TULLISS LITTLE LAMB DAY CARE

Updated health reports/Initial and subsequent health assessments (3280.131(b)/3280.182(1))

The files of children #2 and #3 lacked current health assessments due to the fact the ones in the file were dated: child #2 5-23-25 and child #3 4-1-25. Requirement: The operator shall require the parent to provide an updated health report in accordance with the following schedules specified in §3280.131(b)(1-2) A child's record must contain initial and subsequent health reports. Correction: Parents were asked to get current copies of child's health assessment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3280.124(f)/3280.181(c))

The files of children #3 and #4 lacked documentation of parent review of the emergency contact form and financial agreement every 6 months. The file of child #2 lacked documentation of parent review of the financial agreement every 6 months. Requirement: 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. Correction: Files will be reviewed on a monthly basis to ensure that they are complete and up to date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3280.124(b)(7))

The file of child #1 lacked an emergency contact form with the complete address and telephone number of the individual designated by the parent to whom the child may be released. Requirement: 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. Correction: Parent completed the emergency contact form upon picking child up from daycare. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3280.124(b)(3))

The files of children #3 and #4 lacked emergency contact forms with the full address of the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Parent completed the emergency contact form when child was picked up from daycare. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and training (3280.31(e)(4)(i))

The file of staff #1 had documentation of renewing first-aid CPR after the expiration date due to the fact they were dated 3/2026 expired and 5-28-26 renewed. Requirement: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Correction: Staff person now has a current first-aid CPR on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and training (3280.31(e))

The file of staff #1 lacked documentation of completing 12 annual training hours due to the fact there were 9 hours in the file. Requirement: A staff person shall obtain an annual 12 clock hours of child care training. Correction: Staff person was required to have training completed by 6-25-26. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3280.124(f)/3280.181(c))

The files of children #2 and #3 lacked documentation of parent reviewing the emergency contact form and financial agreement every 6 months. Requirement: 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. Correction: Electronic reminders have been put in place as a source of reminding owner and staff as to when paperwork is due Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed (3280.123(a))

The file of child #1 lacked an agreement. Requirement: An agreement shall be signed by the operator and the parent. Correction: The file of child #1 was reviewed with the parent and an agreement is now in the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3280.123(a)(3))

The files of children #2 and #3 lacked child service reports every 6 months. Requirement: An agreement shall specify 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 at § 3280.124(f). Correction: All staff members were reminded they are responsible for doing child service reports and they must be completed at least every 6 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child care space (3280.124(c))

There was no emergency contact information for child #1 who was observed receiving care in the infant/toddler room. Requirement: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Correction: The emergency contact form for child #1 was photocopied from their file and is now in the room with all the other emergency contact forms where the child receives care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter (3280.151(a))

The files of staff #2 and #3 had health assessments that were more than 24 months part. Requirement: 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. Correction: All staff files will be reviewed on a monthly basis to make sure that all health assessments are up to date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3280.192(5))

The file of staff #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Requirement: 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. Correction: Staff person #1 now has written references on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3280.26(a)(6))

At the time of the inspection there was not documentation an emergency drill was conducted annually. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Documentation is now posted with the fire drill log. An emergency drill was also done on 6-20-25 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).