LITTLE HAVEN CHILD CARE

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

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/22/21. Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children, at a minimum by, an (AGS, primary staff person, or family child care home staff person) 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 #1, staff person #1 may not work in a child-care position at the facility. Correction: Staff person #1 has completed and renewed the mandated reporter training. Copies of the completed training certificate have been placed in the staff file. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. Health assessment on file for child #1 does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Requirement: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Correction: Health assessment on file for child #1 was sent back to the child's doctor and now includes a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. 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 was conducted on 10/9/2025. At that time, staff files were reviewed. Clearances on file for staff person #1 and staff person #2 were not updated within 60 months. Staff person #1 had PSP clearances dated 6/22/2020 and 9/11/2025 and DHS FBI clearances dated 9/12/2020 and 9/17/2025, which were past 60 months. Staff person #2 had PSP clearances dated 6/22/2020 and 9/11/2025 and DHS FBI clearances dated 7/142020 and 9/17/2025, which were past 60 months. 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. Correction: DHS FBI clearances on file for staff person #1 and staff person #2 are current. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

A renewal inspection was conducted 10/9/2025. At that time, staff person #4 and staff person #5 were present in the Lower Level Main Room with 13 children, aged young and older-toddlers. Staff person #6 indicated that they were in ratio, but left the room to answer the door and to speak with certification representative in the office. Requirement: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). TIERED LIS: 1. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). This portion of the plan shall have an immediate correction date. 2. The legal entity must post ratio requirements in all child care spaces, including ratios in mixed age groups, 3270.52. The date The correction date for this portion of the plan shall be the date in which the ratios will be posted in each child care space. Correction: 1. 10/9/2025. Staff person #6 answered the door for certification representative because staff person #1 had left the facility to run an errand. When staff person #1 arrived, she was in ratio for the remainder of the time. 2. 10/24/2025. The legal entity will post ratio requirements in all child care spaces, including ratios in mixed age groups, 3270.52.. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Amount of fee/Date fee to be paid (3270.123(a)(1)/3270.123(a)(2))

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's emergency contact forms: Child #3: Fee amount and date on which the fee is to be paid. Child #4: Fee amount and date on which the fee is to be paid. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid. Correction: Fee agreements were updated with missing information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. Child Service Reports (CSRs) for the following children were not updated within the past 6 months: Child #1: Last CSR on file is dated 8/21/2024 Child #3: CSR dated 8/7/2025 is not signed by the child's parent. Child #5: Last CSR on file is dated 9/30/2024. Requirement: 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 in § 3270.124(f) (relating to emergency contact information). Correction: Updated child service reports will be done for child #1, child #3, and child #5. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone/Name/address/phone release person (3270.124(b)(3)/3270.124(b)(7))

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. The following information was missing from children's emergency contact forms: Child #3: Both parents' work addresses and work telephone numbers. Child #4: Both parents' work telephone numbers. Release person's full address. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: Emergency contact forms were updated with missing information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. Immunization summary on file for child #2 indicates that they have received 1 of 2 doses of Hep A vaccine. First dose of Hep A vaccine was administered on 5/28/2024. There is no exemption on file. Child #2 an older toddler (see LIS code sheet for DOB). Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 must be dismissed from care by close of business 10/9/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: Child #2 will be dismissed from care until the immunization record is updated or when a parent provides a written, signed exemption letter. 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 was conducted on 10/9/2025. At that time, staff files were reviewed. Health assessment and TB test on file for staff person #3 were dated 6/25/2025, which is after staff person #3's start date at the facility (see LIS code sheet for start date). 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: Health assessment and TB test on file for staff person #3 are current. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Safe routes posted (3270.171(c))

A renewal inspection was conducted on 10/9/2025. At that time, written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility. Requirement: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Correction: Safe routes were posted in the office, which is an area used by parents. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. The following emergency contact forms and fee agreements were not updated within the past 6 months: Child #2: Emergency contact form and fee agreement both last updated on 3/7/2025. Child #3: Emergency contact form and fee agreement both last updated on 2/20/2025. 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: Emergency contact forms were updated with the missing information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

A renewal inspection was conducted on 10/9/2024. At that time, staff person #4 had 8 hours of child care training on file for training year 4/3/2024-4/3/2025. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff person #4 took two 2 hour trainings on 8/4//2025 to make up hours. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health information/ACIP recommended immunization record (3270.131(a)/3270.131(e))

A renewal inspection was conducted on 10/9/2025. At that time, a sample of children's files were reviewed. Initial health assessment and immunization record on file for child #3 is dated 1/23/2025, which is more than 60 days following the first day of attendance at the facility (see LIS code sheet for date of admission). Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Correction: Health assessment on file for child #3 is current. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission (3270.182(3)/3270.182(5))

During renewal inspection conducted 10/30/2024, emergency contact form for child #1 did not contain signed parental consents for emergency medical care or minor first-aid by facility staff. Requirement: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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: Consents were signed on the day of inspection when the parent came to pick child up. Inspection: Renewal. 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 renewal inspection conducted 10/30/2024, there were 13 younger toddler, older toddler, and preschool-aged children present in the front area of the lower-level main room. Certification representative conducted supervision/ratio check and only 10 children were accounted for. Staff were aware of groups and all children were accounted for prior to certification representative departing room. 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. Correction: Staff were aware of which children were assigned to them and were able to correctly identify all children in their group before representative departed on 10/30/2024. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Associate's + 3 yrs (3270.34(b)(3))

During renewal inspection conducted 10/30/2024, staff person #3 is listed as the facility's director. Staff person #3 has associate's degree in early childhood education; however, 3 years of experience is not documented in the file. Requirement: A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. Correction: 3 years experience has been submitted for facility director. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During renewal inspection conduced on 10/30/2024, disclosure statements on file for staff person #2 and staff person #3 were not signed by a witness or dated. 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. Staff person #2 and staff person #3 may not work in a child care position at the facility until disclosure statements are dated and witnessed. Correction: Corrected on site. Staff person #2 and staff person #3 signed disclosure statements. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During renewal inspection conducted 10/30/2024, pediatric first-aid/CPR certificate on file for staff person #1 expired on 9/30/2024 and was not renewed until 10/15/2024. 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. Correction: Pediatric first-aid/CPR certificate on file for staff person #1 is current. Staff person #1 was unable to update certificate before it expired due to trainer being unavailable until after expiration date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During renewal inspection conducted on 10/30/2024, day on which fee is to be paid was missing from the fee agreement of child #1. Requirement: An agreement shall specify the date on which the fee is to be paid. Correction: Day on which fee is to be paid was added to child #1's fee agreement on the date of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone/Name/address/phone release person (3270.124(b)(3)/3270.124(b)(7))

During renewal inspection conducted 10/30/2024, the following information was missing from children's emergency contact forms: Child #1: Both parents' work addresses and work telephone numbers. Release person's address. Child #3: Release person's phone number. Child #4: Mother's work telephone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: Missing information was added to emergency contact forms when parents picked their children up on 10/30/2024. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During renewal inspection conducted 10/30/2024, last health assessment on file for child #2 is dated 9/21/2023, which is past 12 months. Child #2 is an older toddler (see LIS code sheet for date of birth). Requirement: 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: Parent of child #2 made an appointment with the doctor for 10/29/2024. She brought the child health report in on 10/31/2024. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During renewal inspection conducted 10/30/2024, the following children's files did not reflect that they are immunized according to the schedule of the ACIP: Child #2: Has 1 of 2 doses of Hepatitis A vaccine. There is no exemption on file. Child #2 is an older toddler (see LIS code sheet). Child #3: Has 1 of 2 doses of Hepatitis A vaccine and 2 of 4 doses of Hib vaccine. There is no exemption on file. Child #3 is an older toddler (see LIS code sheet). Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 and child #3 must be dismissed from care by close of business 10/30/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: Children were dismissed from care until updated immunization summary was provided. Child #2 has updated immunization summary on file as of 10/31/2024. Child #3 has appointment for vaccine scheduled for 12/17/2024. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

During renewal inspection conducted 10/30/2024, facility did not have emergency drill log on file. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Emergency drill was conducted on 11/19/2024 and documented. Documentation will be kept on file at the facility. 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))

During renewal inspection conducted 10/30/2024, fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 1/2/2024-2/2/2024, 3/1/2024-4/1/2024, 5/1/2024-6/3/2024, 7/1/2024, 8/1/2024, 8/30/2024-9/30/2024, 9/30/2024-10/30/2024. 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: Fire detection testing log is current. We did not conduct smoke alarm tests on these days due to the facility being closed. We have marked the days on the calendar when the smoke alarms will be tested to be carried out within 30 days. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

During renewal inspection conducted on 10/30/2023, staff person #4 and staff person #5 each obtained 5.5 annual clock hours of child care training for training year 12/19/2022-12/19/2023. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff person #4 and staff person #5 each completed 6.5 hours of child care training to make up for training year 12/19/2022-12/19/2023. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).