Little Sproutz Early Learning Center

Based on the fire detection testing log the system was tested more than 30 days apart on the following dates: 3-6-25 to 4-9-25 = 34 days and 4-19-25 to 5-30-25 = 40 days.

Staff person #2 has completed Pediatric First-aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum. Staff person #4 has completed Pediatric First-Aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum).

The file of children #3 and #4 lacked documentation of parents reviewing the emergency contact forms and financial agreements every 6 months.

The file of staff #6 completed Mandated Reported more than 60 months apart due to the fact they were dated: 8-15-23 and 5-15-18.

The files of staff #1, #2, #3, #4, and #5 lacked the current signed dated Disclosure Statement.

At the time of the inspection, observed in the "K-Prep" room a staff's purse hanging in a child's cubby accessible to children. Upon inspection of the purse, observed Stain removal spray labeled "keep out of the reach of children".

At the time of the inspection, the restroom on the right in the "K-Prep" room lacked a handwashing sign.

Observed in the "K-Prep" room a wooden market sign in the dramatic play area that was not secure causing a potential crush hazard.

At the time of the inspection, observed in the "K-Prep" room a staff's purse hanging in a child's cubby accessible to children. Upon inspection of the purse, observed over the counter medication packets.

At the time of reviewing the most recent Emergency Plan Drill log, the log lacked the names of participants.

The files of children #1 and #3 lacked emergency contact forms with the complete addresses of the individuals designated by the parents to whom the children may be released.

At the time of the inspection, there was not a posting of the transportation plan in the Pre-School 1 room.

The file of child #2 lacked documentation of parent review of the financial agreement every 6 months.

The files of Staff #1 and #8 lacked documentation of application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #1 contained a NSOR dated 5/16/23. The file of Staff #8 contained a NSOR dated 4/13/23. The file of Staff #5 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Staff #5 contained a State Police Clearance dated 7/13/23 with a previous one dated 4/17/18. The file of Staff #5 contained a Child Abuse Clearance dated 7/19/23 with a previous one dated 4/25/18. The file of Staff #5 contained a DHS FBI Clearance dated 7/31/23 with a previous one dated 4/30/18. The file of Staff #11 lacked a State Child Abuse and Neglect Registry and Sex Offender Registry Check updated every 60 months from the State(s) in which Staff #11 resided in the last 5 years. The file of Staff #11 contained a State Child Abuse and Neglect Registry dated 7/2/18. The file of Staff #12 lacked a DHS FBI Clearance updated every 60 months. The file of Staff #12 contained a DHS FBI Clearance dated 4/5/23 with a previous one dated 4/4/18. The file of Staff #12 lacked…

The file of Staff #12 lacked documentation of training regarding the emergency plan on an annual basis. The file of Staff #12 contained documentation of emergency plan training on 8/14/23 with previous training on 2/24/22.

The telephone number of the nearest hospital was not posted by each telephone in the following rooms: Infant 1, Infant 2, Toddler 1, Toddler 2, Two's 1, Two's 2, Preschool 1, Preschool 2, and Kindergarten Prep.

On 9/25/23 the sink at the diapering area in the Toddler 2 Room was not operable. Staff indicated they were taking children to the sink located on the other side of the room to wash hands after diapering.

On 9/25/23 observed a frayed carpet square and approximately a 1-inch tear with exposed foam on the green and tan mat in The Heart. On 9/25/23 observed a frayed basket containing musical instruments and approximately a 3-inch crack in a Geoboard in the Preschool 1 Room.

On 9/25/23 observed embedded equipment in the preschool outdoor play space with approximately 1 to 3 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as protective surface covering.

On 9/25/23 observed 2 children sleeping in cribs located beside each other in the Infant 2 Room with approximately 2 inches between the cribs.

The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained health reports dated 1/27/22, 12/13/22, 12/30/22, and 7/5/23.

The file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a current health report dated 3/16/23 with a previous one dated 12/9/21.

Child #4, a 21-month-old, lacked an influenza immunization according to the recommendations of the ACIP.

The files of Staff #2 and #5 lacked a health assessment conducted every 24 months. The file of Staff #2 contained a current health assessment dated 8/22/23 with a previous one dated 8/11/21. The file of Staff #5 contained a current health assessment dated 8/23/22 with a previous one dated 4/13/20. The file of Staff #3 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #3 contained a health assessment dated 6/22/23.

The file of Staff #3 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #3 had a Mantoux test read date of 11/12/21.

The file of Staff #9 contained an adult health assessment which did not include an examination for communicable diseases and the results of that examination.

The files of Staff #9 and #10 contained an adult health assessment which did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

The operator did not conspicuously post the menu at least 1 week in advance.

The facility did not have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility created an emergency drill log, but it did not address the names of facility persons and any other adults that participated in the drill, special accommodations the facility used for any category of children, the total number of adults and children participating in the drill, and problems encountered or observations during the drill.

The Director or designated staff person who is responsible for compliance with this chapter conducted fire drills but did not ensure that the written record maintained on file at the facility indicated the hypothetical location of the fire when a drill was conducted on 2/13/23.

The operator did not notify 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 file of Staff #12 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. The file of Staff #12 contained documentation of completing the health and safety update on 1/6/23.

The files of Staff #11 and #12 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #11 contained documentation of fire safety training completed on 3/6/23 with previous training completed on 2/4/22. The file of Staff #12 contained documentation of fire safety training completed on 1/15/23 with previous training completed on 5/27/21.

Staff #5 and #7 lacked documentation of completing mandated reporter training every 60 months. Staff #5 had documentation of mandated reporter training completed on 8/23/23 with previous training completed on 5/9/18. Staff #7 had documentation of mandated reporter training completed on 8/15/23 with previous training completed on 5/15/18.

The files of Staff #2, #4, #5, and #12 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #2 contained a written evaluation dated 1/19/23. The file of Staff #4 contained a written evaluation dated 1/13/23. The file of Staff #5 contained a written evaluation dated 3/7/23 with a previous one dated 5/10/21. The file of Staff #12 contained a written evaluation dated 2/16/23 with a previous one dated 11/19/19.

The files of Staff #3 and #6, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.

The files of Children #1, #2, and #3 lacked child service reports completed at least every 6 months. The file of Child #1 contained Child Service Reports dated 4/21/22, 9/23/22, and 6/16/23. The file of Child #2 contained Child Service Reports dated 6/14/22, 9/20/22, and May 2023. The file of Child #3 contained Child Service Reports dated 9/20/22 and May 2023.

On 9/25/23 emergency contact information was not present for Children #5, #6, and #7 in the Preschool 2 Room when receiving care in that room.

A 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 and did not accompany a staff person when children were taken outside in the following rooms: Infant 1, Infant 2, Toddler 1, Toddler 2, Two's 1, Two's 2, Preschool 1, Preschool 2, and Kindergarten Prep.

The emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact was reviewed 3/3/22, 8/8/22, and 6/20/23. Child #2's agreement was reviewed on 9/28/22.

*2nd citation. Previously cited on 9/20/22. At approximately 1:00 PM Certification Staff observed 2 children lying on rest equipment behind 2 bookshelves in the Two's Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.

***2nd citation. Previously cited on 9/20/22. At approximately 1:00 PM Certification Staff observed 2 children lying on rest equipment behind 2 bookshelves in the Two's Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.

**2nd citation. Previously cited on 9/20/22. At approximately 1:00 PM Certification Staff observed 2 children lying on rest equipment behind 2 bookshelves in the Two's Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.

2nd citation. Previously cited on 9/22/22. Staff #1 had a health assessment which did not include an examination for communicable diseases and the results of that examination.

Staff #1, #9, #12, and #13 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #1, #9, #12, and #13 was not the one updated in 2020. Staff #2 lacked a State Police Clearance and FBI Clearance updated every 60 months. Staff #2 had a State Police Clearance dated 1/19/21 with a previous one dated 12/29/15. Staff #2 had a FBI Clearance dated 1/21/21 with a previous one dated 12/29/15. Staff #6 lacked a State Police Clearance, Child Abuse Clearance, and FBI Clearance updated every 60 months. Staff #6 had a State Police Clearance dated 8/5/22 with a previous one dated 8/4/17. Staff #6 had a Child Abuse Clearance dated 8/5/22 with a previous one dated 2/21/17. Staff #6 had a FBI Clearance dated 8/10/22 with a previous one dated 2/25/17. Staff #10. a provisional hire, lacked a FBI Clearance within 45 days of hire (SEE LIS Code Sheet). Staff #10 was observed working on 9/22/22 which was past his/her provisional hire end date without a FBI Clearance.

At approximately 1:30 PM Certification Staff observed 4 children lying on rest equipment behind an art desk in the Preschool 1 Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

The emergency plan did not address continuity of operations.

The file of Staff #1 lacked documentation of training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The file of Staff #1 contained documentation of training on 2/24/22.

The operator did not post the emergency plan in the facility at a conspicuous location.

The telephone number of the nearest fire department was not posted by the telephone in the following classrooms: Kindergarten Prep, Preschool 2, Preschool 1, Two's 2, Two's 1, Toddler 2, Toddler 1, Infant 2, Infant 1, and The Heart.

On 9/20/22 observed 3 torn baskets containing animals in the Kindergarten Prep Classroom. On 9/20/22 observed cracked Magna Tiles in the Kindergarten Prep Classroom. On 9/20/22 observed a torn basket containing tiles in the Preschool 2 Classroom. On 9/20/22 observed cracked Magna Tiles in the Two's 2 Classroom. On 9/20/22 observed cracked Magna Tiles in the Two's 1 Classroom. On9/20/22 observed a torn yellow bean bag star in the Toddler 1 Classroom. On 9/20/22 observed approximately a 3 inch tear on a large pillow in The Heart.

On 9/20/22 observed embedded equipment in the outdoor play space with approximately 2 to 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

On 9/20/22 observed 3 foam blocks with bite marks in the Preschool 1 Classroom.

The files of Children #4 and #6 lacked an updated health report at least every 6 months for an infant or young toddler with the reinstating of this regulation on 1/6/22. The file of Child #4 contained health reports dated 6/4/21, 10/26/21, and 7/25/22. The file of Child #6 contained health reports dated 6/22/21, 1/31/22, and 8/3/22.

The file of Child #7 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #7 contained a health report dated 5/11/21.

The file of Child #2 contained a health report which lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Child #1, a 3 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #2, a 4 year old, lacked Pneumococcal immunizations and a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #2 had documentation of 3 Pneumococcal immunizations. Child #3, a 8 month old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #3 had documentation of 1 Rotavirus, 1 DTAP/DTP/TD, 1HIB, 1 Pneumococcal, and 1 Polio immunizations. Child #5, a 4 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #6. a 20 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #7, a 3 year old, lacked Pneumococcal immunizations and a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #7 had documentation of 3 Pneumococcal immunizations. Child #8, a 2 year old, lacked DTAP/DTP/TD, MMR, Varicella, Hepatitis A, and a current influenza immunization in accordance…

The Preschool 1 Classroom lacked a plastic-lined, hands-free covered can for diapers and pull-ups.

Staff #2, #5, #6, and #11 lacked a health assessment conducted every 24 months. Staff #2 had a current health assessment dated 8/11/22 with a previous one dated 2/19/20. Staff #5 had a current health assessment dated 8/29/22 with a previous one dated 7/23/20. Staff #6 had a current health assessment dated 12/20/21 with a previous one dated 12/9/19. Staff #11 had a current health assessment dated 9/19/22 with a previous one dated 9/10/20. Staff #4 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). Staff #4 had a health assessment dated 7/26/22,

Staff #5 had a health assessment which did not include an examination for communicable diseases and the results of that examination.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. The facility was unable to provide written documentation of the hypothetical location for fire drills conducted on 2/9/22, 3/31/22/ 5/13/22, 6/6/22, 7/22/22, and 8/24/22.

The facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 10/22/21, 11/19/21, 12/22/21, 1/20/22, 3/4/22, 3/28/22, 4/18/22, 5/31/22, 6/6/22, 7/20/22, and 8/24/22.

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

Staff #5, #7, and #11 lacked documentation of renewing their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. Staff #5 had documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 8/26/21 with a previous one completed on 4/2/19. Staff #7 and #11 had documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 8/26/21 with a previous one completed on 8/1/19.

Staff #2, #3, #5, #6, and #11 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. Staff #2 had documentation of fire safety training competed on 8/15/22 with previous training on 5/27/21. Staff #3 had documentation of fire safety training completed on 8/12/22 with previous training on 5/27/21. Staff #5 had documentation of fire safety training completed on 8/10/22 with previous training on 5/27/21. Staff #6 had documentation of fire safety training completed on 8/18/22 with previous training completed on 5/27/21. Staff #11 had documentation of fire safety training completed on 8/11/22 with previous training completed on 5/27/21.

Staff #2, #3 and #6 lacked documentation of mandated reporter training completed every 60 months. Staff #2 had documentation of mandated reporter training completed on 1/21/21 with previous training completed on 1/11/16. Staff #3 had documentation of mandated reporter training completed on 2/12/20 with previous training completed on 2/8/15. Staff #6 had documentation of mandated reporter training completed on 2/1/21 with previous training completed on 1/17/16. Staff #9 lacked documentation of mandated reporter training completed within 90 days of hire (SEE LIS Code Sheet). Staff #9 had documentation of mandated reporter training completed on 9/19/22.

Staff #2, #5, #6, and #11 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. Staff #2 had a written evaluation dated 6/2/22 with a previous one dated 2/22/21. Staff #5 had a written evaluation dated 6/3/22 with a previous one dated 8/2/20. Staff #6 had a written evaluation dated 6/3/22 with a previous one dated 12/14/20. Staff #11 had a written evaluation dated 6/3/22 with a previous one dated 9/11/20.

The file of Child #4 lacked the services to be provided to the family and the child on the agreement.

The file of Child #5 lacked the date of the child's admission on the agreement.

The file of Child #1 contained the original copy of the agreement. The facility did not make a copy for the file and give the original to the parent.

The file of Child #1 lacked the telephone number of the child's physician or source of medical care on the emergency contact form. The file of Child #3 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

The file of Child #7 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child #8 lacked the complete work address of the enrolling parent on the emergency contact form.

The file of Child #7 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

The emergency contact and agreement for Child #6 and #7 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #6's emergency contact form was reviewed on 8/25/21, 5/23/22, and 8/1/22. Child #6's agreement was reviewed on 8/1/21, 5/23/22, and 8/1/22. Child #7's emergency contact and agreement were reviewed on 8/1/21, 2/522, and 9/6/22.

Staff #4, #8, #9, and #14 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). Staff #4, #8, #9, and #14 had documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 9/8/22.