Tiny Fingers Tiny Toes Early Childcare Academy

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

A daily schedule was not posted in the front infant room or in the back room for older toddlers. (CORRECTED ON-SITE)

Corrected by Sep 11, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #10 must be removed from childcare position by close of business [effective 9.12.25]. All required clearances must be obtained before staff person#10 may resume a childcare position.

For facility personnel #1, the NSOR (National Sex Offender Registry) verification results were found, dated February 18, 2020, and June 9, 2025, which exceed the 60-month timeframe for updates. Facility personnel #10's file did not include the required out-of-state child abuse clearances while observed working in direct and routine care of children.

Corrected by Sep 12, 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.

During the observation on September 10, 2025, in the front infant room, some particles of drywall material were found on the floor. Additionally, a metal electrical fixture with exposed metal edges was accessible to children in the back infant room. Lastly, the exit overhead structure by the lower-level exit had several large pieces of building materials (stone) on the ground.

Corrected by Nov 14, 2025

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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.

Peeling paint was observed on the left side of the room, near the entrance in the front infant room.

Corrected by Nov 1, 2025

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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 refrigerator in the School Age room did not contain a thermometer. (CORRECTED ON-SITE).

Corrected by Sep 11, 2025

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3270.112 · Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

The front infant room had limited stimulation, with few items and interaction available to engage the infants.

Corrected by Sep 12, 2025

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3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

Upon inspection of children's files, it was found that for Child #4, the agreement form did not include a fee amount.

Corrected by Sep 12, 2025

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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).

Upon review of child files, it was found that for child # 10 did not include a (CSR) Child Service Report.

Corrected by Sep 11, 2025

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3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Upon inspection of children's files, it was found that for Child #10 that the emergency contact form had missing complete address information for the child.

Corrected by Sep 12, 2025

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3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Upon inspection of children's files, it was found that for Child #6 that the emergency contact form was missing/incomplete information for the physician / medical care.

Corrected by Sep 12, 2025

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Upon inspection of children's files, it was found that for Child #7 and Child #8 the emergency contact form did not include complete parent home address information and Child #6 was missing the parent work phone number.

Corrected by Sep 11, 2025

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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.

Upon inspection of children's files, it was found that for Child #1, Child #4, Child #6, Child #7, Child #8 and child #9 the emergency contact form was missing the release person's complete address information.

Corrected by Sep 12, 2025

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3270.182(8) · 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.

Upon review of child files, the agreement form for child # 7 was original agreement.

Corrected by Sep 12, 2025

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3270.74 · 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.

It was observed that in the indoor 'running room' gross motor play space across of middle SA classroom space on the 1st floor just across from the infant rooms, emergency telephone numbers posting was missing.

Corrected by Sep 18, 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.

It was observed that the carpet in the toddler room back was frayed about 16 feet along two edges. (CORRECTED ON SITE). There were 4 carpet tile squares in the first floor PS room to the far right of the hallway that were worn down and frayed along the edges.

Corrected by Sep 18, 2024

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3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff person #2 did not contain two written references attesting to the person's suitability to serve as a facility person.

Corrected by Sep 20, 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.

Upon inspection of smoke detection testing dates on file, the director and/or designee facility person #1 tested the smoke detectors on 12/4/23 and then again on 1/7/24 (34 days), and again 4/3/2024 and then again 5/4/2024 (31 days) which is greater than the allowable 30 days between testing dates.

Corrected by Sep 30, 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 file for staff person # 8 (alone with children) did not contain a health and safety update. The file for staff person # 5 contained a health and safety update dated 7.21.2023 after the prescribed timeframe of 12.31.2022. The file for staff person #12 contained a health and safety update dated 1.6.2023 after the prescribed timeframe of 12.31.2022.The file for staff person #13 contained a health and safety update dated 5.12.2023 after the prescribed timeframe of 12.31.2022.

Corrected by Sep 28, 2023

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3270.64 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

It was observed that, the exit stair way leading out of the school age room in the basement contained over an 1inch of still water due to a drainage.

Corrected by Sep 15, 2023

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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.

It was observed that, in the Preschool middle room on main floor childcare space on a craft table, that a bag of hot glue gun sticks (keep out of reach of children) was accessible to children (corrected during inspection).

Corrected by Sep 11, 2023

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3270.75(a) · A first-aid kit shall be in a child care space.

It was observed that, in the toddler back room on main floor childcare space did not contain a first aid kit. (corrected on site)

Corrected by Sep 11, 2023

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3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The file for Child #5 contained an agreement form that did not include a fee amount.

Corrected by Sep 12, 2023

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3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for child #10 did not include written verification of immunizations within 60 days of enrollment. This is evidenced by the health report dated 6.21.2023.

Corrected by Sep 11, 2023

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3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The file for Child #1, Child #6, and Child # 10 contained a parent exemption letter that did not include a date.

Corrected by Sep 12, 2023

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3270.94(a)(1)/3270.95(b) · 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

It was observed that fire drills were not conducted at least once every 60 days. Staff person # 2 documented fire drills at the facility occurred on 1/2/2023 to 3/5/2023 and 4/20/2023 to 6/18/2023.

Corrected by Sep 11, 2023

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

The file for Facility Person #2 contained a mandated reporter training after 90 days of hire . The training on file was dated 3/15/22.

Corrected by Sep 20, 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.

It was observed that in the PreK classroom that 3 carpet tiles were frayed. It was observed that in the lower level toddler room that had visible cracks in the glass window above the wooden counter top. It was observed in the 1st first toddler room and lower level toddler room across from kitchen had water stains on ceiling tiles.

Corrected by Oct 4, 2022

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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.

In the toddler classroom, staff #1 could not identify children in their primary care group.

Corrected by Oct 4, 2022

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3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

The operator did not provide telephone notice to the regional office within 24 hours when a child received emergency room treatment due to an injury that occurred at the facility.

Corrected by Oct 25, 2021

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3270.20(b) · The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department

The operator did not provide a written report to regional office within 72 hours when a child received emergency room treatment due to an injury that occurred at the facility.

Corrected by Oct 5, 2021

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3270.182(7) · 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.

It was observed that the file of Child #1 did not contain a report of accidents and injuries involving the child while in care at the facility on Friday 9/24/2021.

Corrected by Oct 5, 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.

In the outdoor play space, the HVAC systems were mounted to the wall and protruding at the head height of preschool children which pose visible hazard. There were also several rubber floor tiles piled in corner section of the outdoor play space that created a tripping hazard to children.

Corrected by Oct 15, 2021

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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.

It was observed that heating pipes and water pipes were exposed in the "L" shaped classroom and posed a hazard.

Corrected by Nov 13, 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.

The following hazards were observed in the lower-level school age classroom: A circular saw, 5 gallon joint compound container, a metal cutting saw, and 6 sheets of Drywall were located on tables and floors. Floor tiles were missing by the base of the heating unit. Light switch and electric socket face plates were missing. The following hazards were observed in the "L" shaped room: Floor tiles and/or carpet was missing on the left side of the room leaving a rough floor surface area approximately 30'x15' in size. Electrical wire was dangling on the wall by wooden storage unit. The rear wall to the right of the "L" shaped room was damaged and wooden building materials were exposed.

Corrected by Nov 13, 2021

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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.

It was observed that plaster in the school age and "L" shaped classrooms was rough and not finished.

Corrected by Nov 13, 2021

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3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

In the Preschool 2 Room, there was a hole/gap of more than 3 inches in diameter and 5-6 inches in length by the base of the toilet areas (adjacent to the left of wall when facing the toilet).

Corrected by Sep 15, 2021

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3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

It was observed that the letter of exemption on file for child # 5 did not include exemption for religious belief or strong personal objection equated to a religious belief written, signed and dated from the child's parent or guardian.

Corrected by Nov 4, 2021

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