LITTLE BY LITTLE DAYCARE LLC

2025

1. Medium-High risk10/7/2025

   Comply with CPSL/CPSL information (3290.32(a)/3290.192(3))

   Facility person #1 does not have disclosure statement on file. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #1 may not work in a child care position at the facility. Correction: On 10/9, Person#1 signed the application for employment, including a provisional employment disclosure statement, and the document was put in their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/9/2025
2. Medium risk10/7/2025

   Availability of certificate of compliance and applicable regulations (3290.22(b))

   During the time of inspection, the operator did not provide the parent of each child enrolled in the facility with information on how to access the regulations. - corrected on site Requirement: The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Correction: We do own a parent handbook; however, no copies were printed, and available copies have been printed. We will also have a link available to text parents the link, so they have access on their phones as well. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/18/2025
3. Medium risk10/7/2025

   Availability of certificate of compliance and applicable regulations (3290.22(a))

   During the time of inspection, the facility's current certificate of compliance was not posted in a conspicuous location used by parents. Requirement: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location. Correction: The compliance certificate was printed and posted on the parent board. The inspector helped to correct the 2nd issue by placing her business card on the parent board. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/9/2025
4. Medium-High risk10/7/2025

   System in compliance/Operator or designated staff responsibility (3290.95(a)/3290.95(b))

   During the time of inspection, it was observed that the facility did not have interconnected smoke detectors. The designated staff person in charge was unable to locate the fire drill log. 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 operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. Correction: Instructions were followed to interconnect the alarms. Instructions were also printed and attached and displayed and on the fire drill log. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/25/2025
5. Medium risk10/7/2025

   Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3290.123(b)/3290.182(8))

   Child #1 and child #2 parent did not receive the original agreement. The original agreements are on file at the facility. Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. Correction: The original copy was given to the parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/13/2025
6. Medium risk10/7/2025

   Admission date/Application, admission, withdrawal dates (3290.123(a)(6)/3290.182(2))

   Child #1 and child #2 agreement does not specify the date of the child's admission. Requirement: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child. Correction: The date of admission was entered for the current agreements on the day of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/8/2025
7. Medium-Low risk10/7/2025

   Signed (3290.123(a))

   Child #1 and child #2 agreement is not signed by the operator. Requirement: An agreement shall be signed by the operator and the parent. Correction: Agreements were signed on the day of the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/8/2025
8. Medium-High risk10/7/2025

   Review policies and procedures (3290.121(a))

   During the time of inspection, facilities policies did not include clothing, night care policies, transportation and pick up arrangements. Requirement: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. Correction: This information is provided on our contracts. Parents are fully aware of what is and is not included as part of the services. We have a website and a parent handbook, which, at the time of inspection, did not have a printed copy, but a copy was emailed to the inspector two days after the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/9/2025
9. Medium-Low risk10/7/2025

   Clean, age appropriate (3290.105(a))

   During the time of inspection, provider stated that the children sleep on the couch. The nap mats in the childcare space were not labeled. Requirement: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program. Correction: Permanent fabric labels were purchased, and the mats are now labeled. The kids sleep on their assigned mats. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/12/2025
10. Medium risk10/7/2025

    Clean and good repair (3290.102(a))

    During the time of inspection, there were multiple rips on the couch exposing the material underneath in the childcare space. 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 couch has been reupholstered. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/25/2025
11. Medium risk10/7/2025

    General Health and Safety/Age and training (3290.18/3290.31(g))

    Facility person #1 did not have the required health and safety training on file at the facility. Facility person #1 was observed working alone with children during the time of inspection. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Correction: On 10/8, person #1, Facility person #1, completed the missing training and the copy of the certification was emailed to the inspector. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/8/2025
12. Medium-High risk3/21/2025

    Emergency plan (3290.24(a))

    The facility did not have documentation of an emergency plan on file. Requirement: The facility shall have an emergency plan. Correction: An emergency plan has been created and placed on file. The emergency evacuation site has also been provided with a copy of the plan. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/15/2025
13. Medium-High risk3/21/2025

    Emergency plan (3290.24(f))

    The facility did not have documentation of a letter explaining the emergency procedures for parents who enroll on file. Requirement: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Correction: A letter explaining the emergency plan for parents has been drafted. This letter will be given to parents upon registration, and a signature will be required every six months from parents as an acknowledgment of receiving the letter and any updates made to it. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/15/2025
14. Medium-High risk3/21/2025

    Emergency plan (3290.24(g))

    The facility did not have documentation of an emergency plan on file. Requirement: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Correction: The emergency plans have been created and placed on file. The emergency has also been hand delivered the local municipality and Lebanon county emergency agency. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/15/2025
15. Medium-Low risk3/21/2025

    Physician/CRNP assessment (3290.151(c)(5))

    Facility person #1 physical did not include the physician's or CRNP's assessment of the person's suitability to provide childcare. Requirement: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction: Because the provider was not able to backdate an adjusted form. I completed the physical again and requested that the state health assessment form be used this time. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/15/2025
16. Medium-High risk3/21/2025

    Vet's certificate required (3290.117(c))

    During the initial inspection, the dog did not have a current rabies immunization on file. Requirement: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present. Correction: The dog's rabies immunization record was acquired and placed on file. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/15/2025
17. Medium risk3/21/2025

    Space heater protective guards (3290.92(b))

    During the initial inspection, the space heater in the childcare space did not have a secure, stable protective guard. Requirement: Fixed and portable space heaters shall be insulated or equipped with protective guards. Correction: A strong fireplace protector was purchased and placed around the heater and secured to the wall for a strong hold to ensure kids cannot move it. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/15/2025
18. Medium-High risk3/21/2025

    Has all items (3290.73(c))

    During the initial inspection, the first aid kit was missing nonporous gloves and soap. - Corrected on site Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: The violation was corrected on-site with the help of the inspector. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 3/21/2025
19. Medium-High risk3/21/2025

    Locked or inaccessible - in original container (3290.64(a))

    During the initial inspection, there were razors, sugar scrub, and hair products accessible to children in the bathroom that the children will be using. - Corrected on site Requirement: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces. Correction: A shelf has been installed six feet above the floor to keep these items out of reach to kids. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/15/2025
20. Medium risk3/21/2025

    Unsafe Areas in Outdoor Space (3290.61)

    During the initial inspection, it was observed that were raspberry bushes with sharp thorns in the outdoor play space. Requirement: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. Correction: The raspberry bushes have been removed. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/15/2025