Pipsqueaks Child Care Center INC

.On August 14, 2025, at approximately 9:45 a.m., two children, ages 1 year 10 months and 2 years 7 months, exited the outdoor play space through a broken and unsecured section of fencing.

The file for Staff #4 contained a State Police Clearance that was in the still pending status.

There was no documentation in writing that the emergency plan had been reviewed within the last 12 months.

The file for Child #3, a preschool aged child, contained a child health report that was more than 12 months old.

There was no documentation of an emergency drill being conducted in the last 12 months.

The file for Staff #3 is lacking the Health and Safety training.

The YT/OT room was lacking a posted daily schedule.

The file for Child #3 contained an agreement form that was lacking the fee amount to be charged.

The files for Child #1, and 2, who were both enrolled for more than 6 months were lacking a child service report.

The file for Child #4 contained an agreement form that was lacking the child's arrival and departure times.

The files for Child #2, 3 and 4 all contain emergency contact forms that are lacking signed parental consent for emergency medical care.

The file for Child #4 contained an emergency contact form that was lacking the name and policy number of the child's medical insurance information.

The file for Child #3 contained an emergency contact form that was lacking the addresses of the persons to whom the child may be released.

The files for Child #2, 3 and 4 all contained emergency contact forms that were lacking signed parental permission for the administration of minor first-aid procedures by facility staff.

Staff #1 completed 10 hours PD and still needs to complete 2 hours. Staff #2 completed 2 hoursPD and still needs to complete 10 hours. Staff #3 completed 1 hour PD and still needs to complete 11 hours.

The most current documentation of emergency plan training for staff #1, #2, #3, #4, #6, #7, #8 and #9 was completed more than 12 months prior to the date of the inspection.

A window in the main room was open and the screen was detached from the frame on the top.

The telephone number to the nearest hospital was not posted in the school age and toddler classrooms.

The 2 most recent health assessments of child #3 were dated 4/24/2023 and 5/6/2024 exceeding 6 months as a young toddler (see coded LIS sheet). The file of child #6, identified as a young toddler (see coded LIS sheet), contained a health assessment 6/19/2023 but did not contain an updated assessment within 6 months.

The facility did not have documentation of an immunization recorded for child #4, who had been enrolled for more than 60 days (see coded LIS sheet).

The health assessments of staff #1 were dated more than 24 months apart (7/26/2021 and 8/24/2023) and the most current health assessments of staff #3 (7/10/2021) and staff #8 (8/23/2021), were both dated more than 24 months prior to the date of the inspection.

The file of child #2 contained an initial health assessment dated 1/30/2024, which was more than 60 days from their start date at the facility (see coded LIS sheet). The file of child #4, enrolled for more than 60 days (see coded LIS sheet), did not contain documentation of an initial health assessment.

The file of staff #8 contained documentation of pediatric first aid and pediatric CPR dated 6/25/2021 and updated on 8/9/2023, after the prior training expired.

Staff #6 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 1/21/2019.

The file of staff #9, employed for more than 12 months (see coded LIS sheet), did not have documentation of an annual evaluation.

The files of child #2, #3, #5 and #6, all enrolled for more than 6 months (see coded LIS sheet), did not contain documentation of the Department's approved form to provide information to the family about the child's growth and development.

The financial agreement of child #7 did not include the arrival and departure times of the child.

The emergency contact form of child #5 did not include the address and telephone number of the child's physician.

The emergency contact form of child #1 did not contain the work address and telephone number of the enrolling parent.

The emergency contact form of child #5 did not contain information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or documentation this is not applicable to the child.

The emergency contact form of child #1, #4 and #5 did not include the child's health insurance policy number.

The emergency contact form of child #3 and #5 did not contain telephone numbers for each of the persons designated by the parent to whom the child may be released.

Documentation of a review and/or update to the emergency contact forms and financial agreements of child #2, #3 and #7 exceeded 6 months.

The file of staff #3 contained 2 hours and staff #5 contained 8 hours of the required 12 annual training hour during their annual training year of 12/19/2022 to 12/19/2023.

The files of facility persons #1 and #2, both identified as volunteers, contained PA state police clearances which were "pending," signed disclosure statements on the 11/2015 form, and did not contain completed child abuse and FBI clearances. Volunteers are not permitted to be provisionally hired under the CPSL. The file of facility person #3 contained a PA state police clearance which was "pending," an NSOR application dated 6/8/2023 which was after their start date (see coded LIS sheet) but now has a completed NSOR and a signed disclosure statement on the 11/2015 form. The file of facility person #4 contained an NSOR application dated 6/3/2023 which was after their start date (see coded LIS sheet) and does not have a completed NSOR, contained a signed disclosure statement on the 11/2015 form and mandated reporter training dated 7/6/2023 which was more than 90 days from their start date (see coded LIS sheet).

The facility did not have documentation of a contingency plan or contingency fund to help strategize how to pay for repairs, pay staff, and continue to run the business after a disaster or emergency.

Documentation of the last review and/or update of the emergency plan was dated 7/13/2022 which was more than 1 year ago.

The sink and changing table in the green room did not contain handwashing signs.

The file of child #5, identified as a young toddler (see coded LIS sheet), contained a health assessment dated 8/9/2022 and an updated health assessment dated 4/26/2023, which exceeded more than 6 months from the prior assessment.

The immunization record of child #1 did not contain documentation of a current influenza vaccination and child #5 was lacking documentation of 1 Pneumococcal and 1 HIB vaccination as recommended by the ACIP or acceptable exemptions.

An Ep-Pen with an expiration date of 12/2022 was observed in the medication box in the kitchen.

The files of facility persons #5 and #6 contained health assessments which were more than 24 months apart.

Documentation of a current emergency drill was not presented at the time of the renewal inspection.

Documentation of fire drills exceeded 60 days on the following occasion: 10/14/2022 to 12/15/2022.

Documentation of manual testing of the fire detection system exceeded 30 days on the following occasion: 10/17/2022 to 11/17/2022, 12/16/2022 to 1/16/2023 to 2/16/2023, 3/16/2023 to 4/17/2023 to 5/18/2023 and 6/16/2023 to 7/20/2023.

Facility persons #5, #6, #7, #8, #9, #10, #11, #12, #13, #14 and #15 completed the health and safety pre-service training modules Get Started with Center-Based Care: Building Blocks for Quality or the Health and Safety Basics BKC training prior to October 4, 2022, but did not have documentation of completion of the additional 1-hour Pennsylvania Health and Safety Update 2022 Pennsylvania Health and Safety Update 2022 completed by 12/30/2022 as per Announcement C-22-06.

The file of facility person #4 contained documentation they started as a staff person at the facility prior to their 18th birthday (see coded LIS sheet).

Documentation of acceptable pediatric first aid and pediatric CPR of facility person #11 was dated 6/25/2021 and did not contain documentation of renewed training on or before its expiration of 6/2023.

The completion of the health and safety topics listed in subsections (f)1-10 for facility person #4 were dated 7/5/2023 which was more than 90 days from their start date with children (see coded LIS sheet).

The file of child #5 did not contain documentation of the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. being completed and provided to the family at least every 6 months.

The emergency contact information of child #2 and #3 did not contain addresses of persons designated by the parent to whom the child may be released.

The file of child #4 contained documentation of a review and/or update of the financial agreement and emergency contact forms exceeded 6 months (5/20/2022 and 5/25/2023) and the review and/or update for child #5 also exceeded 6 months (5/24/2022 and 5/28/2023).

The file of facility person #3, identified as an assistant group supervisor, contained a high school diploma, but did not contain the full 2500 hours of experience with children to qualify for the position.

The files of volunteers #1 and #2 did not contain 2 written, nonfamily references and the file of facility person #3 contained 1 written non-family and 1 written family reference from individuals attesting to the person's suitability to serve as a facility person.

Documentation of pediatric first aid and pediatric CPR in approved curriculum and from a PQAS instructor for facility person #4 was dated 6/19/2023 which is more than 90 days from their start date with children (see coded LIS sheet).

The file of facility person #2 contained documentation they started as a volunteer at the facility prior to their 16th birthday (see coded LIS sheet).

The following facility persons did not have 12 annual hours or training in the designated calendar year 12/19/2021 to 12/19/2022 but had additional hours after the training year to meet the regulation: Facility person #5 contained documentation of 11 hours between 12/19/2021 and 12/19/2022 (additional 3 hours dated 6/5/2023) and facility person #7 contained documentation of 11 hours between 12/19/2021 and 12/19/2022 (additional 2 hours dated 3/18/2023).

The file of facility person #3 does not contain the acceptable signed disclosure statement. The file of facility person #4 contained volunteer child abuse and PA state police clearances, a PDE FBI clearance and documentation of submitting the NSOR clearance but not the completed clearance. Facility person #4 was observed to be working unsuprvised with the school-age group on the day of the inspection.

At approximately 11:13 AM, facility person #4 brought a child to the door of the school age classroom and allowed them to go down the hall to use the restroom unsupervised. The facility person then went back into the classroom. At approximately 11:20 AM, a child was using the restroom in the main classroom, left the facility person they were with, walked out the door to the mulched outdoor play space unsupervised. At approximately 11:22 AM, another child was observed to come into the building from outside alone and went to the restroom unsupervised by a facility person.

The annual letter to the parents did not address the lockdown procedure of the facility.

In the main classroom, sunscreen and hand sanitizer were observed to be on a ledge accessible to children. Sunscreen is stored in a small area by the entrance in individual pockets of shoe holders. The gate present did not lock and made the sunscreen accessible to the children. In the boys restroom, hand sanitizer and diaper cream labeled keep out of the reach of children were accessible on a shelf and the window ledge. Bleach water and Odor Ban were also accessible on the shelf.

The end of the hand railing when walking up the ramp had a hole by the nail and the wood was splintering which could cause injury to a child or adult.

The diaper changing table in the boys bathroom and in the bathroom downstairs did not contain handwashing signs.

One of the exits from the school age classroom was obstructed by plastic block chairs and a child's rocker.

The tall gray cabinet (about 6 feet tall) in the corner of the school age classroom was not anchored to the wall and was not stable when opened and closed.

The file of child #3, a preschool age child, contained a health assessment dated 6/28/2021 but did not contain contain an updated health assessment within 12 months.

Immunization records for child #1, 3 and 7 did not contain documentation of a current annual influenza vaccination.

The health assessments of facility person #5 contained health assessments dated 3/16/2020 and updated 5/17/2022, exceeding 24 months.

A bottle in the refrigerator of the infant room was not labeled with the name of the child for which it was intended.

Documentation of testing the fire detection system exceeded 30 days between 1/4/2022 and 2/10/2022.

The facility did not have documentation of submitting the emergency plan to their local municipality and county emergency management agency.

Documentation of fire safety training for facility person #5, 6 and 7 exceeded 12 months (3/29/2021 and updated 5/2/2022). Based on conversation with facility person #11, facility person #8-13 also have fire safety training exceeding 12 months. All fire safety training is now current.

Documentation of the 9/10 health and safety topics under 3270.31(f)(1-9) of facility person #2 was dated more than 90 days from their start date with children (see CODED LIS).

The financial agreement of child #6 did not contain the amount the fee is to be charged per day or week.

The financial agreement of child #6 did not contain the date which the fee is to be paid.

The financial agreements of child #2 and 4 did not contain the arrival and departure times of the child.

The emergency contact information of child #5 did not contain the work address and #6 did not contain the work phone number of the enrolling parent.

The emergency contact information of child #5 did not contain the health insurance coverage or policy number.

Documentation of the 6 month review of the emergency contact form (dated 8/3/2021 and updated 5/19/2022) and financial agreement (dated 8/27/2021 and updated 5/19/2022) of child #6 exceeded 6 months.

The file of facility person #1, 3 and 5, all identified as assistant group supervisors, contained documentation of education, but lacked at least 2500 hours of child care experience to qualify as an assistant group supervisor,

The file of facility person #5 contained 2 hours of professional development lacking 10 hours, facility person # 6 contained 6 hours (an additional 10 dated 6/29/2022) and facility person #7 did not contain any hours (has 10 hours dated 6.26.2022) between 12/19/2020 and 12/19/2021,