Little Sprouts Early Learning Center LLC

As part of an allocated unannounced inspection beginning on 5/29/2025, Staff Person #5 provided the Cert Rep with a certificate for pediatric first-aid/CPR dated 2/29/2024 for Staff Person #2. The appearance of the document was different from that of others. The pedatirc first-aid/CPR certificate was submitted to the training provider and was confirmed as fraudulent. Therefore, Staff Person #2 did not complete pediatric first-aid/CPR training within 90 days of their date of hire (see LIS code sheet). Additionally, Staff person #5 provided the Cert Rep with a certificate titled "Get Started with Center-Based Care: Building Blocks for Quality" dated 8/12/2019 and a certificate titled "Pennsylvania Health and Safety Update 2022" dated 12/19/2023 for Staff Person #2. The appearance of the documents was different from that of others. The certificates were both submitted to Better Kid Care and were both confirmed as fraudulent. Therefore, Staff Person #2 did not complete the CCDBG Health and Safety training within 90 days of their date of hire (see LIS code sheet). Staff Person #7 has not completed Pediatric first-aid/CPR in acceptable curriculum within 90 days of their hire date.…

During renewal inspection conducted 5/29/2025, references on file for Staff Person #7 are dated 2/20/2025 and 3/11/2025, which were both submitted after Staff Person #7's start date (see LIS code sheet).

During renewal inspection conducted on 10/28/2024, staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR, Mandated Reporter training, Health and Safety (CCDBG) training.

During renewal inspection conducted on 10/28/2024, file for staff person #1 indicated that start date was 8/12/2024. Staff person #1 had child abuse clearance dated 8/14/2024. Per Act 12 of 2022, a facility must receive the results of the applicant's PA Child Abuse History Clearance prior to employment. Staff person #4 was observed to be unsupervised with a group of young toddlers during naptime and did not have child abuse, FBI, or NSOR clearances or requests on file (see LIS code sheet for start date).

During renewal inspection conducted 10/28/2024, emergency transportation plan was not posted in any of the childcare spaces throughout the facility. Emergency telephone numbers were not posted in the Preschool room.

During renewal inspection conducted on 10/28/2024, floor in the Preschool room was peeling and children were observed to be playing with the floor and ripping pieces of it off.

During renewal inspection conducted on 10/28/2024, a portable space heater was observed to be on in the staff break room/kitchen area.

During renewal inspection conducted on 10/28/2024, medication for child #1 was not in the original container.

During renewal inspection conducted on 10/28/2024, health assessment on file for staff person #3 is dated 1/19/2023 and TB test on file for staff person #3 is dated 1/23/2023. Both of these dates are more than 12 months prior to providing initial service at the child care facility (see LIS code sheet for start date).

During renewal inspection conducted 10/28/2024, facility's fire detection log indicated that fire drills were conducted on 10/12/2023 and 12/15/2023, which is past 60 days.

During renewal inspection conducted on 10/28/2024, file for staff person #4 did not include acceptable verification of experience, education, or training prior to service at the facility or two written, nonfamily references (see LIS code sheet for start date).

On 10/12/23 during the renewal inspection, there was no letter provided to parents of each enrolled child explaining the emergency procedures.

On 10/12/23 during the renewal inspection, the door to the kitchen remained open. The kitchen, which contains a stove, is directly accessible from the PK room.

During the renewal inspection on 10/12/23, there were holes in the wall coming up the stairs, and cobwebs in the PS room near the refrigerator in the back of the room.

On 10/12/23 during the renewal inspection, the thermometer in the refrigerator in the PS room read 58 degrees.

During the renewal inspection on 10/12/23, the most recent health report on file for child #1 was dated 9/30/22

On 10/12/23 during the renewal inspection, there was no documentation of influenza vaccine or an exemption letter on file for child #3. Child #3 must be removed from care until proper documentation is on file.

On 10/12/23 during the renewal inspection, the emergency contact forms for child #1 and #2 were not in the classroom where the children were receiving care.

On 10/12/23 during the renewal inspection, the fee agreement and emergency contact information for child #1 were last updated on 8/17/22.

On 12/16/22, an odor of propane was detected at the facility by several staff and parents. The facility did not follow their written emergency evacuation procedures, and instead moved the children to the bottom floor of the building. The facility also did not notify local authorities or contact 9-1-1. The local fire chief who responded to the call reported that evacuation would have been the appropriate response.

During the renewal inspection on 10/18/22, staff #2 (see code sheet for hire date) had a Dept of Education FBI clearance and not the DHS FBI clearance. Staff #2 must be removed from care until appropriate FBI clearance is on file.

During the renewal inspection on 10/18/22, the ceiling tile in the infant room by the window was stained.

During the renewal inspection on 10/18/22, the older toddler and preschool rooms had large floor to ceiling windows that did not contain visual identification of the glass.

During the renewal inspection on 10/18/22, there were no handwashing signs at the sink in the infant room, at the double sink behind the changing table in the OT room, and next to the potty in the YT room.

During the renewal inspection on 10/18/22, the brown sofa in the OT room was worn in several places.

During the renewal inspection on 10/18/22, Child #1 was sleeping in a crib and there was not 2 feet of space on three sides of the crib.

During the renewal inspection on 10/18/22, the hands of child #2 were not washed after diapering.

As of the renewal inspection on 10/18/22, the emergency plan did not provide for accommodations for toddlers or children with chronic medical conditions, both of which are enrolled at the facility.

As of the renewal inspection on 10/18/22, there had not been an emergency drill conducted in the previous year.

As of the renewal inspection on 10/18/22, there was no policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi).

Staff person #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): approved Pediatric First Aid and Pediatric CPR.

At 8:05a.m. on 1/19/22 during a complaint investigation, one staff person was observed caring for a group of 7 young toddlers, a ratio that requires at least 2 staff.

On 1/19/22 during the complaint investigation, Staff #1 declared that they had not contacted the Dept of Health regarding a positive COVID case on 1/12/22 at the center.