Growing Little Footprints LLC

On 9/24/25, at time of inspection, four electrical uncovered electrical outlets were observed in a power strip accessible to children in the young toddler room.

Continued noncompliance from inspections conducted on 7/29/25 and 8/26/25: On 9/24/25, at time of inspection, diaper cream instructing to "keep out of reach of children" was observed accessible to children on a lower shelf by the diapering table located in the young toddler room.

Continued noncompliance from inspections conducted on 5/7/25, 6/10/25, 7/28/25, 8/26/25: On 9/24/25, broken wooden paneling with sharp, jagged edges was observed accessible to children who were observed playing in the multipurpose room. Additionally, a cord was observed lying loosely on the classroom floor in the preschool room, not securely fastened or taunt to the wall. This poses a potential strangulation and tripping hazard to children in care.

On 9/24/25, at time of inspection, Child #1 and Child #2 were observed receiving care in the infant room. Individual rest equipment was not provided for Child #1 and Child #2. Staff #3 stated that Child #1 and Child #2 share the same pack n play (Labeled #3) for rest time.

Continued noncompliance from inspection conducted on 8/26/25: On 9/24/25, at time of inspection, the thermometer located in the young toddler room had a reading of 60 degrees Fahrenheit.

On 9/24/25, at time of inspection, Staff #2 was observed changing a diaper in the young toddler room. Staff #2 did not sanitize the diaper pad after diapering the child. Additionally, staff #2 did not wash their own hands after completing the diaper change.

On 9/24/25, Staff #1 did not complete the following preservice trainings within 90 days of hire: Health & Safety Training Part 1 and Part 2.

Continued noncompliance from inspections dated 9/24/24, 10/9/24, 11/14/24, 3/4/25, 4/10/25, 4/30/25, 6/10/25, 7/29/25, & 8/26/25: On 9/24/25, at time of unannounced inspection, the facility still does not have a qualified director as specified at Chapter 3270.34(b)(1)-(4).

On 9/24/25, Staff #1 file did not contain verification of education.

Continued noncompliance from inspection conducted on 7/29/25: On 8/26/25, at time of unannounced inspection, a spray bottle of insect killer and three boxes of eye cleanser instructing to "keep out of reach of children" were observed accessible to children on the back shelf located in Room 2. Cleaning products, Febreze and sanitizing wipes accessible to children were observed in an unlocked cabinet located in Room 2. Additionally, the door to the facility's maintenance closet containing insect killer and paint was open and accessible to children in the multipurpose room.

On 8/26/25, at time of inspection, the toilet in the hallway bathroom was broken and not maintained in a sanitary condition. Feces were present in the bowl, and live insects were observed inside the toilet. Children were observed in the bathroom area utilizing the second toilet and washing hands after lunch.

Continued noncompliance from inspections conducted on 5/7/25, 6/10/25 & 7/29/25: On 8/26/25, damaged plaster and paint was observed on the low wall located in the multipurpose room. Additionally, damaged and crumbling tiles were observed on the floor located in the middle of the multipurpose room.

On 8/26/25, at time of inspection, the exit door located in the multipurpose room used as a means to egress was blocked with a large collapsed vinyl playhouse.

On 8/26/25, at time of unannounced inspection, a thermometer was not observed in the refrigerator located in Room 1. The thermometer observed in the refrigerator located in Room 3 had a temperature reading of 50 degrees Fahrenheit.

On 8/26/25, at time of inspection, Child #1 inhaler was observed in the office. Instructions for administrating the medication was not on file. Additionally, parent consent to administer the medication was not obtained.

On 8/26/25, at time of unannounced inspection, Staff #1 acknowledged that inhaler was administered to Child #1 on 8/25/25. The facility does not have a medication log established in order to administer medicine, including documentation of administration details by the facility.

On 8/26/25, at time of unannounced inspection, 15 children were observed receiving care in Room 1 (room attached to the multipurpose area). Room 1 has a capacity of 10 children. Additionally, 10 toddlers were observed receiving care in Room 4. Room 4 has a capacity of 9 children.

On 8/26/25, at time of inspection, no evidence that the facility's fire detection system was tested at least every 30 days as required by Panic & Fire Act 62. The last fire detection test logged was 7/18/25

Continued noncompliance from inspections dated 9/24/24, 10/9/24, 11/14/24, 3/4/25, 4/10/25, 4/30/25, 6/10/25, & 7/29/25: On 8/26/25, at time of unannounced inspection, the facility still does not have a qualified director as specified at Chapter 3270.34(b)(1)-(4).

Continued noncompliance: On 8/26/25, at time of unannounced inspection, emergency contact information was not present in the childcare space where 15 preschool/school age children were receiving care.

On 7/29/25, at time of unannounced inspection, Staff #2, Staff #3, Staff #4, and Staff #5 were observed to be caring for children unsupervised. Staff person #2 file contained an expired Pediatric First Aid/CPR dated 4/20/23. Staff #3 file did not have a completed Pediatric First Aid/CPR training. Staff #4 and Staff #5 files did not contain completed Health & Safety Part 1 and Mandated Reporter Training.

Continued noncompliance: On 7/29/25, at time of unannounced inspection, Staff #2 file did not contain an acceptable PA Criminal Clearance. The PA Criminal Clearance on file dated 9/9/24 was requested for purpose of Volunteer. Staff #3 file did not contain results of PA Criminal Clearance and a signed disclosure statement as required by CPSL. Staff person #4 file did not contain PA Criminal Clearance, Child Abuse Clearance, FBI Clearance, NSOR Clearance as required by CPSL. Additionally, Staff #4 file contained a disclosure statement that was not witnessed and dated. Staff #5 file did not contain PA Criminal Clearance, Child Abuse Clearance and NSOR Clearance as required by CPSL. Staff #6 file did not contain PA Criminal Clearance as required by CPSL. Staff #7 file did not contain a signed disclosure statement as required by CPSL. Requests for clearances were not on file for Staff #2, #3, #4, #5 and #6. Additionally, Staff #5 and Staff #6 were observed working in the PS/SA room unsupervised by a permanent staff person as required by CPSL.

On 7/29/25, at time of inspection, three uncovered electrical outlets accessible to children were observed in the gym. One uncovered electrical outlet accessible to children was observed in the older toddler room.

On 7/29/25, at time of unannounced inspection, disinfecting wipes and suntan lotion instructing to "keep out of reach of children" was observed accessible to children next to the changing table in the older toddler room.

On 7/29/25, at time of unannounced inspection, damaged plaster and peeling paint was observed on the back purple wall in the older toddler room.

On 7/29/25, at time of unannounced inspection, the top of the blue tube sliding board was observed to be detaching from the climber due to missing bolts. This poses a potential fall and entrapment hazard to children using the equipment.

On 7/29/25, at time of unannounced inspection, children were observed resting on cots that were not labeled and used for the individual use of specific children. Four pack n plays were also not labeled for the individual use of specific children. Additionally, cots in the PS room were not at least 2 feet of space on three sides. Cots were observed directly next to one another.

On 7/29/25, at time of unannounced inspection, Staff #4 and #5 files did not contain initial health assessment, including results of tuberculosis testing, dated within 12 months of initial hire. Staff #3 file did not contain an initial health assessment (only results of tuberculosis testing was observed in the file).

On 7/29/25, at time of unannounced inspection, a copy of inspection summaries issued by the Department dated 4/10/25, 4/30/25 and 6/10/25 were not posted in a conspicuous location used by parents.

On 7/29/25, at time of unannounced inspection, Staff #2 file contained an expired training in Pediatric First Aid/CPR. The Pediatric First Aid/CPR training in the file was dated 4/20/23).

On 7/29/25, at time of unannounced inspection, Staff #3, Staff #5, Staff #6 have been working at the facility for more than 90 days. Staff #3 file did not contain required Pediatric Frist Aid/CPR and Health & Safety Training Part 2. Staff #5 file did not contain required Mandated Reporter and Health & Safety Training Part 1 and Part 2. Staff #6 file did not contain required Mandated Reporter training and Pediatric First Aid/CPR.

Continued Noncompliance: On 7/29/25, at time of unannounced inspection, Staff #3 was observed working in the PS/School Age classroom. Staff #3 file did not contain verification of education.

Continued noncompliance from inspections dated 9/24/24, 10/9/24, 11/14/24, 3/4/25, 4/10/25, 4/30/25, & 6/10/25: On 7/29/25, at time of unannounced inspection, the facility still does not have a qualified director as specified at Chapter 3270.34(b)(1)-(4).

Continued Noncompliance: On 7/29/25, at time of unannounced inspection, emergency contact information was not present in childcare for 4 of 8 children receiving care in the PS room, for 1 of 4 infants receiving care in the infant room, and for 1 of 4 children in the Young Toddler room.

Continued Noncompliance: On 7/29/25, at time of unannounced inspection, emergency contact information located in the childcare spaces where children were receiving care were not updated at least once in a 6-month period.

On 7/29/25, at time of unannounced inspection, Staff #5 file did not contain verification of age.

On 7/29/25, at time of unannounced inspection, Staff #3, #6 and #7 files did not contain two written letters of reference.

Continued noncompliance from inspection conducted on 4/30/25: On 6/10/25, at approximately 12:40pm, Staff #1 was observed out of ratio in the PS room with 12 children. The youngest child was 1yr old. Additionally, upon arrival at the facility, 7 YT/OT were observed unsupervised during rest time. Staff #2 was observed outside the classroom decorating a wall located across the hall from the classroom, preventing Staff #2 from properly supervising children.

On 6/10/25, at time of inspection, Child #1 was observed with plush toys inside their pack n play during nap time.

On 6/10/25, at time of inspection, damaged plaster causing a hole the size of a quarter was observed on the wall in the multipurpose space directly outside the Older Toddler room.

On 6/10/25, at time of inspection, a pack n play was not labeled for the individual use of a specific child.

On 6/10/25, at time of inspection, Staff #1 was observed changing a diaper in the infant room. Staff #1 did not wash the child's hands after diapering.

On 6/10/25, at time of inspection, no evidence that the facility's fire detection system was tested at least every 30 days as required by Panic & Fire Act 62. The last fire detection test logged was 5/6/25. A fire drill was conducted on 6/9/25, however, the fire detection test was more than 30 days and was not logged as required by Act 62.

On 4/30/25, at approximately 10:37am during an unannounced inspection, Staff #1, Staff #3 and Staff #4 were observed on the outdoor play space with 18 children. The youngest children were one year old. Additionally, on 5/7/25 Staff #1 was observed out of ratio in the front room with 10 children (youngest children were one year old) from 7:25am until 7:58am. Staff #2 was observed out of ratio in the infant room with 5 children (youngest children were infants) from 7:40am until 7:58am.

On 5/7/25, at time of unannounced inspection, damaged drywall and peeling paint was observed in the toddler room. Additionally, rabbit droppings were observed on the floor accessible to children in the PS room.

On 4/30/35, at time of unannounced inspection, toddlers were observed in the measured play space designated for preschool age children. Woodchips with a diameter of less than 1 inch were observed where toddlers were playing.

On 4/30/25, at time of unannounced inspection, the facility's current provisional certificate of compliance was not posted in a conspicuous location. A copy of uncorrected inspection summaries issued 3/5/25 and 4/10/25 were not posted in a conspicuous location.

Continued Noncompliance: On 4/10/25, at time of inspection, Staff #2 file did not contain results of PA Criminal Clearance dated within 60 months. (The PA Criminal Clearance on file dated 9/9/24 was obtained for the purpose of Volunteer). Additionally, Staff #1 fand Staff #3 files did not contain results of PA Criminal Clearance.

On 4/10/25, at time of inspection, diaper cream instructing to "keep out of reach of children" was observed accessible to children under the diaper changing table in the Older Toddler Room.

Continued noncompliance: On 4/10/25, at time of inspection, the first aid kit observed in the multipurpose room did not contain gloves and soap.

Continued noncompliance: On 4/10/25, at time of inspection, floor tiles located in Young Toddler room were damaged and able to be detached from the floor, exposing a dirty and possibly hazardous surface under the tiles. Additionally, a shelf that is taller than the children located in the Older Toddler room was not mounted to prevent falling forward on a child.

On 4/10/25, at time of inspection, the training chair located in the girl's bathroom was emptied but not sanitized after use.

Continued noncompliance: On 4/10/25, at time of inspection, Staff #4 stated that they do not utilize the sink in the OT classroom for handwashing. Staff #3 stated after all children diapers have been changed, they are walked to the lavatory to wash hands as a group. Additionally, Staff #3 was observed changing a diaper in the Young Toddler Room. After diapering the child, Staff #3 did not wash own hands and child's hands with soap.

Continued noncompliance: On 4/10/25, at time of inspection, Staff #3 file did not contain an initial health assessment, including results of tuberculosis testing.

Continued noncompliance: On 4/10/25, at time of inspection, Staff #5 initial health assessment did not include the physician's assessment of the suitability to provide childcare.

Continued noncompliance: On 4/10/25, at time of inspection, a written feeding schedule obtained by the parents of Child #6 and #7 were not on file.

Continued noncompliance: On 4/10/25, at time of inspection, an unlabeled bottle was observed in the refrigerator located in the Young Toddler Room.

Continued noncompliance: On 4/10/25, at time of inspection, no evidence of annual emergency drill was observed on file at the facility.

Continued noncompliance: On 4/10/25, at time of inspection, Child #4 health report was not dated. Child #3 health report was not updated within the last 12 months. Child #3 health report was dated 1/30/23.

Continued nonompliance: On 4/10/25, at time of renewal, Staff #1 has been employed at the facility for more than 90 days. Staff #1 has not completed the required Health & Safety training Part 2.

Continued noncompliance: On 4/10/25, at time of inspection, Staff #3 was observed working in the capacity of an AGS in the OT room. Staff #4 was observed working as an AGS in the infant room. Staff #3 and Staff #4 files did not contain verification of education/experience in order to qualify them for the positions they were performing.

Continued noncompliance: On 4/10/25, at time of inspection, the facility does not have a qualified Director. Staff #5 is listed as the facility's Director. Staff #5 file does not contain verification of education and experience as specified in 3280.34(b)(1)-(4).

Continued Noncompliance: On 4/10/25, at time of inspection, Child #1 and #4 agreements were not signed and dated by operator. Child #4 agreement was not signed/dated by the parent.

Continued noncompliance: On 4/10/25, at time of inspection, Child #1, #2, #3, #4 and #5 files did not contain Child Service Reports.

Continued Noncompliance: On 4/10/25, at time of inspection, emergency contact information was not present for 7 children receiving care in the YT room. Additionally emergency contact information was not present for 2 of 6 children receiving care in the Older Toddler room.

Continued Noncompliance: On 4/10/25, at time of inspection, Child #1, #2, #3, #4 emergency contact and financial agreements and Child #5 emergency contact information, were not updated at least once in a 6-month period. Additionally, emergency contact information observed in the classrooms where children were receiving care were not updated at least once in a 6month period.

Continued noncompliance: On 4/10/25, at time of inspection, Staff #3 and #4 files did not contain verification address and verification of age.

Continued noncompliance: On 4/10/25, at time of inspection, Staff #3 and #4 file did not contain 2 letters of reference.

Continued Noncompliance: On 3/4/25, at time of inspection, Staff #3 file did not contain an updated PA State Criminal Clearance as required by CPSL. The PA Criminal Clearance in the file was obtained for the purpose of volunteering. Staff #5 file did not contain PA Criminal and FBI clearances as required by CPSL. Staff #6 is a provisional hire. Staff #6 was observed working alone in the OT/PS room unsupervised by a permanent staff person. Staff #7 file did not contain PA Criminal, Child Abuse and NSOR Clearances required by CPSL. Additionally, requests for clearances were not observed in the file belonging to Staff #7.

On 3/4/25, at time of renewal, Child #3 was observed asleep on a large round pillow in the infant room in a position not recommended by the American Academy of Pediatrics.

On 3/4/25, at time of inspection, a receptacle containing two uncovered electrical outlets was observed in the Room 2.

On 3/4/25, at time of inspection, waste receptacles containing trash and dirty diapers from previous day(s) were observed in Room 3 and Room 4.

On 3/4/25, at time of inspection, the first aid kit located in the multipurpose room did not contain tape, disposable gloves and soap.

On 3/4/25, at time of renewal, floor tiles located in Room 4 were damaged and able to be detached from the floor, exposing a dirty and possibly hazardous surface under the tiles.

On 3/4/25, at time of renewal, a sign listing the requirement for handwashing was not observed at the diapering area located in toddler Room 5. Additionally, a lidded waste receptacle was not observed at the diapering area in Room 2.

On 3/4/25, at time of renewal, a source of running water was not observed at the diapering area located in Room 2.

Continued Noncompliance: On 3/4/25, at time of renewal, the diaper pads located in Room 2 and Room 4 were torn and in poor repair. Additionally, a bottle containing formula was observed on the diapering mat located in the infant room.

On 3/4/25, at time of renewal, Child #4, #6, #8 files did not contain an updated health report. Child #4 health report was dated 1/11/24, Child #6 health report was dated 1/30/23, and Child #8 health report was dated 6/16/23.

On 3/4/25, at time of renewal, children in Room 2 and Room 5 did not wash their hands prior to eating lunch. Additionally, Staff #1 did not ensure child's hands were washed and did not wash their own hands after diapering children in Room 2.

On 3/4/25, at time of renewal, Staff #2 and Staff #3 files did not contain updated Health Assessments. Staff #2 health assessment was dated 10/27/22. Staff #3 health assessment was dated 11/29/22. Staff #6 file did not contain an initial health assessment, including results of tuberculosis testing. Staff #7 file did not contain an initial health assessment.

On 3/4/25, at time of renewal, lunches in the toddler room containing cheese and cold cuts brought from home were not refrigerated.

On 3/4/25, at time of renewal, written feeding schedules obtained from the parent was not on file for infant Child #1 and Child #2.

Continued Noncompliance: On 3/4/25, at time of renewal, three bottles located in the infant room refrigerator were not labeled with the child's name. Additionally, Child #3 was observed asleep with a bottle in the pack n play.

On 3/4/25, at time of renewal, evidence of conducting an annual emergency drill was not on file at the facility.

On 3/4/25, at time of renewal, Child #7 has been enrolled at the facility more than 60 days. The health report and immunization record in Child #7 file was not dated.

On 3/3/25, Child #1 is enrolled at the facility from 7:30pm - 5:30 daily. certification representative reviewed a sample of daily diapering schedules for Child #1. Based on the documentation provided, Child #1 diaper was not checked/changed at least every two hours. Additionally, during renewal inspection conducted on 3/4/25, no evidence that the facility checks/changes diapers at least every 2 hrs. was provided by the facility.

On 3/4/25, at time of renewal, Staff #5 has been employed at the facility for more than 90 days. Staff #5 file did not contain completed Health & Safety Training Part 2 and Pediatric First Aid/CPR.

Continued Noncompliance: On 3/4/25, at time of renewal, Staff #4, Staff #6 and Staff #7 files did not contain verification of education/transcript in order to qualify them for the position they are performing.

Continued Noncompliance: On 3/4/25, at time of renewal, Staff #1 is the designated Director of the facility. Staff #1 file did not contain verification of education and/or transcripts to ensure they meet the Director qualifications specified in 3270.34(b)(1).

On 3/4/25, at time of renewal, Child #4, #6, and #7 Agreements were not signed by the operator. Child #7 and #8 Agreements were not signed/dated by the parent.

On 3/4/25, at time of renewal, Child #4, #5, #6, #7 and #8 files did not contain Child Service Reports dated at least every 6 months.

On 3/4/25, at time of renewal, Child #4, #6 and #7 files did not contain the date of child's admission.

On 3/4/25, at time of renewal, emergency contact information located in the childcare spaces where children receive care were not updated at least once in a 6-month period.

On 3/4/25, at time of renewal, Child #4, #5, #6, #7 and #8 emergency contact information and financial agreements were not updated at least every 6 months.

On 3/4/25, at time of renewal, Staff #4 and Staff 7 files did not contain verification of age.

Continued Noncompliance: On 3/4/25, at time of renewal, Staff #4, #5, #6 and #7 files did not contain 2 written letters of reference.

At the time of the inspection, sanitizing wipes labeled keep out of reach of children were observed accessible to children. Staff person #1 and #2 confirmed the use of these wipes when children participated in cleaning toys.

Continued Non Compliance from inspections dated 9/24/24 and 10/25/24: Staff #1 and Staff #2 were observed to be caring for children unsupervised. Staff person #1 and Staff person #2 have not completed the pre-service training required prior to caring for children unsupervised. The facility's acceptable plan of correction indicated the correction would be implemented by 10/26/24. On 11/14/24, an unannounced inspection was conducted. Staff person #1 still has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety Training and Mandated Reporter Training. Staff #2 also has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety Training, Pediatric First Aid/CPR and Mandated Reporter Training.

Continued NonCompliance from inspections dated 9/24/24 and 10/25/24: On 11/14/24, at time of unannounced inspection, staff person #2 was observed working unsupervised by a permanent staff person in the preschool room. Staff person #2 file did not contain results of PA Criminal Clearance, results of NSOR Clearance and a signed Disclosure Statement as required by CPSL.

Continuous Noncompliance from inspections conducted 9/24/24 and 10/9/2: On 11/14/24, at time of unannounced inspection, staff person #3 was observed out of ratio with 5 children (4 infants, 1 young toddler).

Continuous Noncompliance from inspections conducted 9/24/24 and 10/9/24: On 11/14/24, at time of unannounced inspection, staff person #3 was observed out of ratio with 5 children (4 infants, 1 young toddler).

Continued Noncompliance from inspections conducted on 9/24/24 and 10/9/24: On 11/14/24, at time of unannounced inspection, Staff person #1 was observed out of ratio with 12 children (the youngest children were Young Toddlers) during nap time.

On 11/14/24, at time of inspection, the diaper pad located in the toddler room was torn and in poor repair.

On 11/24/24, at time of unannounced inspection, 12 children were observed asleep in the toddler room. The rest equipment was placed on only one side of the toddler room, preventing the rest equipment to be placed at least 2 feet of space on three sides.

On 11/14/24, at time of unannounced inspection, 3 toddlers were observed with bottles/sippy cups while sleeping.

On 11/14/24, at time of unannounced inspection, staff person #2 was observed working in the capacity of an AGS in the preschool room. Staff person #2 file did not contain verification of education and experience required to be qualified as an AGS.

Continued Noncompliance from inspection dated 10/9/24: The facility does not have a qualified director responsible for the general management of the facility. The facility's acceptable plan of correction indicated the correction would be implemented by 11/4/24. On 11/14/24, an unannounced inspection was conducted. The facility still does not have a qualified director responsible for the general management of the facility.

On 11/14/24, at time of unannounced inspection, Staff person #2 was observed working in the preschool room. Staff #2 does not have an individual record on file.

Continued Noncompliance from inspections dated 9/24/24 and 10/25/24: On 11/14/24, at time of unannounced inspection, staff person #1 and staff person #2 files did not contain 2 letters of reference. (Staff #1 file contained one reference letter)

Continued Non Compliance: Staff #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety Training, Pediatric First Aid/CPR and Mandated Reporter Training. The facility's acceptable plan of correction indicated the correction would be implemented by 9/25/24. On 10/24/24, an unannounced inspection was conducted. Staff person #1 still has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety Training, Pediatric First Aid/CPR and Mandated Reporter Training

Continued Noncompliance: On 10/25/24, at time of unannounced inspection, Staff #1 file did not contain a completed Child Abuse Clearance and NSOR clearance. Staff #1 was observed working unsupervised in the multipurpose room with Older Toddlers

Continued Non Compliance: On 10/25/24, during unannounced inspection, Staff #1 health assessment did not include the physician's assessment of the person's suitability to provide child care. Additionally, Staff #2 health assessment did include results of tuberculosis test conducted within 12 months of initial hire.

Continued Non-compliance: On 10/25/24, during unannounced inspection, Staff #1 file did not contain 2 letters of written references.

Certification Supervisor observed two outside groups of children in separate play spaces out of ratio. Group #1 had 7 older toddlers with one staff person. Group #2 had 7 older toddlers with one staff person. The ratio for older toddlers is 6 children to one staff person.

Certification Supervisor observed young toddler room out of ratio with one staff person supervising 2 young toddlers and 3 infants. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio. When infants are in care the ratio is 4 infants to 1 staff person.

Facility Director has been out with conflicting dates of May and July 2024 with acting director not qualified and currently positioned in the infant room and unable to complete daily director duties. Facility does not currently have a director on staff.

On 9/24/24, at time of renewal, Staff person #1 was observed caring for children in the toddler room unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety Training and Mandated Reporter Training.

On 9/24/24, at time of renewal, Staff #1 file did not contain completed Child Abuse and NSOR clearances as required by CPSL. Staff #1 was observed working unsupervised in the Toddler Room without all clearances on file.

On 9/24/24, at time of renewal, Staff #5 was observed out of ratio with 9 children (the youngest children were Older Toddlers) while Staff #3 left the room three times for approximately 1-2 minutes.

On 9/24/24, at time of renewal, Child #1 was observed asleep in a swing in a position not recommended by the AAP. Staff #2 stated that Child #1, #2 and #3 routinely sleep in an upright position in the swing or bouncy seat. Additionally, Child #5 was observed asleep in a pack n play that was labeled for the individual use for Child #2.

On 9/24/24, at time of renewal, the facility's emergency plan was not updated annually. The last update was dated 8/8/23.

On 9/24/24, at time of renewal, Staff #2 file did not contain evidence of training on the facility's emergency plan at initial hire. Staff #5 file did not contain evidence of training on the facility's emergency plan at least annually. The last training was dated 8/8/11/23.

On 9/24/24, at time of renewal, five uncovered electrical outlets accessible to children were observed in the indoor play space.

On 9/24/24, at time of renewal, diaper cream was observed accessible to children under diaper changing tables located in Room 2, Room 3 and Room 4. Hand sanitizer instructing to "keep out of reach of children" and Febreze was observed accessible to children on the diaper shelf located in Room 2.

On 9/24/24, at time of renewal, split wood with sharp edges accessible to children was observed across the bottom of the length of two sides of the shed located on the outdoor play space. Ripped mesh was observed at the bottom of the sliding board causing a trip hazard on the outdoor play space.

On 9/24/24, at time of renewal, peeling paint was observed on the orange wall in the Preschool Room. Two areas of damaged plaster were observed on the left wall of the indoor play space.

On 9/24/24, at time of renewal, rest cots were observed obstructing the back egress door of the toddler room leading out to the play space.

On 9/24/24, at time of renewal, the screen located on the playhouse window was torn with rough edges. The kitchen set located on the toddler play space was dirty.

On 9/24/24, at time of renewal, Child #4 health report was dated more than 12 months. Child #4 health report was dated 3/7/23.

On 9/24/24, at time of renewal, Staff #6 did not sanitize surface after diapering a child in Room 3. Staff #1 did not wash their own hands after diapering a child in Room 4.

On 9/24/24, at time of renewal, Staff #1 file did not contain an initial health assessment, including results of tuberculosis testing. Staff #2 file did not contain the date the tuberculosis testing was performed to ensure it was conducted within 12 months of initial hire.

On 9/24/24, at time of renewal, written formula and feeding schedules were not obtained by the parent of Infant Child #1, #2, #3 and #5.

On 9/24/24, at time of renewal, a bottle in the Toddler Room and a bottle in the older Infant Room were not labeled with the child's name. Additionally, Child #3 was observed asleep in the pack n play with a bottle.

On 9/24/24, at time of renewal, an annual emergency drill was not conducted at the facility. The last emergency drill was dated 8/1/23.

On 9/24/24, at time of renewal, the facility does not test the fire detection system at least every 30 days as required by Panic and Fire Act 62 of 2022.

On 9/24/24, at time of renewal, Staff #3 and Staff #4 file did not contain annual fire safety training.

On 9/24/24, at time of renewal, a qualified group supervisor/director was not present at the facility for a minimum of 30 hours per week.

On 9/24/24, at time of renewal, Child #1 agreement was not signed by the operator and the parent. Child #2 agreement was not signed by the operator.

On 9/24/24, at time of renewal, Child #1 and Child #2 agreement did not contain arrival and departure times. Child #1 and Child #2 agreements did not contain the date of child's admission at the facility.

On 9/24/24, at time of renewal, emergency contact information observed in the childcare spaces where children were receiving care was not updated at least once in a 6-month period. (Only emergency contact information in the master files were updated)

On 9/24/24, at time of renewal, Staff #1 file did not contain two written letters of reference.

During a complaint investigation inspection conducted on 06/18/24, the Certificate Representative reviewed contents of records for pre-service trainings for staff #1, and Staff's #1 Health & Safety training is expired.

During a complaint investigation inspection conducted on 06/18/24, the Certification Representative reviewed contents of pre-service training of Staff #2. Staff's #2 hire date indicates pre-service training are due 07/23/34, however Staff #2 was alone in the Young Toddler Classroom without the pre-service trainings completed.

During a complaint investigation inspection conducted on 06/18/24, the Certificate Representative reviewed contents of records for pre-service trainings for staff #1, and Staff's #1 mandating reporting is expired.

During the renewal inspection conducted on 8/16/203 observed staff person #1's criminal history record stated the request was pending. Observed staff person #2's file did not include verification of the child abuse clearance and National Sex Offender Registry. Observed staff person #4's files did not include verification of the child abuse clearance. Observed staff person #5's file did not include a disclosure statement. Corrected on site 8/16/2023.

During the renewal inspection conducted on 8/16/203 observed staff person #1's file did not include verification of emergency plan training at the time of initial employment. Corrected on site 8/16/23.

During the renewal inspection conducted on 8/16/203 observed two paint cans child accessible in the outside playhouse. Corrected on site 8/16/2023.

During the renewal inspection conducted on 8/16/203 observed the first aid kit in the Older Toddler room did not include soap.

During the renewal inspection conducted on 8/16/203 observed the children's rest equipment in the Older Toddler room were not 2 feet apart.

During the renewal inspection conducted on 8/16/203 observed child #1 and #3's health reports did not include immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77 or exemption letter.

During the renewal inspection conducted on 8/16/203 observed the facility did not have a Shaken Baby Syndrome policy. Also observed the facility's emergency plan did not address continuity of operations.

During the renewal inspection conducted on 8/16/203 observed staff person #5's file did not include verification of childcare experience and training prior to service at the facility.

During the renewal inspection conducted on 8/16/203 observed staff person #2, #3, and #4's file did not include verification of childcare experience or training prior to service at the facility.

During the renewal inspection conducted on 8/16/203 observed child #1's file did not include an agreement. Observed child #2, #3, #4 and #5's agreements were not signed by the parent.

During the renewal inspection conducted on 8/16/203 observed child #2, #3, #4 and #5's agreement did not include the services to be provided to the family and the child.

During the renewal inspection conducted on 8/16/203 observed child #2, #3, #4 and #5's agreement did not specify the child's arrival and departure times.

During the renewal inspection conducted on 8/16/203 observed child #4 and #5's agreement did not specify the date of the child's admission.

During the renewal inspection conducted on 8/16/203 observed child #5's emergency contact information did not include the work address and telephone numbers of the enrolling parent.

During the renewal inspection conducted on 8/16/203 observed child #1 and #2's emergency contact forms did not include the date they were signed. Observed child #1, #2, #3, #4 and #5's financial agreements did not include the date they were signed.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that the records of staff person #1 did not include the Disclosure statement and an updated State Police clearance.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, there was no document on record to verify that there was an inspection of the fire detection system.

During the initial inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that there was no document to verify the program had an emergency plan.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that staff person #1 did not receive training regarding the emergency plan.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that there were no outlet covers on the outlets in Room 1.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that in Room 5 there was no soap and scissors in the first Aid kit. It was observed that in Room 1 and Room 4 there was no first Aid kit.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that 2 tall cabinets and the sink in Room 1 was not secured to the wall and rocked back and forth.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that there was peeling paint in Room1 and Room 3

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that there were no handwashing signs over the sink in Room1 and Room 5 depicting a facility person and an able child shall wash his hands after toileting and before eating.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that there was no clean, lidded waste receptacle in Room 5.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that there was no receptacle to contain the water used for washing in Room1.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that the records of staff person #1 included Pediatric first Aid training in an approved curriculum, but the trainer could not be verified as an approved trainer.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that the records of staff person #1 did not include updated training in fire safety. Document dated 11/2/2021.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that there was no director employed by the facility at least 30 hours per week.

During the initial Inspection on 3/7/23 and prior to issuance of a certificate of compliance, it was observed that the records of staff person #1 did not include verification of childcare experience prior to service at the facility.