TINY TOTS ACADEMY LLC

Age and Training (3270.31(e))

The file for Staff Person #1 (4.5 hrs) did not include 12 hours of annual child care training. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: The personnel file for Staff Person #1 has been updated to include documentation of completed annual child care training hours to ensure compliance with the 12-hour requirement. A review of staff training records was conducted to identify any additional deficiencies, and corrective action was taken as needed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immediate access (3270.24(a))

On 3/20/2026 at approximately 9:05am, Certification Representative (CR) and CR Supervisor arrived at the facility for the annual renewal inspection. A staff person was entering the building at the time, and CR and CR Supervisor entered with them. When we arrived at the top of the steps, we asked the staff person to let the Director know that we were present. After a few moments, the Director had not come into the hallway. The doors were locked on the hallway side, and entry could not be made. CR knocked on the first door behind which we could hear children. No staff answered the door. CR and CR Supervisor knocked several more times over the course of the next 3-4 minutes, identifying ourselves by name and as OCDEL staff and asking that the door be opened. From inside Room 3, CR and CR Supervisor could clearly hear an adult's voice saying, "Do not let them in that door." At this point, CR walked down the hallway to Room 4's door, where children could also be heard. CR continued knocking on that door, identifying herself, as CR Supervisor knocked on the door to Room 3. Throughout this time, the voices of adults and children could be heard through the doors, and it was clear that staff were aware of our presence. After approximately 8 minutes total, the door to Room 3 was opened, and CR and CR Supervisor were granted access to the facility. Requirement: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. Correction: Staff will provide access to agents of the department to the facility in a more prompt and timely manner including the children and the files and records. Staff will be more alert and aware during inspection window to listen for agents arrival. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

The file for Staff Person #4 does not include documentation of emergency plan training at the time of hire. (SEE LIS CODE SHEET) Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. Correction: The director and owner will ensure that all staff persons receive emergency plan training at the time of hire and that written documentation of this training is maintained in each staff person's file. The cited noncompliance has been addressed. For Staff Person #4, emergency plan training was completed and documented. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The two most recent Pediatric First Aid/Pediatric CPR trainings for Staff Person #1 were dated more than 24 months apart (10/23/2023 - 3/6/2026). 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: The director and owner will ensure that all staff persons maintain current certification in pediatric first aid and pediatric (CPR) completed by a qualified instructor. The identified noncompliance will be corrected. All staff certification records will reviewed to verify current pediatric first aid and pediatric CPR credentials. Staff #1 is now compliant with regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The most recent Fire Safety training documented for Staff Person #2 occurred more than 12 months ago (1/30/2025). There is no documentation of Fire Safety training on record for Staff Person #5. 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: The director and owner will ensure that all staff persons participate at least annually in fire safety training conducted by a fire protection professional. The cited noncompliance will be corrected. We will ensure fire safety training is scheduled annually and will review documentation to verify completion and compliance. Documentation of fire safety training, and names of staff and volunteers in attendance, will be maintained on file at the facility and made available for review. Fire safety training was reviewed, and updated training was completed for staff #2 and staff #5. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The most recent PA State Police Clearance (1/19/2021) and PA Child Abuse Clearance (1/19/2021) for Staff Person #1 were dated more than 60 months ago. The two most recent NSOR Certificates for Staff Person #1 were dated more than 60 months apart (11/6/2019 - 9/19/2025). The file for Staff Person #2 contained a Department of Education FBI clearance, rather than the required Department of Human Services FBI Clearance. (SEE LIS CODE SHEET) Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Persons #1 and #2 may not work in a child care position at the facility. Correction: The provider will correct the cited violations by immediately obtaining updated Pennsylvania State Police Clearances and NSOR certificates for Staff Person #1 and ensuring Staff Person #2 obtains the correct Department Human Services FBI Clearance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The most recent Mandated Reporter Training on file for Staff Person #1 was dated more than 60 months ago (2/16/2021). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff #1 has completed updated mandated reporter training, and documentation has been placed in the personnel file to ensure compliance with the 60-month requirement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

The files for Staff Persons #5 and #6 lacked an annual written evaluation. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: The personnel files for Staff #5 and Staff #6 have been updated to include completed annual written evaluations, which are now on file. A review of all staff records was conducted to ensure annual evaluations are current, and any missing evaluations were promptly completed. To prevent recurrence, the facility has implemented a tracking system with reminders for upcoming evaluation due dates and assigned responsibility for oversight. Ongoing compliance will be monitored through periodic audits. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The first-aid kit in the indoor play space was missing a pair of 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: The first-aid kit in the indoor play space has been restocked to include a pair of tweezers and now meets required standards. All first-aid kits within the facility were reviewed to ensure completeness, and any missing items were replaced immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

In Room 3, a broken outlet cover was observed on the red wall. The crack in the cover created a sharp edge. In Room 4, the outer surface of the entry door was observed to have a large area towards the bottom that had been damaged. The damage to the door's surface included sharp edges/splinters of wood, which creates a hazard to children. In the Indoor Play Space, several ceiling tiles were observed (along the orange and red walls) to be in poor repair; specifically, the tiles had visible stains. In the Outdoor Play Space, a nail was observed to be protruding from the entry gate, creating a hazard to children entering or exiting the 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: The affected area was cleaned and/or repaired to remove visible hazards. The broken outlet cover on the red wall was replaced eliminating the sharp edge hazard, the damaged outer surface of the entry door was repaired, ceiling tiles along the orange and red walls that were in poor repair and had visible stains were examined by professional and repaired, the nail on the entry gate was removed. Procedures are in place to ensure all indoor and outdoor surfaces are maintained in a clean and safe condition. The Director will monitor ongoing compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In Room 3, a blue plastic shopping cart was observed to be in poor repair along the red wall. The cart had a large crack in it. In the same room, a plastic Batman toy was observed to be missing part of an arm. A sharp edge was created where the arm was broken. 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 blue plastic shopping cart with a large crack and the damaged Batman toy missing part of an arm with a resulting sharp edge, both observed in Room 3, have been immediately removed from use and discarded to eliminate potential hazards. A full inspection of all toys and play materials in Room 3 was completed, and any additional damaged items were removed from the environment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, good repair, proper size (3270.104(a))

In the Indoor Play Space, a chair was observed near the entry door. The chair had a crack in the seat that created a potential pinch point. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: The chair observed in the indoor play space near the entry door with a crack in the seat that created a potential pinch point has been immediately removed from use and taken out of the environment. The area was inspected to ensure no additional safety hazards were present. 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))

The two most recent health assessments for Staff Person #1 were dated more than 24 months apart (1/21/2022 - 4/15/2024). The file for Staff Person #3 did not include an initial health assessment. (SEE LIS CODE SHEET) 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: The personnel file for Staff Person #1 has been updated to include a current health assessment completed on 4/23/ 2026, ensuring compliance with the requirement that health assessments be conducted at least every 24 months. A review of all staff health records was completed to identify any additional lapses, and corrective action was taken as needed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB (3270.151(c)(2))

The file for Staff Person #3 did not include written documentation of a tuberculosis screening by the Mantoux method at initial hire. (SEE LIS CODE SHEET) Requirement: 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: The personnel file for Staff Person #3 has been updated to include documentation of a tuberculosis (TB) screening by the Mantoux method, completed in accordance with initial hire requirements. The missing documentation was obtained and placed in the employee's file to ensure compliance. A review of all personnel records was conducted to verify that TB screening documentation is present for all staff at the time of hire, and any identified deficiencies were corrected. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Menus (3270.165)

A current menu was not posted in the facility, and there was no indication from the operator that one had been provided to families. Requirement: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family. Correction: A current menu has been posted in a visible and accessible location within the facility. The operator has also confirmed that menus are provided to families to ensure awareness of daily meal offerings. To address the issue, a review of facility postings was completed to verify that all required information is properly displayed Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Prohibition using an 11-15 passenger vans (3270.176(f))

Upon inspection of the facility's vehicle used to transport children, it was observed that the facility was utilizing a 15-passenger van, which is prohibited. Requirement: In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van. Correction: Upon inspection, it was identified that the facility was utilizing a 15-passenger van for the transportation of children, which is prohibited. The vehicle has been immediately removed from use for child transportation services. The facility will ensure that only approved and compliant vehicles are used moving forward. A review of all transportation practices and vehicles was conducted to ensure compliance with applicable regulations Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exp, educ., training prior to facility (3270.192(2)(ii))

The file for Staff Person #3 did not include verification of child care experience or education prior to starting at the facility. (SEE LIS CODE SHEET) Requirement: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: The personnel file for Staff Person #3 has been updated to include verification of childcare experience and/or education required prior to employment. The missing documentation was obtained and placed in the employee's file to ensure compliance. A review of all staff personnel records was completed to confirm that required qualifications are properly documented at the time of hire, and any identified deficiencies were corrected. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

The file for Staff Person #3 did not include two written, non-family references. Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: The personnel file for Staff Person #3 has been updated to include two written non-family references, which were obtained and placed in the file to meet hiring requirements. A review of personnel records was completed to ensure all required reference documentation is present for staff, and any missing items were corrected. To prevent recurrence, the facility has implemented a hiring checklist that includes verification of required references prior to finalizing employment. Ongoing compliance will be maintained through routine file audits. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

In the Indoor Play Space, an area of cracking, separating plaster was observed on the orange wall. In the same space, an area of flaking plaster was observed under the window furthest to the left. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The areas of cracking and separating plaster on the orange wall in the indoor play space, as well as the flaking plaster observed under the window furthest to the left, have been repaired to ensure a safe environment. All affected surfaces were properly secured, smoothed, and restored. A comprehensive inspection of the indoor play space and surrounding areas was completed to identify any additional maintenance concerns, and no further hazards were noted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The Initial Health Assessment for Staff #1: dated: 03.2025) and Staff #3: dated (10.2024) were dated past their Date of Hire. (SEE LIS CODE SHEET) 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: The health assessment was late, but in the staff file. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos (3270.131(b)(2)/3270.181(c))

The file(s) for Child(ren) #1 (OT) had an Updated Health Assessment more than 12 months past the initial health assessment. (SEE LIS CODE SHEET) 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. 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 child assessment was late but in the file. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The PA State Police, Child Abuse and NSOR Certificate in the file for staff #1 was dated after their Date of Hire. (SEE LIS CODE SHEET) The Child Abuse and FBI Clearances in the files for staff #1 and #2 were dated after their Date of Hire. (SEE LIS CODE SHEET) The FBI Clearance in the file for Staff #2 was dated after their Date of Hire. (SEE LIS CODE SHEET) The PA State Police Clearance in the file for Staff #4 was dated after their Date of Hire. (SEE LIS CODE SHEET) 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: The clearances were late but in their files. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3280.123(b)/3280.182(8))

The agreement on file for child #1, #3, and #4 was the original copy. 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: Gave the original to the parent and made a copy. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Adult Hygiene (3280.152)

There was no running water in the sink near the diapering station in the infant room and staff person #4 stated that they just use hand sanitizer and gloves when changing diapers. Requirement: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. Correction: Owner troubleshooted the issue and now is working. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exp, educ., training prior to facility (3280.192(2)(ii))

The file for staff person #3 was missing verification of previous childcare experience, education and training prior to service at the facility. Requirement: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Childcare verification form was filled out and signed by the owner because this is my son who just started working with me since 02/03/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).