Tiny Tots Wonderland

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: During the renewal inspection, cert rep observed a child go upstairs to the bathroom unsupervised. When cert rep came to the child care center, staff #1 opened the door in the living room area and left 5 children were unsupervised in the kitchen.

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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection, cert rep observed the emergency contact for child #2 did not include the parents work address on file.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection, cert rep observed the emergency contact for child #2 did not include the health insurance policy number on file.

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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, cert rep observed the emergency contact for child #1 and 2 did not include the release person's name on file.

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: 3280.124(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection, cert rep observed the emergency contacts were not present in the child care space while children were receiving care.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection cert rep observed the emergency plan did not include the continuity of operations.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection cert rep observed Shaking Baby Syndrome policy did not include the identification and prevention 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: 3280.17

Description: Liability Insurance

Noncompliance Area: During the renewal inspection cert rep observed there was no comprehensive general liability insurance on file.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: During the renewal inspection, cert rep observed a written letter notifying the local traffic safety authority of the location of the facility was not on file.

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: 3280.31(f)

Description: Age and training

Noncompliance Area: During the renewal inspection cert rep observed staff #1 did not have health and safety training on file.

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

Regulation: 3280.75(a)

Description: In facility

Noncompliance Area: During the renewal inspection cert rep observed there was no first aid kit in the child care space while children were receiving care.

Correction Required: A first-aid kit shall be in the facility.

Regulation: 3280.81(b)

Description: Training chair - sanitized

Noncompliance Area: During the renewal inspection cert rep observed the training chair was not sanitized after each use.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

Regulation: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: During the renewal inspection the cert rep observed the fee agreement for child #1 and 5 did not include the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection the cert rep observed the emergency contact for child #3 did not include the physicians address and phone number.

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: During the renewal inspection the cert rep observed child #1-4 emergency contact did not include the work address and phone number on file.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection the cert rep observed child #1 and 3 did not have the health insurance policy number in the file.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection the cert rep observed the shaken baby syndrome policy did not include the identification and prevention 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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection the cert rep observed the updated Health and Safety training was not on file for staff #1 and 2.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection the cert rep observed the emergency plan did not include continuity of operations on file.

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: 3280.192(1)/3280.192(2)(i)

Description: Name, address, and phone/Age

Noncompliance Area: During the renewal inspection the cert rep observed staff #1 did not have verification of name, address and age in the file.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person. A facility person's record shall include verification of age.

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection the cert rep observed the emergency plan was not sent to the local municipality and 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)

Description: Age and training

Noncompliance Area: During the renewal inspection the cert rep observed staff #1 did not have 12 clock hours of child care training on file.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection the cert rep observed staff #1 and 2 did not have a disclosure on file.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the renewal inspection the cert rep observed toxic materials 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: 3280.95(a)

Description: FIRE DETECTION

Noncompliance Area: During the renewal inspection the cert rep observed the fire safety system was not tested every 30 days.

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: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: During an unannounced complaint investigation cert rep observed 1 staff person with 7 children ranging in age from young toddler to school age. 1 younger toddler 4 preschoolers 2 school age

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at §3280.52(b).

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During a renewal inspection conducted on 5/8/2024, 2 child files were reviewed. Child # 1 and 2 files contained emergency contact forms that did not include the enrolling parents work contact information.

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: During a renewal inspection conducted on 5/8/2024, 2 child files were reviewed. Child # 2 file contained an emergency contact form where the section regarding the child's special needs was not addressed.

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: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During a renewal inspection conducted on 5/8/2024, 2 child files were reviewed. Child # 1 file contained an emergency contact form that did not include the child' s health insurance coverage and 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: 3280.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: During a renewal inspection conducted on 5/8/2024, 2 child files were reviewed. Child # 1 file contained an emergency contact form that did not address the section for parental consent for emergency medical care for the child.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3280.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During a renewal inspection conducted on 5/8/2024, 2 child files were reviewed. Child # 1 file contained an emergency contact form that did not address the section for parental consent for the administration of minor first-aid by facility staff.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: During a renewal inspection conducted on 5/8/2024, 2 2 staff files were reviewed. Staff member # 1 and 2 files did not contain the annual 12 hours of child care training.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During initial inspection on 5/22/23, Staff # 1 and Staff # 3 did not have completed 1-hr health and safety training in file.

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: 3280.14/3280.21

Description: Pertinent Laws & Regulations/Communication with Parents

Noncompliance Area: During initial inspection on 5/22/23, Staff # 1 and # 3 did not have the completed 1-hr health and safety training in file.

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. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent. Prior to the issuance of the Certificate of Compliance

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: During physical site visit on 7/20/22, while doing a walk through of the facility, Cert Rep observed the child in the pack n play was not labelled/assigned to the child in the pakc n play

Correction Required: (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Noncompliance Area: During renewal inspection on 7/31/20, while reviewing staff files Staff # 1 's mandated reporter training was dated 5/14/15 Staff #2's mandated reporter training was dated 5/18/15

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. 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: During renewal inspection on 5/13/19, while reviewing children's file - Child # 1 whose enrollment date 8/28/17 emergency contact was last signed 3/16/18 - Child # 2 whose enrollment date 2/2/16 emergency contact was last signed 2/1/18 - Child # 3 whose enrollment date 9/4/18 emergency contact was last signed 6/8/18

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 informationA 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: During renewal inspection on 5/13/19 while reviewing children's files - Child # 1 whose enrollment date 8/28/17 did not have a health assessment in file - Child # 2 whose enrollment date 2/2/16 did not have a health assessment in file

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

Noncompliance Area: During renewal inspection on 5/13/19 while reviewing children's files, Child # 3's emergency contact did not have consent for emergency medical care and consent of administering minor first aid procedures

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: During renewal inspection on 5/13/19 Staff # 1 whose hire date 4/2013 did not have documentation of emergency plan training in file

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.

Noncompliance Area: During renewal inspection on 5/13/19 the facility did not have the emergency numbers posted

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: During renewal inspection on 5/18/18, cert rep observed the emergency form for child 4 lacked the telephone 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.

Noncompliance Area: During renewal inspection on 5/18/18, cert rep observed the emergency contact forms for child 1 and child 2 lacked the address of the individual 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: During renewal inspection on 5/18/18, cert rep observed provider lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: During renewal inspection on 5/18/18, cert rep observed the file for child 2 contained an undated health report. No physician, physician's assistant or CRNP signature appeared on the document.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: During renewal inspection on 5/18/18, cert rep observed the health report for child 2 lacked a review of the child's immunized status according to recommendations of the ACIP, specifically, Hepatitis A due from age 12 months to 23 months. Child is 1.75 yrs old.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: During renewal inspection on 5/18/18, cert rep observed the emergency contact form for child 6 lacked a review and update of the emergency contact information at least once in a 6-month period or as soon as there is a change in the information.

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: During renewal inspection on 5/18/18, cert rep observed first aid kit lacked tape.

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.

Noncompliance Area: During time of inspection, the rest equipment (pack n-plays) were not labed for individual use.

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: Child # 4 did not have names of release person documented on their agreement forms. Child # 1 did not have the physican information documented on their emergency contact form.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. Emergency contact information must include the name, address and telephone number of the child`s physician or source of medical care.

Noncompliance Area: Child # 1-4 did not have the health insurance policy numbers documented on their emergency contact forms. Child # 1 did not have the address of release person documented on the emergency contact forms.

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. 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: Child # 1, 3 and 4 did not have updated emergency coantct forms within the last 6 months documented in their records. Child # 3 did not have an updated agreement form updated within the last 6 month of care at facility.

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 informationA 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: Child # 1 and 4 did not have written parental consent for emergency medical care. Child # 1,3 and 4 did not have written parental consent for minor first aid.

Correction Required: A child`s record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child`s record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The facility takes children on walks and child #1 did not have written parental consent documented for waiks on their emergency contact form.

Correction Required: A child`s record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: Operator did not not document the date of review of the emergency plan and staff person #1-3 did not have annual training regarding the 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. 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.

Noncompliance Area: Staff person #1 (primary staff person) who provides 24 hour care in this facility for children, and the operator does not have staff present with required first aid traiining during the late evening through early morning hours when children would be in care at facility.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: Staff person #3 (hired 11/9/16) did not have required state police clearance completed and documented in her record.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: . 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 records of training required by the Department.