Little Blessings from Heaven

3270.123(a)(3) Services proceeded

“The inspector observed the files for children #1, #2, #4, had been enrolled over six months and did not have any child service reports on file as are required. The files for children #3 and #5 had also been enrolled over a year and only had current child service reports on file.”

Correction date in the state record: Jul 20, 2026

3270.113(e) Restraints prohibited

“While at the facility for the unannounced renewal on 7/17/26 the director reported noncompliance to the inspector. A video of staff #12 dated 7/14/26 was observed, and it showed staff #12 holding preschool aged child # 4 down and on a cot during nap time in the preschool aged classroom.”

Correction date in the state record: Jul 17, 2026

3270.124(b)(7) Name/address/phone release person

“The file for child #2 was missing address of the individual designated by the parent to whom the child may be released.”

Correction date in the state record: Jul 20, 2026

3270.31(e)(4)(i) Age and Training

“During the unannounced renewal inspection on 07/16/26 the inspector reviewed the staff files and found that staff #4 and #5 had expired pediatric first aid/CPR training on file. This is evidenced by the previously documented pediatric first aid/CPR training on file for both staff #4 and #5 expired 11/2025. Staff #4 and #5 did not renew the pediatric first aid/CPR training until 2/28/26 and had been working in direct care with children continuously.”

Correction date in the state record: Jul 16, 2026

3270.31(e)(4)(ii) Fire safety - 1 yr.

“Staff #1, #3, #4, #5, #6, #9, did not update their fire safety training annually as is required. Staff #2 and #15 did not update their fire safety training annually as evidenced by both having last completed fire safety training in 1/24/25.”

Correction date in the state record: Aug 4, 2026

3270.106(a) Clean, age appropriate

“The inspector observed cots in the young toddler room that were not labeled for the use of a specific child and used only by the specified child.”

Correction date in the state record: Jul 20, 2026

3270.181(c) Emergency info/agreement updated 6 mos

“The emergency contact forms for children#1, #2, #3, #5, and #6 were all not updated least once in a 6-month period or as soon as there is a change in the information. The agreement forms for children #2, #3, #4, #5, and #6 were all not updated least once in a 6-month period or as soon as there is a change in the information.”

Correction date in the state record: Jul 20, 2026

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“During the unannounced inspection on 7/17/26 the inspector observed the fire drill/detection log and found that the facility did not conduct a manual test of the fire alarms every 30 calendar days. The inspector observed a manual test dated for 3/16/26 and the next having been dated for 4/16/26 and another on 5/16/26 and the next having been dated for 6/18/26.”

Correction date in the state record: Aug 4, 2026

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“Staff #10 was hired provisionally (see LIS Code Sheet for DOH) and did not have a NSOR clearance on file until 5/7/26 and was working in direct care with children since hire (See LIS Code Sheet for DOH).”

Correction date in the state record: Aug 4, 2026

3270.31(f) Health and Safety Training

“Staff #14 did not complete the required pre-service training within 90 days of hire (see LIS Code Sheet for DOH): Part 2 to the required Health and Safety training until 12/26/25.”

Correction date in the state record: Aug 4, 2026

3270.27(c) Training regarding plan

“Staff #2, #3, #4, #5, #6, #7. #8, #9, #11, #12, #14, and #15 did not have emergency plan training on an annual basis.”

Correction date in the state record: Aug 4, 2026

3270.131(a)/3270.131(e) Health information/ACIP recommended immunization record

“The health report for child #1 was not obtained until 2/13/25 which was over 60 days following the first day of attendance at the facility and without removal of the child.”

Correction date in the state record: Jul 20, 2026

3270.104(a) Clean, good repair, proper size

“The inspector observed changing mats in the in older and younger toddler room that both had cracks exposing the foam beneath rendering both unable to be properly cleaned.”

Correction date in the state record: Aug 4, 2026

3270.111(c) Promote development

“While at the facility unannounced on 3/20/26 the inspector and director viewed video from 3/19/26 and observed the preschool classroom with staff #1 and #2 present. Child #1 was observed in a highchair for over 90 minutes and only removed from the highchair to be changed and once done child #1 was placed directly back into the highchair restricting the ability of child #1 to engage with peers and move about freely.”

Correction date in the state record: Mar 20, 2026

3270.113(e) Restraints prohibited

“While at the facility unannounced on 3/20/26 the inspector and director viewed video from 3/19/26 and observed the preschool classroom with staff #1 and #2 present. Child #1 was observed in a highchair for over 90 minutes and only removed from the highchair to be changed and once done child #1 was placed directly back into the highchair restricting the ability of child #1 to engage with peers and move about freely.”

Correction date in the state record: May 2, 2026

3270.51 Similar Age Level

“On 1/27/26 the inspector observed naptime at the facility and found staff #1 alone with eleven young toddlers. Staff #1 stated that they brought their child from the other room in order to help the child sleep.”

Correction date in the state record: Feb 3, 2026

3270.70(a) 65º F minimum

“Staff #1 confirmed to the inspector that while children were in care on 1/12/26 the temperature in the facility was 58 degrees. On 1/27/26 the inspector arrived unannounced to the facility and found the temperature to be 58 degrees as was read on a thermometer on the main floor childcare space.”

Correction date in the state record: Jan 27, 2026

3270.106(a) Clean, age appropriate

“During the unannounced renewal inspection on 8/15/25 the inspector observed an infant in a crib that was labeled for another child as well as another infant in a crib that was unlabeled.”

Correction date in the state record: Aug 15, 2025

3270.107 Refrigerator

“During the unannounced renewal inspection on 8/15/25 the inspector observed the refrigerator in the toddler space to be missing the required thermometer.”

Correction date in the state record: Aug 19, 2025

3270.123(a)(4) Arrival/departure times

“During the unannounced renewal inspection on 8/15/25 the inspector observed child files and found that child file #2 did not have the child's arrival and departure times on the agreement as are required.”

Correction date in the state record: Aug 15, 2025

3270.124(b)(2) Physician name, address, phone

“During the unannounced renewal inspection on 8/15/25 the inspector observed child files and found that child file #1 did not have the required name, address and telephone number of the child's physician or source of medical care as are required.”

Correction date in the state record: Aug 15, 2025

3270.124(b)(3) Parent home/work address, phone

“During the unannounced renewal inspection on 8/15/25 the inspector observed child files and found that child file #1was missing the required home and work addresses and telephone numbers of the enrolling parent. Child files #2 and #3 were missing the required enrolling parent's work address and phone number.”

Correction date in the state record: Aug 19, 2025

3270.124(b)(6) Insurance coverage information

“During the unannounced renewal inspection on 8/15/25 the inspector observed child files and found that child file #1 was missing the required health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits as are required.”

Correction date in the state record: Aug 19, 2025

3270.124(b)(7) Name/address/phone release person

“During the unannounced renewal inspection on 8/15/25 the inspector observed child files and found that child file #2 and #3 and found that the release person's address was missing from both files.”

Correction date in the state record: Aug 15, 2025

3270.181(c) Emergency info/agreement updated 6 mos

“During the unannounced renewal inspection on 8/15/25 the inspector observed child files and found that child file #1 and found that this child had been enrolled in care for over 6 months and did not have an update on the emergency contact form and agreement form as is required.”

Correction date in the state record: Aug 15, 2025

3270.76 Building Surfaces

“During the unannounced renewal inspection on 8/15/25 the inspector observed the fencing on the gate to the outdoor play space to be in disrepair, with sharp edges, and within reach of children.”

Correction date in the state record: Aug 16, 2025

3270.113(c)/3270.113(d) No ridicule or threaten harm/No harsh language

“On 6/20/25 the director self-reported that on this date staff #1 yelled at child #2 during a group outdoor picnic on resulting in the child becoming upset.”

Correction date in the state record: Aug 8, 2025

3270.113(a)/3270.113(a)(1) Supervised at all times /Staff assigned to specific children

“During the course of the unannounced complaint investigation the director openly disclosed that staff #1 and #2 were supervising 6 older toddlers when child #1 walked out of the area the two staff and six children were doing large muscle activity. Child #1walked out of area unbeknownst to both staff and proceeded up the stairs and was ultimately stopped and returned to the staff by an outside agency person who had followed the child out of the room and up the stairs attempting to get the child to return.”

Correction date in the state record: Aug 16, 2025

3270.51 Similar Age Level

“During the course of the unannounced complaint investigation the director and inspector observed an infant room staff walk out of the infant classroom leaving a ratio of one staff to five infants.”

Correction date in the state record: Jul 31, 2025