LITTLE BLESSINGS FROM HEAVEN

Promote development (3270.111(c))

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. Requirement: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Correction: Our program recognizes the importance of providing children with opportunities to move freely, engage with peers, and participate in developmentally appropriate activities that support social, emotional, and physical growth. We understand that the observed practice did not align with these expectations. The classroom team has been actively working to support Child #1, who requires additional supervision and individualized care. We have made ongoing efforts to seek appropriate support and resources to better meet this child's needs while maintaining a safe environment for all children in the classroom. Staff have been reminded and retrained on active supervision, appropriate use of equipment, and ensuring that all children are provided opportunities to engage in daily activities that promote development, social interaction, and independence. Moving forward, the use of restrictive equipment such as highchairs will be limited to mealtimes and only on the infant classroom. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Restraints prohibited (3270.113(e))

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. Requirement: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. This portion of the plan must have an immediate correction date. 2. The legal entity must arrange for all staff to receive a minimum of two hours of training regarding Behavioral Management. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive approval from the DHS Northeast Regional Office regarding the training content prior to scheduling the training. The correction date for this portion of the plan should allow for all staff, including the director, to obtain the required training hours. 3. The facility director will develop and implement a behavioral management policy that will ensure staff fully understand their roles and responsibilities regarding appropriate behavioral techniques that give choice and structure to all children without restriction. The policy will also include ideas for age-appropriate discipline techniques, staff stress reducers, as well as age-appropriate redirection techniques. This policy must be submitted to the DHS Northeast Regional Office prior to implementation for approval. Once this policy is accepted by the DHS Northeast Regional Office the director will ensure all staff and facility persons sign off on this policy as well as all new hires moving forward. The correction date for this should reflect a date that allows for the development and review of the plan as well as time to train staff on the policy. Correction: 1. Immediate Correction (Completed 3/20/26): The inappropriate use of the highchair as a means of restricting a child's movement was immediately discontinued upon identification. Staff were directly instructed that restraint, including the use of equipment to limit movement, is strictly prohibited unless it is documented adaptive equipment prescribed for a child with special needs. The expectation was clearly communicated that this practice is not permitted under any circumstances. Direct supervision and administrative oversight were implemented immediately to ensure compliance. 2. Staff Training : The legal entity will ensure that all staff, including the Director, complete a minimum of two (2) hours of PQAS-approved, in-person Behavioral Management training outside of childcare operating hours. Training content will be submitted to the DHS Northeast Regional Office for prior approval before scheduling. Attendance will be mandatory for all staff, with documentation maintained on file. Staff who fail to complete the required training will not be permitted to work in ratio until compliance is met. Correction date 5/2/26. 3. Behavioral Management Policy (Completion Date: 3/30/26): The Director will develop a comprehensive Behavioral Management Policy that clearly prohibits all forms of restraint and outlines appropriate, developmentally sound behavior guidance practices. The policy will include specific expectations for staff, age-appropriate discipline strategies, redirection techniques, and staff stress management supports to prevent inappropriate responses. The policy will be submitted to the DHS Northeast Regi

Similar Age Level (3270.51)

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. Requirement: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. TIERED LIS: 1. The required staff: child ratios must be maintained at all times. The correction date for this must be immediate. 2. The director must arrange for staff #1 to receive a minimum of two hours of training regarding ratios. These trainings must include at least one hour of ratio training specific to nap time. The director must receive approval from the DHS Northeast Regional Office regarding the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed. Correction: 1. Immediately upon being informed of the violation, the facility ensured that appropriate staff coverage was provided to meet required staff-to-child ratios at all times. Staff were instructed that children may not be moved between classrooms unless proper ratios and supervision are maintained. Correction date 1/27/26. 2. The director will arrange for staff #1 to receive a minimum of two hours of training regarding ratios including nap time ratios. The director will obtain approval from the DHS Northeast Regional Office for the trainings. Correction date 2/24/26. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

65º F minimum (3270.70(a))

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. Requirement: The indoor temperature shall be at least 65° F. Correction: Immediately following the inspection, the facility took action to increase the indoor temperature to meet the required minimum of 65°F. In the mean time all child were moved to the basement of the facility where the temperature was at 75 degrees we have been settled there until further notice also the heating system was adjusted and monitored to ensure the temperature reached and remained at or above 65°F while children are in care. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

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. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Correction: After the inspection completed on 8/15/25 we temporarily close the playground for the rest of the afternoon in order for us to fix the unrepair gate fencing. On 8/16/25 our gate was fixed replacing the old fence and installing a new wan with out any sharp or pointing edge. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

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. Requirement: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. Correction: After the inspection was done on 8/15/25 the director sit with the infant teacher to relabel all cribs and cubbies with children pertinence. Making sure that everything was assigned only for one student. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Refrigerator (3270.107)

During the unannounced renewal inspection on 8/15/25 the inspector observed the refrigerator in the toddler space to be missing the required thermometer. Requirement: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator. Correction: After inspection was complete we bought a new thermometer for the young toddler refrigerator to meet and comply with the regulations and standards. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arrival/departure times (3270.123(a)(4))

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. Requirement: An agreement shall specify the child's arrival and departure times. Correction: On 8/15/25 in the afternoon after the inspection conclude director meet with the child parent and together we update the contract (agreement) adding to it the child arrival and departure time. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

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. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: After the inspection was done that same exact day 8/15/25 I did meet with the parent of child #1 to request and obtain the missing information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

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. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: On 8/15/25 after the inspection conclude we sit with the parent of child #1 to obtain all the missing information including family policy number. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

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. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: We meet with the parent and get all the required information including the policy number. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

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. 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: After the inspection on 8/15/25 we meet with child #2 and #3 to get the required information requesting the information of the release person address and phone numbers Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

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. Requirement: 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: On 8/15/2025 we meet with the parent of child #1 to update all the information on file and renew the agreement and emergency form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

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. Requirement: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. Tiered LIS: 1. A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. The correction date for this portion of the plan must be immediate. 2. The facility director will develop and implement a discipline policy that will ensure staff fully understand their responsibility regarding reporting abusive behaviors by staff. The policy will also include ideas for age-appropriate discipline techniques, staff stress reducers, as well as age-appropriate redirection techniques. This policy must be submitted to the DHS Northeast Regional Office prior to implementation for approval. Once this policy is accepted by the DHS Northeast Regional Office the director will ensure all staff and facility persons sign off on this policy as well as all new hires moving forward. The correction date for this should reflect a date that allows for the development and review of the plan as well as time to train staff on the policy. Correction: 1. A facility person will not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person will not use harsh, demeaning or abusive language in the presence of children. After the incident occurred on 6/20/25 the director decided to terminate staff #1 according to our policy Little Blessing does not tolerate any type of abuse or neglect towards any child. Since this situation escalate we meet we staff #1 and explain to her about our policy and the decision we take. Correction date 6/20/25 2. We will implement a discipline policy that ensure that the staff truly understand their responsibility to report any abusive behavior and would include age appropriate discipline techniques following DHS approval. Correction date 7/31/25 Inspection: Self-Reported Non Compliance. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

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. Requirement: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. TIERED LIS: 1. The required staff: child ratios must be maintained at all times. The correction date for this violation must be immediate. 2.The director or legal entity must arrange for all staff to receive a minimum of 2 hours of training regarding ratio. The legal entity or director must obtain DHS approval of the training content prior to obtaining the training. The correction date for this portion of the plan should allow for all staff, including the director, to obtain the required training hours. Correction: 1. Staff/child ratios will be maintained at all times. After the unannounced investigation the director proceed to rearrange the class and make all the necessary moves so the staff be inside the class at all time and don't leave their classroom. The director will periodically check classrooms to ensure continued compliance. Correction date 6/17/25. 2. We met with the staff and talk about ratio. The director will assign 2 hours of trainings specific to ratio for themselves and all staff. The director will obtain DHS approval of the training content prior to obtaining the training. Correction Date 7/31/25 Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

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. Requirement: 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. TIERED LIS: 1. Children must be supervised at all times. The correction date for this violation must be immediate. 2. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding supervision of children. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive approval from the DHS Northeast Regional Office regarding the training content prior to scheduling the training. The correction date for this portion of the plan should allow for all staff, including the director, to obtain the required training hours. Correction: 1. Children on the facility premises and on facility excursions off the premises will 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 will be assigned the responsibility for supervision of specific children. The staff person will know the names and whereabouts of the children in his assigned group. The staff person will be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Correction date 6/17/25. 2. The director will arrange for all staff to receive a minimum of three hours of training regarding supervision of children. The training will be PQAS approved, in-person, and outside of childcare hours. The legal entity will receive approval from the DHS Northeast Regional Office regarding the training content prior to scheduling the training. Correction date 7/31/25. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).