Wee Little Angels

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child files #1 and #2 emergency contact forms were both missing enrolling parent's work phone numbers.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: Staff person #1 and #2 did not update their yearly fire safety training as evidenced by both staff #1 and #2 having had fire safety training previously on 9/16/24 and did not update it until 9/29/25.

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: Staff person # 1 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.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1- must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 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: While at the facility unannounced on 8/5/25 for an allocated unannounced the inspector reviewed new staff files and found that staff #1 did not obtain an DHS FBI and NSOR until 11/25/24 and 11/18/24 respectively Both clearances were obtained almost two months after working in direct care (see LIS Code Sheet for Hire Date). It is important to note that this file was not presented at the renewal due to an oversight by the provider.

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. Prior to 2/1/25 If staff were going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance prior to employment. and a signed disclosure statement, Facility received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. The applicant has applied for the remaining required checks, and the applicant provides a copy of the appropriate completed request forms to the employer, administrator, supervisor or other person responsible for employment decisions. The outstanding checks are Pennsylvania State Police Criminal Record Check OR the FBI Criminal History Background Check.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector found a ripped mat accessible to children in the toddler area.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector reviewed the file for child #2 and found that the work address and work phone number for the parent was missing from the emergency contact form.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector reviewed the files for child #1 and found that the emergency contact information was missing the required 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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector reviewed the files for child #1 and #3 and found that both children were missing required vaccinations, MMR and Pneumococcal respectively.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings). Children #1 and #3 must be dismissed from care by close of business 10/24/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #5 and #6 did not complete the required health and safety training within 90 days of hire.

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: 3270.151(a)

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

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector reviewed the file for staff #4 and noted that this staff had a health assessment on 8/6/21 and not again until 9/30/24.

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: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector reviewed the files for staff #2 and #3 and noted that the health assessments did not address examination for communicable diseases nor suitability to provide childcare.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector found an unlabeled bottle in the infant room.

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

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector asked the director to be show the posting for safe routes and was informed that this was not posted.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the childcare facility.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector reviewed the file for staff #1 and found that this staff was working in direct care with children and had expired pediatric first aid and pediatric cardiopulmonary resuscitation (CPR).as evidenced by their last training on file dated 8/30/22 and most current dated for 9/10/24.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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. Pediatric first-aid training and pediatric cardiopulmonary resuscitation (CPR). 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 CPR on or before the expiration of the most current certification.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector reviewed the files for staff #5 and found that this staff was working in direct care (see LIS Code sheet for hire date) and did not obtain the required FBI clearance until 10/3/24. Staff #6 was working in direct care (see LIS Code sheet for hire date) and did not have a NSOR clearance on file until 1/8/24. Staff #3 did not have a completed disclosure statement on file. Staff #4 did not have a disclosure statement on file.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector observed a spray bottle of bleach water (labeled and identified as such) sitting on the top of a cubby, in childcare space, and accessible to children.

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: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector observed two trash cans with tissues inside missing the required lids.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.71

Description: Heat Source

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector observed a crock pot in the infant room turned on, with water inside, registering 200 degrees. The inspector also observed the mechanical closet door in the school age room to be unlocked with hot water pipes located inside.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector observed the outdoor fencing (far right rectangular fencing) to have broken aluminum ties and some rusting on the top rail of the fencing in this area.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: While at the facility unannounced for the annual inspection the inspector observed chipped paint in the toddler room rear wall.

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: While at the facility unannounced for the annual inspection the inspector observed the emergency egress door in the PreK room to be locked.

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

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During the course of the complaint investigation that began on 9/5/24 the inspector was able to verify that staff #1 did, in fact, grab child #1 by their face in an attempt to make the child look at them while being verbally disciplined.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During the course of the complaint investigation that began on 9/5/24 the inspector was able to verify that staff #1 did, in fact, grab child #1 by their face in an attempt to make the child look at them while being verbally disciplined.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The director must arrange for all facility persons (including the director) to receive two hours of virtual training titled "Looking through the Lens of Stress as an Educator." This training must be conducted by a PQAS approved trainer. It does not matter if the PQAS approved training is obtained through the ELRC. Training must be approved by DHS.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: While at the facility unannounced on 9/5/24 the inspector observed the Fire Drill/ Detection log and found that the facility had not conducted manual tests of the smoke detector system every 30 days as is required. The inspector observed testing on 6/4/24 and not again until 7/3/24 and no additional testing since 7/31/24.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training topics. Staff # 2 completed this training on 9/5/23.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10).

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff # 1 completed mandated reporter training on 10/10/23.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services).

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire drill log was conducted. Per regulation, fire drills are to occur at least every 60 days. The following drill did not occur at least every 60 days: 7/5/23 - 9/5/23.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire system testing log was conducted. Per regulation, the fire safety system is to be tested at least every 30 days. The following tests did not occur at least every 30 days: 3/2/23 - 4/2/23 8/4/23 - 9/5/23.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced inspection occurred at the facility and a review of staff files was conducted. Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics

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 # 1 will have until 3/30/23 to complete the required training. Until such time as the required training has been completed, staff person # 1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person # 1, staff person # 1 may not work in a child-care position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection occurred. A review of staff files was conducted. Staff files # 3 and # 4 were missing two letters of written reference.

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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person # 1 and # 2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR.

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 # 1 and # 2 will have until 11/16/22 to complete the required training. Until such time as the required training has been completed, staff person # 1 and # 2 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person # 1 and # 2, staff person # 1 and # 2 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: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire for the following staff. Staff # 3 was hired incorrectly as a provisional hire. The file did not contain documentation that the NSOR clearance was applied for before working in a childcare position at the facility.

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 # 3 may not work in a childcare position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had a date of hire of 8/3/21 and at the time of this inspection, this staff's file was missing one letter of written reference.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 2 had a state police clearance dated for 1/12/15 and this clearance was not updated until 1/14/20, and mandated reporter training dated for 6/30/15 and this training was not updated until 7/5/20. Staff # 3 had a state police 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. The CPSL requires all clearances and mandated reporter training to be updated every 60 months.

Noncompliance Area: Child #1 has liquid Tylenol being stored at the facility that expired on 4/19

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: Existing staff do not have annual fire safety training that was received within the past year

Correction Required: Staff persons shall participate, at least annually, in firesafety 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.

Noncompliance Area: There is hand sanitizer accessible on a shelf in the school-age 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: The mulch around the embedded equipment located in the outdoor play space is less than the amount required by the CPSC, which is nine inches.

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: There are items ( i.e. pom-poms, bottle caps, counting bears and small pieces of paper in the play table) that are less than an inch in diameter accessible to children in toddler child care spaces. There are plastic bags located on a bathroom shelf located in the bathroom across from the main child care space and in the unlocked plastic cabinet located in the toddler/preschool room.

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 styro-foam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: During inspection Cert rep. observed a mattress in a crib labeled for child #1 that did not fit properly into the crib. The mattress appeared to be a few inches shorter than the crib creating a gap, which creates a potential safety hazard.

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 file #2 does not have an emergency contact form on file that has been updated within the last six months

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: Child #3, an infant, does not have a written feeding schedule provided by the parent on file at facility

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: Facility persons #1 and 2 do not have documentation on file to verify child care experience (1250 hours) to qualify for their current positions

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

Noncompliance Area: Facility person #7 does not have documentation on file to show that emergency plan training was received at time of hire

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: Facility person #3 does not have documentation on file requesting a PA Child Abuse Clearance or documentation of being fingerprinted for an FBI clearance prior to start date. All clearances are now on file. Facility person #4 has a date of hire listed as 9/17/18 and did not request the PA Criminal Clearance until 10/15/18. All clearances are now on file. Facility person #5 has a date of hire listed as 3/12/18 but was not fingerprinted for the FBI clearance until 3/14/18. An FBI clearance is currently not on file and facility person #5 must be removed from child care service. Facility person #6 has a date of hire listed as 10/9/18 and records show that the PA Child Abuse was not requested until 10/17/18. Facility person #6 is still within the 90 day provisional hire period.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 may not work in a child care position at the facility.

Noncompliance Area: The first-aid kit located in the older toddler/ preschool room does not contain soap

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: Child files #4 and 5 do not have the parents complete work information listed on the emergency contact forms

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

Noncompliance Area: Child files #1, 2, 3 and 4 do not have the addresses of release persons listed on the emergency contact forms

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: Facility person #3 does not have documentation on file of having completed high school to qualify for current position

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

Noncompliance Area: Facility person #2 has only one written reference on file

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

Noncompliance Area: The fire safety training that staff received was watching a video and the training was not conducted by a fire protection professional

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.

Noncompliance Area: Facility person #1 has a date of hire listed as 2/7/17 and does not have documentation on file to verify that mandated reporter training has been completed within 90 days from date of hire. Facility person #3 has the certification page on file of the PA criminal clearance and does not have the certified copy of the clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 may not work in a child care position at the facility until the PA criminal clearance is on file

Noncompliance Area: The first-aid kit in the preschool room is missing gloves. The first-aid kit in the older toddler room is missing soap.

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: There are areas of peeling paint located on the trim of yellow painted wall and the purple and blue shelves in the toddler room

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

Noncompliance Area: There are portable heaters located in child care spaces

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: There is a fixed heater at the facility but the operator does not have approval on file from a fire safety professional

Correction Required: A fixed space heater shall be approved for use by a local fire safety professional. Written approval of the installation and written approval for use shall be on file at the facility.

Noncompliance Area: OBSERVED AN EPINEPHINE AUTO-INJECTOR IN AN EPI-PEN JR BOX. THE RX LABEL ON THE BOX WAS FOR AN EPI-PEN JR AND THE BOX WAS MARKED WITH AN EXPIRATION DATE OF DEC 2016. THE AUTO-INJECTOR WAS NOT AN EPI-PEN JR THEREFORE THE INSTRUCTIONS AND NAME ON THE RX LABEL DID NOT MATCH THE MEDICATION. THE AUTO-INJECTOR DID NOT HAVE THE CHILD'S NAME ON IT.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. 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.