Little People Day Care School

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During renewal inspection on 1/20/26, staff files were reviewed. Staff #5's previous health assessment is dated for 11/22/22 and an update was not obtained until 12/30/24. This date indicates that an updated health assessment was not obtained within the 24-month requirement.

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.

Regulation: 3270.192(2)(ii)/3270.192(5)

Description: Exp, educ., training prior to facility/Two written references

Noncompliance Area: During renewal inspection on 1/20/26, staff files were reviewed. Staff #1, #2 & #6 did not have documentation of childcare experience on file. Staff #3 did not have a second written reference on file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During renewal inspection on 1/20/26, staff files were reviewed. It was disclosed by Director that Staff #3 covers in ratios at times. Staff #3 had a previous health and safety training dated for 10/30/19 but did not have the health & safety update. Staff #6 only completed Health & Safety Part 1. Both staff did not complete the necessary health and safety training within the 90-day requirement. Staff #3 will need to complete both Part 1 & Part 2 Health & Safety Training. Staff #6 will need to complete Part 2 Health & Safety training. (See code sheet for date of hire).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection on 1/20/26, staff files were reviewed. Staff #4 lived outside of the state of Pennsylvania in the past five years. Staff #4 lived in Georgia and did not have an appropriate out of state clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). This portion shall have an immediate correction date. Staff #4 cannot work in the vicinity of children until the out of state clearance is obtained. 2. The legal entity must attend existing provider orientation at any regional office location. The operator shall provide a date for when this training will be completed.

Regulation: 3270.106(f)/3270.113(a)

Description: 2 feet apart/Supervised at all times

Noncompliance Area: During renewal inspection, it was observed in the Toddler 2 room that there was not 2 feet of space on three sides of the children's cots. This was determined from observing shelves, tables, and toy equipment cornering the children on multiple sides, not leaving any space. The staff within the room also could not see certain children during nap time due to equipment being in the way. This was determined by observing the staff being on one side of the room. Cert rep stood exactly where staff was sitting, and rep could not see the children who were on the opposite side of shelves and 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. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: It was observed during renewal inspection that the following dates indicate that fire alarm testing was not done within the 30-day requirement: 1/20/24, 2/22/24, 3/14/24, 4/15/24, 5/14/24, 6/14,24/ 7/15/24, 10/4/24, 11/4/24, 12/4/24, 1/6/25.

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)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: While at the facility unannounced on 1/3/24 for the renewal inspection the inspector reviewed the file for staff #3 and found that this staff had a health assessment dated for 8/9/21 and did not obtain another health assessment until 10/6/23.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 1/3/24 for the renewal inspection the inspector reviewed the file for staff #1and staff #2. The inspector found that staff #1 had a Pa State police dated 1/4/16 and was not updated until 1/12/22 and a Pa Mandated Reporter training dated 5/29/16 and did not update this training until 1/12/22. A review of the file for staff #2 found an FBI dated for 11/13/15 and was not updated until 1/24/21.

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 and shall update clearances and Pa Mandated Reporter training every 60 months.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: While at the facility unannounced on 1/3/24 for the renewal inspection the inspector observed the carpeting in the school age room to be ripped and in need of repair.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 1/26/23 for the renewal the inspector observed that staff #1 and noted that staff #1 had a Mandated Reporter training on 9/20/16 and did not obtain an update until 1/12/22. The Pa Mandated Reporter Training is required to be updated every five years. Staff #2 had a Pa State Police clearance dated 4/4/17 and did not update this clearance until 9/16/22, Pa Child Abuse clearance dated 4/21/17 and not again until 9/22/22, and an FBI clearance dated 4/16/17 and did not update it until 9/19/22. Clearances must be updated every five years.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: While at the facility unannounced for the renewal on 1/21/22 the inspector reviewed the file for staff#1 and noted that this staff began direct child care on 8/8/21 and had a TB screening dated 12/18/18, which is not within one year of hire as is required.

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.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: While at the facility unannounced for the renewal on 1/21/22 the inspector observed the emergency plan and found it to be missing accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions as is required.

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

Noncompliance Area: On 1/16/20, a renewal inspection occurred at the facility. A physical site review was conducted. In the preschool room, ceiling tiles above the bathroom sink and third ceiling tile near the exit door to the playground showed signs signs of a water leak. Preschool staff indicated the stained tiles were newer and did not notice the tiles until pointed out at this 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.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of 1/21/19. This file was missing two letters of written references. Staff # 1 was working in a classroom with a group of toddlers during this inspection. Staff # 1 qualification level to perform child care related duties was unable to be determined due to the file lacking two written references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of 1/21/19. This file was missing proof of education. Staff # 1 was working in a classroom with a group of toddlers during this inspection. Staff # 1 qualification level to perform child care related duties was unable to be determined due to the file lacking proof of education.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. At this time, Staff # 1 file was missing an official state police clearance. The file contained a state police clearance dated 7/29/14 but indicated record was under review. Staff # 1 had a date of hire of 9/18/17. Staff # 1 was working in ratio with children during this inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1 may not work in a child care position at the facility.

Noncompliance Area: A PURPLE NAP MAT IN THE 4/5 YEAR OLD ROOM IS RIPPED. TWO NAP MATS IN EACH ROOM, LABELED FOR CHILDREN, BOTH IN THE 3/4 YEAR OLD ROOM AND TODDLER 2 ROOM ARE RIPPED. THE TODDLER 2 ROOM AND INFANT ROOM CHANGING TABLE MATS ARE RIPPED.

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

Noncompliance Area: CHILD # 4 AN INFANT, DOB 11/22/15, ENROLLED AT FACILITY SINCE 1/18/16, DID NOT HAVE AN INITIAL HEALTH ASSESSMENT ON FILE UNTIL 5/26/16, MORE THAN THREE MONTHS AFTER START DATE.

Correction Required: The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.

Noncompliance Area: STAFF PERSON # 1 HIRED 10/17/16, DID NOT HAVE A HEALTH ASSESSMENT UNTIL 12/5/16. STAFF PERSON # 4 DID NOT HAVE A HEALTH ASSESSMENT IN MORE THAN 24 MONTHS FROM HIRE DATE ON 6/23/14 THEN NOT AGAIN UNTIL 9/28/16.

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.

Noncompliance Area: THERE IS EXPIRED BISQUICK 5/9/16, NUT N BUTTER 11/10/16, AND SUPER TOPPER ONIONS 11/1/16 IN THE KITCHEN. THERE IS EXPIRED POPCORN KERNALS 1/31/16 AND OIL 7/28/14 ON A SHELF IN THE 2ND - 5TH GRADE CLASSROOM. THERE ARE FRESH APPLES LEFT ON A SHELF AND IN A DRAWER NOT REFRIGERATED FROM THE PREVIOUS DAY ALSO IN THE 2ND-5TH GRADE CLASSROOM.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption. Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

Noncompliance Area: EMERGENCY CONTACT FORMS WERE NOT SIGNED IN MORE THAN SIX MONTHS FOR CHILD 1,2,3,4,5,6,& 7. ALL SIGNATURES WERE IN NOVEMBER OR DECEMBER 2015 THEN NOT AGAIN UNTIL JULY 2016 FOR ALL 7 CHILDREN.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: THE EMERGENCY PLAN WAS NOT REVIEWED AND DOCUMENTED IN MORE THAN 12 MONTHS FROM FEBRUARY 23, 2015 TO FEBRUARY 29, 2016.

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: STAFF PERSON # 1 HIRED 10/7/16 DID NOT HAVE A CHILD ABUSE CLEARANCE UNTIL 1/10/17.

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.

Noncompliance Area: STAFF PERSON # 2 DID NOT HAVE A STAFF EVALUATION COMPLETED FOR STAFF MEMBER # 3 SINCE DECEMBER 2015.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: THE FIRST AID KIT IN THE 3/4 YEAR OLD ROOM IS MISSING TAPE. THE VAN IS MISSING TWEEZERS, SOAP AND WATER IN THE FIRST AID KIT.

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.