Little Ones Of Wisdom Daycare Llc

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On June 2, 2026 during the renewal inspection, the emergency contact form of Child #3 did not contain evidence of release persons address

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: On June 2, 2026 during the renewal inspection, the emergency contact form of Child #1 did not contain evidence of being reviewed and 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(b)(2)

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

Noncompliance Area: On June 2, 2026 during the renewal inspection, the file of Child #2 did not contain evidence of an updated health assessment, the health assessment on file was dated 1/27/2025

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

Regulation: 3270.182(3)/3270.182(5)

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

Noncompliance Area: On June 2, 2026 during the renewal inspection, the emergency contact form of Child #1 did not contain evidence of parental signatures for obtaining emergency medical care and administration of 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.

Regulation: 20.71(b)(5)

Description: Perpetrator in an indicated or founded report of child abuse

Noncompliance Area: Staff Person #1 has been named as a perpetrator in an indicated report of child abuse.

Correction Required: A facility person who has been named as perpetrator in a founded/an indicated report of child abuse may not be present in the facility.

Regulation: 3270.102(a)/3270.102(c)

Description: Clean and good repair/Outdoor equip.- protective surfacing

Noncompliance Area: During the initial inspection, certification representative conducted a facility walkthrough and there was a swing set with an attached slide that was broken and partially detached from the swing. The swing set was not mounted and there were no protective surface coverings to protect children if they were to fall off.

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. 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.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's file and the file for child #3 doesn't include their health insurance policy number on the emergency contact form.

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

Regulation: 3270.131(b)(2)

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's file and there were no updated health records for child #1,child #2, child #3,child #4 and child #5.

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

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's file and none of the files included written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan was not updated to include continuity of operations per announcement c-22-04, issued 4/19/22. Thee Shaken baby/child maltreatment policy did not include the identification and prevention of child maltreat ment or the strategies for coping with a crying,fussing or distraught child.

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: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include information on how staff are to respond in the event of a shelter in place emergency.

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.

Regulation: 3270.27(a)(4)

Description: Contact when ended

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan did not include 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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the emergency plan and there was no emergency drill log on file.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed facility files and there was no documentation to show that the emergency plan was sent to the local municipality and 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.

Regulation: 3270.63/3270.76

Description: Unsafe Areas in Outdoor Space/Building Surfaces

Noncompliance Area: During the renewal inspection, certification representative conducted a facility walkthrough and there is debris, overgrown weeds and exposed metal poles with sharp edges in the outdoor play space.

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. 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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility paperwork and there was no documentation that showed the fire alarm system was checked annually or monthly.

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)).

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for child #1 D.O.B. 3/01/18, enrolled 11/22/21; did not contain an initial health assessments. The file for child #2 D.O.B. 10/16/13, enrolled 11/21/21; 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.

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: Staff member #1 and #2 had not completed the Pediatric First Aid & CPR training conducted by a PQAS instructor.

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Dust and debris were observed on the window sill of the facility bathroom.

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: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The facility did not maintain proof of purchase of the interconnected system on file at the facility.

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)).

Noncompliance Area: At the time of inspection, the file for staff member #1 did not contain the PA National Sex Offender Registry (NSOR) document.

Correction Required: Facility Person # -- may not work in a child care position at the facility. 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 # -- 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 #--- may not work in a child care position at the facility.

Noncompliance Area: At the time of inspection, the rest equipment (Pack & Plays) for infants were not labeled with the names of the children specified to use the rest equipment.

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.

Noncompliance Area: At the time of inspection, during nap time resting children were observed on sleep equipment which was less than 2 feet apart from the next sleeping child's rest equipment.

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.

Noncompliance Area: At the time of inspection, infants were observed in their sleep equipment with stuffed toys and bottles.

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

Noncompliance Area: At the time of inspection, the emergency contact information for child #2 and #3 did not include health insurance coverage and policy number for a child under the policy.

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: At the time of inspection, the file for child #3, age 2 and enrolled 8/2/17; did not include an initial health assessment or subsequent health assessments. The child's file only included a vaccination record.

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

Noncompliance Area: At the time of inspection, a written infant feeding schedule signed by the child's parents was not observed for child #1 born. 9/10/18 and enrolled 4/4/19.

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

Noncompliance Area: At the time of inspection, the facility could not verify that the annual letter to the local traffic safety authorizes was sent to notify them of the location of the facility and the program's use of pedestrian/ vehicular routes around the facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: At the time of inspection, the facility's safe routes policy (Drop-off/ Pick procedures) were not posted in 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.

Noncompliance Area: At the time of inspection, the emergency contact form for child #1 did not contain signed parental consent for emergency medical care and consent for administration of minor first-aid procedures by facility person.

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, the operator had not documented in writing the annual review or update of the facility's emergency plan.

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.

Noncompliance Area: At the time of inspection, 2 staff members were observed with 11 children, ages 9 months to 10 years old; altogether in one area of the facility watching television.

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.

Noncompliance Area: FILE RECORDS FOR CHILD #1,CHILD #2,CHILD #3, AND CHILD #4 DID NOT INCLUDE A SPECIFIC FEE AMOUNT ON THE FINANCIAL AGREEMENT

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

Noncompliance Area: FILE RECORDS FOR CHILD #1,CHILD #2, CHILD #3, AND CHILD #4 DID NOT INCLUDE THE CHILD'S ARRIVAL AND DEPARTURE TIME ON THE AGREEMENT

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

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED DAMAGED PAINT IN THE CHILDREN'S BATHROOM

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 inspection, the two Pack & Plays in the facility were in disrepair. A Pack & Play was observed unlabeled for the use of a specific child.

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.

Noncompliance Area: At the time of inspection, the agreement form for child #1 did not specify the date on which the fee is to be paid.

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

Noncompliance Area: At the time of inspection, the agreement form for child # 2 did not specify the child's arrival and departure times.

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

Noncompliance Area: At the time of inspection, child #2's emergency contact form was missing the addresses and telephone numbers 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.

Noncompliance Area: At the time of inspection, staff member #2 did not have a initial health assessment on file at the facility.

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, unlabeled bottles were observed in the refrigerator.

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

Noncompliance Area: At the time of inspection, the emergency contact form for child #1 had not been reviewed or updated by the child's parent at least once in a 6-month period.

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: At the time of inspection, the emergency contact form for child #1 did not contain signed parental consent for emergency medical care and minor first-aid procedures by facility for the child.

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, the record for staff member #3 did not include two written, nonfamily references from individuals attesting to the person's suitability.

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: At the time of inspection, staff member #1, hired 5/08/12; did not have a current FBI clearance on file at the facility.

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

Noncompliance Area: At the time of inspection, the record for staff member #2 did not include verification of high school diploma and/or the two years of verified experience to qualify for the position.

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: At the time of inspection, unsafe areas were observed in the outdoor play space. On the ground, in the play area were several small items less than 1 inch in diameter which were hazardous to the young toddlers observed playing in the area. An extension ladder was observed leaned against the wall in the outdoor play space. The outdoor play space was cluttered with: several garbage cans, kids tables, toys/ play items and other items that weren't necessary for a large muscle play space.

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.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.

Noncompliance Area: At the time of inspection, there were areas of clutter and disrepair in the facility. Several pieces of furniture and storage items placed very close together in the small area in the front of the facility are hazardous. The bathroom door was damaged. The child safety gate used to block children's access to the back hall leading to the kitchen was broken. The baseboards and other surface were observed with dust.

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, staff member #1 hired 5/2/17 did not have an inital health assessment in the facility's files.

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, no verification of initial emergency plan training was documented for staff member #1.

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 and kept on file at the facility.

Noncompliance Area: At the time of inspection, the fire dirll log posted reflected no change in the hypothetical location of the fire.

Correction Required: Hypothetical locations of the fire shall be changed for each drill.