Little Acorns Learning Center

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.

The disclosure statements in the files for Staff Person #1 and #2 were signed after the staff persons' first day working in child care. The fingerprint date for the FBI Clerance and NSOR Certificate in the file for Staff Person #1 were conducted after the staff person's first day working in child care (See LIS Code Sheet).

Corrected by Mar 10, 2026

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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 fire drill/fire system check log documents three times when fire system checks were conducted more than 30 days in between: 9/1-10/8, 11/3-12/5, 12/5-1/5.

Corrected by Mar 10, 2026

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3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Based on a self-report, staff interviews, and video footage review, the following noncompliance was verified: On 2/20/26 at 4:30 PM, Staff Person #1 was supervising six preschool children in the Great Oaks Play Area (outdoor play space). Staff Person #1 returned to the Great Oaks classroom with only five children, leaving Child #1 alone and unsupervised in the outdoor play space.

Corrected by Feb 21, 2026

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3270.113(a)(1) · 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.

Based on a self-report, staff interviews, and video footage review, the following noncompliance was verified: On 2/20/26 at 4:30 PM, Staff Person #1 was supervising six preschool children in the Great Oaks Play Area (outdoor play space). Staff Person #1 returned to the Great Oaks classroom with only five children and was not aware of Child #1's whereabouts, resulting in the child being left alone and unsupervised in the outdoor play space.

Corrected by Feb 21, 2026

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3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

The trash receptacles in the Great Oaks bathrooms did not contain plastic liners.

Corrected by Aug 21, 2025

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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 in the Great Oaks Room lacked gloves.

Corrected by Aug 21, 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.

Observed frayed, splintering wood, which creates a sharp edge, on the wooden post on the right side of the steps for the Great Oaks outdoor play area.

Corrected by Aug 21, 2025

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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 fire drill/fire system test log documents two occasions when fire system checks exceeded 30 days: 4/2/25-5/9/25 and 5/9/25-6/26/25.

Corrected by Aug 21, 2025

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3270.31(e)(4)(i) · 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.

The most recent Pediatric CPR/First Aid Certification in the file for Staff Person #3 was conducted after the previous certification had expired.

Corrected by Aug 30, 2024

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3270.51 · 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.

On 8/28/24 at approximately 9:30 AM, Staff Person #1 and #2 were in the Infant Room with 7 infants in care. When asked to identify the children for whom they were responsible, Staff Person #1 named five infants and Staff Person #2 named two infants.

Corrected by Aug 30, 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.

Observed two loose floorboards, which creates a potential tripping hazard, in the Infant Room.

Corrected by Aug 30, 2024

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3270.131(b)(1)/3270.182(1) · 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.

The most recent updated health reports in the file for Child #1, a young toddler, exceeded six months between reports.

Corrected by Aug 30, 2024

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3270.131(d)(5)/3270.131(e)(3) · 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). Child # 4 must be dismissed from care by close of business 8/28/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most recent immunization record in the file for Child #4 did not contain documentation of Hep A, Hep B, or MMR immunizations or a letter of exemption from the parent or physician.

Corrected by Aug 28, 2024

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3270.133(3) · 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.

Observed alcohol wipes in the first aid kits in the Saplings and Great Oaks Rooms that did not identify the name of the child for whom the medication was intended.

Corrected by Aug 28, 2024

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3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The most recent parent updates for the emergency contact forms and fee agreements in the files for Child #2, 3 and 4 exceeded 6 months between updates. The most recent parent updates for the emergency contact form in the file for Child #5 exceeded 6 months between updates.

Corrected by Aug 28, 2024

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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.

On the day of the renewal inspection (8/28/24) a fire system check had not been conducted/documented within the previous 30 days (7/7/24).

Corrected by Aug 28, 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's emergency plan did not include requirements for volunteer emergency preparedness training and practice drills to maintain compliance with 45 CFR § 98.41(a)(1)(vii)

Corrected by Jul 3, 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). 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 file for Staff Person #1, who has lived out of state during the past five years, did not include the necessary clearances for Arizona, the state in which Staff Person #1 resided.

Corrected by Jun 27, 2024

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3270.106(f) · 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.

On 6/12/24 at approximately 9:30 am, observed less than 2 feet of space on three sides of the Pack n Play, where Child #1 was sleeping.

Corrected by Jun 28, 2024

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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.

The most recent documented fire drill conducted at the facility was on 3/5/24, which was greater than 60 days before the day of the inspection: 6/12/24.

Corrected by Jun 28, 2024

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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 most recent documented fire system check was conducted on 3/5/24, which was greater than thirty days before the date of the inspection: 6/12/24.

Corrected by Jun 28, 2024

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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.

Although the parent handbook does include information regarding the facility emergency plan, a letter is not provided to parents.

Corrected by Aug 30, 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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for staff person #2, hire date (see IS code sheet) is lacking an NSOR verification within 45 days of hire as required under CPSL. The file does include a current NSOR verification. The file for staff person #3, hire date (see IS code sheet) is lacking verification of DHS FBI fingerprinting prior to start date in the child care facility. The file does contain a current FBI clearance.

Corrected by Aug 30, 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.

Observed that two of the posts on the large wooden climbing unit on the preschool playground are cracked and splintering posing a hazard to the children in play.

Corrected by Aug 30, 2023

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3270.103 · 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.

The discovery table in the Saplings room where older toddlers are in care contained uncooked rice and rigatoni noodles and yarn pompoms all less than 1inch in diameter and accessible to children still placing objects in their mouths.

Corrected by Aug 30, 2023

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3270.131(e)(1)/3270.131(e)(3) · 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. 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).

The files for child #1 and child #2, both preschool aged, are lacking documentation of an annual flu shot received during the 2022 year as required by the ACIP immunization schedule. Children #1 and #2 must be removed from care until documentation of a flu shot are received or an exemption letter.

Corrected by Aug 30, 2023

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3270.133(3) · 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.

Observed in the Saplings classroom Top Care Ibuprofen, Equate Acetaminophen, Mentholatum Vaporizing Rub and Equate Ibuprofen all lacking the name of the child for whom they are intended. Observed in the Sprouts classroom Equate pain reliever lacking the name of the child for whom it is intended.

Corrected by Aug 30, 2023

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3270.151(a)/3270.192(3) · 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.

The file for staff person #1 contains a current health assessment completed greater than 24 months after the previous health assessment. The file is now current.

Corrected by Aug 30, 2023

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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 fire alarm test log identified that the alarm tests conducted on 6/1/2023 and 7/12/2023 exceeded 30 days between tests.

Corrected by Aug 30, 2023

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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. Until such time as the required pre-service trainings are completed, staff persons #1,3,5 and 6 must be supervised, when interacting with children, by an AGS, GS or director who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1,3,5 and 6, staff person #1,3,5 and 6 may not work in a child-care position at the facility.

Staff persons # 1,3,5 and 6 were observed to be caring for children unsupervised. Staff person #1,3,5 and 6 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Topics #1-9.

Corrected by Aug 23, 2022

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 and #2 will have until 9/1/2022 to complete the required training. Until such time as the required training has been completed, staff person #1 and #2 must be supervised, when interacting with children, by an AGS, GS or director who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics #1-9. Staff #1 and #2 completed Health and Safety Basics prior to 9/30/2016 which is not an acceptable training.

Corrected by Aug 23, 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 file for child #3 is lacking addresses for 2 of the parent designated release persons.

Corrected by Aug 23, 2022

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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 #2, preschool aged, is lacking a health report completed during the previous 12 month period.

Corrected by Aug 25, 2022

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3270.131(a)/3270.182(1) · 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.

The file for child #1,preschool aged, is lacking a valid health report within 60 days of start date at the child care facility. The file does contain a current health assessment.

Corrected by Aug 23, 2022

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Observed adult scissors, which were accessible to children, in an unlocked drawer in the Great Oaks Room.

Corrected by Nov 8, 2021

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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.

The NSOR Form in the file for Staff Person #1 was dated 10/19/21. This was after the facility had received a Provisional Hire Waiver: 9/1/21.

Corrected by Nov 8, 2021

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Observed hand sanitizer, which was accessible to children, in an unlocked drawer in the Great Oaks Room.

Corrected by Nov 8, 2021

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerators in the Sprouts and Saplings Rooms lacked thermometers.

Corrected by Nov 8, 2021

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3270.131(e)(1)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The immunization record in the file for Child #1 did not contain documentation of a flu shot or a letter of exemption from the parent or physician.

Corrected by Nov 8, 2021

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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 first documented test of the facility's fire detection system was greater than 30 days after facility opened: 8/9/21-9/10/21. The most recent fire system tests exceeded 30 days between tests: 10/7/21-11/8/21.

Corrected by Nov 8, 2021

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3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

The two toddler outside play spaces, which were accessible to back woods and a creek, were not fenced. The Preschool play space, which faces an accessible main road, was not fenced.

Corrected by Jul 29, 2021

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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.

Observed gravel and tree branches in the Preschool outdoor play space.

Corrected by Jul 29, 2021

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