children.

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: After changing Child #3, Staff Person #2 did not wash the child's hands.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: The trash can next to the diaper changing table in the Young Toddler Room was not a plastic-lined, hands-free covered can.

Correction Required: 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.

Noncompliance Area: The file for Staff Person #2 did not include an initial health assessment or TB Screening.

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.

Noncompliance Area: On 10/30/19, Staff Person #2, the driver, was observed transporting an infant and young toddler without another staff person present in the vehicle.

Correction Required: The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.

Noncompliance Area: The Emergency Contact Forms in the files for Child #1, #2 and #3 did not contain signed parental consent for emergency medical care for the child, or signed parental consent for administration of minor first-aid procedures by facility staff.

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.

Noncompliance Area: The file for Staff Person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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.

Noncompliance Area: Observed dangling cords, which present a strangulation hazard, from the wall-mounted TV and security camera in the playroom. Observed adult scissors, which were accessible to children, on the table in the Preschool Room.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The file for Staff Person #1, whose first day working in child care was 10/23/19, did not include an FBI Clearance. Only the rap sheet from 11/17/16 FBI Clearance was in the file.

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. Facility Person # 1 may not work in a child care position at the facility.

Noncompliance Area: Observed two outlets in the Preschool Room (near supply shelf and below window by stairs) and one outlet in the Playroom (between two windows) which lacked protective receptacle covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: The trash can in the bathroom did not contain a lid or a plastic liner.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Noncompliance Area: Observed triple antibiotic ointment and alcohol pads, which did not identify the name of the child for whom the medication was intended, in the first aid kits.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: The file for Staff Person #1, did not include a health assessment or TB Screening conducted within the past 12 months.

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.

Noncompliance Area: A copy of the insurance policy was not on file at the facility.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: The file for Staff Person #1 included only one written, non-family reference letter.

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

Noncompliance Area: The emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises or a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: The file for Staff Person #1, a primary staff person, did not include a copy of a high school diploma or verification of two years experience with children.

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The first aid kits for each child care space lacked soap, sterile gauze pads and tweezers.

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.

Noncompliance Area: A molding was separating from the wall in the bathroom, which created a possible pinch point.

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: Peeling paint was observed on the front porch, which serves as the entrance to the facility.

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

Noncompliance Area: The two windows in the toddler room, which are located close to the floor, lacked a visual strip or other visual identification

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.