Little Tykes Learning Center

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent financial agreement information on file for Child #4 was dated 5/7/25 and 5/13/26. The most recent emergency contact and financial agreement information on file for Child #5 were dated 11/7/25. More than 6 months had lapsed since a parent last reviewed, updated, and signed the emergency contact and financial agreement forms.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff #6, which was dated 2/6/26, did not include the CRNP's assessment of the person's suitability to provide childcare.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection on 6/24/26, Staff #6, who has resided outside of Pennsylvania within the past 60 months, was observed having direct contact and routine interaction with children in the Toddler Room. There was no proof on file that they had their out-of-state clearance, which was required prior to them working with children. Staff #7 had DHS FBI Clearances on file dated 11/12/20 and 5/7/26. More than 60 months had lapsed between the clearances, and Staff #1 acknowledged that during this lapse, Staff #7 had direct contact and routine interaction with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff 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. Staff Person #6 may not work in a childcare position that involves direct contact and routine interaction with children until all required paperwork is completed and on file at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Instant Cold Compress labeled "keep out of reach of children" was observed in a first aid kit in the Preschool Room. The compress was accessible to a young school aged child who was being supervised in that room.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: A first aid kit, that was in an orange bookbag on top of a wooden cubby shelf in the Preschool Room, was observed to be accessible to a young school aged child.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The toilet in the children's restroom, that was located near the Toddler Room, had two exposed screws at its base. Also, the gate that was near the purple tent in the Outdoor Play Area had one exposed screw that was accessible to children.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The child service report on file for Child #4 (see code sheet for date of admission) was dated 5/6/25. This initial report was required to be completed within 6 months of the child being admitted.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The financial agreement information on file for Child #4 was dated 10/14/24 and 5/6/25. More than 6 months had passed since a parent last reviewed and updated the financial agreement form.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #6 (see code sheet for first day with children) had an initial NSOR clearance on file dated 5/1/25. A copy of the automated confirmation e-mail from the NSOR Clearance Verification Unit was on file and showed that the NSOR application, that was signed and dated by Staff #6 on 1/29/25, was not submitted until 2/18/2025, which was after the staff began working with children. The clearance was also not on file within the 45-day provisional hire period, and the staff person continued to have direct contact with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not observed in the Main Room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.124(b)(2)/3270.124(b)(7)

Description: Physician name, address, phone/Name/address/phone release person

Noncompliance Area: Child #1 did not have documentation which included the address of their physician or medical care provider. Child #5 did not have emergency contact information on file which included a release person's address.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1 and Child #4 did not have documentation of an enrolling parent's work phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.131(d)(5)/3270.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: Child #1, who is five years old, only had two previous pneumococcal vaccinations on file at the facility and there was no letter of exemption on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. The child must be removed from care, at the close of business on the day of the inspection, until up-to-date vaccinations or proper documentation is on file.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff person #5 only had one nonfamily reference on file. The other reference on file stated that they were Staff person #5's sister.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.