Little House Learning CTR

The current child abuse clearance on file for Facility Person #2 was completed more than 60 months after the previous child abuse clearance on file. The current criminal history and child abuse clearances on file for Facility Person #4 were completed more than 60 months after the previous respective clearances on file. The FBI clearance on file for Facility Person #6 was completed after their start date. There was no proof of application for an FBI clearance on file for Facility Person #6. Facility Person #7 resided in another state in the previous 5 years and began employment at the facility prior to 2/1/25. There was no criminal history clearance on file for Facility Person #7 from this state. The child abuse clearance from this state, and the proof of application for this clearance were completed after their start date.

There was no documentation of a date the emergency plan had been reviewed by the operator within the previous 12 months.

The explanation of the facility's emergency plan in the handbook was not in letter format and it did not include all emergency procedures required under subsection (a).

There was an uncovered outlet in the schoolage room on a wall below a computer desk.

There were no gloves or tweezers in a first aid kit in the preschool room.

There was a foam barrier on the edge of a window ledge, with pieces missing, in the Toddler room.

The most recent health assessments on file for child #2, a preschooler, were dated 12/28/23 and 1/8/25, more than 12 months apart.

There was triple antibiotic ointment in the first aid kit in the Preschool room, not labeled with a child's name to be used by that child.

The most recent completed health assessment on file for Facility Person #1 was completed more than 24 months after the previous completed health assessment. The TB test on file for Facility Person #5 was documented as read after their start date.

The health assessment on file for Facility Person #3 did not include information regarding an exam for communicable disease and the results of that examination.

The policy regarding shaken baby syndrome did not include strategies for coping with a crying, fussing, or distraught child; and did not address the prevention and identification of child maltreatment.

The degree on file for Facility Person #8, required for the classification, was an international degree and was not accompanied by an evaluation for U.S. equivalency by an accredited agency.

The agreement on file for child #2 was not signed by the parent.

The agreement on file for child #2 did not specify the date of the child's admission.

The emergency contact form on file for child #3 did not include the addresses of all release persons listed.

The medical emergency transportation plans were not posted conspicuously as follows: in the Preschool room, where it was posted on a wall obstructed by a stack of cots, or the Toddler room, where it was posted on a wall, but covered by a curtain.

There was no signed parental consent for minor first aid administration by staff on file for child #1.

There was no NSOR on file for Facility Person #1. There was no FBI clearance on file for Facility Person #2. The child abuse clearance on file for Facility Person #3 was a volunteer clearance. Facility Persons #1, #2, and #3 were each employed at the facility more than 45 days.

There was a backpack in reach of children in the schoolage room containing medication (Epipen, Albuterol inhaler).

There was no written parental consent for an Epipen and an Albuterol inhaler in the schoolage room.

The health assessment on file for Facility Person #4 did not include an examination for communicable diseases and the results of that examination.

The health assessments on file for Facility Persons #3 and #4 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Consecutive fire drills documented as occurring on 5/23/24 and 6/22/24 listed the same hypothetical location of the fire (the office).

Facility Persons #1, #2, #3, and #4 were high school students ages 16-17 classified as aides. The operator stated that Facility Persons #2, #3, and #4 were enrolled in an approved high school curriculum an have completed the required classroom training, but there was no documentation on file from the training institution to verify this.

Facility Person # 8 was classified as an assistant group supervisor with documentation of 15 credits in human services on file. There was no documentation of the required child care experience on file for the classification.

There were no written, nonfamily references on file for Facility Persons #5, #6, #7, and #8.

The file for Staff person #2 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid.

The file for staff person #4 did not to contain documentation of a complete PA Child Abuse clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the clearance is dated 9/2/23). The file for Staff person #4 did not include proof of application for a criminal history, child abuse, and sex offender clearances from Florida, where the staff person lived within the previous 5 years (See IS CODE SHEET) required for provisional hiring under the CPSL; the FL criminal history and FL child abuse clearances are both dated 2/5/24.

There were cans of shaving cream, labeled "Keep out of the reach of children", reportedly used for arts and crafts projects, in the Pre-K classroom.

There were 4 holes in the wall with exposed plaster/drywall in the Preschool Classroom by the outside exit door.

There were three Magna Tiles that were cracked in the School-Age Classroom.

There were loose marker lids in a bin that was on a shelf accessible to children still placing objects in their mouths in the Pre-Toddler Classroom. There were wooden blocks on a shelf accessible to children still placing objects in their mouths in the Toddler Classroom.

The two most recent health assessments on file for Child #1, who is a preschool age child, are dated 8/2/22 and 10/5/23, more than 12 months apart.

The immunization record on file for Child #4, who is 5 months old, includes 1 of 2 Hepatitis B vaccines recommended by the ACIP for a child this age; 1 of 2 Rotavirus vaccines recommended by the ACIP for a child this age; 1 of 2 DTAP vaccines recommended by the ACIP for a child this age; 1 of 2 HIB vaccines recommended by the ACIP for a child this age; and 1 of 2 Pneumococcal vaccines recommended by the ACIP for a child this age.

There was a bottle of Zyrtek in the medication bin in the School-Age Classroom that was not labeled for the use of a specific child.

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the pre-service training on file for staff person #1 was dated 1/4/24. Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care: Building Blocks for Quality; the pre-service training on file for staff person #5 was dated 11/6/23.

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/Pediatric CPR.

The agreement on file for Child #1 and #4 is not signed by the operator.

The agreement on file for Child #1, #3, and #4 does not include the child's date of admission.

The emergency contact form on file for Child #2 does not include the address and telephone number for the enrolling parent's employment.

A written emergency transportation plan detailing transportation procedures for a medical emergency was not posted in the Preschool Classroom.

The Child Abuse clearance on file for staff person #1 is dated after the date of hire (See IS CODE SHEET) but is required prior to hire for provisional hiring under the CPSL. The Child Abuse clearance on file for staff person #2 is dated after the date of hire (See IS CODE SHEET) but is required prior to hire for provisional hiring under the CPSL. The signed Disclosure statement on file for Staff person #7 is not dated at hire (See LIS Code Sheet); the disclosure statement is dated 2/23/23.

The water temperature in the sink in the Pre-K room measured 113 degrees Fahrenheit.

There was no handwashing sign at the handicap toilet in the Pre-K room.

The two most recent health assessments on file for Child #7, who was a young toddler, are dated 9/27/21 and 9/2/22, more than 6 months apart.

The most recent influenza vaccination on file for Child #1, who is 4 years old, is dated 11/20/19, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #2, who is 4 years old, is dated 11/16/20, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #3, who is 3 years old, is dated 10/20/21, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #5, who is 2 years old, is dated 11/29/21, more than 1 year ago, as is recommended annually by the ACIP. The immunization record on file for Child #7, who is 2 years old, includes 3 of 4 DATP vaccinations recommended for a child this age; and the most recent influenza vaccination is dated 12/13/21, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #8, who is 4 years old, is dated 10/2/21, more than 1 year ago, as is recommended annually by the ACIP.

The current health assessment on file for Child #4 does not indicate if the child has had all age-appropriate screenings.

There was medication, Simethicone gas drops, in the Infant room, with the names of 2 children, siblings, to share.

There was an expired EpiPen in the School-age room, which had an expiration date of 12/2022. There was an expired AuviQ pen in the Transition room.

The Fire Safety training that the facility has been utilizing since 2021 through 2023 is in the form of a video recording and is not facilitated by a fire safety professional. Therefore, the previous and current fire safety training on file is not valid for all staff person currently employed.

Staff person #3, #6 has 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; Building Blocks for Quality. Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR

The file for Staff person #4 includes current First Aid/CPR training dated 1/15/23, after the expiration of the previous training, 12/5/22.

The emergency contact form on file for Child #2, #3, #6, and #7 does not include the work address and/or telephone number for the enrolling parent.

The emergency contact form on file for Child #7 does not include a complete address for all listed release persons.

The file for staff person #4, with a start date of 8-16-21, had a disclosure statement that lacked the date. The file for staff person #2 had child abuse clearances dated 3-19-14 and 3-21-19 that were over 60 months between clearances.

In the school-age room, there were 2 cans of shaving foam labeled "Keep out of reach of children" that a staff person stated had been used for an art activity with the children and were accessible to children.

In the pre-k room, the toilet in the large stall lacked a handwashing sign.

In the school-age room, there was an unanchored cabinet on the back wall that was unstable and a potential hazard.

The file for child #1, a 2 year old, child #2, a 5 year old, and child #3, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The bathroom between the toddler and pre-toddler rooms had soiled diapers thrown away in a trash can that had a flip lid and not in a hands-free diapering can.

The file for staff person #3 had a health assessment that was dated after their start date.

The files for staff person #3 and #6 had a tuberculosis screening by the Mantoux method that was dated after initial employment.

The file for staff person #7 had a health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

In the facility, there were multiple lunch boxes in each child care room that had potentially hazardous food brought from the child's home that were not refrigerated.

According to the fire drill log, a fire drill was not conducted every 60 days between 7-22-21 to 9-23-21.

The files for staff person #9 had pediatric first-aid and CPR training that expired in October 2021 and lacked current training. The file for staff person #1 had current pediatric first-aid and CPR training with a completion date of 5-24-21 that was after the January 2021 expiration of the prior training.

Staff person #8, with a start date of 8-13-21, had mandated reporter training dated 2-19-22 that was over 90 days after their start date. Staff person #5 had trainings dated 12-7-15 and 12-22-20 that were over 5 years between trainings.

The file for staff person #8, functioning as an assistant group supervisor, lacked verification of education to qualify as an assistant group supervisor.

The files for staff person #4, with a start date of 8-16-21, and staff person #7, with a start date of 10-20-21, lacked pediatric first-aid and CPR training within 90 days of their start date and require current training.

The file for staff person #1, with a start date prior to 12-20-20, lacked 12 annual hours of child care training between 12-19-20 and 12-18-21 as required by regulations for staff persons with a start date prior to 12-20-20. The files for staff person #2, with 4 hours of training, and staff person #5, with 3 hours of training, had a start date prior to 12-20-20, and lacked 12 annual hours of child care training between 12-19-20 and 12-18-21 as required by regulations for staff persons with a start date prior to 12-20-20.

At approximately 12:48 p.m. in the school-age room with a total of 20 children, staff person #1 named 10 preschoolers in their group and staff person #2 named 8 young school-age children in their group, resulting in 2 children not being named in a group.