TINY TOES LEARNING CENTER LLC

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

An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff #1 has not completed the following required pre-service training prior to their current certification expiring on 10/19/25: pediatric first aid and CPR. Staff #1 was working in a child care role at the time of this inspection. Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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. Until such time as the required pre- service trainings are completed, staff #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff #1, staff #1 may not work in a child-care position at the facility. Correction: We already have a system in place to ensure staff renew Pediatric First Aid and CPR certifications prior to expiration. In the event of unforeseen circumstances, such as a canceled training, staff with expired certification will remain supervised at all times and will not be left alone with children until certification is completed and documentation is received. Staff will be supervised by a proper staff until the training is completed. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff #2 (current 10/1/25) and Staff #6 (previous 4/8/24, current 6/16/25). Requirement: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. Correction: In the future, staff will participate in fire safety training on an annual basis. A copy of the training will be placed in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in updated training for pediatric first aid and CPR prior to the current certification expiring. The following staff did not participate in this training prior to the current certification expiring: Staff #2 (previous 3/25/23, no current). Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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. Until such time as the required pre- service trainings are completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility. Correction: Staff #2 will participate in pediatric first aid/CPR training and will be supervised until the training is completed. A copy of the training will be placed in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #3 was observed working in a child care role at the facility at the time of this inspection. Staff #3 did not apply for the FBI clearance prior to working in child care as required by the CPSL. Staff #4 was observed working in a child care role at the facility at the time of this inspection. Staff #4 did not receive their NSOR clearance prior to working in child care as required by the CPSL. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility 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. Facility Person #3 and #4 may not work in a child care position with direct contact with children at the facility. Correction: Staff #3 and #4 will be removed from child care until the missing clearance is received. A copy of their missing clearance will be filed in their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires a written evaluation of staff to be conducted by the director at least every 12 months. The following staff did not have an evaluation conducted on them at least every 12 months: Staff #1 (previous 10/9/23, current 9/30/25). Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: In the future, an evaluation will be conducted by the director on each staff on an annual basis. A copy of the evaluation will be placed for filing in the staff's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

A renewal inspection occurred at the facility. A physical site review was conducted. Outlet covers were missing in the following room outlets: Grasshopper, Butterfly, girl's bathroom and boy's bathroom. These outlets were discussed with staff that needed the covers during the inspection. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Outlet covers were immediately placed in the electrical outlets. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

A renewal inspection occurred at the facility. A physical site review was conducted. In the Busy Bee room, the following items were observed accessible to children: ointment, diaper rash cream, sunscreen and Desitin. These items indicated the need to be kept out of reach of children and children were observed receiving care in this room. In the Butterfly room, the following items were observed accessible to children: 2 sunscreens. These items indicated the need to be kept out of reach of children and children were observed receiving care in this room. In the Caterpillar room, the following items were observed accessible to children: Desitin and diaper cream. These items indicated the need to be kept out of reach of children and children were observed receiving care in this room. In the boy's bathroom was an unlocked storage cabinet. This cabinet contained items that indicated the need to keep out of reach of children, and they were as follows: bottles of cleaning chemicals and bottles of bleach. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: All items listed above have been moved to areas that are not accessible to children or have been locked. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

A renewal inspection occurred at the facility. A physical site review was conducted. In the Busy Bees room and in the boy's bathroom a metal garbage can was found that contained rust. The garbage can in the bathroom also contained a broken metal wire standing up on the top of the garbage can. 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: The garbage cans will be repaired. If they cans cannot be repaired, they will be removed from child care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

A renewal inspection occurred at the facility. A physical site review was conducted. Three metal bikes were found in the outdoor play area that had peeling paint and rust. These bikes were not in good repair. Requirement: 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. Correction: The listed bikes will be repaired. If the bikes cannot be repaired, they will be removed from use by the children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3270.124(f)/3270.181(c))

A renewal inspection occurred at the facility. A review of child files was conducted. Regulation requires children's emergency contact and agreement forms be reviewed at least every 6-months. The following children's documents were not updated at least every 6-months: Child #2 (emergency contact previous 12/17/24, current 9/29/25), Child #3 (emergency contact and agreement previous 10/2/23, current 9/30/25), Child #4 (emergency contact previous 3/1/24, current 9/30/25 and agreement previous 3/1/24, no current) and Child #5 emergency contact previous 12/17/24, no current and agreement previous 12/17/24, current 9/29/25). 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: The emergency contact and agreement forms will be updated and a copy will be placed in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months/Toddler/preschool: updated health report every 12 months (3270.131(b)(1)/3270.131(b)(2))

A renewal inspection occurred at the facility. A review of child files was conducted. See the code sheet for the dates of birth. Child #4 is a preschool aged child and did not have their 3-year-old health report with immunizations on file as required by regulation. The last health report on file was dated 3/4/24. Child #5 did not have on file their 1 1/2 -year-old health report with immunizations on file as required by regulation. The last health report on file was dated 12/12/24. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Correction: An updated health report and immunization will be requested on the children and filed in their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked (3270.133(4))

A renewal inspection occurred at the facility. A physical site review was conducted. The following medication was found accessible to children in the Caterpillar room: Children's Tylenol. Children were observed receiving care in this room and this medication indicated the need to be kept out of reach of children. Requirement: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. Correction: The medication was immediately moved to an area that is out of reach of children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff participate in an updated health assessment at least every 24 months. The following staff did not update their health assessments at least every 24 months: Staff #2 (previous 11/18/22, current 9/30/25 and Staff #5 (previous 6/15/23, no current). 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Staff will schedule and participate in an updated health assessment. A copy of this updated health assessment will be placed in the staff's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of child files was conducted. The following child's file was missing consent for administration of minor first-aid procedures by staff as required by regulation: Child #5. Requirement: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: Consent for first aid will be obtained from the family of listed child and placed in the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

A renewal inspection occurred at the facility. A physical site review was conducted. An emergency medical plan is required to be posted in child care spaces. At the time of this inspection, the facility's emergency medical plan was not posted in any child care space. Requirement: 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. Correction: The facility's emergency medical plan was posted in all child care spaces at the time of the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

An unannounced inspection occurred at the facility. A review of the facility's fire safety system testing log was condcuted. Regulation requires the facility to test the fire safety system at least every 30 days. The following tests lapsed occurring at least every 30 days: 3/14/25, 4/14/25, 5/15/25 and 6/16/25. Requirement: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Correction: Our Facility conducts fire drills & safety system testing every 30 days . How ever, due to an emergency closure we were unable to complete the required testing within 30 days. Testing will be done every 30 days. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Amount of fee (3270.123(a)(1))

A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's files were missing the amount of the fee to be charged for attendance: Child #3, Child #5 and Child #6. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: The amount of the fee to be charged for attendance will be obtained and placed in the listed children's files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Date fee to be paid (3270.123(a)(2))

A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's files were missing on the agreement form the date on which the fee is to be paid: Child #3, #4, #5 and #6. Requirement: An agreement shall specify the date on which the fee is to be paid. Correction: The date on which the fee is to be paid will be obtained and listed on the listed children's agreement forms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of children's files was conducted. The following child's agreement from was missing their arrival and departure times: child #3. Requirement: An agreement shall specify the child's arrival and departure times. Correction: The arrival and departure times for Child #3 will be obtained and listed on the child's agreement form and maintained in the file at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of children's files was conducted. The following child's file was missing complete health insurance information: Child #4. 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: The health insurance policy number of Child #4 will be obtained and placed in the child's file. This information will be maintained in the child's file at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed/Adult Hygiene (3270.134(a)/3270.152)

A renewal inspection occurred at the facility. A physical site review was conducted. On 9/30/24, a diaper change was observed in the Caterpillar Room. After the diaper change, the staff did not wash, with soap and water, their hands or the child's hands. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. Correction: The director will discuss handwashing with staff at appropriate times and specifically after diaper changes and toileting. The director will verify that staff are washing their hands and the children's hands at all appropriate times through random walk-throughs of the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the staff dates of hire. Regulation requires staff to participate in a health assessment every 24 months. The following staff did not participate in a health assessment every 24 months: Staff #3 (previous 9/29/22, current 10/4/24). Regulation requires staff to have a health assessment and tuberculosis screening prior to working in child care at initial hire. The following staff did not have a health assessment and tuberculosis screening on file prior to working in a child care role at the facility: Staff #2 (health assessment and TB 10/4/24), Staff #5 (no health assessment or TB), Staff #6 (health assessment and TB 9/26/24), Staff #7 (TB dated 3/9/23, not within 12 months of the staff's hire date and not valid) and Staff #8 (TB 10/3/24). 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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Correction: In the future, staff will obtain a health assessment and TB prior to working in a child care role and will update their health assessments every 24 months. All health assessments and TBs will be maintained in the files at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Wholesome (3270.161(a))

A renewal inspection occurred at the facility. A physical site review as conducted. In the Grasshoppers class on 9/30/24, a lunchbox was found and contained yogurt. Regulation requires dairy products to be safely stored in a refrigerator. Requirement: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption. Correction: Staff immediately placed the yogurt in the refrigerator. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written statement (3270.166(1))

A renewal inspection occurred at the facility. A physical site review was conducted. On 9/30/24, staff were asked to provide for review, copies of the infant's formula and feeding schedules. Staff did not provide for review at the time of the inspection, the formula and feeding schedules for the infants. Requirement: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. Correction: Staff will supply for review the written copy of the infants formula and feeding schedules. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable nursers or parents (3270.166(3))

A renewal inspection occurred at the facility. A physical site review was conducted. Staff in the Caterpillar room on 9/30/24, indicated that infant's bottles are handwash and reused at the facility. Regulation requires infant bottles to be washed only in a commercial dishwasher for reuse. Requirement: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility. Correction: Staff will inform parents that enough bottles must be sent in daily for the infant's use. Disposable bottles will be purchased if the parent does not supply enough bottles for the infant to ensure the infant is properly fed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).