Little Footprints Christian Day Care

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Certification representative conducted a renewal inspection. At the time of inspection there were several torn mats in the prek and toddler classroom. (Corrected on site).

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #1 did not include health insurance coverage or insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #1 did not include the release persons address.

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: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Certification representative conducted a renewal inspection. The facility did not have current documentation that the local traffic safety authorities were notified in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #3 did not have a total of 12 clos hours of childcare training.

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

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #3 did not include the required pediatric first aid training.

Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #1, #2, #3, #4 and #5 did not include the required updated disclosure statement.

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 #1, #2, #3, #4 and #5 may not work in a child care position at the facility.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Certification representative conducted a renewal inspection. The fee agreement for child #2 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Certification representative conducted a renewal inspection. The emergency contact for child #1 did not include the name and telephone number 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Certification representative conducted a renewal inspection. The emergency contact for child #1 and #2 did not include the name, address and telephone number 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: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: Certification representative conducted a renewal inspection. The health assessment for staff person #1 did not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #1 did not include NSOR clearance or FBI fingerprinting.

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

Regulation: 3270.76/3270.104(a)

Description: Building Surfaces/Clean, good repair, proper size

Noncompliance Area: Certification representative conducted a renewal inspection. There were loose baby gates throughout the infant room that were leaning, falling and unsafe for the children.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Certification representative completed a renewal inspection. The facility was out of ratio in the morning between the hours of 6:30am-8am, one teacher working with 8 children the youngest was an infant.

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 in § 3270.51 (relating to similar age level).

Regulation: 3270.19(b)/3270.19(c)

Description: Child abuse reporting/Submit report - 48 hours

Noncompliance Area: On September 20, 2024, certification representative conducted a complaint investigation. It was discovered that staff #1 did not notify the department CPS unit within 48 hours regarding the suspected child abuse.

Correction Required: A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. Within 48 hours, a written report regarding the suspected child abuse shall be submitted by the operator or designated staff person to the CPS unit which has responsibility for investigating the report.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. At the time of inspection, the infant cribs had less then 2 feet of space between them on three sides. In addition, (during nap time) the cots in classroom #1 also had less then 2 feet of space between them on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The fee agreement for child #5 and #7 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.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The record for child #4 and #5 did not include an updated developmental assessment.

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).

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The record for children #1 and #6 did not include a fee agreement to specify the date of the child's admission.

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)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The emergency contact form for child #4 did not include the address of the child's physician or the health insurance policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The record for child #4 did not include an updated health assessment.

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.

Regulation: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. At the time of inspection, staff person #5 did not wash child #2 or child #3 hands after diaper changing.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The facility did not have a written policy to address strategies for coping with crying fussy children or prevention and identification of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. There were bottles and sippy cups located in the infant and toddler classrooms that were not labeled with children names. (Corrected on site).

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

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The facility did not send an annual letter to the local traffic safety authorities about the program's use of pedestrian and vehicular routes.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.171(b)/3270.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The facility pick-up and drop off procedures were not posted in a conspicuous location used by parents.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.172(a)

Description: Written parental consent

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. Children who are transported by the facility staff did not have written parental consent on file for transportation to and from school.

Correction Required: Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The facilities emergency plan did not include a Lock-down plan.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The current emergency plan did not have accommodations for infants, toddlers, children with disabilities, or children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The emergency plan posted at the facility had not been updated in the last 12 months.

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 and kept on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have emergency plan training for staff person #1, #2, #3, #4 or #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.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The facility emergency plan had not been sent to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.31(e)(4)(i)/3270.31(f)(10)

Description: Age and Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The record for staff person #1, #2, #3, #4 and #5 did not include pediatric First Aid/CPR training by an approved PQAS instructor.

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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. The record for staff person #3, #4 and #5 did not include a written evaluation conducted within the last 12 months.

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

Regulation: 3270.34(a)/3270.34(a)(3)

Description: Director responsibilities/Responsible designee

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. At the start of inspection, the director was not on site and the facility was operating without a deigned responsible person in charge. In addition, halfway through the inspection, the director left the facility to pick children up from school and again the facility was operating without a deigned responsible person in charge.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director's absence.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. At the start of inspection, staff person #1 and #3 were working together with 10 children (the youngest being younger toddlers). Staff person #1 took 4 children to the diaper changing room leaving staff person #3 out of ratio with 6 children (some being young toddlers).

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.55(a)/3270.61(h)

Description: Toddler and preschool children/Exceeding Capacity

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. At nap time, in classroom #1 there were 11 children (a mixture of younger and older toddlers) napping in the same classroom. Classroom #1 has been measured and should not exceed the capacity of 9 children.

Correction Required: The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. The capacity established for an indoor space may not be exceeded.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. At the time of inspection, there was toxic (keep out of reach of children) hand soaps on lower sinks in changing room and bathrooms.

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: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. At the time of inspection, the facility did not have telephone numbers of the nearest hospital, police department, fire department, ambulance or poison control center posted by each telephone in the facility.

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.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. At the time of inspection, there were two first aid kits (accessible to children) located on a sitting bench at the entrance of the facility.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. Written hand washing signs were not posted at each toilet or sink throughout bathroom #1, #2 or in the diaper changing room.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On April 17, 2024, certification representative conducted a renewal inspection. There was no documentation showing that the fire alarm system is being checked 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)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.51/3270.113(a)(1)

Description: Similar Age Level/Staff assigned to specific children

Noncompliance Area: On October 31, 2023, certification representative conducted a complaint investigation. At the time of this inspection, staff person #1 continued to leave staff person #2 out of ratio working with 10 young toddlers alone. Staff person #1 would leave the classroom to open the door for parents and leave the toddler classroom out of ratio as she took other children to various classrooms.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On October 31, 2023, certification representative conducted a complaint investigation. At the time of this inspection, there were two electrical outlets uncovered located on the lower wall of the hallway. (Corrected on site).

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: ON APRIL 5, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF NSOR CLEARANCE

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