Tiny Toes Learning Center LLC

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #3 was observed working in a child care role at the facility at the time of this inspection. Staff #3 did not apply for the FBI clearance prior to working in child care as required by the CPSL. Staff #4 was observed working in a child care role at the facility at the time of this inspection. Staff #4 did not receive their NSOR clearance prior to working in child care as required by the CPSL.

A renewal inspection occurred at the facility. A physical site review was conducted. Outlet covers were missing in the following room outlets: Grasshopper, Butterfly, girl's bathroom and boy's bathroom. These outlets were discussed with staff that needed the covers during the inspection.

A renewal inspection occurred at the facility. A physical site review was conducted. In the Busy Bee room, the following items were observed accessible to children: ointment, diaper rash cream, sunscreen and Desitin. These items indicated the need to be kept out of reach of children and children were observed receiving care in this room. In the Butterfly room, the following items were observed accessible to children: 2 sunscreens. These items indicated the need to be kept out of reach of children and children were observed receiving care in this room. In the Caterpillar room, the following items were observed accessible to children: Desitin and diaper cream. These items indicated the need to be kept out of reach of children and children were observed receiving care in this room. In the boy's bathroom was an unlocked storage cabinet. This cabinet contained items that indicated the need to keep out of reach of children, and they were as follows: bottles of cleaning chemicals and bottles of bleach.

A renewal inspection occurred at the facility. A physical site review was conducted. In the Busy Bees room and in the boy's bathroom a metal garbage can was found that contained rust. The garbage can in the bathroom also contained a broken metal wire standing up on the top of the garbage can.

A renewal inspection occurred at the facility. A physical site review was conducted. Three metal bikes were found in the outdoor play area that had peeling paint and rust. These bikes were not in good repair.

A renewal inspection occurred at the facility. A review of child files was conducted. See the code sheet for the dates of birth. Child #4 is a preschool aged child and did not have their 3-year-old health report with immunizations on file as required by regulation. The last health report on file was dated 3/4/24. Child #5 did not have on file their 1 1/2 -year-old health report with immunizations on file as required by regulation. The last health report on file was dated 12/12/24.

A renewal inspection occurred at the facility. A physical site review was conducted. The following medication was found accessible to children in the Caterpillar room: Children's Tylenol. Children were observed receiving care in this room and this medication indicated the need to be kept out of reach of children.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff participate in an updated health assessment at least every 24 months. The following staff did not update their health assessments at least every 24 months: Staff #2 (previous 11/18/22, current 9/30/25 and Staff #5 (previous 6/15/23, no current).

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in updated training for pediatric first aid and CPR prior to the current certification expiring. The following staff did not participate in this training prior to the current certification expiring: Staff #2 (previous 3/25/23, no current).

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff #2 (current 10/1/25) and Staff #6 (previous 4/8/24, current 6/16/25).

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires a written evaluation of staff to be conducted by the director at least every 12 months. The following staff did not have an evaluation conducted on them at least every 12 months: Staff #1 (previous 10/9/23, current 9/30/25).

A renewal inspection occurred at the facility. A physical site review was conducted. An emergency medical plan is required to be posted in child care spaces. At the time of this inspection, the facility's emergency medical plan was not posted in any child care space.

A renewal inspection occurred at the facility. A review of child files was conducted. Regulation requires children's emergency contact and agreement forms be reviewed at least every 6-months. The following children's documents were not updated at least every 6-months: Child #2 (emergency contact previous 12/17/24, current 9/29/25), Child #3 (emergency contact and agreement previous 10/2/23, current 9/30/25), Child #4 (emergency contact previous 3/1/24, current 9/30/25 and agreement previous 3/1/24, no current) and Child #5 emergency contact previous 12/17/24, no current and agreement previous 12/17/24, current 9/29/25).

A renewal inspection occurred at the facility. A review of child files was conducted. The following child's file was missing consent for administration of minor first-aid procedures by staff as required by regulation: Child #5.

An unannounced inspection occurred at the facility. A review of the facility's fire safety system testing log was condcuted. Regulation requires the facility to test the fire safety system at least every 30 days. The following tests lapsed occurring at least every 30 days: 3/14/25, 4/14/25, 5/15/25 and 6/16/25.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation and the CPSL require clearances to be updated every 60 months. The following staff did not update their clearances every 60 months: Staff #1 state police (previous 12/27/17, current 10/21/24). Regulation and the CPSL require staff hired provisionally to have obtained a child abuse clearance and applied for any out of state clearances. Staff #5 was hired provisionally and was observed working during the inspection on 9/30/24. Staff #5 did not have a child abuse clearance on file and did not apply for their California clearances.

A renewal inspection occurred at the facility. A physical site review as conducted. On 9/30/24, the Caterpillar room was observed to contain 2 staff members and 9 infants and toddlers. The amount and ages of the children in this classroom would have required at least 3 staff members to be incompliance with staff:child ratios.

A renewal inspection occurred at the facility. A physical site review was conducted on 9/30/24. The Butterfly room contained Staff #2, #9 and #11. These staff were unable to appropriately identify the children in their supervision groups. The staff needed assistance from other staff to ensure all children were accounted for and assigned for proper supervision groups.

A renewal inspection occurred at the facility. A physical site review was conducted. In the Busy Bees classroom on 9/30/24, two training chair toilets were observed. They both contained urine and were accessible to children in the child care space. Children were observed receiving care in this space.

A renewal inspection occurred at the facility. A physical site review was conducted. On 9/30/24, in the Butterfly Room, 18 children were observed receiving care. The Butterfly Room has a measured capacity of 12 children. The Butterfly Room on 9/30/24 was over measured capacity by 6 children.

A renewal inspection occurred at the facility. A physical site review was conducted. During the physical site review on 9/30/24 and 10/28/24 several outlets were observed not covered. These outlets were identified and discussed with the Director at the time of the inspections. These outlets were accessible to children.

A renewal inspection occurred at the facility. A physical site review as conducted. In the outdoor play area, a swing set was observed mounted to a wooden deck. The swing set was not mounted over protective surface covering as required by the United States Consumer Product Safety Commission.

A renewal inspection occurred at the facility. A physical site review was conducted. On 9/30/24, a diaper change was observed in the Caterpillar Room. After the diaper change, the staff did not wash, with soap and water, their hands or the child's hands.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff dates of hire. Regulation requires staff to participate in a health assessment every 24 months. The following staff did not participate in a health assessment every 24 months: Staff #3 (previous 9/29/22, current 10/4/24). Regulation requires staff to have a health assessment and tuberculosis screening prior to working in child care at initial hire. The following staff did not have a health assessment and tuberculosis screening on file prior to working in a child care role at the facility: Staff #2 (health assessment and TB 10/4/24), Staff #5 (no health assessment or TB), Staff #6 (health assessment and TB 9/26/24), Staff #7 (TB dated 3/9/23, not within 12 months of the staff's hire date and not valid) and Staff #8 (TB 10/3/24).

A renewal inspection occurred at the facility. A physical site review as conducted. In the Grasshoppers class on 9/30/24, a lunchbox was found and contained yogurt. Regulation requires dairy products to be safely stored in a refrigerator.

A renewal inspection occurred at the facility. A physical site review was conducted. On 9/30/24, staff were asked to provide for review, copies of the infant's formula and feeding schedules. Staff did not provide for review at the time of the inspection, the formula and feeding schedules for the infants.

A renewal inspection occurred at the facility. A physical site review was conducted. Staff in the Caterpillar room on 9/30/24, indicated that infant's bottles are handwash and reused at the facility. Regulation requires infant bottles to be washed only in a commercial dishwasher for reuse.

A renewal inspection occurred at the facility. A physical site review was conducted. During the physical site review on 9/30/24, the facility did not have posted in a conspicuous location a copy of the facilities safe routes letter posted.

A renewal inspection occurred at the facility. A review of the facility's fire system testing log was viewed on 9/30/24. Regulation requires the fire safety system to be tested at least every 30 days. The following tests lapsed occurring once at least every 30 days: 12/15/23-1/16/24 2/6/24-3/8/24 3/8/24-6/20/24 6/20/24-7/26/24 8/13/24-9/13/24

A renewal inspection occurred at the facility. A physical site review was conducted on 10/28/24. During this review, the Caterpillar room staff were observed warming an infant formula bottle in the microwave. Regulation does not allow for infant formula bottles to be warmed in a microwave.

A renewal inspection occurred at the facility. A review of the facility's traffic safety letter was reviewed. At the time of the inspection in 10/28/24, the facility was unable to provide documentation that the facility had provided this letter to the local traffic safety authority on an annual basis.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to update their pediatric first aid/CPR training prior to the current training expiring. The following staff did not update their pediatric first aid/CPR training prior to their current expiring: Staff #1 (previous 7/15/22, current 9/17/24) and Staff #3 (previous 9/16/22, no update).

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff's date of hire. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff # 1 (previous 10/16/21, current 10/31/23), Staff #3 (previous 4/4/23, no current), Staff #4 (see date of hire, current 10/28/24) and Staff #9 (see date of hire, current 10/24/24).

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation and the CPSL require staff to participate in mandated reporter training every 60 months. The following staff did not update their mandated reporter training every 60 months: Staff #1 (previous 2/20/15, current 8/2/22).

A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's files were missing the amount of the fee to be charged for attendance: Child #3, Child #5 and Child #6.

A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's files were missing on the agreement form the date on which the fee is to be paid: Child #3, #4, #5 and #6.

A renewal inspection occurred at the facility. A review of children's files was conducted. The following child's agreement from was missing their arrival and departure times: child #3.

A renewal inspection occurred at the facility. A review of children's files was conducted. The following child's file was missing complete health insurance information: Child #4.

A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's files were missing consent for first-aid: Child #2 and #4.

A renewal inspection occurred at the facility. A review of staff files was conducted. The file of Staff #10 was requested for review on 9/30/24 but not provided. Staff #10 was observed caring for children during this inspection.

Through staff interviews, it was determined that on 5/21/24, a lack of supervision occurred at the facility during the following incident: Staff #1 was transitioning their group from the cafe to the classroom. After entering the classroom, Staff #1 conducted a headcount, and this is when they realized Child #1 was missing. It was determined that Child #1 had hid behind a serving cart when the group left, ran to a closet and this is where the child was found by staff.

An unannounced inspection occurred at the facility occurred at the facility. A review of the facility's fire drill log was conducted. Regulation requires staff to conduct fire drills at least every 60 days. The following drills did not occur at least every 60 days: 3/8/24-6/20/24.

During an inspection on 12/1/23, Staff #1 and #2 were observed working in the Grasshoppers room with 12 children. Staff were unable to identify the specific children in their assigned supervision groups, which would split the children into smaller groups to meet the staff:child ratios. During the same inspection on 12/1/23, a mixed group of 5 infants and young toddlers were assigned to Staff #3. Staff #3 should only have 4 children assigned, since at least one of the children assigned to the staff was an infant, requiring a 1:4 ratio. An acceptable plan of correction was received on 12/21/2023 indicating that the violation was directed as of 12/21/2023. On 1/12/24 at 9:30 a.m., during a supervision and ratio check in the Grasshoppers Room, staff #4 was unable to identify all of the children in the assigned group. This staff person was only able to identify four of the six children in the group.

During an inspection on 12/1/23, Staff #1 and #2 were observed working in the Grasshoppers room with 12 children. Staff were unable to identify the specific children in their assigned supervision groups, which would split the children into smaller groups to meet the staff:child ratios. During the same inspection on 12/1/23, a mixed group of 5 infants and young toddlers were assigned to Staff #3. Staff #3 should only have 4 children assigned, since at least one of the children assigned to the staff was an infant, requiring a 1:4 ratio.

Fire drill log documentation showed that the last fire drill conducted was on 9/29/2023. The next inspection should have occurred by 11/28/2023.

During an inspection on 12/1/23, the facility was unable to provide an annual testing report dated within 1 year of the day of the inspection showing that the fire detection system was tested and in operable condition.

Staff persons #5 and #7 (see code sheet for date of hire) did not have documentation that they completed the following required pre-service training within 90-days of hire: Health and Safety Update, which should have been completed by 12/30/22 for existing staff.

Staff person #6 (see code sheet for date of hire) did not have documentation that they completed the following required pre-service trainings within 90-days of hire: pediatric first aid and CPR, and Health and Safety training. Staff person #6 completed their pediatric first aid and CPR on 3/25/23, and their Health and Safety training was completed on 3/9/2023.

Staff person #3 did not have any documentation on file which indicated that they had a high school diploma or general educational development certificate which would qualify them as an assistant group supervisor with their experience. Staff person #3 only had college transcripts on file for a degree that is still in progress.

As of the renewal inspection on 9/28/23, there was no signed disclosure statement for staff #2; there were no clearances from Florida where staff #3 had lived in the previous five years; there was no documentation of mandated reporter training for staff #4; and the most recent state police clearance on file for staff #6 was dated 12/27/17. Staff #3 and #6 must be removed from care until all required clearances are on file at the facility.

On 9/28/23 during the renewal inspection, staff #3 and #4 were in the classroom with 13 older toddlers. This amount of older toddlers would require 3 staff.

As of the renewal inspection on 9/28/23, there was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).

As of the renewal inspection on 9/28/23, there was no documentation that staff #2 had received training in the emergency plan.

As of the renewal inspection on 9/28/23, the most recent health assessment on file for child #1 was dated 7/5/22.

As of the renewal inspection on 9/28/23, there was no documentation of influenza vaccine or an exemption letter on file for child #1. Child #1 must be removed from care until proper documentation is on file.

As of the renewal inspection on 9/28/23, there was no initial health assessment or TB screening for staff #5

As of the renewal inspection on 9/28/23, there was no documentation of an emergency drill conducted in the previous year.

As of the renewal inspection on 9/28/23, there was no health assessment on file for child #3 (see code sheet for start date).

As of the renewal inspection on 9/28/23, there was no documentation that staff #6 had completed fire safety training in the previous year.

As of the renewal inspection on 9/28/23, staff person #6 did not have documentation of completion of the following required pre-service training within 90 days of their date of hire: Health and Safety training.

As of the renewal inspection on 9/28/23, there was no written evaluation in the previous year for staff #1.

As of the renewal inspection on 9/28/23, there was no documentation of qualifications for staff #4 and #5.

As of the renewal inspection on 9/28/23, the emergency contact information for child #2 did not include the name, address and telephone number of the child's physician or source of medical care.

As of the renewal inspection on 9/28/23, the emergency contact information for child #1 was not dated or signed.

As of the renewal inspection on 9/28/23, there was only one nonfamily references from individuals attesting to the suitability of staff #2 to serve as a facility person.

As of the renewal inspection on 9/28/23, there was no documentation on file that staff #1 and staff #6 had completed 12 clock hours of child care training.

During a complaint investigation visit conducted on 6/27/23, 8 preschool aged and 17 school aged children were observed with four childcare staff members on an excursion at a building located at 1110 Carriage Lane, Tobyhanna, Pa 18466. On 7/10/23, the Coolbaugh Township Director of Zoning & Code Enforcement confirmed that there is no occupancy permit for the property and that no permission was given for the building or property to be used as the safety is unknown.

Staff person #-1- was observed to be caring for children unsupervised. Staff person #-1- has not completed pre-service training required prior to caring for children unsupervised including mandated reporter training.

Per inspection on 3/2/24 verified that staff number 1 a provisional staff who did not have a state police and NSOR clearance on file and did not have a State Police request on file, was working alone unsupervised with a group of 11 school-age children on 2/24/23

Per inspection on 3/2/24 verified that staff number 1 a provisional staff who did not have a state police and NSOR clearance on file and did not have a State Police request on file, was working alone unsupervised with a group of 11 school-age children on 2/24/23. Per inspection on 5/18/23 verified that staff number 2 hired as a provisional staff was working past the CPSL timeline without a record of FBI clearance.

Inspection on 12/7/22 revealed that Children # 1-2-3-4 have not had emergency contact and fee agreement updated within the past 6 months.

Per inspection at the facility on 12/7/2022 it was revealed that children # 5-6 discharged from the facility 6/2022 do not currently have a file retained at the facility.

Inspection revealed that staff # 1 does not have the required clearances per the CPSL.

Inspection revealed that Child number 1 does not have a record of immunization.

During a complaint investigation conducted on 2/2/22, it was discovered that Staff Person #1, who started at the facility on 1/28/22 has no child abuse, criminal, FBI or NSOR clearances. There is no verification on file that Staff Person #1 applied for the child abuse, criminal, FBI or NSOR clearances prior to starting at the facility.

During an unannounced investigation conducted on 2/2/22, the fire drill log showed that it had been over 60 days since the last fire drill was conducted. The most recent fire drill was conducted on 8/3/21

During a complaint investigation conducted on 2/2/22, Staff Person #1 admitted that Staff Person #2, who started at the facility on 1/28/22, does not have a staff file