Alis Little Hands Learning Center LLC

On 1-9-25, child #3 was observed in the hallway with a therapist, and a staff person was not present in the hallway to supervise the child, resulting in a 0:1 staff to child ratio.

On 1-9-25, child #3 was observed in the hallway with a therapist, and a staff person was not present in the hallway to supervise the child.

On 1-9-25, child #3 was observed in the hallway with a therapist, and a staff person was not present in the hallway to supervise the child.

The file for child #1 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #1 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

In the toddler room, there was Zarbee's Cough Syrup for child #5 that was not labeled with the child's name.

In the toddler room, there was Tylenol for child #4 that lacked written parental consent for administration of the medication.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 8-23-24 to 9-27-24 and 10-21-24 to 11-21-24.

The file for staff person #1 had a staff evaluation that exceeded 12 months between evaluations.

The file for staff person #2, functioning as an aide, lacked verification of education to qualify as an aide.

The file for child #2 lacked a current emergency contact form and agreement updated by the parent within the last 6 months.

The file for staff person #2 had one written, nonfamily reference and lacked a second written, nonfamily reference.

The file for staff person #2, hired provisionally, had proof of application for the NSOR verification certificate at their start date and lacked the NSOR verification certificate within 45 days of their start date as required for a provisional hire and requires a current NSOR verification certificate. (See LIS CODE SHEET)

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

The file for staff person #2 had one written, nonfamily reference and lacked a second written, nonfamily reference.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

On the outdoor preschool play space, there were multiple holes in the turf surface that were a tripping hazard.

The file for child #1, a preschooler, had a health assessment that exceeded 12 months between assessments.

In the 3 year old preschool room, there was an inhaler for child #3 that lacked the original container with the prescription identifying that the medication was prescribed for that child.

In the toddler room, there was a bottle of Motrin Infants' Drops for child #2 that lacked written parental consent for administration of the medication.

The file for staff person #1 had a health assessment that exceeded 24 months between assessments.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved trainer and a PQAS approved curriculum. Staff person #2 completed the following required pre-service training on 1-11-24 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9).

The file for staff person #4 had a Department of Education FBI clearance dated 3-18-22 and did not obtain a DHS FBI clearance until 1-5-23, which was after their start date at the facility. (See LIS CODE SHEET)

In the preschool room with 2 year olds present in the room, there were multiple pieces of synthetic plastic snow inside the sensory table that were less than 1 inch in diameter and were accessible to children who are still placing objects in their mouths.

The file for child #3, a school-age child, lacked an initial health assessment for a school-age child dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The file for child #1, a 5 month old, had an immunization record that lacked documentation of the 2nd doses of the Rotavirus, DTAP, HIB, Pneumococcal, and Polio vaccinations by age 4 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The file for staff person #3 lacked a current health assessment updated within the last 24 months.

The operator lacked documentation of sending a copy of the updated emergency plan to the local municipality and to the county emergency management agency.

The file for staff person #2 had current pediatric first-aid and CPR training with a completion date of 8-7-21 that was after the April 2021 expiration of the prior training. The file for staff person #3 had current pediatric first-aid and CPR training with a completion date of 8-7-21 that was after the September 2020 expiration of the prior training.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Approved Health and Safety Training in the topics of 3270.31(f)(1-9).

Staff person #1 had mandated reporter trainings dated 12-18-15 and 12-28-20 that were over 60 months between trainings.

The file for child #2 had an emergency contact form that lacked the address and telephone number of the child's physician.

The plan for a lockdown was not included in the letter to parents explaining the emergency plan.

The arrival and departure times were not specified on the agreement on file for child #1.

The medical emergency transportation plan was not posted in the upstairs preschool/schoolage room.

The operator indicated that the parents had not yet been provided with information on how to access the regulations electronically.