Little Legends Program

The record for staff #2 included a NSOR verification certificate dated 2/26/2025, which was following their first day working in child care. (see LIS Sheet) The record for staff #4 lacked a NSOR verification certificate. The record for staff #5 Included a current NSOR verification certificate dated 3/6/2025, which was more than 60 months following the date of their previous NSOR verification certificate dated 1/14/2020.

Based on a conversation with a staff person, a slip n slide with a wading pool feature observed in the outdoor play space was used by children in care and none of the facility persons had completed water safety instruction.

Copies of children's incident reports were not retained in a file at the facility.

The parent letter did not include the facility's lockdown procedure and a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The following toxic materials labeled keep out of the reach of children were observed in areas accessible to children in room 3: A bottle of hand sanitizer was sitting on the countertop and a bottle of odor remover baby wash was in a gift basket by the door.

A handwashing sign was not posed at one of the toilets in the girls bathroom.

A source of running water for handwashing was not present in the diapering area in room 2.

The legs on the child-size wooden table in room 3 were loose, making the table very unstable and posing a potential hazard for children using the equipment.

The record for child #3, a preschool child, contained a current health report dated more than 12 months following the date of their previous health report.

The health report for child #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The record for staff #1 lacked results of a TB test conducted within 12 months prior to providing initial service in a child care setting. The record for staff #4 included a current health assessment dated more than 24 months following the date of their previous health assessment.

Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Staff #4 completed pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 7/8/2024, which was following the expiration of their previous certification on 6/30/2024. Staff #5 completed pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 7/8/2024, which was following the expiration of their previous certification on 5/31/2024.

Staff #3 did not participate, at least annually, in fire safety training between 7/28/2023 and 2/23/2025. Staff #4 did not participate, at least annually, in fire safety training between 3/4/2023 and 3/3/2025.

The emergency contact information for child #1 and #2 did not include the address and telephone number of the individual designated by the parent to whom the child may be released. The emergency contact information for child #3 and #4 did not include the address of the individual designated by the parent to whom the child may be released.

The record for staff #3, #4 and #5 lacked verification of the completion of an annual minimum of 12 clock hours of child care training.

The hallway outside the Early Head Start classroom was obstructed by a water table, and the door leading to the outdoor play area was obstructed by a mop, bucket, broom, and boxes in the hallway outside the kitchen.

The fire detection system was not tested at least once every 30 days from 1/14 to 2/17/2025.

The fire detection system was not tested at least once every 30 days from 1/14 to 2/17/2025.

A Swiffer Wetjet mop containing cleaning fluid labeled keep out of the reach of children was observed leaning against the wall in room #2, accessible to children in care.

Used tissues that appeared to have been contaminated by human secretions were contained in a receptacle that was not closed in the outdoor play space.

Several slats on a window blind installed in room #3 were broken off. There were sharp metal bolts protruding from the chain link fence surrounding the two outdoor play spaces, which posed a potential hazard for children in care.

A handwashing sign was not posted at the urinal in the boy's bathroom.

The lid to a plastic storage container was observed laying on the ground in the outdoor play space and it was cracked, which posed a potential pinch point for children in care.

The fire detection system was not tested at least once every 30 days during the time period between 3/15 to 4/22/2024 and 5/9 to 6/12 2024.

The record for staff #1 and #2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The record for staff person #1 included a disclosure statement dated 6/20/2023, which was following first day working in child care. The record for staff person #2 included a current child abuse clearance dated 10/20/2023 and a current NSOR certificate dated 10/26/2023, which was following first day working in child care. The record for staff person #4 included a current state police clearance dated 3/1/2024, which was following first day working in child care. The record for facility person #5, who was identified as volunteer, lacked a disclosure statement for volunteers.

The record for facility person #5, who has been working as a volunteer in child care for more than 90 days, did not receive training regarding the emergency plan.

The emergency plan was not posted.

The parent letter explaining the emergency procedures did not include the following subsequent updates to the plan: accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions; and lock down.

A protective receptacle cover was not placed in an electrical outlet in room #1 accessible to children 5 years of age or younger.

Several slats on a window blind installed in room #3 were broken off.

There was peeled paint observed in the last stall in the girls bathroom and several areas on the walls in room #3.

The hallway was obstructed by was a stack of cots and a shelving unit.

A Fisher Price Rock 'n Play Sleeper described as hazardous by the United States Consumer Product Safety Commission was observed in room #1.

The record for child #1, a preschool child, contained a current health report dated more than 12 months following the date of their previous health report.

The record for staff person #3 included an initial health assessment, including the results of initial TB test, dated more than 12 months prior to providing initial service in a child care setting.

A written statement giving the formula and feeding schedule for an infant in care was not obtained from the parent.

A bottle was not labeled with a child's name in room #2.

The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The director did not test the fire detection system at least once every 30 days.

The operator did not send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

The record for child #2 and #3 contained a current health report dated more than 60 days following the first day of attendance at the facility.

The operator did not notify the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the identification and prevention of child maltreatment, as per Announcement C-22-03. The facility's emergency plan did not include continuity of operations.

Facility person #5, who has been working as a volunteer in child care for more than 90 days, lacked verification of mandated report training.

The record for child #3 lacked an agreement.

The record for child #1, #2, #4 and #5 contained the original agreement.

The emergency contact information for child #1 was reviewed by a parent on 12/12/2023, more than 6 months following the date of the last review on 4/19/2022.The emergency contact information for child #2 and #4 was reviewed by a parent on 12/12/2023, more than 6 months following the date of the last review on 4/25/2022.

The financial agreement for child #1, #2, #4 and #5 has not been reviewed by a parent at least once in a 6-month period.

The record for staff #1 lacked a current FBI clearance. The record for staff #2 included a disclosure statement that was not dated and a current state police clearance/attachment with misdemeanor and felony convictions that had not been submitted to the Department for review. The record for staff #3 lacked a current state police and FBI clearance; and a current child abuse clearance dated 7/2/2022, more than 60 months following the previous clearance dated 12/8/2017. The record for staff #4 included a current FBI clearance that indicates a record, but the attachment was not present in the file. The record for staff #5 lacked a disclosure statement.

The facility's emergency plan did not include requirements for volunteer emergency preparedness training to maintain compliance with 45 CFR § 98.41(a)(1)(vii). Staff #1, #3 and #4 completed the Pennsylvania Health and Safety Update 2022 following December 30, 2022, which was the prescribed timeframe required by OCDEL to complete the training, as per Announcement C-22-06.

The first-aid kit in the preschool room was located in an unlocked cabinet accessible to children in care.

A handwashing sign was not posted at the toilet in the handicap accessible bathroom stall in the girls bathroom.

A shelving unit being used to store large coolers in the hallway outside of the kitchen was protruding into the walkway and obstructing the exit from the building to the outdoor play space.

The temperature reading on the thermometer that was being used in the refrigerator in the preschool room was above 45°. The temperature of the refrigerator was checked using another thermometer and it was determined that the refrigerator was capable of maintaining food at 45° F or below but the thermometer that was being used was not operating properly.

The record for staff #1 and #4 includes a current health assessment dated more than 24 months following the date of previous health assessment. The record for staff #5 includes an initial health assessment dated more than 12 months prior to providing service in child care setting - see staff individual codes.

The record for child #1 and #2 contained a current health report dated more than 60 days following the first day of attendance and the record for child #3 who has been in attendance more than 60 days lacked a health report.

Staff #2 who has worked in child care more than 90 days did not complete professional development as listed in subsections (f)1-10 - see staff individual codes.

The record for staff #1 who has worked in child care more than 90 days lacked verification of current mandated reporter training - see staff individual codes. The record for staff #3 included verification of mandated reporter training completed on 4/13/2022, more than 60 months following the completion of previous training on 10/11/2017. The record for staff #4 included verification of mandated reporter training completed on 10/25/2020, more than 60 months following the completion of previous training on 2/19/2015.

A director is not currently employed by the facility.

The record for child #5 lacked an agreement.

The operator did not complete the Department's approved form (child service report) to provide information to the family of child #1 and #2 about the child's growth and development in the context of the services being provided.

The agreement for child #4 did not specify the child's admission date.

The record for child #1, #2 and #4 contained the original agreement.

The emergency contact information for child #2 has not been reviewed by a parent at least once in a 6-month period.

The financial agreement for child #1 and #2 has not been reviewed by a parent at least once in a 6-month period.

The record for staff #2 only included one of the two required written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff #2 who has worked in child care more than 90 days did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation - see staff individual codes.

The file for staff #2, with a start date of 3/08/22, did not contain an NSOR certificate or proof of applying. The file also lacked a signed disclosure statement.

The emergency plan did not contain details on methods for contacting parents during or after an emergency.

Based on documentation at the facility, staff were not trained on the emergency plan on an annual basis. Staff #1 and staff #3-7 previously completed training on 8/01/20 and then again on 3/07/22.

The file for child #3 contained an immunization record which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. A written exemption was not on file.

The file for staff #2 did not contain a health assessment. The files for staff #3, #4, and #6 contained health assessments which have not been updated in over 24 months. The file for staff #7 contained a health assessment which was not updated within 24 months, however the most recent health assessment now on file is current.

The emergency plan lacked accommodations for infants and toddlers.

The facility has not conducted an annual emergency drill.

Based on the facility's fire drill log, the hypothetical location of the fire has been the same for all drills since 1/04/21.

The facility did not have documentation of completing 30 days tests of the fire detection system. The facility did not provide proof of purchase/installation of the fire detection system.

The files for children #1 and #2, both enrolled over 60 days, did not contain health reports. The file for child #5, enrolled since 6/03/19, contained an initial health report conducted on 3/08/21. The most recent health report on file for child #5 is now current.

The files for staff #1 and #3-7 lack documentation of current fire safety training. The last documented training for each staff person occurred in October 2020.

The file for staff #6 did not contain a current evaluation. The last evaluation on file for staff #6 was dated 8/01/20. The files for staff #1 and #3 - 5 contained evaluations that were not updated within 12 months as required. Staff were not evaluated in 2021, however current evaluations are now on file.

The file for staff #2 did not contain documentation of the qualifications required to perform the duties of the position.

The file for child #1 did not contain an agreement. The file for child #2 contained an agreement which was not signed by the operator.

The file for child #2 contained an agreement which did not specify the date on which the fee is to be paid.

The file for child #2 contained an agreement which did not specify the persons designated by a parent to whom the child may be released.

The files for children #3 and #4 contained original agreements.

The files for children #2 and #3 contained emergency contact information which did not include health insurance coverage and policy number.

The files for children #1, #3, #4, and #5 contained emergency contact information and agreements which were not updated by 1/06/22 as required by the reinstatement of the regulation after suspension due to covid 19. The last update for each document was over 12 months ago.

The file for staff #2 lacked written references.

The facility lacked means of providing parents with information on how to access the regulations in this chapter electronically.

The file for staff #1 contained only 3 hours of annual training. The files for staff #3-6 did not contain any hours of annual training.