MS MS Happy Tots Daycare Development LRNG CTR LLC

Fire drill exceeds 60 days as evidenced by the most recent drill documented on 6/19/25.

Fire-detection system testing exceeds 30 days as evidenced by the most recent test documented on 6/19/25.

Staff person #1 did not have disclosure statement dated. Staff person #2 had state police clearance dated 8/21/23 (no application), NSOR dated 10/17/23 (no application); disclosure statement dated 6/11/24, which are all after the date of hire (see LIS code sheet). Staff person #3 had child abuse clearance dated 6/5/24 (no application), DHS FBI clearance dated 7/22/24 (no fingerprint proof). All of these are dated after the staff person's date of hire. Staff person #3 also needs out of state clearances for Virginia. Staff person #4 had an outdated disclosure form that did not include the date it was signed. The current NSOR clearance for staff person #6 is dated 3/11/20. The current NSOR clearances for staff persons #8 and #9 are dated 2/7/20.

Staff persons #1 and #2 did not have emergency plan at time of hire or annually. Staff persons #3, #4, and #5 did not have emergency plan training at time of hire.

Wiring on the metal gate in the outdoor play space is protruding in toward the play space, presenting a hazard to children playing in the space.

In the downstairs Preschool room, there were two power strips that did not have protective outlet covers. One was located by the television, and another was located by a small sink.

The diaper changing table in the Tumbler 2 room had an unlocked cabinet that contained diaper creams labeled "Keep out of reach of children" that were accessible to children.

The downstairs preschool room lacked a first-aid kit.

Exposed toilet bolts were observed on the wall-side of toilet in upstairs pink bathroom, and on one toilet in the upstairs blue bathroom.

Paint on the railing outdoors by the entryway is chipped and peeling.

The exit door for the Tumbler 2 room was obstructed by a chair in the hallway outside of the door. The exit door for the downstairs preschool room was obstructed by a vacuum and broom.

A cracked toy bin with sharp edges that create pinch points was present on the bottom shelf of the market toy in the older toddler space. Two cracked toy bins with sharp edges creating pinch points were present in the Tumbler 2 room. One bin contains dress-up clothing and is located below the "Never Stop Growing" board. The other cracked bin contains Magnatiles and is on a shelf that was turned in to face the wall

One shelving unit in the upstairs preschool space and multiple shelving units in the downstairs preschool space had exposed screws protruding from the shelves. A tall shelving unit in the downstairs preschool room located against the left-side wall about halfway between the entry door and back wall, presents a tipping risk.

In the infant space, the crib closest to entry/exit gate does not have 2 ft. of space on 2 out of 3 sides.

The health assessment for child #2 was dated 7/18/24, which is more than 12 months after the previous health assessment, dated 4/4/23.

Following a diaper change in Tumbler 1 room, a diaper was observed to be placed on the changing table after being removed instead of being disposed of immediately in a plastic-lined, hands-free covered can.

The file for staff person #2 did not include a health assessment. Staff person #3 had an initial health assessment dated 1/27/25, which is after the date of hire. (see LIS code sheet)

Staff person #2 had an initial TB test dated 3/6/24, which is after the date of hire. Staff person #3 had an initial TB test dated 11/29/24, which is after the date of hire. (See LIS code sheet)

Staff person in Tumbler 1 room was observed changing a diaper wearing disposable gloves and did not remove the gloves and wash hands after diapering the child.

Staff person #7 had pediatric first-aid and CPR training dated 11/9/24, which is more than 90 days after the date of hire (see LIS code sheet).

Staff person #2 had fire-safety training dated 1/17/25, which is more than one year after the date of hire (see LIS code sheet)

Staff person #3 lacks documentation of childcare experience that would allow them to have the position of assistant group supervisor.

Staff persons #1 and #2 do not have documentation of annual staff evaluations, and both have been employed longer than one year (see LIS code sheet).

The agreement for child #3 did not include the amount of the fee to be charged.

There were no DHS-approved child service reports for child#1-child #5.

The emergency contact information for child #1 did not include the telephone number of the physician or source of medical care.

The file for staff person #2 contained only one written, nonfamily reference. The files for staff persons #3 and #5 lacked two written, nonfamily references.

Staff peron #1 lacked documentation of 12 hours of annual professional development between 3/24 and 3/25. They had 8.5 hours of professional development documented.

Staff person #2 was observed to be caring for children unsupervised by an AGS who has completed all pre-service training; staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

The file for staff person #3 did not include documentation of the PA Child Abuse clearance, obtained for the purpose of employment, prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The Child Abuse clearance was submitted to the certification representative after the conclusion of the inspection and was dated 6.5.24.

The most recent documented fire drill took place on 7.3.24, more than 60 days ago.

The most recent recorded 30-day test for the smoke detectors is dated 7.5.24, more than 30 days ago.

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 11.9.24. Staff person #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 11.13.24.

The file for Staff person #1 includes criminal history clearances dated 11/15/18 and 3/6/24; child abuse clearances dated 11/9/18 and 3/6/24; and FBI clearances dated 11/7/18 and 3/11/24, all more than 60 months apart. The file for staff person #4 included an NSOR certificate dated more than 45 days after hire (See LIS Code Sheet) required for provisional hiring under the CPSL; the NSOR is dated 10/20/23.

Adult scissors were observed in an unlocked cabinet accessible to children in the Older Toddler room.

The file for Staff person #4 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 2/2/24.

The facility did not have a letter to the parents of enrolled children regarding the facility emergency plan.

A bottle of White-out was observed in an unlocked cupboard, accessible to children in the Older Toddler room.

The first aid kit in the Older Toddler room did not include tweezers. The first aid kit in the Tumbler 2 room did not include tweezers, soap, or gloves.

Peeling paint was present on the chair rail under the clock in the Older Toddler room and under the clock and the menu, on the wall bump-out in Preschool 2.

There were 3 Magna Tiles in the Older Toddler room that had cracked and broken edges. In the Tumbler 1 room there was a cracked plastic bin that was labeled for animal figurines. In the outside playground, there was a purple scooting toy that had a cracked, broken edge with a plastic piece missing.

The most recent health assessments on file for Child #3, who is a Young Toddler, is dated 4/4/23, more than 6 months ago.

The immunization record on file for Child #1, who is 18 months old, included 3 of 4 DTAP vaccinations; 3 of 4 HIB vaccinations; and 3 of 4 pneumococcal vaccinations recommended by the ACIP for a child this age.

An inhaler labeled for the use of a specific child was observed in a child's backpack in the preschool room, making it accessible to children.

While observing a diaper change in the Tumbler 2 room, a staff person was observed placing the soiled diaper on the changing table until completing the diaper change and did not immediately dispose of the diaper in a hands-free can.

The fire alarm 30-day test log includes test dates 6/2/23-7/3/23; 8/2/23-9/2/23; 9/2/23-10/12/23; 12/2/23-1/3/24; 2/1/24-3/8/24; and 3/8/24-4/10/24, more than 30 days apart.

The initial health assessment on file for Child #4, is dated 11/16/23, more than 60 days after the enrollment date of 5/17/23.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality.

Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 6/19/23.

Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

Staff person #1 completed their current mandated reporter training on 3/27/24, more than 60 months after the previous training dated 11/8/18.

The file for Staff person #3, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

The file for Child #1, with an enrollment date of 11//12/20, does not include a child service report; the file for Child #3, with an enrollment date of 2/20/23, does not include a child service report; the file for Child #4, with an enrollment date of 2/20/23, does not include a child service report.

The emergency contact form on file for Child #2 does not include the telephone number for the child's pediatrician/source for medical care.

The emergency contact form on file for Child #3 and #4 does not include the work address and/or telephone number for the enrolling parent.

There were no emergency contact forms in the Tumbler 1 classroom for the children receiving care in the room.

There was no emergency transportation plan posted in the Preschool room which identifies the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

The most recent 6-month review signature for the emergency contact form and the financial agreement on file for Child #1, #3, #4 is dated more than 6 months ago.

The file for Staff person #2 and #4 includes only 1 written nonfamily reference.

The immunization records of child #1, #2, #3, #4, #5, #6, #7 and #8 were not in accordance with the recommendations of the ACIP and acceptable letters of exemption from the child's physician or parent were not provided.

2nd citation: The last health report in the file for child #2, a 14 month-old, was 4/5/22. Previously cited on 4/20/23.

2nd citation: The file for child #2, a 14 month old, was missing 1 of 2 of the following vaccinations: DTAP, HIB, Pneumococcal and Polio and did not include a flu shot. Previously cited 4/20/23.

On 4/21, staff person #8 was observed to be caring for children unsupervised. Staff person #8 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training.

The disclosure statement in the file for staff person #7 and #8 was an outdated version of the form. On 4/21/23, staff person #8 was observed unsupervised with 4 toddlers in the Tumbler 1 room. The last two state police clearances in the file for staff person #4 were dated 3/14/17 and 6/8/22.

At approximately 2:40 pm on 4/20/23, on a video monitor in the facility's office, staff person #4 and #6 were observed in the main toddler room with 8 children, a combined group of 4 young toddlers and 4 older toddlers. The children were off their rest equipment. Staff person #6 briefly went into the adjacent Tumbler 2 room, leaving staff person #4 out of ratio with the 8 children.

Upon entering the facility at approximately 9:50 am on 4/20/23, staff person #3 was observed in the infant room with 4 children and a 4 month-old was asleep in a swing.

*Upon entering the facility at approximately 9:50 am on 4/20/23, staff person #3 was observed in the infant room with 4 children and a 4 month-old was asleep in a swing.

**Upon entering the facility at approximately 9:50 am on 4/20/23, staff person #3 was observed in the infant room with 4 children and a 4 month-old was asleep in a swing.

*At approximately 10:08 am on 4/20/23, on a video monitor in the facility's office, staff person #6 was observed in the toddler room with 4 young toddlers. Two children were already sitting on their knees on the table in the middle of the room and a third child was climbing onto the table at the time. Staff person #6 was sitting at the white desk in the corner eating while 3 children climbed onto the table. When the staff person wasn't looking, the 3rd child stood up on the table. The staff person got up from the desk and threw the food away and saw the 3 children were on the table, with the 3rd child still standing on it. The staff person did not remove the children from the table and that's when the certification rep retrieved staff person #2, the owner, from the preschool room and showed them the monitor. Staff person #2 was asked to call down to the room and have the staff take the children off the table, which staff person #2 did immediately.

At approximately 10:08 am on 4/20/23, on a video monitor in the facility's office, staff person #6 was observed in the toddler room with 4 young toddlers. Two children were already sitting on their knees on the table in the middle of the room and a third child was climbing onto the table at the time. Staff person #6 was sitting at the white desk in the corner eating while 3 children climbed onto the table. When the staff person wasn't looking, the 3rd child stood up on the table. The staff person got up from the desk and threw the food away and saw the 3 children were on the table, with the 3rd child still standing on it. The staff person did not remove the children from the table and that's when the certification rep retrieved staff person #2, the owner, from the preschool room and showed them the monitor. Staff person #2 was asked to call down to the room and have the staff take the children off the table, which staff person #2 did immediately.

The door to the office adjacent to the preschool room on the first floor was ajar and there was hand sanitizer, Microban and white out on the desk, which all include instructions to keep out of the reach of children.

There was an unlabeled spray bottle containing clear liquid in the basket on the wall that holds the first aid kit. There was an unlabled spray bottle containing clear liquid in the infant room closet. Staff stated both bottles contained bleach water.

The last health report in the file for child #2, a 14 month-old, was 4/5/22.

The file for child #1, a 6 month old, was missing 1 of 2 of the following vaccinations: Hep B, Rotovirus, DTAP, HIB, Pneumococcal and Polio and did not include evidence of a flu shot. The file for child #2, a 14 month old, was missing 1 of 2 of the following vaccinations: DTAP, HIB, Pneumococcal and Polio and di not include a flu shot. The last flu shot in the file for child #4 was dated in 2021. The files did not contain hand-written statements of exemption by a parent.

The health report in the file for child #3 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 health report in the file for child #3 did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

After diapering a young toddler in the Toddler 1 room, staff person #8 washed their hands, but did not wash the child's hands.

The "infant room" was listed as the hypothetical location for consecutive fire drills on 12/1/22 and 2/1/23.

The last fire drill documented on the fire drill log did not inlcude the names of the staff participating in the drill.

The last two dates documented on the facility's testing log was 3/4 and 4/4/23, which is 31 days apart.

The file for staff person #5, working with children before 10/4/22, did not include the 1 hour updated health and safety training. The file for staff person #1, #2 and #6, all working with children before 10/4/22, included the 1 hour updated safety training dated 1/5/23. The file for staff person #3 and #4, both working with children before 10/4/22, included the 1 hour health and safety training update dated 3/9/23 and 1/18/23, respectively.

The only fire safety training in the file for staff person #1, hired on (SEE LIS CODE SHEET), was dated 1/20/23.

Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire: 10 hour Health and Safety training.

The agreement in the file for child #2 did not specify the fee amount.

The emergency contact form in the file for child #4 listed the child's health insurance policy number, but did not include the name of the coverage.

The last review documented by a parent on the emergency contact form in the file for child #1 was 7/27/22. The last two reviews documented by a parent on the emergency contact form in the file for child #3 were 2/10/22 and 11/5/22. The last two reviews documented by a parent on the agreement form in the file for child #3 were 5/2/21 and 11/5/22.

Onr of the reference letters in the file for staff person #8 wasn't signed by the person who wrote it.

The file for staff person #1 included 10 hours of training during their last full anniversary year.

The disclosure statement in the file for staff person #1 was signed but not dated, so timeliness could not be assessed.

At approximately 3:30 pm, there were 2 children observed in the infant room and no staff person in sight in the room. A few seconds later, staff #2 came out of the door to the staff lounge, which is off the infant room.

Upon arriving at the facility at approximately 2 pm, staff person #2 and #3 were observed returning to the facility by car. Staff person #1, #4, #5 and #6 were observed inside the facility with 28 children. Based on conversation with the operator, staff person #7 also left the site on their lunch break. As a result of staff persons #2, #3 and #7 not being on the premises at nap time, there were not enough staff on the premises to cover awake ratios.

Upon entering the facility at approximately 2 pm, staff person #5 was observed in the infant room with 3 children, one of which is an infant and was sleeping in a swing.

At approximately 2:35 pm, there was no natural or artificial light in the Tumblers room, making it too dark to see, direct or assess the 3 toddlers sleeping in the room. At approximately 3:30 pm, there were 2 children observed in the infant room and no staff person in sight in the room. A few seconds later, staff #2 came out of the door to the staff lounge, which is off the infant room.

At approximately 3:30 pm, there were 2 children observed in the infant room and no staff person in sight in the room. A few seconds later, staff #2 came out of the door to the staff lounge, which is off the infant room.

At approximately 2:35 pm, there was no natural or artificial light in the Tumblers room, making it too dark to see, direct or assess the 3 toddlers sleeping in the room.

The TB test results in the file for staff person #3, re-hired in June 2022, was dated 11/8/18.

The last fire drill documented on the fire drill log was 6/3/22.

The documentation of the facility's 30-day testing was not available at the time of the inspection. When the log was received on 9/13/22, there were no tests documented before 8/5/22 and the only tests documented on the log were dated 8/5/22 and 9/7/22, which is more than 30 days apart.

The disclosure statement in the file for staff person #7 and #8 was signed but not dated, so it could not be verified that the statement was signed prior to working with children.

At approximately 11:30 am, staff person #1 entered the front office of the facility and stated that a representative of an external agency was caring for the four toddlers in the Tumbler 1 room.

At approximately 11:35 am, a preschool child was observed in the downstairs bathroom, which is off the toddler room. Staff person #2 was in the toddler room with 6 older toddlers. When asked who was responsible for the child, staff person #2 stated that staff person #3, who was in the rear preschool room, was sending children to the bathroom one at a time.

A 6 month-old infant was observed wearing a bib while soundly sleeping in a crib in the infant room.

At approximately 11:30 am, staff person #1 entered the front office of the facility and stated that a representative of an external agency was caring for the four toddlers in the Tumbler 1 room. At approximately 2 pm in the main toddler room during nap time, staff person #2 was unable to see the face of a sleeping child because the child's cot was positioned next to toddler climbing equipment. Approximately a minute later in the Tumbler 1 room, staff person #1 was unable to see the face of a sleeping child because the child's cot was positioned behind a small piece of furniture.

At approximately 11:30 am, staff person #1 entered the front office of the facility and stated that a representative of an external agency was caring for the four toddlers in the Tumbler 1 room. At approximately 11:35 am, a preschool child was observed in the downstairs bathroom, which is off the toddler room. Staff person #2 was in the toddler room with 6 older toddlers. When asked who was responsible for the child, staff person #2 stated that staff person #3, who was in the rear preschool room, was sending children to the bathroom one at a time.

At approximately 11:40 am, while inspecting a room on the main floor, staff #1 and #3, could be heard yelling at each other from downstairs, where there were approximately 25 toddlers and preschoolers in care in 4 different classrooms. This certification representative went downstairs and quietly informed each staff that they could not continue to yell in front of the children and went back upstairs. Approximately 2 minutes later, the same staff could again be heard yelling at each other from downstairs. This certification representative went back downstairs and quietly reminded each staff person that they cannot yell at each other in front of the children.

The last two documented reviews of the emergency plan were dated more than 12 months apart.

There was a tub of Vaseline on a low shelf in the Tumbler 2 room, making it accessible to the children in care at the time. The directions included instructions to keep out of the reach of children.

There was an unlabeled bottle of clear liquid in a cabinet in the infant room.

The trash can at the portable sink in the front hallway was unlidded.

There was a small tear in the vinyl of a child-sized couch in the older toddler room.

There were several foam peg boards with teeth marks observed on a low toy shelf in the older toddler room.

The only health report in the file for child #4, a young toddler enrolled for approximately 13 months, was not dated, therefore it could not be determined if the health report was current.

There was no evidence of a flu shot in the file for child #1, #2 and #5. The last flu shot in the file for child #3 was in 2020. All of the children are at least 6 months old and one of the files included written statements of exemption by a parent at the time of the inspection.

When it was time to eat, 3 young toddlers were placed in high chairs without having their hands washed.

The last two health assessments in the file for staff person #4 and #6 were dated more than 24 months apart.

Based on review of the fire drill log, there were two times between 4/8/21 and 4/5/22 when fire drills were conducted more than 60 days apart.

Based on review of the fire drill log, all fire drills conducted between 4/8/21 and 4/5/22 were conducted between 9:30 am and 11 am.

Based on review of the fire drill log, the drills conducted between 4/8/21 and 2/14/22 listed the number of facility persons that participated in the drill, but did not list their names.

The First-aid/CPR training in the file for staff person #8 was dated beyond their first 90 days working with children.

The last two mandated reporter trainings in the file for staff person #1 through #6 were dated more than 60 months apart.

The emergency contact information in the file for child #5 did not include any information for the child's health insurance.