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Family Child Care ✓ Licensed

Little Hearts Day Care

Lancaster, PA · Lancaster County
Pitney Rd, Lancaster, PA 17601
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Quick Facts

Capacity
12 children
Languages
English, English, Spanish
Subsidized Program
Participates
State Rating
2

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Contact Information

📞 (717) 333-0688
Pitney Rd
Lancaster, PA 17601
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✓ Licensed Family Child Care
Active License
License Number
CER-00248222
License Issued
Dec 20, 2025
Active Through
Dec 20, 2026
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 10

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About the Provider

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LITTLE HEARTS DAY CARE is a Family Child Care in LANCASTER PA, with a maximum capacity of 12 children. It is open Monday - Friday, 5:30 AM - 6:00 PM; Saturday - Sunday, 6:00 AM - 11:59 PM. The provider also participates in a subsidized child care program.

Hours of Operation

  • Monday5:30 AM - 6:00 PM
  • Tuesday5:30 AM - 6:00 PM
  • Wednesday5:30 AM - 6:00 PM
  • Thursday5:30 AM - 6:00 PM
  • Friday5:30 AM - 6:00 PM
  • Saturday 6:00 AM - 11:59 PM
  • Sunday 6:00 AM - 11:59 PM

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2025-09-22 Renewal 3280.124(c) - Each child care space Compliant - Finalized

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present in each child care space for children receiving care in the space.

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

Provider Response: (Contact the State Licensing Office for more information.)
The operator made copies of each child's emergency contact forms and are now in each child care space.
2025-09-22 Renewal 3280.131(b)(1) - Infant: updated health report every 6 months Compliant - Finalized

Regulation: 3280.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Child #2's record did not contain the required updated health assessment based upon the child's age (only health assessment on file dated 9/12/24). Child #3's time between health assessments exceeded the permitted at least every 6 month's timeframe based upon the child's age (health assessment dated 6/14/24, 8/19/25. See Code Sheet

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.

Provider Response: (Contact the State Licensing Office for more information.)
Child #2 will have a current health assessment on record. Health assessments for children will be on file in the appropriate timeframe.
2025-09-22 Renewal 3280.131(d)(7) - Free from contagious/communicable disease Compliant - Finalized

Regulation: 3280.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Child #1's current health assessment does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Provider Response: (Contact the State Licensing Office for more information.)
Child #1's parent will get a letter from the doctor stating that child #1 is free of communicable diseases and is able to participate in child care.
2025-09-22 Renewal 3280.151(a) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Regulation: 3280.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Staff person #1's time between health assessments exceeded the permitted 24 month's timeframe (4/29/23, 8/27/25)

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.

Provider Response: (Contact the State Licensing Office for more information.)
The operator will make sure the staff health assessments don't exceed 24 months between them.
2025-09-22 Renewal 3280.171(a) - Pick up and drop off points Compliant - Finalized

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: The operator did not notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Provider Response: (Contact the State Licensing Office for more information.)
The operator notified local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.
2025-09-22 Renewal 3280.192(2)(ii) - Exp, educ., training prior to facility Compliant - Finalized

Regulation: 3280.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #3's record contained education documents from another country without the required translation and US equivalency.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #3 will have verification of education from another country that is translated and states the US education equivalency.
2025-09-22 Renewal 3280.31(e) - Age and training Compliant - Finalized

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: Staff persons #1 and #2 did not obtain an annual 12 clock hours of child care training. Both staff persons obtained 4.5 hours of annual training.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff persons #1 and #2 will complete the additional child care training hours.
2025-09-22 Renewal 3280.31(e)(4)(i) - Age and training Compliant - Finalized

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: Staff person #1 did not complete pediatric first aid and CPR training before the expiration date of the most current certification (4/29/23, 8/27/25).

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Pediatric first-aid and CPR training will be completed before the expiration date of the most current certification.
2025-09-22 Renewal 3280.77(a) - No peeling paint or plaster Compliant - Finalized

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: It was observed that there was dispersed peeling paint in the child care space to the left (upon entering the facility) on the wall straight ahead upon entering the room. There were approximately 20 spots of 1/4 inch to 1/2 inch peeling paint, under the window.

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

Provider Response: (Contact the State Licensing Office for more information.)
There is no more peeling paint accessible to children in the child care space on the left.
2024-09-05 Renewal 3280.105(a) - Clean, age appropriate Compliant - Finalized

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed that rest equipment was not labeled for the use of a specified child (corrected during inspection)

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.

Provider Response: (Contact the State Licensing Office for more information.)
The facility now has all the rest equipment labeled with the name of the children.
2024-09-05 Renewal 3280.123(a)(5) - Designated release persons Compliant - Finalized

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: Child #2's agreement does not specify 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.

Provider Response: (Contact the State Licensing Office for more information.)
child #2 agreement now specify the persons designated by a parent to whom the child may be released.
2024-09-05 Renewal 3280.123(b) - Parent receives original Compliant - Finalized

Regulation: 3280.123(b)

Description: Parent receives original

Noncompliance Area: The parents of child #1 through #5 did not receive the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Provider Response: (Contact the State Licensing Office for more information.)
The operator now give the original agreement to all parents, child #1 thorugh #5.
2024-09-05 Renewal 3280.131(a)(3)/3280.131(e) - Initial health report for older toddler/preschool no more than 1 year/ACIP recommended immunization record Compliant - Finalized

Regulation: 3280.131(a)(3)/3280.131(e)

Description: Initial health report for older toddler/preschool no more than 1 year/ACIP recommended immunization record

Noncompliance Area: Child #4's initial health report and immunization record are not dated.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to 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.

Provider Response: (Contact the State Licensing Office for more information.)
The initial health report of child #4 and immunization now is dated by a physician.
2024-09-05 Renewal 3280.166(4) - Bottles labeled Compliant - Finalized

Regulation: 3280.166(4)

Description: Bottles labeled

Noncompliance Area: It was observed that an infant's bottle was not labeled with the child's name (corrected during inspection)

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Provider Response: (Contact the State Licensing Office for more information.)
The infant's bottle now is labeled with the child's name.
2024-09-05 Renewal 3280.171(a) - Pick up and drop off points Compliant - Finalized

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: The operator did notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Provider Response: (Contact the State Licensing Office for more information.)
The operator called and notify the police department and emailed them about the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.
2024-09-05 Renewal 3280.171(c) - Safe routes posted Compliant - Finalized

Regulation: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Provider Response: (Contact the State Licensing Office for more information.)
The facility now has posted by the operator a safe routes in every room.
2024-09-05 Renewal 3280.182(3)/3280.182(5) - Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission Compliant - Finalized

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: The records of children #3, #4, and #5 do not contain signed parental consent for emergency medical care and 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.

Provider Response: (Contact the State Licensing Office for more information.)
The records of children #3, #$, and #5 now contain signed parental consent for emergency medical care of minor first-aid procedures by facility staff.
2024-09-05 Renewal 3280.192(2)(iv) - Transcript, diploma and letters Compliant - Finalized

Regulation: 3280.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Staff person #1 and #2's records did not include verification of child care experience.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The operator called the persons that made the letters and asked them information of how many hours and days staff #1 and #2 works with them. Staff person #1 and #2's records now include verification of child care experience.
2024-09-05 Renewal 3280.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Household member #3's PA Criminal Background clearance was dated after becoming a household member (dated 8/21/24). Household member #3's Disclosure Statement was dated after becoming a household member (dated 9/3/24) See Code Sheet

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

Provider Response: (Contact the State Licensing Office for more information.)
The operator now knows that any household member has to sign the disclosure statement and get all the clearances before he or she becoming a household member.
2024-09-05 Renewal 3280.66(a) - Locked or inaccessible - in original container Compliant - Finalized

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: It was observed that the shed in the outside playspace (backyard) was accessible and contained gasoline, torch fuel, and an open bag of Ice Melt.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The shed in the outside playspace now is fixed it and locked, the cleaning materials and other toxic materials aren't accessible to children.
2024-09-05 Renewal 3280.75(c) - Has all items Compliant - Finalized

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: It was observed that the first-aid kit in the front child care room did not contain tweezers (corrected during inspection).

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.

Provider Response: (Contact the State Licensing Office for more information.)
The facility now has a tweezers in the first-aid kit in the front child care room.
2024-07-08 Allocated Unannounced Monitoring 3280.151(c)(2) - Mantoux TB Compliant - Finalized

Regulation: 3280.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The TB screening on record for staff person #1 is dated more than 1 year prior to this staff person's first day working at the facility. It is dated 7/1/22. See Code Sheet

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 has an appointment for 8/20/24 for a physical and TB test.
2024-07-08 Allocated Unannounced Monitoring 3280.192(2)(iv) - Transcript, diploma and letters Compliant - Finalized

Regulation: 3280.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Staff person #1's record did not contain acceptable verification of education and experience to be a primary staff person (unsupervised), however, was unsupervised during this visit. Education on record is from the Dominican Republic without a US equivalency and translation. No proof of experience working with children is on file for staff person #1.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff #1 requested a validation of her high school diploma. Staff #1 now is supervised when is working with children. Staff #1 now have proof of experience working with children on file.
2024-07-08 Allocated Unannounced Monitoring 3280.26(c) - Training regarding plan Compliant - Finalized

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: Staff persons #1 has no record of emergency plan training on file and have been employed at the facility for more than 90 days. See code sheet

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 now has a record of emergency plan training on file.
2024-07-08 Allocated Unannounced Monitoring 3280.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1's Disclosure Statement on record is not dated.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1's Disclosure Statement on record now is dated, signed, and witnessed.
2024-07-08 Allocated Unannounced Monitoring 3280.66(a) - Locked or inaccessible - in original container Compliant - Finalized

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: It was observed, in the bathroom used by children, that hand sanitizer was accessible to children on a bathroom shelf. (corrected during inspection)

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.

Provider Response: (Contact the State Licensing Office for more information.)
The hand sanitizer was stored and not accessible to children during the inspection.
2024-07-08 Allocated Unannounced Monitoring 3280.69(a) - 110º F or less Compliant - Finalized

Regulation: 3280.69(a)

Description: 110º F or less

Noncompliance Area: It was observed that the water temperature in the bathroom used by children was 118 degrees F (corrected during inspection: turned off hot water).

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

Provider Response: (Contact the State Licensing Office for more information.)
The hot water was turned off during the inspection as the correction.
2024-07-08 Allocated Unannounced Monitoring 3280.76 - Building Surfaces Compliant - Finalized

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: It was observed that a closet in the back room was accessible to children and contained stacked cots which could topple on children and loose hanging wires (corrected during inspection).

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Provider Response: (Contact the State Licensing Office for more information.)
The operator put a door knob safety cover to avoid children can open the door during the inspection.
2023-09-12 Renewal 3280.123(b) - Parent receives original Compliant - Finalized

Regulation: 3280.123(b)

Description: Parent receives original

Noncompliance Area: The parents of child #1 through #5 did not receive the original agreement. Originals were in the children's files.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Provider Response: (Contact the State Licensing Office for more information.)
I make a copy of the agreement. I keep the copy and gave the original to the parent.
2023-09-12 Renewal 3280.124(c) - Each child care space Compliant - Finalized

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: The emergency contact information for the children was not in each child care space while they were receiving care.

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

Provider Response: (Contact the State Licensing Office for more information.)
I collected all emergency contact forms. I did copies and I put all of them in a folder in each child care room.
2023-09-12 Renewal 3280.124(e) - Written emergency plan posted Compliant - Finalized

Regulation: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not conspicuously displayed in the back room/child care space of the facility.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A written plan of transporting a child to emergency care is now post in both rooms.
2023-09-12 Renewal 3280.133(3) - Name on bottle Compliant - Finalized

Regulation: 3280.133(3)

Description: Name on bottle

Noncompliance Area: The diaper cream for child #1 did not contain the name of the child for whom it was intended.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Child #1's diaper cream now has the name of the child on it.
2023-09-12 Renewal 3280.166(1) - Written statement Compliant - Finalized

Regulation: 3280.166(1)

Description: Written statement

Noncompliance Area: There were no written statements giving the formula and feeding schedule, obtained from the parents, for 2 infants.

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

Provider Response: (Contact the State Licensing Office for more information.)
Parents wrote a notes giving instructions about feeding instructions. Infants now have parent-written formula and feeding schedules at the facility.
2023-09-12 Renewal 3280.182(3)/3280.182(5) - Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission Compliant - Finalized

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: Child #1 through #5's files did not contain signed parental consent for emergency medical care and 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.

Provider Response: (Contact the State Licensing Office for more information.)
I collected signed parental consent for emergency medical care and administration of minor first-aid procedures by facility staff for child #5.
2023-09-12 Renewal 3280.26(c) - Training regarding plan Compliant - Finalized

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: Staff person #1 and #3 have been working at the facility for more than 90 days and have not completed emergency plan training. Staff person #2 has no emergency plan training on record. SEE CODE SHEET

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Provider Response: (Contact the State Licensing Office for more information.)
I scheduled a meeting on 10/10/23 and we discussed/reviewed step by step all parts of emergency plan. Staff persons #1 through #3 now have emergency plan training on record.
2023-09-12 Renewal 3280.26(f) - Emergency plan Compliant - Finalized

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: The operator did not send a copy of the emergency plan, when it was updated last, to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Provider Response: (Contact the State Licensing Office for more information.)
On 9/18/23, I sent a copy of the emergency plan updated to the local municipality and to the county emergency management agency.
2023-09-12 Renewal 3280.74 - Emergency Numbers Posted Compliant - Finalized

Regulation: 3280.74

Description: Emergency Numbers Posted

Noncompliance Area: It was observed that the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted in the back room/child care space.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Provider Response: (Contact the State Licensing Office for more information.)
I posted a copy of emergency telephone numbers in the back room/child care space.
2023-03-23 Unannounced Monitoring 3280.135(a)(3) - Disposable diapers Compliant - Finalized

Regulation: 3280.135(a)(3)

Description: Disposable diapers

Noncompliance Area: It was observed that the trash can used to dispose of disposable diapers was not hands-free.

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.

Provider Response: (Contact the State Licensing Office for more information.)
I removed the trashcan and replaced it with another one that is hands-free.
2023-03-23 Unannounced Monitoring 3280.191 - Individual Records Compliant - Finalized

Regulation: 3280.191

Description: Individual Records

Noncompliance Area: Staff person #1 had no file/record at the facility.

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

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 has not worked at the facility since the date of this inspection (3/23/23) and will not work here until there is a complete staff file.
2023-03-23 Unannounced Monitoring 3280.26(d) - Plan posted Compliant - Finalized

Regulation: 3280.26(d)

Description: Plan posted

Noncompliance Area: The operator did not have the emergency plan posted in the facility at a conspicuous location. (corrected during visit).

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

Provider Response: (Contact the State Licensing Office for more information.)
I posted the emergency plan in the facility in a visible location.
2023-03-23 Unannounced Monitoring 3280.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 was working with children without any clearances on record: no PA Criminal History, no FBI, no Child Abuse Clearance, no NSOR.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Staff person #1 has not worked at the facility since 3/23/23 and will not return until all clearances are in her record.
2023-03-23 Unannounced Monitoring 3280.66(a) - Locked or inaccessible - in original container Compliant - Finalized

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: It was observed that there was a bottle of hand sanitizer accessible to children on the shelf in the main hall entry area (corrected during visit).

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.

Provider Response: (Contact the State Licensing Office for more information.)
The bottle of hand sanitizer was removed, and staff made it inaccessible to children.
2023-03-23 Unannounced Monitoring 3280.69(a) - 110º F or less Compliant - Finalized

Regulation: 3280.69(a)

Description: 110º F or less

Noncompliance Area: It was observed that the water temperature in the children's bathroom (in back room) measured 118.3 degrees F, exceeding the permitted 110 degrees F.

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

Provider Response: (Contact the State Licensing Office for more information.)
I turned off the hot water at the sink in the bathroom that the children use. (corrected during inspection)
2023-03-23 Unannounced Monitoring 3280.95(b) - Staff responsibility Compliant - Finalized

Regulation: 3280.95(b)

Description: Staff responsibility

Noncompliance Area: The last documented testing of the fire detection system was 2/1/23, which exceeds the permitted at least every 30 days' timeframe (The system was testing during the visit today on 3/23/23).

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Provider Response: (Contact the State Licensing Office for more information.)
I put the date that was the last testing of fire detectors. Tested the fire detection system during this inspection on 3/23/23 and documented this.
2022-11-07 Initial review 3280.103 - Small Toys and Objects Compliant - Finalized

Regulation: 3280.103

Description: Small Toys and Objects

Noncompliance Area: It was observed that the outside play equipment's protective surface on the ground was made of mulch pieces which were less than a diameter of 1 inch, and children who are still placing objects in their mouths utilize this play space. Styrofoam plates and cups are being used by the children in care at this facility.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Provider Response: (Contact the State Licensing Office for more information.)
I removed all mulch pieces from the playground. Styrofoam plates and cups are replaced by paper plates and cups.
2022-11-07 Initial review 3280.76 - Building Surfaces Compliant - Finalized

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: It was observed that the children have access to the dryer, in the child care space where the children eat.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A strip child proof lock was installed on the dryer door and the kids cannot open it.
2022-09-20 Renewal 3290.121(b) - Given parents in writing Compliant - Finalized

Regulation: 3290.121(b)

Description: Given parents in writing

Noncompliance Area: At the time of enrollment, parents did not receive, in writing, the facility's supervision policy.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Supervision policy is now in the parent handbook.
2022-09-20 Renewal 3290.123(a)(7) - Services considered extra Compliant - Finalized

Regulation: 3290.123(a)(7)

Description: Services considered extra

Noncompliance Area: Child #1's agreement did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Provider Response: (Contact the State Licensing Office for more information.)
Child #1's agreement now specifies the services which are to be considered as extra.
2022-09-20 Renewal 3290.123(b) - Parent receives original Compliant - Finalized

Regulation: 3290.123(b)

Description: Parent receives original

Noncompliance Area: The parents of child #1 through #5 did not receive the original agreements. Originals were in children's files.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Provider Response: (Contact the State Licensing Office for more information.)
Give the original copy to the parents. The parents of children #1 through #5 now have the original Agreements.
2022-09-20 Renewal 3290.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #3's emergency contact information did not include the enrolling parent's work address and work phone number. Child #4's emergency contact information did not include the enrolling parent's work phone number.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child #3's emergency contact information now includes the enrolling parent's work address and work phone number. Child #4's emergency contact information now includes the enrolling parent's work phone number.
2022-09-20 Renewal 3290.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #3's emergency contact information did not include the health insurance policy number.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child #3's mom gave me the health insurance policy number: Child #3's emergency contact information now includes the health insurance policy number.
2022-09-20 Renewal 3290.131(b)(1) - Updated infant health report: every 6 months Compliant - Finalized

Regulation: 3290.131(b)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: Child #3's file does not contain an updated health assessment.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child #3 has 2 updated health assessment. One for 3/22/22. One for 9/21/22. Child #3's file now contains an updated health assessment.
2022-09-20 Renewal 3290.131(e)(4) - Annual Immunization reporting to DOH Compliant - Finalized

Regulation: 3290.131(e)(4)

Description: Annual Immunization reporting to DOH

Noncompliance Area: Child #4's most recent Influenza immunization on record was 11/6/20. Child #5 has no record of receiving the Influenza and the Hepatitis A immunizations.

Correction Required: The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Provider Response: (Contact the State Licensing Office for more information.)
All children's files will include records of required immunizations. Child #5's file now contains a letter of exemption for the Influenza immunization and current Hepatitis A immunization documentation.
2022-09-20 Renewal 3290.18 - General Health and Safety Compliant - Finalized

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's emergency plan does not address continuity of operations.

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

Provider Response: (Contact the State Licensing Office for more information.)
I wrote a paragraph saying that in case of any emergency Little Hearts Day Care is insured for damages. In case that I have to stop to operate in my facility, I will use my mom's house and it could be prepare to continue providing child care. Children's and staff record saved electronically. A continuity of operations plan has been added to the emergency plan.
2022-09-20 Renewal 3290.192(4) - Required training Compliant - Finalized

Regulation: 3290.192(4)

Description: Required training

Noncompliance Area: Staff person #1's file did not include previous records of Pediatric First-Aid and CPR training and the previous Mandated Reporter training.

Correction Required: A facility person's record shall include records of training required by the Department.

Provider Response: (Contact the State Licensing Office for more information.)
During the inspection I didn't have my previous records of pediatric first-aid and CPR training and Mandated Reporter training in the folder. I found them in another folder. Staff person #1's file now contains a record of the previous pediatric first-aid and CPR training and Mandated Reporter training.
2022-09-20 Renewal 3290.24(a)(1) - Emergency plan Compliant - Finalized

Regulation: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan does not include emergency lock-down procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Provider Response: (Contact the State Licensing Office for more information.)
I wrote an emergency lock-down procedures and I add it to my emergency plan.
2022-09-20 Renewal 3290.24(a)(3) - Contact when arises Compliant - Finalized

Regulation: 3290.24(a)(3)

Description: Contact when arises

Noncompliance Area: The facility's emergency plan does not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The facility's emergency plan now includes a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.
2022-09-20 Renewal 3290.24(a)(4) - Contact when ended Compliant - Finalized

Regulation: 3290.24(a)(4)

Description: Contact when ended

Noncompliance Area: The facility's emergency plan does not provide 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.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency plan now includes the method to contact parents when the emergency has ended so that parents can safely be reunited with their children.
2022-09-20 Renewal 3290.24(a)(5) - Emergency plan Compliant - Finalized

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan does not provide for accommodations of infants and toddlers.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Provider Response: (Contact the State Licensing Office for more information.)
I included accommodations in the emergency plan for infants, toddlers, and children with special needs.
2022-09-20 Renewal 3290.24(c) - Training regarding plan Compliant - Finalized

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: Staff person #1's file had no documentation of emergency plan training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Provider Response: (Contact the State Licensing Office for more information.)
I made a piece of paper titled, Emergency plan training where I'm going to keep track of review and updates. Staff person #1 completed emergency plan training on 10/7/22.
2022-09-20 Renewal 3290.24(d) - Emergency plan Compliant - Finalized

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: No annual emergency drills had been conducted and documented in 2021.

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

Provider Response: (Contact the State Licensing Office for more information.)
At the moment of the inspection, I didn't know that I have to do an emergency drill annually. I thought that I have to do only a fire drill monthly. I conducted an emergency drill on 9/29/22 and documentation is on record at the facility.
2022-09-20 Renewal 3290.32(a) - Comply with CPSL Compliant - Finalized

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 had a timeframe between clearances obtained that is greater than the 60 months permitted. State Police clearances 4/25/16, 5/21/21. Child Abuse clearances 4/27/16, 5/28/21.

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

Provider Response: (Contact the State Licensing Office for more information.)
I did my clearances by mail and the problem was that I didn't put all my information by mistake and they return the forms back to me and it delayed and they return the forms back to ma and it delayed the process and when finally I received the results was a month after. All staff clearances will be obtained within the permitted 60 months timeframe. Clearances will be obtained within the 60 months permitted timeframe.
2022-09-20 Renewal 3290.64(a) - Locked or inaccessible - in original container Compliant - Finalized

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: It was observed that the sanitizing solution for the diaper changing pad was not in a container that specified the content (corrected during inspection).

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.

Provider Response: (Contact the State Licensing Office for more information.)
The sanitizing solution bottle for the diaper changing pad was labeled with the specific contents during the inspection.
2022-09-20 Renewal 3290.64(a) - Locked or inaccessible - in original container Compliant - Finalized

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: It was observed that there was a bottle of hand sanitizer accessible to children on bathroom sink counter (corrected during inspection).

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.

Provider Response: (Contact the State Licensing Office for more information.)
The bottle of hand sanitizer near the bathroom sink was removed during the inspection.
2022-09-20 Renewal 3290.94(a)(5) - Evacuation routes posted Compliant - Finalized

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Evacuation routes were not posted in a conspicuous location on each floor of the facility (not posted on 2nd or 3rd floor).

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Provider Response: (Contact the State Licensing Office for more information.)
I make 2 evacuation routes map for 2nd and 3rd floor. I posted them at each floor in a conspicuous location.
2022-09-20 Renewal 3290.95(a) - System in compliance Compliant - Finalized

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: The facility's interconnected (non hard-wired) fire detection system did not contain sealed smoke detector units with lithium batteries.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c))

Provider Response: (Contact the State Licensing Office for more information.)
Fixed smoke detectors issue by making them hardwired and all interconnected.
2021-11-24 Renewal 3290.123(a)(2)/3290.123(a)(5) - Date fee to be paid/Designated release persons Compliant - Finalized

Regulation: 3290.123(a)(2)/3290.123(a)(5)

Description: Date fee to be paid/Designated release persons

Noncompliance Area: Agreement for child #1 is missing date fee to be paid and persons to whom the child may be release. Agreement for child #2 is missing persons to whom the child may be released.

Correction Required: An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the persons designated by a parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
Agreement form for child #1 was corrected all information missing was completed. Agreement form for child #2 was completed.
2021-11-24 Renewal 3290.131(e) - Immunization record Compliant - Finalized

Regulation: 3290.131(e)

Description: Immunization record

Noncompliance Area: Record for child #1 who was enrolled on 8/23/21 does not include verification of immunizations.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Parents of child #1 sent me a copy of immunizations and I put it in his record.
2021-11-24 Renewal 3290.64(a) - Locked or inaccessible - in original container Compliant - Finalized

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: A prescription pill bottle was observed on the counter and accessible to children. This was corrected on site.

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.

Provider Response: (Contact the State Licensing Office for more information.)
I removed a prescription pill bottle from the counter and put it inside the refrigerator. I moved all the prescription pill bottles more up not accessible to children.
2020-12-01 Renewal 3290.131(d)(5) - Immunization record Compliant - Finalized

Noncompliance Area: File for child #1, enrolled on 9/28/20, did not contain adequate documentation of the review of all vaccines recommended by the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Provider Response: (Contact the State Licensing Office for more information.)
Will get note from parent and will make sure either an exemption note or shot record is on file for every child in care.
2020-12-01 Renewal 3290.32(a)/3290.192(3) - Comply with CPSL/CPSL information Compliant - Finalized

Noncompliance Area: File for staff person #1 did not contain a signed disclosure statement.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will sign the disclosure statement and will place it on file and will keep it on file at all times.
2019-10-24 Renewal 3290.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: It was observed that the Jr. Jumper in the outdoor play space was deflated and therefore was not currently in good repair.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Air will be added to jumper and provider will make sure to maintain this at all times.
2019-10-24 Renewal 3290.123(a)(3) - Services provided Compliant - Finalized

Noncompliance Area: File for child #1 did not contain a child service report completed within the last 6 months.

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).

Provider Response: (Contact the State Licensing Office for more information.)
Child service report will be completed and moving forward provider will make sure to complete one child service report every 6 months for all children including school age children attending daycare 15 hours or more a week.
2019-10-24 Renewal 3290.77 - Glass Compliant - Finalized

Noncompliance Area: It was observed that the front and back screen doors used by children were glass and neither contained a visible marker.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Provider will add a visible marker to both doors and a visible marker will be on each door within eye level of the children at all times.
2018-10-26 Renewal 3290.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: It was observed a horse stuffed animal was not in good repair and was accessible to children.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Stuffed animal was removed immediately. All toys will be kept in good repair at all times or will be removed immediately if toy is found to no longer be in good repair.
2018-10-26 Renewal 3290.102(c) - Outdoor equip.- protective surfacing Compliant - Finalized

Noncompliance Area: It was observed a swing set anchored into the ground was not mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Provider Response: (Contact the State Licensing Office for more information.)
Provider put a caution tape around it and put small fence up to keep children off equipment, so the kids don't use it for now because provider will remove it completely.
2018-10-26 Renewal 3290.123(a)(3)/3290.181(c) - Services provided/Emergency info/agreement updated 6 mos Compliant - Finalized

Noncompliance Area: Child service reports for children in care were all updated but date completed was more than 6 months from previous updates on file. Emergency contact form for child #7 has not been updated within the last 6 months as required and emergency contact forms for child #4, #6, #8, #9, and #10 have all been updated but not within the last 6 months from previous updates as required. Agreement for child #4, #7, #9, and #10 have not been updated and agreements for child #6 and #8 have been updated but not within 6 months from previous update as required.

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).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.

Provider Response: (Contact the State Licensing Office for more information.)
Child service reports for children in care were all updated, but date completed was more than 6 months, to avoid that, provider put a little note on front of every record indicating when I have to complete the next child service report. All child service reports, agreements, and emergency contact forms will be completed, reviewed, signed and dated every 6 months. The service reports have been updated every 6 months. All emergency contact forms and agreements have been signed and updated.
2018-10-26 Renewal 3290.124(b)(2) - Physician name, address, phone Compliant - Finalized

Noncompliance Area: Emergency contact form for child #1 did not contain name of child's physician or source of medical care and emergency contact form for child #4, #9 and #10 did not contain address of 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.

Provider Response: (Contact the State Licensing Office for more information.)
Emergency contact form for child #1 was corrected and now it contains the child's physician or source of medical care and policy number. Emergency contact forms for child 4, 9, and 10 were completed as well. All emergency contact forms will be completed entirely for all children at all times.
2018-10-26 Renewal 3290.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Noncompliance Area: Emergency contact form for child #1 and #2 did not contain parent's work address or work telephone number.

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

Provider Response: (Contact the State Licensing Office for more information.)
Emergency contact forms for child #1 and 2 were corrected with the information required. Home and work addresses and telephone numbers of the parents were added. Emergency contact forms will be fully completed for every child at all times.
2018-10-26 Renewal 3290.124(b)(6) - Insurance coverage information Compliant - Finalized

Noncompliance Area: Emergency contact form for child #1 did not contain health insurance coverage name or 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.

Provider Response: (Contact the State Licensing Office for more information.)
Emergency contact form for child #1 was corrected. The policy number appear on the form. Emergency contact form will be fully completed for every child at all times.
2018-10-26 Renewal 3290.131(b)(2) - Updated toddler/preschool health report: every 12 months Compliant - Finalized

Noncompliance Area: Current health assessment on file for child #8, who is of preschool age, has been updated but was not updated within the 12 months as required. Previous health assessment on file was dated 06/2017 and updated health assessment was dated 10/2018.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Provider put the top of every child's record a note saying what's the next due date to remember me. Child health report is up-to-date. Provider will make sure children have an updated health report on file timely and as required.
2018-10-26 Renewal 3290.131(c) - Written and signed by physician, PA, CRNP. Compliant - Finalized

Noncompliance Area: Health report on file for child #3 did not contain signature of physician, physician's assistant or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Provider Response: (Contact the State Licensing Office for more information.)
Health report on file for child #3 now has physician's signature. Moving forward all child health reports will be signed by physician or will not be accepted.
2018-10-26 Renewal 3290.134(a) - Child's hands washed Compliant - Finalized

Noncompliance Area: It was observed during inspection that a child's diaper was changed but provider did not take child to sink to wash hands after being diapered.

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

Provider Response: (Contact the State Licensing Office for more information.)
Provider wiped child's hands after diaper change but Certification representative explained if the child can walk, provider has to wash child's hands. Provider will always make sure all children wash their hands at the sink before snacks and meals and after diapering or using toilet.
2018-10-26 Renewal 3290.182(5) - Consent for administration of minor first-aid required prior to admission Compliant - Finalized

Noncompliance Area: Emergency contact form for child #10 did not contain signed parental consent for minor first-aid procedures by facility staff.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
Emergency contact form for child #10 was corrected and parent signed for first aid. All emergency contact forms will be completed entirely every time for every child.
2018-10-26 Renewal 3290.32(a) - Comply with CPSL Compliant - Finalized

Noncompliance Area: Files for staff person #1 and household member #2 and #3 did not contain signed disclosure statements.

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

Provider Response: (Contact the State Licensing Office for more information.)
All forms were signed and placed in files and will remain in files at all times.
2018-10-26 Renewal 3290.63 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Noncompliance Area: It was observed that outlets were uncovered on the power strip located under television accessible to children under 5 years of age.

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

Provider Response: (Contact the State Licensing Office for more information.)
Outlets were covered immediately. All outlets will have an outlet cover on them at all times.
2018-10-26 Renewal 3290.75(a) - No peeling paint or plaster Compliant - Finalized

Noncompliance Area: It was observed in the play room under the window there was an area of peeling paint.

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

Provider Response: (Contact the State Licensing Office for more information.)
Area of peeling paint was taped until it can be repainted. All future areas of chipped or peeling paint will be either covered or repainted immediately.
2017-11-06 Renewal 3290.102(c) - Outdoor equip.- protective surfacing Compliant - Finalized

Noncompliance Area: It was observed that a jungle gym, requiring embedded mounting/anchoring based on the manufacturer's recommendations, was not embedded or anchored into the ground. The jungle gym was also not mounted over playground protective surfacing covering that meets the recommendations of the United States Consumer Product Safety Commission.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Provider Response: (Contact the State Licensing Office for more information.)
I made the jungle gym inaccessible to the children putting around it caution tape and a fence until next spring that I can get it embedded and put loose-fill surfacing underneath it. Any equipment required to be embedded will be mounted over protective surfacing recommended by the United States Consumer Product Safety Commission.
2017-11-06 Renewal 3290.103 - Small Toys and Objects Compliant - Finalized

Noncompliance Area: It was observed that matchbox cars, with removable parts less than 1 inch in diameter, were accessible to children under the age of 3. (CORRECTED ON SITE)

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Provider Response: (Contact the State Licensing Office for more information.)
The matchbox cars were immediately moved to an area inaccessible to children. In the future, toys less than 1 inch in diameter or toys with removable parts less than 1 inch in diameter will not be accessible to children under the age of 3.
2017-11-06 Renewal 3290.105(j) - Prohibit items in crib Compliant - Finalized

Noncompliance Area: At the time of inspection, it was observed that a stuffed animal was attached to the side of the rest equipment while an infant was asleep in the rest equipment.

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

Provider Response: (Contact the State Licensing Office for more information.)
The stuffed animal was immediately removed from the side of the rest equipment. In the future, toys, bumper pads, and pillows will not be present in, or attached to the side of, rest equipment used by infants.
2017-11-06 Renewal 3290.115(a)(6) - Lifeguard training/supervision Compliant - Finalized

Noncompliance Area: At the time of inspection, it was observed that permission forms were located in children's files to go to the swimming pool once over the summer. The provider stated that the children did go the swimming pool over the summer, and that a lifeguard was not designated specifically for the children in care.

Correction Required: When children are swimming, supervision shall include one person certified in lifeguard training, as described in 3290.31(e)(4)(iii) (relating to age and training).

Provider Response: (Contact the State Licensing Office for more information.)
I will not take the children swimming in the future.
2017-11-06 Renewal 3290.115(a)(8) - Included in ratio/annual training Compliant - Finalized

Noncompliance Area: Staff person #2 stated that the children went swimming once over the summer and had used wading pools, however the wading pools are no longer used. There was not documentation of water safety training on file for staff person #2.

Correction Required: A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Provider Response: (Contact the State Licensing Office for more information.)
I put the wading pool in the trash, because I don't want to use it anymore. No more pool trips during the summer. I'm planning to keep the children wet using another way during humid days.
2017-11-06 Renewal 3290.123(a)(5)/3290.123(a)(6) - Designated release persons/Admission date Compliant - Finalized

Noncompliance Area: The agreement forms for children #1, 3, and 4 did not specify the release persons designated by a parent to whom the children may be released. The agreements for children #3, 4, and 5 did not specify the dates of the children's admissions.

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

Provider Response: (Contact the State Licensing Office for more information.)
The agreement forms for children 1 and 4 have been corrected. Their parents wrote the release persons name. Child #3 is no longer in care. I will make sure parents fill out all spaces on the form and put release persons. The agreement forms for children 4 and 5 have been corrected. The dates of the children's admissions appear in the forms. Child #3 is no longer in care. I will make sure the date of admission appears on the agreement forms in the future.
2017-11-06 Renewal 3290.124(b)(2)/3290.124(b)(6) - Physician name, address, phone/Insurance coverage information Compliant - Finalized

Noncompliance Area: The emergency contact form for children #1 and 4 did not include an address for the children's source of medical care. The address for child #5's source of medical care was incomplete. There was not a phone number listed for child #1's source of medical care. The emergency contact forms for children #1, 2, and 3 did not include the children's health insurance policy numbers. The emergency contact form for child #1 also did not include the health insurance coverage information.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency forms for children 1, 2, 3, and 4 are corrected; name, address, and telephone numbers are in the forms, as well as health insurance coverage and policy numbers. I will make sure that all boxes on the emergency contact forms are complete.
2017-11-06 Renewal 3290.124(b)(3)/3290.124(b)(7) - Parent home/work address, phone/Name/address/phone release person Compliant - Finalized

Noncompliance Area: The emergency contact forms for children #2 and 6 did not include work addresses or work phone numbers for the children's enrolling parents. The home address listed on emergency contact form for the enrolling parent of child #4 was incomplete. One of the addresses listed on the emergency contact form for the release persons of child #1 was incomplete. One of the addresses listed for release persons for child #2 was missing, and two of the release persons listed did not include phone numbers. One of the release persons listed for child #4 was missing an address. Addresses for release persons were not provided on the emergency contact form for child #5.

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

Provider Response: (Contact the State Licensing Office for more information.)
The emergency forms for children 1, 2, 4, and 6 are corrected. All information is in the forms. I will make sure parents answer questions on the emergency contact forms and that answers are complete including names, addresses, and phone numbers.
2017-11-06 Renewal 3290.133(4) - Locked Compliant - Finalized

Noncompliance Area: Medication was observed to be accessible to children in the refrigerator.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Provider Response: (Contact the State Licensing Office for more information.)
I removed child #6's antibiotic and Advil and returned to her mom. I put all medications in the refrigerator upstairs inaccessible to children. In the future If any parents bring medications, I will put it inaccessible to the kids and I put the kids name.
2017-11-06 Renewal 3290.133(7)(i)/3290.133(7)(iv) - Name of medication/Amount to administer Compliant - Finalized

Noncompliance Area: At the time of inspection, there was Amoxicillin and Tylenol at the facility for the use of child #6. The medication logs for the use of these medications did not include the names of the medications or the dosage amounts.

Correction Required: A medication log shall include the name of the medication. A medication log shall include the amount of medication administered.

Provider Response: (Contact the State Licensing Office for more information.)
A medication log was filled and signed for her mom. I put all the information including the name of the medication and the amount of medication administered. In the future, I will put all the information in the form. Make sure that is front of the parents and the parents has to sign it.
2017-11-06 Renewal 3290.133(7)(v)/3290.133(7)(vi) - Date of administration/Time of administration Compliant - Finalized

Noncompliance Area: At the time of inspection, there was Amoxicillin at the facility for the use of child #6. The medication logs for the use of these medications did not include the date of administration or time of administration. The provider confirmed that Amoxicillin had been administered to the child.

Correction Required: A medication log shall include the date of administration. A medication log shall include the time of administration.

Provider Response: (Contact the State Licensing Office for more information.)
A medication log was filled and signed for her mom. I put all the information including the date and the time. In the future, I have to fill the date and the time of the medication was given.
2017-11-06 Renewal 3290.151(a)/3290.192(2) - Within 3 months, then 12 months/Health assessment, TB test Compliant - Finalized

Noncompliance Area: Staff person #1 did not have a health assessment or results of a tuberculin skin test 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 on file at the facility.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.

Provider Response: (Contact the State Licensing Office for more information.)
I have in staff person #1's record a results of tuberculin skin test on file. Staff person #1 can't work with children until she has a health assessment on file. In the future when I hire a person I have to make sure to have her health assessment including a TB test.
2017-11-06 Renewal 3290.166(1) - Written statement Compliant - Finalized

Noncompliance Area: It was observed that written statements from the parents giving the formula and feeding schedule for infants were not on file at the facility.

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

Provider Response: (Contact the State Licensing Office for more information.)
I collected all notes from the parents giving the formula or breastfeeding schedule for infants. In the future, when I have infants, I have to include in their record a note form their parent saying their feeding schedule.

Showing the 100 most recent of 103 records.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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