Small Impressions Childcare Inc - Sarver PA Child Care Center

Noncompliance Area: The emergency contact form of child #1 did not contain the work address or work telephone number of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The emergency contact form of child #2 did not contain the telephone number of one release person.

Correction Required: 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.

Noncompliance Area: The file of child #2, identified as a young toddler, contained a health report dated 1/24/2019 but did not contain a health report at least every 6 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The file of child #2, identified as a young toddler did not contain an immunized status according to the recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: In a cubby in the infant/toddler classroom, a diaper bag containing infant ibuprohen was accessible to children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: In the infant/toddler classroom, Tylenol was observed in the classroom and did not have written consent form the parent.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The file of facility person #4, with a start date of 12/1/2017, contained documentation of emergency plan training dated 10/23/2019 but did not contain documentation of previous emergency plan training to verify it was completed annually.

Correction Required: 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.

Noncompliance Area: The file of facility person #1 contained a disclosure which did not have a date. The file of facility person #2 contained a disclosure which did not have the signature of the witness or date. The file of facility person #3, with a start date of 1/14/2019, contained a volunteer PA state police clearance dated 5/27/2015 and an employment PA state police clearance dated 10/23/2019 and contained a disclosure which did not contain the witness signature.

Correction Required: 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.

Noncompliance Area: The file of facility person #4, with a start date of 12/1/2017 does not contain a written evaluation by the director at least every 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: In the preschool space, foam blocks with teeth marks were on the shelf.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: A pack 'n play in the infant/toddler space was not labeled with the name of the child for whom it was intended.

Correction Required: 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.

Noncompliance Area: Two bottles in the infant/toddler space were not labeled with each child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: The infant/toddler child care space contained Vics Vapor Rub and 2 tubes of Desitin labeled "keep out of the reach of children" in an open cabinet below the changing table accessible to children. The preschool space contained a first-aid kit which contained 2 bottles of sunscreen labeled "keep out of the reach of children" on a chair accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: In the preschool space, the excursion bag containing the first-aid kit was on a chair accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: The infant/toddler space contained a push and pull toy which had a broken piece on the front leaving sharp and rough edges exposed. The preschool/SA space contained a play kitchen with a broken handle on the freezer door.

Correction Required: 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.