Tiny Tots Academy Ii

Regulation: 3280.123(a)(3)/3280.124(f)

Description: Services proceeded/Updated every 6 months

Noncompliance Area: The file for Child #3 did not contain any Child Service Reports, which were due by January 2025 and July 2025, and are required every six (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 § 3280.124(f). 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.

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #2, did not include the phone number of the child's physician or source of medical care.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #2, did not include the work address or work phone number of the enrolling parent.

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

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The Emergency Contact form, in the files for Child #1, Child #2, Child #4, and Child #5 did not include information on the child's special needs.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3280.15(b)

Description: Ongoing compliance

Noncompliance Area: During the inspection on 9.16.25, the Certificate of Occupancy was not available.

Correction Required: The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The current Certificate of Compliance was not posted or available.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained an NSOR Certificate dated 11.6.19, and none thereafter, which exceeded the 60-month renewal requirement. The file for Staff #2 contained an NSOR Certificate dated 2.13.20, and none thereafter, which exceeded the 60-month renewal requirement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 and Staff #2 may not work in a child care position at the facility.

Regulation: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: An Evacuation Route was not posted at the facility.

Correction Required: Evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: The play kitchen in room 1 had an exposed screw that could be dangerous 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.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: There were no CSRs on file for child #1 Child #2 or child #4 which is over 6 months from enrollment (See LIS Code SHEET)

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #3 does not include the phone number, address, or name for the child's pediatrician/source for medical care.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact form, in the file for Child #3, did not contain the health insurance coverage name or 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.

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: When reviewing emergency contact forms in the infant room there were emergency contact forms missing for the children being cared for in the at 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.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The Emergency Contact form and Fee Agreements for Child #1 (1/5/23) and Child #2 & Child #3 (10/1/23) were reviewed and signed by the parents over the required 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: 3280.133(3)

Description: Name on bottle

Noncompliance Area: In the Kitchen space, medication was located in the cabinet above the sink with children's probiotic and children's cough syrup that did not identify the name of the child for whom the medication 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.

Regulation: 3280.133(6)

Description: Written consent

Noncompliance Area: Children's Acetaminophen labeled for child #5 was in a cabinet above the sink with no medication Log/written consent in the facility for the child.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility did not have a policy to address recognition of potential signs and symptoms of shaken baby and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, or the prevention and identification of child maltreatment.

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: 3280.151(a)/3280.192(3)

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

Noncompliance Area: There was no health assessment on file for staff person #3.

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: 3280.166(4)

Description: Bottles labeled

Noncompliance Area: The bottles in the refrigerator in the kitchen space were unlabeled.

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

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: The facility was lacking proof notifying the 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 childcare 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.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #3 was lacking two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: There was no documented emergency drill on file for the facility.

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

Regulation: 3280.26(b)

Description: Emergency plan

Noncompliance Area: The emergency plan was lacking proof of an annual review.

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

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: Staff #1, #2, and #3 are missing documentation of emergency plan training at time of initial employment, on an annual basis, and at the time of each plan update.

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.

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: The facility was lacking proof of the emergency plan and subsequent updates being sent 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.

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

Description: Age and training

Noncompliance Area: The file for Staff person #1 includes verification of First Aid/CPR training dated 3/14/22 and is past the expiration date of 3/14/24.

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.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #3 was lacking a disclosure statement (See LIS 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: 3280.35(1)/3280.192(2)(ii)

Description: HS/GED/Exp, educ., training prior to facility

Noncompliance Area: Staff person #3 did not have experience or education on file including A high school diploma or a general educational development certificate. A minimum of an 8th grade education and enrollment in a training curriculum described at §  3280.31(c) (relating to age and training). Or A minimum of an 8th grade education and 2 years of experience with children.

Correction Required: A secondary staff person shall have obtained a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In room 5 there were 4 protective receptacle covers missing from the electrical outlets that were accessible to children.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: When entering the kitchen space, the door was open and unlocked and there were toxics (Pinelan, Odoban, Comet, and Scrubbing bubbles) all labeled "keep out of reach of children" that were under the sink, unlocked and accessible to children.

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.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in room 5 and room 2 was missing scissors.

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.

Regulation: 3280.95(a)

Description: FIRE DETECTION

Noncompliance Area: The documented fire alarm testing showed more than 30 days between testing dates 6/10/24-7/12/24 (32), 7/12/24-8/12/24 (31), 1/10/24-2/12/24 (33).

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: 3280.76

Description: Building Surfaces

Noncompliance Area: In Room 3, in the corner between the last window on the left and the television is bubbling paint which appears to be water damaged.

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility's fire alarm test report documented testing of the fire alarm system between the following dates: 05/28/20234 - 06/29/2023 (32 Days) and 07/29/20232 - 08/31/2023 (33 Days). These tests conducted were more than 30 days apart.

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

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The First-Aid Kit in Room 5 lacked Soap and Scissors.

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.