Tiny Hands Tiny Toes Learning Center LLC

A renewal inspection was conducted 8/22/25. At that time, Staff Person #6 was observed caring for a group of eight young and older school age children and Child # 3, an older toddler. Staff Person #6 said that Child #3 was sent to the room because Child #3 had been hitting other children in the older toddler room.

A renewal inspection was conducted 8/22/25. At that time, Child #6, a preschool child, was observed walking out of Classroom 1 unsupervised and shutting the door at 10:32am. Child #6 walked through the kitchen area, entering the bathroom across from the Playroom. Child #6 returned to the room at 10:34am. Child #7 was observed walking out of Classroom 2 unsupervised and closing the door at 10:24am to go to the bathroom in the hallway. Child #7 returned to Classroom 2 at 10:26am.

A renewal inspection was conducted 8/22/25. At that time, the staff files were reviewed. The documentation of emergency plan training that is kept with the emergency plan was reviewed. The documentation stated that training occurred for the following staff on 9/18/24: Staff Person #2, Staff Person #3, Staff Person #4, Staff Person #5, and Staff Person #6. Staff Person #2, Staff Person #3, Staff Person #4, Staff Person #5, and Staff Person #6 were not employed at the facility until after that date.

A renewal inspection was conducted 8/22/25. At that time, Kidgets vitamin A&D ointment was observed on a shelf approximately 12 inches high in the bathroom where it was accessible to children. Aquaphor and gentle steps diaper rash cream were on a shelf approximately 18 inches high in Classroom 1, the infant room, where they were accessible to the mobile infants and toddlers. Child #1, an infant, was observed playing with Butt Paste diaper cream in the infant room. Children's tylenol and children's motrin were observed in a diaper bag in a floor level cubby where they were accessible to children. Antibacterial wipes were observed in a diaper bag on the floor of Classroom 1, where they were accessible to the children. Gentle Steps Vitamin A&D ointment was observed in a floor level cubby in Classroom 2, where it was accessible to children. Hand sanitizer was observed on the sink ledge of the children's bathroom across from the Playroom and was accessible to the toddlers and preschool children who were using the bathroom. All items were labeled "keep out of reach of children."

A renewal inspection was conducted 8/22/25. At that time, an unlidded trash can in the hallway next to Classroom 4 was observed. The trash can contained a discarded cereal bowl with milk and cheerios. A trash can that was not plastic lined or equipped with a lid was observed on the floor in the children's bathroom across from the playroom. The trash can contained discarded tissues and paper towels.

A renewal inspection was conducted 8/22/25. At that time, the hot water in the sink in the children's bathroom across from the Playroom reached a temperature of 121° F.

A renewal inspection was conducted 8/22/25. At that time, the children were observed walking to and from the bathroom and playroom through the kitchen area. A toaster oven was observed on the counter approximately three feet high next to the entryway to the hall with the Playroom and bathroom. The director stated that the toaster oven is used to heat breakfast and lunches, including chicken nuggets, and is unplugged after use but is not moved to an area where it is inaccessible to the children while it is cooling down after use.

A renewal inspection was conducted 8/22/25. At that time, the first aid kit in Classroom 2 did not contain gloves. The first aid kit in the emergency backpack that is brought to and from excursions did not include soap, tweezers, scissors, or gloves.

A renewal inspection was conducted 8/22/25. At that time, an overflowing trash can was observed in the kitchen area of the facility. Two carpets were bunched up on the floor of Classroom 4 posing a tripping hazard. A diaper bag was observed set on top of a high chair with a strap hanging down. An infant was observed pulling on the strap during the inspection, posing a hazard. The wall next to the door connected Classroom 1 and Classroom 2 was visibly dirty.

A renewal inspection was conducted 8/22/25. At that time, damaged plaster was observed in the hallway next to the Playroom. Peeling paint was observed along the wall in Classroom 1, Classroom 2, Classroom 3, and Classroom 4. Damaged plaster was observed in the front corner of Classroom 1 opposite the door and next to the door leading into the hallway to Classroom 3.

A renewal inspection was conducted 8/22/25. At that time, school age children were observed playing the video game "The Last of Us" which is rated mature (ages 17 and up). An older toddler and two other school age children were watching a school age child play the video game. Five other school age children were present in the room. Magnatiles were observed on the floor of Classroom 1, where infants and toddlers were in care. Magnatiles are recommended for ages three and up.

A renewal inspection was conducted 8/22/25. At that time, disposable gloves were observed on the back of the toilet where they were accessible to the toddlers being diapered in the bathroom.

A renewal inspection was conducted 8/22/25. At that time, one of the high chairs in Classroom 1 did not include a t-shaped safety strap. Staff in the room said that the high chair is used to feed infants.

A renewal inspection was conducted 8/22/25. At that time, two pack-n-plays were observed in Classroom 1. The pack-n-plays were not labeled for use by an individual child. Staff said that infants sleep in the pack-n-plays.

A renewal inspection was conducted 8/22/25. At that time, the refrigerator in the kitchen was dirty and did not contain a thermometer.

A renewal inspection was conducted 8/22/25. At that time, the child files were reviewed. The most recent health assessment on file for Child #5, a young toddler, was dated 12/18/24.

A renewal inspection was conducted 8/22/25. At that time, the child files were reviewed. The most recent health assessment on file for Child #4, an older toddler, was dated 7/10/24.

A renewal inspection was conducted 8/22/25. At that time, the child files were reviewed. The immunization record for Child #1 did not include administration of the rotavirus vaccine, the DTAP vaccine, the HIB vaccine, the pneumococcal vaccine, the polio vaccine, or the second dose of the hepatitis B vaccine. The child's file did not include a letter of exemption from the immunizations.

A renewal inspection was conducted 8/22/25. At that time, the diaper changing pad in the child's bathroom was equipped with a fabric liner and was not able to be properly sanitized between each use.

A renewal inspection was conducted 8/22/25. At that time, the staff files were reviewed. The file for Staff Person #5 did not include the date of the staff's TB test results.

A renewal inspection was conducted 8/22/25. At that time, a lunch box was observed in a floor level cubby in the infant room. The lunch box contained mashed potatoes and gravy, macaroni and cheese, applesauce, and watermelon.

A renewal inspection was conducted 8/22/25. At that time, a feeding schedule had not yet been provided by the parent of one of the infants in care.

A renewal inspection was conducted 8/22/25. At that time, an unlabeled bottle was observed in the kitchen refrigerator. Three more unlabeled bottles were observed on a shelf in Classroom 1, the infant room.

A renewal inspection was conducted 8/22/25. At that time, written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

A renewal inspection was conducted 8/22/25. At that time, Staff Person #4 was observed in the Playroom with a group of six children consisting of 4 older toddlers and 2 preschool children. The Playroom is play space measured for a capacity of one child.

A renewal inspection was conducted 8/22/25. At that time, the operator stated that an emergency drill had not been conducted within the past year.

A renewal inspection was conducted 8/22/25. At that time, the thirty day testing log of the fire detection system was reviewed. The log showed that testing had not occurred every thirty days. This was evidenced by the fire detection testing log testing dates of 5/1/25, 6/2/25, 7/2/25. The log did not include documentation of any testing in 8/2025.

A renewal inspection was conducted 8/22/25. At that time, the operator stated that the traffic letter had not been sent to the local traffic authorities in the past year.

A renewal inspection was conducted 8/22/25. At that time, the liability insurance could not be located at the facility.

A renewal inspection was conducted 8/22/25. At that time, the staff files were reviewed. Staff person #1 has not completed approved Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 6/2025. Documentation of updated Pediatric first aid and CPR training is not on file.

A renewal inspection was conducted 8/22/25. At that time, the staff files were reviewed. The file for Staff Person #1 did not include any fire safety training.

A renewal inspection was conducted 8/22/25. At that time, the staff files were reviewed. The file for Staff Person #2, the director, was reviewed. The file contained a Bachelor of Technology degree from NYC College of Technology and verification of two years working with children. The file did not contain the college transcripts or any other documentation of at least 30 credits in the human services field.

A renewal inspection was conducted 8/22/25. At that time, the staff files were reviewed. The file for Staff Person #6, an assistant group supervisor, did not contain verification of high school education. The file did contain verification of two years' experience working with children.

A renewal inspection was conducted 8/22/25. At that time, the daily schedule could not be located in Classroom 3 or Classroom 4.

A renewal inspection was conducted 8/22/25. At that time, the child files were reviewed. The emergency contact form for Child #2 did not include the address of the child's doctor.

A renewal inspection was conducted 8/22/25. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include the work information for the child's mother or the work address of the child's father.

A renewal inspection was conducted 8/22/25. At that time, the child files were reviewed. The emergency contact form for Child #2 did not include the address of the release person.

A renewal inspection was conducted 8/22/25. At that time, the emergency contact forms for the children in the classrooms were not present in Classroom 1, Classroom 2, or Classroom 3.

A renewal inspection was conducted 8/22/25. At that time, the child files were reviewed. The emergency contact form for Child #4 had not been updated since 7/10/24. The fee agreement for Child #4 had not been updated in a 6 month period. This was evidenced by the dates of the updates on the fee agreement for Child #4 being 7/9/24 and 6/11/25. The emergency contact form for Child #5 had not been updated since 6/9/24. The fee agreement for Child #5 had not been updated in a 6 month period. This was evidenced by the dates of the updates on the fee agreement for Child #4 being 9/6/24 and 6/11/25.

A renewal inspection was conducted 8/22/25. At that time, the staff files were reviewed. The file for Staff Person #1 did not include documentation of any child care training hours within the staff's last year of training: 7/8/24-7/8/25.

An unannounced inspection was conducted 2/7/25. At that time, the staff files were reviewed. The file for Staff Person #1 did not include an NSOR or the request for the clearance. The file for Staff Person #2 did not include a PA State Police Clearance, an FBI Clearance, or the requests for the clearances. Staff Person #1 and Staff Person #2 were observed working together, unsupervised by another staff, during the inspection. The file for Staff Person #3 included an NSOR dated 1/14/25, after their date of hire. The file did not include the request for the NSOR. The file for Staff Person #4 included a PA State Police Clearance requested and dated 1/106/25, after their date of hire. The PA Child Abuse Clearance on file for Staff Person #4 was dated 1/16/25, after their date of hire.

An unannounced inspection was conducted 2/7/25. At that time, an uncovered electrical outlet was observed outside the bathroom in the hallway. An uncovered electrical outlet was observed in the gross motor room. Both uncovered electrical outlets were located in areas where they were accessible to the children.

An unannounced inspection was conducted 2/7/25. At that time, the staff files were reviewed. The file for Staff Person #1 did not include a health assessment. The file for Staff Person #2 did not include a health assessment. The file for Staff Person #3 did not include a health assessment or TB test results. The file for Staff Person #4 did not include a health assessment or TB test results.

An unannounced inspection was conducted 2/7/25. At that time, the staff files were reviewed. The file for Staff Person #1 included verification of 2 years' experience working with children. The file also included education from the Dominican Republic that had not been evaluated by a service that is a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). The file for Staff Person #3 included verification of 2 years' experience working with children, but did not include verification of education. The file for Staff Person #4 included verification of 2 years' experience working with children, but did not include verification of education.

An unannounced inspection was conducted 2/7/25. At that time, the staff files were reviewed. The file for Staff Person #3 did not include any letters of reference.

A complaint inspection was conducted on 12/10/24. At that time, it was found that a parent did not receive an incident report for an injury their child received on 11/27/24. The director stated that the parent had been notified by message on the Bright Wheel app, but the message could not be found. The director also stated that the facility does not have a master file of incident reports.

On 10/8/24, an unannounced inspection was conducted. At that time, Staff Person #1 was observed working unsupervised with two older toddlers, four young toddlers, and one infant.

A renewal inspection was conducted 9/13/24. At that time, plastic bags were observed on the bottom shelf of the changing table in the bathroom, where they were accessible to the toddlers. Plastic bags were observed hanging from hooks in Room 1, where they were accessible to the toddlers in the room. An acceptable plan of correction was submitted with a correction date of 9/13/24. On 10/8/24, an unannounced inspection was conducted. At that time, plastic bags were observed on the bottom shelf of the changing table in the bathroom, where they were accessible to the toddlers.

A renewal inspection was conducted 9/13/24. At that time, the trash can used for diapering in the bathroom was not hands-free. An acceptable plan of correction was submitted with a correction date of 9/13/24. On 10/8/24, an unannounced inspection was conducted. At that time, dirty diapers were observed in an unlidded trash can that was not plastic-lined in the bathroom.

A renewal inspection was conducted 9/13/24. At that time, the hot water in the bathrooms reached a temperature of 119° F.

A renewal inspection was conducted 9/13/24. At that time, plastic bags were observed on the bottom shelf of the changing table in the bathroom, where they were accessible to the toddlers. Plastic bags were observed hanging from hooks in Room 1, where they were accessible to the toddlers in the room.

A renewal inspection was conducted on 9/13/24. At that time, Boudreaux butt paste was observed on a shelf under the changing table in the bathroom where it was accessible to the children in care.

A renewal inspection was conducted 9/13/24. At that time, the trash can used for diapering in the bathroom was not hands-free.

A renewal inspection was conducted on 9/13/24. At that time, Child #1, who has been enrolled longer than 60 days at the facility, did not have a health report on file.

A renewal inspection was conducted 9/13/24. At that time, there was no fee agreement on file for Child #2 or Child #4.

A renewal inspection was conducted 9/13/24. At that time, the fee agreement for Child #3 did not include the designated release persons.

A renewal inspection was conducted 9/13/24. At that time, there was no emergency contact form on file for Child #2 or Child #3.

A renewal inspection was conducted 9/13/24. At that time, the emergency contact form for Child #1 did not include the business name, address, and phone number of the parents.

A renewal inspection was conducted 9/13/24. At that time, the emergency contact forms for Child #1, Child #4, and Child #5 did not include signed consent by a parent for emergency medical care.

A renewal inspection was conducted on 9/13/24. At that time, the child files were reviewed. The emergency contact forms for Child #1 did not include the health insurance policy number.

A renewal inspection was conducted on 9/13/24. At that time, the child files were reviewed. The emergency contact forms for Child #1 did not include the address and phone number of the release persons. The emergency contact forms for Child #4 did not include the address of the release persons.

A renewal inspection was conducted on 9/13/24. At that time, the emergency contact forms were not present in any classroom of the child care center.

A renewal inspection was conducted 9/13/24. At that time, the emergency contact forms for Child #1, Child #4, and Child #5 did not include signed parental consent for administration of minor first-aid procedures by facility staff.