Little Big Steps Preschool & Child Care ELC INC

During the renewal inspection conducted on 1/22/2025 observed the windows in the infant, young toddler 2, and pre-k rooms were not constructed, modified or adapted to limit the opening to 6 or fewer inches.

During the renewal inspection conducted on 1/22/2025 observed the first aid kit in the preschool 1 room did not include sterile gauze pads. Corrected on site 1/22/2025.

During the renewal inspection conducted on 1/22/2025 observed stained ceiling tiles in the preschool 1 room.

During the renewal inspection conducted on 1/22/2025 observed damaged paint in the bathrooms in the preschool 1 room and preschool 2 room.

During the renewal inspection conducted on 1/22/2025 observed staff person #1's file did not include verification of completion of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the complaint investigation conducted on 10/11/2024 observed 2 staff with 21 children with the youngest being age 4 in the Pre-K room.

During the unannounced monitoring inspection conducted on 10/11/2024 observed staff person #1, #2 and #3 were providing supervision in the Pre-K room without being supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

During the unannounced monitoring inspection conducted on 10/11/2024 observed the staff in the Pre-K room could not name which specific children they were assigned the responsibility for supervision. Staff person #1 named 5 children, staff person #2 named 6 children and staff person #3 named 5 children she was responsible for out of the 21 children present leaving 5 children unaccounted for.

During the unannounced monitoring inspection conducted on 10/11/2024 observed the rest equipment in in the Young Toddler 2 room and Preschool 2 room were not 2 feet apart during nap time.

Staff person # 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: Pediatric First Aid/CPR, Mandated Reporter, and 10 Hour health and safety. Staff # 1 is still within their 90 days of initial employement.

Staff person # 2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid

Staff person # 3 was observed to be caring for children unsupervised. Staff person # 3 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First aid and CPR.

The FBI clearance on file for staff # 2 (see code sheet for DOH) is a department of education clearance, therefore is not valid. The NSOR certificate for staff person # 3 (see code sheet for DOH) is dated 12/20/23, and was requested on 12/19/23, which was after their start date. Staff person # 6 (see code sheet for DOH) does not have a valid FBI clearance or proof it was requested prior to their start date.

In the young toddler classroom, cert rep observed cleaning wipes labeled "keep out of reach of children" on the diaper changing table.

The water in the upstairs sinks in the classrooms and bathrooms was 116 degrees.

There are water stained ceiling tiles in the Preschool 2 classroom.

Cert rep observed a wooden play kitchen that had a chipped door which exposed rough wood in the Preschool 1 classroom. There were also torn edges on the climbing mats in the indoor play area.

Cert rep observed diaper cream labeled "keep out of reach of children" in unlocked cabinets in the older toddler and infant classrooms.

The health assessment for staff # 1 (see code sheet for DOH) is dated 4/15/23 and was not conducted within 12 months prior to providing initial service. The health assessment did not include an assessment of their ability to provide child care. There is no health assessment on file for staff # 5.

More than 30 days passed between fire alarm test logs held on 12/1/23 and 1/2/24.

Child # 1 started on 9/18/23, there is not a valid health assessment on file.

Staff person # 7 did not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). The certificate of training is dated 1/16/24.

There are no written non family references on file for staff person # 4.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour Health and Safety Basics.

Staff person # 1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Staff person # 13 was observed to be caring for children unsupervised. Staff person # 13 has not completed the following pre-service training required prior to caring for children unsupervised: Mandate Reporter, Pediatric CPR/First Aid, and Get Started with Center-Based Care -- Revised 2022.

During the renewal inspection, children were observed to be receiving care in unmeasured space.

There was diaper cream stored in an unlocked cabinet accessible to the children in the young toddler classroom.

The first aid kit in the preschool classroom was kept in a cubby accessible to the children.

The diaper changing pad in the blue room has a tear that exposes the material making it unable to be properly sanitized.

The cots in the preschool and young toddler classrooms were not labeled for use of a specific child.

Staff persons # 4, 12, and 13 (see LIS code sheet for date of hire) did not provide a health assessment or TB screening at the time of hire. More than 24 months passed between health assessment forms for staff person # 3; health forms are dated 11/9/2020 and 3/7/2023.

More than 30 days passed between fire alarm tests logged since the last inspection on 11/21/22. Fire alarm test logs are dated 11/25/22, 12/28/22, and 1/25/23.

Staff persons #1, 2, 3, 5, 6, 7, 8, and 9 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Staff person # 12 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care -- Revised 2022

Staff person# 14 did not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

There is only one written non family reference on file for staff person # 12. There are no written non family references on file for staff person # 13,

Staff person # 1, hired 10/4/22, has a state police clearance dated 11/2/22, child abuse clearance dated 11/7/22, FBI dated 11/5/22, and NSOR dated 10/28/22. Staff person # 2, hired 10/13/18, does not have a valid state police clearance; there is only a receipt that shows it was requested. Staff person # 3, received their state police clearance on 10/21/22, 90 days after their start date of 8/22/22. Staff person # 5 does not have a valid FBI clearance or NSOR certificate on file. There is no proof that either has been requested. Staff person # 7 was hired 2/7/22, there is no valid state police clearance or FBI clearance on file. Staff person # 8 started on 9/6/22, the NSOR was requested on 10/28/22 and results have not yet been received. Staff # 8 also lived out of PA within the last 5 years and does not have out of state clearances on file or proof that they were requested.

A container of Clorox wipes labeled "keep out of reach of children" was on the changing table in the infant classroom.

There is no hand washing sign posted in any of the facility restrooms or sinks.

The cots in the young toddler classroom were not labeled for individual use.

Child # 3 started at the facility on 8/30/22. As of 11/21/22, there is no immunization report on file.

Staff person # 1, start date 10/4/22, has an initial health assessment dated 11/4/22. More than 24 months passed between health assessments for staff person # 2. Health assessments are dated 10/10/18 and 8/30/21. Staff person # 4, start date 8/26/22, does not have an initial health assessment on file. Staff person # 5, start date 8/31/22, does not have an initial health assessment or TB test on file. Staff person # 8, start date 9/6/22, does not have an initial health assessment or TB test on file.

Child # 3 started on 8/30/22. As of 11/21/22, the parent has not yet provided a copy of the child's heatlh asseessment.

There is no agreement on file for child # 2.

The emergency contact form on file for child # 1 did not include the addresses for the release persons listed.

Child # 3 started on 8/30/22. There is no written consent for the administration of minor first aid or emergency medical procedures on file.

There is no proof of education and/or experience prior to service at the facility on file for staff persons # 1, 3, and 5.

There are no written nonfamily references on file for staff person # 1 and 4. there is only one written nonfamily reference on file for staff persons # 5 and 6.

There is no refrigerator at the facility.

The emergency plan does not include accommodations for infants and toddlers.

Facility does not have proof of purchase for the smoke detectors at the facility.

The emergency plan was not sent to the local municipality.