Little Peeps Creative Play and Learn

The file for Staff #5 lacked the PA Child Abuse History clearance, required by Announcement C-25-01. The file for Staff #5 lacked a disclosure statement. (SEE LIS CODE SHEET)

The two most recent NSOR clearances on file for Staff #2 are dated 11/19/19 and 6/20/25, more than 60 months apart. The two most recent mandated reporter trainings on file for Staff #3 are dated 2/26/20 and 6/12/25, more than 60 months apart.

At the time of inspection, the facility's emergency plan lacked information regarding continuity of operations.

At the time of inspection, a power strip lacking outlet covers was observed behind a bookshelf, but accessible to children.

In the Main Child Care Space, peeling paint was observed on the back side wall under the window. In the Infant Room, broken drywall was observed to the right of the bathroom door. In the smaller children's bathroom, peeling/flaking paint was observed on the corner area of the wall.

The initial health assessment on file for Child #2 lacked a dated signature by a physician, physician's assistant, or a CRNP.

The two most recent health assessments on file for Staff #4 are dated 1/26/23 and 6/23/25, more than 24 months apart.

At the time of inspection, the facility's emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's most recent emergency drill log on file is dated 3/20/24, more than 12 months prior.

The facility's fire detection log includes test dates 1/3/25-2/4/25, more than 30 days apart.

At the time of inspection, the facility's emergency plan lacked information regarding evacuation procedures.

The two most recent First Aid/CPR certificates on file for Staff #3 are dated 4/3/22 and 6/30/24, exceeding its expiration date.

The most recent staff evaluation on file for Staff #4 is not dated making it invalid.

The file for Staff #1 and Staff #6 lacked a childcare verification form verifying 2 years of experience with children.

The agreement form for Child #1 lacked the names of the release persons.

The file for Child #1, Child #2, Child #3, and Child 4 contained an emergency contact form that was not updated within 6 months of the previous update.

The most recent agreement form on file for Child #1 is dated 6/25/24, more than 6 months prior. The most recent agreement form on file for Child #2 is dated 12/8/24, more than 6 months prior. The most recent agreement form on file for Child #3 is dated 7/2/24, more than 6 months prior. The most recent agreement form on file for Child #4 is dated 11/27/24, more than 6 months prior.

The fire alarm testing log contained the following dates 4/4/25-5/5/25 which is more than 30 days apart.

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/26/20.

The last two Mandated Reporter trainings on file for Staff Person #1 were dated more than 60 months apart. (SEE LIS CODE SHEET)

In the Main Space, a spray bottle containing a bleach water solution was unlabeled.

Peeling paint and damaged plaster was observed in the Main Space on the back wall to the left of the infant room door.

In the Main Space, small plastic french fries were observed to be less than 1 inch in diameter and accessible to children who are still placing objects in their mouths.

The file for Child #2, a preschool aged child, contained a health report dated 4/6/23, exceeding the 12-month update. (See LIS Code Sheet)

The file for Staff Person #1 contained an initial health assessment that was dated after the date of hire. The two most recent health assessments for Staff Person #4 were dated more than 2 years apart (4/5/21-6/8/24). (See LIS Code Sheet)

The facility lacked documentation of completing an emergency drill.

The initial health report for Child #1 was dated 60 days after the start date. The file for Child #4, enrolled more than 60 days, lacked an initial health report.

The most recent First Aid/CPR training on file for Staff Person #4 was renewed after the expiration date of the previous training (4/3/22-6/30/24).

The record of the required education on file for Staff Person #3 to be classified as a director was an international diploma-not translated by an approved evaluator with no equivalency on file.

The facility lacks a qualified director.

The file for Staff Person #2 lacked documentation of 2 years of experience with children.

The fee agreement form for Child #4 lacked arrival and departure times.

The emergency contact form for Child #1 and Child #3 lacked the enrolling parent's work address. The emergency contact form for Child #1 and Child #3 lacked the enrolling parent's work phone number.

The emergency contact form for Child #1 and Child #4 lacked written parental consent for emergency medical care.

The current emergency contact form for Child #4 does not indicate if the child has any special/medical needs, which is needed in an emergency.

The emergency contact form for Child #1 lacked health insurance coverage and health insurance policy number.

The emergency contact form for Child #3 lacked a complete address for the release persons.

The file for Child #1 and Child #2 contained an emergency contact form that was not updated within 6 months of the previous update. The file for Child #1 and Child #2 contained a fee agreement form that was not updated within 6 months of the previous update. (See LIS Code Sheet) (SEE LIS CODE SHEET)

The emergency contact form for Child #1 and Child #4 lacked a signature for parental consent for administration of minor first aid procedures.

The record for staff #4 included a current child abuse clearance dated 7/10/2023, which was more than 60 months following the date of their previous clearance on 6/30/2018.

The facility's emergency plan did not address the continuity of operations, as per Announcement C-22-04. The facility did not have a policy and procedure to address the prevention and identification of child maltreatment, as per Announcement C-22-03.

Copies of reports of injury, death or fire were not retained in an accident file at the facility.

in the main room, there were (4) lockers, (2) shelving units and (2) cube storage units that were more than 5' high and not secured in a way that would prevent them from tipping and being a potential hazard to children in care.

Staff #2, #3 and #5 have not received training regarding the emergency plan in more than a year.

The operator did not post the emergency plan.

The operator provided the parent of each enrolled child a letter explaining the emergency procedures and subsequent updates to the plan that did not include the following: lockdown; accommodations for infants, toddlers, children with disabilities and chronic medical conditions; and continuity of operations.

The following cleaning materials and other toxic materials labeled keep out of the reach of children were observed in areas accessible to children in care in the main room: sunscreen, Lysol disinfectant wipes and fragrance in unlocked lockers; whiteout in an unlocked drawer in the kitchen area; and body wash and baby oil in a cubicle of a storage unit.

A can of shaving cream labeled keep out of the reach of children was observed in a locker in the main room and based on staff statements, it was used for arts and crafts.

The first aid kit in the infant room and the main room lacked gauze pads.

A piece of the wooden gate to the outdoor play space was broken off, which created a sharp edge and exposed a protruding nail, posing a hazard for children in care.

There was damaged plaster observed on the wall by the sink in the bathroom located off the main room.

A Boppy lounger described as hazardous by the United States Consumer Product Safety Commission was observed in the infant room.

In the main room, there were empty plastic bags, styrofoam trays and egg cartons observed in unlocked lockers, and there was a bag of googly eyes, a container of glitter, and a bag of unused latex balloons observed in an unlocked cabinet, accessible to children who are still placing objects in their mouths.

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.

A bottle of Theraflu was observed in a staff person's locker that was unlocked and accessible to children in care in the main room.

The record for staff #3 included a current health assessment dated more than 24 months following the date of their previous health assessment.

Written statements giving the formula and feeding schedules for infants in care were not obtained from the children's parents.

The facility's emergency plan did not provide for accommodations for shelter of children during an emergency including lock-down, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The record for child #4 contained an initial health report dated more than 60 days following the child's first day of attendance.

Staff #3 and #4 renewed their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 7/9/2023, following the expiration of their previous certification on 4/2023.

Staff #1, #2, #3, #4 and #5 did not complete fire safety training at least annually between 4/3/2022 and 6/30/2023,

Staff #1 completed professional development as listed in subsections (f)1-10 on 6/30/2023, more than 90 days following their date of hire.

The director did not complete a minimum of one written evaluation for staff #2, #3, and #5 in more than 12 months.

The agreement for child #5 was signed by the operator and parent on 12/8/2022, following the child's first day of attendance.

The emergency contact information for the following children had not been reviewed at least once in a 6-month period: child #1 (6/22/2022 to 7/5/2023); child #2 (6/22/2022 to 7/5/2023); and child #4 (10/7/2022 to 7/3/2023). The emergency contact information for child #3 had not been reviewed by a parent since 6/10/2022. The emergency contact information for child #5 had not been reviewed by a parent since 11/19/2022.

The record for child #1, #2, #3, #4 and #5 contained a financial agreement that has not been reviewed by a parent in more than 6-months.

The record for child #3 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

The record for staff #3 included a current NSOR verification certificate dated 4/5/2022, following their first day working in child care, and their record did not include the request for the NSOR verification certificate required to work on a 45-day provisional basis.

The requirements for volunteer emergency preparedness training, practice drills and continuity of operations was not included in the child care facility's emergency plan in compliance with 45 CFR § 98.41(a)(1)(vii).

Four pairs of sharp adult scissors and a sharp cutting knife was observed in a cup on the counter in the kitchen area accessible and posing a potential threat to the health and safety of children in care. There were potential tipping hazards observed in areas accessible to children in the main room: two children's chairs were stacked on top of a chest which was stacked on top of another chest on the floor; and a toaster oven was stacked on top of a microwave oven which was stacked on top of another microwave oven on the counter in the kitchen area.

Staff person #2 did not receive training regarding the emergency plan on an annual basis; their last training was received on 9/25/2020.

Protective receptacle covers were not placed in (3) electrical outlets on a power strip in the director's office, which was unlocked, making it accessible to children 5 years of age or younger.

A bottle of white out labeled keep out of the reach of children was observed in the desk in the director's office, which were both unlocked, making it accessible to children in care.

An electric coffee pot containing freshly brewed coffee, which is a source of heat exceeding 110°, was observed in use on the counter in the kitchen area accessible to children in care.

A first-aid kit was observed hanging on a hook on the wall by the entrance door to the facility in the main room accessible to children in care

An operating thermometer was not placed in the refrigerator.

The record for child #2, an older toddler, contained a current health report dated more than 12 months following their previous the date of their previous health report.

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

An emergency drill was not conducted annually.

The record for child #1 contained an initial health report that was dated more than 60 days following their first day of attendance at the facility.

Staff person #1 and #2 did not participate, at least annually, in fire safety training between 4/11/2021 and 7/18/2022.

Children's records were stored in a desk in the director's office, which were both unlocked.

Facility persons' records were stored in an expanding file in the director's office, which were both unlocked.