Teenie Tots Childcare Center LLC

The file of staff person #1 did not contain a completed disclosure statement. The file of staff person #2 contained a child abuse clearance dated 2/24/2020 but did not contain documentation of an updated clearance within 60 months. The file of staff person #3 contained a child abuse clearance dated 3/26/2020 but did not contain documentation of an updated clearance within 60 months. The file of staff person #4 contained an FBI clearance dated 6/15/2020 but did not contain documentation of an updated clearance within 60 months.

A pink and white craft cart with a metal frame and plastic drawers rocked to the left and to the right approximately 4-5 inches each way. The cart was not stable.

In the main classroom, an albuterol inhaler and Epi-pen, both labeled "keep out of the reach of children'" were in an uncovered bin in a cubby accessible to children in care.

Written parental consent was not on file for administration of an albuterol inhaler or Epi-pen which were at the facility for child #1.

The file of staff person #1 did not contain an initial health assessment prior to working at the facility.

Based on documentation of testing the fire detection system, the system was tested on 5/2/2025 and again on 6/2/2025 which exceeded 30 days. The last documented test of the system was dated 6/2/2025 which was more than 30 days prior to 7/29/2025, the date of the inspection.

The file of staff person #1, identified as an assistant group supervisor, did not contain documentation of education and experience to serve in the position they were working.

After a conversation with staff person #1, it was determined the 2 written references on file were from family members. The file of staff person #1 did not contain 2 written, nonfamily references.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: 1 hour health and safety training update

The file of staff #1 contained a signed disclosure statement which did not have the date it was signed. The file of staff #6 contained documentation of a PA state police clearance dated 1/30/2025, more than 45 days from their start date, and mandated reporter training dated 1/27/2025, more than 90 days from their start date at the facility (see LIS code sheet).

The file of staff #1, employed for more than 90 days (see coded LIS sheet), did not contain documentation of initial emergency plan training. The file of staff #3 contained documentation of emergency plan training dated 2/2/2025, more than 90 days from their start date at the facility.

Based on a conversation with a staff person, 4 cans of "Shave Foam" shaving cream, labeled keep out of the reach of children, were used with the children for art activities. Two cans were located were located in a cabinet in the back of the main room and 2 cams were on the shelf in the back classroom.

A trash can with a missing lid contained a partially eaten donut as well as tissues containing human secretions.

Multiple cigarette butts were located inside the fence of the outdoor play space.

The evacuation backpack, which contained a first aid kit, was on a shelf accessible to the children in care in the main childcare classroom.

An empty bottle of alcohol and 2 black stake-like poles which had sharp and rough areas were on the ground in the fenced area of the outdoor play space.

A handwashing sign was not posted at the changing table in the main classroom.

In the main classroom, plastic bags were accessible to children who are placing objects in their mouths in the unlocked bottom drawer of a plastic organizer next to the changing table and in the back classroom, foam swimming pool noodles were observed to have teeth marks.

The file of child #1, was identified as a young toddler (see LIS code sheet), contained a health assessment dated 5/5/2024 but did not have an updated health assessment within 6 months from the prior assessment.

Based on the recommendations of the ACIP, the immunization record on file for child #1 lacks 1 of 4 DTaP and 1/2 Hep A vaccinations. The immunization record of child #4 and #5 both lacked documentation of 1/3 DTaP and 1/3 pneumococcal as recommended by the ACIP.

A and D Ointment, ibuprofen and acetaminophen packets, and Bactine Max, all labeled keep out of the reach of children, were in the evacuation bag on a shelf accessible to children.

The hands of the infants and young toddlers placed in the feeding table were not washed prior to eating snack.

The file of staff #2 and #5 did not contain documentation of a current health assessment completed in the past 24 months.

Documentation of the most recent emergency drill conducted at the facility was dated 3/2/2023 lacking documentation of a drill being conducted in the last 12 months.

The file of child #5 contained a health assessment dated 8/26/2024, which was more than 60 days from their start date at the facility (see LIS code sheet).

Staff person #3 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Documentation of current comprehensive general liability insurance was not on file at the facility.

The file of staff #2, #4, #5 and #7 did not contain documentation of fire safety training within the past 12 months.

Staff person #6 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and pediatric CPR and health and safety training.

The file of staff #5 did not contain documentation of updated mandated reporter training within 60 months of the previous training dated 5/24/2019.

Staff person #1 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file of staff #1 and #6, both identified as assistant group supervisors, did not contain documentation of education or experience to qualify them for the position.

The file of staff #4, #5 and #7 did not contain documentation of an annual evaluation completed by the director within the past 12 months.

The financial agreement of child #4 did not contain persons designated by the parent to whom the child may be released.

The files of child #1, #3 and #4 contained the original financial agreements.

The file of child #2 did not contain emergency contact information.

The emergency contact information of child #1, #3, #4 and #5 did not contain the work address and telephone number of the enrolling parent or documentation it is not applicable.

The emergency contact information of child #3 did not include information on the child's special needs or documentation this is not applicable to the child.

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

The emergency contact form of child #6, who was picked up and brought to the center from school, was not present in the van while the child was being transported.

Documentation of the last review and/or update of the emergency contact information of child #1 was dated 2/7/2024 and child #2's most recent agreement update was dated 2/20/2024, both lacking documentation of a current review and/or update within the past 6 months.

The file of child #5 did not contain signed parental consent for emergency medical care for the child.

The file of child #1 and #5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

The file of staff #1 did not contain 2, and staff #6 did not contain 1 written nonfamily reference.

The file of staff #2 contained documentation of 5.5 hours (lacking 6.5 hours) and staff #4 contained 4.5 hours (lacking 7.5 hours) of training between their annual training year of 12/2023 to 12/2024. The file of staff #5 contained documentation of 2 training hours between their annual training year of 12/2023 to 12/2024 and an additional 8 hours dated 1/21/2025 and 2 hours dated 1/25/2025 and now has 12 training hours.

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 and pediatric CPR

The file of staff person #3 did not contain documentation of a current child abuse clearance or the current signed and dated disclosure statement. The file of staff person #1 contained a signed disclosure statement which was not dated.

An electrical outlet on the left side of the main classroom by the kitchen area, did not contain a protective receptacle cover.

The new fence surrounding the outdoor play space contained approximately 51 bolts which extended out between 1-2 inches and were not covered. These could cause injury to a child.

Written approval of the installation and written approval for use of the fixed space heater in the back room play space was not presented at the time the inspection. When asked about the documentation, facility person #5 stated the letter was not current and had an expiration date and they were no longer using the heater.

The health assessment of child #1, identified as a young toddler (see coded LIS sheet), contained a health assessment dated 3/21/2023 and an updated assessment dated 1/17/2024 which exceeded 6 months.

The file of child #4, now identified as an older toddler (see coded LIS sheet), contained a health assessment dated 8/19/2022 and an updated health assessment dated 2/5/2024, which exceeded 12 months.

The initial health assessment of staff person #3 did not contain a date to determine when the assessment was completed.

The tuberculosis screening of staff person #3 was dated 1/28/2021, which was more than 12 months prior to their rehire date at the facility (see coded LIS sheet),

The "front room" was listed as the hypothetical location of the fire on the fire drill log for consecutive locations multiple times.

The emergency plan did not include evacuation routes to the location away from the facility premises.

The file of staff person #4 contained fire safety training dated 1/7/2024 which was more than 12 months from their start date (see coded LIS sheet).

The file of staff person #2 did not contain documentation of the 2 most recent annual evaluations and staff person #4 did not contain documentation of an annual evaluation within 12 months.

The back classroom did not have a written plan of daily activities posted in the space.

The financial agreement of child #5 did not contain the amount of the fee to be charged per day or week.

The financial agreement of child #2 and #5 did not include the date on which the fee is to be paid.

The file of child #1 contained documentation of a child service report to provide information to the family about the child's growth and development dated 11/22/2023, more than 6 months from their start date at the facility (see coded LIS sheet) and the file of child #4 did not contain documentation of a child service report since starting at the facility (see coded LIS sheet).

The financial agreement of child #4 did not contain their arrival and departure times.

The financial agreement of child #2 did not contain their admission date.

The emergency contact form of child #2 contained the birth date of the child's sibling and not the child listed on the form.

The emergency contact form of child #3 did not contain the work address and child #4 did not contain the work address or telephone number of the enrolling parent.

The file of child #1 did not contain signed parental consent for emergency medical care.

The file of child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

The file of staff person #4, employed for more than 90 days, did not contain documentation of acceptable pediatric first aid and pediatric CPR.

The posted certificate of compliance expired on 5/1/2023.

The file of staff person #2 contained 8 training hours and staff person #4 contained 1 hour between their annual training year of 12/2022 to 12/2023. The file of staff person #2 also contained documentation of an additional 5 hours taken on 1/8/2024 and they now have 12 hours. The file of staff person #4 contained an additional 3 hours dated 1/1/2024, but still lacked 8 hours.

The PA state police clearance on file for facility person #2 stated it was "under review" and did not have a dissemination date and the signed disclosure statement of facility person #1 was not on the current form.

The emergency plan did not contain a continuity of operations plan which may include backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills or a contingency plan/contingency fund which may include 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 to the emergency plan was dated 1/2022 which is more than 12 months ago.

Hand sanitizer, labeled keep out of the reach of children, was on the sign in table at the entrance accessible to the children.

In the main classroom, glue sticks and markers (both with removable caps), foam craft pieces (all less than an inch in diameter or with a removable part less than an inch in diameter) and plastic trash bags which were stored in the bottom of a cart, were all accessible to toddlers who were being cared for in this space and are still placing objects in their mouths.

The health assessment of facility person #1 did not include a tuberculosis screening at initial employment (see coded LIS sheet).

The facility did not have documentation of previous or current emergency drills.

Documentation of testing the fire detection system exceeded 30 days on the following occasions: 3/1/2022 to 4/2/2022 and 5/1/2022 to 6/1/2022 to 7/9/2022 to 9/6/2022 to 11/2/2022 to 1/20/2023.

The facility did not have documentation the emergency plan was sent to the county emergency management agency.

The facility did not have documentation of providing the local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility at least annually.

The facility did not have a policy which must include but is not limited to the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child and addresses the prevention and identification of child maltreatment.

Facility person #4 did not have documentation of completion of the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics.

The requirement of taking an additional one-hour training course titled, "Pennsylvania Health and Safety Update 2022" for facility staff who have taken the "Health and Safety Basics" training or "Get Started with Center- Based Care: Building Blocks for Quality" (taken before 10/4/2022) was not completed by facility person #2 and 3.

The file of facility person #4 contained documentation of mandated reporter training being dated 7/8/2015, but did not contain documentation the training has been updated within 60 months as per the CPSL.

The most recent written evaluation completed by the director for facility person #2 was dated 3/15/2021.

The financial agreement of child #4 was not signed by the parent.

The financial agreement of child #4 did not specify the amount to be charged per day or week.

The file of child #1 did not contain documentation of the child's growth and development in the context of the services being provided to families on the Department's approved form.

The financial agreement of child #4 did not specify the persons designated by the parent to whom the child may be released.

The original financial agreement was in the file of child #2.

The emergency contact form of child #5 did not contain the address of the child's physician.

The emergency contact form of child #1 did not contain the work address of the enrolling parent and child #2 did not contain the work address or work telephone number of the enrolling parent,

The emergency contact of child #5 did not include 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 #4 had the policy number but did not have the health insurance policy name for which the child was covered.

The emergency contact form of child #1 and 3 did not include addresses and #4 did not include telephone numbers of individuals designated by the parent to whom the child may be released.

The emergency contact form (last dated 10/13/2021) and financial agreement (last dated 4/13/2022) of child #1 have not been updated within the past 6 months.

The file of facility person #1 contained only 1 of the 2 required written, nonfamily references.

The facility did not have documentation of how they provide parents of enrolled children information to access the Chapter 3270 regulations electronically.

The file of facility person #2 did not include 12 annual hours of professional development between 12/19/2021 to 12/19/2022.

There was no signed disclosure statement on file for Facility Persons #1 and #4. There was no NSOR clearance on file for Facility Person #1, who began employment at the facility on 7/1/21. The child abuse clearance on file for Facility Person #2 was completed more than 60 months after the previous child abuse clearance.

At approximately 11:30 am, before entering the facility, Facility Person #5 was observed in the alley outside of the building. After waiting approximately 30-60 seconds for someone to answer the front door, Facility Persons #1, #3, and #5 were observed in the toddler/preschool area of the main child care space with 11 children, a combined group of 4 preschoolers, 4 older toddlers and 3 younger toddlers. When asked to identify which children they were each supervising, Facility Person #1 identified 5 children, Facility Person #3 identified 4 children and Facility Person #5 identified 2 children. When asked to identify the supervision groups while Facility Person #5 was still outside, Facility Person #1 and #3 had difficulty identifying their groups, each identifying more than one different group of the children as their responsibility. At one point, Facility Person # 3 identified 6 children total, a combined group of 3 young toddler and 3 older toddlers.

At approximately 11:30 am, before entering the facility, Facility Person #5 was observed in the alley outside of the building. After waiting approximately 30-60 seconds for someone to answer the front door, Facility Persons #1, #3, and #5 were observed in the toddler/preschool area of the main child care space with 11 children, a combined group of 4 preschoolers, 4 older toddlers and 3 younger toddlers. When asked to identify which children they were each supervising, Facility Person #1 identified 5 children, Facility Person #3 identified 4 children and Facility Person #5 identified 2 children. When asked to identify the supervision groups while Facility Person #5 was still outside, Facility Person #1 and #3 had difficulty identifying their groups, each identifying more than one different group of the children as their responsibility. At one point, Facility Person # 3 identified 6 children total, a combined group of 3 young toddlers and 3 older toddlers.

At approximately 11:40 AM, in the toddler/preschool area of the main child care space, when child #3, a young toddler, was leaning to the side in her chair at the table, Facility Person #3 was observed forcefully pulling her up by on arm and forcefully positioning her in her seat so she was seated upright at the table.

There was no documentation on file of the emergency plan update between 2016 and 1/27/22.

There was no documentation of emergency plan training completed at initial hire for Facility Person #1.

Many large items were observed in the gross motor space, making it unsafe for children to participate in gross motor activities in the space, including 6 chairs, including a rocking chair, 2 vacuum cleaners, two strollers and 6 easels.

In the facility's kitchen, there was a container of Member's Mark disinfectant wipes sitting on the microwave next to a container of graham crackers.

There was no first aid kit in the gross motor space of the facility.

There was a small area of damaged plaster on the wall on the right side of the gross motor room.

There was only one handwashing sign near the two sinks in the children's bathroom.

There were approximately a dozen large foam puzzle pieces on a low cabinet shelf in the front of the toddler/preschool area of the main room, making them accessible to the toddlers in care in the area at the time of the inspection. There were several teeth marks observed on various pieces. There were approximately a dozen cotton balls in a low drawer of a plastic cart in the rear of the toddler/preschool area of the main room, making them accessible to the toddlers in care in the area at the time of the inspection. The cotton balls were less than an inch in diameter. There were approximately 3-4 foam blocks in a low drawer of a plastic cart near the sink in the infant area of the main room, making them accessible to the young toddlers in care in the area at the time of the inspection. There were several tears in the cushion of the rocking chair in the infant area of the main room, making the foam inside accessible to the toddlers in care in the area at the time of the inspection.

The most recent record of immunizations on file for child #2 indicated insufficient doses of the DTAP, Pneumococcal and Hepatitis A vaccinations.

There were medications in the first-aid kit in the main room of the facility and in the vehicle used to transport children unlabeled with the names of the individual children for whom they were intended.

The health assessment on file for Facility Person #1 was completed more than 24 months prior.

Based on the testing log and on conversation with the operator, there were 5 times that the fire detection system was tested beyond 30 days since March 2021.

There was no proof of purchase for the interconnected fire alarm system on file at the facility.

The most recent letter on file used to provide notification to traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was dated 1/1/21.

Documentation of the required health and safety training completed by Facility Person #1 indicates it was completed more than 90 days after she began employment.

Facility Persons #1 and #4 were both classified as assistant group supervisors without documentation of qualifications required for the classification.

The emergency contact information in the file for Child #2 did not include the address and phone number for the child's physician.

The emergency contact information in the file for Child #2 did not include the child's health insurance information.

The emergency contact information in the file for Child #1 did not include the address and phone number for one of the release persons listed on the form. The emergency contact information in the file for Child #2 did not include the address for two of the release persons listed on the form.

The last updates in writing by a parent on the emergency contact forms and agreements on file for children #1 and #3 were dated more than 6 months ago.

There was no documentation of pediatric first aid/CPR training on file for Facility Person #1, employed at the facility more than 90 days. The documentation of pediatric first aid/CPR training on file for Facility Person #2 was completed online and is therefore not acceptable.

There was no documentation of any child care training hours completed between 12/19/20 and 1219/21 on file for Facility Person #2.