Tiny Hands & Little Feet Academy Llc

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 04/23/26, the glass door at the entrance of the facility was broken presenting a hazardous situation.

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: 3270.192(2)(ii)/3270.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During a renewal inspection conducted on 2/13/2023, 3 staff files were reviewed. Staff member # 1 file did not contain verification of child care experience prior to working at the facility.

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 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: 3270.192(5)

Description: Two written references

Noncompliance Area: During a renewal inspection conducted on 2/13/2023, 3 staff files were reviewed. Staff member # 1 file did not contain 2 written non family 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.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: During a complaint investigation conducted on 5/5/2022, the child's file did not contain an injury report for the bruise on the cheek. The parent did not receive an injury report.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.123(a)(6)/3270.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During a renewal inspection conducted on 12/16/2021, 12 child files were reviewed. Child # 1,2,3,4,5,6,7,8,9,10,11 and 12 files contained a fee agreement that did not specify the child's admission date.

Correction Required: An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection conducted on 12/16/2021,12 child files were reviewed. Child # 4 file contained an emergency contact form that sis not list the address of the person 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.

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During a renewal inspection conducted on 12/16/2021, 3 staff files were reviewed. Staff member # 3 file did not contain a health assessment.

Correction Required: An adult health assessment must include a physical examination. 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)(i)

Description: Age

Noncompliance Area: During a renewal inspection conducted on 12/16/2021, 3 staff files were reviewed. Staff member # 3 file did not contain verification of age.

Correction Required: A facility person's record shall include verification of age.

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

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During a renewal inspection conducted on 12/16/2021, 3 staff files were reviewed. Staff member # 2 files did not contain verification of child care experience prior to working at the facility. . Staff member # 3 file did not contain verification of education and child care experience prior to working at the facility.

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 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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During a renewal inspection conducted on 12/16/2021, 3 staff files were reviewed. Staff member # 2 and 3 files did not contain verification 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 and kept on file at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection conducted on 12/16/2021, 3 staff files were reviewed. Staff member # 3 file did not contain the following PA state police, FBI and a mandated reporter training certificate. Facility Person # 3 may not work in a child care position 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 # 3 may not work in a child care position at the facility. 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 # 3 may not work in a child care position at the facility.

Regulation: 3270.33(d)

Description: General requirements for facility persons

Noncompliance Area: During a renewal inspection conducted on 12/16/2021, 3 staff files were reviewed. Staff member # 3 file did not contain verification of competency in pediatric 1st aid and CPR.

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: During a renewal inspection conducted on 12/16/2021, the director was not able to provide a receipt of the fire detection system.

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: On 7/28/2020 a renewal inspection was conducted. Certification Representative observed that the playground protective covering was not in place. The protective covering mats were not connected to each other in areas on the playground.

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.

Noncompliance Area: During a renewal inspection conducted on 7/28/2020, 6 child files were reviewed. Child # 1,2 and 6 files did not specify the fee charged for services by the facility.

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

Noncompliance Area: During a renewal inspection conducted on 7/28/2020, 6 child files were reviewed. Child # 1,2 and 6 files contained an agreement that 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: During a renewal inspection conducted on 7/28/2020, 6 child files were reviewed. Child # 1,2,3,4,5 and 6 contained agreements forms that did not specify what is considered extra services.

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

Noncompliance Area: During a renewal inspection conducted on 7/28/2020, 6 child files were reviewed. Child # 1 emergency contact form did not contain the address and telephone number for the child's physician. Child #2 emergency contact form did not contain the name , address and telephone number for the child's physician. Child # 3 emergency contact form did not contain the address of the child's physician. Child #5 emergency contact form did not contain the address of the child's physician. Child #6 emergency contact form did not contain 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.

Noncompliance Area: During a renewal inspection conducted on 7/28/2020, 6 child files were reviewed. Child #1 emergency form did not contain the work address and work telephone number of the enrolling parent. Child #2 emergency form did not contain the home address,work address and work telephone number of the enrolling parent. Child # 3 emergency contact form did not contain the work telephone number and work address of the enrolling parent. Child #4 emergency contact form did not contain the work telephone number and work address of the enrolling parent. Child #5 emergency contact form did not contain the work telephone number of the enrolling parent.

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

Noncompliance Area: During a renewal inspection conducted on 7/28/2020, 6 child files were reviewed. Child #1 emergency contact form did not include the name, address and telephone number of the person to whom the child can be released. Child # 2,3,5,and 6 emergency contact form did not include the address of the person 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: ON 5/28/19 DURING THE RENEWAL INSPECTION, THERE WERE PLASTIC BAGS IN AN UNLOCKED CABINET UNDER THE SINK IN THE BOYS BATHROOM.

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.

Noncompliance Area: ON 5/28/19 DURING THE RENEWAL INSPECTION, THE DAILY SCHEDULE WAS NOT POSTED IN THE INFANT AND TODDLER AND SCHOOL AGE ROOMS.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: ON 5/28/19 DURING THE RENEWAL INSPECTION, STAFF #3 WALKED OUT OF THE INFANT ROOM LEAVING AN INFANT UNATTENDED.

Correction Required: 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.

Noncompliance Area: ON 5/28/19 DURING THE RENEWAL INSPECTION, THE MOST RECENT CHILD SERVICE REPORT ON FILE FOR CHILD #4 WAS DATED 11/15/18, MORE THAN 6 MONTHS AGO.

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).

Noncompliance Area: ON 5/28/19 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORMS WERE NOT IN THE CLASSROOMS WHERE THE CHILDREN WERE RECEIVING CARE OR IN THE BUS.

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.

Noncompliance Area: ON 5/28/19 DURING THE RENEWAL INSPECTION, THERE WAS NO INITIAL HEALTH ASSESSMENT ON FILE FOR CHILD #1 (START DATE 3/25/19) OR CHILD #2 (START DATE 2/4/19).

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.

Noncompliance Area: ON 5/28/19 DURING THE RENEWAL INSPECTION, THE MOST RECENT HEALTH ASSESSMENT ON FILE FOR CHILD #3 WAS DATED 4/16/18.

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.

Noncompliance Area: ON 5/28/19 DURING THE RENEWAL INSPECTION, BOTTLES IN THE INFANT ROOM WERE NOT LABELED WITH THE CHILD'S NAME.

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

Noncompliance Area: ON 5/28/19 DURING THE RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION OF EMERGENCY PLAN TRAINING FOR STAFF #1, 2, 3, 4, 5.

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: ON 5/28/19 DURING THE RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION OF 2 YEARS OF CHILD CARE EXPERIENCE TO QUALIFY STAFF #5 FOR THE STATED ASSISTANT GROUP SUPERVISOR 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: ON 5/28/19 DURING THE RENEWAL INSPECTION, RATIOS WERE NOT CONSISTENTLY MAINTAINED AS TEACHERS WALKED OUT OF THE PRESCHOOL ROOM LEAVING THE OTHER TEACHER ALONE WITH 12 PRESCHOOL CHILDREN.

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.

Noncompliance Area: ON 5/28/19 DURING THE RENEWAL INSPECTION, THERE WERE LARGE BOTTLES OF BLEACH IN AN UNLOCKED CLOSET IN THE SCHOOL AGE ROOM, THERE WERE STAFF BACKPACKS WITH LOTION AND MEDICATION IN THE TODDLER ROOM UNDER THE SINK ACCESSIBLE TO CHILDREN. THERE WAS LOTION LABELED KEEP OUT OF REACH OF CHILDREN ON TOP OF A TOY SHELF IN THE PRESCHOOL 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.

Noncompliance Area: ON 5/28/19 DURING THE RENEWAL INSPECTION, THE FIRST AID KITS IN THE INFANT, TODDLER AND PRESCHOOL ROOM WERE WITHIN REACH OF CHILDREN.

Correction Required: A first-aid kit must be inaccessible to children.