Little People Big Dreams Early Learning Center

During renewal inspection on April 19, 2024, certification representative observed staff #1 enter into the front room at 11:17 am to put out sleep mats, leaving 11 young toddlers in the back room with staff #2 and #3.

During renewal inspection on April 19, 2024, certification representative observed staff #1 bring 3 children into the infant room at 10:40 am, and then turned her back to them while preparing lunch in the kitchen, leaving them unsupervised.

During renewal inspection on April 19, 2024, certification representative observed an area of damaged plaster in the front child care space.

During renewal inspection on April 19, 2024, certification representative observed chipped paint near the kitchen in the infant room, and on the blue and orange walls.

During renewal inspection on April 19, 2024, certification representative observed staff serve the children snack at 10:36 am without washing the children's hands prior.

During renewal inspection on April 19, 2024, certification representative observed staff #1 change multiple children's diapers without wiping the surface in between each use.

During renewal inspection on April 19, 2024, provider did not have documentation of an annual emergency drill on file at the facility.

During renewal inspection on April 19, 2024, provider did not have the current fire drill log/documentation indicating a fire drill was conducted at least once every 60 days on file at the facility.

During renewal inspection on April 19, 2024, the record of staff #3 was not present at the facility at the time of inspection.

During renewal inspection on April 19, 2024, the record of staff #3 did not contain documentation of education.

During complaint investigation on March 22, 2024, Certification representative observed staff #1 and #2 with a total of 12 children (8 young toddlers, 2 older toddlers, and 2 preschool children) at 9:45 am until 9:48 am when staff #3 came out of the bathroom.

During unannounced inspection on February 28, 2024, the record of staff #2 did not contain the receipts for submission of the PA state police clearance or the DHS FBI clearance. Continued non-compliance.

During unannounced inspection on February 28, 2024, the hot water measured at a temperature of 120°F. Continued non-compliance.

During unannounced inspection on February 28, 2024, the records of staff #1 and #2 did not contain documentation of experience to qualify them as an AGS. Continued non-compliance.

During unannounced inspection on February 28, 2024, the record of staff #1 did not contain two written, nonfamily references and the record of staff #2 contained only one written, nonfamily reference. Continued non-compliance.

During follow-up inspection on January 3, 2024, the record of staff #3 did not contain a DHS FBI clearance.

During follow-up inspection on January 3, 2024, Certification representative observed staff #2 in the infant room with 5 infants, and also observed staff #2 go into the kitchen at approximately 11:30 am, leaving the 5 infants unsupervised. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, it was reported to Certification representative that staff #3 was "on their break" and was not present on facility premises until they arrived at 11:55 am.

During follow-up inspection on January 3, 2024, certification representative observed two children sleeping in cribs with pillows. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, the emergency plan on site at the time of inspection did not include Continuity of Operations. Continued non-compliance from 11-20-23.

During follow-up inspection on January 3, 2024, the emergency plan on site did not have documentation of a review at least annually. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, the water temperature measured at 129°F. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, cert rep observed chipped paint in the bathroom and the front toddler room. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, certification representative observed cribs in use that did not have 2 feet of space on 3 sides. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, cert rep observed staff #2 change a child's diaper and return him to the child care space without washing the child's hands. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, certification representative observed an infant seated in a chair holding his own bottle, which was propped up by a blanket. Child was indicated as 5 months old at the time of inspection, per staff #1 and #2.

During follow-up inspection on January 3, 2024, the financial agreements of children #1, 2, 3 and 5 were not signed by the operator, and were the original agreements on file (not a copy). Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, the agreements of children #1, 2, and 5 did not specify the date of the child's admission. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, the emergency contact information of child #4 did not contain the address of the child's physician. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, the emergency contact information of children #1 did not include the health insurance coverage and policy number. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, the emergency contact information of child #4 did not include the name, address or telephone number of the individual designated by the parent to whom the child may be released, and the emergency contact information of children #1, 3, and 5 did not include the address of the individuals designated by the parent to whom the child may be released. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the child care spaces. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, the emergency contact information and financial agreement of child #5 were not updated at least once in a 6 month period. Continued non-compliance from November 20, 2023.

During follow-up inspection on January 3, 2024, the records of staff #1, 2, and 3 did not contain documentation of childcare experience and the record of staff #4 did not contain documentation of education or experience. Continued non-compliance from November 20, 2023.

During Renewal Inspection on November 20, 2023, Certification Representative observed staff #2 in the kitchen, #1 in the front with 5 young toddlers, and staff #3 in the bathroom changing a child's diaper with the door closed entirely, leaving 7 infant children unattended at 11:15 am. At 11:29 am, Cert rep observed staff #2 in the front space serving lunch, leaving staff #3 with 8 infants in the back space. At 11:33 am, Cert rep observed all 3 staff in the back space, leaving 5 young toddlers in the front space unattended. Cert rep observed 2 staff in the infant room with 9 children at rest time.

During Renewal Inspection on November 20, 2023, Certification representative observed child #1 sleeping in a crib with a pillow.

During Renewal Inspection on November 20, 2023, staff did not have assigned supervision groups of specific children.

During Renewal Inspection on November 20, 2023, the emergency plan on file at the facility did not include Continuity of Operations.

During Renewal Inspection on November 20, 2023, the emergency plan on file at the facility did not have a documented review at least annually.

During Renewal Inspection on November 20, 2023, the hot water temperature measured at 138°F.

During Renewal Inspection on November 20, 2023, Certification representative observed areas of chipped paint in the toddler and infant spaces.

During Renewal Inspection on November 20, 2023, Certification representative observed cribs in use that did not have 2 feet of space on 3 sides.

During Renewal Inspection on November 20, 2023, the record of child #5 did not contain a health report within 6 months (dated 11-7-22).

During Renewal Inspection on November 20, 2023, the immunization record of child #4 did not show that the child had received an influenza vaccine, and did not contain an exemption document.

During Renewal Inspection on November 20, 2023, Certification representative observed staff #3 change a child's diaper and return them to the childcare space without washing their hands, and observed the children eat their lunch without washing their hands prior.

During Renewal Inspection on November 20, 2023, Certification representative observed the children eat a meal consisting of hot dogs, rice, broccoli and water. Cert rep did not observe a dairy component served.

During Renewal Inspection on November 20, 2023, the record of child #2 did not contain an initial health assessment.

During Renewal Inspection on November 20, 2023, the financial agreements of children #1, 2, 3 and 5 were not signed by the operator, and were the original agreements on file (not a copy).

During Renewal Inspection on November 20, 2023, the agreements of children #1, 2, and 5 did not specify the date of the child's admission.

During Renewal Inspection on November 20, 2023, the emergency contact information of child #4 did not contain the address of the child's physician.

During Renewal Inspection on November 20, 2023, the emergency contact information of children #1 and #2 did not include the health insurance coverage and policy number.

During Renewal Inspection on November 20, 2023, the emergency contact information of child #4 did not include the name, address or telephone number of the individual designated by the parent to whom the child may be released, and the emergency contact information of children #1, 2, 3, and 5 did not include the address of the individuals designated by the parent to whom the child may be released.

During Renewal Inspection on November 20, 2023, the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the child care spaces.

During Renewal Inspection on November 20, 2023, the emergency contact information and financial agreement of child #5 were not updated at least once in a 6 month period, and the financial agreement of child #3 was not updated at least once in a 6 month period.

During Renewal Inspection on November 20, 2023, the records of staff #1, 2, and 3 did not contain documentation of childcare experience and the record of staff #4 did not contain documentation of education or experience.

During Renewal Inspection on November 20, 2023, the records of staff #2 and #3 did not contain two written, nonfamily references.