Little Hands Child Care Center

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff #1 had documentation of the NSOR clearance after their start date due to the fact it was dated 8-21-25 (see LIS sheet).

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. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on the fire drill log, fire drills occurred more than 60 days apart on the following dates: 10-8-25 to 12-2-25 = 62 days.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #1 had an emergency contact form that lacked the full complete 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.

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

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

Noncompliance Area: The files of staff #1 and #2 had Mandated Reporter training completed more than 60 months apart due to the fact they were dated 2-19-25 and 1-21-20 (staff #1); 2-18-25 and 1-23-20 (staff #2).

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. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on the testing log, the smoke detection system was tested more than 30 days apart due to the fact it was tested 3-7-25 and 4-7-25 which is 31 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)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Observed in the preschool room, bitemarks on 2 foam wood patterned blocks and on 2 road puzzle pieces.

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.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: At the time of reviewing the file, the file of child #1 lacked an initial health assessment.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on the smoke detection testing log, the smoke detection system was not tested every 30 days on the following dates: 1-15-24 to 2-15-24 = 31 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)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The facility file lacked verification that the operator provided the parent of each enrolled child a letter explaining the emergency procedures and a letter explaining any subsequent update to the plan.

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

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: In the Young toddler room, observed Orajel which lacked 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

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)/3270.192(3)

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

Noncompliance Area: The initial health assessment on file for staff #1 was not completed within 12 months prior to providing initial service in a child care setting. Health assessment is dated 8/12/22. SEE IS CODE SHEET.

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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The TB screening on file for staff #1 was not completed within 12 months prior to providing initial service in a child care setting. TB test result date is 8/15/22. SEE LIS CODE SHEET.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.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: 3270.21

Description: General Health and Safety

Noncompliance Area: In the preschool room, observed a pair of sharp scissors which were in a white bin and in reach of children. Thus, causing a threat to the health and safety of the children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the outside play space, observed one electrical outlet which lacked a protective receptacle cover. Children 5 years of age and younger play in this play space.

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

Noncompliance Area: In the Preschool Room, observed a child's table and chair set. The left side of the table top was no longer secured to the leg of the table. Thus, enabling the table top to be lifted from the leg.

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.

Noncompliance Area: On the left side building outdoor play space, observed a Step 2 Skyward Summit climbing apparatus. Manufacturer's instructions state that the product must only be used with anchor stakes in place and the fall height is 80 inches. Observed that the apparatus was not anchored to the ground. According to documentation on file, the left side building outdoor play space has JM Synthetic Grass playground safety surfacing which meets ASTM standards for a fall height of 8 feet. .

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 was more than six month between the previous and most current and updated health assessment on file for child #1, who was a young toddler at the time health assessments completed.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record shall contain initial and subsequent health reports.

Noncompliance Area: The emergency contact information on file for child #1 lacked the address of one of the individuals 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: The file for staff #1 lacked fire safety training within the past 12 months. The last fire safety training for staff #1 was 6-1-2018.

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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #1 lacked a staff evaluation within the past 12 months. The last staff evaluation for staff #1 was completed 3-26-2018.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: In the preschool room near the sink by the office and in older toddler room in the bathroom, observed two trash receptacles which lacked a plastic liner.

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

Noncompliance Area: In the older toddler room, observed two small areas of peeling paint the size of a dime. These were located near the "Quiet Area" sign by the baseboard.

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

Noncompliance Area: The facility's current certificate of compliance was not posted.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: In the toddler room, observed an unlocked desk drawer which contained 3 small bottles of hand sanitizer. The drawer was accessible to the children in care.

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: In the Preschool and toddler Outside Play Space, observed a plastic sand toy which had cracked exposing a pinch point.

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.

Noncompliance Area: In the infant room, observed a child's play house with a plastic covered bed. This bed which had a small rip in the corner exposing the inner foam. In the infant's Outside Play Space, observed a red car which the infant's can sit on. Various areas of the car had stickers which were starting to peel off.

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: The file for staff #1, with initial start date of 06-07-2003, contained a Child Abuse Clearance dated 06-19-2003 and then on 04-08-2016. The file for staff #2, with initial start date of 04-07-2008-, contained a Child Abuse Clearance on 06-19-2003 and then on 04-08-2016. The Child Abuse Clearances were required to be obtained by 12-31-2015.

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.

Noncompliance Area: In the Preschool Room, observed a small area in the corner of the room next to the table area where the paint had come off and the plaster was coming off the wall.

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

Noncompliance Area: Observed staff #2, who was changing a child's diaper, place a disposable soiled diaper on the changing table and continue to put a new diaper on the child. The soiled diaper was not discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The files for staff #3 and #4 lacked a health assessment at initial employment. There are current health assessments on file for staff #3 and #4.

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.

Noncompliance Area: The current health assessments on file for staff #1 and #2 lack an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

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.

Noncompliance Area: The child care facility lacked written notification of pick-up and drop-off points posted at a conspicious location.

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

Noncompliance Area: The emergency plan was not posted at a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: The file for staff #1, with hire date of 03-12-2015, lacked verification that mandated reporter training was completed within 90 days of hire. There is current mandated reporter training on file for staff #1 and dated 02-15-2017. The file for staff #3, with hire date of 10-24-2016, lacked verification that mandated reporter training was completed within 90 days of hire. There is current mandated reporter training on file for staff #3 and dated 01-25-2017.

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

Noncompliance Area: The file for staff #5, a provisional hire on 08-22-2016, lacked documentation of an application for the State Police Clearance on or before initial date in a child care position. There is a current State Police Clearance on file for staff #5.The file for staff #1, a provisional hire on 03-12-2015, lacked documentation of an application for the State Police Clearance, Child Abuse Clearance and FBI Clearances on or before initial date in a child care position. All current clearances are on file for staff #1. The file for staff #6, a provisional hire on 10-07-2014, lacked documenetation of an application for the State Police Clearance, Child Abuse Clearance, and FBI Clearance on or before initial date in a child care position. All current clearances are on file for staff #6.

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.

Noncompliance Area: Observed in the reading area of the preschool room, a pink pillow with torn edges exposing pillow stuffing.

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.

Noncompliance Area: Observed in the pre school room, medications not labeled for whom they were intended. The medications were as followed: liquid Equate acetaminophen, Equate Children's Cold and Cough, Equate acetaminophen tablets.

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.

Noncompliance Area: The files of staff #1 and #2 lacked clearances or proof that the clearances were requested prior to their start dates in child care.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.