LITTLE FRIENDS NURSERY & DAY CARE CENTER

Mixed Age Level (3270.52)

On 4-13-2026 during a follow-up visit, staff persons #1 and #2 were out of ratio with 12 children in care, the youngest being 1 yr. old. Continued noncompliance from an unannounced visit on 3-27-2026. 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). 1. The required staff: child ratios must be maintained at all times. An immediate correction date is needed for this portion. 2. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff: child ratios at all times. 3. A referral will be sent to the ELRC by the Southeast regional office for supervision training. Correction: 1) Staff/child ratios will be maintained at all times- 04/13/2026 2) Ratio documentation form will be completed, and the facility will maintain the required staff/child ratios at all times - 05/13/2026 3) Referral was sent to the ELRC, and all staff members completed supervision training - 06/02/2026. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

On 3-27-2026 during an unannounced visit, staff person #1 was out of ratio with 11 children in care, the youngest being 1 yr. old. 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). Correction: All staff members received training on staff/child ratio. Staff schedules were modified to ensure ratio is in accordance with the requirements. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physical examination/Health assessment, TB test (3270.151(c)(1)/3270.192(3))

On 2-25-2026 during an unannounced visit, staff person #2 did not have a health assessment on file at the facility. Requirement: An adult health assessment must include a physical examination. 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 #2 health assessment was added to her file Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

On 2-25-2026 during an unannounced visit, there was a fallen tree in the outdoor play space. 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: Fallen branch was removed from playground area. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

On 2-25-2026 during an unannounced visit, staff person #1 was working alone with children and did not have a DHS FBI clearance or out of state clearances on file. Staff person #2 did not have out of state clearances on file. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #1 and #2-- may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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. Correction: Staff persons #1 and #2 may not work in a childcare setting until clearances have been obtained. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training/Health and Safety Training - Pediatric First Aid and CPR (3270.31(e)(4)(i)/3270.31(f)(10))

On 2-25-2026 during an unannounced visit, staff person #1 was working alone with children unsupervised and did not have Pediatric first-aid/CPR training. 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. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: Staff # 1 completed CPR/First aid training. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

On 2-25-2026 during a complaint investigation, it was verified that floorboards in the facility were lifting. 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: Floorboards were repaired. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No harsh language (3270.113(d))

On 10-8-2025 during a complaint investigation, it was verified by staff that 2 staff persons were arguing in the presence of children, and harsh, demeaning or abusive language was used. Requirement: A facility person may not use harsh, demeaning or abusive language in the presence of children. Correction: Staff persons were terminated from their positions. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physical examination/Health assessment, TB test (3270.151(c)(1)/3270.192(3))

On 10-3-2025 during an unannounced visit, the file of staff person #1 did not include a health assessment. Requirement: An adult health assessment must include a physical examination. 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: a health assessment was included on staff person # 1 file Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

On 10-3-2025 during an unannounced visit, staff person #1 was observed working alone with children and did not complete the Health and Safety training. 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. Correction: Staff person # 1 completed health and safety training Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

On 9-17-2025 during a complaint investigation, it was verified that the outdoor play space has areas that are hazardous to children. The posts at the top of the swing set on the older kids side were not secure, causing the post to shift and slide across the top. The fence facing the creek is indented and the reinforcement has rolled up. Along the bottom of the fence has sharp wires sticking out. 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: Two swings were removed from the swing set. The fence was reinforced, and sharp wires were cut or bent over. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

On 9-11-2025 during an unannounced follow-up visit, hand sanitizer was on the counter/desk in the Preschool room. There was Lysol disinfectant spray on the toilet bowl cover in the bathroom labeled Staff/Adult. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Hand sanitizer and Lysol spray were removed and placed inaccessible to children. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

On 9-11-2025 during an unannounced follow-up visit, staff persons #1, #2 and #3 each left the other teachers out of ratio with 13 children in care, the youngest being 2 years old. Continued noncompliance from a Renewal inspection on 8-6-2025. 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). Correction: Staff #1, #2, #3 have taken supervision trainings. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

On 9-11-2025 during an unannounced follow-up visit, the walls in the Older Toddler classroom were dirty. Continued noncompliance from Renewal inspection on 8-6-2025. 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 walls on older toddles room were cleaned. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Lighting (3270.78)

On 9-11-2025 during an unannounced follow-up visit, the bathroom labeled children's bathroom did not have any lighting. Continued noncompliance from a Renewal inspection on 8-6-2025. Requirement: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. Correction: Lights in children bathroom were replaced. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

On 9-11-2025 during an unannounced follow-up visit, staff person #2 did not wash their hands or the hands of child #1 after being diapered. 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: Staff #2 received training on hand washing procedures. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

On 8-6-2025 during a Renewal inspection, staff persons #1, #2 and #3 each left the other teachers out of ratio with 13 children in care, the youngest being 2 years old. 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). Correction: Staff #1, #2, #3 have taken supervision trainings. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

On 8-6-2025 during a Renewal inspection, the file of staff person #3 had an expired FBI clearance dated 1-14-2020 and an expired Mandated Reporter training dated 3-2-2020. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff #3 finished mandated report training on 08/06/2025 and had her FBI clearance on 08/18/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

On 8-6-2025 during a Renewal inspection, a protective receptacle was missing in the bathroom labeled adult/staff. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: A protective receptable was placed in the electrical outlet in the bathroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contaminated trash in closed plastic-lined receptacle (3270.67(d))

On 8-6-2025 during a Renewal inspection, the trash can in the adult/staff bathroom was not lined with a plastic bag and had materials contaminated by human secretions. Requirement: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Correction: A plastic trash bag was placed on the trash can in adult bathroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

On 8-6-2025 during a Renewal inspection, the walls in the Older Toddler classroom were dirty. 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 walls were cleaned in the classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Lighting (3270.78)

On 8-6-2025 during a Renewal inspection, the bathroom labeled children's bathroom did not have any lighting. Requirement: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. Correction: The provider placed a light bulb in the bathroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Glass (3270.81)

On 8-6-2025 during a Renewal inspection, the glass doors in the front Preschool room did not have a visual strip or identification placed on the glass. Requirement: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space. Correction: A visual identification was placed on the glass door. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

On 8-6-2025 during a Renewal inspection, the toy kitchen in the Older Toddler room had a broken faucet spout and the Sesame Street toy was dirty. 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 broken faucet in the kitchen toy was covered, and sesame toy was replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written plan (3270.111(a))

On 8-6-2025 during a Renewal inspection, a written plan of daily activities and routines was not posted in the Older Toddlers room. Requirement: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. Correction: A written plan of activities and routine was posted in the classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).