LITTLE FRIENDS NURSERY & DAY CARE CENTER

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

During the renewal inspection on 02/26/26 the file reviewed for staff person #1 contained a health assessment more than 24 months old. Staff person #5 did not have an initial health assessment prior to working in childcare setting. 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: Health assessment for staff # 1 and # 5 was added to their files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

110º F or less (3270.69(b))

During the renewal inspection the water temperature in bathroom exceeded 110° F. Requirement: Hot water temperature, in areas accessible to children, may not exceed 110° F. Correction: Hot water temperature was adjusted not to exceed 110F Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

During the renewal inspection completed on 02/26/26 toxins were observed under sink in infant classroom. Cabinet was unlocked and accessible to children. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: A lock was placed in the cabinet. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection on 02/26/26 staff person #5 was observed working with children without PA criminal clearance, NSOR, PA child abuse clearance, DHS FBI clearance, mandated reporter training or disclosure statement. No receipts on file. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). may not work in a childcare position at the facility. 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 #5 may not work in a childcare position at the facility. Correction: The only acceptable plan of correction is for staff person #5 to be removed from a childcare position at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the renewal inspection on 02/26/26 the first aid/cpr certification reviewed for staff person #2 was online only which is not accepted. 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: CPR/First Aid certification was added to staff #2 file Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

65º F minimum (3270.70(a))

During the renewal inspection on 02/26/26 indoor room temperature in infant room was 64° F. Requirement: The indoor temperature shall be at least 65° F. Correction: Heat switch was turned off. Heat switch was turned back on. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Inaccessible to children (3270.75(b))

During the renewal inspection on 02/26/26 the first aid kit reviewed in PreK room was located in area accessible to children. Requirement: A first-aid kit must be inaccessible to children. Correction: First aid kit was placed in area inaccessible to children Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No bed linens alone (3270.106(b))

During the renewal inspection on 02/26/26 children were observed sleeping on blankets during naptime. Requirement: Bed linens may not be used alone as age-appropriate rest equipment. Correction: Age-appropriate rest equipment was provided to children Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Refrigerator (3270.107)

During the renewal inspection on 02/26/26 the refrigerator located in the infant room did not contain a 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: A thermometer was places in the refrigerator Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Application, admission, withdrawal dates (3270.182(2))

During the renewal inspection on 02/26/26 the file reviewed for child #1 and child #2 did not contain child's date of admission. Requirement: A child's record shall contain the dates of application, admission and withdrawal of the child. Correction: Date of admission was added to child #1 and #2 file Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

During the renewal inspection on 02/26/26 the file reviewed for staff person #2, staff person #3 and staff person #4 did not include 12 hours of annual childcare training. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff #2, #3 and #4 have completed 12 hours annual training Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

During the complaint investigation on 11/04/25 contractors were observed at the facility working on building damages caused by leaking and flooding. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: on 11/04/2025 contractors were cleaning the classrooms. All repairs were done after hours and over the weekend. The classrooms were closed to staff and children. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Large muscle space provided (3270.62(a))

During the unannounced monitoring on 11/04/25 outdoor play space was unable to be utilized due to contractors completing work in classrooms. Debris removed from classrooms was observed being stored in outdoor play space. A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, Requirement: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding. Correction: Outdoor play space was able to be utilized. All debris have been removed from outdoor play space. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

During the complaint investigation on 11/04/25 it was confirmed that facility sustained significant leaking causing water damage to floors, walls, ceiling and other surfaces. 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 facility had a leak on 10/30/2025. repairs were completed on 11/05/2025. no leak or water damage was observed since the repairs were completed. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Stairs, exits, etc. unobstructed (3270.91(a))

During the unannounced monitoring on 11/04/25 the back exit to the facility was observed obstructed and inaccessible. Requirement: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Correction: The back exit of the facility was unobstructed and accessible. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate/No bed linens alone (3270.106(a)/3270.106(b))

During the unannounced monitoring on 11/04/25 it was confirmed that when classrooms were merged due to flooding on 10/30/25, children were laying on the floor without proper rest equipment. 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. Bed linens may not be used alone as age-appropriate rest equipment. Correction: Children were provided with rest equipment. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the unannounced monitoring on 9/11/25 the file reviewed for staff person #1 included a NSOR certificate more than 60 months old. NSOR certificate was dated 1/9/20. File also did not include mandated reporter training. Requirement: 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 childcare position at the facility. Correction: The only acceptable plan is for staff person #1 to be removed from childcare position. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Promote development (3270.111(c))

During the complaint investigation on 05/28/25 children were observed watching television and running around the classroom. Children were not participating in daily activities that promote development of skills. 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: A training was completed on classroom management. A speaker was placed in the classroom for music and movement so tv will no longer be used for that. An activity is now being done with the children daily. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

During the complaint investigation on 05/28/25 it was confirmed that there was a leak in the older toddler classroom, preschool classroom and front office. Ceiling tiles were observed to have water damage and visible buckling. 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 roof was fixed on 5/14/25. The tiles were replaced on 5/29/25. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Bottles labeled (3270.166(4))

During the renewal inspection on 02/20/25 unlabeled bottles were observed in young toddler classroom. Requirement: Disposable nursers and bottles shall be labeled with the child's name. Correction: On 2/20/25 the bottles were all labeled using masking tape. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3270.134(a))

During the renewal inspection on 02/20/25 staff person #1 was observed not washing child's hands 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. Correction: Staff person #1 was trained once more on proper diaper change procedures. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

During the renewal inspection on 02/20/25 the file reviewed for child #1, child #2 and child #3 did not contain a child service report. 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: Child service reports for children #1, #2 and #3 were completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No portable space heaters (3270.92(a))

During the renewal inspection on 02/20/25 there was a portable space heater observed in the school age classroom. Requirement: Portable space heaters are not permitted. Correction: Portable heater was removed from childcare space during the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

During the renewal inspection on 02/20/25 the first aid kit observed in the young toddler classroom did not contain tweezers. 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: Tweezers were placed on first aid kit on 02/20/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency Numbers Posted (3270.74)

During the renewal inspection on 02/20/25 emergency numbers were not posted by telephone in the facility. Requirement: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. Correction: Emergency numbers were placed by telephone on 02/20/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).