Little Squirts U

3270.14/3270.21 · 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. Until such time as the required pre- service trainings are completed, staff person #1 and #7 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 and #7, staff persons #1 and #7 may not work in a child-care position at the facility.

Staff person #1 and #7 were observed to be caring for children unsupervised. Staff person #1 and #7 files contained Health and Safety Training that was deemed unacceptable due to the date it was obtained and therefore have not completed the following acceptable pre- service training required prior to caring for children unsupervised: (Health and Safety Training).

Corrected by Apr 27, 2026

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3270.32(a)/3270.192(4) · 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 #5 may not work in a childcare position at the facility.

The files for Staff #2 and #4 contained a current National Sex Offender Registry Certificate at the time of Renewal Inspection, it was observed that Staff #2 and #4 did not obtain a National Sex Offender Registry Certificate within 60 months of the previous clearance. The file for Staff #5 contained an incomplete PA State Police Clearance.

Corrected by Mar 26, 2026

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit located in the Preschool Room lacked tweezers.

Corrected by Apr 16, 2026

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3270.76 · 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.

Multiple pieces of broken glass were observed in the Toddler Grassy Play Space posing a cutting hazard to the children in care.

Corrected by Apr 16, 2026

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3270.123(a)(3) · 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).

The file for Child #2 contained child service reports that provide information to the family about the child's growth and development in the context of the services being provided dated more than 6 months apart.

Corrected by Mar 18, 2026

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The file for Child #1, a Preschool Aged Child, contained Health Reports that had been updated in an interval greater than 12 months (3/28/25-4/1/26).

Corrected by Apr 17, 2026

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3270.151(a) · 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.

The file for Staff #3 contained a health assessment that was conducted more than 24 months after the previous assessment. The file for Staff #6 lacked a Health Assessment.

Corrected by Apr 16, 2026

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3270.151(c)(2) · 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.

The file for Staff #6 lacked documentation of TB screening by the Mantoux method.

Corrected by Apr 28, 2026

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3270.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Until such time as the required training has been completed, staff person #1 and #7 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 and #7, staff persons #1 and #7 may not work in a child-care position at the facility.

The file for Staff #1 and #7 contained Health and Safety Training that was deemed unacceptable due to the date that it was obtained.

Corrected by Apr 17, 2026

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3270.76 · 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.

Prickly weeds were observed inside the fence along the walkway to the outdoor play space; and the vinyl siding along the bottom of the building was protruding from the surface of the building, which posed a potential hazard to children using the outdoor play space.

Corrected by Sep 15, 2025

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3270.27(a)(1) · 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.

The facility's emergency plan did not provide for accommodations for shelter in place of children during an emergency.

Corrected by May 14, 2025

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3270.14/3270.21 · 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.

The facility's Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment policy did not address the prevention and identification of child maltreatment.

Corrected by May 14, 2025

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3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The facility's emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected by May 14, 2025

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3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's emergency plan did not provide for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected by May 14, 2025

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3270.27(e) · 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.

The parent letter did not include their plan for a lockdown; a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises; and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected by May 14, 2025

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3270.32(a)/3270.192(4) · 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 may not work in a child care position at the facility.

The record for staff #1 lacked a child abuse clearance; and included a current FBI clearance obtained following their first day working in child care position.

Corrected by May 2, 2025

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3270.71 · 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.

The temperature of the black edging that was used to keep mulch inside the area with embedded play equipment in the large outdoor play space was 130° F.

Corrected by May 13, 2025

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3270.76 · 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.

The following hazards were observed in areas accessible to children in care: a sharp metal bracket was protruding out from the back building into the walkway used by children to access the outdoor play spaces; and a PVC electrical conduit pipe came loose and was hanging freely on the side of the building in the large outdoor play space.

Corrected by May 13, 2025

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3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

The sinks in the infant and toddler rooms were not at proper heights for the children using them or easily approached by means of platforms or steps.

Corrected by May 2, 2025

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

A written plan of daily activities was not posted in the infant room.

Corrected by Apr 30, 2025

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3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Based on a conversation with staff, the facility retained the original agreement for all enrolled children.

Corrected by May 15, 2025

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by May 15, 2025

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3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facility's emergency plan did not provide for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

Corrected by May 14, 2025

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3270.14/3270.21 · 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.

The facility's policy to identify the Prevention of Shaken Baby Syndrome lacked the Child Maltreatment statement.

Corrected by Apr 16, 2024

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3270.27(b) · 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.

The facility's emergency plan last review updated documentation was dated 12/5/22.

Corrected by Apr 17, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for staff # 4 contained a current FBI clearance dated 8/11/21, that was not renewed within 60 months of the prior FBI clearance dated 5/25/16.

Corrected by Apr 16, 2024

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3270.76 · 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.

There was a broken Light cover in the YT room. The light is close to the changing table.

Corrected by Apr 23, 2024

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3270.102(a) · 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.

There was a cracked plastic basketball hook in the preschool playground. There were two cracked plastic bins in the preschool room.

Corrected by Apr 16, 2024

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3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for children # 1,2,3,4 and 5 contained the original agreement form.

Corrected by Apr 16, 2024

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3270.151(a) · 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.

The file for staff # 1 contained a current health assessment dated 3/28/23. It was not obtained within 24 months of the previous assessment dated 2/8/21. The file for staff # 3 contained a current health assessment dated 11/15/22. It was not obtained within 24 months of the previous assessment dated 10/28/20.

Corrected by Apr 16, 2024

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3270.27(f) · 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.

A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.

Corrected by Apr 16, 2024

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3270.14/3270.21 · 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.

The facility emergency plan lacked the updates regarding the Continuity of Operations requirements.

Corrected by Apr 24, 2023

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file for staff # 2 contained a current Health and Safety Updated training dated 3/7/23, that was not completed by 12/30/22. The file for staff # 3 contained a current Health and Safety Updated training dated 2/26/23, that was not completed by 12/30/22.

Corrected by Apr 24, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for staff #1 contained a current FBI clearance dated 8/11/21, that was not renewed within 60 months of the prior FBI clearance dated 5/25/16. The file for staff #2 contained a current Child Abuse clearance dated 1/29/21, that was not renewed within 60 months of the prior FBI clearance dated 12/3/15. The file for staff #3 contained a current FBI clearance dated 3/28/22, that was not renewed within 60 months of the prior FBI clearance dated 10/18/16. The file for staff # 3 contained a current Child Abuse clearance dated 3/30/23, that was not renewed within 60 months of the prior FBI clearance dated 11/17/16. The file for staff # 3 contained a current mandated reporter training certificate dated 3/27/22 that was not obtained within 60 months of the previous certificate dated 10/18/16.

Corrected by Apr 24, 2023

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for staff # 3 lacked 5 out of 12 required hours of annual childcare training, from 12/19/21 to 12/19/22.

Corrected by Apr 24, 2023

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3270.76 · 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.

The toddler's playground grass has not been trimmed. There were snack wrappers on the ground. The bottom of the right-side wall siting by the young toddler room on the way out to the playground was chipped and detached creating a sharp edge. The left side of the siding wall frame was cracked and has two holes creating a cutting hazard accessible to children.

Corrected by Apr 24, 2023

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3270.102(a) · 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.

There was a cracked red sand toy in the preschool playground.

Corrected by Apr 24, 2023

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3270.114 · Weather permitting, children shall be taken out doors daily.

Based on staff statements, the children were not taken outdoors daily, weather permitting.

Corrected by Apr 24, 2023

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

The facility lacked written parental consent for administration of a nonprescribed medication, Lotrimin, for child #1.

Corrected by Apr 24, 2023

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3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

The operator was not maintaining a medication log for a nonprescription medication, Lotrimin for child #1.

Corrected by Apr 24, 2023

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3270.151(a) · 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.

The file for staff #1 contained a current health assessment dated 3/14/23. It was not obtained within 24 months of the previous assessment dated 3/11/21. The file for staff #2 contained a current health assessment dated 3/7/23. It was not obtained within 24 months of the previous assessment dated 2/25/21. The file for staff #3 contained a current health assessment dated 4/23/21. It was not obtained within 24 months of the previous assessment dated 12/2/18.

Corrected by Apr 24, 2023

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3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

There was a string cheese in a plastic bin on top of the toy shelf.

Corrected by Apr 24, 2023

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

The was a green wood frog with peeling paint accessible to the children in care in the young toddler room.

Corrected by May 9, 2022

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3270.76 · 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.

There was fencing metal wire pulling from the fence creating poking scraping hazard for the children in care.

Corrected by May 9, 2022

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3270.102(a) · 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.

There was 2 cracked bins in the preschool room, one was holding books and the other was holding lasing toy. There was a pink scooter with a crack on the back wheel plastic cover in the preschool playground.

Corrected by May 9, 2022

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file for child #1 lacked the child's health insurance coverage and policy number on the emergency contact form.

Corrected by May 9, 2022

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3270.124(b)(7) · 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.

The files for child #1 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected by May 9, 2022

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3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The file for child #3 lacked the date and signature of the physician, physician's assistant or a CRNP on the health report.

Corrected by May 9, 2022

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected by May 9, 2022

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility lacked an annual emergency drill log.

Corrected by May 9, 2022

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3270.94(a)(1) · 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.

According to the fire drill log, there has not been a fire drill conducted within the past 60 days. 6/9/21-8/9/21 - 8/9/21-10/11/21 and 10/11/21-12/13/21.

Corrected by May 9, 2022

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3270.95(a)/3270.95(b) · 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.

The operator was maintaining a written log for testing the fire detection system that passed 30 days. The provider lacked proof of purchase for the smoke detectors.

Corrected by May 12, 2022

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3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The information on how to access the regulations electronically was not provided to the parents of each enrolled child.

Corrected by Apr 5, 2022

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3270.27(a)(1) · 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.

The emergency plan lacked lock-down during an emergency at the facility.

Corrected by May 9, 2022

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for staff #1 and 2 lacked 6 training hours from the 12 clock hours of child care training. Staff #1 and # 2 have 6 child care training hours for the year 2021.Staff #1 and #2 have 12 child care training hours for the year 2022.

Corrected by May 9, 2022

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