Little Treasures Daycare

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The toy shelf in the Young Toddler Room has a divider that had split and could pinch or cut a child's finger.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: The file for Child #1, who is a preschool aged child, contained two child health assessment that are more than 12 months apart.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff #1, and #2 both contain 2 fire safety trainings that are more than 12 months apart.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #3 and #4 both contain Disclosure Statements that are not witnessed.

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

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 11:59am in the Pre-K room there were 21 preschool age children with 2 staff going over the staff to child ratio.

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.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: Upon arrival at the facility at 9:45am during ratio and supervision check, an infant was observed sleeping in a pack-n-play that did not have 2 feet of space on three sides of the pack-n-play.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 was lacking an NSOR clearance.

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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The most recent child service reports in the file for Child #4 exceeded 6 months between reports.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The most recent updated health reports in the files for Child #2, 3 and 4, preschool children, exceeded 12 months between reports.

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.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent parental updates for the emergency contact forms and fee agreements in the files for Child #2, 3, 4 and 5 exceeded 6 months between updates. The most recent parental updates for the emergency contact forms in the files for Child #1 and 6 exceeded 6 months between updates.

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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The Pediatric First Aid/CPR certification in the file for Staff Person #3 was conducted more than 90 days after the staff person's first day working in child care. (See LIS Code Sheet).

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR in an approved curriculum from a certified PQAS instructor.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #4 will have until 12/19/24 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for Staff Person #1 and #2 did not include an NSOR Certificate conducted within the past 60 months. The file for Staff Person #3, who has been working at the facility for more than 45 days (See LIS Code Sheet), did not include the results for Out of State Clearances for Ohio (State Sex Offender Registry and Child Abuse).

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, 2 and 3 may not work in a child care position at the facility.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In the infant room, there were two cots were labeled with numbers (2 & 3), and there was a chart listing the name of each child corresponding to the number to indicate which children used each cot. However, the staff in the room supervising the children said that the child who used cot #2 was the child listed for cot #3, and vice versa. Staff stated the rest equipment was labeled incorrectly.

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.

Regulation: 3270.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: The birthdate listed on the emergency contact form on file for child #1 was incorrect.

Correction Required: Emergency contact information must include the name and birth date of the child.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the medication box in the preschool room, there was a Neosporin, Mucinex and Refresh eye drops each not labeled with the name of the children for whom they were 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.

Regulation: 3270.135(c)

Description: Diapering area not used for food prep

Noncompliance Area: In the infant room, a crockpot used for heating bottles was located on the counter next to the sink located in the diapering area, used for handwashing after diapering.

Correction Required: The diapering area may not be used for food preparation or food service.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: There were four infant's bottles in the infant room not labeled with the children's names.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: There was one written nonfamily reference on file for Facility Person #2.

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

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter to the parents explaining the emergency plan did not include the facility's plan for a lockdown or information regarding accommodations in the event of an emergency or the annual emergency drill.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: There was no criminal history clearance on file for Facility Person #1, employed more than 45 days. Facility Person #1 was observed to be caring for children unsupervised. The disclosure statement on file and signed by Facility Person #4 was dated after their start date. The child abuse clearance on file for Facility Person #5 was not valid as it was a volunteer clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1, #4 and #5 may not work in a child care position at the facility without all completed CPSL required documents on file.

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

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

Noncompliance Area: Facility Persons #1, #3 and #5 were classified as assistant group supervisors. There was no documentation of the education required for the classification on file for Facility Person #1. The documentation of the child care experience required for the classification on file for Facility Person #3 was not provided by a representative of the experiential entity. The documentation of child care experience on file for Facility Person #5 was insufficient (less than 2 years) for the classification.

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

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water temperature at a sink used by children for handwashing in the Pre-K room was measured to be 116° F.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was damaged plaster/peeling paint on walls behind trash cans in the Pre-K room and the older toddler room.

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

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: There were two exits blocked as follows: A door between the infant room and staff room was blocked by an exersaucer in the infant room in front of the door, and multiple pieces of furniture/equipment in the staff room, that did not allow the door to fully open. There were shelves in the Pre-K room moved at nap time (to allow spacing for rest equipment) that then did not allow sufficient space to exit through the door to the adjacent preschool room.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility Person#1 was observed caring for children unsupervised. Facility Person #1 had not yet completed the following pre-service training required prior to caring for children unsupervised: an approved pediatric first aid/CPR training, health and safety training. There was no documentation that Facility Person #2, employed at the facility since 3/1/22 had completed the updated health and safety training required to be completed by all staff by 12/30/22.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In both the young and older toddler rooms, there was a cot labeled with a number corresponding to a different name on a chart than the child who uses the cot.

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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: There was no child service report (or other approved form) completed, on file, and a copy given to the parent in the last 6 months for child #2.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: There was no emergency contact form in the older toddler room for one of the children receiving care in that room.

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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The current emergency contact forms and agreements on file for children #1- # 5 were reviewed and updated by the parents in writing more than 6 months after the previous written review/updates.

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: 3270.151(a)

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

Noncompliance Area: The current health assessment on file for Facility Person #3 was completed more than 24 months after the previous health assessment 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 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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: The only emergency drill documented on file at the facility was conducted on 9/20/22, more than 12 months after the regulation effective date of 12/19/20.

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

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: Review dates of the facility's emergency plan were documented as 8/2/21 and 9/5/22.

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

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: The documentation of pediatric first aid and CPR training on file for Facility Person #6 was completed more than 90 days after hire. Training date - 9/28/22 (See IS Code sheet)

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.31(f)/3270.31(g)

Description: Health and Safety Training/Professional development certificate

Noncompliance Area: Facility Persons #1, #2, #4, and #5 initially completed the required health and safety training prior to 9/30/16. They each completed the updated health and safety training after the required completion due date of 6/17/21 for staff employed at the facility as of the regulation effective date of 12/19/20.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent mandated report training was completed by Facility Person #3 more than 60 months after the previous mandated reporter training completed and on file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The current criminal history and child abuse clearances on file for Facilty Person #3 were completed more than 60 months after the previous clearances on file. The current NSOR clearance and application for the NSOR clearance on file for Facility Person #7 were both dated after their start date. Clearance date - 8.23.22, application date - 8/18/22 (See IS Code sheet.)

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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was diaper cream in an unlocked cabinet under the changing table, accessible to children, in the older toddler room.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was damaged plaster on walls in the following areas: in the young toddler room behind a trash can, in the older toddler room above a shelf under a window, and in the preschool room near where cots are stored near a door.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: According to dates documented, the fire alarm system testing was done more than 30 days apart when tested on 5/4/22 and next again on 6/29/22.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: There was no proof of purchase for the facility's interconnected fire alarm system on file.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: An approximately 12"x6" plastic storage bin in an area accessible to children in the Pre-K room was observed to have a cracked, jagged edge that could cause laceration injuries. In the Preschool room, in an area accessible to children, an approximately 24"x18" wooden desk was observed to have pinch points near the base due to loose screws where the sides of the desk attached to the frame base.

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.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for Child #2 contained an emergency contact form that did not include the address of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for Child #2 contained an emergency contact form that did not include the child's health insurance provider or corresponding 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.

Regulation: 3270.131(a)(3)

Description: Initial health report for older toddler/preschool no more than 1 year

Noncompliance Area: The file for Child #2 contained a health assessment that was dated as completed more than 12 months prior to the child's first date in care at the facility.

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.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The file for Child #1, age four-years-three-months, did not include documentation of a third Hepatitis B vaccine as recommended by the ACIP. The file for Child #2, age two-years-six-months, did not include documentation of the following vaccines as recommended by the ACIP: * Third and fourth DTAP * Annual Influenza * Third HiB * Third and fourth PCV 13 * Third IPV * First MMR * First and second Hepatitis A * First Varicella The files for Child #3 and #4 did not include documentation of an annual Influenza vaccine as 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.

Regulation: 3270.151(a)

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

Noncompliance Area: The files for Staff #1, #2, #3, and #11 each contained current health assessments; however, the previous health assessment were administered for each staff member more than 24 months prior to the current assessments.

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.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: In the Infant room, a nursing bottle used by a child in care was observed to lack a label with the child-user's name.

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

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for Staff #8 did not include documentation of a High School Diploma or GED.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff #10 included two written references; however, one of the said references was completed by a family member.

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

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Although the files for Staff #2, #3, #5, and #6 contained documentation of the completion of emergency plan training in the past 12 months, the previously completed emergency plan training for each staff was conducted more than 12 months prior to the date of completion of the most recent 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 and kept on file at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Although the files for Staff #1, #2, #3, #5, and #6 contained documentation of the completion of fire safety training in the past year, the previously completed fire safety training for each staff was documented as being conducted more than 12 months prior to the most recent training completion date.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for Staff #7, employed in a child care position for more than 90 days, did not include documentation of the completion of Health and Safety Basics training.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: The files for Staff #4, #8, and #11, all of whom having worked in a child care position for more than 90 days, did not include documentation of the completion of Pediatric CPR/First-Aid training.

Correction Required: Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The files for Staff #1, #2, and #3 contained documentation of the completion of mandated reporter training in the past five years; however, the previously completed mandated reporter training for each listed staff member was conducted more than 60 months prior to the most recent training completion date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Although the file for Staff #3 contained a current PA Child Abuse Clearance, the previous PA Child Abuse Clearance was processed more than 60 months prior to the processing date of the current clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.81

Description: Glass

Noncompliance Area: In the Preschool room, the rear egress, which has a full length glass sidelight, lacked visual identifiers that would prevent a child from running into the glass, which could cause blunt force injuries.

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.