Little People Big Dreams Early Learning Center

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During renewal inspection on May 6, 2026, certification representative observed staff #1 change a child's diaper and did not wash the child's hands afterwards.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection on May 6, 2026, the record of staff #1 contained a Child Abuse clearance for volunteer purposes.

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 #--- may not work in a child care position at the facility.

Regulation: 3270.112/3270.113(e)

Description: Infant/Toddler Stimulation/Restraints prohibited

Noncompliance Area: During renewal inspection on May 8, 2025, certification representative observed 5 toddlers (3 YT, 2 OT) in high chairs from approximately 10:50 am until 11:20 am.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection on May 8, 2025, the records of children #1 and #3 did not contain child service reports.

Correction Required: 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 in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During renewal inspection on May 8, 2025, the emergency contact information of child #2 did not include the address of the persons designated by the parent to 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: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection on May 8, 2025, the emergency contact information of child #3 was not updated at least once in a 6 month period (dated 9-9-24).

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: During renewal inspection on May 8, 2025, the record of child #3 did not contain a health assessment within 6 months of previous health assessment (dated 8-28-24).

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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During renewal inspection on May 8, 2025, the record of staff #1 did not contain 12 hours of annual child care training.

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

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During renewal inspection on May 8, 2025, the record of staff #1 did not contain documentation of annual fire safety training (dated 6-23-22).

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection on May 8, 2025, the record of staff #1 did not contain an NSOR verification completed within 60 months (dated 12-2-19).

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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During renewal inspection on April 19, 2024, certification representative observed staff #1 bring 3 children into the infant room at 10:40 am, and then turned her back to them while preparing lunch in the kitchen, leaving them unsupervised.

Correction Required: 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.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During renewal inspection on April 19, 2024, certification representative observed staff serve the children snack at 10:36 am without washing the children's hands prior.

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

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: During renewal inspection on April 19, 2024, certification representative observed staff #1 change multiple children's diapers without wiping the surface in between each use.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.191

Description: Individual Records

Noncompliance Area: During renewal inspection on April 19, 2024, the record of staff #3 was not present at the facility at the time of inspection.

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

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: During renewal inspection on April 19, 2024, the record of staff #3 did not contain documentation of education.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During renewal inspection on April 19, 2024, provider did not have documentation of an annual emergency drill on file at the facility.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: During renewal inspection on April 19, 2024, certification representative observed staff #1 enter into the front room at 11:17 am to put out sleep mats, leaving 11 young toddlers in the back room with staff #2 and #3.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection on April 19, 2024, certification representative observed an area of damaged plaster in the front child care space.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection on April 19, 2024, certification representative observed chipped paint near the kitchen in the infant room, and on the blue and orange walls.

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

Regulation: 3270.94(a)(1)/3270.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: During renewal inspection on April 19, 2024, provider did not have the current fire drill log/documentation indicating a fire drill was conducted at least once every 60 days on file at the facility.

Correction Required: The Director 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. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During complaint investigation on March 22, 2024, Certification representative observed staff #1 and #2 with a total of 12 children (8 young toddlers, 2 older toddlers, and 2 preschool children) at 9:45 am until 9:48 am when staff #3 came out of the bathroom.

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).

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During unannounced inspection on February 28, 2024, the record of staff #1 did not contain two written, nonfamily references and the record of staff #2 contained only one written, nonfamily reference. Continued non-compliance.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced inspection on February 28, 2024, the record of staff #2 did not contain the receipts for submission of the PA state police clearance or the DHS FBI clearance. Continued non-compliance.

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 #--- may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(iv)

Description: HS/GED + 2 yrs/Transcript, diploma and letters

Noncompliance Area: During unannounced inspection on February 28, 2024, the records of staff #1 and #2 did not contain documentation of experience to qualify them as an AGS. Continued non-compliance.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During unannounced inspection on February 28, 2024, the hot water measured at a temperature of 120°F. Continued non-compliance.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During follow-up inspection on January 3, 2024, certification representative observed cribs in use that did not have 2 feet of space on 3 sides. Continued non-compliance from November 20, 2023.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: During follow-up inspection on January 3, 2024, certification representative observed two children sleeping in cribs with pillows. Continued non-compliance from November 20, 2023.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During follow-up inspection on January 3, 2024, the agreements of children #1, 2, and 5 did not specify the date of the child's admission. Continued non-compliance from November 20, 2023.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.123(a)/3270.123(b)

Description: Signed /Parent receives original

Noncompliance Area: During follow-up inspection on January 3, 2024, the financial agreements of children #1, 2, 3 and 5 were not signed by the operator, and were the original agreements on file (not a copy). Continued non-compliance from November 20, 2023.

Correction Required: An agreement shall be signed by the operator and the parent. A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During follow-up inspection on January 3, 2024, the emergency contact information of child #4 did not contain the address of the child's physician. Continued non-compliance from November 20, 2023.

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)(6)

Description: Insurance coverage information

Noncompliance Area: During follow-up inspection on January 3, 2024, the emergency contact information of children #1 did not include the health insurance coverage and policy number. Continued non-compliance from November 20, 2023.

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: During follow-up inspection on January 3, 2024, the emergency contact information of child #4 did not include the name, address or telephone number of the individual designated by the parent to whom the child may be released, and the emergency contact information of children #1, 3, and 5 did not include the address of the individuals designated by the parent to whom the child may be released. Continued non-compliance from November 20, 2023.

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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During follow-up inspection on January 3, 2024, the 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. Continued non-compliance from November 20, 2023.

Correction Required: 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.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During follow-up inspection on January 3, 2024, the emergency contact information and financial agreement of child #5 were not updated at least once in a 6 month period. Continued non-compliance from November 20, 2023 .

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During follow-up inspection on January 3, 2024, cert rep observed staff #2 change a child's diaper and return him to the child care space without washing the child's hands. Continued non-compliance from November 20, 2023.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During follow-up inspection on January 3, 2024, the emergency plan on site at the time of inspection did not include Continuity of Operations. Continued non-compliance from 11-20-23.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.166(5)

Description: Six-months-old held

Noncompliance Area: During follow-up inspection on January 3, 2024, certification representative observed an infant seated in a chair holding his own bottle, which was propped up by a blanket. Child was indicated as 5 months old at the time of inspection, per staff #1 and #2.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During follow-up inspection on January 3, 2024, the records of staff #1, 2, and 3 did not contain documentation of childcare experience and the record of staff #4 did not contain documentation of education or experience. Continued non-compliance from November 20, 2023.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: During follow-up inspection on January 3, 2024, the emergency plan on site did not have documentation of a review at least annually. Continued non-compliance from November 20, 2023.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During follow-up inspection on January 3, 2024, the record of staff #3 did not contain a DHS FBI clearance.

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 #3 may not work in a child care position at the facility until all documentation is obtained and on file.

Regulation: 3270.51/3270.113(a)

Description: Similar Age Level/Supervised at all times

Noncompliance Area: During follow-up inspection on January 3, 2024, Certification representative observed staff #2 in the infant room with 5 infants, and also observed staff #2 go into the kitchen at approximately 11:30 am, leaving the 5 infants unsupervised. Continued non-compliance from November 20, 2023.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. 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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.51/3270.113(a)

Description: Similar Age Level/Supervised at all times

Noncompliance Area: During follow-up inspection on January 3, 2024, Certification representative observed staff #2 in the infant room with 5 infants, and also observed staff #2 go into the kitchen at approximately 11:30 am, leaving the 5 infants unsupervised. Continued non-compliance from November 20, 2023.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. 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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.55(b)

Description: Other staff on premises

Noncompliance Area: During follow-up inspection on January 3, 2024, it was reported to Certification representative that staff #3 was "on their break" and was not present on facility premises until they arrived at 11:55 am.

Correction Required: Staff persons who are on duty but are not providing child care during naptime shall remain in the child care portion of the facility premises.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During follow-up inspection on January 3, 2024, the water temperature measured at 129°F. Continued non-compliance from November 20, 2023.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During follow-up inspection on January 3, 2024, cert rep observed chipped paint in the bathroom and the front toddler room. Continued non-compliance from November 20, 2023.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During Renewal Inspection on November 20, 2023, Certification representative observed cribs in use that did not have 2 feet of space on 3 sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.106(j)

Description: Prohibit items in crib

Noncompliance Area: During Renewal Inspection on November 20, 2023, Certification representative observed child #1 sleeping in a crib with a pillow.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: During Renewal Inspection on November 20, 2023, staff did not have assigned supervision groups of specific children.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During Renewal Inspection on November 20, 2023, the agreements of children #1, 2, and 5 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.123(a)/3270.123(b)

Description: Signed /Parent receives original

Noncompliance Area: During Renewal Inspection on November 20, 2023, the financial agreements of children #1, 2, 3 and 5 were not signed by the operator, and were the original agreements on file (not a copy).

Correction Required: An agreement shall be signed by the operator and the parent. A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During Renewal Inspection on November 20, 2023, the emergency contact information of child #4 did not contain the address of the child's physician.

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)(6)

Description: Insurance coverage information

Noncompliance Area: During Renewal Inspection on November 20, 2023, the emergency contact information of children #1 and #2 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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During Renewal Inspection on November 20, 2023, the emergency contact information of child #4 did not include the name, address or telephone number of the individual designated by the parent to whom the child may be released, and the emergency contact information of children #1, 2, 3, and 5 did not include the address of the individuals designated by the parent to 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During Renewal Inspection on November 20, 2023, the 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.

Correction Required: 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.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During Renewal Inspection on November 20, 2023, the emergency contact information and financial agreement of child #5 were not updated at least once in a 6 month period, and the financial agreement of child #3 was not updated at least once in a 6 month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During Renewal Inspection on November 20, 2023, the record of child #2 did not contain an initial health assessment.

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 shall contain initial and subsequent health reports.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: During Renewal Inspection on November 20, 2023, the record of child #5 did not contain a health report within 6 months (dated 11-7-22).

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.

Regulation: 3270.131(e)/3270.131(e)(2)(i)

Description: ACIP recommended immunization record /Exemption documentation from parent/guardian

Noncompliance Area: During Renewal Inspection on November 20, 2023, the immunization record of child #4 did not show that the child had received an influenza vaccine, and did not contain an exemption document.

Correction Required: 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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: During Renewal Inspection on November 20, 2023, Certification representative observed staff #3 change a child's diaper and return them to the childcare space without washing their hands, and observed the children eat their lunch without washing their hands prior.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During Renewal Inspection on November 20, 2023, the emergency plan on file at the facility did not include Continuity of Operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.163(a)(1)

Description: Dairy

Noncompliance Area: During Renewal Inspection on November 20, 2023, Certification representative observed the children eat a meal consisting of hot dogs, rice, broccoli and water. Cert rep did not observe a dairy component served.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Regulation: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During Renewal Inspection on November 20, 2023, the records of staff #1, 2, and 3 did not contain documentation of childcare experience and the record of staff #4 did not contain documentation of education or experience.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During Renewal Inspection on November 20, 2023, the records of staff #2 and #3 did not contain two written, nonfamily references.

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: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: During Renewal Inspection on November 20, 2023, the emergency plan on file at the facility did not have a documented review at least annually.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Regulation: 3270.51/3270.113(a)

Description: Similar Age Level/Supervised at all times

Noncompliance Area: During Renewal Inspection on November 20, 2023, Certification Representative observed staff #2 in the kitchen, #1 in the front with 5 young toddlers, and staff #3 in the bathroom changing a child's diaper with the door closed entirely, leaving 7 infant children unattended at 11:15 am. At 11:29 am, Cert rep observed staff #2 in the front space serving lunch, leaving staff #3 with 8 infants in the back space. At 11:33 am, Cert rep observed all 3 staff in the back space, leaving 5 young toddlers in the front space unattended. Cert rep observed 2 staff in the infant room with 9 children at rest time.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. 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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During Renewal Inspection on November 20, 2023, the hot water temperature measured at 138°F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During Renewal Inspection on November 20, 2023, Certification representative observed areas of chipped paint in the toddler and infant spaces.

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

Noncompliance Area: At the time of the facility inspection on 10/17/19, mold was observed in various locations along the walls in the basement 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: At the time of inspection on 9/10/19, the emergency contact information in the file for facility children #2 and #3 did not have their 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: There was no written proof of a recent health assessment in the file for facility child #1 at the time of inspection on 9/10/19.

Correction Required: The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The file for staff #1, hire date 8/26/19 did not have written proof of a physical on file at the time of inspection on 9/10/19.

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: At the time of inspection on 9/10/19, there was no written feeding schedule for facility child #1, D.O.B-10-14-18

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

Noncompliance Area: The emergency contact information in the files for facility children #1 and #4 did not have signed permission for emergency medical care or minor first-aid.

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.

Noncompliance Area: During the inspection on 9/10/19, there was one written reference in the file for staff #2.

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: There was no written proof of a FBI receipt as required by the DHS regulations in the file for staff #1 or #2 at the time of inspection on 9/10/19

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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and #2 may not work in an child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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.

Noncompliance Area: The file for staff #1 and #3 did not have written proof of two-years experience at the time of inspection on 9/10/19.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years 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: When tested at the time of inspection on 9/10/19. The water temperature at the bathroom sink used by the facility children to wash their hands was 114 degrees.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: At the time of inspection on 9/10/19, the concrete on the outdoor play area near the door was cracked. This cracked area may cause a hazard to the children in care. There is also an iron stairway in the play space with openings on the side that could be a hazard to the children.

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 along the walls in the classrooms on the green, yellow, and damaged plaster near the entrance on red walls.

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

Noncompliance Area: During the inspection, the file for staff #1 did not have written proof of requesting of a recent physical as required by the DHS-regulations.

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: At the time of inspection, the file for staff #1 did not have written proof of requesting (receipt) or documentation of complying with the CPSL /child abuse requirements.

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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 # 1 may not work in a child care position at the facility.

Noncompliance Area: At the time of inspection, the health insurance policy number was missing from the emergency contact form in the file for facility child #3

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: During the inspection on 9/10/18, the staff files for staff #2 and #5 did not have written proof of a recent physical.

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: The emergency contact information in the file for child#1 and #3 had not been updated in the pass six-months at the time of inspection on 9/10/18.

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 information in the file for child #1 did not have signed permission for minor first-aid or emergency medical care at the time on inspection on 9/10/18.

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.

Noncompliance Area: At the time of inspection, there were only one written reference in the files for staff #3 and #5.

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: There was no written proof of annual fire safety training in the file for staff #1 - #5 at the time of inspection on 9/10/18.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: There was no written proof of annual six-hour training in the file for staff #1 - #5 at the time of inspection on 9/10/18.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.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: At the time of inspection on 9/10/18, the file for staff #5-start date 8/2/18 had a signed disclosure statement dated 8/2/18. The file did not have written proof of complying with the CPSL requirements or receipt proof of request.

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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 #5 may not work in an unsupervised child care position at the facility.

Noncompliance Area: UPON INITIAL INSPECTION ON 5/30/2017, CERT REP OBSERVED STAFF 1 AND STAFF 2 FILES MISSING AGE VERIFICATION.

Correction Required: A facility person`s record shall include verification of age.

Noncompliance Area: UPON INITIAL INSPECTION ON 5/30/2017, CERT REP OBSERVED STAFF 1 FILE MISSING YEARS OF EXPERIENCE VERIFICATION. STAFF 1 FILE MISSING DATE OF EMPLOYMENT IN CHILD CARE.

Correction Required: A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: UPON INITIAL INSPECTION ON 5/30/2017, CERT REP OBSERVED STAFF 1 FILE MISSING TWO WRITTEN REFERENCES. STAFF 2 FILE MISSING ONE WRITTEN 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: UPON INITIAL INSPECTION ON 5/30/2017, CERT REP OBSERVED REGULATIONS AND SE REGION CONTACT INFORMATION WAS NOT POSTED.

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: UPON INITIAL INSPECTION ON 5/30/2017, CERT REP OBSERVED THE EMERGENCY PLAN WAS NOT POSTED.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: UPON INITIAL INSPECTION ON 5/30/17, CERT REP OBSERVED STAFF 2 FILE WAS MISSING THE FBI CLEARANCE. STAFF 2 FILE DID NOT CONTAIN MANDATED REPORTER TRAINING CERTIFICATE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: UPON INITIAL INSPECTION ON 5/30/2017, CERT REP OBSERVED UNSAFE AREAS IN OUTDOOR SPACE. SECOND FLOOR STAIR TO GROUND LEVEL WOULD BE ACCESSIBLE TO CHILDREN. THE STAIRCASE WAS LACKING SPINDLES UNDER THE HANDRAIL, WHICH WOULD ALLOW CHILDREN TO CLIMB, CREATING POSSIBLE FALL HAZZARD. LANDSCAPING WAS TRIMMED BUT NOT CLEARED, A SMALL PLANT WAS TRIMMED BUT STILL PROTRUDING OUT OF THE SIDE FENCE AT CHILD EYE LEVEL, AND GARBAGE/DEBRIS WAS OBSERVED IN VARIOUS LOCATIONS IN BACK YARD PLAY AREA.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: DURING INITIAL INSPECTION ON 5/30/2017, CERT REP OBSERVED TOXIC AND CLEANING MATERIALS INCLUDING HAND SANITIZER, SPRAY PAINT, AND CLEANING PRODUCTS WERE IN AREAS THAT WOULD BE ACCESSIBLE TO 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 stored away from food, food preparation areas and child care spaces.

Noncompliance Area: UPON INITIAL INSPECTION ON 5/30/2017, CERT REP OBSERVED SOAP MISSING FROM FIRST AID KITS.

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.