Little Haven Child Care

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 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 1/22/21.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children, at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's emergency contact forms: Child #3: Fee amount and date on which the fee is to be paid. Child #4: Fee amount and date on which the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. Child Service Reports (CSRs) for the following children were not updated within the past 6 months: Child #1: Last CSR on file is dated 8/21/2024 Child #3: CSR dated 8/7/2025 is not signed by the child's parent. Child #5: Last CSR on file is dated 9/30/2024.

Correction Required: The services to be provided to the family and the child, including 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. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(3)/3270.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's emergency contact forms: Child #3: Both parents' work addresses and work telephone numbers. Child #4: Both parents' work telephone numbers. Release person's full address.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.131(a)/3270.131(e)

Description: Health information/ACIP recommended immunization record

Noncompliance Area: A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. Initial health assessment and immunization record on file for child #3 is dated 1/23/2025, which is more than 60 days following the first day of attendance at the facility (see LIS code sheet for date of admission).

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. Immunization summary on file for child #2 indicates that they have received 1 of 2 doses of Hep A vaccine. First dose of Hep A vaccine was administered on 5/28/2024. There is no exemption on file. Child #2 an older toddler (see LIS code sheet for DOB).

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 must be dismissed from care by close of business 10/9/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. Health assessment on file for child #1 does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: A renewal inspection was conducted on 10/9/2025. At that time, staff files were reviewed. Health assessment and TB test on file for staff person #3 were dated 6/25/2025, which is after staff person #3's start date at the facility (see LIS code sheet for start date).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.171(c)

Description: Safe routes posted

Noncompliance Area: A renewal inspection was conducted on 10/9/2025. At that time, written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. The following emergency contact forms and fee agreements were not updated within the past 6 months: Child #2: Emergency contact form and fee agreement both last updated on 3/7/2025. Child #3: Emergency contact form and fee agreement both last updated on 2/20/2025.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: A renewal inspection was conducted on 10/9/2024. At that time, staff person #4 had 8 hours of child care training on file for training year 4/3/2024-4/3/2025.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted on 10/9/2025. At that time, staff files were reviewed. Clearances on file for staff person #1 and staff person #2 were not updated within 60 months. Staff person #1 had PSP clearances dated 6/22/2020 and 9/11/2025 and DHS FBI clearances dated 9/12/2020 and 9/17/2025, which were past 60 months. Staff person #2 had PSP clearances dated 6/22/2020 and 9/11/2025 and DHS FBI clearances dated 7/142020 and 9/17/2025, which were past 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: A renewal inspection was conducted 10/9/2025. At that time, staff person #4 and staff person #5 were present in the Lower Level Main Room with 13 children, aged young and older-toddlers. Staff person #6 indicated that they were in ratio, but left the room to answer the door and to speak with certification representative in the office.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). TIERED LIS: 1. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). This portion of the plan shall have an immediate correction date. 2. The legal entity must post ratio requirements in all child care spaces, including ratios in mixed age groups, 3270.52. The date The correction date for this portion of the plan shall be the date in which the ratios will be posted in each child care space.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During renewal inspection conducted 10/30/2024, there were 13 younger toddler, older toddler, and preschool-aged children present in the front area of the lower-level main room. Certification representative conducted supervision/ratio check and only 10 children were accounted for. Staff were aware of groups and all children were accounted for prior to certification representative departing room.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During renewal inspection conducted 10/30/2024, there were 13 younger toddler, older toddler, and preschool-aged children present in the front area of the lower-level main room. Certification representative conducted supervision/ratio check and only 10 children were accounted for. Staff were aware of groups and all children were accounted for prior to certification representative departing room.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy.