Lil Tykes Day Care Center

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

Description: Age and Training

Noncompliance Area: The files for Staff Persons #2 and #3 contained documentation of pediatric first aid/CPR training that was not renewed prior to the expiration date of the most recent certification. Staff Person #2: 12/5/23 and 1/20/26. Staff Person #3: 5/9/24 and 1/20/26. The files are now current.

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.

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

Description: Fire safety - 1 yr.

Noncompliance Area: The files for Staff Persons #2 and #3 contained documentation of fire safety training that was not renewed prior to the expiration date of the most recent certification. The files are now current.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 lacked documentation of NSOR clearance results prior to their first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #4 contained documentation of PA Child Abuse clearance results dated 11/12/25 but were Volunteer purposes.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #1 and #4 may not work in a child care position at the facility.

Regulation: 3270.182(7)

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

Noncompliance Area: An incident report was not written for child #1 on 8/1/25 when the incident that caused a mark on the child's face occurred. An incident report was not written for the incident until 8/6/25 when the child's parent asked for a written report.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/25/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person/facility person/volunteer #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: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The two most recent health reports in the file for Child #1, who is a young toddler, are dated more than 6 months apart: 5/21/24 and 1/28/25.

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

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 two most recent health assessments in the file for Staff Person #1 are dated more than 24 months apart: 12/5/22 and 1/30/25.

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)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment in the file for Staff Person #4 did not include documentation of 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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The two most recent fire safety trainings in the file for Staff Person #3 are dated more than 12 months apart: 6/14/23 and 1/15/25.

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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The files for Staff Persons #1 and #2 were observed to contain documentation of PA Child Abuse Clearances that were not renewed before the expiration date of the most current certification. Staff Person #1: 2/3/20 and 2/15/25. Staff Person #2: 8/12/19 and 9/25/24.

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

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for facility person #2 lacked the physician's assessment of the staff person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #1 lacked documentation of Child Abuse and Neglect, Sex Offender, and Criminal clearance results from the state of Texas where the facility person resided in the 5 years prior to employment prior to date of hire (See IS CODE SHEET) required for provisional hiring under CPSL. The file for facility person #1 lacked documentation of valid PA FBI clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The file for facility person #2 lacked documentation of valid PA FBI clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The PA FBI clearance results on file for facility person #2 were obtained through the Department of Education.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #1 and #2 shall be removed from care effective close of business 7/12/23.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: The mats used for rest equipment for toddler age children receiving care in the Infant room were observed to be ripped.

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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: In the PreK Front room, emergency contact information was not present where 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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The files for children #1 and #2 lacked documentation of the yearly Influenza shot that is recommended by the ACIP for the year 2022 with no letter of exemption on file.

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 child care group settings).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 was observed to have documentation of PA Criminal History Clearance, PA Child Abuse Clearance and FBI Clearance results that were not renewed before the expiration date of the most current certification: PA Criminal History Clearance 9/7/17 and 12/6/22, PA Child Abuse 9/20/17 and 12/8/22, FBI 9/22/17 and 11/3/22.

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

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An outlet power strip on a children's table in the PreK Front room was observed to lack one protective receptacle cover and was accessible to children 5 years of age or younger.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A large area rug in the PS room near the bathroom was observed to be fraying and curling up on the corner causing a potential tripping hazard.

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.

Noncompliance Area: In the 3 year old classroom a green number leap pad was observed to be cracked along the handle exposing the children in care to rough edges and sharp corners.

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: The emergency contact form on file for child #2 was observed not to contain documentation of the address 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: The emergency contact form on file for children #1, #2, #3, #4, #5 and #6 were observed not to contain complete contact information including home and work information for the enrolling parent of each child.

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

Noncompliance Area: The health report on file for child #3 an older toddler aged child was observed not to contain documentation of a health report obtained every 6 months prior to the child turning 2. This is evidenced by the child turning 2 in October of 2018 and the most recently dated health report on file being dated 4/19/2018.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The immunization record on file for children #1, #2, #3, #4 and #5 were observed not to be complete in accordance to the recommendations of the ACIP. This is evidenced by each immunization record on file for each child not containing documentation of each child receiving an influenza vaccination within the last 12 months. Also, the immunization record on file for child #3 was observed not to contain documentation of child #3 receiving a second dose of the Hepatitis A vaccination as recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The file for staff person #1 who was classified as an assistant group supervisor was observed not to contain documentation of education on file to qualify her to work in this capacity.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: The file for staff person #1 who was working observed working in the capacity of an assistant group supervisor was observed not to contain documentation of education on file to qualify him or her to work in this position.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

Noncompliance Area: In the pre k room a large bookshelf greater than 6 feet tall was observed not to be secured to the wall creating a falling hazard to the children in care.

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

Noncompliance Area: The emergency contact form on file for child #1 was observed not to contain documentation of complete work information for the enrolling parents work.

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

Noncompliance Area: The emergency contact form on file for child #2 was observed not to contain documentation of complete health insurance information.

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.

Noncompliance Area: The file for staff person #1 was observed to have on file documentation of mandated reporter training being obtained after staff person #1's first 90 days of employment at the child care 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.

Noncompliance Area: The agreement for Child #3 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.

Noncompliance Area: Emergency Contact information was not provided for Child #3 as required.

Correction Required: Emergency contact information is required for each enrolled child.

Noncompliance Area: Emergency contact information for Child #2 and #4 did not include 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: An initial health report was not provided by the parent for Child #2 within 60 days following their first day of attendance at the facility as required.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: There were animal crackers in the Preschool Room with an expiration date of 2/9/17.

Correction Required: Food stored shall be free from spoilage and safe for human consumption.

Noncompliance Area: There was a bottle in the Infant Room that was not labeled with a child's name.

Correction Required: Bottles shall be labeled with the child's name.

Noncompliance Area: A parent did not review and update the the emergency contact information and the financial agreement at least once in a 6-month period for Child #1 and #5 as required.

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.