Little House Learning Ctr

3270.31(f)(10) Health and Safety Training - Pediatric First Aid and CPR

“The approved pediatric first aid & CPR training documented on file for Facility Person #2 was completed more than 90 days after their start date.”

Correction date in the state record: Feb 26, 2026

3270.27(d) Plan posted

“The facility's emergency plan was not posted in a conspicuous location.”

Correction date in the state record: Feb 26, 2026

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

“The criminal history clearances on file for Facility Persons #3 and #7 were incomplete. The only FBI clearance on file for Facility Person #5 was more than 60 months old.”

Correction date in the state record: Mar 5, 2026

3270.66(a) Locked or inaccessible

“There was a bottle of Clorox disinfectant spray on a counter in the Preschool room, in reach of children.”

Correction date in the state record: Feb 26, 2026

3270.67(d) Contaminated trash in closed plastic-lined receptacle

“There were trash cans in the classrooms that contained tissues, cups used for drinking, etc. (items that are contaminated by human secretions) that were not lidded.”

Correction date in the state record: Feb 26, 2026

3270.76 Building Surfaces

“There was a rug on the floor in the Transition room that was wrinkled, causing a tripping hazard.”

Correction date in the state record: Feb 26, 2026

3270.77(a) No peeling paint or plaster

“There was peeling paint and damaged plaster on a wall in the Pre-Toddler room behind a stack of cots.”

Correction date in the state record: Feb 26, 2026

3270.91(a) Stairs, exits, etc. unobstructed

“There was equipment (a ball pit and soft cushions and blocks) in front of a door in the transition room leading to the Pre-Toddler room.”

Correction date in the state record: Feb 26, 2026

3270.92(a) No portable space heaters

“There were pieces of furniture in the lobby and office that each contained a heating device.”

Correction date in the state record: Mar 6, 2026

3270.123(b) Parent receives original

“The agreements on file in the ten children's files reviewed were the originals.”

Correction date in the state record: Mar 5, 2026

3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility

“The current mandated reporter training documented and on file for Facility Person #1 was completed more than 60 months after the previous mandated reporter training on file.”

Correction date in the state record: Feb 26, 2026

3270.131(b)(2) Toddler/preschool: updated health report every 12 months

“The current health assessments on file for children #1 and #2, both preschoolers, were completed more than 12 months after their previous health assessments on file.”

Correction date in the state record: Feb 26, 2026

3270.131(d)(7) Free from contagious/communicable disease

“The health assessment on file for child #1 did 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 date in the state record: May 1, 2026

3270.151(a) 12 months prior to service and every 24 months thereafter

“The health assessment/ TB test results on file for Facility Person #4 was completed after their start date working with children.”

Correction date in the state record: Feb 26, 2026

3270.161(d) Potentially hazardous food refrigerated

“There were lunches containing potentially hazardous food (chicken nuggets, yogurt, cheese, pepperoni, etc.) on carts in the classrooms, not refrigerated in the Toddler, Preschool and Pre-K rooms.”

Correction date in the state record: Mar 6, 2026

3270.36(b)/3270.192(2)(ii) Assistant Group Supervisor qualifications/Exp, educ., training prior to facility

“Facility Persons #3 and #6 were classified as assistant group supervisors without documentation of the required education and/or child care experience for the classification on file.”

Correction date in the state record: Mar 6, 2026

3270.27(e) Letter to parents

“The explanation of the facility's emergency plan in the handbook was not in letter format and it did not include all emergency procedures required under subsection (a).”

Correction date in the state record: Feb 19, 2025

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The policy regarding shaken baby syndrome did not include strategies for coping with a crying, fussing, or distraught child; and did not address the prevention and identification of child maltreatment.”

Correction date in the state record: Apr 3, 2025

3270.27(b) Plan reviewed/updated annually

“There was no documentation of a date the emergency plan had been reviewed by the operator within the previous 12 months.”

Correction date in the state record: Feb 19, 2025

3270.124(e) Written emergency plan posted

“The medical emergency transportation plans were not posted conspicuously as follows: in the Preschool room, where it was posted on a wall obstructed by a stack of cots, or the Toddler room, where it was posted on a wall, but covered by a curtain.”

Correction date in the state record: Feb 19, 2025

3270.123(a) Signed

“The agreement on file for child #2 was not signed by the parent.”

Correction date in the state record: Feb 19, 2025

3270.151(c)(3) Exam communicable disease

“The health assessment on file for Facility Person #3 did not include information regarding an exam for communicable disease and the results of that examination.”

Correction date in the state record: Mar 25, 2025

3270.131(b)(2) Toddler/preschool: updated health report every 12 months

“The most recent health assessments on file for child #2, a preschooler, were dated 12/28/23 and 1/8/25, more than 12 months apart.”

Correction date in the state record: Feb 19, 2025

3270.65 Protective Outlet Covers 5 yrs. or less

“There was an uncovered outlet in the schoolage room on a wall below a computer desk.”

Correction date in the state record: Feb 19, 2025

3270.35(b)(1)/3270.192(2)(iii) Bachelor's/Exp, educ., training at facility

“The degree on file for Facility Person #8, required for the classification, was an international degree and was not accompanied by an evaluation for U.S. equivalency by an accredited agency.”

Correction date in the state record: May 1, 2025

3270.123(a)(6) Admission date

“The agreement on file for child #2 did not specify the date of the child's admission.”

Correction date in the state record: Feb 19, 2025

3270.103 Small Toys and Objects

“There was a foam barrier on the edge of a window ledge, with pieces missing, in the Toddler room.”

Correction date in the state record: Feb 19, 2025

3270.151(a)/3270.151(c)(2) 12 months prior to service and every 24 months thereafter/Mantoux TB

“The most recent completed health assessment on file for Facility Person #1 was completed more than 24 months after the previous completed health assessment. The TB test on file for Facility Person #5 was documented as read after their start date.”

Correction date in the state record: Feb 19, 2025

3270.75(c) Has all items

“There were no gloves or tweezers in a first aid kit in the preschool room.”

Correction date in the state record: Feb 19, 2025

3270.133(3) Name on bottle

“There was triple antibiotic ointment in the first aid kit in the Preschool room, not labeled with a child's name to be used by that child.”

Correction date in the state record: Feb 19, 2025

3270.182(5) Consent for administration of minor first-aid required prior to admission

“There was no signed parental consent for minor first aid administration by staff on file for child #1.”

Correction date in the state record: Feb 19, 2025

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

“The emergency contact form on file for child #3 did not include the addresses of all release persons listed.”

Correction date in the state record: Feb 28, 2025

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

“The current child abuse clearance on file for Facility Person #2 was completed more than 60 months after the previous child abuse clearance on file. The current criminal history and child abuse clearances on file for Facility Person #4 were completed more than 60 months after the previous respective clearances on file. The FBI clearance on file for Facility Person #6 was completed after their start date. There was no proof of application for an FBI clearance on file for Facility Person #6. Facility Person #7 resided in another state in the previous 5 years and began employment at the facility prior to 2/1/25. There was no criminal history clearance on file for Facility Person #7 from this state. The child abuse clearance from this state, and the proof of application for this clearance were completed after their start date.”

Correction date in the state record: Mar 4, 2025

3270.151(c)(5) Physician/CRNP assessment

“The health assessments on file for Facility Persons #3 and #4 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.”

Correction date in the state record: Sep 5, 2024

3270.151(c)(3) Exam communicable disease

“The health assessment on file for Facility Person #4 did not include an examination for communicable diseases and the results of that examination.”

Correction date in the state record: Sep 5, 2024

3270.133(6) Written consent

“There was no written parental consent for an Epipen and an Albuterol inhaler in the schoolage room.”

Correction date in the state record: Sep 5, 2024

3270.133(4) Locked

“There was a backpack in reach of children in the schoolage room containing medication (Epipen, Albuterol inhaler).”

Correction date in the state record: Sep 5, 2024

3270.36(b)(3)/3270.192(2)(ii) HS/GED, 15 credits + 1 yr/Exp, educ., training prior to facility

“Facility Person # 8 was classified as an assistant group supervisor with documentation of 15 credits in human services on file. There was no documentation of the required child care experience on file for the classification.”

Correction date in the state record: Sep 5, 2024

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

“There was no NSOR on file for Facility Person #1. There was no FBI clearance on file for Facility Person #2. The child abuse clearance on file for Facility Person #3 was a volunteer clearance. Facility Persons #1, #2, and #3 were each employed at the facility more than 45 days.”

Correction date in the state record: Sep 5, 2024

3270.31(c)(4) Institution rep written certification

“Facility Persons #1, #2, #3, and #4 were high school students ages 16-17 classified as aides. The operator stated that Facility Persons #2, #3, and #4 were enrolled in an approved high school curriculum an have completed the required classroom training, but there was no documentation on file from the training institution to verify this.”

Correction date in the state record: Sep 5, 2024

3270.94(a)(4) Hypothetical locations

“Consecutive fire drills documented as occurring on 5/23/24 and 6/22/24 listed the same hypothetical location of the fire (the office).”

Correction date in the state record: Sep 5, 2024

3270.192(5) Two written references

“There were no written, nonfamily references on file for Facility Persons #5, #6, #7, and #8.”

Correction date in the state record: Sep 5, 2024

3270.76 Building Surfaces

“There were 4 holes in the wall with exposed plaster/drywall in the Preschool Classroom by the outside exit door.”

Correction date in the state record: Feb 8, 2024

3270.123(a) Signed

“The agreement on file for Child #1 and #4 is not signed by the operator.”

Correction date in the state record: Feb 10, 2024

3270.131(b)(2)/3270.182(1) Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

“The two most recent health assessments on file for Child #1, who is a preschool age child, are dated 8/2/22 and 10/5/23, more than 12 months apart.”

Correction date in the state record: Feb 8, 2024

3270.124(e) Written emergency plan posted

“A written emergency transportation plan detailing transportation procedures for a medical emergency was not posted in the Preschool Classroom.”

Correction date in the state record: Feb 8, 2024

3270.123(a)(6)/3270.182(2) Admission date/Application, admission, withdrawal dates

“The agreement on file for Child #1, #3, and #4 does not include the child's date of admission.”

Correction date in the state record: Feb 10, 2024

3270.31(f) Health and Safety Training

“Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the pre-service training on file for staff person #1 was dated 1/4/24. Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care: Building Blocks for Quality; the pre-service training on file for staff person #5 was dated 11/6/23.”

Correction date in the state record: Feb 8, 2024

3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy

“The immunization record on file for Child #4, who is 5 months old, includes 1 of 2 Hepatitis B vaccines recommended by the ACIP for a child this age; 1 of 2 Rotavirus vaccines recommended by the ACIP for a child this age; 1 of 2 DTAP vaccines recommended by the ACIP for a child this age; 1 of 2 HIB vaccines recommended by the ACIP for a child this age; and 1 of 2 Pneumococcal vaccines recommended by the ACIP for a child this age.”

Correction date in the state record: Feb 10, 2024

3270.31(f) Health and Safety Training

“Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.”

Correction date in the state record: Apr 29, 2024

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

“The file for staff person #4 did not to contain documentation of a complete PA Child Abuse clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the clearance is dated 9/2/23). The file for Staff person #4 did not include proof of application for a criminal history, child abuse, and sex offender clearances from Florida, where the staff person lived within the previous 5 years (See IS CODE SHEET) required for provisional hiring under the CPSL; the FL criminal history and FL child abuse clearances are both dated 2/5/24.”

Correction date in the state record: Feb 8, 2024

3270.66(e) Arts and crafts non-toxic

“There were cans of shaving cream, labeled "Keep out of the reach of children", reportedly used for arts and crafts projects, in the Pre-K classroom.”

Correction date in the state record: Feb 8, 2024

3270.103 Small Toys and Objects

“There were loose marker lids in a bin that was on a shelf accessible to children still placing objects in their mouths in the Pre-Toddler Classroom. There were wooden blocks on a shelf accessible to children still placing objects in their mouths in the Toddler Classroom.”

Correction date in the state record: Feb 8, 2024

3270.102(a) Clean and good repair

“There were three Magna Tiles that were cracked in the School-Age Classroom.”

Correction date in the state record: Feb 8, 2024

3270.133(3) Name on bottle

“There was a bottle of Zyrtek in the medication bin in the School-Age Classroom that was not labeled for the use of a specific child.”

Correction date in the state record: Feb 8, 2024

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

“The file for Staff person #2 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid.”

Correction date in the state record: Feb 8, 2024

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

“The emergency contact form on file for Child #2 does not include the address and telephone number for the enrolling parent's employment.”

Correction date in the state record: Feb 10, 2024

3270.31(f) Health and Safety Training

“Staff person #3, #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality. Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR”

Correction date in the state record: Apr 10, 1923

3270.82(h) Handwashing signs

“There was no handwashing sign at the handicap toilet in the Pre-K room.”

Correction date in the state record: Feb 22, 2023

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

“The emergency contact form on file for Child #2, #3, #6, and #7 does not include the work address and/or telephone number for the enrolling parent.”

Correction date in the state record: Apr 3, 2023

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

“The emergency contact form on file for Child #7 does not include a complete address for all listed release persons.”

Correction date in the state record: Mar 9, 2023

3270.131(b)(1) Infant: updated health report every 6 months

“The two most recent health assessments on file for Child #7, who was a young toddler, are dated 9/27/21 and 9/2/22, more than 6 months apart.”

Correction date in the state record: Feb 22, 2023

3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy

“The most recent influenza vaccination on file for Child #1, who is 4 years old, is dated 11/20/19, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #2, who is 4 years old, is dated 11/16/20, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #3, who is 3 years old, is dated 10/20/21, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #5, who is 2 years old, is dated 11/29/21, more than 1 year ago, as is recommended annually by the ACIP. The immunization record on file for Child #7, who is 2 years old, includes 3 of 4 DATP vaccinations recommended for a child this age; and the most recent influenza vaccination is dated 12/13/21, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #8, who is 4 years old, is dated 10/2/21, more than 1 year ago, as is recommended annually by the ACIP.”

Correction date in the state record: Apr 2, 2023

3270.131(d)(8) Age appropriate screenings complete

“The current health assessment on file for Child #4 does not indicate if the child has had all age-appropriate screenings.”

Correction date in the state record: Apr 2, 2023

3270.133(3) Name on bottle

“There was medication, Simethicone gas drops, in the Infant room, with the names of 2 children, siblings, to share.”

Correction date in the state record: Feb 22, 2023

3270.133(5) Original label

“There was an expired EpiPen in the School-age room, which had an expiration date of 12/2022. There was an expired AuviQ pen in the Transition room.”

Correction date in the state record: Apr 17, 2023

3270.69(b) 110º F or less

“The water temperature in the sink in the Pre-K room measured 113 degrees Fahrenheit.”

Correction date in the state record: Feb 22, 2023

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

“The Child Abuse clearance on file for staff person #1 is dated after the date of hire (See IS CODE SHEET) but is required prior to hire for provisional hiring under the CPSL. The Child Abuse clearance on file for staff person #2 is dated after the date of hire (See IS CODE SHEET) but is required prior to hire for provisional hiring under the CPSL. The signed Disclosure statement on file for Staff person #7 is not dated at hire (See LIS Code Sheet); the disclosure statement is dated 2/23/23.”

Correction date in the state record: Mar 1, 2023

3270.31(f) Health and Safety Training

“The file for Staff person #4 includes current First Aid/CPR training dated 1/15/23, after the expiration of the previous training, 12/5/22.”

Correction date in the state record: Mar 1, 2023

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

“The Fire Safety training that the facility has been utilizing since 2021 through 2023 is in the form of a video recording and is not facilitated by a fire safety professional. Therefore, the previous and current fire safety training on file is not valid for all staff person currently employed.”

Correction date in the state record: Apr 27, 2023

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

“The file for staff person #4, with a start date of 8-16-21, had a disclosure statement that lacked the date. The file for staff person #2 had child abuse clearances dated 3-19-14 and 3-21-19 that were over 60 months between clearances.”

Correction date in the state record: Mar 4, 2022

3270.36(b)(5) HS/GED + 2 yrs

“The file for staff person #8, functioning as an assistant group supervisor, lacked verification of education to qualify as an assistant group supervisor.”

Correction date in the state record: Mar 31, 2022

3270.94(a)(1) Every 60 days

“According to the fire drill log, a fire drill was not conducted every 60 days between 7-22-21 to 9-23-21.”

Correction date in the state record: Feb 17, 2022

3270.31(f)(10)/3270.31(h) Health and Safety Training - Pediatric First Aid and CPR/Health and Safety Training

“The files for staff person #4, with a start date of 8-16-21, and staff person #7, with a start date of 10-20-21, lacked pediatric first-aid and CPR training within 90 days of their start date and require current training.”

Correction date in the state record: Mar 31, 2022

3270.161(d) Potentially hazardous food refrigerated

“In the facility, there were multiple lunch boxes in each child care room that had potentially hazardous food brought from the child's home that were not refrigerated.”

Correction date in the state record: Feb 21, 2022

3270.151(c)(3)/3270.151(c)(5) Exam communicable disease/Physician/CRNP assessment

“The file for staff person #7 had a health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.”

Correction date in the state record: May 6, 2022

3270.151(c)(2) Mantoux TB

“The files for staff person #3 and #6 had a tuberculosis screening by the Mantoux method that was dated after initial employment.”

Correction date in the state record: Feb 28, 2022

3270.151(a) 12 months prior to service and every 24 months thereafter

“The file for staff person #3 had a health assessment that was dated after their start date.”

Correction date in the state record: Feb 28, 2022

3270.135(a)(3) Disposable diapers

“The bathroom between the toddler and pre-toddler rooms had soiled diapers thrown away in a trash can that had a flip lid and not in a hands-free diapering can.”

Correction date in the state record: Feb 17, 2022

3270.131(e)(1)/3270.131(e)(2)(i) Exemption documentation from parent/guardian/Exemption documentation from parent/guardian

“The file for child #1, a 2 year old, child #2, a 5 year old, and child #3, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.”

Correction date in the state record: Feb 28, 2022

3270.104(a) Clean, good repair, proper size

“In the school-age room, there was an unanchored cabinet on the back wall that was unstable and a potential hazard.”

Correction date in the state record: Feb 17, 2022

3270.82(h) Handwashing signs

“In the pre-k room, the toilet in the large stall lacked a handwashing sign.”

Correction date in the state record: Feb 17, 2022

3270.66(a) Locked or inaccessible

“In the school-age room, there were 2 cans of shaving foam labeled "Keep out of reach of children" that a staff person stated had been used for an art activity with the children and were accessible to children.”

Correction date in the state record: Feb 17, 2022

3270.31(e)(4)(i)/3270.31(h) Age and Training/Health and Safety Training

“The files for staff person #9 had pediatric first-aid and CPR training that expired in October 2021 and lacked current training. The file for staff person #1 had current pediatric first-aid and CPR training with a completion date of 5-24-21 that was after the January 2021 expiration of the prior training.”

Correction date in the state record: Mar 31, 2022

3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility

“Staff person #8, with a start date of 8-13-21, had mandated reporter training dated 2-19-22 that was over 90 days after their start date. Staff person #5 had trainings dated 12-7-15 and 12-22-20 that were over 5 years between trainings.”

Correction date in the state record: Feb 28, 2022

3270.31(e) Age and Training

“The file for staff person #1, with a start date prior to 12-20-20, lacked 12 annual hours of child care training between 12-19-20 and 12-18-21 as required by regulations for staff persons with a start date prior to 12-20-20. The files for staff person #2, with 4 hours of training, and staff person #5, with 3 hours of training, had a start date prior to 12-20-20, and lacked 12 annual hours of child care training between 12-19-20 and 12-18-21 as required by regulations for staff persons with a start date prior to 12-20-20.”

Correction date in the state record: May 1, 2022

3270.113(a)(1) Staff assigned to specific children

“At approximately 12:48 p.m. in the school-age room with a total of 20 children, staff person #1 named 10 preschoolers in their group and staff person #2 named 8 young school-age children in their group, resulting in 2 children not being named in a group.”

Correction date in the state record: Dec 7, 2021