Little Early Learners Daycare

Regulation: 3290.104

Description: High Chairs

Noncompliance Area: During lunch, observed an infant sitting in a high chair without the use of the safety strap.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3290.105(f)

Description: 2 feet apart

Noncompliance Area: During naptime, observed rest mats which did not have at least 2 feet of space on three side while in use.

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: 3290.121(b)

Description: Given parents in writing

Noncompliance Area: The parent handbook provided to the parents at the time of enrollment does not include supervision policies, dismissal policies or pick-up arrangements.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for child #3 did not include the amount of the fee to be charge per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3290.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement for child #1 and #3 did not include the date the fee is to be paid.

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

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file for child #1, #2, #4 and #5 did not include a child service report (CSR) with information to the family about the child's growth and development at least once every 6 months. The file for child #1 and #5 included a CSR dated 07/30/025 with no subsequent CSR on file. The file for child #2 included a CSR dated 07/14/2025 with no subsequent CSR on file. The file for child #4 did not include a CSR within 6 months of enrollment (see LIS code sheet).

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 § 3290.124(e).

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement for child #1, #3, #4 and #5 did not include the persons designated by a parent to whom the child may be released.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #3 did not include the complete address of the child's physician or source of medical care. The emergency contact information for child #1 did not include the 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: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #4 did not include the home and work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact information for child #1 and #5 did not include signed written consent for emergency medical care prior to the child's first day of care (see LIS code sheet).

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #3 and #4 did not include 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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #3 and #4 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: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: A written plan which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency was not posted in a conspicuous location at the facility.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The emergency contact and financial agreement forms were not reviewed at least once every 6 months for child #1, #2, #4 and #5. The most recent review of the emergency contact and agreement for child #1 and #5 was dated 07/25/2025 with no subsequent review documented. The most recent review of the emergency contact and agreement form for child #2 was dated 08/18/2025 with no subsequent review documented. The emergency contact and agreement form for child #4 has not been reviewed since initial enrollment (see LIS code sheet). Staff person #1 stated that the forms are reviewed annually in lieu of every 6 months.

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: 3290.131(a)/3290.131(e)

Description: Within 60 days/Immunization record

Noncompliance Area: The file for child #3 did not include an initial health report within 60 days of their first day of attendance at the facility (see LIS code sheet). The file for child #4 did not include an initial health report with a copy of their immunization records within 60 days of their first day of attendance at the facility (see LIS code sheet).

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. 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.