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Home › PA › Mount Pocono › Tiny Toes Learning Center Llc
1235 Pocono Blvd Ste 105, Mount Pocono PA 18344 · License #CER-00246637 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
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. Until such time as the required pre- service trainings are completed, staff #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 #1, staff #1 may not work in a child-care position at the facility.
An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff #1 has not completed the following required pre-service training prior to their current certification expiring on 10/19/25: pediatric first aid and CPR. Staff #1 was working in a child care role at the time of this inspection.
Corrected Corrected by Mar 9, 2026
Category: supervision. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
A renewal inspection occurred at the facility. A physical site review was conducted. Outlet covers were missing in the following room outlets: Grasshopper, Butterfly, girl's bathroom and boy's bathroom. These outlets were discussed with staff that needed the covers during the inspection.
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Corrected Corrected by Sep 30, 2025
Marked corrected in the state record.
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. Until such time as the required pre- service trainings are completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.
A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in updated training for pediatric first aid and CPR prior to the current certification expiring. The following staff did not participate in this training prior to the current certification expiring: Staff #2 (previous 3/25/23, no current).
Corrected Corrected by Oct 22, 2025
Category: supervision. Marked corrected in the state record.
3270.31(e)(4)(ii) · 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.
A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff #2 (current 10/1/25) and Staff #6 (previous 4/8/24, current 6/16/25).
Corrected Corrected by Sep 30, 2025
Category: recordkeeping. Marked corrected in the state record.
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 #3 and #4 may not work in a child care position with direct contact with children at the facility.
A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #3 was observed working in a child care role at the facility at the time of this inspection. Staff #3 did not apply for the FBI clearance prior to working in child care as required by the CPSL. Staff #4 was observed working in a child care role at the facility at the time of this inspection. Staff #4 did not receive their NSOR clearance prior to working in child care as required by the CPSL.
Corrected Corrected by Sep 30, 2025
Category: background checks. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires a written evaluation of staff to be conducted by the director at least every 12 months. The following staff did not have an evaluation conducted on them at least every 12 months: Staff #1 (previous 10/9/23, current 9/30/25).
Corrected Corrected by Sep 30, 2025
Category: recordkeeping. Marked corrected in the state record.
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.
A renewal inspection occurred at the facility. A physical site review was conducted. In the Busy Bee room, the following items were observed accessible to children: ointment, diaper rash cream, sunscreen and Desitin. These items indicated the need to be kept out of reach of children and children were observed receiving care in this room. In the Butterfly room, the following items were observed accessible to children: 2 sunscreens. These items indicated the need to be kept out of reach of children and children were observed receiving care in this room. In the Caterpillar room, the following items were observed accessible to children: Desitin and diaper cream. These items indicated the need to be kept out of reach of children and children were observed receiving care in this room. In the boy's bathroom was an unlocked storage cabinet. This cabinet contained items that indicated the need to keep out of reach of children, and they were as follows: bottles of cleaning chemicals and bottles of bleach.
Corrected Corrected by Sep 30, 2025
Category: health medication. Marked corrected in the state record.
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.
A renewal inspection occurred at the facility. A physical site review was conducted. In the Busy Bees room and in the boy's bathroom a metal garbage can was found that contained rust. The garbage can in the bathroom also contained a broken metal wire standing up on the top of the garbage can.
Corrected Corrected by Oct 14, 2025
Category: physical safety. Marked corrected in the state record.
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.
A renewal inspection occurred at the facility. A physical site review was conducted. Three metal bikes were found in the outdoor play area that had peeling paint and rust. These bikes were not in good repair.
Corrected Corrected by Oct 14, 2025
Category: physical safety. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
A renewal inspection occurred at the facility. A physical site review was conducted. An emergency medical plan is required to be posted in child care spaces. At the time of this inspection, the facility's emergency medical plan was not posted in any child care space.
Corrected Corrected by Sep 30, 2025
Category: transportation. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.
A renewal inspection occurred at the facility. A review of child files was conducted. Regulation requires children's emergency contact and agreement forms be reviewed at least every 6-months. The following children's documents were not updated at least every 6-months: Child #2 (emergency contact previous 12/17/24, current 9/29/25), Child #3 (emergency contact and agreement previous 10/2/23, current 9/30/25), Child #4 (emergency contact previous 3/1/24, current 9/30/25 and agreement previous 3/1/24, no current) and Child #5 emergency contact previous 12/17/24, no current and agreement previous 12/17/24, current 9/29/25).
Corrected Corrected by Oct 14, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(1)/3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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 renewal inspection occurred at the facility. A review of child files was conducted. See the code sheet for the dates of birth. Child #4 is a preschool aged child and did not have their 3-year-old health report with immunizations on file as required by regulation. The last health report on file was dated 3/4/24. Child #5 did not have on file their 1 1/2 -year-old health report with immunizations on file as required by regulation. The last health report on file was dated 12/12/24.
Corrected Corrected by Oct 22, 2025
Category: health medication. Marked corrected in the state record.
3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.
A renewal inspection occurred at the facility. A physical site review was conducted. The following medication was found accessible to children in the Caterpillar room: Children's Tylenol. Children were observed receiving care in this room and this medication indicated the need to be kept out of reach of children.
Corrected Corrected by Sep 30, 2025
Category: health medication. Marked corrected in the state record.
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.
A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff participate in an updated health assessment at least every 24 months. The following staff did not update their health assessments at least every 24 months: Staff #2 (previous 11/18/22, current 9/30/25 and Staff #5 (previous 6/15/23, no current).
Corrected Corrected by Oct 22, 2025
Category: ratio. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
A renewal inspection occurred at the facility. A review of child files was conducted. The following child's file was missing consent for administration of minor first-aid procedures by staff as required by regulation: Child #5.
Corrected Corrected by Oct 14, 2025
Category: ratio. Marked corrected in the state record.
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.
An unannounced inspection occurred at the facility. A review of the facility's fire safety system testing log was condcuted. Regulation requires the facility to test the fire safety system at least every 30 days. The following tests lapsed occurring at least every 30 days: 3/14/25, 4/14/25, 5/15/25 and 6/16/25.
Corrected Corrected by Aug 13, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.21/3270.82(d) · Conditions at the facility may not pose a threat to the health or safety of the children. A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.
A renewal inspection occurred at the facility. A physical site review was conducted. In the Busy Bees classroom on 9/30/24, two training chair toilets were observed. They both contained urine and were accessible to children in the child care space. Children were observed receiving care in this space.
Corrected Corrected by Sep 30, 2024
Category: health medication. Marked corrected in the state record.
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.
A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to update their pediatric first aid/CPR training prior to the current training expiring. The following staff did not update their pediatric first aid/CPR training prior to their current expiring: Staff #1 (previous 7/15/22, current 9/17/24) and Staff #3 (previous 9/16/22, no update).
Corrected Corrected by Nov 11, 2024
Category: ratio. Marked corrected in the state record.
3270.31(e)(4)(ii) · 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.
A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff # 1 (previous 10/16/21, current 10/31/23), Staff #3 (previous 4/4/23, no current), Staff #4 (see date of hire, current 10/28/24) and Staff #9 (see date of hire, current 10/24/24).
Corrected Corrected by Nov 11, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).
A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation and the CPSL require staff to participate in mandated reporter training every 60 months. The following staff did not update their mandated reporter training every 60 months: Staff #1 (previous 2/20/15, current 8/2/22).
Corrected Corrected by Sep 30, 2024
Category: recordkeeping. Marked corrected in the state record.
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 child care position at the facility.
A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation and the CPSL require clearances to be updated every 60 months. The following staff did not update their clearances every 60 months: Staff #1 state police (previous 12/27/17, current 10/21/24). Regulation and the CPSL require staff hired provisionally to have obtained a child abuse clearance and applied for any out of state clearances. Staff #5 was hired provisionally and was observed working during the inspection on 9/30/24. Staff #5 did not have a child abuse clearance on file and did not apply for their California clearances.
Corrected Corrected by Sep 30, 2024
Category: background checks. Marked corrected in the state record.
3270.52/3270.113(a)(2) · 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). The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. The required staff:child ratios must be maintained at all times.
A renewal inspection occurred at the facility. A physical site review as conducted. On 9/30/24, the Caterpillar room was observed to contain 2 staff members and 9 infants and toddlers. The amount and ages of the children in this classroom would have required at least 3 staff members to be incompliance with staff:child ratios.
Corrected Corrected by Sep 30, 2024
Category: supervision. Marked corrected in the state record.
3270.52/3270.113(a)(2) · 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). The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. All staff hired as of the date of the inspection must attend at least a 3-hour, in-person, PQAS approved training regarding supervision and ratio of children. The training must be submitted and approved by the Northeast Regional Office prior to scheduling and attending the training. After the training, a copy of the sign-in sheet will be submitted to the Northeast Regional Office as documentation of attending the training.
A renewal inspection occurred at the facility. A physical site review as conducted. On 9/30/24, the Caterpillar room was observed to contain 2 staff members and 9 infants and toddlers. The amount and ages of the children in this classroom would have required at least 3 staff members to be incompliance with staff:child ratios.
Corrected Corrected by Dec 2, 2024
Category: supervision. Marked corrected in the state record.
3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.
A renewal inspection occurred at the facility. A physical site review was conducted. On 9/30/24, in the Butterfly Room, 18 children were observed receiving care. The Butterfly Room has a measured capacity of 12 children. The Butterfly Room on 9/30/24 was over measured capacity by 6 children.
Corrected Corrected by Oct 28, 2024
Category: ratio. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
A renewal inspection occurred at the facility. A physical site review was conducted. During the physical site review on 9/30/24 and 10/28/24 several outlets were observed not covered. These outlets were identified and discussed with the Director at the time of the inspections. These outlets were accessible to children.
Corrected Corrected by Sep 30, 2024
Marked corrected in the state record.
3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.
A renewal inspection occurred at the facility. A physical site review as conducted. In the outdoor play area, a swing set was observed mounted to a wooden deck. The swing set was not mounted over protective surface covering as required by the United States Consumer Product Safety Commission.
Corrected Corrected by Nov 18, 2024
Category: physical safety. Marked corrected in the state record.
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.
A renewal inspection occurred at the facility. A physical site review was conducted on 9/30/24. The Butterfly room contained Staff #2, #9 and #11. These staff were unable to appropriately identify the children in their supervision groups. The staff needed assistance from other staff to ensure all children were accounted for and assigned for proper supervision groups.
Corrected Corrected by Sep 30, 2024
Category: supervision. Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's files were missing the amount of the fee to be charged for attendance: Child #3, Child #5 and Child #6.
Corrected Corrected by Oct 14, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.
A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's files were missing on the agreement form the date on which the fee is to be paid: Child #3, #4, #5 and #6.
Corrected Corrected by Oct 14, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
A renewal inspection occurred at the facility. A review of children's files was conducted. The following child's agreement from was missing their arrival and departure times: child #3.
Corrected Corrected by Oct 14, 2024
Category: recordkeeping. Marked corrected in the state record.
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.
A renewal inspection occurred at the facility. A review of children's files was conducted. The following child's file was missing complete health insurance information: Child #4.
Corrected Corrected by Oct 14, 2024
Category: health medication. Marked corrected in the state record.
3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.
A renewal inspection occurred at the facility. A physical site review was conducted. On 9/30/24, a diaper change was observed in the Caterpillar Room. After the diaper change, the staff did not wash, with soap and water, their hands or the child's hands.
Corrected Corrected by Oct 14, 2024
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.151(c)(2) · 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. 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.
A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff dates of hire. Regulation requires staff to participate in a health assessment every 24 months. The following staff did not participate in a health assessment every 24 months: Staff #3 (previous 9/29/22, current 10/4/24). Regulation requires staff to have a health assessment and tuberculosis screening prior to working in child care at initial hire. The following staff did not have a health assessment and tuberculosis screening on file prior to working in a child care role at the facility: Staff #2 (health assessment and TB 10/4/24), Staff #5 (no health assessment or TB), Staff #6 (health assessment and TB 9/26/24), Staff #7 (TB dated 3/9/23, not within 12 months of the staff's hire date and not valid) and Staff #8 (TB 10/3/24).
Corrected Corrected by Oct 28, 2024
Category: ratio. Marked corrected in the state record.
3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.
A renewal inspection occurred at the facility. A physical site review as conducted. In the Grasshoppers class on 9/30/24, a lunchbox was found and contained yogurt. Regulation requires dairy products to be safely stored in a refrigerator.
Corrected Corrected by Sep 30, 2024
Category: ratio. Marked corrected in the state record.
3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.
A renewal inspection occurred at the facility. A physical site review was conducted. On 9/30/24, staff were asked to provide for review, copies of the infant's formula and feeding schedules. Staff did not provide for review at the time of the inspection, the formula and feeding schedules for the infants.
Corrected Corrected by Oct 14, 2024
Category: nutrition. Marked corrected in the state record.
3270.166(3) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.
A renewal inspection occurred at the facility. A physical site review was conducted. Staff in the Caterpillar room on 9/30/24, indicated that infant's bottles are handwash and reused at the facility. Regulation requires infant bottles to be washed only in a commercial dishwasher for reuse.
Corrected Corrected by Oct 14, 2024
Marked corrected in the state record.
3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.
A renewal inspection occurred at the facility. A physical site review was conducted. During the physical site review on 9/30/24, the facility did not have posted in a conspicuous location a copy of the facilities safe routes letter posted.
Corrected Corrected by Oct 28, 2024
Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's files were missing consent for first-aid: Child #2 and #4.
Corrected Corrected by Oct 14, 2024
Category: ratio. Marked corrected in the state record.
3270.191 · An individual record is required for each facility person.
A renewal inspection occurred at the facility. A review of staff files was conducted. The file of Staff #10 was requested for review on 9/30/24 but not provided. Staff #10 was observed caring for children during this inspection.
Corrected Corrected by Oct 28, 2024
Category: recordkeeping. Marked corrected in the state record.
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.
A renewal inspection occurred at the facility. A review of the facility's fire system testing log was viewed on 9/30/24. Regulation requires the fire safety system to be tested at least every 30 days. The following tests lapsed occurring once at least every 30 days: 12/15/23-1/16/24 2/6/24-3/8/24 3/8/24-6/20/24 6/20/24-7/26/24 8/13/24-9/13/24
Corrected Corrected by Sep 30, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.166(7) · Neither bottled formula nor human milk may be heated in a microwave.
A renewal inspection occurred at the facility. A physical site review was conducted on 10/28/24. During this review, the Caterpillar room staff were observed warming an infant formula bottle in the microwave. Regulation does not allow for infant formula bottles to be warmed in a microwave.
Corrected Corrected by Oct 28, 2024
Category: nutrition. Marked corrected in the state record.
3270.171(a) · 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.
A renewal inspection occurred at the facility. A review of the facility's traffic safety letter was reviewed. At the time of the inspection in 10/28/24, the facility was unable to provide documentation that the facility had provided this letter to the local traffic safety authority on an annual basis.
Corrected Corrected by Nov 4, 2024
Marked corrected in the state record.
3270.113(a)/3270.113(a)(1) · 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. 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. The Legal Entity / Director will establish or update a supervision policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and when staff call off or are running late. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in their assigned group and be physically present with the children in their group on the facility premises and on facility excursions off the facility premises.
Through staff interviews, it was determined that on 5/21/24, a lack of supervision occurred at the facility during the following incident: Staff #1 was transitioning their group from the cafe to the classroom. After entering the classroom, Staff #1 conducted a headcount, and this is when they realized Child #1 was missing. It was determined that Child #1 had hid behind a serving cart when the group left, ran to a closet and this is where the child was found by staff.
Corrected Corrected by Jul 31, 2024
Category: supervision. Marked corrected in the state record.
3270.113(a)/3270.113(a)(1) · 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. 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. Children must be supervised at all times.
Through staff interviews, it was determined that on 5/21/24, a lack of supervision occurred at the facility during the following incident: Staff #1 was transitioning their group from the cafe to the classroom. After entering the classroom, Staff #1 conducted a headcount, and this is when they realized Child #1 was missing. It was determined that Child #1 had hid behind a serving cart when the group left, ran to a closet and this is where the child was found by staff.
Corrected Corrected by Jun 7, 2024
Category: supervision. Marked corrected in the state record.
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.
An unannounced inspection occurred at the facility occurred at the facility. A review of the facility's fire drill log was conducted. Regulation requires staff to conduct fire drills at least every 60 days. The following drills did not occur at least every 60 days: 3/8/24-6/20/24.
Corrected Corrected by Jul 5, 2024
Category: recordkeeping. Marked corrected in the state record.
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.
During an inspection on 12/1/23, Staff #1 and #2 were observed working in the Grasshoppers room with 12 children. Staff were unable to identify the specific children in their assigned supervision groups, which would split the children into smaller groups to meet the staff:child ratios. During the same inspection on 12/1/23, a mixed group of 5 infants and young toddlers were assigned to Staff #3. Staff #3 should only have 4 children assigned, since at least one of the children assigned to the staff was an infant, requiring a 1:4 ratio. An acceptable plan of correction was received on 12/21/2023 indicating that the violation was directed as of 12/21/2023. On 1/12/24 at 9:30 a.m., during a supervision and ratio check in the Grasshoppers Room, staff #4 was unable to identify all of the children in the assigned group. This staff person was only able to identify four of the six children in the group.
Corrected Corrected by Jan 18, 2024
Category: supervision. Marked corrected in the state record.
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. The legal entity must develop or update their written supervision and ratio policies to be implemented in the facility. The written policies must specifically address situations in which substitute staff are covering classrooms, and situations typical staff are not present in the classroom. A procedure for substitute staff to identify by name all children in their assigned group should be developed. The legal entity will submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policies and procedures, and it must be documented in their files.
During an inspection on 12/1/23, Staff #1 and #2 were observed working in the Grasshoppers room with 12 children. Staff were unable to identify the specific children in their assigned supervision groups, which would split the children into smaller groups to meet the staff:child ratios. During the same inspection on 12/1/23, a mixed group of 5 infants and young toddlers were assigned to Staff #3. Staff #3 should only have 4 children assigned, since at least one of the children assigned to the staff was an infant, requiring a 1:4 ratio. An acceptable plan of correction was received on 12/21/2023 indicating that the violation was directed as of 12/21/2023. On 1/12/24 at 9:30 a.m., during a supervision and ratio check in the Grasshoppers Room, staff #4 was unable to identify all of the children in the assigned group. This staff person was only able to identify four of the six children in the group.
Corrected Corrected by Jan 18, 2024
Category: supervision. Marked corrected in the state record.
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.
Staff persons #5 and #7 (see code sheet for date of hire) did not have documentation that they completed the following required pre-service training within 90-days of hire: Health and Safety Update, which should have been completed by 12/30/22 for existing staff.
Corrected Corrected by Dec 21, 2023
Category: ratio. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #6 has now completed the required training. Going forward, until such time as the required training has been completed, a staff person must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons, a staff person may not work in a child-care position at the facility.
Staff person #6 (see code sheet for date of hire) did not have documentation that they completed the following required pre-service trainings within 90-days of hire: pediatric first aid and CPR, and Health and Safety training. Staff person #6 completed their pediatric first aid and CPR on 3/25/23, and their Health and Safety training was completed on 3/9/2023.
Corrected Corrected by Dec 21, 2023
Category: supervision. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
Staff person #3 did not have any documentation on file which indicated that they had a high school diploma or general educational development certificate which would qualify them as an assistant group supervisor with their experience. Staff person #3 only had college transcripts on file for a degree that is still in progress.
Corrected Corrected by Dec 21, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)(1)/3270.113(a)(2) · 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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.
During an inspection on 12/1/23, Staff #1 and #2 were observed working in the Grasshoppers room with 12 children. Staff were unable to identify the specific children in their assigned supervision groups, which would split the children into smaller groups to meet the staff:child ratios. During the same inspection on 12/1/23, a mixed group of 5 infants and young toddlers were assigned to Staff #3. Staff #3 should only have 4 children assigned, since at least one of the children assigned to the staff was an infant, requiring a 1:4 ratio.
Corrected Corrected by Dec 21, 2023
Category: supervision. Marked corrected in the state record.
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.
Fire drill log documentation showed that the last fire drill conducted was on 9/29/2023. The next inspection should have occurred by 11/28/2023.
Corrected Corrected by Dec 21, 2023
Category: recordkeeping. Marked corrected in the state record.
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.
During an inspection on 12/1/23, the facility was unable to provide an annual testing report dated within 1 year of the day of the inspection showing that the fire detection system was tested and in operable condition.
Corrected Corrected by Dec 21, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.
As of the renewal inspection on 9/28/23, there was no documentation of an emergency drill conducted in the previous year.
Corrected Corrected by Oct 31, 2023
Category: recordkeeping. Marked corrected in the state record.
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.
As of the renewal inspection on 9/28/23, there was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).
Corrected Corrected by Oct 31, 2023
Category: ratio. Marked corrected in the state record.
3270.27(c) · 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.
As of the renewal inspection on 9/28/23, there was no documentation that staff #2 had received training in the emergency plan.
Corrected Corrected by Oct 31, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(ii) · 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.
As of the renewal inspection on 9/28/23, there was no documentation that staff #6 had completed fire safety training in the previous year.
Corrected Corrected by Oct 31, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #6 will have until 10/28/23 to complete the required training. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.
As of the renewal inspection on 9/28/23, staff person #6 did not have documentation of completion of the following required pre-service training within 90 days of their date of hire: Health and Safety training.
Corrected Corrected by Oct 31, 2023
Category: supervision. Marked corrected in the state record.
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 #3 and #6 may not work in a child care position at the facility.
As of the renewal inspection on 9/28/23, there was no signed disclosure statement for staff #2; there were no clearances from Florida where staff #3 had lived in the previous five years; there was no documentation of mandated reporter training for staff #4; and the most recent state police clearance on file for staff #6 was dated 12/27/17. Staff #3 and #6 must be removed from care until all required clearances are on file at the facility.
Corrected Corrected by Oct 31, 2023
Category: background checks. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
As of the renewal inspection on 9/28/23, there was no written evaluation in the previous year for staff #1.
Corrected Corrected by Oct 31, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.37(b)(1) · An aide shall have a high school diploma or a general educational development certificate.
As of the renewal inspection on 9/28/23, there was no documentation of qualifications for staff #4 and #5.
Corrected Corrected by Oct 31, 2023
Category: recordkeeping. Marked corrected in the state record.
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 9/28/23 during the renewal inspection, staff #3 and #4 were in the classroom with 13 older toddlers. This amount of older toddlers would require 3 staff.
Corrected Corrected by Oct 31, 2023
Category: ratio. Marked corrected in the state record.
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.
As of the renewal inspection on 9/28/23, the emergency contact information for child #2 did not include the name, address and telephone number of the child's physician or source of medical care.
Corrected Corrected by Oct 31, 2023
Category: health medication. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
As of the renewal inspection on 9/28/23, the most recent health assessment on file for child #1 was dated 7/5/22.
Corrected Corrected by Oct 31, 2023
Category: health medication. Marked corrected in the state record.
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.
As of the renewal inspection on 9/28/23, there was no documentation of influenza vaccine or an exemption letter on file for child #1. Child #1 must be removed from care until proper documentation is on file.
Corrected Corrected by Oct 31, 2023
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.151(c)(2) · 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. 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.
As of the renewal inspection on 9/28/23, there was no initial health assessment or TB screening for staff #5
Corrected Corrected by Oct 31, 2023
Category: ratio. Marked corrected in the state record.
3270.181(d) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.
As of the renewal inspection on 9/28/23, the emergency contact information for child #1 was not dated or signed.
Corrected Corrected by Oct 31, 2023
Category: recordkeeping. Marked corrected in the state record.
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.
As of the renewal inspection on 9/28/23, there was only one nonfamily references from individuals attesting to the suitability of staff #2 to serve as a facility person.
Corrected Corrected by Oct 31, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.
As of the renewal inspection on 9/28/23, there was no documentation on file that staff #1 and staff #6 had completed 12 clock hours of child care training.
Corrected Corrected by Oct 31, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.131(a) · 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.
As of the renewal inspection on 9/28/23, there was no health assessment on file for child #3 (see code sheet for start date).
Corrected Corrected by Oct 31, 2023
Category: health medication. Marked corrected in the state record.
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.
During a complaint investigation visit conducted on 6/27/23, 8 preschool aged and 17 school aged children were observed with four childcare staff members on an excursion at a building located at 1110 Carriage Lane, Tobyhanna, Pa 18466. On 7/10/23, the Coolbaugh Township Director of Zoning & Code Enforcement confirmed that there is no occupancy permit for the property and that no permission was given for the building or property to be used as the safety is unknown.
Corrected Corrected by Jul 19, 2023
Category: ratio. Marked corrected in the state record.
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- must be supervised, when interacting with children, by an AGS person) who has completed the required training related to this citation. 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
Staff person #-1- was observed to be caring for children unsupervised. Staff person #-1- has not completed pre-service training required prior to caring for children unsupervised including mandated reporter training.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Administrator, Facility Director and any other staff responsible for creating or maintaining staff files shall complete the existing provider training scheduled for 5/4/23.
Per inspection on 3/2/24 verified that staff number 1 a provisional staff who did not have a state police and NSOR clearance on file and did not have a State Police request on file, was working alone unsupervised with a group of 11 school-age children on 2/24/23
Corrected Corrected by May 4, 2023
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(4) · PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. Lacking required documents. Staff Person # -1-2 may not work in a childcare position at the facility.
Per inspection on 3/2/24 verified that staff number 1 a provisional staff who did not have a state police and NSOR clearance on file and did not have a State Police request on file, was working alone unsupervised with a group of 11 school-age children on 2/24/23. Per inspection on 5/18/23 verified that staff number 2 hired as a provisional staff was working past the CPSL timeline without a record of FBI clearance.
Corrected Corrected by Jun 1, 2023
Category: supervision. Marked corrected in the state record.
3270.181(b)/3270.181(c) · Information in a child's record shall be kept current by the operator. 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.
Inspection on 12/7/22 revealed that Children # 1-2-3-4 have not had emergency contact and fee agreement updated within the past 6 months.
Corrected Corrected by Jan 4, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.185 · A copy of the child's record shall be retained at the facility for at least 1 year after termination of service, unless the entire record is transferred by the operator to the parent or guardian or to another agency at the request of the parent or guardian.
Per inspection at the facility on 12/7/2022 it was revealed that children # 5-6 discharged from the facility 6/2022 do not currently have a file retained at the facility.
Corrected Corrected by Jan 4, 2023
Category: recordkeeping. Marked corrected in the state record.
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.
Inspection revealed that staff # 1 does not have the required clearances per the CPSL.
Corrected Corrected by Sep 30, 2022
Category: background checks. Marked corrected in the state record.
3270.131(e)(4) · The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.
Inspection revealed that Child number 1 does not have a record of immunization.
Corrected Corrected by Sep 30, 2022
Category: health medication. Marked corrected in the state record.
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 Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance. Staff Person # 1 may not work in a child care position at the facility
During a complaint investigation conducted on 2/2/22, it was discovered that Staff Person #1, who started at the facility on 1/28/22 has no child abuse, criminal, FBI or NSOR clearances. There is no verification on file that Staff Person #1 applied for the child abuse, criminal, FBI or NSOR clearances prior to starting at the facility.
Corrected Corrected by Feb 3, 2022
Category: background checks. Marked corrected in the state record.
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.
During an unannounced investigation conducted on 2/2/22, the fire drill log showed that it had been over 60 days since the last fire drill was conducted. The most recent fire drill was conducted on 8/3/21
Corrected Corrected by Feb 2, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.191 · An individual record is required for each facility person.
During a complaint investigation conducted on 2/2/22, Staff Person #1 admitted that Staff Person #2, who started at the facility on 1/28/22, does not have a staff file
Corrected Corrected by Feb 3, 2022
Category: recordkeeping. Marked corrected in the state record.
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 Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) clearance effective 9/30/2019. . Staff # 1, may not work in a child care position at the facility.
Staff #1 start date 5/17/21 does not have a record of NSOR clearance.
Corrected Corrected by Sep 21, 2021
Category: background checks. Marked corrected in the state record.
3270.61(c)/3270.61(e) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40. Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.
During inspection on 9/21/21 observed a childcare space that included within this permanent walled space a kitchen area including a stove.
Corrected Corrected by Sep 22, 2021
Category: physical safety. Marked corrected in the state record.