A & N Little Bugs Daycare & Preschool

The file of staff #2 contained a volunteer child abuse clearance and did not contain a completed NSOR verification certificate prior to working at the facility. The file of staff #3 contained PA state police clearances (8/7/2019 and 2/15/2025), child abuse clearances (8/8/2019 and 2/25/2025) and FBI clearances (8/6/2019 and 2/21/2025) which were updated more than 60 months from the prior.

Upon entering the facility at approximately 10:10 am, 14 children between the ages of 1 year and 4 years were in the main classroom. Staff #1, staff #2 and staff #9 identified all 14 children in the group. Maximum group size with a young toddler is 10 children to 2 staff.

A bottle was lying on the mat in the pack and play with a sleeping infant.

Documentation of the 2 most recent emergency plan trainings for staff #4 (1/4/2024 and 2/6/2025), #6 (1/4/2024 and 2/7/2025) and staff #7 (1/3/2024 and 2/7/2025) exceeded 12 months. The file of staff #8 contained documentation of emergency plan training dated 2/5/2024 but did not contain documentation of current training within the past 12 months.

In the kitchen area, approximately 8 containers of disinfecting wipes were being stored on the top shelf of a 5-tier rack above food.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted at the telephone in the kitchen.

The fence in the back corner of the outdoor play space was disconnected from the top of the stake and was partially on the ground.

In the main child care space, foam blocks, which staff stated are used by toddlers, contained teeth marks.

In the infant area in the main child care space, 2 infants were sleeping in pack and plays which did not contain 2 feet of open space on 3 sides. One pack and play was in a corner against a wall and a portable shelf. Another pack and play in the same area was against a wall and an infant exerciser which approximately 6 - 12 inches from side. A 3rd pack and play where a child was sleeping was located in the toddler/preschool area and was directly between Rubbermaid drawers and a play kitchen.

The immunization record of child #4 contained 2 of the 3 DTaP and 2 of the 3 pneumococcal immunizations recommended by the ACIP based on the age of the child (see LIS code sheet).

Tylenol labeled with the name of child #1 did not have a record of signed parental consent to administer the medication.

Pediatric first aid and CPR of staff #1 was updated on 3/1/2025, which was after the previous training expired 1/2025.

Based on conversation with staff #1 and the lack of documentation in the files, staff #1, #3, #4, #5, #6, #7, #8 and #9 did not have documentation of current fire safety training within the last 12 months.

Based on conversation with staff and lack of documentation, the Department's approved form to provide information to the family about the child's growth and development was not completed for child #1 and child #2, both enrolled for more than 6 months (See LIS code sheet).

The financial agreement of child #3 did not contain the arrival and departure times of the child.

The file of staff #3 contained documentation of 4.5 hours of training in their annual training year (see LIS code sheet) lacking 7.5 hours. The file of staff #4 contained documentation of 4.5 hours of training in their annual training year (see LIS code sheet) lacking 7.5 hours. Staff #4 has a total of 8 hours dated 2/28/2025 and is now in compliance.

A fitted sheet in a pack and play where an infant was sleeping was loose creating a strangulation or suffocation hazard.

A & D Ointment, "labeled keep out of the reach of children," was accessible to children on the lower shelf under the changing table in the infant classroom.

A spray bottle containing a cleaning solution was labeled with how to prepare the solution, but not the name of the solution.

The glass on the doors leading outside from the main classroom did not contain visual identification

Handwashing signs were not posted n the diapering areas of the main classroom and infant classroom.

The diapering area in the main classroom contained a trash can which did not have a lid.

The health assessment of staff #1 did not include information the staff person was suitable to provide child care to children.

Based on documentation, the last fire drill occurred on 4/23/2024, which was more than 60 days prior to the date of the inspection (8/29/2024).

Based on documentation, the last manual test of the fire detection system occurred on 4/23/2024, which was more than 30 days prior to the date of the inspection (8/29/2024).

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics.

Staff person #2 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file of staff #1 did not include 2 written nonfamily references attesting to the individual's suitability to serve as a staff person.

In the infant room, an infant was observed asleep in a bouncy seat, not in the position recommended by the AAP.

Facility person # 3 was observed to be caring for children unsupervised. Facility person #3 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, health and safety training.

The NSOR clearance on file for Facility Person #1 was dated after their start date. There was no application for an NSOR clearance on file for Facility Person #1. The NSOR clearance on file for Facility Person #3 was dated after their start date. There was no application for an NSOR clearance on file for Facility Person #3. The criminal history clearance on file for Facility Person #3 was incomplete. Facility Person #3 was observed caring for children unsupervised.

At approximately 11:45 AM, Facility Person #4 was observed changing a child's diaper as she was caring for a total of to children - a young toddler and 3 infants- in the infant room. For the extent of the diaper change, she was positioned with her back to the other three children in her care. One of the children was resting in a packnplay positioned, due to the L-shape of the room, out of the line of sight from the changing table.

There was a can of Febreze marked "keep away from children" on the counter in the restroom next to the sink where the children wash their hands.

There are areas of splintering wood and broken boards on the wooden fence in the outdoor playspace.

There are areas of peeling paint on the wooden fence in the outdoor playspace.

There was no thermometer in the refrigerator in the infant room.

There were sample packets of triple antibiotic ointment in the first aid kit, not labeled with a child's name for individual use by that child.

Facility Person #5 was observed changing a diaper in the main child care space and not wiping the surface with a sanitizing solution prior to beginning the next diaper change.

Facility Person #5 was observed changing a diaper in the main child care space and not washing their own hands prior to beginning their next task.

The facility opened as a certified location on 1/2/24. The first recorded fire drill was listed as occurring on 3/14/24, more than 60 days later.

The record of smoke detector testing dates indicates they were last tested on 3/14/24, more than 30 days prior.

Facility Person #2 was classified as an assistant group supervisor without the required child care experience for the classification documented and on file.

The emergency contact form on file for child #1 did not include signed parental consent for emergency medical care for the child.

The emergency contact form on file for child #1 did not include signed parental consent for minor first-aid procedures by facility staff.

The signed disclosure statement on file for Facility Person #1 was not dated.

The were two metal pipes in the outdoor playspace - one coming up from the ground, and another extending from a wall on the side of the building, that would present a hazard to children engaging in gross motor play in the space.

There was no stool at the sink in the main child care space diapering area, used by toddlers after diapering for handwashing. The sink was no low enough to be reached by the children in care.

The exit from the building at the back of the main child care space was blocked by an easel placed in front of it.

There were sample packets of ointment in the first aid kit, not labeled with the name of an individual child for their use only.

There were no accommodations for infants specified in the facility's emergency plan.

According to the operator's statement, a copy of the facility's emergency plan had not yet been sent to the local municipality and county emergency management agency.